IV push, single drug at Decatur Memorial Hospital. CPT 96374.
What Decatur Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 17, 2026.
Outpatient / ER
$538cash price (self-pay)
$538list price
$0.87–$982range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid | Illinois Medicaid | $58.14 |
| Blue Cross Blue Shield | Blue Cross Community MMAI/Dual Eligible | $122 |
| Aetna | Aetna Medicare Advantage | $130 |
| Blue Cross Blue Shield | BCBS Medicare Advantage | $130 |
| Coventry | Coventry Advantra Medicare Advantage | $130 |
| Health Alliance | Health Alliance Medicare Advantage | $130 |
| Humana | Humana Medicare Advantage | $130 |
| Medicare | Medicare | $130 |
| United HealthCare | United HealthCare Medicare Advantage | $130 |
| Veterans Administration | Veterans Administration | $130 |
| BCBS Phai | BCBS Phai | $131 |
| Tricare/Champus | Tricare/Champus | $132 |
| HFN | HFN Workers Compensation | $135 |
| Commercial Workers Compensation | Commercial Workers Compensation | $136 |
| Illinois Workers Compensation | Illinois Workers Compensation | $187 |
| WellCare | WellCare Medicare Advantage PPO | $224 |
| UHC Va Ccn | UHC Va Ccn | $228 |
| Mennonite Churches | Mennonite Churches | $231 |
| Plain Church Medical Group | Plain Church Medical Group | $242 |
| Health Alliance MH Employee Plan | Health Alliance MH Employee Plan | $247 |
| Cigna | Cigna PPO | $251 |
| Health Alliance | Health Alliance Public Exchange | $313 |
| 6 Degrees Health | 6 Degrees Health | $323 |
| HopeTrust | HopeTrust | $323 |
| Hst | Hst | $323 |
| Coventry | First Health | $323 |
| Humana | Humana PPO | $350 |
| PHCS Savility | PHCS Savility | $350 |
| Health Alliance | Health Alliance | $358 |
| Aetna | Aetna PPO | $361 |
Inpatient
$538cash price (self-pay)
$538list price
$247–$611range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Alliance MH Employee Plan | Health Alliance MH Employee Plan | $247 |
| 6 Degrees Health | 6 Degrees Health | $323 |
| HopeTrust | HopeTrust | $323 |
| Hst | Hst | $323 |
| PHCS MultiPlan PPO | PHCS MultiPlan PPO | $366 |
| BCBS Phai | BCBS Phai | $538 |
| Blue Cross Blue Shield | BCBS PPO/HMO/Employee | $538 |
| Liability | Liability | $538 |
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