Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

MECLIZINE 12.5 MG TABLET

Facility

$467.40

Service Code	NDC 51079-423-20
Hospital Charge Code	12024
Hospital Revenue Code	637
Min. Negotiated Rate	$294.46
Max. Negotiated Rate	$420.66
Rate for Payer: Aetna Commercial	$397.29
Rate for Payer: Aetna New Business (MI Preferred)	$303.81
Rate for Payer: Cash Price	$373.92
Rate for Payer: Cofinity Commercial	$327.18
Rate for Payer: Cofinity Commercial	$401.96
Rate for Payer: Healthscope Commercial	$420.66
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$397.29
Rate for Payer: PHP Commercial	$397.29
Rate for Payer: Priority Health Cigna Priority Health	$327.18
Rate for Payer: Priority Health SBD	$294.46

MECLIZINE 12.5 MG TABLET

Facility

$3.23

Service Code	NDC 50268-522-11
Hospital Charge Code	12024
Hospital Revenue Code	637
Min. Negotiated Rate	$2.03
Max. Negotiated Rate	$2.91
Rate for Payer: Aetna Commercial	$2.75
Rate for Payer: Aetna New Business (MI Preferred)	$2.10
Rate for Payer: Cash Price	$2.58
Rate for Payer: Cofinity Commercial	$2.26
Rate for Payer: Cofinity Commercial	$2.78
Rate for Payer: Healthscope Commercial	$2.91
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$2.75
Rate for Payer: PHP Commercial	$2.75
Rate for Payer: Priority Health Cigna Priority Health	$2.26
Rate for Payer: Priority Health SBD	$2.03

MECLIZINE 12.5 MG TABLET

Facility

$161.03

Service Code	NDC 50268-522-15
Hospital Charge Code	12024
Hospital Revenue Code	637
Min. Negotiated Rate	$101.45
Max. Negotiated Rate	$144.93
Rate for Payer: Aetna Commercial	$136.88
Rate for Payer: Aetna New Business (MI Preferred)	$104.67
Rate for Payer: Cash Price	$128.82
Rate for Payer: Cofinity Commercial	$112.72
Rate for Payer: Cofinity Commercial	$138.49
Rate for Payer: Healthscope Commercial	$144.93
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$136.88
Rate for Payer: PHP Commercial	$136.88
Rate for Payer: Priority Health Cigna Priority Health	$112.72
Rate for Payer: Priority Health SBD	$101.45

MECLIZINE 12.5 MG TABLET

Facility

$4.68

Service Code	NDC 51079-423-01
Hospital Charge Code	12024
Hospital Revenue Code	637
Min. Negotiated Rate	$2.95
Max. Negotiated Rate	$4.21
Rate for Payer: Aetna Commercial	$3.98
Rate for Payer: Aetna New Business (MI Preferred)	$3.04
Rate for Payer: Cash Price	$3.74
Rate for Payer: Cofinity Commercial	$3.28
Rate for Payer: Cofinity Commercial	$4.02
Rate for Payer: Healthscope Commercial	$4.21
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$3.98
Rate for Payer: PHP Commercial	$3.98
Rate for Payer: Priority Health Cigna Priority Health	$3.28
Rate for Payer: Priority Health SBD	$2.95

MECLIZINE 25 MG TABLET

Facility

$4.56

Service Code	NDC 50268-523-11
Hospital Charge Code	12025
Hospital Revenue Code	637
Min. Negotiated Rate	$2.87
Max. Negotiated Rate	$4.10
Rate for Payer: Aetna Commercial	$3.88
Rate for Payer: Aetna New Business (MI Preferred)	$2.96
Rate for Payer: Cash Price	$3.65
Rate for Payer: Cofinity Commercial	$3.19
Rate for Payer: Cofinity Commercial	$3.92
Rate for Payer: Healthscope Commercial	$4.10
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$3.88
Rate for Payer: PHP Commercial	$3.88
Rate for Payer: Priority Health Cigna Priority Health	$3.19
Rate for Payer: Priority Health SBD	$2.87

MECLIZINE 25 MG TABLET

Facility

$228.00

Service Code	NDC 50268-523-15
Hospital Charge Code	12025
Hospital Revenue Code	637
Min. Negotiated Rate	$143.64
Max. Negotiated Rate	$205.20
Rate for Payer: Aetna Commercial	$193.80
Rate for Payer: Aetna New Business (MI Preferred)	$148.20
Rate for Payer: Cash Price	$182.40
Rate for Payer: Cofinity Commercial	$196.08
Rate for Payer: Cofinity Commercial	$159.60
Rate for Payer: Healthscope Commercial	$205.20
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$193.80
Rate for Payer: PHP Commercial	$193.80
Rate for Payer: Priority Health Cigna Priority Health	$159.60
Rate for Payer: Priority Health SBD	$143.64

