IV fluids, first hour at Good Samaritan Hospital. CPT 96360.
What Good Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated June 29, 2026.
Outpatient / ER
$2,063cash price (self-pay)
$2,063list price
$130–$11,494range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Beacon Commercial | Beacon Commercial | $193 |
| Beacon Medicare | Beacon Medicare | $264 |
| Hamaspik (Mcr) | Hamaspik (Mcr) | $264 |
| Medicare Managed | Medicare Managed | $264 |
| Mvp Gold (Mcr) | Mvp Gold (Mcr) | $264 |
| World Trade Center Fdny | World Trade Center Fdny | $264 |
| World Trade Center Other | World Trade Center Other | $264 |
| Tricare | Tricare | $266 |
| Medicare | Medicare | $266 |
| Emblem Ghi/Hip Medicare | Emblem Ghi/Hip Medicare | $269 |
| Affinity By Molina Mcr | Affinity By Molina Mcr | $277 |
| Health First Medicare | Health First Medicare | $283 |
| Beacon Exchange | Beacon Exchange | $317 |
| SELF-PAY - CC 30% | SELF-PAY - CC 30 PerCent | $619 |
| Geisinger Health Commercial/Exchange | Geisinger Health Commercial/Exc | $872 |
| Blue Cross Small Group | Blue Cross Small Group | $928 |
| Blue Cross HMO | Blue Cross HMO | $1,032 |
| Self-Pay - Cc 50% | Self-Pay - Cc 50 | $1,032 |
| Blue Cross Connection/Exchange | Blue Cross Connection/Exchange | $1,230 |
| Blue Cross Access | Blue Cross Access | $1,307 |
| Emblem Select Care (Exchange) | Emblem Select Care (Exchange) | $1,403 |
| Cigna PPO | Cigna PPO | $1,444 |
| Magnacare Standard | Magnacare Standard | $1,444 |
| Oxford Exchange | Oxford Exchange | $1,530 |
| UHC Exchange | UHC Exchange | $1,530 |
| Multiplan | Multiplan | $1,547 |
| Phcs | Phcs | $1,547 |
| Emblem Ghi/Hip HMO/EPO/POS | Emblem Ghi/Hip HMO/EPO/POS | $1,650 |
| Emblem Ghi/Hip PPO | Emblem Ghi/Hip PPO | $1,650 |
| Oxford Commercial | Oxford Commercial | $1,718 |
Inpatient
$2,063cash price (self-pay)
$2,063list price
$619–$1,444range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| SELF-PAY - CC 30% | SELF-PAY - CC 30 PerCent | $619 |
| Cdphp | Cdphp | $1,032 |
| Self-Pay - Cc 50% | Self-Pay - Cc 50 | $1,032 |
| Magnacare Standard | Magnacare Standard | $1,444 |
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