IV push, single drug at CHI Health Missouri Valley. CPT 96374.
What CHI Health Missouri Valley publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$61.25cash price (self-pay)
$132list price
$43.75–$138range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Medicare|All Plans | $46.20 |
| Medica | Medicare|All Plans | $46.20 |
| PACE | Medicare|All Plans | $46.20 |
| United | Medicare|All Plans | $46.20 |
| Centene | Medicare|All Plans | $47.13 |
| Amerigroup | Medicare|All Plans | $48.51 |
| Great Plains | Medicare|All Plans | $48.51 |
| United | Medicaid|Community Plan | $56.76 |
| Amerigroup | Medicaid|All Plans | $57.90 |
| Total Care | Medicaid|All Plans | $57.90 |
| IAMolina | Medicaid|All Plans | $59.04 |
| AMPS | Commercial|All Plans | $103 |
| BCBS - NE | Commercial|BluePrint | $119 |
| Medica | Commercial|All Other Plans | $120 |
| Medica | Commercial|CHI Health | $120 |
| BCBS - NE | Commercial|All Other Plans | $125 |
| Greater Omaha Packing | Commercial|Broad Network | $127 |
| Greater Omaha Packing | Commercial|Narrow Network | $127 |
| Medica | Commercial|ACO | $127 |
| Medica | Commercial|Open Access | $127 |
| Midlands Choice | Commercial|Premier | $127 |
| Midlands Choice | Commercial|Standard | $127 |
| Millard Public Schools | Commercial|Broad Network | $127 |
| Millard Public Schools | Commercial|Narrow Network | $127 |
| One World | Commercial|Broad Network | $127 |
| One World | Commercial|Narrow Network | $127 |
| QuikTrip | Commercial|All Plans | $127 |
| Timpte | Commercial|Broad Network | $127 |
| United | Commercial|All Plans | $127 |
| MultiPlan | Commercial|All Plans | $129 |
Inpatient
$61.25cash price (self-pay)
$132list price
$71.25–$138range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark | Commercial|HMO | $75.24 |
| Wellmark | Commercial|PPO | $75.24 |
| BCBS - NE | Commercial|BluePrint | $119 |
| Medica | Commercial|All Other Plans | $120 |
| Medica | Commercial|CHI Health | $120 |
| BCBS - NE | Commercial|All Other Plans | $125 |
| Greater Omaha Packing | Commercial|Broad Network | $127 |
| Greater Omaha Packing | Commercial|Narrow Network | $127 |
| Medica | Commercial|ACO | $127 |
| Medica | Commercial|Open Access | $127 |
| Midlands Choice | Commercial|Premier | $127 |
| Midlands Choice | Commercial|Standard | $127 |
| Millard Public Schools | Commercial|Broad Network | $127 |
| Millard Public Schools | Commercial|Narrow Network | $127 |
| One World | Commercial|Broad Network | $127 |
| One World | Commercial|Narrow Network | $127 |
| QuikTrip | Commercial|All Plans | $127 |
| Timpte | Commercial|Broad Network | $127 |
| United | Commercial|All Plans | $127 |
| MultiPlan | Commercial|All Plans | $129 |
| PHCS | Commercial|All Plans | $129 |
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