IV push, single drug at Dupont Hospital. CPT 96374.
What Dupont Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$38.07cash price (self-pay)
$604list price
$31.49–$2,269range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans Eval Services | Veterans Eval Services | $31.49 |
| Physicians Health Plan | PHP Options | $146 |
| Amish Aid | Amish Aid | $163 |
| Self Pay | Self Pay | $163 |
| Lutheran Preferred | Lutheran Preferred CHS Employees | $179 |
| Physicians Health Plan | PHP Classic Network | $192 |
| PHP Freedom Network | PHP Freedom Network | $200 |
| Aetna | Aetna NBD | $223 |
| Aetna PSSD J and J | Aetna PSSD JJ | $223 |
| Anthem BCBS | Anthem IN HIP | $225 |
| Physicians Health Plan | PHP Platinum Network | $234 |
| Lutheran Preferred | Lutheran Preferred Three Rivers Plus | $242 |
| Aetna | Aetna | $270 |
| Lutheran Preferred | Lutheran Preferred Fixed | $272 |
| Lutheran Preferred | Lutheran Preferred Inclusive | $272 |
| Lutheran Preferred | Lutheran Preferred Three Rivers | $272 |
| Encore PPO | Encore Combined PPO | $302 |
| Lutheran Preferred | Lutheran Preferred Exclusive Plus | $302 |
| Lutheran Network | Lutheran Preferred Exclusive Plus MRM | $302 |
| Medical Mutual of OH | Medical Mutual of Ohio | $320 |
| Sagamore | Sagamore Select Fully Insured | $325 |
| Lutheran Preferred | Lutheran Preferred Choice | $332 |
| Lutheran Preferred | Lutheran Preferred Exclusive | $332 |
| Sagamore | Sagamore Plus | $336 |
| Sagamore | Sagamore Select Self Insured | $336 |
| Align IN Work Comp | Align IN Work Comp | $360 |
| Anthem BCBS | Anthem IN Work Comp | $360 |
| Lutheran Preferred | Lutheran Preferred CCSI | $362 |
| Prime Health Services | Prime Health Services | $453 |
| Prime Health Services | Prime Health Services Auto | $453 |
Inpatient
$63.45cash price (self-pay)
$604list price
$41.88–$544range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Lutheran Preferred | Lutheran Preferred CHS Employees | $179 |
| Cigna | Cigna HMO | $195 |
| Cigna | Cigna PPO | $219 |
| Aetna | Aetna NBD | $223 |
| Aetna PSSD J and J | Aetna PSSD JJ | $223 |
| Physicians Health Plan | PHP Platinum Network | $234 |
| Aetna | Aetna | $270 |
| Self Pay | Self Pay | $272 |
| Medical Mutual of OH | Medical Mutual of Ohio | $320 |
| Lutheran Preferred | Lutheran Preferred Choice | $332 |
| Lutheran Preferred | Lutheran Preferred Exclusive | $332 |
| Lutheran Preferred | Lutheran Preferred CCSI | $362 |
| Prime Health Services | Prime Health Services | $453 |
| Prime Health Services | Prime Health Services Auto | $453 |
| FrontPath | FrontPath Health Coalition | $483 |
| Encore Health Network | Encore Fully Funded | $495 |
| Advantage Health Solutions | Advantage Health Solutions | $501 |
| Multiplan | Multiplan PPO Primary Network | $519 |
| Allied Benefit Systems | Allied Benefit Systems | $544 |
| Encore Health Network | Encore Self Funded | $544 |
| Multiplan | Multiplan PPO Complimentary Network | $544 |
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