IV push, single drug at Jeff Davis Hospital. CPT 96374.
What Jeff Davis Hospital publishes for this service, straight from its standard-charges file, last updated May 26, 2026.
Outpatient / ER
$53.60cash price (self-pay)
$204list price
$29.86–$757range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid | Medicaid | $39.68 |
| Humana_medicaid | Medicaid | $40.48 |
| Peach_state | Commercial | $40.48 |
| Molina_medicaid | Medicaid | $40.86 |
| Pen_network | Medicare | $51.24 |
| Medicare | Medicare | $63.09 |
| Choicecare_medicare_ppo | Medicare | $63.72 |
| Humana_medicare_hmo | Medicare | $63.72 |
| Humana_medicare_pffs | Medicare | $63.72 |
| Humana_medicare_pos | Medicare | $63.72 |
| Humana_medicare_ppo | Medicare | $63.72 |
| Bcbs_medicare_advantage_hmo | Medicare | $64.35 |
| Bcbs_medicare_advantage_indemnity | Medicare | $64.35 |
| Bcbs_medicare_advantage_open_access | Medicare | $64.35 |
| Bcbs_medicare_advantage_par | Medicare | $64.35 |
| Bcbs_medicare_advantage_pos | Medicare | $64.35 |
| Bcbs_medicare_advantage_ppo | Medicare | $64.35 |
| Care_improvement_plus | Medicare | $64.35 |
| Amerigroup_medicaid | Medicaid | $109 |
| Coventry_hmo | Commercial | $142 |
| Coventry_pos | Commercial | $142 |
| Bcbs_hmo | Commercial | $153 |
| Bcbs_pos | Commercial | $153 |
| Bcbs_ppo | Commercial | $153 |
| Coventry_ppo | Commercial | $157 |
| Beech_street | Commercial | $163 |
| Care_source | Medicaid | $163 |
| Cigna | Commercial | $163 |
| One_health_ppo | Commercial | $163 |
| Choicecare | Commercial | $173 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.