IV push, single drug at WellSpan Ephrata Community Hospital. CPT 96374.
What WellSpan Ephrata Community Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$390cash price (self-pay)
$487list price
$38.77–$933range 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_BlueJourney_Medicare | All_Plans | $85.71 |
| Aetna_Better_Health_Kids | All_Plans | $105 |
| Highmark_Medicare | All_Plans | $206 |
| Aetna_Advantra_Medicare | All_Plans | $210 |
| Aetna_Medicare | All_Plans | $210 |
| Geisinger_Gold_Medicare | All_Plans | $214 |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $214 |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $214 |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $215 |
| Amerihealth_Medicare | All_Plans | $215 |
| Blue_Cross | Capital_Cares_4_kids | $219 |
| Jefferson_Health_Medicare_Advantage | All_Plans | $220 |
| PA_Health_&_Wellness_Medicare | All_Plans | $220 |
| Cigna | All_Plans | $296 |
| WellSpan_Capital_Blue_Cross | All_Plans | $312 |
| Blue_Cross | All_Other_Plans | $314 |
| Blue_Cross | Capital_Blue_Performance_PPO | $314 |
| Highmark | Higmark_Healthy_Kids | $316 |
| Tower Health | All_Plans | $317 |
| Geisinger | All_Plans | $317 |
| Independence_Blue_Cross | All_Plans | $317 |
| UPMC | Employees_And_Dependents | $317 |
| UPMC | UPMC_For_Kids | $317 |
| Health_Partners_Medicaid | Kidz_Partners | $336 |
Inpatient
$390cash price (self-pay)
$487list price
$311–$390range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | All_Plans | $311 |
| Independence_Blue_Cross | All_Plans | $317 |
| Tower Health | All_Plans | $334 |
| PHC | All_Plans | $346 |
| UPMC | Employees_And_Dependents | $390 |
| UPMC | UPMC_For_Kids | $390 |
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