IV push, single drug at Jefferson Lansdale Hospital. CPT 96374.
What Jefferson Lansdale Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.
Outpatient / ER
$245cash price (self-pay)
$651list price
$19.15–$576range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Jefferson Health Plan Medicaid | JAB002 Caid MCO CHIP | $19.15 |
| Keystone First | JAB002 Caid CHIP | $38.15 |
| Keystone First | JAB002 Caid MCO | $38.15 |
| PA Health and Wellness CHC | JAB002 CHC | $40.33 |
| Geisinger Medicaid | JAB002 Caid | $41.97 |
| Aetna Better Health | JAB002 CHIP | $54.51 |
| UPMC CHC Medicaid | JAB002 Caid CHC | $55.53 |
| Aetna | JAB001_JAB002 Savings Plus | $88.90 |
| Aetna | JAB001_JAB002 PEBTF | $94.88 |
| Aetna | JAB001_JAB002 Commercial | $98.73 |
| Cigna | JAB001_JAB002 Commercial | $478 |
| UPMC Commercial | JAB001_JAB002 PPO | $576 |
| Cigna | JAB001_JAB002 PPO | $576 |
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