IV push, single drug at Astria Toppenish Hospital. CPT 96374.
What Astria Toppenish Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$101cash price (self-pay)
$465list price
$23.87–$827range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid | Medicaid | $29.48 |
| Amerigroup_medicaid | Medicaid | $39.80 |
| Coordinated_care_ambetter_exchange | Medicare | $39.80 |
| Kaiser_medicaid | Medicaid | $39.80 |
| UHC | Commercial | $39.80 |
| Va | Medicare | $39.80 |
| Molina | Medicaid | $40.60 |
| Chpw_medicare | Medicare | $41.00 |
| Molina_exchange | Medicaid | $51.74 |
| Coordinated_care_medicaid | Medicaid | $71.15 |
| Regence | Commercial | $158 |
| Premera_affordable_care | Commercial | $175 |
| Premera | Commercial | $175 |
| Li | Commercial | $216 |
| Aetna_medicare | Medicare | $219 |
| Cigna | Commercial | $219 |
| Health_alliance_medicare_advantage | Medicare | $219 |
| Hma_ihs_medicare | Medicare | $219 |
| Humana_medicare | Medicare | $219 |
| Kaiser_medicare | Medicare | $219 |
| Medicare | Medicare | $219 |
| Molina_medicare | Medicare | $219 |
| Premera_medicare_advantage | Medicare | $219 |
| Regence_medicare | Medicare | $219 |
| Uhc_medicaid | Medicaid | $219 |
| Tricare | Medicare | $219 |
| Zenith | Commercial | $221 |
| First_choice | Commercial | $321 |
| Tpsc | Commercial | $363 |
| Chpw_medicaid | Medicaid | $383 |
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