IV push, single drug at Gottlieb Memorial Hospital. CPT 96374.
What Gottlieb Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$72.96cash price (self-pay)
$384list price
$50.82–$317range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Meridian | Medicaid | $50.82 |
| Molina | Medicaid | $50.82 |
| Cigna | HMO | $116 |
| Humana | All Products | $138 |
| Cigna | PPO | $164 |
| Aetna | All Products | $169 |
| BCBS IL | Blue Choice | $177 |
| BCBS IL | MMP/Duals | $204 |
| Aetna | Medicare Advantage | $220 |
| VACCN United | Veterans Affairs | $220 |
| BCBS IL | PPO | $221 |
| Humana | Medicare Advantage | $225 |
| Cigna | Medicare Advantage | $226 |
| Centene | Medicare Advantage | $231 |
| Molina | Medicare Advantage | $231 |
| Wellcare | Medicare Advantage | $231 |
| Oscar IFP | Health Exchange | $242 |
| Meridian | MMP/Duals | $255 |
| BCBS IL | HMO | $257 |
| BCBS IL | Blue Precision | $267 |
| Molina Marketplace IFP | Health Exchange | $275 |
| Aetna | FH-Medical Rental | $280 |
| UHC | Navigate Core | $291 |
| UHC | All Products | $317 |
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