IV push, single drug at Black Hills Surgical Hospital. CPT 96374.
What Black Hills Surgical Hospital publishes for this service, straight from its standard-charges file, last updated January 30, 2026.
Outpatient / ER
$158cash price (self-pay)
$264list price
$36.55–$238range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of IA and SD Medicare COB | Default | $81.00 |
| Blue Cross Blue Shield of IA Wellmark | Default | $81.00 |
| Blue Cross Blue Shield of SD Wellmark | Default | $81.00 |
| UMR United Medical Resources | Default | $125 |
| United Healthcare | Default | $125 |
| United Healthcare | Medicare Advantage | $125 |
| Blue Cross Blue Shield of SD Wellmark | Medicare Advantage | $126 |
| First Choice Health Network | Default | $238 |
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