IV fluids, first hour at Samuel Mahelona Memorial Hospital. CPT 96360.
What Samuel Mahelona Memorial Hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$239cash price (self-pay)
$657list price
$21.64–$1,600range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UnitedHealthcare | Medicaid | $236 |
| Kaiser Permanente | Commercial | $304 |
| Hawaii Medical Service Association | Medicare | $316 |
| Kaiser Permanente | Medicare | $316 |
| UnitedHealthcare | Medicare | $316 |
| AlohaCare | Medicaid | $329 |
| AlohaCare | Medicare | $329 |
| Ohana Health Plan | Medicaid | $329 |
| Ohana Health Plan | Medicare | $329 |
| Humana | Medicare | $329 |
| Devoted Health | Medicare | $361 |
| Hawaii Medical Service Association | Non-ABD | $450 |
| Hawaii Medical Service Association | ABD | $469 |
| University Health Alliance | Commercial | $479 |
| Health Management Network | Commercial | $558 |
| Hawaii Western Management Group | Commercial | $624 |
| MDX Hawaii | PPO | $637 |
| Kaiser Permanente | Medicaid | $938 |
| Hawaii Medical Service Association | Commercial | $1,600 |
Inpatient
$427cash price (self-pay)
$657list price
$558–$644range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Management Network | Commercial | $558 |
| Kaiser Permanente | Commercial | $591 |
| MDX Hawaii | PPO | $637 |
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