IV push, single drug at UPMC Community Osteopathic. CPT 96374.
What UPMC Community Osteopathic publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$388cash price (self-pay)
$647list price
$39.40–$740range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $39.40 |
| United Healthcare Community Plan for Families | PA Medicaid | $40.64 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $42.25 |
| Geisinger | Medicaid/CHIP | $45.18 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $52.86 |
| UPMC Work Partners | Workers Comp | $83.71 |
| UPMC Health Plan | CHIP | $119 |
| Capital Blue Cross | Medicare Advantage | $129 |
| Keystone Health Plan | Medicare Advantage | $129 |
| Prime Net | Managed Medicare | $157 |
| Highmark BCBS of PA | CHIP | $162 |
| Highmark BCBS of PA | Commercial | $162 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $205 |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $208 |
| Humana | Medicare | $213 |
| Aetna | Medicare | $216 |
| Cigna | Medicare | $218 |
| United Healthcare | Medicare | $222 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $224 |
| Aetna | ACO | $318 |
| Aetna | PEBTF ACO | $337 |
| Capital Blue Cross | CHIP | $358 |
| Capital Blue Cross | Commercial | $358 |
| Keystone Health Plan | Commercial | $375 |
| Aetna | Commercial | $397 |
| Prime Net | FH-Medical Rental | $487 |
| InterGroup | PPO | $550 |
| Wellspan Population Health | Commercial | $550 |
Inpatient
$388cash price (self-pay)
$647list price
$421–$740range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Prime Net | FH-Medical Rental | $487 |
| InterGroup | PPO | $550 |
| Wellspan Population Health | Commercial | $550 |
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