IV push, single drug at Memorial Hospital of South Bend. CPT 96374.
What Memorial Hospital of South Bend publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$159cash price (self-pay)
$583list price
$49.00–$685range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Devoted Healthcare | Medicare Advantage | $117 |
| Anthem | Commercial (excludes Granger) | $117 |
| Anthem | HealthSync | $117 |
| McLaren | MI Medicaid | $118 |
| UHC | MI Medicaid | $118 |
| Anthem | Commercial (Granger) | $124 |
| Anthem | Exchange | $221 |
| Anthem | Medicare Advantage | $221 |
| Humana | Medicare Advantage | $221 |
| PACE | Medicare | $221 |
| UHC | Medicare Advantage | $221 |
| Aetna | Medicare Advantage | $262 |
| CHA | Employer Group 4 | $350 |
| Immergrun | Commercial | $350 |
| Caresource | Exchange | $353 |
| MHS | Exchange | $379 |
| Cigna | OAP | $408 |
| Anthem | Workers Compensation | $419 |
| UHC | Commercial | $421 |
| Aetna | Commercial | $429 |
| Multiplan | Commercial | $431 |
| CHA | Employer Group 5 | $437 |
| Humana | Commercial | $449 |
| Plain Church | Commercial | $466 |
| CHA | Employer Group 6 | $466 |
| Cigna BH | Commercial | $466 |
| Cigna | PPO | $478 |
| Heartland | Hospice | $583 |
Inpatient
$159cash price (self-pay)
$583list price
$49.00–$478range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Devoted Healthcare | Medicare Advantage | $117 |
| Multiplan | Commercial | $379 |
| Cigna | OAP | $408 |
| UHC | Commercial | $421 |
| Humana | Commercial | $426 |
| Aetna | Commercial | $429 |
| CHA | Employer Group 5 | $437 |
| CHA | Employer Group 6 | $466 |
| Cigna BH | Commercial | $466 |
| Immergrun | Commercial | $466 |
| Plain Church | Commercial | $466 |
| Cigna | PPO | $478 |
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