IV push, single drug at Maple Grove Hospital. CPT 96374.
What Maple Grove Hospital publishes for this service, straight from its standard-charges file, last updated September 25, 2026.
Outpatient / ER
$234cash price (self-pay)
$444list price
$109–$390range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners [1061] | Mgh Hp Federal | $109 |
| Health Partners [1061] | Mgh Hp Comm | $109 |
| Health Partners [1061] | Mgh Hp Govt Msho | $109 |
| Cigna Health Partners [1242] | Mgh Hp Cigna | $115 |
| Medica [1086] | Medica Choice Care | $146 |
| Medica [1086] | Mgh Medica Msho | $160 |
| Blue Cross [1021] | Mgh BCBS Pmap | $165 |
| Medicaid [1087] | Mgh Medicaid Mn | $193 |
| Blue Cross [1021] | Mgh BCBS Msho | $213 |
| Humana [2203] | Mgh Humana Med Adv | $213 |
| Medicare [1088] | Mgh Medicare | $213 |
| Ucare [1148] | Mgh Ucare Pmap | $213 |
| Health Partners [1061] | Mgh Hp Med Adv | $214 |
| Medica [1086] | Mgh Medica Med Adv | $215 |
| Ucare [1148] | Mgh Ucare Med Adv | $220 |
| Blue Cross [1021] | Mgh BCBS Med Adv | $220 |
| Ucare [1148] | Mgh Ucare Msho | $220 |
| United Healthcare [2204] | Mgh UHC Med Adv | $222 |
| Allina Health-Aetna [2201] | Mgh Allina Health Aetna Medicare | $232 |
| America'S PPO [1010] | America'S PPO Healthez Reimbursement Contract | $301 |
| Medica [1086] | Medica Acclaim | $304 |
| Medica [1086] | Medica Fv Nm - Aco Vantage | $312 |
| America'S PPO [1010] | America'S PPO Reimbursement Contract | $320 |
| AETNA [2200] | Aetna Commercial/First Health | $333 |
| Phcs [1172] | Phcs Reimbursement Contract | $333 |
| MEDICA [1086] | MEDICA COMMERCIAL (With WH) | $335 |
| Multiplan [1176] | Multiplan Reimbursement Contract | $355 |
| Blue Cross [1021] | Mgh Xr Hb BCBS Federal | $373 |
| Blue Cross [1021] | Mgh Xr Hb BCBS Aware | $380 |
| Ucare [1148] | Mgh Ucare Ifb | $390 |
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