IV push, single drug at Jasper Memorial Hospital. CPT 96374.
What Jasper Memorial Hospital publishes for this service, straight from its standard-charges file, last updated January 20, 2026.
Outpatient / ER
$74.00cash price (self-pay)
$148list price
$53.56–$322range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Medicare Advantage PPO | Medicare Advantage | $53.56 |
| Kaiser HMO - Medicare | Medicare HMO | $62.40 |
| Ambetter | PPO/POS/HMO | $62.40 |
| CareSource | PPO/POS/HMO | $72.80 |
| BCBS PPO | PPO | $80.00 |
| United Healthcare | PPO/POS/HMO | $80.00 |
| Aetna PPO/POS/HMO | PPO/POS/HMO | $82.00 |
| Humana PPO/POS | PPO/POS | $85.00 |
| Kaiser PPO | PPO | $85.00 |
| Cigna | PPO/POS/HMO | $85.00 |
| Phcs | PPO/POS/HMO | $85.00 |
| MultiPlan | PPO/POS/HMO | $90.00 |
| BCBS HMO/POS | HMO/POS | $196 |
Inpatient
$74.00cash price (self-pay)
$148list price
$82.00–$133range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna PPO/POS/HMO | PPO/POS/HMO | $82.00 |
| Humana PPO/POS | PPO/POS | $85.00 |
| Kaiser PPO | PPO | $85.00 |
| Cigna | PPO/POS/HMO | $85.00 |
| Phcs | PPO/POS/HMO | $85.00 |
| MultiPlan | PPO/POS/HMO | $90.00 |
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