IV fluids, first hour at Pali Momi Medical Center. CPT 96360.
What Pali Momi Medical Center publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$418cash price (self-pay)
$697list price
$22.29–$592range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Alohacare | Abd - Pediatric | $22.29 |
| Alohacare | Abd - Adult | $22.29 |
| Ohana | Quest - Abd | $22.94 |
| Blended Rate UHC | All Products | $38.10 |
| UHC | All Products | $38.10 |
| Hmsa | All Products | $124 |
| Hwmg/Hmaa | All Products | $129 |
| Alohacare | Medicare Advantage | $206 |
| Hmsa | Medicare Advantage | $206 |
| Mdx | Humana Medicare | $206 |
| Mdx | UHC Medicare | $206 |
| Ohana | Medicare Advantage | $215 |
| Devoted | Medicare Advantage | $217 |
| Ohana | Quest - Non-Abd | $250 |
| Alohacare | Non-Abd - Adult | $275 |
| Alohacare | Non-Abd - Pediatric | $275 |
| Calvos | Select Care | $523 |
| Mimoh | All Products | $523 |
| Uha | All Products | $523 |
| Hcha | All Products | $558 |
| Kaiser | All Products | $558 |
| Mdx | All Products | $558 |
| Pac Admin | All Products | $558 |
| Verdegard | Union Trust Fund | $558 |
| Coventry | All Products | $592 |
| Mccp | All Products | $592 |
| Multiplan | All Products | $592 |
Inpatient
$418cash price (self-pay)
$697list price
$523–$592range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Multiplan | All Products | $558 |
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