Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW POLYAXIAL 4.0X12MM

Facility

$2,400.00

Service Code	HCPCS C1713
Hospital Charge Code	270695315
Hospital Revenue Code	278
Min. Negotiated Rate	$57.84
Max. Negotiated Rate	$1,200.00
Rate for Payer: Aetna Commercial	$912.00
Rate for Payer: Aetna Medicare Advantage	$720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$480.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$612.00
Rate for Payer: Cigna Commercial	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$580.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$528.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00
Rate for Payer: UnitedHealthcare Community & State	$57.84
Rate for Payer: Wellpoint Medicaid Managed Care	$63.60

SCREW POLYAXIAL 4.5X26MM

Facility

$3,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270704861
Hospital Revenue Code	278
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$847.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$770.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

SCREW POLYAXIAL 4.5X26MM

Facility

$3,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270704861
Hospital Revenue Code	278
Min. Negotiated Rate	$84.35
Max. Negotiated Rate	$1,750.00
Rate for Payer: Aetna Commercial	$1,330.00
Rate for Payer: Aetna Medicare Advantage	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$892.50
Rate for Payer: Cigna Commercial	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$770.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00
Rate for Payer: UnitedHealthcare Community & State	$84.35
Rate for Payer: Wellpoint Medicaid Managed Care	$92.75

SCREW POLYAXIAL 5.5MM X 45M

Facility

$8,900.00

Hospital Charge Code	270661265
Hospital Revenue Code	278
Min. Negotiated Rate	$1,335.00
Max. Negotiated Rate	$2,153.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,780.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,153.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,958.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,335.00

SCREW POLYAXIAL 5.5MM X 45M

Facility

$8,900.00

Hospital Charge Code	270661265
Hospital Revenue Code	278
Min. Negotiated Rate	$214.49
Max. Negotiated Rate	$4,450.00
Rate for Payer: Aetna Commercial	$3,382.00
Rate for Payer: Aetna Medicare Advantage	$2,670.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,269.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,269.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,780.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,269.50
Rate for Payer: Cigna Commercial	$4,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,153.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,958.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,335.00
Rate for Payer: UnitedHealthcare Community & State	$214.49
Rate for Payer: Wellpoint Medicaid Managed Care	$235.85

SCREW POLYAXIAL 6.5 MM X 45 MM

Facility

$5,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270691013
Hospital Revenue Code	278
Min. Negotiated Rate	$813.75
Max. Negotiated Rate	$1,312.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,085.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,312.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,193.50
Rate for Payer: Qualcare PPO/HMO/WC	$813.75

SCREW POLYAXIAL 6.5 MM X 45 MM

Facility

$5,425.00

Service Code	HCPCS C1713
Hospital Charge Code	270691013
Hospital Revenue Code	278
Min. Negotiated Rate	$130.74
Max. Negotiated Rate	$2,712.50
Rate for Payer: Aetna Commercial	$2,061.50
Rate for Payer: Aetna Medicare Advantage	$1,627.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,383.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,383.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,085.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,383.38
Rate for Payer: Cigna Commercial	$2,712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,312.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,193.50
Rate for Payer: Qualcare PPO/HMO/WC	$813.75
Rate for Payer: UnitedHealthcare Community & State	$130.74
Rate for Payer: Wellpoint Medicaid Managed Care	$143.76

SCREW POLYAXIAL 6.5 X 30 MM

Facility

$10,855.00

Service Code	HCPCS C1713
Hospital Charge Code	270691423
Hospital Revenue Code	278
Min. Negotiated Rate	$261.61
Max. Negotiated Rate	$5,427.50
Rate for Payer: Aetna Commercial	$4,124.90
Rate for Payer: Aetna Medicare Advantage	$3,256.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,768.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,768.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,171.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,768.03
Rate for Payer: Cigna Commercial	$5,427.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,626.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,388.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,628.25
Rate for Payer: UnitedHealthcare Community & State	$261.61
Rate for Payer: Wellpoint Medicaid Managed Care	$287.66

SCREW POLYAXIAL 6.5 X 30 MM

Facility

$10,855.00

Service Code	HCPCS C1713
Hospital Charge Code	270691423
Hospital Revenue Code	278
Min. Negotiated Rate	$1,628.25
Max. Negotiated Rate	$2,626.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,171.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,626.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,388.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,628.25

SCREW POLYAXIAL 6.5 X 40 MM

Facility

$10,855.00

Service Code	HCPCS C1713
Hospital Charge Code	270691422
Hospital Revenue Code	278
Min. Negotiated Rate	$1,628.25
Max. Negotiated Rate	$2,626.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,171.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,626.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,388.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,628.25

SCREW POLYAXIAL 6.5 X 40 MM

Facility

$10,855.00

Service Code	HCPCS C1713
Hospital Charge Code	270691422
Hospital Revenue Code	278
Min. Negotiated Rate	$261.61
Max. Negotiated Rate	$5,427.50
Rate for Payer: Aetna Commercial	$4,124.90
Rate for Payer: Aetna Medicare Advantage	$3,256.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,768.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,768.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,171.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,768.03
Rate for Payer: Cigna Commercial	$5,427.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,626.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,388.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,628.25
Rate for Payer: UnitedHealthcare Community & State	$261.61
Rate for Payer: Wellpoint Medicaid Managed Care	$287.66

