IV push, single drug at Grand Itasca Clinic and Hospital. CPT 96374.
What Grand Itasca Clinic and Hospital publishes for this service, straight from its standard-charges file, last updated January 28, 2026.
Outpatient / ER
$80.24cash price (self-pay)
$512list price
$24.73–$770range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Managed Medicaid | $177 |
| Medica | AccessAbility | $193 |
| Itasca Medical Care | Managed Medicaid | $196 |
| Primewest | Managed Medicaid | $196 |
| Medica | MSHO-Dual/Medicare Advantage SNP | $210 |
| Blue Cross of Minnesota | PMAP | $211 |
| Itasca Medical Care | Medicare Advantage/MSHO | $212 |
| Primewest | MSHO | $212 |
| Sanford Health Plan | Medicare Advantage | $212 |
| Security Health Plan | Medicare Advantage | $212 |
| UCare | Medicare Advantage/MSHO | $212 |
| United Healthcare | Medicare Advantage | $212 |
| WellCare | Medicare Advantage | $212 |
| Blue Cross of Minnesota | Medicare Advantage | $221 |
| Health Partners | Medicare Advantage | $225 |
| Medica | Medicare Advantage Non-SNP | $225 |
| UCare | PMAP | $226 |
| Health Partners | Medicare Cost | $267 |
| Health Partners | PMAP | $272 |
| Sanford Health Plan | Commercial | $302 |
| United Healthcare | Commercial | $335 |
| Security Health Plan | Commercial | $384 |
| UCare | Individual and Family Plans | $416 |
| First Health | Commercial | $420 |
| Health Partners | Federal | $422 |
| Medica | Commercial | $427 |
| Health Partners | Commercial | $430 |
| MultiPlan | Commercial | $436 |
| Private Healthcare Systems | Commercial | $436 |
| Health Partners | Cigna Commercial | $451 |
Inpatient
$80.24cash price (self-pay)
$512list price
$85.90–$511range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | Medicare Cost | $233 |
| Health Partners | PMAP | $237 |
| Sanford Health Plan | Commercial | $302 |
| Security Health Plan | Commercial | $384 |
| Health Partners | Federal | $401 |
| Health Partners | Commercial | $408 |
| United Healthcare | Commercial | $412 |
| First Health | Commercial | $420 |
| Medica | Commercial | $426 |
| Health Partners | Cigna Commercial | $428 |
| MultiPlan | Commercial | $436 |
| Private Healthcare Systems | Commercial | $436 |
| Wisconsin Physician Services | Commercial | $461 |
| America's PPO | Commercial/EZCare/Health EZ | $471 |
| Health Partners | Cigna Great West | $510 |
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