IV push, single drug at Advocate Good Samaritan Hospital. CPT 96374.
What Advocate Good Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated November 4, 2025.
Outpatient / ER
$320cash price (self-pay)
$640list price
$252–$1,270range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Advocate Employee | Commercial | $252 |
| Blue Cross Blue Shield City of Chicago | Commercial | $302 |
| Ambetter | Medicare Advantage | $318 |
| Molina | Medicare Advantage | $318 |
| Blue Cross Blue Shield Choice | Commercial | $326 |
| Oscar Health HMO | Medicare Advantage | $329 |
| Cigna One Health | Commercial | $333 |
| Blue Cross Blue Shield | PPO | $343 |
| Aetna | Commercial | $345 |
| HSTechnology | Medicare Advantage | $422 |
| Cigna | Commercial | $422 |
| Blue Cross Blue Shield Blue Precision | Managed Care | $495 |
| Blue Cross Blue Shield | HMO | $504 |
| Multiplan | Commercial | $512 |
| Private Healthcare Systems | Commercial | $512 |
| United Healthcare Charter | Commercial | $642 |
| United Healthcare Nexus | Commercial | $744 |
| United Healthcare Core Navigate | Commercial | $1,098 |
| United Healthcare | HMO | $1,270 |
Inpatient
$320cash price (self-pay)
$640list price
$280–$512range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Advocate Employee | Commercial | $280 |
| Private Healthcare Systems | Commercial | $397 |
| Multiplan | Commercial | $512 |
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