IV push, single drug at CHI Health St. Francis. CPT 96374.
What CHI Health St. Francis publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$454cash price (self-pay)
$770list price
$69.55–$724range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Commercial|ACO | $69.55 |
| Medica | Commercial|CHI Health | $70.81 |
| Medica | Commercial|All Other Plans | $74.15 |
| Amerigroup | Medicaid|All Plans | $172 |
| Centene | Medicaid|IA Total Care | $172 |
| IAMolina | Medicaid|All Plans | $175 |
| United | Medicaid|Community Plan | $177 |
| Centene | Medicaid|NE Total Care | $179 |
| BCBS - NE | Medicare|All Plans | $202 |
| Humana | Medicare|All Plans | $202 |
| Medica | Medicare|All Plans | $202 |
| United | Medicare|All Plans | $202 |
| Centene | Medicare|All Plans | $208 |
| Amerigroup | Medicare|All Plans | $212 |
| Great Plains | Medicare|All Plans | $212 |
| Creighton University Employees | Commercial|All Plans | $424 |
| AMPS | Commercial|All Plans | $449 |
| United | Commercial|All Plans | $485 |
| ELAP | Commercial|All Plans | $493 |
| Medica | Commercial|Open Access | $639 |
| Midlands Choice | Commercial|Premier | $639 |
| Midlands Choice | Commercial|Standard | $724 |
| MultiPlan PHCS | Commercial|All Plans | $724 |
Inpatient
$454cash price (self-pay)
$770list price
$424–$724range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Creighton University Employees | Commercial|All Plans | $424 |
| United | Commercial|All Plans | $616 |
| Medica | Commercial|Open Access | $639 |
| Midlands Choice | Commercial|Premier | $639 |
| Midlands Choice | Commercial|Standard | $724 |
| MultiPlan PHCS | Commercial|All Plans | $724 |
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