IV push, single drug at St Lukes Hospital Carbon Campus. CPT 96374.
What St Lukes Hospital Carbon Campus publishes for this service, straight from its standard-charges file, last updated February 27, 2026.
Outpatient / ER
$700cash price (self-pay)
$843list price
$36.60–$625range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Geisinger | Medicaid/CHIP | $36.60 |
| AmeriHealth Caritas | Medicaid | $37.22 |
| Highmark Wholecare | Medicaid | $37.22 |
| UPMC Health Plan | Medicaid | $37.22 |
| Jefferson Health Plan | CHIP/Medicaid | $44.67 |
| Capital Blue Cross | Medicare | $210 |
| Highmark | Medicare Advantage | $210 |
| Highmark | Freedom Blue Medicare Advantage | $212 |
| Aetna | Medicare | $214 |
| Geisinger | Medicare | $214 |
| Humana | Medicare | $218 |
| Oscar | Commercial | $219 |
| UPMC Health Plan | Medicare Advantage | $220 |
| United Healthcare | Medicare Advantage | $227 |
| Cigna | Commercial | $231 |
| UPMC Health Plan | Commercial | $231 |
| Geisinger | Commercial | $237 |
| United Healthcare | Commercial | $244 |
| Aetna | Medical Rental | $290 |
| Aetna | Commercial | $294 |
| Capital Blue Cross | Commercial | $320 |
| Highmark | Commercial/Special Care | $589 |
| Independence Blue Cross | AmeriHealth | $625 |
Inpatient
$700cash price (self-pay)
$843list price
$219–$237range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | Commercial | $219 |
| UPMC Health Plan | Commercial | $230 |
| Geisinger | Commercial | $237 |
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