MEDICAL BACK PROBLEMS WITH MCC

Facility

$26,800.96

Service Code	MS-DRG 551
Min. Negotiated Rate	$12,112.00
Max. Negotiated Rate	$26,800.96
Rate for Payer: Aetna Medicare	$13,259.45
Rate for Payer: Allen County Amish Medical Aid Commercial	$15,936.84
Rate for Payer: Amish Plain Church Group Commercial	$15,936.84
Rate for Payer: BCBS MAPPO	$12,749.47
Rate for Payer: BCBS Trust/PPO	$26,800.96
Rate for Payer: BCN Medicare Advantage	$12,749.47
Rate for Payer: Health Alliance Plan Medicare Advantage	$12,749.47
Rate for Payer: Mclaren Medicare	$12,749.47
Rate for Payer: Meridian Wellcare - Medicare Advantage	$13,386.94
Rate for Payer: MI Amish Medical Board Commercial	$14,661.89
Rate for Payer: PACE Medicare	$12,112.00
Rate for Payer: PACE SWMI	$12,749.47
Rate for Payer: PHP Medicare Advantage	$12,749.47
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$24,422.13
Rate for Payer: Priority Health Medicare	$12,749.47
Rate for Payer: Priority Health Narrow Network	$19,537.70
Rate for Payer: Railroad Medicare Medicare	$12,749.47
Rate for Payer: UHC All Payor (Choice/PPO)	$25,960.78
Rate for Payer: UHC Core	$15,929.78
Rate for Payer: UHC Dual Complete DSNP	$12,749.47
Rate for Payer: UHC Exchange	$17,061.55
Rate for Payer: UHC Medicare Advantage	$13,131.95
Rate for Payer: VA VA	$12,749.47

MEDICAL BACK PROBLEMS WITHOUT MCC

Facility

$15,408.63

Service Code	MS-DRG 552
Min. Negotiated Rate	$7,079.24
Max. Negotiated Rate	$15,408.63
Rate for Payer: Aetna Medicare	$7,749.90
Rate for Payer: Allen County Amish Medical Aid Commercial	$9,314.79
Rate for Payer: Amish Plain Church Group Commercial	$9,314.79
Rate for Payer: BCBS MAPPO	$7,451.83
Rate for Payer: BCBS Trust/PPO	$15,408.63
Rate for Payer: BCN Medicare Advantage	$7,451.83
Rate for Payer: Health Alliance Plan Medicare Advantage	$7,451.83
Rate for Payer: Mclaren Medicare	$7,451.83
Rate for Payer: Meridian Wellcare - Medicare Advantage	$7,824.42
Rate for Payer: MI Amish Medical Board Commercial	$8,569.60
Rate for Payer: PACE Medicare	$7,079.24
Rate for Payer: PACE SWMI	$7,451.83
Rate for Payer: PHP Medicare Advantage	$7,451.83
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$13,866.33
Rate for Payer: Priority Health Medicare	$7,451.83
Rate for Payer: Priority Health Narrow Network	$11,093.06
Rate for Payer: Railroad Medicare Medicare	$7,451.83
Rate for Payer: UHC All Payor (Choice/PPO)	$14,739.94
Rate for Payer: UHC Core	$9,044.57
Rate for Payer: UHC Dual Complete DSNP	$7,451.83
Rate for Payer: UHC Exchange	$9,687.16
Rate for Payer: UHC Medicare Advantage	$7,675.38
Rate for Payer: VA VA	$7,451.83

MEDICAL MAGGOTS

Facility

$1,295.00

Service Code	HCPCS 97602
Hospital Charge Code	300255
Hospital Revenue Code	636
Min. Negotiated Rate	$815.85
Max. Negotiated Rate	$1,165.50
Rate for Payer: Aetna Commercial	$1,100.75
Rate for Payer: Aetna New Business (MI Preferred)	$841.75
Rate for Payer: Cash Price	$1,036.00
Rate for Payer: Cofinity Commercial	$1,113.70
Rate for Payer: Cofinity Commercial	$906.50
Rate for Payer: Healthscope Commercial	$1,165.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,100.75
Rate for Payer: PHP Commercial	$1,100.75
Rate for Payer: Priority Health Cigna Priority Health	$906.50
Rate for Payer: Priority Health SBD	$815.85

