IV push, single drug at UPMC Hanover. CPT 96374.
What UPMC Hanover publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$522cash price (self-pay)
$870list price
$39.40–$757range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $39.40 |
| Highmark Wholecare (prev Gateway) | Medicaid | $39.40 |
| UPMC Health Plan | Managed Medicaid | $40.33 |
| 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 | PA Medicaid HMO | $52.86 |
| UPMC Work Partners | Workers Comp | $83.71 |
| UPMC Health Plan | CHIP | $119 |
| Capital Blue Cross | Medicare Advantage | $165 |
| Keystone Health Plan | Medicare Advantage | $165 |
| Highmark BCBS of PA | Medicare | $199 |
| Humana | Medicare | $201 |
| Aetna | Medicare | $210 |
| Cigna | Medicare | $211 |
| Geisinger | Medicare | $211 |
| United Healthcare | Medicare | $215 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $217 |
| Prime Net | Managed Medicare | $241 |
| Keystone Autism Services | ACAP | $322 |
| United Healthcare | Commercial | $399 |
| Aetna | ACO | $494 |
| Geisinger | Commercial | $570 |
| Capital Blue Cross | CHIP | $591 |
| Capital Blue Cross | Commercial | $591 |
| Keystone Health Plan | Commercial | $591 |
| UPMC Health Plan | Commercial | $609 |
| Aetna | Commercial | $633 |
| Highmark BCBS of PA | Medicaid | $668 |
| Cigna | Commercial | $679 |
Inpatient
$522cash price (self-pay)
$870list price
$628–$757range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Geisinger | Commercial | $628 |
| CareFirst | Commercial | $740 |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $740 |
| Wellspan Population Health | Commercial | $757 |
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