IV push, single drug at Jefferson Torresdale Hospital. CPT 96374.
What Jefferson Torresdale 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 | JNE001_JNE002_JNE003 Caid MCO CHIP | $19.15 |
| PA Health and Wellness CHC | JNE001_JNE002_JNE003 CHC | $40.33 |
| Geisinger Medicaid | JNE001_JNE002_JNE003 Caid | $41.97 |
| Keystone First | JNE001_JNE_002_JNE003 Caid CHIP | $53.04 |
| Keystone First | JNE001_JNE_002_JNE003 Caid MCO | $53.04 |
| Aetna Better Health | JNE001_JNE002_JNE003 CHIP | $54.51 |
| UPMC CHC Medicaid | JNE001_JNE002_JNE003 Caid CHC | $55.53 |
| Cigna | JNE001_JNE002_JNE003 Commercial | $478 |
| UPMC Commercial | JNE001_JNE002_JNE003 PPO | $576 |
| Cigna | JNE001_JNE002_JNE003 PPO | $576 |
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