IV push, single drug at Boys Town National Research Hospital. CPT 96374.
What Boys Town National Research Hospital publishes for this service, straight from its standard-charges file, last updated December 29, 2025.
Outpatient / ER
$490cash price (self-pay)
$613list price
$93.90–$595range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Of Nebraska | Managed Medicaid | $93.90 |
| Nebraska Total Care | Managed Medicaid | $93.90 |
| UHC | Community Medicaid | $93.90 |
| Amerigroup | Ia Medicaid | $180 |
| Medica | All Products | $307 |
| Medica | Chi Health Network | $307 |
| Elap Omaha Firefighters | All Products | $337 |
| UHC | All Products | $429 |
| Aetna | All Products | $454 |
| First Health | All Products | $454 |
| Methodist | All Products | $460 |
| Nfm Paramount | Ne Med Employee Plan | $460 |
| BCBS | All Products | $490 |
| Health Partners | All Products | $490 |
| Medica | Ifb Network | $490 |
| Midlands Choice | All Products | $490 |
| Nfm Paramount | Nfm Plan | $490 |
| Phcs-Multiplan | All Products | $490 |
| BCBS | Wellmark | $521 |
| BCBS | Blueprint | $595 |
| BCBS | Blue Select | $595 |
Inpatient
$490cash price (self-pay)
$613list price
$307–$595range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Phcs-Multiplan | All Products | $521 |
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