IV push, single drug at Washakie Medical Center. CPT 96374.
What Washakie Medical Center publishes for this service, straight from its standard-charges file, last updated September 21, 2026.
Outpatient / ER
$209cash price (self-pay)
$370list price
$178–$363range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Banner Health | Banner Choice Plus/Banner Select | $178 |
| Humana | Medicare Advantage | $178 |
| Medica | Medicare Advantage | $178 |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $178 |
| United Healthcare | Medicare Advantage | $178 |
| United Healthcare | Nebraska Medicaid/CHIP | $178 |
| InterWest Health | Medicare Advantage | $181 |
| Prime Health Services | Medicare Advantage | $181 |
| WyoBlue Advantage | Medicare Advantage (PPO) | $181 |
| Blue Cross Blue Shield of Wyoming | Institutional | $339 |
| United Healthcare | Commercial | $339 |
| Medica | Commercial | $342 |
| First Health | Medical Rental | $344 |
| Imagine Health, LLC (wka WISE Provider Network) | WISE PPO | $344 |
| Multiplan | Commercial | $349 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $350 |
| First Choice Health Network | Commerical | $352 |
| Hue Health, Inc | Commercial | $352 |
| Coventry | Commercial | $355 |
| Coventry | Workers Comp | $355 |
| InterWest Health | Auto & General Liability | $359 |
| InterWest Health | Group Health | $359 |
| Prime Health Services | Auto & General Liability | $359 |
| Prime Health Services | Group Health | $359 |
| InterWest Health | Workers' Comp | $363 |
| Prime Health Services | Worker's Comp | $363 |
Inpatient
$209cash price (self-pay)
$370list price
$339–$363range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Wyoming | Institutional | $339 |
| United Healthcare | Commercial | $339 |
| First Health | Medical Rental | $344 |
| Imagine Health, LLC (wka WISE Provider Network) | WISE PPO | $344 |
| Multiplan | Commercial | $349 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $350 |
| First Choice Health Network | Commerical | $352 |
| Hue Health, Inc | Commercial | $352 |
| Coventry | Commercial | $355 |
| Coventry | Workers Comp | $355 |
| InterWest Health | Auto & General Liability | $359 |
| InterWest Health | Group Health | $359 |
| Prime Health Services | Auto & General Liability | $359 |
| Prime Health Services | Group Health | $359 |
| InterWest Health | Workers' Comp | $363 |
| Prime Health Services | Worker's Comp | $363 |
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