IV push, single drug at Froedtert Community Hospital - Mequon. CPT 96374.
What Froedtert Community Hospital - Mequon publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$134cash price (self-pay)
$244list price
$97.60–$524range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Chorus Community Health Plan | All Contracted Commercial Plans | $97.60 |
| Medical College of Wisconsin | Employee Plan | $97.60 |
| Centivo | WI 2 Median | $105 |
| Anthem Blue Cross Blue Shield | Blue Preferred/HMO/POS | $110 |
| Anthem Blue Cross Blue Shield (Healthlink) | Federal/Out of State/PPO | $110 |
| Centivo | WI 1 Broad | $122 |
| Cigna | All Contracted Commercial Plans | $143 |
| Common Ground | All Contracted Commercial Plans | $146 |
| Sheboygan Employers Health Network | All Contracted Commercial Payers | $146 |
| Wisconsin Physician Services | All Contracted Commercial Plans | $146 |
| Health Payment Systems | All Contracted Commercial Plans | $149 |
| Health Partners | All Contracted Commercial Payers | $159 |
| Trilogy | All Contracted Commercial Plans | $159 |
| Anthem Blue Cross Blue Shield | Medicare Advantage | $205 |
| Care Wisconsin | Medicare Advantage | $205 |
| Community Care | Medicare Advantage | $205 |
| Health Partners | Medicare Advantage | $205 |
| Humana | Medicare Advantage | $205 |
| ICare | Medicare Advantage | $205 |
| Molina | Medicare Advantage | $205 |
| Network Health Plan | Medicare Advantage | $205 |
| Security Health Plan Secure Savers | Medicare Advantage | $205 |
| United Healthcare | Medicare Advantage | $205 |
| Americas Choice | PPO | $212 |
| HealthEos | All Contracted Commercial Plans | $212 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $212 |
| First Health Network | All Contracted Commercial Plans | $215 |
| Network Health Plan | ACA | $314 |
| Network Health Plan | All Contracted Commercial Payers | $349 |
| United Healthcare | Nexus | $360 |
Inpatient
$134cash price (self-pay)
$244list price
$146–$215range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Common Ground | All Contracted Commercial Plans | $146 |
| Health Payment Systems | All Contracted Commercial Plans | $149 |
| Trilogy | All Contracted Commercial Plans | $159 |
| Americas Choice | PPO | $212 |
| HealthEos | All Contracted Commercial Plans | $212 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $212 |
| First Health Network | All Contracted Commercial Plans | $215 |
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All common services at Froedtert Community Hospital - Mequon