IV push, single drug at Gundersen Boscobel Area Hospital and Clinic. CPT 96374.
What Gundersen Boscobel Area Hospital and Clinic publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$183cash price (self-pay)
$356list price
$22.55–$342range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid HMO | $22.55 |
| Anthem | Medicaid | $110 |
| Dean Health Plan | Medicaid_Badgercare | $110 |
| Group Health Eau Claire | Medicaid HMO | $110 |
| Group Health of South Central | Medicaid HMO | $110 |
| Iowa Total Care | Medicaid | $110 |
| Managed Health Service | Managed Medicaid | $110 |
| Quartz | Medicaid_Badgercare | $110 |
| Quartz | All Products | $151 |
| Quartz | All Other Self Funded | $157 |
| Quartz | Self Funded | $167 |
| Quartz | Level Funded | $173 |
| Anthem | Medicare HMO/PPO | $174 |
| Dean Health Plan | Medicare Select | $174 |
| Health Partners | Medicare Advantage | $174 |
| Humana | Medicare Advantage | $174 |
| Medical Associates | Medicare Advantage | $174 |
| Quartz | Medicare Advantage | $174 |
| Health Partners | Medicaid HMO | $178 |
| Quartz | Fully Insured | $194 |
| Health Partners | Medicare Cost | $214 |
| Anthem | State Specific | $258 |
| Anthem | HMO/POS | $258 |
| Anthem | PPO | $258 |
| Dean Health Plan | All Products | $270 |
| Medical Associates | All Products | $271 |
| Cigna | All Products | $274 |
| Alliance | Comprehensive/All Products | $285 |
| Alliance | Premier/All Products | $285 |
| Group Health of South Central | All Products | $285 |
Inpatient
$183cash price (self-pay)
$356list price
$151–$342range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $210 |
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All common services at Gundersen Boscobel Area Hospital and Clinic