IV push, single drug at Westfield Memorial Hospital. CPT 96374.
What Westfield Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 14, 2026.
Outpatient / ER
$493cash price (self-pay)
$632list price
$29.67–$479range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Univera | Univera Essential Plan | $29.67 |
| Univera | Univera Healthy New York | $29.67 |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $32.57 |
| Univera | Univera Medicare | $38.75 |
| Highmark | Highmark Blue High Performance | $41.00 |
| Univera | Univera Commercial | $42.85 |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $44.98 |
| Amerihealth | Amerihealth Caritas HC Medicaid | $44.98 |
| Geisinger | Geisinger CHIP | $47.30 |
| Geisinger | Geisinger Medicaid HC | $47.30 |
| United Healthcare | United Healthcare Medicaid | $47.30 |
| Amerihealth | Amerihealth Medicaid CHC | $51.18 |
| Amerihealth | Amerihealth Medicaid HC | $51.18 |
| Cigna | Cigna Commercial | $56.70 |
| United Healthcare | United Healthcare Of OH Medicaid | $72.24 |
| Highmark | Highmark Together Blue | $82.97 |
| Highmark | Highmark My Direct Blue | $129 |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $147 |
| Highmark | Highmark Social Mission Indemnity | $153 |
| Highmark | Highmark Social Mission Managed Care | $153 |
| United Healthcare | United Healthcare Commercial | $165 |
| Highmark | Highmark My Blue Access | $173 |
| Martin's Point | Martin's Point | $184 |
| Highmark | Highmark Performance Blue | $202 |
| Highmark | Highmark Connect Blue | $216 |
| Highmark | Highmark Community Blue | $227 |
| Highmark | Highmark Indemnity | $227 |
| Highmark | Highmark Managed Care | $227 |
| Highmark | Highmark Community Blue Medicare PPO | $229 |
| Highmark | Highmark Complete Blue Medicare | $229 |
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