IV push, single drug at UPMC Childrens. CPT 96374.
What UPMC Childrens publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$375cash price (self-pay)
$625list price
$40.59–$563range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $71.60 |
| Aetna | Medicaid | $81.00 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $116 |
| UPMC Health Plan | CHIP | $119 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $120 |
| United Healthcare Community Plan for Families | PA Medicaid | $123 |
| Highmark Wholecare (prev Gateway) | Medicaid | $125 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $126 |
| Geisinger | Medicaid/CHIP | $128 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $147 |
| UPMC Health Plan | Managed Medicare | $147 |
| Health Plan of Upper Ohio Valley | Medicare | $201 |
| Highmark BCBS of PA | Medicare | $213 |
| AmeriHealth Caritas | Medicare | $217 |
| Cigna | Medicare | $217 |
| Aetna | Medicare | $221 |
| United Healthcare | Compass Exchange | $250 |
| Aetna | Narrow Network | $264 |
| Highmark BCBS of PA | Managed Care - Social Mission | $278 |
| Geisinger | Commercial | $281 |
| Aetna | Fully Insured | $294 |
| Cigna | New Business ASO | $294 |
| Cigna | NBR ASO/FI | $294 |
| United Healthcare | All Business | $294 |
| Highmark BCBS of PA | Managed Care | $327 |
| Aetna | Commercial | $344 |
| Cigna | Commercial | $344 |
| Cigna | EBR | $344 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $355 |
| Health Plan of Upper Ohio Valley | Commercial | $406 |
Inpatient
$375cash price (self-pay)
$625list price
$250–$563range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Compass Exchange | $250 |
| Aetna | Narrow Network | $264 |
| Geisinger | Commercial | $281 |
| Aetna | Fully Insured | $294 |
| Cigna | New Business ASO | $294 |
| Cigna | NBR ASO/FI | $294 |
| United Healthcare | All Business | $294 |
| Aetna | Commercial | $344 |
| Cigna | Commercial | $344 |
| Cigna | EBR | $344 |
| InterGroup | PPO | $469 |
| Coventry/First Health | Childrens Coventry FirstHealth Commercial | $500 |
| Saudi Armed Forces | Commercial | $500 |
| Health Payors Organization | Commercial | $531 |
| Multiplan | Commercial/Worker's Compensation | $531 |
| National Provider Network | PPO | $563 |
| Private Health Care Systems | PPO | $563 |
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