IV push, single drug at Gundersen St. Josephs Hospital and Clinic. CPT 96374.
What Gundersen St. Josephs Hospital and Clinic publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$203cash price (self-pay)
$386list price
$22.55–$367range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid HMO | $22.55 |
| Anthem | Medicaid | $129 |
| Dean Health Plan | Medicaid_Badgercare | $129 |
| Group Health Eau Claire | Medicaid HMO | $129 |
| Group Health of South Central | Medicaid HMO | $129 |
| Iowa Total Care | Medicaid | $129 |
| Quartz | Medicaid_Badgercare | $129 |
| Managed Health Service | Managed Medicaid | $142 |
| Quartz | All Products | $163 |
| Quartz | All Other Self Funded | $170 |
| Quartz | Self Funded | $181 |
| Quartz | Level Funded | $187 |
| Anthem | Medicare HMO/PPO | $197 |
| Dean Health Plan | Medicare Select | $197 |
| Humana | Medicare Advantage | $197 |
| Quartz | Medicare Advantage | $197 |
| UCARE | Dually Eligible | $197 |
| UHC | Medicare Advantage | $197 |
| UCARE | Non-Dually Eligible | $201 |
| UCARE | MSHO/Minnesota Special Needs | $201 |
| Quartz | Fully Insured | $210 |
| UHC | All Payer Appendix | $270 |
| Anthem | State Specific | $281 |
| Anthem | HMO/POS | $281 |
| Anthem | PPO | $281 |
| Cigna | All Products | $298 |
| Alliance | Premier/All Products | $308 |
| Group Health of South Central | All Products | $309 |
| Trilogy | All Products | $309 |
| UCARE | Qualified Health Plan | $309 |
Inpatient
$203cash price (self-pay)
$386list price
$163–$367range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $227 |
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All common services at Gundersen St. Josephs Hospital and Clinic