IV push, single drug at Holy Redeemer Hospital. CPT 96374.
What Holy Redeemer Hospital publishes for this service, straight from its standard-charges file, last updated September 21, 2026.
Outpatient / ER
$347cash price (self-pay)
$579list price
$48.61–$1,227range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | Medicaid & CHIP | $48.61 |
| Independence Blue Cross | HMO | $150 |
| Independence Blue Cross | HMO PPACA | $150 |
| Independence Blue Cross | PPO | $150 |
| Keystone Family Health Plan | Managed Medicaid | $213 |
| Independence Blue Cross | Medicare Advantage | $215 |
| Health Partners | Medicare Advantage | $224 |
| Aetna | Medicare Advantage | $226 |
| Cigna HealthSpring | Medicare Advantage | $226 |
| Highmark | Wholecare | $227 |
| United Healthcare Community Plan | Managed Care | $237 |
| United Healthcare | Commercial | $253 |
| Jefferson Health Plan | HMO/PPO | $320 |
| Cigna | Commercial | $446 |
| Aetna | Commercial | $504 |
Inpatient
$347cash price (self-pay)
$579list price
—range insurers pay
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