IV push, single drug at Essentia Health-St. Mary's Children's Hospital (Duluth). CPT 96374.
What Essentia Health-St. Mary's Children's Hospital (Duluth) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$184cash price (self-pay)
$279list price
$92.35–$494range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica Access | Medicaid | $92.35 |
| HealthPartners CARE PMAP | Medicaid | $111 |
| Blue Plus PMAP PCC Prime | Medicaid | $123 |
| BCBS Mn | Shp | $123 |
| Medica Uplan | Commercial | $154 |
| Medica | Commercial-FI | $154 |
| Medica | Commercial-SI | $158 |
| HealthPartners | SHP | $167 |
| Medica Choice | Commercial | $170 |
| Cigna | Commercial | $199 |
| HealthPartners PCC Prime | Commercial | $199 |
| HealthPartners | Commercial | $199 |
| Primewest | Medicaid | $207 |
| Itasca Med Care | Medicaid | $211 |
| Advocare/Security Health | Medicare | $211 |
| BLUE CROSS MEDICARE ADVANTAGE CORE | Medicare | $211 |
| Freedom Blue PPO | Medicare | $211 |
| HEALTHPARTNERS CARE MSHO / MCR ADV | Medicare | $211 |
| IMCARE MSHO (REF REQ) | Medicare | $211 |
| IMCARE MSHO PCC PRIME | Medicare | $211 |
| IMCARE MSHO REF REQ | Medicare | $211 |
| MEDICA ADVANTAGE SOLUTIONS | Medicare | $211 |
| MEDICA MSHO/Dual Solutions | Medicare | $211 |
| MEDICA PRIME SOLUTION GROUP | Medicare | $211 |
| MEDICARE ADV PFFS | Medicare | $211 |
| ND VA ADMINISTRATION | Medicare | $211 |
| OUT OF STATE BCBS MEDICARE ADVANTAGE | Medicare | $211 |
| PRIMEWEST MSHO | Medicare | $211 |
| Platinum Blue / Vantage Blue | Medicare | $211 |
| SECURE BLUE MSHO | Medicare | $211 |
Inpatient
$184cash price (self-pay)
$279list price
$120–$240range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Commercial-NDPERS | $120 |
| BCBS Mn | Shp | $123 |
| Sanford Health Plan | Commercial | $126 |
| Blue Plus PMAP PCC Prime | Medicaid | $140 |
| MN BCBS Commercial | BCBS MN | $153 |
| UCare | Commercial | $184 |
| WEA | Commercial-Narrow Network | $201 |
| BCBS WI | Commercial | $212 |
| Security Health | Commercial | $215 |
| WEA | Commercial | $215 |
| America's PPO | Commercial | $216 |
| WPS | Commercial | $232 |
| Aetna First Health | Commercial | $237 |
| HealthScope Benefits | Commercial | $237 |
| HealthEOS | Commercial | $240 |
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All common services at Essentia Health-St. Mary's Children's Hospital (Duluth)