Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

HLA-B27

Facility

$390.00

Service Code	HCPCS 86812
Hospital Charge Code	39900262
Hospital Revenue Code	302
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$70.20
Rate for Payer: Aetna Medicare Advantage	$83.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.17
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$25.81
Rate for Payer: Clover Medicare Advantage	$24.52
Rate for Payer: EmblemHealth Commercial	$77.43
Rate for Payer: Humana Medicare Advantage	$26.58
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$20.65
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.81
Rate for Payer: Wellcare Medicare Advantage	$25.81
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

HLA-B27 DNA TYPING

Facility

$843.35

Service Code	HCPCS 81374
Hospital Charge Code	39900023
Hospital Revenue Code	310
Min. Negotiated Rate	$126.50
Max. Negotiated Rate	$126.50
Rate for Payer: Qualcare PPO/HMO/WC	$126.50

HLA-B27 DNA TYPING

Facility

$843.35

Service Code	HCPCS 81374
Hospital Charge Code	39900023
Hospital Revenue Code	310
Min. Negotiated Rate	$22.35
Max. Negotiated Rate	$421.68
Rate for Payer: Aetna Commercial	$202.18
Rate for Payer: Aetna Medicare Advantage	$240.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$268.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$268.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$74.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$268.31
Rate for Payer: Cigna Commercial	$421.68
Rate for Payer: Cigna Medicare Advantage	$74.33
Rate for Payer: Clover Medicare Advantage	$70.61
Rate for Payer: EmblemHealth Commercial	$222.99
Rate for Payer: Humana Medicare Advantage	$76.56
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$74.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.50
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$59.46
Rate for Payer: UnitedHealthcare Medicare Advantage	$74.33
Rate for Payer: Wellcare Medicare Advantage	$74.33
Rate for Payer: Wellpoint Medicaid Managed Care	$22.35

HLA-B5701 TYPING

Facility

$424.85

Service Code	HCPCS 81381
Hospital Charge Code	39900321
Hospital Revenue Code	310
Min. Negotiated Rate	$11.26
Max. Negotiated Rate	$613.29
Rate for Payer: Aetna Commercial	$462.13
Rate for Payer: Aetna Medicare Advantage	$550.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$613.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$613.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$169.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$613.29
Rate for Payer: Cigna Commercial	$212.43
Rate for Payer: Cigna Medicare Advantage	$169.90
Rate for Payer: Clover Medicare Advantage	$161.41
Rate for Payer: EmblemHealth Commercial	$509.70
Rate for Payer: Humana Medicare Advantage	$175.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$169.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.45
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.73
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$135.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$169.90
Rate for Payer: Wellcare Medicare Advantage	$169.90
Rate for Payer: Wellpoint Medicaid Managed Care	$11.26

HLA-B5701 TYPING

Facility

$424.85

Service Code	HCPCS 81381
Hospital Charge Code	39900321
Hospital Revenue Code	310
Min. Negotiated Rate	$63.73
Max. Negotiated Rate	$63.73
Rate for Payer: Qualcare PPO/HMO/WC	$63.73

HLA-B57 TYPING

Facility

$424.85

Service Code	HCPCS 81381
Hospital Charge Code	39900024
Hospital Revenue Code	310
Min. Negotiated Rate	$11.26
Max. Negotiated Rate	$613.29
Rate for Payer: Aetna Commercial	$462.13
Rate for Payer: Aetna Medicare Advantage	$550.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$613.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$613.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$169.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$613.29
Rate for Payer: Cigna Commercial	$212.43
Rate for Payer: Cigna Medicare Advantage	$169.90
Rate for Payer: Clover Medicare Advantage	$161.41
Rate for Payer: EmblemHealth Commercial	$509.70
Rate for Payer: Humana Medicare Advantage	$175.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$169.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.45
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.73
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$135.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$169.90
Rate for Payer: Wellcare Medicare Advantage	$169.90
Rate for Payer: Wellpoint Medicaid Managed Care	$11.26

HLA-B57 TYPING

Facility

$424.85

Service Code	HCPCS 81381
Hospital Charge Code	39900024
Hospital Revenue Code	310
Min. Negotiated Rate	$63.73
Max. Negotiated Rate	$63.73
Rate for Payer: Qualcare PPO/HMO/WC	$63.73

HLA DQB1 LOW RES TYPING

Facility

$809.40

Service Code	HCPCS 81376
Hospital Charge Code	401081376
Hospital Revenue Code	310
Min. Negotiated Rate	$121.41
Max. Negotiated Rate	$121.41
Rate for Payer: Qualcare PPO/HMO/WC	$121.41

