IV push, single drug at Methodist Hospitals Northlake Campus. CPT 96374.
What Methodist Hospitals Northlake Campus publishes for this service, straight from its standard-charges file, last updated April 16, 2026.
Outpatient / ER
$246cash price (self-pay)
$352list price
$73.71–$1,064range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Indiana Medicaid | Traditional | $73.71 |
| Anthem | Indiana HMO Medicaid | $73.71 |
| Managed Health Services | Indiana HMO Medicaid | $73.71 |
| CareSource | Indiana HMO Medicaid | $73.71 |
| United Healthcare | Indiana HMO Medicaid | $73.71 |
| Humana | Indiana HMO Medicaid | $73.71 |
| Cigna | HMO | $135 |
| Cigna | PPO | $147 |
| Physicians Health Plan of Northern Indiana | PHP | $203 |
| Encore | Combined | $211 |
| Aetna | FirstHealth | $219 |
| Medicare | Medicare | $224 |
| Anthem | Medicare Advantage | $224 |
| Aetna | Medicare Advantage | $224 |
| Humana | Medicare Advantage | $224 |
| United Heathcare | Medicare Advantage | $224 |
| Zing | Medicare Advantage | $228 |
| Phcs | PPO | $239 |
| United Healthcare | Navigate and Core payer | $242 |
| Siho | PPO | $246 |
| Sagamore | PPO | $253 |
| Multiplan | PPO | $257 |
| United Healthcare | HMO_and_PPO_Contracted_Plans | $260 |
| Aetna | Coventry | $260 |
| Hfn | EPO | $275 |
| Hfn | PPO | $299 |
| BCBSIL | HMO and PPO contracted plans | $303 |
| Encore | PPO | $313 |
| Anthem | Pathway Essentials | $336 |
| CareSource Maketplace | CareSource | $369 |
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