Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

MINI VEIN HARVEST

Facility

$190.00

Hospital Charge Code	1607340
Hospital Revenue Code	272
Min. Negotiated Rate	$4.58
Max. Negotiated Rate	$95.00
Rate for Payer: Aetna Commercial	$72.20
Rate for Payer: Aetna Medicare Advantage	$57.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.45
Rate for Payer: Cigna Commercial	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.00
Rate for Payer: Oxford Commercial	$38.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.50
Rate for Payer: UnitedHealthcare Commercial	$38.00
Rate for Payer: UnitedHealthcare Community & State	$4.58
Rate for Payer: Wellpoint Medicaid Managed Care	$5.04

MINOCIN/100MG/CAP

Facility

$13.00

Hospital Charge Code	60633437
Hospital Revenue Code	250
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$6.50
Rate for Payer: Aetna Commercial	$4.94
Rate for Payer: Aetna Medicare Advantage	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.31
Rate for Payer: Cigna Commercial	$6.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.90
Rate for Payer: Oxford Commercial	$2.60
Rate for Payer: Qualcare PPO/HMO/WC	$1.95
Rate for Payer: UnitedHealthcare Commercial	$2.60
Rate for Payer: UnitedHealthcare Community & State	$0.31
Rate for Payer: Wellpoint Medicaid Managed Care	$0.34

MINOCIN/100MG/CAP

Facility

$13.00

Hospital Charge Code	60633437
Hospital Revenue Code	250
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

MINOCIN/50MG/CAP

Facility

$8.00

Hospital Charge Code	60633436
Hospital Revenue Code	250
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$1.20

MINOCIN/50MG/CAP

Facility

$8.00

Hospital Charge Code	60633436
Hospital Revenue Code	250
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$4.00
Rate for Payer: Aetna Commercial	$3.04
Rate for Payer: Aetna Medicare Advantage	$2.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.04
Rate for Payer: Cigna Commercial	$4.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.40
Rate for Payer: Oxford Commercial	$1.60
Rate for Payer: Qualcare PPO/HMO/WC	$1.20
Rate for Payer: UnitedHealthcare Commercial	$1.60
Rate for Payer: UnitedHealthcare Community & State	$0.19
Rate for Payer: Wellpoint Medicaid Managed Care	$0.21

MINOCYCLINE 100 MG CAP

Facility

$16.85

Hospital Charge Code	60628654
Hospital Revenue Code	250
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

MINOCYCLINE 100 MG CAP

Facility

$16.85

Hospital Charge Code	60628654
Hospital Revenue Code	250
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$8.43
Rate for Payer: Aetna Commercial	$6.40
Rate for Payer: Aetna Medicare Advantage	$5.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.30
Rate for Payer: Cigna Commercial	$8.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.05
Rate for Payer: Oxford Commercial	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$2.53
Rate for Payer: UnitedHealthcare Commercial	$3.37
Rate for Payer: UnitedHealthcare Community & State	$0.41
Rate for Payer: Wellpoint Medicaid Managed Care	$0.45

MINOR (1-2 BLOCKS)

Facility

$73.00

Hospital Charge Code	3024973
Hospital Revenue Code	309
Min. Negotiated Rate	$1.76
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$27.74
Rate for Payer: Aetna Medicare Advantage	$21.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.61
Rate for Payer: Cigna Commercial	$36.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.90
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.95
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$1.76
Rate for Payer: Wellpoint Medicaid Managed Care	$1.93

MINOR (1-2 BLOCKS)

Facility

$204.00

Service Code	HCPCS 88302
Hospital Charge Code	3004975
Hospital Revenue Code	312
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$30.60
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

MINOR (1-2 BLOCKS)

Facility

$204.00

Service Code	HCPCS 88302
Hospital Charge Code	3004975
Hospital Revenue Code	312
Min. Negotiated Rate	$5.41
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$120.69
Rate for Payer: Aetna Medicare Advantage	$143.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.16
Rate for Payer: Cigna Commercial	$88.94
Rate for Payer: Cigna Medicare Advantage	$44.37
Rate for Payer: Clover Medicare Advantage	$42.15
Rate for Payer: EmblemHealth Commercial	$133.11
Rate for Payer: Humana Medicare Advantage	$45.70
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$44.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.20
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.60
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$27.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$44.37
Rate for Payer: Wellcare Medicare Advantage	$44.37
Rate for Payer: Wellpoint Medicaid Managed Care	$5.41

MINOR (1-2 BLOCKS)

Facility

$73.00

Hospital Charge Code	3024973
Hospital Revenue Code	309
Min. Negotiated Rate	$10.95
Max. Negotiated Rate	$10.95
Rate for Payer: Qualcare PPO/HMO/WC	$10.95

