IV push, single drug at St. Mary Medical Center. CPT 96374.
What St. Mary Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$255cash price (self-pay)
$393list price
$35.67–$620range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Highmark Wholecare Medicaid | Gateway Health Medicaid | $35.67 |
| Aetna Medicaid | Aetna Better Health Medicaid | $44.98 |
| Upmc Medicaid Advantage | Upmc Health Plan Medicaid | $46.53 |
| Allwell Pa Health & Wellness Medicaid Advantage | Pa Health And Wellne | $46.53 |
| United Healthcare Medicaid | UHC Community Plan Medicaid | $50.94 |
| Keystone First | Keystone Medicaid | $74.45 |
| Keystone First Chc Medicaid | Keystone Medicaid | $74.45 |
| Keystone First Chip | Keystone Medicaid | $74.45 |
| Jefferson Health Plans Medicaid | Health Partners Medicaid | $183 |
| United Healthcare | United Healthcare Options | $190 |
| Geha | United Healthcare | $199 |
| United Healthcare | United Healthcare | $199 |
| Blue Cross - Pa (Independence) Medicare Advantage | Independence Blue | $229 |
| Cigna Medicare Advantage | Cigna Healthspring Medicare Advantage | $231 |
| Align Senior Care | Ally Align Health | $234 |
| Devoted Health Medicare Advantage | Devoted Health Medicare Advantage | $235 |
| Keystone First Chc Medicare Advantage | Keystone First Medicare Advant | $236 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $243 |
| Jefferson Health Plans Medicare | Health Partners Medicare Advantage | $243 |
| Health Partners Medicare Advantage | Health Partners Medicare Advantag | $243 |
| Allwell Medicare Advantage | Pa Health & Wellness Medicare Advantage | $248 |
| Allwell Pa Health & Wellness Medicare Advantage | Pa Health & Wellness | $248 |
| Cigna | Cigna Exchange | $250 |
| Upmc Medicare Advantage | Upmc Health Plan Medicare Advantage | $264 |
| Highmark Wholecare Medicare Advantage | Highmark Wholecare Medicare Ad | $264 |
| Health America Advantra | Health America Medicare Advantage | $275 |
| Coventry Medicare Advantage | Coventry Advantra Medicare Advantage | $275 |
| Aetna | Aetna | $350 |
| Meritain | Aetna | $350 |
| Blue Cross - Wi (Anthem) | Independence Blue Cross HMO/PPO | $354 |
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