IV push, single drug at Holzer Medical Center - Jackson. CPT 96374.
What Holzer Medical Center - Jackson publishes for this service, straight from its standard-charges file, last updated March 20, 2026.
Outpatient / ER
$110cash price (self-pay)
$220list price
$41.47–$209range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ohio Medicare | Traditional | $41.47 |
| Humana Medicare | PPO | $41.47 |
| Humana Medicare | POS | $41.47 |
| Humana Medicare | Traditional | $41.47 |
| Aetna | Medicare Advantage | $65.08 |
| Anthem Medicare | HMO | $68.20 |
| Anthem Medicare | PPO | $68.20 |
| Caresource Exchange | HMO | $89.32 |
| Anthem Exchange | Pathway X HMO | $111 |
| Anthem Exchange | Pathway X PPO | $117 |
| Anthem | Blue Access | $126 |
| Anthem | Blue Preferred | $126 |
| Anthem | Blue Traditional | $128 |
| Aetna | PPO | $143 |
| Aetna | HMO | $143 |
| Aetna | POS | $143 |
| United Healthcare | PPO | $143 |
| United Healthcare | POS | $143 |
| Medben | Direct Agreement | $143 |
| Cigna | PPO | $161 |
| Association Benefit Solutions | Direct Agreement | $165 |
| Healthsmart | Accel | $165 |
| Ohio Health Choice | PHC-Plus | $165 |
| Mmo | PPO | $169 |
| Mmo | HMO | $169 |
| MMO Marketplace | HMO | $169 |
| Quality Care Partners | PPO | $172 |
| Quality Care Partners Marketplace | Antidote Health | $172 |
| The Health Plan | PPO | $176 |
| The Health Plan | POS | $176 |
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