IV push, single drug at Jefferson Methodist Hospital. CPT 96374.
What Jefferson Methodist Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.
Outpatient / ER
$251cash price (self-pay)
$651list price
$19.15–$576range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Jefferson Health Plan Medicaid | JCC001_JCC002 Caid MCO CHIP | $19.15 |
| PA Health and Wellness CHC | JCC001_JCC002 CHC | $40.33 |
| Geisinger Medicaid | JCC001 JCC002 Caid MCO | $41.97 |
| UPMC CHC Medicaid | JCC001 JCC002 CHIP | $55.53 |
| UPMC CHC Medicaid | JCC001 JCC002 CHC | $55.53 |
| Aetna Better Health | JCC001_JCC002 CHIP | $59.97 |
| Keystone First | JCC002 Caid CHIP | $86.55 |
| Keystone First | JCC002 Caid MCO | $86.55 |
| Cigna | JCC001_JCC002 Commercial | $478 |
| Cigna | JCC001_JCC002 PPO | $576 |
| UPMC Commercial | JCC001_JCC002 PPO | $576 |
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