IV push, single drug at Sanford Worthington Medical Center. CPT 96374.
What Sanford Worthington Medical Center publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$166cash price (self-pay)
$208list price
$80.64–$584range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Group Health/True | $80.67 |
| Sanford Health Plan | SD Exchange True | $80.67 |
| Health Partners | Commercial | $88.80 |
| Health Partners | State Employees | $88.80 |
| Blue Cross Blue Shield of Minnesota | State Employees | $93.63 |
| Sanford Health Plan | Commercial/ND Pers | $94.91 |
| Sanford Health Plan | SD Exchange Commercial | $94.91 |
| Security Health Plan | Commercial | $114 |
| Blue Cross Blue Shield of Minnesota | PMAP | $158 |
| Ucare | Commercial | $163 |
| Aetna | Commercial | $171 |
| United Healthcare | Commercial + Top 20 | $174 |
| Medica | Choice | $186 |
| First Choice Health Network | Commercial | $187 |
| Healthez | Commercial | $187 |
| Multiplan | Commercial | $187 |
| Sanford Health Plan Align | Medicare Replacement | $196 |
| Medica | Elect | $199 |
| Ucare | Medicare Replacement | $211 |
| Aetna | Medicare Replacement | $213 |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $213 |
| Great Plains Medicare Advantage | Medicare Replacement | $213 |
| Health Partners | Medicare Replacement | $213 |
| United Healthcare | Medicare Replacement | $213 |
| Primewest | Medicare Replacement | $217 |
| Primewest | Medicaid Managed Care | $232 |
| Ucare | Medicaid Managed Care | $232 |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $584 |
Inpatient
$166cash price (self-pay)
$208list price
$80.64–$199range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Group Health/True | $80.67 |
| Sanford Health Plan | SD Exchange True | $80.67 |
| Sanford Health Plan | Commercial/ND Pers | $94.91 |
| Sanford Health Plan | SD Exchange Commercial | $94.91 |
| Security Health Plan | Commercial | $114 |
| Ucare | Commercial | $163 |
| Aetna | Commercial | $171 |
| United Healthcare | Commercial + Top 20 | $174 |
| Medica | Choice | $186 |
| First Choice Health Network | Commercial | $187 |
| Healthez | Commercial | $187 |
| Multiplan | Commercial | $187 |
| Medica | Elect | $199 |
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