IV push, single drug at Aurora Medical Center Fond du Lac. CPT 96374.
What Aurora Medical Center Fond du Lac publishes for this service, straight from its standard-charges file, last updated November 21, 2025.
Outpatient / ER
$130cash price (self-pay)
$260list price
$65.00–$336range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Everpointe Elite | Commercial | $103 |
| Quartz One | Commercial | $107 |
| Aetna | HMO | $108 |
| HS Technology | Commercial | $110 |
| Common Ground | Employee Trust Fund | $111 |
| Common Ground | Envision | $111 |
| Common Ground | Exchange | $111 |
| HealthPartners | Employee Trust Fund | $115 |
| Aurora Caregiver | Commercial | $118 |
| Quartz Group | Commercial | $118 |
| Wisconsin Physician Service | Aurora Featured | $126 |
| Wisconsin Physician Service | Arise | $132 |
| Wisconsin Physician Service | Statewide | $132 |
| Centivo | Commercial | $136 |
| Health Payment Systems | Commercial | $142 |
| HealthPartners | Robin | $144 |
| Trilogy | Commercial | $149 |
| Anthem | Blue Priority | $153 |
| Health EOS Plus | Commercial | $156 |
| Molina Exchange | Commercial | $159 |
| United Healthcare | Exchange | $194 |
| Cigna | PPO-GPPO | $195 |
| HealthPartners | Broad | $195 |
| United Healthcare | Charter | $196 |
| United Healthcare | Nexus | $196 |
| Anthem | Blue Preferred | $197 |
| Health EOS | PPO | $208 |
| United Healthcare | HMO | $213 |
| Aetna | PPO | $215 |
| United Healthcare | PPO | $219 |
Inpatient
$130cash price (self-pay)
$260list price
$156–$221range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health EOS Plus | Commercial | $156 |
| HealthPartners | Broad | $195 |
| Health EOS | PPO | $208 |
| Aetna | PPO | $215 |
| United Healthcare | PPO | $219 |
| Cigna | PPO | $220 |
| Anthem | PPO | $221 |
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