MEDROXYPROGESTERONE 10 MG TABLET

Facility

$209.00

Service Code	NDC 59762-3742-2
Hospital Charge Code	4854
Hospital Revenue Code	637
Min. Negotiated Rate	$131.67
Max. Negotiated Rate	$188.10
Rate for Payer: Aetna Commercial	$177.65
Rate for Payer: Aetna New Business (MI Preferred)	$135.85
Rate for Payer: Cash Price	$167.20
Rate for Payer: Cofinity Commercial	$146.30
Rate for Payer: Cofinity Commercial	$179.74
Rate for Payer: Healthscope Commercial	$188.10
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$177.65
Rate for Payer: PHP Commercial	$177.65
Rate for Payer: Priority Health Cigna Priority Health	$146.30
Rate for Payer: Priority Health SBD	$131.67

MEDROXYPROGESTERONE 10 MG TABLET

Facility

$6.16

Service Code	NDC 60687-105-11
Hospital Charge Code	4854
Hospital Revenue Code	637
Min. Negotiated Rate	$3.88
Max. Negotiated Rate	$5.54
Rate for Payer: Aetna Commercial	$5.24
Rate for Payer: Aetna New Business (MI Preferred)	$4.00
Rate for Payer: Cash Price	$4.93
Rate for Payer: Cofinity Commercial	$4.31
Rate for Payer: Cofinity Commercial	$5.30
Rate for Payer: Healthscope Commercial	$5.54
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$5.24
Rate for Payer: PHP Commercial	$5.24
Rate for Payer: Priority Health Cigna Priority Health	$4.31
Rate for Payer: Priority Health SBD	$3.88

MEDROXYPROGESTERONE 10 MG TABLET

Facility

$184.76

Service Code	NDC 60687-105-21
Hospital Charge Code	4854
Hospital Revenue Code	637
Min. Negotiated Rate	$116.40
Max. Negotiated Rate	$166.28
Rate for Payer: Aetna Commercial	$157.05
Rate for Payer: Aetna New Business (MI Preferred)	$120.09
Rate for Payer: Cash Price	$147.81
Rate for Payer: Cofinity Commercial	$129.33
Rate for Payer: Cofinity Commercial	$158.89
Rate for Payer: Healthscope Commercial	$166.28
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$157.05
Rate for Payer: PHP Commercial	$157.05
Rate for Payer: Priority Health Cigna Priority Health	$129.33
Rate for Payer: Priority Health SBD	$116.40

MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SYRINGE

Facility

$181.41

Service Code	HCPCS J1050
Hospital Charge Code	112224
Hospital Revenue Code	636
Min. Negotiated Rate	$114.29
Max. Negotiated Rate	$163.27
Rate for Payer: Aetna Commercial	$154.20
Rate for Payer: Aetna Commercial	$157.67
Rate for Payer: Aetna Commercial	$203.20
Rate for Payer: Aetna New Business (MI Preferred)	$120.57
Rate for Payer: Aetna New Business (MI Preferred)	$155.39
Rate for Payer: Aetna New Business (MI Preferred)	$117.92
Rate for Payer: Cash Price	$145.13
Rate for Payer: Cash Price	$191.25
Rate for Payer: Cash Price	$148.39
Rate for Payer: Cofinity Commercial	$126.99
Rate for Payer: Cofinity Commercial	$156.01
Rate for Payer: Cofinity Commercial	$129.84
Rate for Payer: Cofinity Commercial	$159.52
Rate for Payer: Cofinity Commercial	$167.34
Rate for Payer: Cofinity Commercial	$205.59
Rate for Payer: Healthscope Commercial	$163.27
Rate for Payer: Healthscope Commercial	$215.15
Rate for Payer: Healthscope Commercial	$166.94
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$154.20
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$203.20
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$157.67
Rate for Payer: PHP Commercial	$203.20
Rate for Payer: PHP Commercial	$157.67
Rate for Payer: PHP Commercial	$154.20
Rate for Payer: Priority Health Cigna Priority Health	$129.84
Rate for Payer: Priority Health Cigna Priority Health	$167.34
Rate for Payer: Priority Health Cigna Priority Health	$126.99
Rate for Payer: Priority Health SBD	$114.29
Rate for Payer: Priority Health SBD	$116.86
Rate for Payer: Priority Health SBD	$150.61

