IV push, single drug at Gundersen Moundview Hospital and Clinics. CPT 96374.
What Gundersen Moundview Hospital and Clinics publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$184cash price (self-pay)
$363list price
$22.55–$352range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid HMO | $22.55 |
| Anthem | Medicaid | $142 |
| Group Health Eau Claire | Medicaid HMO | $142 |
| Group Health of South Central | Medicaid HMO | $142 |
| Iowa Total Care | Medicaid | $142 |
| Managed Health Service | Managed Medicaid | $142 |
| Quartz | Medicaid_Badgercare | $142 |
| Quartz | All Products | $154 |
| Quartz | All Other Self Funded | $160 |
| Security Health Plan | Medicare Advantage | $167 |
| Anthem | Medicare HMO/PPO | $167 |
| Health Partners | Medicare Advantage | $167 |
| Quartz | Medicare Advantage | $167 |
| Security Health Plan | Medicare + Choice | $167 |
| UCARE | Dually Eligible | $167 |
| Quartz | Self Funded | $171 |
| UCARE | MSHO/Minnesota Special Needs | $174 |
| UCARE | Non-Dually Eligible | $174 |
| Quartz | Level Funded | $176 |
| Health Partners | Medicaid HMO | $182 |
| Quartz | Fully Insured | $198 |
| Health Partners | Medicare Cost | $218 |
| Anthem | State Specific | $264 |
| Anthem | HMO/POS | $264 |
| Anthem | PPO | $264 |
| Cigna | All Products | $280 |
| Dean Health Plan | ASO | $285 |
| Alliance | Premier/All Products | $290 |
| Alliance | Comprehensive/All Products | $290 |
| Group Health of South Central | All Products | $290 |
Inpatient
$184cash price (self-pay)
$363list price
$154–$352range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $214 |
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All common services at Gundersen Moundview Hospital and Clinics