IV push, single drug at Norton Clark Hospital. CPT 96374.
What Norton Clark Hospital publishes for this service, straight from its standard-charges file, last updated June 3, 2026.
Outpatient / ER
$64.68cash price (self-pay)
$462list price
$188–$404range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Commercial | $188 |
| Cigna | Commercial | $188 |
| Anthem Blue Cross Blue Shield of Indiana | Exchange/Pathway Essentials | $206 |
| Anthem Blue Cross Blue Shield | HMO/PPO/Traditional | $206 |
| Anthem Blue Cross Blue Shield | Medicare Select | $213 |
| Aetna | Commercial | $219 |
| Anthem Blue Cross Blue Shield | Medicare Advantage | $221 |
| Managed Health Services (MHS) Healthy Indiana Plan (HIP) | Managed Med | $221 |
| MDwise Health Indiana Plan (HIP) | Managed Medicaid | $221 |
| United Healthcare | VACCN | $221 |
| Molina Healthcare of Indiana | Medicare Advantage | $227 |
| Aetna | Medicare Advantage | $227 |
| CommuniCare Advantage | Medicare Advantage | $227 |
| Molina Healthcare of Indiana | Dual Medicare-Medicaid | $227 |
| Managed Health Services (MHS) | Medicare Advantage | $232 |
| Managed Health Services (MHS) | Commercial Exchange | $320 |
| PPOM | Commercial | $404 |
Inpatient
$64.68cash price (self-pay)
$462list price
$199–$404range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross Blue Shield of Indiana | Exchange/Pathway Essentials | $199 |
| Anthem Blue Cross Blue Shield | HMO/PPO/Traditional | $199 |
| PPOM | Commercial | $404 |
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