IV push, single drug at IU Health White Memorial Hospital. CPT 96374.
What IU Health White Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$139cash price (self-pay)
$464list price
$73.71–$1,303range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self-Pay | Other - Self-Pay | $142 |
| Encore Health Network | PPO | $169 |
| SIHO Insurance Services | PPO - Union Health | $187 |
| Managed Health Services | All Government Medicaid | $227 |
| Caresource | All Managed Medicaid | $227 |
| United Healthcare | All Managed Medicaid | $227 |
| Elevance Health | All Managed Medicaid | $227 |
| Managed Health Services | All Government Medicaid HIP | $227 |
| Elevance Health | All Government Medicaid HIP | $227 |
| Caresource | All Government Medicaid HIP | $227 |
| Indiana Health Network (IHN) | All Managed Care | $237 |
| Suburban Health Organization | PPO - Direct | $239 |
| Suburban Health Organization | PPO - Witham Health Services | $239 |
| Aetna | HMO - Coventry Plans | $248 |
| Aetna | PPO/POS | $248 |
| Aetna | POS - Cox Medical Plans | $250 |
| Aetna | PPO - IN Preferred | $250 |
| United Healthcare | All Managed Care | $262 |
| Deaconess Health System | All Managed Care | $264 |
| Community Health Direct | HMO - LaPorte Regional Plans | $269 |
| Aetna | PPO - First Health | $269 |
| Aetna | PPO - NAP | $269 |
| Parkview Health | HMO - Employee Plans | $282 |
| Unified Group Services | HMO | $282 |
| Cigna | HMO - Open Access | $287 |
| Sagamore Health Network/Cigna | PPO - NON-DRG | $287 |
| Cigna | HMO/POS - Arnett Hospital Plans | $287 |
| Sagamore Health Network/Cigna | PPO - DRG Plans | $287 |
| Cigna | HMO | $292 |
| Lutheran Health Network | All Managed Care | $319 |
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