Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

FML-S OPHTHALMIC SOLUTION

Facility

$51.00

Hospital Charge Code	60634915
Hospital Revenue Code	250
Min. Negotiated Rate	$7.65
Max. Negotiated Rate	$7.65
Rate for Payer: Qualcare PPO/HMO/WC	$7.65

FMRAL PS72.5 LFT OPN BX 184533

Facility

$17,230.00

Hospital Charge Code	270655090
Hospital Revenue Code	278
Min. Negotiated Rate	$2,584.50
Max. Negotiated Rate	$4,169.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,446.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,169.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,790.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,584.50

FMRAL PS72.5 LFT OPN BX 184533

Facility

$17,230.00

Hospital Charge Code	270655090
Hospital Revenue Code	278
Min. Negotiated Rate	$415.24
Max. Negotiated Rate	$8,615.00
Rate for Payer: Aetna Commercial	$6,547.40
Rate for Payer: Aetna Medicare Advantage	$5,169.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,393.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,393.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,446.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,393.65
Rate for Payer: Cigna Commercial	$8,615.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,169.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,790.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,584.50
Rate for Payer: UnitedHealthcare Community & State	$415.24
Rate for Payer: Wellpoint Medicaid Managed Care	$456.60

FMRL SEG OSS RS RIGHT

Facility

$61,420.00

Service Code	HCPCS C1776
Hospital Charge Code	270691621
Hospital Revenue Code	278
Min. Negotiated Rate	$9,213.00
Max. Negotiated Rate	$14,863.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12,284.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,863.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$13,512.40
Rate for Payer: Qualcare PPO/HMO/WC	$9,213.00

FMRL SEG OSS RS RIGHT

Facility

$61,420.00

Service Code	HCPCS C1776
Hospital Charge Code	270691621
Hospital Revenue Code	278
Min. Negotiated Rate	$1,480.22
Max. Negotiated Rate	$30,710.00
Rate for Payer: Aetna Commercial	$23,339.60
Rate for Payer: Aetna Medicare Advantage	$18,426.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,662.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,662.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12,284.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15,662.10
Rate for Payer: Cigna Commercial	$30,710.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,863.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$13,512.40
Rate for Payer: Qualcare PPO/HMO/WC	$9,213.00
Rate for Payer: UnitedHealthcare Community & State	$1,480.22
Rate for Payer: Wellpoint Medicaid Managed Care	$1,627.63

FNA BIOPSY/CT 1ST LESION

Facility

$9,500.00

Service Code	HCPCS 10009
Hospital Charge Code	404310009
Hospital Revenue Code	361
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

FNA BIOPSY/CT 1ST LESION

Facility

$9,500.00

Service Code	HCPCS 10009
Hospital Charge Code	404310009
Hospital Revenue Code	361
Min. Negotiated Rate	$228.95
Max. Negotiated Rate	$3,593.00
Rate for Payer: Aetna Commercial	$2,288.28
Rate for Payer: Aetna Medicare Advantage	$2,725.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,036.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,036.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$841.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,036.77
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: Cigna Medicare Advantage	$841.28
Rate for Payer: Clover Medicare Advantage	$799.22
Rate for Payer: EmblemHealth Commercial	$2,523.84
Rate for Payer: Humana Medicare Advantage	$866.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$841.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,850.00
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$228.95
Rate for Payer: UnitedHealthcare Medicare Advantage	$841.28
Rate for Payer: Wellcare Medicare Advantage	$841.28
Rate for Payer: Wellpoint Medicaid Managed Care	$251.75

FNA BIOPSY/CT EA ADD LESION

Facility

$9,500.00

Service Code	HCPCS 10010
Hospital Charge Code	404310010
Hospital Revenue Code	361
Min. Negotiated Rate	$228.95
Max. Negotiated Rate	$4,750.00
Rate for Payer: Aetna Commercial	$3,610.00
Rate for Payer: Aetna Medicare Advantage	$2,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,422.50
Rate for Payer: Cigna Commercial	$4,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,850.00
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$228.95
Rate for Payer: Wellpoint Medicaid Managed Care	$251.75

FNA BIOPSY/CT EA ADD LESION

Facility

$9,500.00

Service Code	HCPCS 10010
Hospital Charge Code	404310010
Hospital Revenue Code	361
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

