IV fluids, first hour at Gundersen Palmer Lutheran Hospital and Clinic. CPT 96360.
What Gundersen Palmer Lutheran Hospital and Clinic publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$239cash price (self-pay)
$402list price
$122–$717range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid HMO | $122 |
| Molina Health | Managed Medicaid | $122 |
| Quartz | All Products | $170 |
| Quartz | All Other Self Funded | $177 |
| Quartz | Self Funded | $189 |
| Quartz | Level Funded | $195 |
| UHC | All Payer Appendix | $199 |
| Health Partners | Medicaid HMO | $201 |
| Wellmark | All Products | $205 |
| Aetna | Medicare Advantage | $209 |
| Amerigroup | Medicare Advantage | $209 |
| Health Partners | Medicare Advantage | $209 |
| Humana | Medicare Advantage | $209 |
| Iowa Total Care | Medicaid | $209 |
| Managed Health Service | Managed Medicaid | $209 |
| Quartz | Medicaid_Badgercare | $209 |
| Quartz | Medicare Advantage | $209 |
| UHC | Medicare Advantage | $209 |
| Wellmark | Medicare Advantage | $209 |
| Quartz | Fully Insured | $219 |
| UCARE | Non-Dually Eligible | $221 |
| UCARE | Dually Eligible | $221 |
| UCARE | MSHO/Minnesota Special Needs | $221 |
| Health Partners | Medicare Cost | $241 |
| Alliance | Comprehensive/All Products | $318 |
| Alliance | Premier/All Products | $318 |
| Medical Associates | CAH Specific | $322 |
| Trilogy | All Products | $322 |
| UCARE | Qualified Health Plan | $322 |
| Aetna | All Products | $330 |
Inpatient
$239cash price (self-pay)
$402list price
$170–$390range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $237 |
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All common services at Gundersen Palmer Lutheran Hospital and Clinic