IV fluids, first hour at Jacksonville Memorial Hospital. CPT 96360.
What Jacksonville Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 17, 2026.
Outpatient / ER
$778cash price (self-pay)
$889list price
$1.08–$982range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield | Blue Cross Community MMAI/Dual Eligible | $71.47 |
| Coventry | Coventry Advantra Medicare Advantage HMO | $76.60 |
| Health Alliance | Health Alliance Medicare Advantage | $76.60 |
| Humana | Humana/ChoiceCare Medicare Advantage PPO/HMO | $76.60 |
| Medicare | Medicare | $76.60 |
| United HealthCare | United HealthCare Medicare Advantage | $80.43 |
| Tricare | Tricare | $84.95 |
| WellCare Medicare Advantage PPO | WellCare Medicare Advantage PPO | $140 |
| UHC Va Ccn | UHC Va Ccn | $142 |
| Commercial Workers Compensation | Commercial Workers Compensation | $197 |
| Illinois Workers Compensation | Illinois Workers Compensation | $261 |
| Health Alliance MH Employee plan | Health Alliance MH Employee plan | $409 |
| Corvel/CorCare | Corvel/CorCare | $432 |
| 6 Degrees Health | 6 Degrees Health | $533 |
| Hope Trust | Hope Trust | $533 |
| Hst | Hst | $533 |
| Medicaid | Illinois Medicaid | $577 |
| Molina HealthCare | Molina Medicaid | $577 |
| Health Alliance | Health Alliance Fully Insured/Self Funded/ACA | $605 |
| Cigna | Cigna | $616 |
| Aetna | Aetna PPO | $622 |
| United Healthcare | United Healthcare PPO | $640 |
| Current Health Network | Current Health Network | $667 |
| Healthlink | Healthlink HMO | $756 |
| Humana/ChoiceCare | Humana/ChoiceCare | $758 |
| PHCS/Multiplan | PHCS/Multiplan PPO | $800 |
| Hfn | Hfn PPO | $845 |
| HFN | HFN Workers Compensation | $845 |
| Blue Cross Blue Shield | BCBS PPO/HMO/Employee | $889 |
| Liability | Liability | $889 |
Inpatient
$778cash price (self-pay)
$889list price
$358–$889range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Alliance MH Employee plan | Health Alliance MH Employee plan | $409 |
| Current Health Network | Current Health Network | $489 |
| 6 Degrees Health | 6 Degrees Health | $533 |
| Hope Trust | Hope Trust | $533 |
| Hst | Hst | $533 |
| Cigna | Cigna | $616 |
| Aetna | Aetna PPO | $621 |
| Humana/ChoiceCare | Humana/ChoiceCare | $758 |
| Hfn | Hfn PPO | $845 |
| HFN | HFN Workers Compensation | $845 |
| Blue Cross Blue Shield | BCBS PPO/HMO/Employee | $889 |
| Liability | Liability | $889 |
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