Providence St Joseph Medical Center — Infusion prices

← Hospital overviewVerified from Providence St Joseph Medical Center’s published price file

Includes cash prices, list prices. 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.

11 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
HC ED IV HYDRATION INITIAL HR CDM Inpatient & outpatient	96360 HCPCS	$389	$311	—	—
HC ED IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR CDM Inpatient & outpatient	96365 HCPCS	$389	$311	—	—
HC ED IV INFUSION TX/PROPHYLAXIS/DX EA ADDNL HOUR CDM Inpatient & outpatient	96366 HCPCS	$100	$80.00	—	—
HC IV HYDRATION INITIAL HR CDM Inpatient & outpatient	96360 HCPCS	$520	$416	—	—
HC IV INFUSION EA ADDL HR CDM Inpatient & outpatient	96366 HCPCS	$118	$94.40	—	—
HC IV INFUSION INITIAL HR CDM Inpatient & outpatient	96365 HCPCS	$646	$517	—	—
HC PR 96360 IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR Inpatient & outpatient	96360 HCPCS	$63.00	$50.40	—	—
HC PR 96360 IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR Outpatient	96360 HCPCS	$63.00	$50.40	—	—
HC PR 96360 IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR RHC Outpatient	96360 HCPCS	$58.00	$46.40	—	—
HC PR 96365 IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR RHC Outpatient	96365 HCPCS	$111	$88.80	—	—
HC PR 96366 IV INFUSION THERAPY PROPHYLAXIS/DX EA HOUR RHC Outpatient	96366 HCPCS	$38.00	$30.40	—	—