Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TIBIAL TRAY TRAP SZ1F/3T 2F/3T

Facility

$5,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270669784
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

TIBIAL TRAY TRAP SZ 4F/3T

Facility

$5,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270673795
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

TIBIAL TRAY TRAP SZ 4F/3T

Facility

$5,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270673795
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

TIBIAL TRAY TRAP SZ 4F/5T

Facility

$5,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270675367
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

TIBIAL TRAY TRAP SZ 4F/5T

Facility

$5,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270675367
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

TIBIAL TRIATHLON BP SZ #7

Facility

$4,446.55

Service Code	HCPCS C1776
Hospital Charge Code	270681038
Hospital Revenue Code	278
Min. Negotiated Rate	$107.16
Max. Negotiated Rate	$2,223.28
Rate for Payer: Aetna Commercial	$1,689.69
Rate for Payer: Aetna Medicare Advantage	$1,333.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,133.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,133.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$889.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,133.87
Rate for Payer: Cigna Commercial	$2,223.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,076.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$978.24
Rate for Payer: Qualcare PPO/HMO/WC	$666.98
Rate for Payer: UnitedHealthcare Community & State	$107.16
Rate for Payer: Wellpoint Medicaid Managed Care	$117.83

TIBIAL TRIATHLON BP SZ #7

Facility

$4,446.55

Service Code	HCPCS C1776
Hospital Charge Code	270681038
Hospital Revenue Code	278
Min. Negotiated Rate	$666.98
Max. Negotiated Rate	$1,076.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$889.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,076.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$978.24
Rate for Payer: Qualcare PPO/HMO/WC	$666.98

TIBIAL TRY PRMRY 75mm W/LCK BR

Facility

$10,020.00

Hospital Charge Code	270647012
Hospital Revenue Code	278
Min. Negotiated Rate	$241.48
Max. Negotiated Rate	$5,010.00
Rate for Payer: Aetna Commercial	$3,807.60
Rate for Payer: Aetna Medicare Advantage	$3,006.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,555.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,555.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,004.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,555.10
Rate for Payer: Cigna Commercial	$5,010.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,424.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,204.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,503.00
Rate for Payer: UnitedHealthcare Community & State	$241.48
Rate for Payer: Wellpoint Medicaid Managed Care	$265.53

TIBIAL TRY PRMRY 75mm W/LCK BR

Facility

$10,020.00

Hospital Charge Code	270647012
Hospital Revenue Code	278
Min. Negotiated Rate	$1,503.00
Max. Negotiated Rate	$2,424.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,004.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,424.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,204.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,503.00

TIBIAL TRY SIZE F OXFRD 154776

Facility

$7,715.00

Hospital Charge Code	270639310
Hospital Revenue Code	278
Min. Negotiated Rate	$1,157.25
Max. Negotiated Rate	$1,867.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,543.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,867.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,697.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,157.25

TIBIAL TRY SIZE F OXFRD 154776

Facility

$7,715.00

Hospital Charge Code	270639310
Hospital Revenue Code	278
Min. Negotiated Rate	$185.93
Max. Negotiated Rate	$3,857.50
Rate for Payer: Aetna Commercial	$2,931.70
Rate for Payer: Aetna Medicare Advantage	$2,314.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,967.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,967.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,543.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,967.33
Rate for Payer: Cigna Commercial	$3,857.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,867.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,697.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,157.25
Rate for Payer: UnitedHealthcare Community & State	$185.93
Rate for Payer: Wellpoint Medicaid Managed Care	$204.45

TIBIAL UNIVERSAL SZ7 RT

Facility

$10,235.00

Service Code	HCPCS C1776
Hospital Charge Code	270692526
Hospital Revenue Code	278
Min. Negotiated Rate	$246.66
Max. Negotiated Rate	$5,117.50
Rate for Payer: Aetna Commercial	$3,889.30
Rate for Payer: Aetna Medicare Advantage	$3,070.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,609.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,609.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,047.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,609.93
Rate for Payer: Cigna Commercial	$5,117.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,476.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,251.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,535.25
Rate for Payer: UnitedHealthcare Community & State	$246.66
Rate for Payer: Wellpoint Medicaid Managed Care	$271.23

TIBIAL UNIVERSAL SZ7 RT

Facility

$10,235.00

Service Code	HCPCS C1776
Hospital Charge Code	270692526
Hospital Revenue Code	278
Min. Negotiated Rate	$1,535.25
Max. Negotiated Rate	$2,476.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,047.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,476.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,251.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,535.25

TIBIA MONOBLK SZ7 GH 588604710

Facility

$18,170.00

Hospital Charge Code	270637704
Hospital Revenue Code	278
Min. Negotiated Rate	$2,725.50
Max. Negotiated Rate	$4,397.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,634.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,397.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,997.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,725.50

