IV push, single drug at Midwest Surgical Hospital. CPT 96374.
What Midwest Surgical Hospital publishes for this service, straight from its standard-charges file, last updated March 5, 2026.
Outpatient / ER
$1,561cash price (self-pay)
$2,081list price
$36.56–$448range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | IFB Elevate | $36.56 |
| Medica | Commercial | $36.93 |
| Blue Cross Blue Shield of NE | Medicare Advantage | $220 |
| Humana | Medicare Advantage | $220 |
| Molina- Managed Medicaid | IA | $220 |
| WellCare | Medicare Advantage | $220 |
| Molina | Medicare Advantage | $224 |
| Oscar | Commercial | $280 |
| United Healthcare | Commercial | $324 |
| Elite Choice (Methodist) | Commercial | $448 |
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