IV push, single drug at Jackson Memorial Hospital. CPT 96374.
What Jackson Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 23, 2026.
Outpatient / ER
$218cash price (self-pay)
$334list price
$31.86–$3,506range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Better Hlth Mcaid | Aetna Better Hlth Mcaid | $31.86 |
| Amerihealth Mcaid | Amerihealth Mcaid | $31.86 |
| Comm Care Mcaid - All Other Plans | Comm Care Mcaid - All Other Plans | $31.86 |
| Simply Hlth Mcaid - All Other Plans | Simply Hlth Mcaid - All Other Pl | $31.86 |
| UHC Mcaid | UHC Mcaid | $31.86 |
| Wellcare Mcaid | Wellcare Mcaid | $31.86 |
| Molina Kidcare | Molina Kidcare | $33.45 |
| Molina Mcaid | Molina Mcaid | $33.45 |
| Aetna Better Hlth Chip | Aetna Better Hlth Chip | $35.04 |
| Pace Mcaid - All Other Plans | Pace Mcaid - All Other Plans | $41.41 |
| Cigna HMO/PPO - All Other Plans | Cigna HMO/PPO - All Other Plans | $114 |
| Curative - All Plans | Curative - All Plans | $144 |
| Aetna Exchange | Aetna Exchange | $172 |
| Tricare - All Plans | Tricare - All Plans | $178 |
| Simply Hlth Mcr | Simply Hlth Mcr | $193 |
| Leon Hlth Mcr - All Plans | Leon Hlth Mcr - All Plans | $200 |
| Aetna First Hlth | Aetna First Hlth | $201 |
| Avmed Mcr Adv | Avmed Mcr Adv | $222 |
| Doctors Hlthcare Mcr Adv - All Plans | Doctors Hlthcare Mcr Adv - All | $222 |
| Healthspring - All Plans | Healthspring - All Plans | $222 |
| Pace Mcr Adv | Pace Mcr Adv | $222 |
| Preferred Care - All Plans | Preferred Care - All Plans | $222 |
| Devoted Mcr Adv - All Plans | Devoted Mcr Adv - All Plans | $229 |
| Aetna Comm - All Other Plans | Aetna Comm - All Other Plans | $230 |
| Aetna International | Aetna International | $230 |
| Ambetter Exch - All Plans | Ambetter Exch - All Plans | $244 |
| Align Mcr Adv - All Plans | Align Mcr Adv - All Plans | $249 |
| Longevity Hp - All Plans | Longevity Hp - All Plans | $249 |
| Dimension Pho - All Plans | Dimension Pho - All Plans | $267 |
| Avmed Exchange | Avmed Exchange | $309 |
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