IV fluids, first hour at Saint Luke’s North Hospital – Smithville. CPT 96360.
What Saint Luke’s North Hospital – Smithville publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$422cash price (self-pay)
$704list price
$49.81–$704range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Managed Care (Ks) [2252] | Sunflower Behavioral Health [22503 | $49.81 |
| Medicaid Managed Care (Ks) [2252] | UHC Community Plan Of Ks [22508] | $49.81 |
| Medicaid Managed Care (Ks) [2252] | Healthy Blue Kansas [22577] | $51.80 |
| Medicaid Managed Care (Ks) [2252] | Zzzaetna Better Health Of Kansas [ | $51.80 |
| Medicaid Managed Care (Ks) [2252] | Sunflower State Health [22505] | $54.79 |
| Medicaid Managed Care (Mo) [2250] | Home State Behavioral Health [2250 | $155 |
| Humana [7500] | Zzzhumana Commercial PPO POS [75001] | $175 |
| Medicaid Managed Care (Mo) [2250] | Home State Health Plan [22506] | $233 |
| Medicaid Managed Care (Mo) [2250] | Healthy Blue Missouri [22572] | $291 |
| Blue Cross Blue Shield [4000] | Freedom Network Select [40021] | $317 |
| Blue Cross Blue Shield [4000] | Freedom Network Select Healthlink PPO | $317 |
| Blue Cross Blue Shield [4000] | Freedom Network Select Php [40001] | $317 |
| Blue Cross Blue Shield [4000] | Zzzfreedom Network Select Cerner [4000 | $317 |
| Blue Cross Blue Shield [4000] | Bc Kc Ucm Kcmo Blue Select Plus [40029 | $367 |
| Blue Cross Blue Shield [4000] | Bc Kc Hpn [40033] | $382 |
| Blue Cross Blue Shield [4000] | Bc Out Of Area Hpn [40034] | $382 |
| Commercial-Contracted [8000] | Medica Exchange [80075] | $417 |
| First Health [5512] | First Health Medishare [55122] | $417 |
| First Health [5512] | First Health Misc [55116] | $417 |
| First Health [5512] | First Health Repricing Addrs [55113] | $417 |
| First Health [5512] | First Health Uprehs [55119] | $417 |
| First Health [5512] | Zzzfirst Health Benefit Management [55117] | $417 |
| Blue Cross Blue Shield [4000] | Bc Kc Preferred Care Blue Exchange [40 | $425 |
| Blue Cross Blue Shield [4000] | Bc Kc Federal [40012] | $433 |
| Blue Cross Blue Shield [4000] | Bc Kc Preferred Care Blue [40018] | $433 |
| Blue Cross Blue Shield [4000] | Bc Out Of Area Pref Care Blue PPO [400 | $433 |
| Cigna [7000] | Evernorth Behavioral Health [70007] | $438 |
| Blue Cross Blue Shield [4000] | Freedom Network Healthlink [40019] | $449 |
| Blue Cross Blue Shield [4000] | Freedom Network Php [40002] | $449 |
| Blue Cross Blue Shield [4000] | Bc Kc Preferred Care [40017] | $463 |
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All common services at Saint Luke’s North Hospital – Smithville