IV push, single drug at Gundersen St. Elizabeth Hospital and Clinics. CPT 96374.
What Gundersen St. Elizabeth Hospital and Clinics publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$329cash price (self-pay)
$540list price
$29.33–$518range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Medicaid | $29.33 |
| Group Health of South Central | Medicaid HMO | $29.33 |
| Iowa Total Care | Medicaid | $29.33 |
| Managed Health Service | Managed Medicaid | $29.33 |
| Quartz | Medicaid_Badgercare | $29.33 |
| South County | Managed Medicaid | $29.33 |
| Bcbsmn | Mhcp | $134 |
| Medica | Minnesota Care | $224 |
| Quartz | All Products | $228 |
| Quartz | All Other Self Funded | $238 |
| Quartz | Self Funded | $254 |
| Quartz | Level Funded | $262 |
| Health Partners | Medicaid HMO | $270 |
| Aetna | Medicare Advantage | $292 |
| Quartz | Fully Insured | $294 |
| Medica | Medicare Advantage | $297 |
| Health Partners | Medicare Cost | $324 |
| Anthem | Medicare HMO/PPO | $351 |
| Health Partners | Medicare Advantage | $351 |
| Humana | Medicare Advantage | $351 |
| Quartz | Medicare Advantage | $351 |
| South County | Managed Medicare | $351 |
| UCARE | Dually Eligible | $351 |
| UCARE | Non-Dually Eligible | $351 |
| BCBSMN | All Products | $372 |
| Medica | AccessAbilty Solution | $375 |
| Medica | All Products | $415 |
| Alliance | Premier/All Products | $426 |
| Alliance | Comprehensive/All Products | $426 |
| Group Health of South Central | All Products | $432 |
Inpatient
$329cash price (self-pay)
$540list price
$134–$518range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $318 |
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All common services at Gundersen St. Elizabeth Hospital and Clinics