IV push, single drug at UPMC Hamot. CPT 96374.
What UPMC Hamot publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$158cash price (self-pay)
$264list price
$34.12–$250range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $34.12 |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $35.67 |
| Aetna | Medicaid | $37.22 |
| Univera | Univera_Medicare_Hamot_2024 | $39.60 |
| Geisinger | Medicaid/CHIP | $43.11 |
| Highmark Wholecare (prev Gateway) | Medicaid | $46.00 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $46.78 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $48.43 |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Missi | $52.48 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $52.86 |
| UPMC Health Plan | Commercial | $59.23 |
| Aetna | Commercial | $66.00 |
| Cigna | New Business ASO | $79.20 |
| Cigna | NBR ASO/FI | $79.20 |
| UPMC Work Partners | Workers Comp | $79.99 |
| Highmark BCBS of PA | UPMC Emergent | $83.97 |
| BCBS of Western NY | Commercial | $95.58 |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Me | $97.55 |
| Cigna | Commercial | $106 |
| Cigna | EBR | $106 |
| Univera | Commercial | $116 |
| United Healthcare | Commercial | $120 |
| Aetna | Medicare | $171 |
| InterGroup | Health Coalition Partners/PPO | $172 |
| Aetna | AXA/MMO | $185 |
| Multiplan | PPO (Includes PHCS as a Payer) | $185 |
| Independent Health | Medicare Advantage | $188 |
| Highmark Wholecare (prev Gateway) | Medicare | $191 |
| Independent Health | Commercial | $200 |
| InterGroup | Beech Street | $211 |
Inpatient
$158cash price (self-pay)
$264list price
$71.28–$211range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $71.28 |
| Cigna | New Business ASO | $79.20 |
| Cigna | NBR ASO/FI | $79.20 |
| Univera | Commercial | $87.12 |
| Cigna | Commercial | $106 |
| Cigna | EBR | $106 |
| InterGroup | Health Coalition Partners/PPO | $172 |
| Aetna | AXA/MMO | $185 |
| Multiplan | PPO (Includes PHCS as a Payer) | $185 |
| InterGroup | Beech Street | $211 |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $211 |
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