IV push, single drug at St. Charles Prineville. CPT 96374.
What St. Charles Prineville publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$319cash price (self-pay)
$399list price
$112–$740range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AETNA MEDICARE [131] | Medicare | $112 |
| ATRIO HEALTH MEDICARE [138] | Medicare | $112 |
| CIGNA MEDICARE [143] | Medicare | $112 |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | Medicare | $112 |
| SAMARITAN HEALTH PLAN MED ADV [141] | Medicare | $112 |
| WELLCARE [132] | Medicare | $112 |
| HEALTH MARKET CARE ASSURED [134] | Medicare | $112 |
| INDIAN HEALTH [704] | Medicare | $112 |
| PRIMARY HEALTH OF JOSPEHINE COUNTY LLC [547] | Oregon Medicaid CCO | $140 |
| ALLCARE HEALTH PLAN [538] | Oregon Medicaid CCO | $140 |
| TRILLIUM MEDICAID [535] | Oregon Medicaid CCO | $140 |
| WILLAMETTE VALLEY COMMUNITY HEALTH [536] | Oregon Medicaid CCO | $140 |
| HEALTH SHARE KAISER [543] | Oregon Medicaid CCO | $140 |
| HEALTH SHARE CARE OREGON [526] | Oregon Medicaid CCO | $140 |
| YAMHILL COUNTY COORDINATED CARE ORG [550] | Oregon Medicaid CCO | $140 |
| HEALTH SHARE OHSU OHP [552] | Oregon Medicaid CCO | $140 |
| LAW ENFORCEMENT [701] | SCHS HB Oregon Department of Corrections | $198 |
| CIGNA [337] | Cigna | $252 |
| US BENEFITS [326] | Cigna | $252 |
| MODA [310] | Moda Affinity | $343 |
| KAISER PERMANENTE [334] | First Choice Health Network | $346 |
| UNITED HEALTHCARE [338] | United Healthcare | $369 |
| HEALTH NET [340] | Health Net | $375 |
| FIRST HEALTH [339] | First Health | $391 |
| AUTO OREGON MUTUAL [614] | Auto Insurance | $399 |
| OTJ TRISTAR [673] | Oregon Workers Compensation | $399 |
| AUTO STATE FARM CLAIMS [609] | Auto Insurance | $399 |
| AUTO USAA [611] | Auto Insurance | $399 |
| GENERIC AUTO [649] | Auto Insurance | $399 |
| AUTO MUTUAL OF ENUMCLAW [610] | Auto Insurance | $399 |
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