IV fluids, first hour at Froedtert Holy Family Memorial Hospital. CPT 96360.
What Froedtert Holy Family Memorial Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$356cash price (self-pay)
$648list price
$200–$709range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross Blue Shield | Medicare Advantage | $200 |
| Community Care Incorporated | Medicare Advantage | $200 |
| Health Partners | Medicare Advantage | $200 |
| Humana | Medicare Advantage | $200 |
| ICare | Medicare Advantage | $200 |
| Molina | Medicare Advantage | $200 |
| Network Health Plan | Medicare Advantage | $200 |
| Security Health Plan | Medicare Advantage | $200 |
| United Healthcare | Medicare Advantage | $200 |
| Allwell | Medicare Advantage | $204 |
| Medical College of Wisconsin | Employee Plan | $214 |
| Molina | Marketplace Plans | $216 |
| Centivo | WI 2 Median | $259 |
| Centivo | WI 1 Broad | $298 |
| Dean Health Plan | All Plans | $324 |
| Health Payment Systems | All Contracted Commercial Plans | $365 |
| Anthem Blue Cross Blue Shield (Healthlink) | HMO/PPO | $382 |
| Sheboygan Employers Health Network | All Contracted Commercial Plans | $389 |
| Network Health Plan | ACA | $414 |
| Chorus Community Health Plan | Marketplace Plans | $417 |
| Health Partners | All Contracted Commercial Plans | $421 |
| Trilogy | All Contracted Commercial Plans | $428 |
| Network Health Plan | HMO | $460 |
| Cigna | All Contracted Commercial Plans | $467 |
| United Healthcare | Manitowoc Schools | $473 |
| WPS Health Plan | All Contracted Commercial Plans | $480 |
| United Healthcare | Nexus | $490 |
| Aspirus | Marketplace Plans | $518 |
| HealthEos | All Contracted Commercial Plans | $518 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $518 |
Inpatient
$356cash price (self-pay)
$648list price
$389–$570range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sheboygan Employers Health Network | All Contracted Commercial Plans | $389 |
| Trilogy | All Contracted Commercial Plans | $428 |
| Cigna | All Contracted Commercial Plans | $467 |
| Aspirus | Marketplace Plans | $518 |
| HealthEos | All Contracted Commercial Plans | $518 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $518 |
| Preferred One | All Contracted Commercial Plans | $518 |
| Security Health Plan | All Contracted Commercial Plans | $518 |
| HealthSmart | All Contracted Commercial Plans | $538 |
| First Health Network | All Contracted Commercial Plans | $570 |
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All common services at Froedtert Holy Family Memorial Hospital