IV push, single drug at St Lukes Hospital Upper Bucks Campus. CPT 96374.
What St Lukes Hospital Upper Bucks Campus publishes for this service, straight from its standard-charges file, last updated February 26, 2026.
Outpatient / ER
$865cash price (self-pay)
$961list price
$31.02–$796range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Keystone First | Medicaid | $31.02 |
| 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 | $216 |
| Highmark | Medicare Advantage | $216 |
| Horizon BCBS NJ | Medicare | $216 |
| Independence Blue Cross | Medicare Advantage | $216 |
| Highmark | Freedom Blue Medicare Advantage | $218 |
| Aetna | Medicare | $220 |
| Geisinger | Medicare | $220 |
| Humana | Medicare | $224 |
| UPMC Health Plan | Medicare Advantage | $226 |
| United Healthcare | Medicare Advantage | $233 |
| Oscar | Commercial | $249 |
| Cigna | Commercial | $263 |
| UPMC Health Plan | Commercial | $263 |
| Geisinger | Commercial | $270 |
| United Healthcare | Commercial | $278 |
| Aetna | Medical Rental | $331 |
| Aetna | Commercial | $335 |
| Independence Blue Cross | HMO | $474 |
| Independence Blue Cross | PPO | $474 |
| Independence Blue Cross | Indemnity | $474 |
| Highmark | Commercial/Special Care | $745 |
| Capital Blue Cross | Commercial | $796 |
Inpatient
$865cash price (self-pay)
$961list price
$249–$270range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | Commercial | $249 |
| UPMC Health Plan | Commercial | $263 |
| Geisinger | Commercial | $270 |
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