FNA BIOPSY/FLUORO 1ST LESION

Facility

$3,396.55

Service Code	HCPCS 10007
Hospital Charge Code	321010007
Hospital Revenue Code	361
Min. Negotiated Rate	$81.86
Max. Negotiated Rate	$3,593.00
Rate for Payer: Aetna Commercial	$2,288.28
Rate for Payer: Aetna Medicare Advantage	$2,725.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,036.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,036.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$841.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,036.77
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: Cigna Medicare Advantage	$841.28
Rate for Payer: Clover Medicare Advantage	$799.22
Rate for Payer: EmblemHealth Commercial	$2,523.84
Rate for Payer: Humana Medicare Advantage	$866.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$841.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,018.97
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$509.48
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$81.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$841.28
Rate for Payer: Wellcare Medicare Advantage	$841.28
Rate for Payer: Wellpoint Medicaid Managed Care	$90.01

FNA BIOPSY/FLUORO 1ST LESION

Facility

$3,396.55

Service Code	HCPCS 10007
Hospital Charge Code	321010007
Hospital Revenue Code	361
Min. Negotiated Rate	$509.48
Max. Negotiated Rate	$509.48
Rate for Payer: Qualcare PPO/HMO/WC	$509.48

FNA BIOPSY/FLUORO 1ST LESION

Facility

$3,396.55

Service Code	HCPCS 10007
Hospital Charge Code	411010007
Hospital Revenue Code	361
Min. Negotiated Rate	$81.86
Max. Negotiated Rate	$3,593.00
Rate for Payer: Aetna Commercial	$2,288.28
Rate for Payer: Aetna Medicare Advantage	$2,725.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,036.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,036.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$841.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,036.77
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: Cigna Medicare Advantage	$841.28
Rate for Payer: Clover Medicare Advantage	$799.22
Rate for Payer: EmblemHealth Commercial	$2,523.84
Rate for Payer: Humana Medicare Advantage	$866.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$841.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,018.97
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$509.48
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$81.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$841.28
Rate for Payer: Wellcare Medicare Advantage	$841.28
Rate for Payer: Wellpoint Medicaid Managed Care	$90.01

FNA BIOPSY/FLUORO 1ST LESION

Facility

$3,396.55

Service Code	HCPCS 10007
Hospital Charge Code	404610007
Hospital Revenue Code	361
Min. Negotiated Rate	$81.86
Max. Negotiated Rate	$3,593.00
Rate for Payer: Aetna Commercial	$2,288.28
Rate for Payer: Aetna Medicare Advantage	$2,725.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,036.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,036.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$841.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,036.77
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: Cigna Medicare Advantage	$841.28
Rate for Payer: Clover Medicare Advantage	$799.22
Rate for Payer: EmblemHealth Commercial	$2,523.84
Rate for Payer: Humana Medicare Advantage	$866.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$841.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,018.97
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$509.48
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$81.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$841.28
Rate for Payer: Wellcare Medicare Advantage	$841.28
Rate for Payer: Wellpoint Medicaid Managed Care	$90.01

FNA BIOPSY/FLUORO 1ST LESION

Facility

$3,396.55

Service Code	HCPCS 10007
Hospital Charge Code	411010007
Hospital Revenue Code	361
Min. Negotiated Rate	$509.48
Max. Negotiated Rate	$509.48
Rate for Payer: Qualcare PPO/HMO/WC	$509.48

FNA BIOPSY/FLUORO 1ST LESION

Facility

$3,396.55

Service Code	HCPCS 10007
Hospital Charge Code	404610007
Hospital Revenue Code	361
Min. Negotiated Rate	$509.48
Max. Negotiated Rate	$509.48
Rate for Payer: Qualcare PPO/HMO/WC	$509.48

FNA BIOPSY/FLUORO EA ADD LES

Facility

$1,698.28

Service Code	HCPCS 10008
Hospital Charge Code	404610008
Hospital Revenue Code	361
Min. Negotiated Rate	$40.93
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$645.35
Rate for Payer: Aetna Medicare Advantage	$509.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$433.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$433.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$433.06
Rate for Payer: Cigna Commercial	$849.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$509.48
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$254.74
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$40.93
Rate for Payer: Wellpoint Medicaid Managed Care	$45.00

FNA BIOPSY/FLUORO EA ADD LES

Facility

$1,698.28

Service Code	HCPCS 10008
Hospital Charge Code	321010008
Hospital Revenue Code	361
Min. Negotiated Rate	$254.74
Max. Negotiated Rate	$254.74
Rate for Payer: Qualcare PPO/HMO/WC	$254.74

