IV push, single drug at Franciscan Health Lafayette. CPT 96374.
What Franciscan Health Lafayette publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$114cash price (self-pay)
$516list price
$73.71–$833range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Illinois [1091] | In Mcd-Wir-Lafayette | $73.71 |
| Medicaid [1092] | In Mcd-Wir-Lafayette | $73.71 |
| Mdwise [1175] | In Mcd-Wir-Lafayette | $73.71 |
| Alt Traditional Medicaid Secondary [109200] | In Mcd-Wir-Lafayette | $73.71 |
| Managed Health Services [1302] | In Mcd Lafayette Mhs 112% Of In Mcd | $75.98 |
| Medicaid [1092] | In Mcd Lafayet Caresource 120% Of In Mcd | $88.45 |
| Aetna [1005] | Aetna-Nid-Dyer-Munster-Crn Point | $212 |
| Managed Care [2000] | Aetna-Nid-Dyer-Munster-Crn Point | $212 |
| United Healthcare [1156] | United Healthcare Charter-Wid-Lafayette | $224 |
| Medicare [1099] | Medicare-Wir-Lafayette | $225 |
| Medicare Replacement [2003] | Medicare-Wir-Lafayette | $225 |
| United Healthcare [1156] | UHC All Payer-Wid-Lafayette | $249 |
| United Medical Resources [1158] | UHC All Payer-Wid-Lafayette | $249 |
| United Medical Resources [1301] | UHC All Payer-Wid-Lafayette | $249 |
| Managed Care [2000] | UHC All Payer-Wid-Lafayette | $249 |
| Commercial [2001] | UHC All Payer-Wid-Lafayette | $249 |
| Managed Care [2000] | United Healthcare All Savers-Wid-Lafayet | $249 |
| United Healthcare [1156] | United Healthcare Options PPO-Wid-Lafaye | $275 |
| United Medical Resources [1301] | United Healthcare Options PPO-Wid-La | $275 |
| Managed Care [2000] | United Healthcare Options PPO-Wid-Lafaye | $275 |
| Managed Care [2000] | Siho - Cid & Nid & Wid Locations | $310 |
| Managed Care [2000] | Encore - Cid & Nid & Wid & Sscd | $335 |
| Commercial [2001] | Encore - Cid & Nid & Wid & Sscd | $335 |
| Managed Care [2000] | Sagamore Plus/Select-Wir-Lafayette | $354 |
| Aetna [1005] | Aetna-Wid | $365 |
| Managed Care [2000] | Aetna-Wid | $365 |
| Commercial [2001] | Aetna-Wid | $365 |
| Managed Care [2000] | First Health-Wir | $413 |
| Commercial [2001] | First Health-Wir | $413 |
| Managed Care [2000] | Community Health Alliance-Cid & Nid& Wid | $439 |
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