IV push, single drug at Franciscan Health Carmel. CPT 96374.
What Franciscan Health Carmel publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$118cash price (self-pay)
$510list price
$73.71–$885range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Illinois [1091] | In Mcd-Cir-Carmel | $73.71 |
| Medicaid [1092] | In Mcd-Cir-Carmel | $73.71 |
| Mdwise [1175] | In Mcd-Cir-Carmel | $73.71 |
| Alt Traditional Medicaid Secondary [109200] | In Mcd-Cir-Carmel | $73.71 |
| Managed Health Services [1302] | In Mcd Ind-Carmel-Car Ort 112% Of In | $75.98 |
| Medicaid [1092] | In Mcd-Indianapol Caresource 120% In Mcd | $88.45 |
| Medicare [1099] | Medicare | $225 |
| Medicare Replacement [2003] | Medicare | $225 |
| United Healthcare [1156] | United Healthcare Charter-Cid | $303 |
| United Healthcare [1156] | United Healthcare-Cid | $309 |
| United Medical Resources [1158] | United Healthcare-Cid | $309 |
| United Medical Resources [1301] | United Healthcare-Cid | $309 |
| Managed Care [2000] | United Healthcare-Cid | $309 |
| Commercial [2001] | United Healthcare-Cid | $309 |
| Managed Care [2000] | Siho - Cid & Nid & Wid Locations | $332 |
| Aetna [1005] | Aetna-Cid | $351 |
| Managed Care [2000] | Aetna-Cid | $351 |
| Commercial [2001] | Aetna-Cid | $351 |
| Managed Care [2000] | Unified Group Services-Cir | $357 |
| Commercial [2001] | Indiana Bone Marrow Transplant-Cir | $357 |
| Commercial [2001] | Unified Group Services-Cir | $357 |
| Managed Care [2000] | Ccn/First Health-Cir | $393 |
| Commercial [2001] | Ccn/First Health-Cir | $393 |
| Managed Care [2000] | Sagamore Plus PPO-Cir | $416 |
| WORKERS COMP [1172] | Workers Comp - CIR - INDIANAPOLIS | $450 |
| Managed Care [2000] | Multiplan/Phcs-Cir | $459 |
| Blue Cross [1014] | Anthem Franciscan Employee Copps- All Locations | $544 |
| Blue Cross [1014] | Anthem Healthsync HMO With Copps - Indianapolis & | $699 |
| Blue Cross [1014] | Anthem Healthsync POS With Copps - Indianapolis & | $792 |
| Blue Cross [1014] | Anthem Blue Access PPO With Copps - Indianapolis & | $885 |
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