IV push, single drug at CHI Health St. Elizabeth. CPT 96374.
What CHI Health St. Elizabeth publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$164cash price (self-pay)
$350list price
$69.55–$451range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Commercial|ACO | $69.55 |
| Medica | Commercial|CHI Health | $70.81 |
| Medica | Commercial|All Other Plans | $74.15 |
| United | Medicaid|Community Plan | $80.50 |
| Centene | Medicaid|NE Total Care | $81.31 |
| Amerigroup | Medicaid|All Plans | $172 |
| Centene | Medicaid|IA Total Care | $172 |
| IAMolina | Medicaid|All Plans | $175 |
| ELAP | Commercial|All Plans | $200 |
| BCBS - NE | Medicare|All Plans | $203 |
| Great Plains | Medicare|All Plans | $203 |
| Humana | Medicare|All Plans | $203 |
| Medica | Medicare|All Plans | $203 |
| United | Medicare|All Plans | $203 |
| Centene | Medicare|All Plans | $209 |
| Amerigroup | Medicare|All Plans | $214 |
| Medica | Commercial|Open Access | $217 |
| Midlands Choice | Commercial|Premier | $217 |
| Midlands Choice | Commercial|Standard | $242 |
| MultiPlan PHCS | Commercial|All Plans | $298 |
| AMPS | Commercial|All Plans | $451 |
Inpatient
$164cash price (self-pay)
$350list price
$203–$364range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Commercial|Open Access | $217 |
| Midlands Choice | Commercial|Premier | $217 |
| MultiPlan PHCS | Commercial|All Plans | $280 |
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