IV push, single drug at Jefferson Memorial Hospital. CPT 96374.
What Jefferson Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$189cash price (self-pay)
$959list price
$30.81–$959range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans Eval Services | Veterans Eval Services | $30.81 |
| BlueCare | BCBS TN BlueCare | $42.46 |
| BlueCare | BCBS TN TennCare Select | $42.46 |
| BlueCare | BCBS TN CoverKids | $46.01 |
| TN Medicaid Non-Par | TN Medicaid Non-Par | $71.91 |
| United Healthcare | UHC Community Plan | $71.91 |
| Amerigroup | Amerigroup Community Care | $139 |
| NODE Tricare | NODE Tricare | $183 |
| Humana | NODE Humana MCR ADV | $190 |
| NODE Medicare Non Par | NODE Medicare Non Par | $190 |
| NODE Medicare Traditional | NODE Medicare Traditional | $190 |
| Node UHC Mcr Adv | Node UHC Mcr Adv | $190 |
| NODE ChampVA | NODE ChampVA | $193 |
| NODE Hospice Non Par Agree | NODE Hospice Non Par | $193 |
| NODE United Optum VA CCN | NODE United Optum VA CCN | $193 |
| Node Va | Node Va | $193 |
| NODE Devoted Health MCR ADV | NODE Devoted Health MCR ADV | $194 |
| NODE Farm Bureau MCR ADV | NODE Farm Bureau MCR ADV | $194 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $195 |
| NODE Aetna MCR ADV | NODE Aetna MCR ADV | $196 |
| Node BCBS Mcr Adv | Node BCBS Mcr Adv | $196 |
| NODE Healthspring MCR ADV | NODE Healthspring MCR ADV | $196 |
| NODE Amerigroup MCR ADV | NODE Amerigroup MCR ADV | $199 |
| United Healthcare | NODE UHC MCR Dual ADV | $199 |
| NODE Wellcare MCR ADV | NODE Wellcare MCR ADV | $201 |
| Node Nhc Mcr Adv | Node Nhc Mcr Adv | $209 |
| Self Pay | Self Pay | $212 |
| NODE US Dept of Labor | NODE US Dept of Labor | $241 |
| Three Rivers Work Comp TN | Three Rivers Work Comp TN | $253 |
| NovaNet Work Comp TN | NovaNet Work Comp TN | $313 |
Inpatient
$189cash price (self-pay)
$959list price
$173–$959range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $195 |
| Multiplan Complementary | Multiplan Complementary | $757 |
| United Healthcare | UHC APA | $959 |
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