IV push, single drug at Shriners Children's Philadelphia. CPT 96374.
What Shriners Children's Philadelphia publishes for this service, straight from its standard-charges file, last updated March 19, 2026.
Outpatient / ER
$217cash price (self-pay)
$217list price
$28.88–$306range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Soonercare | Managed Medicaid | $28.88 |
| Aetna Better Health of PA | Managed Medicaid | $31.02 |
| AmeriHealth Mercy Health Plans | Managed Medicaid | $31.02 |
| Centene PA Health and Wellness | Mgd. Medicaid | $31.02 |
| Gateway Health Plan | Managed Medicaid | $31.02 |
| Geisinger Health Plan | Commercial | $31.02 |
| Health Partners of Philadelphia | Mgd. Medicaid | $31.02 |
| Keystone Mercy Health Plans | Managed Medicaid | $31.02 |
| UPMC Health Plan | Managed Medicaid | $31.02 |
| Centene Absolute Total Care | Managed Medicaid | $33.12 |
| Humana SC | Managed Medicaid | $33.12 |
| Horizon Blue Cross Blue Shield of NJ | Commercial | $38.10 |
| Aetna Better Health of MI | Managed Medicaid | $219 |
| Centene Magnolia Health Services | Mgd. Medicaid | $219 |
| Centene Wellcare of KY | Managed Medicaid | $219 |
| Cigna | Commercial | $232 |
| AmeriHealth Caritas NC | Marketplace Medicare | $251 |
| AmeriHealth Caritas SC | Medicare | $251 |
| Centene Ambetter | Centene Ambetter | $251 |
| Sana Benefits | Commercial | $306 |
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