IV push, single drug at Community Hospital. CPT 96374.
What Community Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$191cash price (self-pay)
$319list price
$46.26–$1,675range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BX ILL HMO MCNP [315] | Powers Health Partners | $46.26 |
| MEDICAID [200] | Indiana Medicaid | $73.71 |
| MEDICAID ADVANTAGED HEALTH [201] | Indiana Medicaid | $73.71 |
| MEDICAID MANAGED HEALTH [210] | Indiana Medicaid | $73.71 |
| MEDICAID CENPATICO BHS [211] | Indiana Medicaid | $73.71 |
| MEDICAID ANTHEM MAGELLAN HLT [212] | Indiana Medicaid | $73.71 |
| MEDICAID MDWISE [220] | Indiana Medicaid | $73.71 |
| Bx Ill HMO Mcnp [315] | Bx IL HMO | $159 |
| Ill Bx X [803] | Bx IL HMO | $159 |
| LUTHERAN PREFERRED NETWORK [486] | Lutheran Preferred | $191 |
| MEDICARE [100] | Medicare | $225 |
| MEDICARE REHAB [110] | Medicare | $225 |
| MEDICARE PSYCH [111] | Medicare | $225 |
| TRICARE [120] | Medicare | $225 |
| TRICARE PSYCH [121] | Medicare | $225 |
| TRICARE REHAB [122] | Medicare | $225 |
| CHAMPVA [130] | Medicare | $225 |
| VA [140] | Medicare | $225 |
| MEDICARE MANAGED CARE PLANS [152] | Medicare | $225 |
| LOCAL 697 [387] | Local 697 | $225 |
| MOE HST [495] | Moe HST | $225 |
| AMBETTER MHS [852] | Ambetter | $225 |
| MARKETPLACE OUT OF NETWORK [853] | Ambetter | $225 |
| Anthem Essentials [855] | Anthem Essentials | $225 |
| Phcs [380] | Phcs | $230 |
| MEDICARE MANAGED CARE PLANS [152] | UHC Devoted Medicare | $236 |
| HUMANA [390] | Humana HMO | $240 |
| HUMANA [390] | Humana PPO | $240 |
| CHOICECARE [395] | Humana PPO | $240 |
| FIRST HEALTH [375] | Coventry Health Care | $255 |
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