IV push, single drug at Saint Joseph Regional Medical Center-Plymouth Campus. CPT 96374.
What Saint Joseph Regional Medical Center-Plymouth Campus publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$191cash price (self-pay)
$294list price
$73.71–$795range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Managed Health Services - Indiana | Managed Health Services | $73.71 |
| Caresource Medicaid | Caresource Medicaid | $73.71 |
| Blue Cross - In (Anthem) Medicaid Advantage | Anthem BCBS Medicaid Hhw | $73.71 |
| Blue Cross - In (Anthem) Medicaid Advantage | Anthem BCBS Medicaid Hip | $73.71 |
| Mdwise | Mdwise Excel Hhw | $73.71 |
| Mdwise | Mdwise Excel Hip | $73.71 |
| Medicaid - Mi | Medicaid | $116 |
| Priority Health Medicaid | Medicaid | $116 |
| Mclaren Health Medicaid | Medicaid | $116 |
| Blue Cross - In (Anthem) Medicare Advantage | Anthem BCBS Medicare Adv | $221 |
| BCBS Medicare Advantage Generic | Anthem BCBS Healthy Medicare Advanta | $221 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $221 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $225 |
| Priority Health Medicare Advantage | Priority Health Medicare Advantag | $225 |
| Pace-Trinity Health | Pace Trinity Health | $225 |
| Meridian Complete | Meridian Medicare Advantage | $225 |
| Medigold Medicare Advantage | Medigold Medicare Advantage | $230 |
| County Coroner | County Coroner | $234 |
| Provider Partners Health Plan Of Indiana | Provider Partners Health Pl | $248 |
| St Joseph County Hlth Dpt | St. Joseph County Health Dept | $338 |
| Auxiant | Select Auxiant Mishawaka Medicare Adv | $338 |
| Physicians Health Plan Northern Indiana Health Insurance | Select Php | $349 |
| Key Benefit Administrator | Lippert Encore Preferred Medicare Adv | $405 |
| Key Benefit Administrator | Lippert Encore Basic Medicare Advantage | $484 |
| Custom Design Benefits | Select Ashley Ward | $484 |
| Auxiant | Select Auxiant Pike Lumber Medicare Adv | $484 |
| Blue Cross - Tn | Anthem BCBS | $795 |
| Blue Cross - Wy | Anthem BCBS | $795 |
| Blue Cross - Nc | Anthem BCBS | $795 |
| Blue Care Network | Anthem BCBS | $795 |
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All common services at Saint Joseph Regional Medical Center-Plymouth Campus