Kalkaska Memorial Health Center — Infusion prices

← Hospital overviewVerified from Kalkaska Memorial Health Center’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

30 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
HYDRATION IV INFUSION INIT 31-60 Inpatient	96360 CPT	$268	$228	$198 – $852	—
HYDRATION IV INFUSION INIT 59 BCE Inpatient	96360 CPT	$347	$295	$257 – $852	—
HYDRATION IV INFUSION INIT BCE Inpatient	96360 CPT	$347	$295	$257 – $852	—
Infus( Not Chemo) Prim 1st H (PC-2600) Inpatient	96366 CPT	$84.00	$71.40	$62.16 – $852	—
INFUSION NOT CHEMO EA ADDL HR BCE Inpatient	96366 CPT	$65.00	$55.25	$48.10 – $852	—
INFUSION NOT CHEMO PRIMARY 1ST H BCE Inpatient	96365 CPT	$514	$437	$380 – $852	—
Intravenous infusion for therapy prophylaxis or diagnosis specify substance or drug ea addt hour Inpatient	96366 CPT	$84.00	$71.40	$62.16 – $852	—
Intravenous infusion hydration initial 31 minutes to 1 hour Inpatient	96360 CPT	$237	$201	$175 – $852	—
IV HYDRATION-PRIM SVC-1ST H BCE Inpatient	96360 CPT	$347	$295	$257 – $852	—
IV Hydration-Primary-1st Hr (PC-2600) Inpatient	96360 CPT	$237	$201	$175 – $852	—
IV HYDRATION-PRIMARY-1ST HR BCE Inpatient	96360 CPT	$347	$295	$257 – $852	—
IV INF THER DX EA ADD HR 59 Inpatient	96366 CPT	$84.00	$71.40	$62.16 – $852	—
IV INF THERPY DX =/<1HR 59 Inpatient	96365 CPT	$54.00	$45.90	$39.96 – $852	—
OB IV THERAPY 1ST HOUR Inpatient	96365 CPT	$514	$437	$380 – $852	—
OB IV THERAPY HYDRATION 1ST HR Inpatient	96360 CPT	$431	$366	$319 – $852	—
RIS - Infus(Not Chemo) Ea Addl Hr 96366 Inpatient	96366 CPT	$191	$162	$141 – $852	—
RIS - Infus(Not Chemo) Prim 1st Hr 96365 Inpatient	96365 CPT	$558	$474	$413 – $852	—
THER/PROPH/DIAG IV INF ADDON Inpatient	96366 CPT	$65.00	$55.25	$48.10 – $852	—
THER/PROPH/DIAG IV INF ADDON 59 BCE Inpatient	96366 CPT	$65.00	$55.25	$48.10 – $852	—
THER/PROPH/DIAG IV INF ADDON BCE Inpatient	96366 CPT	$65.00	$55.25	$48.10 – $852	—
THER/PROPH/DIAG IV INF ADDON IVT BCE Inpatient	96366 CPT	$65.00	$55.25	$48.10 – $852	—
THER/PROPH/DIAG IV INF ADDON MAT BCE Inpatient	96366 CPT	$65.00	$55.25	$48.10 – $852	—
THER/PROPH/DIAG IV INF INIT Inpatient	96365 CPT	$524	$445	$388 – $852	—
THER/PROPH/DIAG IV INF INIT =<1 H Inpatient	96365 CPT	$547	$465	$405 – $852	—
THER/PROPH/DIAG IV INF INIT =<1 H BCE Inpatient	96365 CPT	$514	$437	$380 – $852	—
THER/PROPH/DIAG IV INF INIT =<1 H IC Inpatient	96365 CPT	$518	$440	$383 – $852	—
THER/PROPH/DIAG IV INF INIT 59 BCE Inpatient	96365 CPT	$514	$437	$380 – $852	—
THER/PROPH/DIAG IV INF INIT BCE Inpatient	96365 CPT	$522	$444	$386 – $852	—
THER/PROPH/DIAG IV INF INIT IVT BCE Inpatient	96365 CPT	$514	$437	$380 – $852	—
THER/PROPH/DIAG IV INF INIT MAT BCE Inpatient	96365 CPT	$514	$437	$380 – $852	—