IV push, single drug at Sanford Medical Center Mayville. CPT 96374.
What Sanford Medical Center Mayville publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$295cash price (self-pay)
$369list price
$88.80–$343range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | Commercial | $88.80 |
| Blue Cross Blue Shield of Minnesota | PMAP | $89.33 |
| Sanford Health Plan Align | Medicare Replacement | $182 |
| Ucare | Medicare Replacement | $196 |
| Aetna | Medicare Replacement | $198 |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $198 |
| Great Plains Medicare Advantage | Medicare Replacement | $198 |
| Health Partners | Medicare Replacement | $198 |
| United Healthcare | Medicare Replacement | $198 |
| Primewest | Medicare Replacement | $201 |
| Security Health Plan | Commercial | $203 |
| Blue Cross Blue Shield of North Dakota | Commercial | $250 |
| Sanford Health Plan | Group Health/True/SD Exchange True | $291 |
| Medica | Choice | $304 |
| United Healthcare | Commercial | $308 |
| Aetna | Commercial | $321 |
| Ucare | Commercial | $324 |
| Medica | Elect | $325 |
| First Choice Health Network | Commercial | $332 |
| Healthez | Commercial | $332 |
| Multiplan | Commercial | $332 |
| Blue Cross Blue Shield of Minnesota | Commercial | $341 |
| Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial | $343 |
Inpatient
$295cash price (self-pay)
$369list price
$203–$343range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Security Health Plan | Commercial | $203 |
| Health Partners | Commercial | $288 |
| Sanford Health Plan | Group Health/True/SD Exchange True | $291 |
| Medica | Choice | $304 |
| United Healthcare | Commercial | $308 |
| Aetna | Commercial | $321 |
| Ucare | Commercial | $324 |
| Medica | Elect | $325 |
| First Choice Health Network | Commercial | $332 |
| Healthez | Commercial | $332 |
| Multiplan | Commercial | $332 |
| Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial | $343 |
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