IV push, single drug at Aurora Medical Center Grafton. CPT 96374.
What Aurora Medical Center Grafton publishes for this service, straight from its standard-charges file, last updated November 21, 2025.
Outpatient / ER
$72.50cash price (self-pay)
$145list price
$65.00–$336range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Everpointe Elite | Commercial | $73.75 |
| Quartz One | Commercial | $74.88 |
| Common Ground | Employee Trust Fund | $76.00 |
| Common Ground | Envision | $76.00 |
| Common Ground | Exchange | $76.00 |
| Aetna | HMO | $77.72 |
| HealthPartners | Employee Trust Fund | $80.50 |
| HS Technology | Commercial | $81.25 |
| Aurora Caregiver | Commercial | $83.50 |
| Quartz Group | Commercial | $83.50 |
| Health EOS Plus | Commercial | $87.00 |
| Wisconsin Physician Service | Aurora Featured | $89.95 |
| Centivo | Commercial | $92.38 |
| Wisconsin Physician Service | Arise | $94.62 |
| Wisconsin Physician Service | Statewide | $94.62 |
| HealthPartners | Robin | $101 |
| Health Payment Systems | Commercial | $105 |
| HealthPartners | Broad | $109 |
| Trilogy | Commercial | $109 |
| Health EOS | PPO | $116 |
| Aetna | PPO | $120 |
| United Healthcare | PPO | $122 |
| Cigna | PPO | $123 |
| Anthem | PPO | $123 |
| Anthem | Blue Priority | $153 |
| Molina Exchange | Commercial | $159 |
| United Healthcare | Exchange | $194 |
| Cigna | PPO-GPPO | $195 |
| United Healthcare | Charter | $196 |
| United Healthcare | Nexus | $196 |
Inpatient
$72.50cash price (self-pay)
$145list price
$87.00–$123range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health EOS Plus | Commercial | $87.00 |
| HealthPartners | Broad | $109 |
| Health EOS | PPO | $116 |
| Aetna | PPO | $120 |
| United Healthcare | PPO | $122 |
| Cigna | PPO | $123 |
| Anthem | PPO | $123 |
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