IV push, single drug at Sanford Jackson Hospital. CPT 96374.
What Sanford Jackson Hospital publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$385cash price (self-pay)
$481list price
$88.80–$452range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | Commercial | $88.80 |
| Health Partners | State Employees | $88.80 |
| Blue Cross Blue Shield of Minnesota | PMAP | $116 |
| Sanford Health Plan Align | Medicare Replacement | $151 |
| Ucare | Medicare Replacement | $162 |
| Wellmark SD | Medicare Replacement | $162 |
| Aetna | Medicare Replacement | $164 |
| Great Plains Medicare Advantage | Medicare Replacement | $164 |
| Health Partners | Medicare Replacement | $164 |
| United Healthcare | Medicare Replacement | $164 |
| Primewest | Medicare Replacement | $167 |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $167 |
| Primewest | Medicaid Managed Care | $180 |
| Ucare | Medicaid Managed Care | $221 |
| Sanford Health Plan | Group Health/True | $258 |
| Sanford Health Plan | SD Exchange True | $258 |
| Security Health Plan | Commercial | $265 |
| Sanford Health Plan | Commercial/ND Pers | $303 |
| Sanford Health Plan | SD Exchange Commercial | $303 |
| Blue Cross Blue Shield of Minnesota | State Employees | $393 |
| United Healthcare | Commercial + Top 20 | $402 |
| Aetna | Commercial | $418 |
| Ucare | Commercial | $423 |
| Medica | Choice | $423 |
| Cigna | Commercial | $433 |
| First Choice Health Network | Commercial | $433 |
| Healthez | Commercial | $433 |
| Multiplan | Commercial | $433 |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $445 |
| Medica | Elect | $452 |
Inpatient
$385cash price (self-pay)
$481list price
$258–$455range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Group Health/True | $258 |
| Sanford Health Plan | SD Exchange True | $258 |
| Security Health Plan | Commercial | $265 |
| Sanford Health Plan | Commercial/ND Pers | $303 |
| Sanford Health Plan | SD Exchange Commercial | $303 |
| Health Partners | State Employees | $331 |
| Health Partners | Commercial | $385 |
| United Healthcare | Commercial + Top 20 | $402 |
| Aetna | Commercial | $418 |
| Ucare | Commercial | $423 |
| Medica | Choice | $425 |
| Cigna | Commercial | $433 |
| First Choice Health Network | Commercial | $433 |
| Healthez | Commercial | $433 |
| Multiplan | Commercial | $433 |
| Medica | Elect | $455 |
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