TIBIA MONOBLK SZ7 GH 588604710

Facility

$18,170.00

Hospital Charge Code	270637704
Hospital Revenue Code	278
Min. Negotiated Rate	$437.90
Max. Negotiated Rate	$9,085.00
Rate for Payer: Aetna Commercial	$6,904.60
Rate for Payer: Aetna Medicare Advantage	$5,451.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,633.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,633.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,634.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,633.35
Rate for Payer: Cigna Commercial	$9,085.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,397.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,997.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,725.50
Rate for Payer: UnitedHealthcare Community & State	$437.90
Rate for Payer: Wellpoint Medicaid Managed Care	$481.50

TIBIA NP CEMENTED SZ2 RT STD

Facility

$14,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270697281
Hospital Revenue Code	278
Min. Negotiated Rate	$337.40
Max. Negotiated Rate	$7,000.00
Rate for Payer: Aetna Commercial	$5,320.00
Rate for Payer: Aetna Medicare Advantage	$4,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,570.00
Rate for Payer: Cigna Commercial	$7,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,388.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,080.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,100.00
Rate for Payer: UnitedHealthcare Community & State	$337.40
Rate for Payer: Wellpoint Medicaid Managed Care	$371.00

TIBIA NP CEMENTED SZ2 RT STD

Facility

$14,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270697281
Hospital Revenue Code	278
Min. Negotiated Rate	$2,100.00
Max. Negotiated Rate	$3,388.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,388.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,080.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,100.00

TIBIA POR COASTED SZ 11 LEFT

Facility

$11,550.00

Service Code	HCPCS C1776
Hospital Charge Code	270692716
Hospital Revenue Code	278
Min. Negotiated Rate	$1,732.50
Max. Negotiated Rate	$2,795.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,310.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,795.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,732.50

TIBIA POR COASTED SZ 11 LEFT

Facility

$11,550.00

Service Code	HCPCS C1776
Hospital Charge Code	270692716
Hospital Revenue Code	278
Min. Negotiated Rate	$278.36
Max. Negotiated Rate	$5,775.00
Rate for Payer: Aetna Commercial	$4,389.00
Rate for Payer: Aetna Medicare Advantage	$3,465.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,945.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,945.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,310.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,945.25
Rate for Payer: Cigna Commercial	$5,775.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,795.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,732.50
Rate for Payer: UnitedHealthcare Community & State	$278.36
Rate for Payer: Wellpoint Medicaid Managed Care	$306.07

TIBIA PRESSFIT BP 8 LT POROUS

Facility

$11,550.00

Service Code	HCPCS C1776
Hospital Charge Code	270692263
Hospital Revenue Code	278
Min. Negotiated Rate	$1,732.50
Max. Negotiated Rate	$2,795.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,310.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,795.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,732.50

TIBIA PRESSFIT BP 8 LT POROUS

Facility

$11,550.00

Service Code	HCPCS C1776
Hospital Charge Code	270692263
Hospital Revenue Code	278
Min. Negotiated Rate	$278.36
Max. Negotiated Rate	$5,775.00
Rate for Payer: Aetna Commercial	$4,389.00
Rate for Payer: Aetna Medicare Advantage	$3,465.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,945.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,945.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,310.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,945.25
Rate for Payer: Cigna Commercial	$5,775.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,795.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,541.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,732.50
Rate for Payer: UnitedHealthcare Community & State	$278.36
Rate for Payer: Wellpoint Medicaid Managed Care	$306.07

TIBIA PSN ASF CPS VE6-9CD 12MM

Facility

$6,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270690108
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

TIBIA PSN ASF CPS VE6-9CD 12MM

Facility

$6,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270690108
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

TIBIA TALAR DOME SZ2 INF 12MM

Facility

$63,270.00

Service Code	HCPCS C1776
Hospital Charge Code	270698107
Hospital Revenue Code	278
Min. Negotiated Rate	$1,524.81
Max. Negotiated Rate	$31,635.00
Rate for Payer: Aetna Commercial	$24,042.60
Rate for Payer: Aetna Medicare Advantage	$18,981.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,133.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,133.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12,654.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16,133.85
Rate for Payer: Cigna Commercial	$31,635.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,311.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$13,919.40
Rate for Payer: Qualcare PPO/HMO/WC	$9,490.50
Rate for Payer: UnitedHealthcare Community & State	$1,524.81
Rate for Payer: Wellpoint Medicaid Managed Care	$1,676.65

TIBIA TALAR DOME SZ2 INF 12MM

Facility

$63,270.00

Service Code	HCPCS C1776
Hospital Charge Code	270698107
Hospital Revenue Code	278
Min. Negotiated Rate	$9,490.50
Max. Negotiated Rate	$15,311.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12,654.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,311.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$13,919.40
Rate for Payer: Qualcare PPO/HMO/WC	$9,490.50

Know your out-of-pocket cost for care.

All Charges