IV push, single drug at Froedtert Bluemound Rehabilitation Hospital. CPT 96374.
What Froedtert Bluemound Rehabilitation Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$178cash price (self-pay)
$324list price
$97.20–$733range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Centivo | WI 2 Median | $97.20 |
| Centivo | WI 1 Broad | $107 |
| Medical College of Wisconsin | Employee Plan | $107 |
| Chorus Community Health Plan | All Contracted Commercial Plans | $126 |
| Froedtert South | All Contracted Commercial Plans | $130 |
| Anthem Blue Cross Blue Shield | Blue Preferred/POS | $194 |
| Health Partners | All Contracted Commercial Plans | $201 |
| Aetna | All Contracted Commercial Plans | $211 |
| Trilogy | All Contracted Commercial Plans | $211 |
| Health Payment Systems | All Contracted Commercial Plans | $213 |
| Anthem Blue Cross Blue Shield | Medicare Advantage | $214 |
| Community Care | Medicare Advantage | $214 |
| Health Partners | Medicare Advantage | $214 |
| Humana Choice | Medicare Advantage | $214 |
| ICare | Medicare Advantage | $214 |
| Molina | Medicare Advantage | $214 |
| Network Health Plan | Medicare Advantage | $214 |
| Priority Health | Medicare Advantage | $214 |
| Quartz | Medicare Advantage | $214 |
| Security Health Plan | Medicare Advantage | $214 |
| United Healthcare | Medicare Advantage/Dual | $214 |
| Upper Peninsula Health Plan | Medicare Advantage | $214 |
| Aetna | Medicare Advantage | $218 |
| Wellcare | Medicare Advantage | $218 |
| Care Wisconsin/MyChoice | Medicare Advantage | $221 |
| Cigna | All Contracted Commercial Plans | $253 |
| Security Health Plan | All Contracted Commercial Plans | $255 |
| Dean Health Plan | All Contracted Commercial Plans | $259 |
| Group Health Cooperative | All Contracted Commercial Plans | $259 |
| HealthEos | All Contracted Commercial Plans | $259 |
Inpatient
$178cash price (self-pay)
$324list price
$211–$280range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | All Contracted Commercial Plans | $211 |
| Trilogy | All Contracted Commercial Plans | $211 |
| Health Payment Systems | All Contracted Commercial Plans | $213 |
| Security Health Plan | All Contracted Commercial Plans | $255 |
| Dean Health Plan | All Contracted Commercial Plans | $259 |
| Group Health Cooperative | All Contracted Commercial Plans | $259 |
| HealthEos | All Contracted Commercial Plans | $259 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $259 |
| HealthSmart | All Contracted Commercial Plans | $269 |
| Wisconsin Physician Services | All Contracted Commercial Plans | $275 |
| First Health Network | All Contracted Commercial Plans | $280 |
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All common services at Froedtert Bluemound Rehabilitation Hospital