HLA DQB1 LOW RES TYPING

Facility

$809.40

Service Code	HCPCS 81376
Hospital Charge Code	401081376
Hospital Revenue Code	310
Min. Negotiated Rate	$21.45
Max. Negotiated Rate	$441.18
Rate for Payer: Aetna Commercial	$332.44
Rate for Payer: Aetna Medicare Advantage	$395.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$441.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$441.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$122.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$441.18
Rate for Payer: Cigna Commercial	$404.70
Rate for Payer: Cigna Medicare Advantage	$122.22
Rate for Payer: Clover Medicare Advantage	$116.11
Rate for Payer: EmblemHealth Commercial	$366.66
Rate for Payer: Humana Medicare Advantage	$125.89
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$122.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.82
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$121.41
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$97.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$122.22
Rate for Payer: Wellcare Medicare Advantage	$122.22
Rate for Payer: Wellpoint Medicaid Managed Care	$21.45

HLA - DR4

Facility

$197.29

Service Code	HCPCS 86816
Hospital Charge Code	38476301
Hospital Revenue Code	302
Min. Negotiated Rate	$29.59
Max. Negotiated Rate	$29.59
Rate for Payer: Qualcare PPO/HMO/WC	$29.59

HLA - DR4

Facility

$197.29

Service Code	HCPCS 86816
Hospital Charge Code	38476301
Hospital Revenue Code	302
Min. Negotiated Rate	$5.23
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$82.06
Rate for Payer: Aetna Medicare Advantage	$97.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$30.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.90
Rate for Payer: Cigna Commercial	$98.64
Rate for Payer: Cigna Medicare Advantage	$30.17
Rate for Payer: Clover Medicare Advantage	$28.66
Rate for Payer: EmblemHealth Commercial	$90.51
Rate for Payer: Humana Medicare Advantage	$31.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$30.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.19
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$29.59
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$24.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$30.17
Rate for Payer: Wellcare Medicare Advantage	$30.17
Rate for Payer: Wellpoint Medicaid Managed Care	$5.23

HLA DR/DQ,MULTIPLE ANTIGENS

Facility

$455.99

Service Code	HCPCS 86817
Hospital Charge Code	38476276
Hospital Revenue Code	302
Min. Negotiated Rate	$68.40
Max. Negotiated Rate	$68.40
Rate for Payer: Qualcare PPO/HMO/WC	$68.40

HLA DR/DQ,MULTIPLE ANTIGENS

Facility

$455.99

Service Code	HCPCS 86817
Hospital Charge Code	38476276
Hospital Revenue Code	302
Min. Negotiated Rate	$12.08
Max. Negotiated Rate	$383.13
Rate for Payer: Aetna Commercial	$288.70
Rate for Payer: Aetna Medicare Advantage	$343.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$383.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$383.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$106.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$383.13
Rate for Payer: Cigna Commercial	$228.00
Rate for Payer: Cigna Medicare Advantage	$106.14
Rate for Payer: Clover Medicare Advantage	$100.83
Rate for Payer: EmblemHealth Commercial	$318.42
Rate for Payer: Humana Medicare Advantage	$109.32
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$106.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.80
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$68.40
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$84.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$106.14
Rate for Payer: Wellcare Medicare Advantage	$106.14
Rate for Payer: Wellpoint Medicaid Managed Care	$12.08

HLA-MATCH PLT PHERESIS LEUKO

Facility

$2,518.60

Hospital Charge Code	3100443
Hospital Revenue Code	390
Min. Negotiated Rate	$60.70
Max. Negotiated Rate	$1,259.30
Rate for Payer: Aetna Commercial	$957.07
Rate for Payer: Aetna Medicare Advantage	$755.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$642.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$642.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$642.24
Rate for Payer: Cigna Commercial	$1,259.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$755.58
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$377.79
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$60.70
Rate for Payer: Wellpoint Medicaid Managed Care	$66.74

HLA-MATCH PLT PHERESIS LEUKO

Facility

$2,518.60

Hospital Charge Code	3100443
Hospital Revenue Code	390
Min. Negotiated Rate	$377.79
Max. Negotiated Rate	$377.79
Rate for Payer: Qualcare PPO/HMO/WC	$377.79