FNA BIOPSY/FLUORO EA ADD LES

Facility

$1,698.28

Service Code	HCPCS 10008
Hospital Charge Code	404610008
Hospital Revenue Code	361
Min. Negotiated Rate	$254.74
Max. Negotiated Rate	$254.74
Rate for Payer: Qualcare PPO/HMO/WC	$254.74

FNA BIOPSY/FLUORO EA ADD LES

Facility

$1,698.28

Service Code	HCPCS 10008
Hospital Charge Code	321010008
Hospital Revenue Code	361
Min. Negotiated Rate	$40.93
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$645.35
Rate for Payer: Aetna Medicare Advantage	$509.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$433.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$433.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$433.06
Rate for Payer: Cigna Commercial	$849.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$509.48
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$254.74
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$40.93
Rate for Payer: Wellpoint Medicaid Managed Care	$45.00

FNA BIOPSY/US 1ST LESION

Facility

$3,396.55

Service Code	HCPCS 10005
Hospital Charge Code	321010005
Hospital Revenue Code	361
Min. Negotiated Rate	$509.48
Max. Negotiated Rate	$509.48
Rate for Payer: Qualcare PPO/HMO/WC	$509.48

FNA BIOPSY/US 1ST LESION

Facility

$3,396.55

Service Code	HCPCS 10005
Hospital Charge Code	404610005
Hospital Revenue Code	361
Min. Negotiated Rate	$81.86
Max. Negotiated Rate	$3,593.00
Rate for Payer: Aetna Commercial	$2,288.28
Rate for Payer: Aetna Medicare Advantage	$2,725.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,036.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,036.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$841.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,036.77
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: Cigna Medicare Advantage	$841.28
Rate for Payer: Clover Medicare Advantage	$799.22
Rate for Payer: EmblemHealth Commercial	$2,523.84
Rate for Payer: Humana Medicare Advantage	$866.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$841.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,018.97
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$509.48
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$81.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$841.28
Rate for Payer: Wellcare Medicare Advantage	$841.28
Rate for Payer: Wellpoint Medicaid Managed Care	$90.01

FNA BIOPSY/US 1ST LESION

Facility

$3,396.55

Service Code	HCPCS 10005
Hospital Charge Code	404610005
Hospital Revenue Code	361
Min. Negotiated Rate	$509.48
Max. Negotiated Rate	$509.48
Rate for Payer: Qualcare PPO/HMO/WC	$509.48

FNA BIOPSY/US 1ST LESION

Facility

$3,396.55

Service Code	HCPCS 10005
Hospital Charge Code	404210005
Hospital Revenue Code	361
Min. Negotiated Rate	$81.86
Max. Negotiated Rate	$3,593.00
Rate for Payer: Aetna Commercial	$2,288.28
Rate for Payer: Aetna Medicare Advantage	$2,725.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,036.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,036.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$841.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,036.77
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: Cigna Medicare Advantage	$841.28
Rate for Payer: Clover Medicare Advantage	$799.22
Rate for Payer: EmblemHealth Commercial	$2,523.84
Rate for Payer: Humana Medicare Advantage	$866.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$841.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,018.97
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$509.48
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$81.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$841.28
Rate for Payer: Wellcare Medicare Advantage	$841.28
Rate for Payer: Wellpoint Medicaid Managed Care	$90.01

FNA BIOPSY/US 1ST LESION

Facility

$3,396.55

Service Code	HCPCS 10005
Hospital Charge Code	321010005
Hospital Revenue Code	361
Min. Negotiated Rate	$81.86
Max. Negotiated Rate	$3,593.00
Rate for Payer: Aetna Commercial	$2,288.28
Rate for Payer: Aetna Medicare Advantage	$2,725.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,036.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,036.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$841.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,036.77
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: Cigna Medicare Advantage	$841.28
Rate for Payer: Clover Medicare Advantage	$799.22
Rate for Payer: EmblemHealth Commercial	$2,523.84
Rate for Payer: Humana Medicare Advantage	$866.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$841.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,018.97
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$509.48
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$81.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$841.28
Rate for Payer: Wellcare Medicare Advantage	$841.28
Rate for Payer: Wellpoint Medicaid Managed Care	$90.01

FNA BIOPSY/US 1ST LESION

Facility

$9,500.00

Service Code	HCPCS 10005
Hospital Charge Code	404310005
Hospital Revenue Code	361
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

Know your out-of-pocket cost for care.

All Charges