IV push, single drug at Providence Medical Center. CPT 96374.
What Providence Medical Center publishes for this service, straight from its standard-charges file, last updated October 29, 2025.
Outpatient / ER
$289cash price (self-pay)
$306list price
$179–$315range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Health (Healthy Blue) | Managed Medicaid | $181 |
| Nebraska Total Care | Managed Medicaid | $181 |
| United Healthcare Community Plan | Managed Medicaid | $181 |
| Medica | Commercial | $275 |
| Aetna | Commercial | $282 |
| Blue Cross Blue Shield | Commercial | $291 |
| Ambetter | Commercial | $294 |
| Multiplan | Commercial | $294 |
| Midland's Choice | Commercial | $300 |
| United Healthcare | Commercial | $300 |
Inpatient
$289cash price (self-pay)
$306list price
$274–$315range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Commercial | $275 |
| Aetna | Commercial | $282 |
| Ambetter | Commercial | $294 |
| Multiplan | Commercial | $294 |
| Midland's Choice | Commercial | $300 |
| United Healthcare | Commercial | $300 |
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