IV push, single drug at IU Health Jay Hospital. CPT 96374.
What IU Health Jay Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$200cash price (self-pay)
$464list price
$73.71–$1,303range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Elevance Health | All Traditional Plans | $197 |
| Self-Pay | Other - Self-Pay | $204 |
| Caresource | All Managed Medicaid | $227 |
| United Healthcare | All Managed Medicaid | $227 |
| Elevance Health | All Managed Medicaid | $227 |
| Managed Health Services | All Government Medicaid | $227 |
| Elevance Health | All Government Medicaid HIP | $227 |
| Managed Health Services | All Government Medicaid HIP | $227 |
| Caresource | All Government Medicaid HIP | $227 |
| Suburban Health Organization | PPO - Direct | $239 |
| Suburban Health Organization | PPO - Witham Health Services | $239 |
| Cigna | PPO - New Business | $264 |
| Deaconess Health System | All Managed Care | $264 |
| Aetna | PPO - IN Preferred | $269 |
| Aetna | POS - Cox Medical Plans | $269 |
| Community Health Direct | HMO - LaPorte Regional Plans | $269 |
| Parkview Health | HMO - Employee Plans | $282 |
| Unified Group Services | HMO | $282 |
| Lutheran Health Network | All Managed Care | $319 |
| United Healthcare | All Managed Care | $323 |
| Parkview Health | EPO | $328 |
| Aetna | PPO - NAP | $339 |
| Aetna | PPO - First Health | $339 |
| Aetna | PPO/POS | $352 |
| Aetna | HMO - Coventry Plans | $352 |
| Lutheran Preferred | All PPO Plans | $364 |
| Parkview Health | PPO | $375 |
| Multiplan | PPO - PHCS Private Healthcare Plans | $387 |
| Encore Health Network | PPO | $397 |
| Indiana Health Network (IHN) | All Managed Care | $402 |
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