IV push, single drug at HSHS St. Nicholas Hospital. CPT 96374.
What HSHS St. Nicholas Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$206cash price (self-pay)
$312list price
$20.47–$468range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Antehm Medicaid | $20.47 |
| Community Care Family Care | Community Care Family Care Medicaid Manag | $20.47 |
| Continuus Medicaid Managed | Continuus Medicaid Managed | $20.47 |
| Managed Health Services | Managed Health Services Medicaid | $20.47 |
| Meridian Health Plan | Meridian HMO Mcd | $20.47 |
| Molina Healthcare | Molina Medicaid | $21.70 |
| Hshs Employees | Hshs Employees | $152 |
| Molina Healthcare Of Wi | All Commerical Molina Marketplace | $156 |
| Arise Health Plan | All Commercial Arise Health Plan | $187 |
| P360 Small Group | Prevea 360 Small Group Commercial Plan | $187 |
| Prevea Health Network | Prevea Employees | $187 |
| Prevea Health Network | Prevea360 | $187 |
| Prevea Health Network | Prevea360 - Network | $187 |
| Humana | All Commercial Humana Hpn Choicecare | $198 |
| Humana | Humana Choice Care HMO | $198 |
| Humana | Humana Natiional POS HMO | $198 |
| Aetna | Aetna Medicare | $208 |
| Anthem | Anthem Medicare Advantage HMO | $208 |
| Humana | Humana Medicare Advantage | $208 |
| Medica | Medica Medicare Advantage | $208 |
| Medicare Managed | Managed Medicare No Sequestration | $208 |
| Molina Healthcare | Molina Medicare | $208 |
| Anthem | Anthem POS/HMO | $212 |
| Anthem | Anthem PPO | $212 |
| Cigna | All Commercial Cigna | $218 |
| Interplan | All Commercial Interplan Health Group | $218 |
| Health Eos | All Commercial Health Eos | $234 |
| Healthsmart | All Commercial Healthsmart | $234 |
| Network Health Plan | All Commerical Network Health Plan | $234 |
| Health Care Alliance | The Alliance | $262 |
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