IV push, single drug at Samaritan Pacific Communities Hospital. CPT 96374.
What Samaritan Pacific Communities Hospital publishes for this service, straight from its standard-charges file, last updated January 31, 2026.
Outpatient / ER
$112cash price (self-pay)
$250list price
$46.20–$351range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Providence | Medicare Adv. | $82.50 |
| Humana | Medicare Adv. | $83.32 |
| Samaritan | Medicare Adv. | $83.32 |
| Regence | Medicare Adv. | $90.75 |
| Pacificsource | Medicare Adv. | $92.40 |
| Devoted Health | Devoted Health Mcr Advantage | $94.88 |
| Samaritan | EPO | $175 |
| Samaritan | Samaritan Choice | $200 |
| Samaritan | Samaritan Group | $213 |
| Regence | All Products | $225 |
| Aetna | All Products | $238 |
| Moda | Connexus-Synergy-Ohsu PPO | $238 |
| Cigna | All Products | $243 |
| Healthnet | All Products | $243 |
| Providence | EPO - Non Pebb/Oebb | $243 |
| Providence | Individual-Standard | $243 |
| Providence | EPO - Pebb/Oebb | $243 |
| Humana | All Products | $244 |
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All common services at Samaritan Pacific Communities Hospital