IV push, single drug at WellSpan Chambersburg Hospital. CPT 96374.
What WellSpan Chambersburg Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$144cash price (self-pay)
$180list price
$38.77–$969range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC_Medicaid | All_Plans | $38.77 |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $38.78 |
| Geisinger_Medicaid | All_Plans | $38.78 |
| Health_Partners_Medicaid | All_Other_Plans | $38.78 |
| PA_Health_&_Wellness_Medicaid | All_Plans | $38.78 |
| Amerihealth_Caritas_Medicaid | All_Plans | $44.05 |
| Blue_Cross | Capital_Cares_4_kids | $104 |
| UPMC | UPMC_For_Kids | $108 |
| WellSpan_Capital_Blue_Cross | All_Plans | $130 |
| Aetna | All_Plans | $130 |
| Geisinger | All_Plans | $133 |
| Cigna | All_Plans | $146 |
| Aetna | PPO_Plan | $148 |
| Blue_Cross | All_Other_Plans | $148 |
| Cigna | PPO_Plan | $154 |
| United_Healthcare | All_Plans | $169 |
| First_Health_Network | All_Plans | $171 |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $218 |
| United_Medicaid | Community_Plan_For_Kids | $218 |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $220 |
| Highmark_Medicare | All_Plans | $220 |
| Aetna_Advantra_Medicare | All_Plans | $224 |
| Aetna_Medicare | All_Plans | $224 |
| Devoted_Medicare | All_Plans | $229 |
| United_Medicare | ISNP_DSNP_Plans | $229 |
| Amerihealth_Medicare | All_Plans | $230 |
| Geisinger_Gold_Medicare | All_Plans | $233 |
| Jefferson_Health_Medicare_Advantage | All_Plans | $235 |
| PA_Health_&_Wellness_Medicare | All_Plans | $235 |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $283 |
Inpatient
$144cash price (self-pay)
$180list price
$121–$171range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | All_Plans | $121 |
| Geisinger | All_Plans | $133 |
| Cigna | All_Plans | $134 |
| Aetna | PPO_Plan | $137 |
| Cigna | PPO_Plan | $141 |
| UPMC | UPMC_For_Kids | $153 |
| First_Health_Network | All_Plans | $171 |
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