IV fluids, first hour at BSA Hospital. CPT 96360.
What BSA Hospital publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$88.40cash price (self-pay)
$884list price
$82.74–$751range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Managed Medicaid [3845] | Managed Medicaid Other [384500] | $82.74 |
| Star Superior Medicaid [1945] | Superior Chip [194501] | $93.56 |
| Star Superior Medicaid [1945] | Superior Star Medicaid [194500] | $263 |
| First Care Commercial [1371] | Firstcare HMO [137103] | $274 |
| Fidelis Care Of NY Medicaid Replacement [3865] | Fidelis Care Of NY Me | $345 |
| United Healthcare Centennial Care [2250] | UHC Comm Mcaid Health Pla [ | $345 |
| Healthfirst Medicaid [3870] | Healthfirst Medicaid [387000] | $345 |
| Amerigroup Commercial [5055] | Wellpoint Fka Amerigroup Mcare Sup [505 | $345 |
| Umr [2035] | Umr Core [203505] | $378 |
| Nreca [1735] | Nreca [173500] | $542 |
| United Behavioral Health [3820] | United Behavioral Medicare Advantage | $542 |
| United Healthcare [2060] | United Healthcare Student Svc [206012] | $542 |
| Umr [2035] | Umr Choice [203500] | $542 |
| Principal Mutual Life [1845] | Principal Colorado Claims [184500] | $619 |
| Phoenix Home Life [1785] | Phoenix Home Life [178500] | $619 |
| Rh Administrators [1885] | Rh Administrators [188500] | $619 |
| Northamerica Administrators [1725] | Northamerica Administrators [1725 | $619 |
| Pan American Life Insurance Co [1770] | Pan American Life [177000] | $619 |
| Phcs [1780] | Phcs Multiplan [178000] | $619 |
| Phcs [1780] | Freedom Life [178009] | $619 |
| Medica [2910] | Medica Harmony [291000] | $619 |
| Trustmark [2030] | Trustmark Clinton Ia [203001] | $619 |
| Guardian [1465] | Guardian [146500] | $619 |
| Medishare Christian Care [1645] | Medishare Christian Care [164500] | $619 |
| National Association Of Letter Carriers [1695] | Nalc [169500] | $642 |
| Cigna [1260] | Cigna [126008] | $642 |
| Umr [2035] | Umr Options [203501] | $643 |
| Rural Carrier Benefit Plan [1895] | Rural Carrier Benefit Plan [189500 | $663 |
| Meritain Health [1655] | Meritain Health [165500] | $663 |
| Reserve National [1880] | Reserve National [188000] | $663 |
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