MINOR (1-2 BLOCKS)****

Facility

$73.00

Hospital Charge Code	3014974
Hospital Revenue Code	309
Min. Negotiated Rate	$1.76
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$27.74
Rate for Payer: Aetna Medicare Advantage	$21.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.61
Rate for Payer: Cigna Commercial	$36.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.90
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.95
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$1.76
Rate for Payer: Wellpoint Medicaid Managed Care	$1.93

MINOR (1-2 BLOCKS)****

Facility

$73.00

Hospital Charge Code	3014974
Hospital Revenue Code	309
Min. Negotiated Rate	$10.95
Max. Negotiated Rate	$10.95
Rate for Payer: Qualcare PPO/HMO/WC	$10.95

MINOR BLADDER PROCEDURES WITH CC

Facility

$51,269.43

Service Code	MSDRG 663
Min. Negotiated Rate	$15,610.88
Max. Negotiated Rate	$51,269.43
Rate for Payer: Aetna Commercial	$35,485.28
Rate for Payer: Aetna Medicare Advantage	$51,269.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33,961.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33,961.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,432.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33,961.06
Rate for Payer: Cigna Commercial	$28,449.02
Rate for Payer: Cigna Medicare Advantage	$16,432.51
Rate for Payer: Clover Medicare Advantage	$15,610.88
Rate for Payer: EmblemHealth Commercial	$49,297.53
Rate for Payer: Humana Medicare Advantage	$16,925.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16,432.51
Rate for Payer: Oxford Commercial	$20,446.69
Rate for Payer: UnitedHealthcare Commercial	$35,853.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,432.51
Rate for Payer: Wellcare Medicare Advantage	$16,432.51

MINOR BLADDER PROCEDURES WITH MCC

Facility

$101,086.81

Service Code	MSDRG 662
Min. Negotiated Rate	$30,779.64
Max. Negotiated Rate	$101,086.81
Rate for Payer: Aetna Commercial	$69,715.47
Rate for Payer: Aetna Medicare Advantage	$101,086.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69,783.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69,783.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$32,399.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69,783.00
Rate for Payer: Cigna Commercial	$57,292.91
Rate for Payer: Cigna Medicare Advantage	$32,399.62
Rate for Payer: Clover Medicare Advantage	$30,779.64
Rate for Payer: EmblemHealth Commercial	$97,198.86
Rate for Payer: Humana Medicare Advantage	$33,371.61
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$32,399.62
Rate for Payer: Oxford Commercial	$41,177.18
Rate for Payer: UnitedHealthcare Commercial	$72,205.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$32,399.62
Rate for Payer: Wellcare Medicare Advantage	$32,399.62

MINOR BLADDER PROCEDURES WITHOUT CC/MCC

Facility

$35,971.70

Service Code	MSDRG 664
Min. Negotiated Rate	$10,952.92
Max. Negotiated Rate	$35,971.70
Rate for Payer: Aetna Commercial	$24,973.96
Rate for Payer: Aetna Medicare Advantage	$35,971.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24,656.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24,656.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,529.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24,656.66
Rate for Payer: Cigna Commercial	$19,591.69
Rate for Payer: Cigna Medicare Advantage	$11,529.39
Rate for Payer: Clover Medicare Advantage	$10,952.92
Rate for Payer: EmblemHealth Commercial	$34,588.17
Rate for Payer: Humana Medicare Advantage	$11,875.27
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11,529.39
Rate for Payer: Oxford Commercial	$14,080.81
Rate for Payer: UnitedHealthcare Commercial	$24,691.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,529.39
Rate for Payer: Wellcare Medicare Advantage	$11,529.39

MINOR SKIN DISORDERS WITH MCC

Facility

$51,043.23

Service Code	MSDRG 606
Min. Negotiated Rate	$15,542.01
Max. Negotiated Rate	$51,043.23
Rate for Payer: Aetna Commercial	$35,329.85
Rate for Payer: Aetna Medicare Advantage	$51,043.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36,984.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36,984.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,360.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36,984.99
Rate for Payer: Cigna Commercial	$28,318.02
Rate for Payer: Cigna Medicare Advantage	$16,360.01
Rate for Payer: Clover Medicare Advantage	$15,542.01
Rate for Payer: EmblemHealth Commercial	$49,080.03
Rate for Payer: Humana Medicare Advantage	$16,850.81
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16,360.01
Rate for Payer: Oxford Commercial	$20,352.54
Rate for Payer: UnitedHealthcare Commercial	$35,688.82
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,360.01
Rate for Payer: Wellcare Medicare Advantage	$16,360.01

