IV push, single drug at Astria Sunnyside Hospital. CPT 96374.
What Astria Sunnyside Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$92.91cash price (self-pay)
$191list price
$35.97–$584range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health_alliance_medicare_advantage | Medicare | $42.15 |
| Uhc_medicare | Medicare | $43.38 |
| Aetna_medicare | Medicare | $46.84 |
| Amerigroup_medicaid | Medicaid | $46.84 |
| Chpw_medicaid | Medicaid | $46.84 |
| Healthcomp_ihs | Medicare | $46.84 |
| Hma_ihs_medicare | Medicare | $46.84 |
| Humana_medicare | Medicare | $46.84 |
| Kaiser_medicare | Medicare | $46.84 |
| Medicaid | Medicaid | $46.84 |
| Medicare | Medicare | $46.84 |
| Molina | Commercial | $46.84 |
| Molina_medicare | Medicare | $46.84 |
| Premera_medicare_advantage | Medicare | $46.84 |
| Signal_health_medicare | Medicare | $46.84 |
| Va | Medicare | $46.84 |
| Regence_medicare | Medicare | $47.31 |
| Tricare | Medicare | $47.31 |
| Chpw_medicare | Medicare | $48.25 |
| Uhc_medicaid | Medicaid | $48.25 |
| Coordinated_care_medicaid_ambetter | Medicaid | $58.54 |
| Coordinated_care_medicaid | Medicaid | $58.86 |
| Regence | Commercial | $111 |
| Cigna | Commercial | $114 |
| Li | Commercial | $117 |
| First_choice | Commercial | $143 |
| Tpsc | Commercial | $149 |
| Premera | Commercial | $155 |
| UHC | Commercial | $162 |
| Umr | Commercial | $162 |
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