IV fluids, first hour at Holy Cross Hospital - Davis. CPT 96360.
What Holy Cross Hospital - Davis publishes for this service, straight from its standard-charges file, last updated February 11, 2026.
Outpatient / ER
$299cash price (self-pay)
$755list price
$24.16–$762range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Managed Medicaid | Managed Medicaid | $24.16 |
| UUHP | Managed Medicaid | $24.16 |
| Humana | Managed Medicare | $27.86 |
| Managed Medicare | Managed Medicare | $27.86 |
| Medicare | Medicare | $27.86 |
| Employer Direct Healthcare | Commercial PPO/POS/HMO | $34.97 |
| MotivHealth | Commercial PPO/POS/HMO | $36.96 |
| Molina | Commercial PPO/POS/HMO | $63.92 |
| PEHP | Commercial Summit Exclusive | $263 |
| Centura Employee Plan | Commercial PPO/POS/HMO/EPO | $265 |
| Regence Blue Cross Blue Shield | Commercial Savewell | $275 |
| PEHP | Commercial Capital Network | $322 |
| Aetna | Commercial Peak Performance | $334 |
| Regence Blue Cross Blue Shield | Commercial UVU | $338 |
| Select Health | Commercial PPO/POS/HMO | $371 |
| UUHP | Commercial Health Plus | $372 |
| UUHP | Commercial Healthy Preferred | $372 |
| PEHP | Commercial Summit | $384 |
| Wise | Commercial PPO | $393 |
| Aetna | Commercial Standard Network | $398 |
| Regence Blue Cross Blue Shield | Commercial PPO | $398 |
| UUHP | Commercial Healthy Premier | $409 |
| Regence Blue Cross Blue Shield | Commercial Blue Option | $419 |
| Regence Blue Cross Blue Shield | Commercial PAR | $427 |
| PEHP | Commercial Advantage | $438 |
| Deseret Mutual Benefit Administrators | Commercial PPO/POS/HMO | $464 |
| Cigna Healthcare | Commercial Local Plus | $510 |
| Multiplan | Commercial Primary | $521 |
| United Healthcare | Commercial PPO/POS/HMO | $547 |
| Aetna | Commercial Signature | $549 |
Inpatient
$299cash price (self-pay)
$755list price
$278–$762range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Regence Blue Cross Blue Shield | Commercial Savewell | $281 |
| PEHP | Commercial Capital Network | $322 |
| Molina | Commercial PPO/POS/HMO | $324 |
| Aetna | Commercial Peak Performance | $334 |
| Regence Blue Cross Blue Shield | Commercial UVU | $346 |
| PEHP | Commercial Summit Exclusive | $357 |
| Select Health | Commercial PPO/POS/HMO | $371 |
| PEHP | Commercial Summit | $384 |
| Aetna | Commercial Standard Network | $398 |
| Wise | Commercial PPO | $400 |
| Regence Blue Cross Blue Shield | Commercial PPO | $407 |
| PEHP | Commercial Advantage | $438 |
| Regence Blue Cross Blue Shield | Commercial Blue Option | $453 |
| Regence Blue Cross Blue Shield | Commercial PAR | $453 |
| Deseret Mutual Benefit Administrators | Commercial PPO/POS/HMO | $464 |
| Multiplan | Commercial Primary | $521 |
| Aetna | Commercial Signature | $549 |
| Aetna | Commercial Extended Network | $566 |
| Aetna | Commercial Indemnity | $604 |
| Aetna Rental Networks | Commercial PPO/POS/HMO | $638 |
| EMI Health | Commercial PPO/POS/HMO | $657 |
| Multiplan | Commercial Complementary | $687 |
| United Healthcare | Commercial Behavioral Health | $755 |
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