IV push, single drug at WellSpan Surgery & Rehabilitation Hospital. CPT 96374.
What WellSpan Surgery & Rehabilitation 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–$1,016range 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 | $103 |
| Aetna_Better_Health_Kids | All_Plans | $105 |
| Blue_Cross | All_Other_Plans | $148 |
| Blue_Cross | Capital_Blue_Performance_PPO | $148 |
| Aetna | All_Plans | $153 |
| First_Health_Network | All_Plans | $153 |
| United_Healthcare | All_Plans | $167 |
| Cigna | All_Plans | $167 |
| WellSpan_Capital_Blue_Cross | All_Plans | $169 |
| UPMC | UPMC_For_Kids | $171 |
| UPMC | All_Plans | $171 |
| Geisinger | All_Plans | $172 |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $175 |
| PHC | All_Plans | $178 |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $204 |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $204 |
| Highmark_Medicare | All_Plans | $206 |
| Aetna_Advantra_Medicare | All_Plans | $210 |
| Aetna_Medicare | All_Plans | $210 |
| Geisinger_Gold_Medicare | All_Plans | $214 |
| Devoted_Medicare | All_Plans | $214 |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $215 |
| Amerihealth_Medicare | All_Plans | $215 |
| Jefferson_Health_Medicare_Advantage | All_Plans | $220 |
Inpatient
$147cash price (self-pay)
$184list price
$107–$175range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue_Cross | Capital_Blue_Performance_PPO | $107 |
| Blue_Cross | Capital_Cares_4_kids | $109 |
| Aetna | All_Plans | $163 |
| First_Health_Network | All_Plans | $163 |
| Cigna | All_Plans | $165 |
| Blue_Cross | All_Other_Plans | $165 |
| UPMC | UPMC_For_Kids | $171 |
| UPMC | All_Plans | $171 |
| Geisinger | All_Plans | $172 |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $175 |
| PHC | All_Plans | $175 |
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All common services at WellSpan Surgery & Rehabilitation Hospital