IV push, single drug at WellSpan Waynesboro Hospital. CPT 96374.
What WellSpan Waynesboro Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$144cash price (self-pay)
$180list price
$26.88–$862range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health_Partners_Medicaid | All_Other_Plans | $26.88 |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $32.57 |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $32.57 |
| UPMC_Medicaid | All_Plans | $32.73 |
| Geisinger_Medicaid | All_Plans | $38.77 |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $38.78 |
| PA_Health_&_Wellness_Medicaid | All_Plans | $38.78 |
| Amerihealth_Caritas_Medicaid | All_Plans | $44.05 |
| UPMC | UPMC_For_Kids | $108 |
| Aetna | All_Plans | $121 |
| Geisinger | All_Plans | $133 |
| Cigna | All_Plans | $143 |
| Cigna | PPO_Plan | $150 |
| WellSpan_Capital_Blue_Cross | All_Plans | $162 |
| First_Health_Network | All_Plans | $171 |
| United_Healthcare | All_Plans | $172 |
| PA_Health_&_Wellness_Medicare | All_Plans | $224 |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $225 |
| Highmark | All_Other_Plans | $225 |
| Jefferson_Health_Medicare_Advantage | All_Plans | $225 |
| United_Medicaid | Community_Plan_For_Kids | $225 |
| Highmark_Medicare | All_Plans | $227 |
| Aetna_Advantra_Medicare | All_Plans | $231 |
| Aetna_Medicare | All_Plans | $231 |
| Devoted_Medicare | All_Plans | $236 |
| United_Medicare | ISNP_DSNP_Plans | $236 |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $237 |
| Amerihealth_Medicare | All_Plans | $237 |
| Geisinger_Gold_Medicare | All_Plans | $281 |
| Highmark | Higmark_Healthy_Kids | $344 |
Inpatient
$144cash price (self-pay)
$180list price
$108–$171range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC | UPMC_For_Kids | $108 |
| Cigna | All_Plans | $132 |
| Aetna | All_Plans | $133 |
| Geisinger | All_Plans | $133 |
| Cigna | PPO_Plan | $139 |
| First_Health_Network | All_Plans | $171 |
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