IV push, single drug at Mercy Hospital Jefferson. CPT 96374.
What Mercy Hospital Jefferson publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$354cash price (self-pay)
$544list price
$35.36–$544range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Healthcare Medicaid Contracted [3202651] | Hb Wash Jefn Linc Sa | $35.36 |
| Meridian Medicaid Contracted [320430] | Hb Wash Jefn Linc Samc Meridia | $35.36 |
| Molina Healthcare Medicaid Contracted [320265] | Hb Wash Jefn Linc Sam | $35.36 |
| Countycare Health Plan Medicaid Contracted [320523] | Hb Wash Jefn Lin | $81.60 |
| Ambetter Contracted [320452] | Hb Stlo Wash Jefn Centene Exchange/Ambe | $147 |
| Sunflower Health Plan Contracted [320369] | Hb Stlo Wash Jefn Centene | $147 |
| Novasys Contracted [320285] | Hb Stlo Wash Jefn Centene Exchange/Ambet | $147 |
| Yuzu Health Contracted [320521] | Hb Wash Jefn Level Health Dec | $212 |
| Yuzu Health Contracted [320521] | Hb Wash Jefn Schaefer Autobody Dec N | $212 |
| Ebms Contracted [320493] | Hb Wash Jefn Crader Distributing Dec New 09 | $212 |
| Imagine 360 Contracted [320494] | Hb Wash Jefn Dec Robinson Constructi | $212 |
| Edison Health Solutions Contracted [320502] | Hb Wash Jefn Shine Solar | $212 |
| Edison Health Solutions Contracted [320502] | Hb Wash Jefn Woodard Dec | $212 |
| Show-Me Health Administrators Contracted [320483] | Hb Wash Jefn Dec S | $212 |
| Show-Me Health Administrators Contracted [320483] | Hb Wash Jefn Asi D | $212 |
| Reflect Health Contracted [320492] | Hb Wash Jefn Ww Wood Dec | $212 |
| Auxiant Contracted [320462] | Hb Wash Jefn Dec Hydromat | $212 |
| Auxiant Contracted [320462] | Hb Wash Jefn Fcb Banks Dec | $212 |
| Auxiant Contracted [320462] | Hb Wash Jefn Buchheit Dec New 070122 | $212 |
| Auxiant Contracted [320462] | Hb Wash Jefn City Of Jackson Dec New 010 | $212 |
| Aither Health Contracted [320449] | Hb Wash Jefn Schaefer Autobody Dec | $212 |
| Aither Health Contracted [320449] | Hb Wash Jefn Woodard Dec New 04012 | $212 |
| Aither Health Contracted [320449] | Hb Wash Jefn Laclede Chain Dec New | $212 |
| Aither Health Contracted [320449] | Hb Wash Jefn Shine Solar Dec New 1 | $212 |
| Healthlink Contracted [320179] | Hb Wash Jefn Sapaugh Motors Dec New 1 | $212 |
| Cigna Healthcare Contracted [320071] | Hb Stlo Wash Jefn Samc Cigna Be | $245 |
| Healthlink Contracted [320179] | Hb Jefn Healthlink HMO | $299 |
| Medical Associates Health Contracted [320444] | Hb Stlo Wash Jefn Linc | $326 |
| Health Choices Contracted [320448] | Hb Stlo Wash Jefn Linc Samc Healt | $326 |
| Insurance System Inc Contracted [320465] | Hb Stlo Wash Jefn Samc Netw | $354 |
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