IV push, single drug at Gundersen Lutheran Medical Center. CPT 96374.
What Gundersen Lutheran Medical Center publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$22.23–$451range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| ICare | Medicaid HMO | $22.23 |
| Amerigroup | Medicaid HMO | $22.55 |
| Anthem | Medicaid | $22.55 |
| Group Health Eau Claire | Medicaid HMO | $22.55 |
| Group Health of South Central | Medicaid HMO | $22.55 |
| Iowa Total Care | Medicaid | $22.55 |
| Managed Health Service | Managed Medicaid | $22.55 |
| Molina Health | Managed Medicaid | $22.55 |
| Quartz | Medicaid_Badgercare | $22.55 |
| UHC | Medicaid | $22.55 |
| Bcbsmn | Mhcp | $93.68 |
| UCARE | Non-Dually Eligible | $204 |
| UCARE | Dually Eligible | $204 |
| UCARE | MSHO/Minnesota Special Needs | $214 |
| Aetna | Medicare Advantage | $225 |
| Amerigroup | Medicare Advantage | $225 |
| Anthem | Medicare HMO/PPO | $225 |
| Health Partners | Medicare Advantage | $225 |
| iCare | Medicare Advantage | $225 |
| Medical Associates | Medicare Advantage | $225 |
| Quartz | Medicare Advantage | $225 |
| UHC | Medicare Advantage | $225 |
| BCBSMN | All Products | $451 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.