IV fluids, first hour at Methodist Le Bonheur Germantown Hospital. CPT 96360.
What Methodist Le Bonheur Germantown Hospital publishes for this service, straight from its standard-charges file, last updated March 19, 2026.
Outpatient / ER
$93.06cash price (self-pay)
$423list price
$26.00–$3,601range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC Medicaid [350006] | Hb UHC Mschips Ob & Mlh-Tn Adult Hospitals Co | $50.00 |
| Magnolia Medicaid [350020] | Hb Medicaid Ms - Magnolia Healthcare - Tn | $159 |
| UHC Medicaid [350006] | Hb UHC Ms Can Mlh-Ms-Ob Contract | $159 |
| Molina Healthcare [350012] | Hb Molina Hc Of Ms - Mscan Mlh-Tn Contrac | $159 |
| Tricare [600001] | Hb Tricare - Tn Contract | $192 |
| Generic Medicare Advantage [459999] | Hb Medicare Advantage / Managed | $193 |
| BCBS Medicare Advantage [450110] | Hb Medicare Advantage / Managed Car | $193 |
| Healthsprings Medicare Advantage [450007] | Hb Medicare Advantage / MA | $193 |
| Va Ccn UHC [600003] | Hb Va - Tn Contract | $193 |
| Healthy Mississippi - Medicare Advantage HMO [450114] | Hb Medicare Ad | $193 |
| Medicare [400001] | Hb Medicare-Tn Contract | $193 |
| Medipak Advantage - BCBS Ar [450040] | Hb Medicare Advantage / Managed | $193 |
| Shared Health Of Ms - Medicare Advantage [450074] | Hb Medicare Advant | $193 |
| Wellcare Medicare [450023] | Hb Medicare Advantage Wellcare/Wellpoint | $193 |
| United Healthcare Medicare [450021] | Hb Medicare Advantage / Managed | $193 |
| Carecentrix [450200] | Hb Medicare Advantage / Managed Care - Tn Contr | $193 |
| Medicare Priority Health [450072] | Hb Medicare Advantage / Managed CA | $193 |
| Alt BCBS MS Medicare [450116] | HB MEDICARE ADVANTAGE / MANAGED CARE - | $193 |
| Wellpoint Medicare [450090] | Hb Medicare Advantage Wellcare/Wellpoint | $193 |
| Wellcare By Allwell Ar Medicare Advantage [450099] | Hb Medicare Advan | $193 |
| Alt BCBS TN Medicare [450115] | HB MEDICARE ADVANTAGE / MANAGED CARE - | $193 |
| Molina Healthcare [350012] | Hb Molina Mschips - Mlh-Tn Contract | $199 |
| Devoted Health [450111] | Hb Medicare Advantage Devoted - Tn Contract | $199 |
| CIGNA [100009] | HB CIGNA HMO - Germantown-North-South-Olive Branch-Ca | $286 |
| UNITED HEALTHCARE [100060] | HB XR TN UHC Exchange | $305 |
| CIGNA [100009] | HB CIGNA IFP - Germantown-North-South-Olive Branch-Ca | $314 |
| Transplant Optum Tenncare [350013] | Hb Medicaid Tn - UHC Tenncare (Am | $318 |
| UHC Medicaid [350006] | Hb Medicaid Tn - UHC Tenncare (Americhoice) - | $318 |
| CIGNA [100009] | HB CIGNA LocalPlus - Germantown-North-South-Olive Br | $331 |
| CIGNA [100009] | HB Cigna OAP - Germantown-North-South-Olive Branch-C | $366 |
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All common services at Methodist Le Bonheur Germantown Hospital