Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

LINER FREEDOM CONS HD 36MM T1

Facility

$7,920.00

Service Code	HCPCS C1776
Hospital Charge Code	270697521
Hospital Revenue Code	278
Min. Negotiated Rate	$190.87
Max. Negotiated Rate	$3,960.00
Rate for Payer: Aetna Commercial	$3,009.60
Rate for Payer: Aetna Medicare Advantage	$2,376.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,019.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,019.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,584.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,019.60
Rate for Payer: Cigna Commercial	$3,960.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,916.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,742.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,188.00
Rate for Payer: UnitedHealthcare Community & State	$190.87
Rate for Payer: Wellpoint Medicaid Managed Care	$209.88

LINER FREEDOM CONST 32MM T1

Facility

$7,530.00

Service Code	HCPCS C1776
Hospital Charge Code	270698812
Hospital Revenue Code	278
Min. Negotiated Rate	$181.47
Max. Negotiated Rate	$3,765.00
Rate for Payer: Aetna Commercial	$2,861.40
Rate for Payer: Aetna Medicare Advantage	$2,259.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,920.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,920.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,506.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,920.15
Rate for Payer: Cigna Commercial	$3,765.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,822.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,656.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,129.50
Rate for Payer: UnitedHealthcare Community & State	$181.47
Rate for Payer: Wellpoint Medicaid Managed Care	$199.54

LINER FREEDOM CONST 32MM T1

Facility

$7,530.00

Service Code	HCPCS C1776
Hospital Charge Code	270698812
Hospital Revenue Code	278
Min. Negotiated Rate	$1,129.50
Max. Negotiated Rate	$1,822.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,506.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,822.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,656.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,129.50

LINER FREEDOM CONST 36 MM

Facility

$17,550.00

Service Code	HCPCS C1776
Hospital Charge Code	270692332
Hospital Revenue Code	278
Min. Negotiated Rate	$422.95
Max. Negotiated Rate	$8,775.00
Rate for Payer: Aetna Commercial	$6,669.00
Rate for Payer: Aetna Medicare Advantage	$5,265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,475.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,475.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,475.25
Rate for Payer: Cigna Commercial	$8,775.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,247.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,861.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,632.50
Rate for Payer: UnitedHealthcare Community & State	$422.95
Rate for Payer: Wellpoint Medicaid Managed Care	$465.07

LINER FREEDOM CONST 36 MM

Facility

$17,550.00

Service Code	HCPCS C1776
Hospital Charge Code	270692332
Hospital Revenue Code	278
Min. Negotiated Rate	$2,632.50
Max. Negotiated Rate	$4,247.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,247.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,861.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,632.50

LINER FREEDOM E1 SZ D G7 36MM

Facility

$17,550.00

Service Code	HCPCS C1776
Hospital Charge Code	270697841
Hospital Revenue Code	278
Min. Negotiated Rate	$2,632.50
Max. Negotiated Rate	$4,247.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,247.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,861.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,632.50

LINER FREEDOM E1 SZ D G7 36MM

Facility

$17,550.00

Service Code	HCPCS C1776
Hospital Charge Code	270697841
Hospital Revenue Code	278
Min. Negotiated Rate	$422.95
Max. Negotiated Rate	$8,775.00
Rate for Payer: Aetna Commercial	$6,669.00
Rate for Payer: Aetna Medicare Advantage	$5,265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,475.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,475.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,475.25
Rate for Payer: Cigna Commercial	$8,775.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,247.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,861.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,632.50
Rate for Payer: UnitedHealthcare Community & State	$422.95
Rate for Payer: Wellpoint Medicaid Managed Care	$465.07

LINER G7 ACETAB SZ C 32MM

Facility

$17,550.00

Service Code	HCPCS C1776
Hospital Charge Code	270698810
Hospital Revenue Code	278
Min. Negotiated Rate	$2,632.50
Max. Negotiated Rate	$4,247.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,247.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,861.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,632.50

LINER G7 ACETAB SZ C 32MM

Facility

$17,550.00

Service Code	HCPCS C1776
Hospital Charge Code	270698810
Hospital Revenue Code	278
Min. Negotiated Rate	$422.95
Max. Negotiated Rate	$8,775.00
Rate for Payer: Aetna Commercial	$6,669.00
Rate for Payer: Aetna Medicare Advantage	$5,265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,475.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,475.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,475.25
Rate for Payer: Cigna Commercial	$8,775.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,247.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,861.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,632.50
Rate for Payer: UnitedHealthcare Community & State	$422.95
Rate for Payer: Wellpoint Medicaid Managed Care	$465.07

LINER G7 ACET VE HIGHWALL36MME

Facility

$12,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270698839
Hospital Revenue Code	278
Min. Negotiated Rate	$1,800.00
Max. Negotiated Rate	$2,904.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,904.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,640.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.00

LINER G7 ACET VE HIGHWALL36MME

Facility

$12,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270698839
Hospital Revenue Code	278
Min. Negotiated Rate	$289.20
Max. Negotiated Rate	$6,000.00
Rate for Payer: Aetna Commercial	$4,560.00
Rate for Payer: Aetna Medicare Advantage	$3,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,060.00
Rate for Payer: Cigna Commercial	$6,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,904.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,640.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.00
Rate for Payer: UnitedHealthcare Community & State	$289.20
Rate for Payer: Wellpoint Medicaid Managed Care	$318.00

