IV fluids, first hour at Pennsylvania Hospital. CPT 96360.
What Pennsylvania Hospital publishes for this service, straight from its standard-charges file, last updated March 20, 2026.
Outpatient / ER
$302cash price (self-pay)
$800list price
$31.63–$1,297range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| PA Medical Assistance | Medicaid | $31.63 |
| Managed Medicaid Other | Managed Medicaid Other | $31.63 |
| PA Health and Wellness Medicaid | PA Health and Wellness Medicaid | $36.37 |
| Keystone Mercy Health Plan | Keystone Mercy Health Plan | $40.49 |
| UPMC | UPMC Medicaid | $53.76 |
| UnitedHealthcare Community (fka AmeriChoice MA) | UnitedHealthcare Com | $62.31 |
| Horizon NJ Health | Horizon NJ Health | $141 |
| UnitedHealthcare | UnitedHealthcare Compass Exchange | $164 |
| PGM - Regie de l'assurance Maladie Quebec | PGM - Regie de lassurance | $184 |
| Preferred Health Care Eliance | Preferred Health Care Eliance | $208 |
| TriCare | TriCare | $224 |
| US Family Health Plan | US Family Health Plan | $257 |
| PGM - Kuwait Defense | PGM - Kuwait Defense | $280 |
| Qualcare | Qualcare | $304 |
| UnitedHealthcare New Business | UnitedHealthcare New Business | $310 |
| Wissahickon Hospice | Wissahickon Hospice | $320 |
| Pgm - Chop | Pgm - Chop | $320 |
| IBC Commercial HPN | IBC Commercial HPN | $322 |
| UnitedHealthcare Non Options | UnitedHealthcare Non Options | $323 |
| Independence Blue Cross | IBC Traditional | $328 |
| Independence Blue Cross/Personal Choice | Personal Choice-IBC PPO | $330 |
| Keystone HMO Proactive | Keystone HMO Proactive | $330 |
| Independence Blue Cross/Keystone Health Plan East | Keystone Health Pl | $330 |
| Olympus | Olympus | $389 |
| URN-Cancer Resource Services | URN-Cancer Resource Services | $400 |
| Horizon Blue Cross of New Jersey | Horizon Blue Cross of NJ-PPO | $408 |
| PGM - Royal Embassy of Saudi Arabia | PGM - Royal Embassy of Saudi Ara | $480 |
| Horizon Blue Cross of New Jersey | Horizon Blue Cross of NJ-Indemnity | $488 |
| PGM - Ontario Ministry of Health and Long-Term Care (OHIP) | PGM - Ont | $520 |
| PGM - Embassy of Qatar | PGM - Embassy of Qatar | $520 |
Inpatient
$302cash price (self-pay)
$800list price
$51.04–$1,297range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Horizon NJ Health | Horizon NJ Health | $135 |
| PGM - Regie de l'assurance Maladie Quebec | PGM - Regie de lassurance | $184 |
| Preferred Health Care Eliance | Preferred Health Care Eliance | $208 |
| Devon | Devon Premier | $304 |
| Pgm - Chop | Pgm - Chop | $320 |
| Coventry | HealthAmerica/Coventry SEPA | $320 |
| PGM - Kuwait Defense | PGM - Kuwait Defense | $360 |
| HealthAmerica/Coventry | HealthAmerica/HealthAssurance | $392 |
| URN-Cancer Resource Services | URN-Cancer Resource Services | $400 |
| First Health Global | First Health Global | $400 |
| Coventry | Coventry of Delaware | $408 |
| PGM - Royal Embassy of Saudi Arabia | PGM - Royal Embassy of Saudi Ara | $480 |
| Health Net | Health Net | $480 |
| PGM - Ontario Ministry of Health and Long-Term Care (OHIP) | PGM - Ont | $520 |
| Preferred Care | Preferred Care | $640 |
| PGM - Kuwait Oil | PGM - Kuwait Oil | $640 |
| PGM - Kuwait Health Division | PGM - Kuwait Health Division | $640 |
| Intergroup | Intergroup | $640 |
| Humana Choice Care | Humana Choice Care | $640 |
| Health America/CCN | First Health/ Coventry National | $640 |
| Devon Health Services Inc | Devon Health Services | $640 |
| UPMC | UPMC Medicaid | $800 |
| United Behavioral Health | United Behavioral Health | $800 |
| Quest Behavioral Health | Quest Behavioral Health | $800 |
| Managed Medicaid Other | Managed Medicaid Other | $800 |
| International PFS | International PFS | $800 |
| Horizon Blue Cross of New Jersey | Horizon Blue Cross of NJ-PPO | $800 |
| Horizon Blue Cross of New Jersey | Horizon Blue Cross of NJ-Indemnity | $800 |
| Health Partners | Health Partners Medicaid | $800 |
| Community Behavioral Health | Community Behavioral Health | $800 |
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