IV push, single drug at Holy Cross Hospital - Davis. CPT 96374.
What Holy Cross Hospital - Davis publishes for this service, straight from its standard-charges file, last updated February 11, 2026.
Outpatient / ER
$291cash price (self-pay)
$733list price
$27.26–$739range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Managed Medicaid | Managed Medicaid | $27.26 |
| UUHP | Managed Medicaid | $27.26 |
| Humana | Managed Medicare | $31.44 |
| Managed Medicare | Managed Medicare | $31.44 |
| Medicare | Medicare | $31.44 |
| Employer Direct Healthcare | Commercial PPO/POS/HMO | $39.46 |
| MotivHealth | Commercial PPO/POS/HMO | $41.70 |
| Molina | Commercial PPO/POS/HMO | $72.08 |
| PEHP | Commercial Summit Exclusive | $254 |
| Centura Employee Plan | Commercial PPO/POS/HMO/EPO | $256 |
| Regence Blue Cross Blue Shield | Commercial Savewell | $275 |
| PEHP | Commercial Capital Network | $313 |
| Aetna | Commercial Peak Performance | $324 |
| Regence Blue Cross Blue Shield | Commercial UVU | $338 |
| Select Health | Commercial PPO/POS/HMO | $360 |
| UUHP | Commercial Health Plus | $361 |
| UUHP | Commercial Healthy Preferred | $361 |
| PEHP | Commercial Summit | $373 |
| Wise | Commercial PPO | $381 |
| Aetna | Commercial Standard Network | $386 |
| UUHP | Commercial Healthy Premier | $397 |
| Regence Blue Cross Blue Shield | Commercial PPO | $398 |
| Regence Blue Cross Blue Shield | Commercial Blue Option | $407 |
| PEHP | Commercial Advantage | $425 |
| Regence Blue Cross Blue Shield | Commercial PAR | $427 |
| Deseret Mutual Benefit Administrators | Commercial PPO/POS/HMO | $450 |
| Cigna Healthcare | Commercial Local Plus | $500 |
| Multiplan | Commercial Primary | $506 |
| United Healthcare | Commercial PPO/POS/HMO | $532 |
| Aetna | Commercial Signature | $533 |
Inpatient
$291cash price (self-pay)
$733list price
$271–$739range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Regence Blue Cross Blue Shield | Commercial Savewell | $273 |
| PEHP | Commercial Capital Network | $313 |
| Molina | Commercial PPO/POS/HMO | $315 |
| Aetna | Commercial Peak Performance | $324 |
| Regence Blue Cross Blue Shield | Commercial UVU | $336 |
| PEHP | Commercial Summit Exclusive | $347 |
| Select Health | Commercial PPO/POS/HMO | $360 |
| PEHP | Commercial Summit | $373 |
| Aetna | Commercial Standard Network | $386 |
| Wise | Commercial PPO | $389 |
| Regence Blue Cross Blue Shield | Commercial PPO | $395 |
| PEHP | Commercial Advantage | $425 |
| Regence Blue Cross Blue Shield | Commercial Blue Option | $440 |
| Regence Blue Cross Blue Shield | Commercial PAR | $440 |
| Deseret Mutual Benefit Administrators | Commercial PPO/POS/HMO | $450 |
| Multiplan | Commercial Primary | $506 |
| Aetna | Commercial Signature | $533 |
| Aetna | Commercial Extended Network | $550 |
| Aetna | Commercial Indemnity | $586 |
| Aetna Rental Networks | Commercial PPO/POS/HMO | $619 |
| EMI Health | Commercial PPO/POS/HMO | $638 |
| Multiplan | Commercial Complementary | $667 |
| United Healthcare | Commercial Behavioral Health | $733 |
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