IV push, single drug at M Health Fairview Ridges Hospital. CPT 96374.
What M Health Fairview Ridges Hospital publishes for this service, straight from its standard-charges file, last updated February 6, 2026.
Outpatient / ER
$210cash price (self-pay)
$513list price
$24.73–$1,617range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | MSHO/Medicare Advantage SNP | $86.42 |
| Blue Cross of Minnesota | PMAP | $90.38 |
| United Healthcare | Commercial | $97.38 |
| United Healthcare | Core | $97.38 |
| Health Partners | Federal | $109 |
| Health Partners | Commercial | $111 |
| Health Partners | Cigna Commercial | $116 |
| Health Partners | Cigna Great West | $138 |
| Medica | Bold | $148 |
| Health Partners | Medicare Cost | $180 |
| Health Partners | PMAP | $183 |
| Itasca Medical Care | Managed Medicaid | $196 |
| Primewest | Managed Medicaid | $196 |
| South Country Health Alliance | PMAP | $196 |
| Itasca Medical Care | Medicare Advantage/MSHO | $205 |
| Primewest | MSHO | $205 |
| Sanford Health Plan | Medicare Advantage | $205 |
| Security Health Plan | Medicare Advantage | $205 |
| South Country Health Alliance | Medicare Advantage | $205 |
| United Healthcare | Medicare Advantage | $205 |
| WellCare | Medicare Advantage | $205 |
| UCare | Medicare Advantage/MSHO | $208 |
| Hennepin Health | PMAP | $212 |
| Blue Cross of Minnesota | Medicare Advantage | $213 |
| UCare | PMAP | $213 |
| Blue Cross of Minnesota | Aware Federal | $215 |
| Health Partners | Medicare Advantage | $217 |
| Medica | Medicare Advantage Non-SNP | $217 |
| Blue Cross of Minnesota | Aware/Blue Plus | $218 |
| Sanford Health Plan | Commercial | $302 |
Inpatient
$210cash price (self-pay)
$513list price
$258–$462range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| America's PPO | EZCare | $267 |
| Sanford Health Plan | Commercial | $302 |
| America's PPO | Health EZ | $303 |
| America's PPO | Commercial | $328 |
| Security Health Plan | Commercial | $385 |
| First Health | Commercial | $420 |
| MultiPlan | Commercial | $436 |
| Private Healthcare Systems | Commercial | $436 |
| Wisconsin Physician Services | Commercial | $461 |
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