IV push, single drug at MercyOne Dyersville Medical Center. CPT 96374.
What MercyOne Dyersville Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$202cash price (self-pay)
$310list price
$3.84–$349range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Choices | Medical Associates | $117 |
| Iowa Dept Of Public Health | Care For Yourself | $160 |
| Blue Cross - Ia (Wellmark) Medicare Advantage | Wellmark Medicare Adva | $172 |
| Health Partners Medicare Advantage | Unitypoint Health Partners Medica | $175 |
| Wellpoint Medicare Advantage | Wellpoint Medicare Advantage | $177 |
| Medigold Medicare Advantage | Mercyone Health Plan Medicare Advantage | $180 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $184 |
| The Alliance | The Alliance | $189 |
| Medicare Medical Associates Health Plans | Medical Associates Medicare | $191 |
| Iowa Total Care | Iowa Total Care Medicaid | $215 |
| United Healthcare | United Healthcare Deere Premier | $217 |
| Molina Medicaid | Molina Medicaid | $218 |
| Wellpoint Medicaid | Wellpoint Medicaid | $219 |
| Amish Hospital Aid | Amish Hospital Aid | $231 |
| Webtpa | Aetna | $256 |
| Meritain | Aetna | $256 |
| Medical Mutual | Aetna | $256 |
| Coventry | Aetna | $256 |
| Christian Brother Services | Aetna | $256 |
| Allied Benefit Systems | Aetna | $256 |
| Trustmark Small Business Benefits | Aetna | $256 |
| Asr Health Benefits | Aetna | $256 |
| Aetna | Aetna | $256 |
| Luminare Health | Aetna | $256 |
| First Health | Aetna | $256 |
| 1199 National Benefit Fund | Aetna | $256 |
| Aetna Eap | Aetna | $256 |
| Aetna Domestic | Aetna | $256 |
| Geha | United Healthcare | $279 |
| United Healthcare | United Healthcare | $279 |
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