IV push, single drug at Methodist Jennie Edmundson. CPT 96374.
What Methodist Jennie Edmundson publishes for this service, straight from its standard-charges file, last updated February 15, 2026.
Outpatient / ER
$191cash price (self-pay)
$635list price
$32.24–$3,991range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark | Wellmark HMO - MJE | $32.24 |
| Wellmark | Wellmark PPO - MJE | $35.46 |
| Wellmark Medicare Advantage | Wellmark Medicare Advantage | $126 |
| Humana | Humana Medicare Advantage | $214 |
| BCBS | BCBS Select | $238 |
| BCBS | BCBS | $240 |
| Medica | Medica Medicare Advantage | $252 |
| Molina Medicare Advantage | Molina Medicare Advantage | $252 |
| Elite Choice - MJE | Elite Choice - MJE | $255 |
| Aetna | Aetna | $259 |
| Ambetter by NE Total Care | Ambetter by NE Total Care | $261 |
| Midlands Choice | Midlands Choice - MJE | $265 |
| Wellcare Medicare Advantage | Wellcare Medicare Advantage by NE Total | $266 |
| Medica | Elevate by Medica | $270 |
| Aetna | Aetna Medicare Advantage | $298 |
| United Healthcare | UHC Medicare Advantage | $299 |
| BCBS | BCBS Medicare Advantage | $315 |
| Medica Choice | Medica Choice | $318 |
| NE Furniture Mart | NE Furniture Mart | $381 |
| UHC | UHC Nexus | $774 |
| United Healthcare | UHC | $908 |
Inpatient
$191cash price (self-pay)
$635list price
—range insurers pay
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