IV push, single drug at CHI Health Immanuel. CPT 96374.
What CHI Health Immanuel publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$148cash price (self-pay)
$353list price
$49.42–$847range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | Medicaid|Community Plan | $49.42 |
| Centene | Medicaid|NE Total Care | $52.95 |
| Medica | Commercial|ACO | $69.55 |
| Medica | Commercial|CHI Health | $70.81 |
| Medica | Commercial|All Other Plans | $74.15 |
| ELAP | Commercial|All Plans | $134 |
| Amerigroup | Medicaid|All Plans | $174 |
| Centene | Medicaid|IA Total Care | $174 |
| IAMolina | Medicaid|All Plans | $177 |
| Medica | Commercial|Open Access | $184 |
| Midlands Choice | Commercial|Premier | $184 |
| BCBS - NE | Medicare|All Plans | $205 |
| Humana | Medicare|All Plans | $205 |
| Medica | Medicare|All Plans | $205 |
| PACE | Medicare|All Plans | $205 |
| United | Medicare|All Plans | $205 |
| Todays Options | Medicare|All Plans | $209 |
| Centene | Medicare|All Plans | $211 |
| QuikTrip | Commercial|All Plans | $212 |
| Amerigroup | Medicare|All Plans | $216 |
| Great Plains | Medicare|All Plans | $216 |
| Midlands Choice | Commercial|Standard | $265 |
| PHCS | Commercial|All Plans | $265 |
| MultiPlan | Commercial|All Plans | $300 |
| AMPS | Commercial|All Plans | $456 |
| Creighton University Employees | Commercial|All Plans | $465 |
| United | Commercial|All Plans | $554 |
Inpatient
$148cash price (self-pay)
$353list price
$212–$300range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| QuikTrip | Commercial|All Plans | $212 |
| PHCS | Commercial|All Plans | $251 |
| MultiPlan | Commercial|All Plans | $300 |
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