IV push, single drug at Froedtert Menomonee Falls Hospital. CPT 96374.
What Froedtert Menomonee Falls Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$134cash price (self-pay)
$244list price
$73.20–$709range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Centivo | WI 2 Median | $73.20 |
| Centivo | WI 1 Broad | $80.52 |
| UMR | MCW Employees | $80.52 |
| Froedtert South | All Contracted Commercial Plans | $102 |
| Chorus Community Health Plan | All Contracted Commercial Plans | $105 |
| Common Ground | All Contracted Commercial Plans | $146 |
| Health Partners | All Contracted Commercial Plans | $159 |
| Anthem Blue Cross Blue Shield | HMO | $161 |
| Trilogy | All Contracted Commercial Plans | $168 |
| Health Payment Systems | All Contracted Commercial Plans | $170 |
| Aetna | All Contracted Commercial Plans | $171 |
| Aspirus | All Contracted Commercial Plans | $195 |
| IBSI Passport | All Contracted Commercial Plans | $198 |
| Allwell | Medicare Advantage | $205 |
| Anthem Blue Cross Blue Shield | Medicare Advantage | $205 |
| Community Care | Medicare Advantage | $205 |
| Health Partners | Medicare Advantage | $205 |
| Humana | Medicare Advantage | $205 |
| ICare | Medicare Advantage | $205 |
| Network Health Plan | Medicare Advantage | $205 |
| Security Health Plan | Medicare Advantage | $205 |
| United Healthcare | Medicare Advantage | $205 |
| Anthem Blue Cross Blue Shield (Healthlink) | PPO | $207 |
| Aetna | Medicare Advantage | $209 |
| Care Wisconsin/MyChoice | Medicare Advantage | $211 |
| Americas Choice | PPO | $212 |
| Federated Mutual | All Contracted Commercial Plans | $212 |
| HealthEos | All Contracted Commercial Plans | $212 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $212 |
| Savility | All Contracted Commercial Plans | $212 |
Inpatient
$134cash price (self-pay)
$244list price
$146–$292range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Common Ground | All Contracted Commercial Plans | $146 |
| Trilogy | All Contracted Commercial Plans | $168 |
| Health Payment Systems | All Contracted Commercial Plans | $170 |
| Aetna | All Contracted Commercial Plans | $171 |
| Aspirus | All Contracted Commercial Plans | $195 |
| IBSI Passport | All Contracted Commercial Plans | $198 |
| Americas Choice | PPO | $212 |
| Federated Mutual | All Contracted Commercial Plans | $212 |
| HealthEos | All Contracted Commercial Plans | $212 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $212 |
| Savility | All Contracted Commercial Plans | $212 |
| First Health Network | All Contracted Commercial Plans | $215 |
| HealthSmart | All Contracted Commercial Plans | $220 |
| Physicians Plus | HMO | $220 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.