IV push, single drug at Allen County Regional Hospital. CPT 96374.
What Allen County Regional Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$84.60cash price (self-pay)
$210list price
$24.42–$230range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Managed Care (Ks) [2252] | Sunflower State Health [22505] | $24.42 |
| Medicaid Managed Care (Ks) [2252] | UHC Community Plan Of Ks [22508] | $24.42 |
| Medicaid Managed Care (Ks) [2252] | Healthy Blue Kansas [22577] | $25.40 |
| Medicaid Managed Care (Ks) [2252] | Zzzaetna Better Health Of Kansas [ | $25.40 |
| Commercial-Contracted [8000] | Providrs Care Network [80021] | $101 |
| Humana [7500] | Zzzhumana Commercial PPO POS [75001] | $112 |
| Commercial-Contracted [8000] | Medica Exchange [80075] | $129 |
| Commercial-Contracted [8000] | Chc Se Ks Luminare Employee Plan [80085 | $151 |
| Commercial-Contracted [8000] | Phcs Multiplan [80056] | $158 |
| First Health [5512] | First Health Medishare [55122] | $173 |
| First Health [5512] | First Health Misc [55116] | $173 |
| First Health [5512] | First Health Repricing Addrs [55113] | $173 |
| First Health [5512] | First Health Uprehs [55119] | $173 |
| First Health [5512] | Zzzfirst Health Benefit Management [55117] | $173 |
| Aetna [5000] | Aetna Local [50005] | $173 |
| Aetna [5000] | Aetna Meritain Local [50015] | $173 |
| Aetna [5000] | Aetna Meritain National [50001] | $173 |
| Aetna [5000] | Aetna National [50006] | $173 |
| Aetna [5000] | Aetna Signature Misc PPO [50010] | $173 |
| Aetna [5000] | Aetna Signatures Luminare Pob 2905 [50002] | $173 |
| Aetna [5000] | Aetna Signatures Luminare Pob 2920 [50000] | $173 |
| Aetna [5000] | Zzzaetna Carelink Exchange [50016] | $173 |
| Aetna [5000] | Aetna I35 Meritain Nap [50018] | $179 |
| Aetna [5000] | Aetna Nap [50014] | $179 |
| Cigna [7000] | Cigna [70002] | $191 |
| Cigna [7000] | Cigna Connect EPO Exchange [70015] | $191 |
| Cigna [7000] | Cigna Healthpartners [70012] | $191 |
| Cigna [7000] | Cigna Leased Open Access [70008] | $191 |
| Cigna [7000] | Cigna Leased PPO [70003] | $191 |
| Cigna [7000] | Cigna PPO EPO [70001] | $191 |
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