IV push, single drug at WellSpan York Hospital. CPT 96374.
What WellSpan York 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–$1,272range 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 | $116 |
| Blue_Cross | All_Other_Plans | $166 |
| Blue_Cross | Capital_Blue_Performance_PPO | $166 |
| PHC | All_Plans | $166 |
| Cigna | All_Plans | $167 |
| Aetna | All_Plans | $168 |
| First_Health_Network | All_Plans | $168 |
| WellSpan_Capital_Blue_Cross | All_Plans | $169 |
| Geisinger | All_Plans | $175 |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $175 |
| UPMC | UPMC_For_Kids | $175 |
| UPMC | Employees_And_Dependents | $175 |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $206 |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $206 |
| Highmark_Medicare | All_Plans | $208 |
| Aetna_Advantra_Medicare | All_Plans | $212 |
| Aetna_Medicare | All_Plans | $212 |
| Geisinger_Gold_Medicare | All_Plans | $217 |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $218 |
| Amerihealth_Medicare | All_Plans | $218 |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $218 |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $218 |
| Jefferson_Health_Medicare_Advantage | All_Plans | $223 |
Inpatient
$147cash price (self-pay)
$184list price
$102–$175range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue_Cross | Capital_Blue_Performance_PPO | $102 |
| Blue_Cross | Capital_Cares_4_kids | $105 |
| Blue_Cross | All_Other_Plans | $150 |
| Aetna | All_Plans | $160 |
| First_Health_Network | All_Plans | $160 |
| Cigna | All_Plans | $164 |
| PHC | All_Plans | $166 |
| WellSpan_Capital_Blue_Cross | All_Plans | $169 |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $175 |
| UPMC | UPMC_For_Kids | $175 |
| UPMC | Employees_And_Dependents | $175 |
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