IV push, single drug at UPMC Wellsboro. CPT 96374.
What UPMC Wellsboro publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$166cash price (self-pay)
$263list price
$34.12–$262range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $34.12 |
| Geisinger | Medicaid/CHIP | $34.12 |
| UPMC Health Plan | CHIP | $34.12 |
| UPMC Health Plan | Managed Medicaid | $34.12 |
| Highmark Wholecare (prev Gateway) | Medicaid | $34.59 |
| United Healthcare Community Plan for Families | PA Medicaid | $39.71 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $46.78 |
| Aetna | Medicare | $47.34 |
| Highmark BCBS of PA | Medicare | $52.60 |
| Highmark Wholecare (prev Gateway) | Medicare | $52.60 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $52.86 |
| UPMC Health Plan | Managed Medicare | $53.65 |
| Cigna | Medicare | $55.23 |
| United Healthcare | Medicare | $56.28 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $56.81 |
| UPMC Work Partners | Workers Comp | $79.99 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $113 |
| UPMC Health Plan | Commercial | $115 |
| Highmark BCBS of PA | Commercial | $133 |
| Wirerope Works | Commercial | $146 |
| Geisinger | Commercial | $176 |
| Aetna | PEBTF Custom Network | $193 |
| Multiplan | Auto | $205 |
| Multiplan | PPO (Includes PHCS as a Payer) | $205 |
| United Healthcare | Commercial | $224 |
| Aetna | Commercial | $227 |
| America's Choice | PPO | $237 |
| InterGroup | PPO | $237 |
| Multiplan | Worker's Compensation | $250 |
Inpatient
$166cash price (self-pay)
$263list price
$139–$262range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wirerope Works | Commercial | $146 |
| Aetna | PEBTF Custom Network | $193 |
| Multiplan | Auto | $205 |
| Multiplan | PPO (Includes PHCS as a Payer) | $205 |
| United Healthcare | Commercial | $224 |
| Aetna | Commercial | $227 |
| America's Choice | PPO | $237 |
| InterGroup | PPO | $237 |
| Multiplan | Worker's Compensation | $250 |
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