IV push, single drug at Franciscan Health Dyer. CPT 96374.
What Franciscan Health Dyer publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$56.16cash price (self-pay)
$208list price
$73.71–$717range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Illinois [1091] | In Mcd-Nir-Dyer | $73.71 |
| Medicaid [1092] | In Mcd-Nir-Dyer | $73.71 |
| Mdwise [1175] | In Mcd-Nir-Dyer | $73.71 |
| Alt Traditional Medicaid Secondary [109200] | In Mcd-Nir-Dyer | $73.71 |
| Medicaid [1092] | Anthem Medicaid [109201] | $73.71 |
| Medicaid [1092] | Medicaid In Traditional [109206] | $73.71 |
| Medicaid [1092] | Anthem Healthy Indiana Plan [301498] | $73.71 |
| Medicaid [1092] | Anthem Care Connect [315015] | $73.71 |
| Medicaid [1092] | Mdwise Excel Hip [318028] | $73.71 |
| Medicaid [1092] | Mdwise Excel Hhw [318029] | $73.71 |
| Medicaid [1092] | United Healthcare Care Connect [321005] | $73.71 |
| Managed Health Services [1302] | In Mcd Dyer Mhs 112% Of In Mcd | $75.98 |
| Medicaid [1092] | In Mcd Dyer Caresource 120% Of In Mcd | $88.45 |
| Blue Cross Illinois [1210] | St Anthony Health-Nir-Stmar&Fhm&Stant Mc | $104 |
| Aetna [1005] | Aetna-Nid-Dyer-Munster-Crn Point | $110 |
| Managed Care [2000] | Aetna-Nid-Dyer-Munster-Crn Point | $110 |
| Managed Care [2000] | Siho - Cid & Nid & Wid Locations | $125 |
| Managed Care [2000] | Private Hc System-Nid-Hammd-Dyer-Munster | $135 |
| Commercial [2001] | Aetna-Nid-Dyer-Munster-Crn Point | $135 |
| United Healthcare [1156] | UHC Nid-Hammond-Dyer-Munster-Crn Point | $144 |
| United Medical Resources [1158] | UHC Nid-Hammond-Dyer-Munster-Crn Poi | $144 |
| United Medical Resources [1301] | UHC Nid-Hammond-Dyer-Munster-Crn Poi | $144 |
| Managed Care [2000] | UHC Nid-Hammond-Dyer-Munster-Crn Point | $144 |
| Commercial [2001] | UHC Nid-Hammond-Dyer-Munster-Crn Point | $144 |
| Blue Cross Illinois [1210] | Bc/Bs Of Illinois HMO-Nid-Hammond-Dyer | $156 |
| United Healthcare [1156] | UHC Options PPO-Nid-Ham-Dyer-Mun-Crn Pt | $158 |
| United Medical Resources [1158] | UHC Options PPO-Nid-Ham-Dyer-Mun-Crn | $158 |
| United Medical Resources [1301] | UHC Options PPO-Nid-Ham-Dyer-Mun-Crn | $158 |
| Managed Care [2000] | UHC Options PPO-Nid-Ham-Dyer-Mun-Crn Pt | $158 |
| Medicare [1099] | Medicare-Nir-Dyer | $225 |
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