IV push, single drug at Sioux Valley Memorial Hospital Association. CPT 96374.

What Sioux Valley Memorial Hospital Association publishes for this service, straight from its standard-charges file, last updated March 31, 2026.

Outpatient / ER

$200cash price (self-pay)

$222list price

$117–$122range insurers pay

Insurance plan	Negotiated rate
HEALTH PARTNERS \| Medicare	$118
Molina \| Medicaid	$122

$200cash price (self-pay)

$222list price

$222–$222range insurers pay

Insurance plan	Negotiated rate
Admin Concepts \| Commercial	$222
AETNA \| Commercial	$222
AETNA \| Medicare	$222
American Republic \| Commercial	$222
APW \| All Plans	$222
Auxiant \| Commercial	$222
Avera \| Commercial	$222
Bankers Life \| Commercial	$222
BLUE CROSS \| Commercial	$222
BLUE CROSS \| Medicare	$222
CHAMPUS \| Commercial	$222
CIGNA \| Commercial	$222
HEALTH PARTNERS \| Commercial	$222
HEALTH PARTNERS \| Medicare	$222
HUMANA \| Medicare	$222
Iowa Total Care \| Commercial	$222
Iowa Total Care \| Medicaid	$222
Liability \| Commercial	$222
MERIDIAN \| Commercial	$222
MERITAIN \| Commercial	$222
MIDLANDS \| Commercial	$222
MOLINA \| Commercial	$222
Molina \| Medicaid	$222
Mutual of Omaha \| Commercial	$222
Occunet \| Commercial	$222
PHYSICIANS MUTUAL \| Commercial	$222
Private Healthcare \| Commercial	$222
Sanford \| Commercial	$222
UHC \| Commercial	$222
UHC \| Medicare	$222

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