IV push, single drug at Jackson County Memorial Hospital. CPT 96374.
What Jackson County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$551cash price (self-pay)
$551list price
$215–$524range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Coventry | Medicare Advantage | $215 |
| Humana | Medicare Advantage | $215 |
| Humana | Veteran Services Project Hero | $215 |
| Healthcare Highways | Sync PPO | $331 |
| United Healthcare | PPO | $375 |
| Oklahoma Health Network (OHN) | PPO | $386 |
| Coventry | PPO | $408 |
| Coventry | First Health PPO | $441 |
| Phcs | Multiplan Savility PPO | $441 |
| Aetna | Gatekeeper | $457 |
| Aetna | Non Gatekeeper | $468 |
| Cigna | PPO | $468 |
| Phcs | Multiplan PPO | $496 |
| Preferred Community Choice | PPO | $496 |
| Humana | PPO | $524 |
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