IV push, single drug at UPMC Memorial. CPT 96374.
What UPMC Memorial 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–$740range 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 |
| Highmark BCBS of PA | Medicare | $79.51 |
| UPMC Work Partners | Workers Comp | $83.71 |
| UPMC Health Plan | CHIP | $119 |
| Capital Blue Cross | Medicare Advantage | $174 |
| Keystone Health Plan | Medicare Advantage | $174 |
| Prime Net | Managed Medicare | $177 |
| Aetna | Medicare | $211 |
| Cigna | Medicare | $212 |
| Geisinger | Medicare | $212 |
| United Healthcare | Medicare | $216 |
| Keystone Autism Services | ACAP | $323 |
| Prime Net | ACO/Legacy Commercial | $357 |
| Aetna | ACO | $359 |
| United Healthcare | Commercial | $399 |
| Prime Net | GateKeeper/NonGateKeeper | $415 |
| Aetna | Commercial | $418 |
| Capital Blue Cross | CHIP | $527 |
| Capital Blue Cross | Commercial | $527 |
| Keystone Health Plan | Commercial | $553 |
| Geisinger | Commercial | $570 |
| UPMC Health Plan | Commercial | $609 |
| Wellspan Population Health | Commercial | $609 |
| Prime Net | FH-Medical Rental | $648 |
| Highmark BCBS of PA | Medicaid | $669 |
Inpatient
$522cash price (self-pay)
$870list price
$422–$740range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Prime Net | ACO/Legacy Commercial | $422 |
| Aetna | ACO | $425 |
| Prime Net | GateKeeper/NonGateKeeper | $491 |
| Aetna | Commercial | $494 |
| Geisinger | Commercial | $628 |
| Prime Net | FH-Medical Rental | $648 |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $740 |
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