IV push, single drug at Northwest Health - Porter. CPT 96374.
What Northwest Health - Porter publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$184cash price (self-pay)
$682list price
$31.49–$1,158range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans Eval Services | Veterans Eval Services | $31.49 |
| One Call | One Call Care Diagnostics WC | $35.13 |
| Anthem | Anthem IN Medicaid | $73.71 |
| CareSource | Caresource HHW IN Medicaid | $73.71 |
| CareSource | CareSource IN HIP | $73.71 |
| Humana PathWays IN Medicaid | Humana PathWays IN Medicaid | $73.71 |
| Indiana Medicaid | IN Medicaid | $73.71 |
| Indiana Medicaid Non Par | IN Medicaid Non Par | $73.71 |
| MHS | MHS HCC IN Medicaid | $73.71 |
| Managed Health Services | MHS HHW IN Medicaid | $73.71 |
| Managed Health Services | MHS IN HIP | $73.71 |
| UHC | UHC HCC IN Medicaid | $73.71 |
| UHC PathWays IN Medicaid | UHC PathWays IN Medicaid | $73.71 |
| Lutheran Preferred CHS Employees | Lutheran Preferred CHS Employees | $164 |
| Self Pay | Self Pay | $184 |
| NODE Tricare | NODE Tricare | $214 |
| Anthem | Anthem IN HIP | $225 |
| Physicians Health Plan | PHP Options | $261 |
| PHP Freedom | PHP Freedom Network | $282 |
| Sagamore Health Network | Sagamore Indiana Financial | $301 |
| Lutheran Preferred | Lutheran Preferred Fixed 2 | $307 |
| Aetna | Aetna PPO | $329 |
| First Health Coventry | First Health | $334 |
| Sagamore Health Network | Sagamore Anthem Groups | $336 |
| Encore PPO | Encore Combined PPO | $341 |
| Lutheran Preferred | Lutheran Preferred Exclusive Plus | $341 |
| Aetna | Aetna HMO/POS | $343 |
| Align Network | Align Network | $360 |
| Sagamore Health Network | Sagamore Select Plus | $404 |
| Lutheran Preferred | Lutheran Preferred Choice | $409 |
Inpatient
$246cash price (self-pay)
$682list price
$164–$1,158range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Lutheran Preferred CHS Employees | Lutheran Preferred CHS Employees | $164 |
| Cigna | Cigna ALL | $190 |
| Self Pay | Self Pay | $246 |
| Physicians Health Plan | PHP Options | $261 |
| PHP Freedom | PHP Freedom Network | $282 |
| Sagamore Health Network | Sagamore Indiana Financial | $301 |
| Sagamore Health Network | Sagamore Anthem Groups | $336 |
| Aetna | Aetna PPO | $346 |
| Sagamore Health Network | Sagamore Select Plus | $404 |
| Lutheran Preferred | Lutheran Preferred Choice | $409 |
| Southeastem Indiana Health Operations | SIHO Outside Counties | $477 |
| Prime Health | PRIME HEALTH SERVICES | $512 |
| Prime Health | Prime Health Services Auto | $512 |
| Southeastem Indiana Health Operations | SIHO Inside Counties | $512 |
| Encore Health | Encore Health PPO | $546 |
| Multiplan/PHCS | Multiplan Complementary | $573 |
| Multiplan/PHCS | PHCS Savility Primary Network | $573 |
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