IV push, single drug at Essentia Health St. Mary's Hospital-Superior. CPT 96374.
What Essentia Health St. Mary's Hospital-Superior publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$205cash price (self-pay)
$278list price
$88.96–$252range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Advocare/Security Health | Medicare | $88.96 |
| BLUE CROSS MEDICARE ADVANTAGE CORE | Medicare | $88.96 |
| Freedom Blue PPO | Medicare | $88.96 |
| HEALTHPARTNERS CARE MSHO / MCR ADV | Medicare | $88.96 |
| IMCARE MSHO PCC PRIME | Medicare | $88.96 |
| IMCARE MSHO REF REQ | Medicare | $88.96 |
| MEDICA ADVANTAGE SOLUTIONS | Medicare | $88.96 |
| MEDICA MSHO/Dual Solutions | Medicare | $88.96 |
| MEDICA PRIME SOLUTION GROUP | Medicare | $88.96 |
| MEDICARE ADV PFFS | Medicare | $88.96 |
| Medica Uplan | Commercial | $88.96 |
| ND VA ADMINISTRATION | Medicare | $88.96 |
| OUT OF STATE BCBS MEDICARE ADVANTAGE | Medicare | $88.96 |
| PRIMEWEST MSHO | Medicare | $88.96 |
| Platinum Blue/Vantage Blue | Medicare | $88.96 |
| SECURE BLUE MSHO | Medicare | $88.96 |
| SECURITY HEALTH MEDICARE | Medicare | $88.96 |
| BCBS MN | Medicaid | $107 |
| BLUE PLUS PMAP PCC PRIME | Medicaid | $107 |
| HealthPartners CARE PMAP | Medicaid | $112 |
| Medica Access | Medicaid | $112 |
| Sanford HealthPlan | Commercial | $119 |
| Sanford HealthPlan | Commercial-NDPERS | $119 |
| HealthPartners | SHP | $188 |
| BCBS Mn | Shp | $193 |
| Medica | Commercial-FI | $195 |
| Medica | Commercial-SI | $206 |
| Primewest | Medicaid | $207 |
| Itasca Med Care | Medicaid | $211 |
| BCBS WI | Commercial | $214 |
Inpatient
$205cash price (self-pay)
$278list price
$112–$252range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| HealthPartners CARE PMAP | Medicaid | $112 |
| Sanford HealthPlan | Commercial-NDPERS | $119 |
| Sanford HealthPlan | Commercial | $126 |
| BCBS MN | Medicaid | $153 |
| BLUE PLUS PMAP PCC PRIME | Medicaid | $153 |
| Medica Access | Medicaid | $175 |
| Ucare | Commercial | $183 |
| BCBS Mn | Shp | $183 |
| HealthPartners | SHP | $193 |
| MN BCBS Commercial | BCBS MN | $195 |
| Medica | Commercial-FI | $195 |
| WEA | Commercial-Narrow Network | $200 |
| Medica | Commercial-SI | $206 |
| BCBS WI | Commercial | $214 |
| Security Health | Commercial | $214 |
| WEA | Commercial | $214 |
| America's PPO | Commercial | $215 |
| Medica | IFB ACO | $217 |
| Cigna | Commercial | $222 |
| HealthPartners PCC Prime | Commercial | $222 |
| HealthPartners | Commercial | $222 |
| Medica Choice | Commercial | $224 |
| WPS | Commercial | $231 |
| Aetna First Health | Commercial | $236 |
| HealthEOS | Commercial | $239 |
| UHC | Commercial | $252 |
| UMR | Commercial | $252 |
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All common services at Essentia Health St. Mary's Hospital-Superior