MINOR SKIN DISORDERS WITHOUT MCC

Facility

$31,430.44

Service Code	MSDRG 607
Min. Negotiated Rate	$9,570.17
Max. Negotiated Rate	$31,430.44
Rate for Payer: Aetna Commercial	$21,853.62
Rate for Payer: Aetna Medicare Advantage	$31,430.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,702.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,702.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,073.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,702.29
Rate for Payer: Cigna Commercial	$16,962.37
Rate for Payer: Cigna Medicare Advantage	$10,073.86
Rate for Payer: Clover Medicare Advantage	$9,570.17
Rate for Payer: EmblemHealth Commercial	$30,221.58
Rate for Payer: Humana Medicare Advantage	$10,376.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$10,073.86
Rate for Payer: Oxford Commercial	$12,191.08
Rate for Payer: UnitedHealthcare Commercial	$21,377.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,073.86
Rate for Payer: Wellcare Medicare Advantage	$10,073.86

MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC

Facility

$50,768.42

Service Code	MSDRG 345
Min. Negotiated Rate	$15,458.33
Max. Negotiated Rate	$50,768.42
Rate for Payer: Aetna Commercial	$35,141.02
Rate for Payer: Aetna Medicare Advantage	$50,768.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35,821.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35,821.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,271.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35,821.94
Rate for Payer: Cigna Commercial	$28,158.96
Rate for Payer: Cigna Medicare Advantage	$16,271.93
Rate for Payer: Clover Medicare Advantage	$15,458.33
Rate for Payer: EmblemHealth Commercial	$48,815.79
Rate for Payer: Humana Medicare Advantage	$16,760.09
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16,271.93
Rate for Payer: Oxford Commercial	$20,238.22
Rate for Payer: UnitedHealthcare Commercial	$35,488.35
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,271.93
Rate for Payer: Wellcare Medicare Advantage	$16,271.93

MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC

Facility

$85,614.48

Service Code	MSDRG 344
Min. Negotiated Rate	$26,068.51
Max. Negotiated Rate	$85,614.48
Rate for Payer: Aetna Commercial	$59,084.25
Rate for Payer: Aetna Medicare Advantage	$85,614.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63,735.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63,735.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27,440.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63,735.14
Rate for Payer: Cigna Commercial	$48,334.52
Rate for Payer: Cigna Medicare Advantage	$27,440.54
Rate for Payer: Clover Medicare Advantage	$26,068.51
Rate for Payer: EmblemHealth Commercial	$82,321.62
Rate for Payer: Humana Medicare Advantage	$28,263.76
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$27,440.54
Rate for Payer: Oxford Commercial	$34,738.66
Rate for Payer: UnitedHealthcare Commercial	$60,915.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$27,440.54
Rate for Payer: Wellcare Medicare Advantage	$27,440.54

MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC

Facility

$40,474.04

Service Code	MSDRG 346
Min. Negotiated Rate	$12,323.83
Max. Negotiated Rate	$40,474.04
Rate for Payer: Aetna Commercial	$28,067.61
Rate for Payer: Aetna Medicare Advantage	$40,474.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30,006.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30,006.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,972.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30,006.69
Rate for Payer: Cigna Commercial	$22,198.55
Rate for Payer: Cigna Medicare Advantage	$12,972.45
Rate for Payer: Clover Medicare Advantage	$12,323.83
Rate for Payer: EmblemHealth Commercial	$38,917.35
Rate for Payer: Humana Medicare Advantage	$13,361.62
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,972.45
Rate for Payer: Oxford Commercial	$15,954.39
Rate for Payer: UnitedHealthcare Commercial	$27,976.53
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,972.45
Rate for Payer: Wellcare Medicare Advantage	$12,972.45

MINOXIDAL/10MG/TAB

Facility

$3.00

Hospital Charge Code	60634384
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

MINOXIDAL/10MG/TAB

Facility

$3.00

Hospital Charge Code	60634384
Hospital Revenue Code	250
Min. Negotiated Rate	$0.07
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$1.14
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.90
Rate for Payer: Oxford Commercial	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$0.60
Rate for Payer: UnitedHealthcare Community & State	$0.07
Rate for Payer: Wellpoint Medicaid Managed Care	$0.08

MINOXIDIL 2.5 MG TAB

Facility

$4.00

Service Code	NDC 591564201
Hospital Charge Code	60627640
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

MINOXIDIL 2.5 MG TAB

Facility

$4.00

Service Code	NDC 591564201
Hospital Charge Code	60627640
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

Know your out-of-pocket cost for care.

All Charges