SCREW POLYAXIAL 6.5 X 45 MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270694185
Hospital Revenue Code	278
Min. Negotiated Rate	$1,011.00
Max. Negotiated Rate	$1,631.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,482.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00

SCREW POLYAXIAL 6.5 X 45 MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270694185
Hospital Revenue Code	278
Min. Negotiated Rate	$162.43
Max. Negotiated Rate	$3,370.00
Rate for Payer: Aetna Commercial	$2,561.20
Rate for Payer: Aetna Medicare Advantage	$2,022.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,718.70
Rate for Payer: Cigna Commercial	$3,370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,482.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00
Rate for Payer: UnitedHealthcare Community & State	$162.43
Rate for Payer: Wellpoint Medicaid Managed Care	$178.61

SCREW POLYAXIAL 65X45MM

Facility

$5,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270705779
Hospital Revenue Code	278
Min. Negotiated Rate	$132.55
Max. Negotiated Rate	$2,750.00
Rate for Payer: Aetna Commercial	$2,090.00
Rate for Payer: Aetna Medicare Advantage	$1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,402.50
Rate for Payer: Cigna Commercial	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00
Rate for Payer: UnitedHealthcare Community & State	$132.55
Rate for Payer: Wellpoint Medicaid Managed Care	$145.75

SCREW POLYAXIAL 65X45MM

Facility

$5,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270705779
Hospital Revenue Code	278
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$1,331.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

SCREW POLYAXIAL 7.5 MM X 80 MM

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270685951
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

SCREW POLYAXIAL 7.5 MM X 80 MM

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270685951
Hospital Revenue Code	278
Min. Negotiated Rate	$144.60
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$2,280.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00
Rate for Payer: UnitedHealthcare Community & State	$144.60
Rate for Payer: Wellpoint Medicaid Managed Care	$159.00

SCREW POLYAXIAL 7.5X35MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270695325
Hospital Revenue Code	278
Min. Negotiated Rate	$1,011.00
Max. Negotiated Rate	$1,631.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,482.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00

SCREW POLYAXIAL 7.5X35MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270695325
Hospital Revenue Code	278
Min. Negotiated Rate	$162.43
Max. Negotiated Rate	$3,370.00
Rate for Payer: Aetna Commercial	$2,561.20
Rate for Payer: Aetna Medicare Advantage	$2,022.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,718.70
Rate for Payer: Cigna Commercial	$3,370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,482.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00
Rate for Payer: UnitedHealthcare Community & State	$162.43
Rate for Payer: Wellpoint Medicaid Managed Care	$178.61

SCREW POLYAXIAL 7.5X 40 MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270694186
Hospital Revenue Code	278
Min. Negotiated Rate	$162.43
Max. Negotiated Rate	$3,370.00
Rate for Payer: Aetna Commercial	$2,561.20
Rate for Payer: Aetna Medicare Advantage	$2,022.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,718.70
Rate for Payer: Cigna Commercial	$3,370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,482.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00
Rate for Payer: UnitedHealthcare Community & State	$162.43
Rate for Payer: Wellpoint Medicaid Managed Care	$178.61

SCREW POLYAXIAL 7.5X 40 MM

Facility

$6,740.00

Service Code	HCPCS C1713
Hospital Charge Code	270694186
Hospital Revenue Code	278
Min. Negotiated Rate	$1,011.00
Max. Negotiated Rate	$1,631.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,348.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,482.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,011.00

SCREW POLYAXIAL 7.5X45 MM

Facility

$7,845.00

Service Code	HCPCS C1713
Hospital Charge Code	270692204
Hospital Revenue Code	278
Min. Negotiated Rate	$189.06
Max. Negotiated Rate	$3,922.50
Rate for Payer: Aetna Commercial	$2,981.10
Rate for Payer: Aetna Medicare Advantage	$2,353.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,000.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,000.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,569.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,000.47
Rate for Payer: Cigna Commercial	$3,922.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,898.49
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,725.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,176.75
Rate for Payer: UnitedHealthcare Community & State	$189.06
Rate for Payer: Wellpoint Medicaid Managed Care	$207.89

SCREW POLYAXIAL 7.5X45 MM

Facility

$7,845.00

Service Code	HCPCS C1713
Hospital Charge Code	270692204
Hospital Revenue Code	278
Min. Negotiated Rate	$1,176.75
Max. Negotiated Rate	$1,898.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,569.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,898.49
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,725.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,176.75

SCREW POLYAXIAL 7.5X 70MM

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270685950
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

SCREW POLYAXIAL 7.5X 70MM

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270685950
Hospital Revenue Code	278
Min. Negotiated Rate	$144.60
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$2,280.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00
Rate for Payer: UnitedHealthcare Community & State	$144.60
Rate for Payer: Wellpoint Medicaid Managed Care	$159.00

Know your out-of-pocket cost for care.

All Charges