IV push, single drug at Stonewall Jackson Hospital. CPT 96374.
What Stonewall Jackson Hospital publishes for this service, straight from its standard-charges file, last updated May 19, 2026.
Outpatient / ER
$590cash price (self-pay)
$1,180list price
$25.07–$1,157range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health_plan_medicaid | Medicaid | $25.07 |
| Unicare_medicaid | Medicaid | $25.07 |
| Caresource_medicaid | Medicaid | $25.57 |
| Highmark_bcbs_medicaid | Medicaid | $26.32 |
| Aetna_better_health | Medicare | $34.51 |
| Humana | Medicare | $203 |
| Umwa | Medicare | $203 |
| Ves | Medicare | $203 |
| Universal_health | Medicare | $209 |
| Highmark_bcbs_ppo | Medicare | $901 |
| Highmark_bcbs_traditional | Medicare | $901 |
| Aetna | Commercial | $944 |
| Aetna_auto | Commercial | $944 |
| Aetna_medical_rental | Commercial | $944 |
| Aetna_work_comp | Commercial | $944 |
| Highmark_bcbs_aca | Medicare | $957 |
| Onenet | Commercial | $1,019 |
| Healthsmart_accel | Commercial | $1,062 |
| Healthsmart_auto | Commercial | $1,062 |
| Healthsmart_hpo | Commercial | $1,062 |
| Healthsmart_ppo | Commercial | $1,062 |
| Sharpe | Commercial | $1,062 |
| Cigna | Commercial | $1,065 |
| UHC | Commercial | $1,098 |
| Alliance_ppo | Commercial | $1,121 |
| Ccn | Commercial | $1,121 |
| Multiplan | Commercial | $1,121 |
| Napp | Commercial | $1,151 |
| 4_most | Commercial | $1,157 |
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