IV push, single drug at Lourdes Counseling Center. CPT 96374.
What Lourdes Counseling Center publishes for this service, straight from its standard-charges file, last updated July 10, 2026.
Outpatient / ER
$53.72cash price (self-pay)
$134list price
$26.00–$415range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Healthcare of Washington | Medicaid | $26.00 |
| COORDINATED CARE OF WASHINGTON INC | Medicaid | $26.27 |
| Unitedhealthcare Of Washington Inc | HMO | $30.83 |
| Aetna | PPO | $34.92 |
| United Healthcare Insurance Company | HMO | $35.61 |
| Unitedhealthcare Of Washington Inc | PPO | $35.61 |
| Community Health Plan Of Washington | PPO | $35.97 |
| Molina Healthcare of Washington | HMO | $37.71 |
| Premera Blue Cross | PPO | $63.21 |
| Aetna | POS | $87.20 |
| Cigna Health and Life Insurance Company | POS | $95.83 |
| GreatWestHealthcare-CIGNA | POS | $104 |
| United Healthcare Insurance Company | POS | $104 |
| Humana Inc. | HMO | $134 |
| KFHP of WA | HMO | $415 |
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