ProMedica Memorial Hospital — Infusion prices
← Hospital overviewVerified from ProMedica Memorial Hospital’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.
6 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| IV inf hydrate 1st hr Inpatient | 96360 CPT | $387 | $252 | $166 – $348 | — | |
| IV inf hydrate 1st hr Outpatient | 96360 CPT | $387 | $252 | $213 – $348 | — | |
| IV inf txprodx 1st hr Inpatient | 96365 CPT | $387 | $252 | $166 – $348 | — | |
| IV inf txprodx 1st hr Outpatient | 96365 CPT | $387 | $252 | $213 – $348 | — | |
| IV inf txprodx add hr Inpatient | 96366 CPT | $206 | $134 | $88.58 – $185 | — | |
| IV inf txprodx add hr Outpatient | 96366 CPT | $206 | $134 | $113 – $185 | — |