IV push, single drug at Jay Hospital. CPT 96374.
What Jay Hospital publishes for this service, straight from its standard-charges file, last updated December 23, 2025.
Outpatient / ER
$31.50cash price (self-pay)
$316list price
$33.15–$2,049range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Better Hlthy Kids | $33.15 |
| Cha Health Plan | HMO | $33.15 |
| Simply Healthcare Healthy Kids | All Products | $33.15 |
| Humana | Medicaid HMO | $34.81 |
| Staywell | All Products | $34.81 |
| Sunshine Health | Caid HMO | $34.81 |
| Wellcare | Mcare HMO | $46.53 |
| Wellcare | Mcare HMO Dual Plan | $46.53 |
| UHC Community | Mcaid HMO | $50.81 |
| FL Community Care Ltc | Mcaid | $54.37 |
| Aetna | Medicare | $69.52 |
| Bc FL | Medicare HMO | $69.52 |
| Humana | Mcare Choice PPO | $69.52 |
| UHC | Mcare Adv Dual Plan | $69.52 |
| UHC | Mcare Adv Pln | $69.52 |
| FL Blue | My Blue Network | $75.84 |
| FL Blue | Simply Blue Network | $88.48 |
| FL Blue | Blue Select | $88.48 |
| FL Blue | Health Options HMO | $101 |
| FL Blue | Nwb - Blue Options | $114 |
| Wc Corvel | PPO | $131 |
| FL Blue | Ppc-Blue Choice | $149 |
| UHC Of FL | Neighborhood Plan | $149 |
| UHC Of FL | POS/HMO | $156 |
| Hospice Emerald Coast | All Products | $158 |
| Hospice Regency | All Products | $158 |
| Hospice Vitas | All Products | $158 |
| Cigna/Great West | PPO | $175 |
| Aetna | Aetna | $178 |
| Cigna/Great West | Open Access | $179 |
Inpatient
$31.50cash price (self-pay)
$316list price
$46.20–$316range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wc Corvel | PPO | $300 |
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