IV push, single drug at Powers Health Rehabilitation Center. CPT 96374.
What Powers Health Rehabilitation Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$191cash price (self-pay)
$319list price
$18.90–$1,400range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MEDICAID [200] | Indiana Medicaid | $18.90 |
| MEDICAID ADVANTAGED HEALTH [201] | Indiana Medicaid | $18.90 |
| MEDICAID MANAGED HEALTH [210] | Indiana Medicaid | $18.90 |
| BX ILL HMO MCNP [315] | Powers Health Partners | $46.26 |
| Phcs [380] | Phcs | $223 |
| Hfn [470] | Hfn | $223 |
| BLUE CROSS [300] | Anthem Blue Cross | $223 |
| ANTHEM CARPTENTERS [468] | Anthem Blue Cross | $223 |
| LOCAL 150 [471] | Anthem Blue Cross | $223 |
| ANTHEM X [801] | Anthem Blue Cross | $223 |
| Anthem Essentials [855] | Anthem Essentials | $223 |
| MOE HST [495] | Moe HST | $225 |
| MEDICARE [100] | Medicare | $226 |
| MEDICARE REHAB [110] | Medicare | $226 |
| MEDICARE PSYCH [111] | Medicare | $226 |
| TRICARE [120] | Medicare | $226 |
| TRICARE PSYCH [121] | Medicare | $226 |
| TRICARE REHAB [122] | Medicare | $226 |
| CHAMPVA [130] | Medicare | $226 |
| VA [140] | Medicare | $226 |
| MEDICARE MANAGED CARE PLANS [152] | Medicare | $226 |
| LOCAL 697 [387] | Local 697 | $226 |
| AMBETTER MHS [852] | Ambetter | $226 |
| MARKETPLACE OUT OF NETWORK [853] | Ambetter | $226 |
| MEDICARE MANAGED CARE PLANS [152] | UHC Devoted Medicare | $230 |
| HUMANA [390] | Humana HMO | $240 |
| HUMANA [390] | Humana PPO | $240 |
| CHOICECARE [395] | Humana PPO | $240 |
| PHCS [380] | Multiplan | $271 |
| NPPN [409] | Multiplan | $271 |
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