IV push, single drug at Froedtert West Bend Hospital. CPT 96374.
What Froedtert West Bend 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 Payment Systems | Group Specific | $154 |
| Health Partners | All Contracted Commercial Plans | $159 |
| Anthem Blue Cross Blue Shield | HMO | $161 |
| Aetna | All Contracted Commercial Plans | $171 |
| Wisconsin Physician Services | All Contracted Commercial Plans | $195 |
| Health Payment Systems | Other Commercial Plans | $197 |
| Trilogy | All Contracted Commercial Plans | $200 |
| 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 |
| Molina | Medicare Advantage | $205 |
| Network Health Plan | Medicare Advantage | $205 |
| Security Health Plan Secure Savers | Medicare Advantage | $205 |
| United Healthcare | Medicare Advantage | $205 |
| Anthem Blue Cross Blue Shield | PPO | $207 |
| Aetna | Medicare Advantage | $209 |
| Care Wisconsin | Medicare Advantage | $211 |
| 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 |
Inpatient
$134cash price (self-pay)
$244list price
$146–$308range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Common Ground | All Contracted Commercial Plans | $146 |
| Health Payment Systems | Group Specific | $154 |
| Aetna | All Contracted Commercial Plans | $171 |
| Health Payment Systems | Other Commercial Plans | $197 |
| Trilogy | All Contracted Commercial Plans | $200 |
| 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 |
| Hfn | PPO | $220 |
| IBSI Passport | All Contracted Commercial Plans | $220 |
| Cigna | All Contracted Commercial Plans | $232 |
| HealthSmart | All Contracted Commercial Plans | $232 |
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