IV push, single drug at Essentia Health St. Mary's-Detroit Lakes. CPT 96374.
What Essentia Health St. Mary's-Detroit Lakes publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$179cash price (self-pay)
$279list price
$109–$944range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| HealthPartners CARE PMAP | Medicaid | $109 |
| BCBS MN | Medicaid | $134 |
| BCBS PLUS PMAP PCC PRIME | Medicaid | $134 |
| Medica Uplan | Commercial | $177 |
| HealthPartners | SHP | $187 |
| Medica | Commercial-FI | $195 |
| Cigna | Commercial | $205 |
| HealthPartners PCC Prime | Commercial | $205 |
| HealthPartners | Commercial | $205 |
| Medica | Commercial-SI | $206 |
| Primewest | Medicaid | $207 |
| Itasca Med Care | Medicaid | $211 |
| BCBS WI | Commercial | $212 |
| America's PPO | Commercial | $216 |
| Medica | IFB ACO | $217 |
| Advocare/Security Health | Medicare | $221 |
| BLUE CROSS MEDICARE ADVANTAGE CORE | Medicare | $221 |
| Freedom Blue PPO | Medicare | $221 |
| HEALTHPARTNERS CARE MSHO / MCR ADV | Medicare | $221 |
| IMCARE MSHO PCC PRIME | Medicare | $221 |
| IMCARE MSHO REF REQ | Medicare | $221 |
| MEDICA ADVANTAGE SOLUTIONS | Medicare | $221 |
| MEDICA MSHO/Dual Solutions | Medicare | $221 |
| MEDICA PRIME SOLUTION GROUP | Medicare | $221 |
| MEDICARE ADV PFFS | Medicare | $221 |
| ND VA ADMINISTRATION | Medicare | $221 |
| OUT OF STATE BCBS MEDICARE ADVANTAGE | Medicare | $221 |
| PRIMEWEST MSHO | Medicare | $221 |
| Platinum Blue/Vantage Blue | Medicare | $221 |
| SECURE BLUE MSHO | Medicare | $221 |
Inpatient
$179cash price (self-pay)
$279list price
$120–$240range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford HealthPlan | Commercial-NDPERS | $120 |
| Sanford HealthPlan | Commercial | $126 |
| Ucare | Commercial | $184 |
| BCBS MN | Medicaid | $187 |
| BCBS PLUS PMAP PCC PRIME | Medicaid | $187 |
| WEA | Commercial-Narrow Network | $201 |
| MN BCBS Commercial | BCBS MN | $207 |
| BCBS WI | Commercial | $212 |
| WEA | Commercial | $215 |
| America's PPO | Commercial | $216 |
| WPS | Commercial | $232 |
| Aetna First Health | Commercial | $237 |
| HealthEOS | Commercial | $240 |
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All common services at Essentia Health St. Mary's-Detroit Lakes