IV push, single drug at Nemours Children's Hospital. CPT 96374.
What Nemours Children's Hospital publishes for this service, straight from its standard-charges file, last updated March 10, 2026.
Outpatient / ER
$882cash price (self-pay)
$882list price
$38.52–$838range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Keystone First Hlth Plan | Medicaid HMO | $176 |
| Tricare | Tricare | $220 |
| Highmark BCBS Of Delaware Health Options | Medicaid HMO | $273 |
| Carefirst Md Community Health Plan | Medicaid HMO | $296 |
| Celtic Transplant For De First Health | Commercial | $309 |
| UHC Community Plan Of Pa | Medicaid HMO | $324 |
| Wellpoint Maryland | Medicaid HMO | $326 |
| Kidz Partners | Chip | $334 |
| Health Partners | Medicaid HMO | $342 |
| Upmc | Medicaid HMO/Chip | $349 |
| Fidelis | Medicaid HMO | $353 |
| Aetna Better Health Pennsylvania | Chip | $374 |
| Keystone First Hlth Plan | Chip | $381 |
| Independence Blue Cross | Commercial | $387 |
| Priority Partners John Hopkins | Commercial | $433 |
| Six Degrees Health Transplant | Commercial | $441 |
| Highmark BCBS Of Delaware | Commercial | $487 |
| Cigna Lifesource Transplant | Commercial | $494 |
| Aetna | HMO | $503 |
| Celtic Transplant For Ambetter Exchange | Commercial | $503 |
| Aetna | PPO | $503 |
| Amerihealth Caritas Delaware | Commercial | $503 |
| Aetna | Indemnity | $512 |
| Geisinger Health Plan | Commercial | $529 |
| Integra Administrative Group | Commercial | $529 |
| UHC Of Mid-Atlantic | Commercial | $550 |
| Cigna Healthcare | All | $556 |
| Great West-One Health Plan | Commercial | $556 |
| National Transplant Network (Ntn) | Commercial | $573 |
| Star Healthcare Network | Commercial | $573 |
Inpatient
$882cash price (self-pay)
$882list price
$390–$882range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Keystone First Hlth Plan | Chip | $390 |
| Aetna Better Health Pennsylvania | Chip | $395 |
| Independence Blue Cross | Commercial | $396 |
| Cigna Healthcare | All | $485 |
| Great West-One Health Plan | Commercial | $485 |
| Aetna | HMO | $512 |
| Aetna | PPO | $512 |
| Celtic Transplant | Commercial | $882 |
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