IV push, single drug at St. Charles Madras. CPT 96374.
What St. Charles Madras publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$319cash price (self-pay)
$399list price
$95.81–$740range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UNICARE [133] | Medicare | $95.81 |
| Law Enforcement [701] | Schs Smh Hb Law Enforcement | $95.81 |
| AGERIGHT ADVANTAGE [142] | Medicare | $95.81 |
| MEDICARE VACCINE [999100100] | Medicare | $95.81 |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | Medicare | $95.81 |
| HEALTH NET MED ADV [135] | Medicare | $95.81 |
| UHC MEDICARE ADVANTAGE [127] | Medicare | $95.81 |
| KAISER PERMANENTE MED ADV [136] | Medicare | $95.81 |
| PACIFICSOURCE MEDICARE ADVANTAGE [126] | PacificSource Medicare | $101 |
| PROVIDENCE MEDICARE ADV [137] | Providence Medicare | $111 |
| MODA MEDICAID [528] | Eastern Oregon CCO | $164 |
| HEALTH SHARE PROVIDENCE [548] | Oregon Medicaid CCO | $164 |
| YAMHILL COUNTY COORDINATED CARE ORG [550] | Oregon Medicaid CCO | $164 |
| COLUMBIA PACIFIC COORDINATED CARE LLC [539] | Oregon Medicaid CCO | $164 |
| WILLAMETTE VALLEY COMMUNITY HEALTH [536] | Oregon Medicaid CCO | $164 |
| JACKSON CARE CONNECT [542] | Oregon Medicaid CCO | $164 |
| PRIMARY HEALTH OF JOSPEHINE COUNTY LLC [547] | Oregon Medicaid CCO | $164 |
| HEALTH SHARE [537] | Oregon Medicaid CCO | $164 |
| PACIFICSOURCE COMMUNITY SOLUTIONS [525] | PacificSource Central Oregon | $210 |
| PACIFICSOURCE [345] | PacificSource Navigator Group | $218 |
| PACIFICSOURCE [345] | PacificSource Navigator Individual | $218 |
| PACIFICSOURCE COMMUNITY SOLUTIONS [525] | PacificSource Gorge & Lane C | $219 |
| PACIFICSOURCE COMMUNITY SOLUTIONS [525] | PacifcSource Healthier Orego | $233 |
| PROVIDENCE HEALTH PLAN [347] | Providence Health Plan Individual | $279 |
| OTJ DEPT OF LABOR FEDERAL EMP [652] | US Dept of Labor | $317 |
| MODA [310] | Moda Synergy | $343 |
| MODA [310] | Moda Connexus | $343 |
| SAMARITAN [376] | First Choice Health Network | $346 |
| MERITAIN HEALTH [300] | Aetna | $347 |
| UNITEDHEALTHONE [401] | United Healthcare | $369 |
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