IV push, single drug at Providence St Peter Hospital. CPT 96374.
What Providence St Peter Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$614cash price (self-pay)
$1,180list price
$208–$1,029range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Medicare Managed Care Plan | $245 |
| Aetna | Gatekeeper Medicare Managed Care - Hmo | $252 |
| Aetna | Non-Gatekeeper Medicare Managed Care - Ppo | $254 |
| Unitedhealthcare | Medicare Managed Care Plan | $262 |
| Blue Shield | Regence Medicare Managed Care Plan | $264 |
| Humana | Medicare Managed Care Plan | $269 |
| Community Health Plan | Medicare Managed Care Plan | $391 |
| Molina | Exchange | $413 |
| Blue Cross | Premera Lifewise Exchange | $440 |
| Unitedhealthcare | Navigate Other Commercial Plan | $448 |
| Coordinated Care | Ambetter Exchange | $453 |
| Blue Shield | Regence Uniform Medical Plan Other Commercial Plan | $476 |
| Unitedhealthcare | Aco Tiered Other Commercial Plan | $556 |
| Blue Cross | Premera Heritage Signature Other Commercial Plan | $657 |
| Blue Cross | Premera All Commercial Plans | $672 |
| Blue Shield | Regence All Commercial Plans | $731 |
| Kaiser | All Commercial Plans | $778 |
| Providence Health Plan | Signature/Choice Network Other Commercial Pla | $799 |
| Unitedhealthcare | All Commercial Plans | $956 |
| First Choice | All Commercial Plans | $1,029 |
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