IV push, single drug at WellSpan Gettysburg Hospital. CPT 96374.
What WellSpan Gettysburg Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$147cash price (self-pay)
$184list price
$38.77–$1,261range 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 |
| Aetna_Better_Health_Kids | All_Plans | $105 |
| Blue_Cross | Capital_Cares_4_kids | $111 |
| Blue_Cross | Capital_Blue_Performance_PPO | $124 |
| PHC | All_Plans | $147 |
| Blue_Cross | All_Other_Plans | $159 |
| Aetna | All_Plans | $168 |
| First_Health_Network | All_Plans | $168 |
| WellSpan_Capital_Blue_Cross | All_Plans | $169 |
| Cigna | All_Plans | $171 |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $171 |
| UPMC | Employees_And_Dependents | $171 |
| UPMC | UPMC_For_Kids | $171 |
| Geisinger | All_Plans | $175 |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $216 |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $216 |
| Highmark_Medicare | All_Plans | $218 |
| Aetna_Advantra_Medicare | All_Plans | $222 |
| Aetna_Medicare | All_Plans | $222 |
| Geisinger_Gold_Medicare | All_Plans | $227 |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $228 |
| Amerihealth_Medicare | All_Plans | $228 |
| Jefferson_Health_Medicare_Advantage | All_Plans | $233 |
| PA_Health_&_Wellness_Medicare | All_Plans | $233 |
| Health_Partners_Medicaid | Kidz_Partners | $237 |
Inpatient
$147cash price (self-pay)
$184list price
$103–$175range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue_Cross | Capital_Blue_Performance_PPO | $103 |
| Blue_Cross | Capital_Cares_4_kids | $103 |
| PHC | All_Plans | $147 |
| UPMC | Employees_And_Dependents | $147 |
| UPMC | UPMC_For_Kids | $147 |
| Blue_Cross | All_Other_Plans | $148 |
| Cigna | All_Plans | $166 |
| Aetna | All_Plans | $166 |
| First_Health_Network | All_Plans | $168 |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $171 |
| Geisinger | All_Plans | $175 |
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