IV push, single drug at Sanford Westbrook Hospital. CPT 96374.
What Sanford Westbrook Hospital publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$344cash price (self-pay)
$430list price
$88.80–$440range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | Commercial | $88.80 |
| Health Partners | State Employees | $88.80 |
| Blue Cross Blue Shield of Minnesota | PMAP | $104 |
| Sanford Health Plan Align | Medicare Replacement | $184 |
| Ucare | Medicare Replacement | $197 |
| Wellmark SD | Medicare Replacement | $197 |
| Aetna | Medicare Replacement | $200 |
| Great Plains Medicare Advantage | Medicare Replacement | $200 |
| Health Partners | Medicare Replacement | $200 |
| United Healthcare | Medicare Replacement | $200 |
| Primewest | Medicare Replacement | $203 |
| Primewest | Medicaid Managed Care | $218 |
| Ucare | Medicaid Managed Care | $221 |
| Security Health Plan | Commercial | $237 |
| Sanford Health Plan | Group Health/True | $339 |
| Sanford Health Plan | SD Exchange True | $339 |
| Blue Cross Blue Shield of Minnesota | State Employees | $352 |
| United Healthcare | Commercial + Top 20 | $359 |
| Aetna | Commercial | $374 |
| Ucare | Commercial | $378 |
| Medica | Choice | $378 |
| Cigna | Commercial | $387 |
| First Choice Health Network | Commercial | $387 |
| Healthez | Commercial | $387 |
| Multiplan | Commercial | $387 |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $398 |
| Sanford Health Plan | Commercial/ND Pers | $399 |
| Sanford Health Plan | SD Exchange Commercial | $399 |
| Medica | Elect | $404 |
Inpatient
$344cash price (self-pay)
$430list price
$237–$443range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Security Health Plan | Commercial | $237 |
| Health Partners | State Employees | $296 |
| Sanford Health Plan | Group Health/True | $339 |
| Sanford Health Plan | SD Exchange True | $339 |
| Health Partners | Commercial | $344 |
| United Healthcare | Commercial + Top 20 | $359 |
| Aetna | Commercial | $374 |
| Ucare | Commercial | $378 |
| Medica | Choice | $380 |
| Cigna | Commercial | $387 |
| First Choice Health Network | Commercial | $387 |
| Healthez | Commercial | $387 |
| Multiplan | Commercial | $387 |
| Sanford Health Plan | Commercial/ND Pers | $399 |
| Sanford Health Plan | SD Exchange Commercial | $399 |
| Medica | Elect | $407 |
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