IV push, single drug at Intermountain Health Logan Regional Hospital. CPT 96374.
What Intermountain Health Logan Regional Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$236cash price (self-pay)
$315list price
$35.24–$303range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Adv HMO | $35.24 |
| Aetna | Medicare Adv PPO | $35.24 |
| American Health | Medicare Adv UT HMO I-SNP | $35.24 |
| Health Partners of Nevada | Medicare Advantage | $35.24 |
| Healthy U | Medicaid | $35.24 |
| Humana | Medicare Choice PPO | $35.24 |
| Molina | Medicaid | $35.24 |
| Molina | Medicare Advantage | $35.24 |
| Molina | Medicare Choice Care HMO | $35.24 |
| Molina | Medicare Complete Care HMO SNP | $35.24 |
| Regence BCBS | MedAdvantage PPO | $35.24 |
| SelectHealth | Medicare Advantage | $35.24 |
| Southwest Behavioral Health | Behavioral Health | $35.24 |
| UHC | Medicare Advantage | $35.24 |
| Health Plan of Nevada | Medicaid | $64.92 |
| SelectHealth | Medicaid | $64.92 |
| Donor Connect | Other | $83.87 |
| Intermountain Caregiver Plan | Med Network | $97.11 |
| Intermountain Caregiver Plan | Share Network | $97.11 |
| EMI | Commercial | $219 |
| Deseret Mutual | All Other | $219 |
| Deseret Mutual | Select | $219 |
| Campbell Scientific | Commercial | $221 |
| Franklin County | Commercial | $221 |
| CorVel Corporation | Workers Comp | $236 |
| Corporation of the President | Workers Comp | $236 |
| AWH Connected | Connected Utah | $245 |
| EMI Health | Mint | $253 |
| EMI Health | Network Care | $253 |
| AG Administrators | USU Athletics | $268 |
Inpatient
$236cash price (self-pay)
$315list price
$6.62–$300range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Donor Connect | Other | $6.62 |
| Health Plan of Nevada | Medicaid | $94.59 |
| Intermountain Caregiver Plan | Med Network | $134 |
| Intermountain Caregiver Plan | Share Network | $134 |
| Campbell Scientific | Commercial | $221 |
| Franklin County | Commercial | $221 |
| Juniper Systems | Commercial | $221 |
| LW Miller | Commercial | $221 |
| CorVel Corporation | Workers Comp | $236 |
| Corporation of the President | Workers Comp | $236 |
| Injury Care of Nevada | Workers Comp | $236 |
| AG Administrators | USU Athletics | $268 |
| Altius MHNet Behavioral Health | Behavioral Health | $268 |
| BYU Athletics | Commercial | $268 |
| BYU Risk Management | Workers Comp | $268 |
| Cigna | Open Access Flex | $268 |
| Global Excel | Commercial | $268 |
| MedCare International | Commercial | $268 |
| AWH Connected | Connected Utah | $269 |
| Deseret Mutual | All Other | $269 |
| Deseret Mutual | Select | $269 |
| EMI Health | Mint | $269 |
| EMI Health | Network Care | $269 |
| EMI | Commercial | $269 |
| Managed Care Admin | Commercial | $269 |
| PEHP | Advantage Non-State | $269 |
| PEHP | Advantage State | $269 |
| PEHP | Capital Care | $269 |
| Aetna | Connected | $300 |
| Aetna | Extended | $300 |
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All common services at Intermountain Health Logan Regional Hospital