IV push, single drug at HSHS Holy Family Hospital. CPT 96374.
What HSHS Holy Family Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$217cash price (self-pay)
$301list price
$42.15–$570range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Healthcare | Molina Medicaid | $42.15 |
| Meridian Health Plan | Meridian HMO Mcd | $44.16 |
| Amish Community | Amish Community Discount | $84.28 |
| Amish Community | Plain Church Medical Group | $84.28 |
| Wellfirst | All Commercial Wellfirst | $193 |
| Aetna | All Commercial Aetna | $211 |
| United Healthcare | All Commercial United Healthcare | $217 |
| First Health | All Commercial First Health Network | $223 |
| Healthlink | All Commercial Healthlink | $227 |
| Healthlink | All Commercial Healthlink - PPO | $227 |
| Healthlink | Healthlink Casino Queen | $227 |
| Aetna | Aetna Medicare | $228 |
| Blue Cross Blue Shield Of Illinois | BCBS IL Medicare | $228 |
| Blue Cross Blue Shield Of Illinois | BCBS IL Mmai | $228 |
| Blue Cross Blue Shield Of Illinois | Blue Cross Blue Shield Of Illinoi | $228 |
| Clear Spring Health Of Illinois | Clear Spring Health Medicare Adv | $228 |
| Humana | Humana Medicare | $228 |
| Humana | Humana Medicare Advantage | $228 |
| Live360 | Live360 Medicare Cost Plan | $228 |
| United Healthcare | United Health Care Medicare | $228 |
| Molina Healthcare | Molina Medicare | $239 |
| Cofinity | Cofinity | $256 |
| Multiplan/Phcs | All Commercial Multiplan | $256 |
| Consociate Group | All Commercial Consociate Group | $271 |
| Provider Network Of America | All Commercial Provider Network Of Ameri | $271 |
| Caterpillar, Inc. | UHC Caterpillar Employer Group | $301 |
| Celtic Insurance Company | All Commercial Exchange Ambetter | $301 |
| Health Alliance Medical Plans | Health Alliance Market Place | $301 |
| Health Alliance Medical Plans | Health Alliance Medicare | $301 |
| Health Alliance Medical Plans | Health Alliance PPO | $301 |
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