HLA TYPING; A,B,C SINGLE ANTG

Facility

$390.00

Service Code	HCPCS 86812
Hospital Charge Code	38473042
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HLA TYPING; A,B,C SINGLE ANTG

Facility

$390.00

Service Code	HCPCS 86812
Hospital Charge Code	38473042
Hospital Revenue Code	302
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$70.20
Rate for Payer: Aetna Medicare Advantage	$83.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.17
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$25.81
Rate for Payer: Clover Medicare Advantage	$24.52
Rate for Payer: EmblemHealth Commercial	$77.43
Rate for Payer: Humana Medicare Advantage	$26.58
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$20.65
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.81
Rate for Payer: Wellcare Medicare Advantage	$25.81
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

HLA TYPING CELIAC DISEASE I

Facility

$833.70

Service Code	HCPCS 81376
Hospital Charge Code	39990155A
Hospital Revenue Code	310
Min. Negotiated Rate	$125.06
Max. Negotiated Rate	$125.06
Rate for Payer: Qualcare PPO/HMO/WC	$125.06

HLA TYPING CELIAC DISEASE I

Facility

$833.70

Service Code	HCPCS 81376
Hospital Charge Code	39990155A
Hospital Revenue Code	310
Min. Negotiated Rate	$22.09
Max. Negotiated Rate	$441.18
Rate for Payer: Aetna Commercial	$332.44
Rate for Payer: Aetna Medicare Advantage	$395.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$441.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$441.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$122.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$441.18
Rate for Payer: Cigna Commercial	$416.85
Rate for Payer: Cigna Medicare Advantage	$122.22
Rate for Payer: Clover Medicare Advantage	$116.11
Rate for Payer: EmblemHealth Commercial	$366.66
Rate for Payer: Humana Medicare Advantage	$125.89
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$122.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.11
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$125.06
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$97.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$122.22
Rate for Payer: Wellcare Medicare Advantage	$122.22
Rate for Payer: Wellpoint Medicaid Managed Care	$22.09

HLA TYPING CELIAC DISEASE II

Facility

$843.65

Service Code	HCPCS 81382
Hospital Charge Code	39990155B
Hospital Revenue Code	310
Min. Negotiated Rate	$126.55
Max. Negotiated Rate	$126.55
Rate for Payer: Qualcare PPO/HMO/WC	$126.55

HLA TYPING CELIAC DISEASE II

Facility

$843.65

Service Code	HCPCS 81382
Hospital Charge Code	39990155B
Hospital Revenue Code	310
Min. Negotiated Rate	$22.36
Max. Negotiated Rate	$446.45
Rate for Payer: Aetna Commercial	$336.41
Rate for Payer: Aetna Medicare Advantage	$400.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$123.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.45
Rate for Payer: Cigna Commercial	$421.82
Rate for Payer: Cigna Medicare Advantage	$123.68
Rate for Payer: Clover Medicare Advantage	$117.50
Rate for Payer: EmblemHealth Commercial	$371.04
Rate for Payer: Humana Medicare Advantage	$127.39
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$123.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.09
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.55
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$98.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$123.68
Rate for Payer: Wellcare Medicare Advantage	$123.68
Rate for Payer: Wellpoint Medicaid Managed Care	$22.36

HLTHSHAKE-NO SUGAR ADDED

Facility

$4.00

Hospital Charge Code	60635156
Hospital Revenue Code	250
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

HLTHSHAKE-NO SUGAR ADDED

Facility

$4.00

Hospital Charge Code	60635156
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

HME BALLARD FLEX

Facility

$18.45

Hospital Charge Code	270600633
Hospital Revenue Code	272
Min. Negotiated Rate	$0.44
Max. Negotiated Rate	$9.22
Rate for Payer: Aetna Commercial	$7.01
Rate for Payer: Aetna Medicare Advantage	$5.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.70
Rate for Payer: Cigna Commercial	$9.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.54
Rate for Payer: Oxford Commercial	$3.69
Rate for Payer: Qualcare PPO/HMO/WC	$2.77
Rate for Payer: UnitedHealthcare Commercial	$3.69
Rate for Payer: UnitedHealthcare Community & State	$0.44
Rate for Payer: Wellpoint Medicaid Managed Care	$0.49

HME BALLARD FLEX

Facility

$18.45

Hospital Charge Code	270600633
Hospital Revenue Code	272
Min. Negotiated Rate	$2.77
Max. Negotiated Rate	$2.77
Rate for Payer: Qualcare PPO/HMO/WC	$2.77

Know your out-of-pocket cost for care.

All Charges