LINER G7 DM 36 MM

Facility

$2,650.00

Service Code	HCPCS C1776
Hospital Charge Code	270698554
Hospital Revenue Code	278
Min. Negotiated Rate	$63.87
Max. Negotiated Rate	$1,325.00
Rate for Payer: Aetna Commercial	$1,007.00
Rate for Payer: Aetna Medicare Advantage	$795.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$675.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$675.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$675.75
Rate for Payer: Cigna Commercial	$1,325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$641.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$583.00
Rate for Payer: Qualcare PPO/HMO/WC	$397.50
Rate for Payer: UnitedHealthcare Community & State	$63.87
Rate for Payer: Wellpoint Medicaid Managed Care	$70.22

LINER G7 DM 36 MM

Facility

$2,650.00

Service Code	HCPCS C1776
Hospital Charge Code	270698554
Hospital Revenue Code	278
Min. Negotiated Rate	$397.50
Max. Negotiated Rate	$641.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$530.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$641.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$583.00
Rate for Payer: Qualcare PPO/HMO/WC	$397.50

LINER G7 DUAL 46 MM G MOBILITY

Facility

$5,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270683722
Hospital Revenue Code	278
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$1,210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,100.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

LINER G7 DUAL 46 MM G MOBILITY

Facility

$5,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270683722
Hospital Revenue Code	278
Min. Negotiated Rate	$120.50
Max. Negotiated Rate	$2,500.00
Rate for Payer: Aetna Commercial	$1,900.00
Rate for Payer: Aetna Medicare Advantage	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,275.00
Rate for Payer: Cigna Commercial	$2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,100.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00
Rate for Payer: UnitedHealthcare Community & State	$120.50
Rate for Payer: Wellpoint Medicaid Managed Care	$132.50

LINER G7 FREEDOM 36 MM SZ G

Facility

$17,550.00

Service Code	HCPCS C1776
Hospital Charge Code	270686595
Hospital Revenue Code	278
Min. Negotiated Rate	$2,632.50
Max. Negotiated Rate	$4,247.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,247.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,861.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,632.50

LINER G7 FREEDOM 36 MM SZ G

Facility

$17,550.00

Service Code	HCPCS C1776
Hospital Charge Code	270686595
Hospital Revenue Code	278
Min. Negotiated Rate	$422.95
Max. Negotiated Rate	$8,775.00
Rate for Payer: Aetna Commercial	$6,669.00
Rate for Payer: Aetna Medicare Advantage	$5,265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,475.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,475.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,475.25
Rate for Payer: Cigna Commercial	$8,775.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,247.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,861.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,632.50
Rate for Payer: UnitedHealthcare Community & State	$422.95
Rate for Payer: Wellpoint Medicaid Managed Care	$465.07

LINER G7 FREEDOM E1 36MM SZ D

Facility

$17,550.00

Service Code	HCPCS C1776
Hospital Charge Code	270692096
Hospital Revenue Code	278
Min. Negotiated Rate	$422.95
Max. Negotiated Rate	$8,775.00
Rate for Payer: Aetna Commercial	$6,669.00
Rate for Payer: Aetna Medicare Advantage	$5,265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,475.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,475.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,475.25
Rate for Payer: Cigna Commercial	$8,775.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,247.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,861.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,632.50
Rate for Payer: UnitedHealthcare Community & State	$422.95
Rate for Payer: Wellpoint Medicaid Managed Care	$465.07

LINER G7 FREEDOM E1 36MM SZ D

Facility

$17,550.00

Service Code	HCPCS C1776
Hospital Charge Code	270692096
Hospital Revenue Code	278
Min. Negotiated Rate	$2,632.50
Max. Negotiated Rate	$4,247.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,247.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,861.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,632.50

LINER G7 VIT E NEUTRAL 40MM

Facility

$12,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270699205
Hospital Revenue Code	278
Min. Negotiated Rate	$289.20
Max. Negotiated Rate	$6,000.00
Rate for Payer: Aetna Commercial	$4,560.00
Rate for Payer: Aetna Medicare Advantage	$3,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,060.00
Rate for Payer: Cigna Commercial	$6,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,904.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,640.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.00
Rate for Payer: UnitedHealthcare Community & State	$289.20
Rate for Payer: Wellpoint Medicaid Managed Care	$318.00

LINER G7 VIT E NEUTRAL 40MM

Facility

$12,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270699205
Hospital Revenue Code	278
Min. Negotiated Rate	$1,800.00
Max. Negotiated Rate	$2,904.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,904.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,640.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.00

LINER G7 VIVA NEUTRAL D 36MM

Facility

$12,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270699661
Hospital Revenue Code	278
Min. Negotiated Rate	$1,800.00
Max. Negotiated Rate	$2,904.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,904.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,640.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.00

LINER G7 VIVA NEUTRAL D 36MM

Facility

$12,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270699661
Hospital Revenue Code	278
Min. Negotiated Rate	$289.20
Max. Negotiated Rate	$6,000.00
Rate for Payer: Aetna Commercial	$4,560.00
Rate for Payer: Aetna Medicare Advantage	$3,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,060.00
Rate for Payer: Cigna Commercial	$6,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,904.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,640.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.00
Rate for Payer: UnitedHealthcare Community & State	$289.20
Rate for Payer: Wellpoint Medicaid Managed Care	$318.00

LINER HEAD DM 22.2x48MM

Facility

$6,250.00

Service Code	HCPCS C1776
Hospital Charge Code	270677711
Hospital Revenue Code	278
Min. Negotiated Rate	$150.62
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,375.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Community & State	$150.62
Rate for Payer: Wellpoint Medicaid Managed Care	$165.62

LINER HEAD DM 22.2x48MM

Facility

$6,250.00

Service Code	HCPCS C1776
Hospital Charge Code	270677711
Hospital Revenue Code	278
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$1,512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,375.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

Know your out-of-pocket cost for care.

All Charges