IV push, single drug at Golden Plains Community Hospital. CPT 96374.
What Golden Plains Community Hospital publishes for this service, straight from its standard-charges file, last updated March 16, 2026.
Outpatient / ER
$140cash price (self-pay)
$237list price
$36.80–$938range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | All Commercial | $43.59 |
| United Healthcare Medicare Advantage | Medicare Advantage | $54.49 |
| Humana Medicare Advantage | Medicare Advantage | $54.49 |
| Blue Cross - Blue Advantage | HMO | $76.11 |
| United Healthcare Commercial | All Commercial | $79.00 |
| Blue Cross Essentials HMO | HMO | $79.68 |
| WellMed | Medicare Advantage | $83.26 |
| Aetna Medicare Advantage | Medicare Advantage | $83.26 |
| Blue Cross PPO / Traditional | PPO/Traditional | $86.42 |
| Aetna | All Commercial | $154 |
Inpatient
$140cash price (self-pay)
$237list price
$120–$246range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross - Blue Advantage | HMO | $142 |
| Blue Cross Essentials HMO | HMO | $149 |
| Aetna | All Commercial | $154 |
| Blue Cross PPO / Traditional | PPO/Traditional | $161 |
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