MEDROXYPROGESTERONE 2.5 MG TABLET

Facility

$202.10

Service Code	NDC 0555-0872-02
Hospital Charge Code	4855
Hospital Revenue Code	637
Min. Negotiated Rate	$127.32
Max. Negotiated Rate	$181.89
Rate for Payer: Aetna Commercial	$171.78
Rate for Payer: Aetna New Business (MI Preferred)	$131.36
Rate for Payer: Cash Price	$161.68
Rate for Payer: Cofinity Commercial	$141.47
Rate for Payer: Cofinity Commercial	$173.81
Rate for Payer: Healthscope Commercial	$181.89
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$171.78
Rate for Payer: PHP Commercial	$171.78
Rate for Payer: Priority Health Cigna Priority Health	$141.47
Rate for Payer: Priority Health SBD	$127.32

MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION

Facility

$31.73

Service Code	NDC 0121-4776-10
Hospital Charge Code	162543
Hospital Revenue Code	637
Min. Negotiated Rate	$19.99
Max. Negotiated Rate	$28.56
Rate for Payer: Aetna Commercial	$26.97
Rate for Payer: Aetna New Business (MI Preferred)	$20.62
Rate for Payer: Cash Price	$25.38
Rate for Payer: Cofinity Commercial	$27.29
Rate for Payer: Cofinity Commercial	$22.21
Rate for Payer: Healthscope Commercial	$28.56
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$26.97
Rate for Payer: PHP Commercial	$26.97
Rate for Payer: Priority Health Cigna Priority Health	$22.21
Rate for Payer: Priority Health SBD	$19.99

MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION

Facility

$44.65

Service Code	NDC 0121-4776-40
Hospital Charge Code	162543
Hospital Revenue Code	637
Min. Negotiated Rate	$28.13
Max. Negotiated Rate	$40.18
Rate for Payer: Aetna Commercial	$37.95
Rate for Payer: Aetna New Business (MI Preferred)	$29.02
Rate for Payer: Cash Price	$35.72
Rate for Payer: Cofinity Commercial	$31.26
Rate for Payer: Cofinity Commercial	$38.40
Rate for Payer: Healthscope Commercial	$40.18
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$37.95
Rate for Payer: PHP Commercial	$37.95
Rate for Payer: Priority Health Cigna Priority Health	$31.26
Rate for Payer: Priority Health SBD	$28.13

MEGESTROL 40 MG TABLET

Facility

$427.70

Service Code	NDC 0904-3571-61
Hospital Charge Code	4871
Hospital Revenue Code	637
Min. Negotiated Rate	$269.45
Max. Negotiated Rate	$384.93
Rate for Payer: Aetna Commercial	$363.54
Rate for Payer: Aetna New Business (MI Preferred)	$278.00
Rate for Payer: Cash Price	$342.16
Rate for Payer: Cofinity Commercial	$299.39
Rate for Payer: Cofinity Commercial	$367.82
Rate for Payer: Healthscope Commercial	$384.93
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$363.54
Rate for Payer: PHP Commercial	$363.54
Rate for Payer: Priority Health Cigna Priority Health	$299.39
Rate for Payer: Priority Health SBD	$269.45

MELATONIN 3 MG TABLET

Facility

$28.20

Service Code	NDC 8068108600
Hospital Charge Code	16830
Hospital Revenue Code	637
Min. Negotiated Rate	$17.77
Max. Negotiated Rate	$25.38
Rate for Payer: Aetna Commercial	$23.97
Rate for Payer: Aetna New Business (MI Preferred)	$18.33
Rate for Payer: Cash Price	$22.56
Rate for Payer: Cofinity Commercial	$19.74
Rate for Payer: Cofinity Commercial	$24.25
Rate for Payer: Healthscope Commercial	$25.38
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$23.97
Rate for Payer: PHP Commercial	$23.97
Rate for Payer: Priority Health Cigna Priority Health	$19.74
Rate for Payer: Priority Health SBD	$17.77

MELATONIN 3 MG TABLET

Facility

$646.25

Service Code	NDC 8068114800
Hospital Charge Code	16830
Hospital Revenue Code	637
Min. Negotiated Rate	$407.14
Max. Negotiated Rate	$581.62
Rate for Payer: Aetna Commercial	$549.31
Rate for Payer: Aetna New Business (MI Preferred)	$420.06
Rate for Payer: Cash Price	$517.00
Rate for Payer: Cofinity Commercial	$452.38
Rate for Payer: Cofinity Commercial	$555.78
Rate for Payer: Healthscope Commercial	$581.62
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$549.31
Rate for Payer: PHP Commercial	$549.31
Rate for Payer: Priority Health Cigna Priority Health	$452.38
Rate for Payer: Priority Health SBD	$407.14

MELATONIN 3 MG TABLET

Facility

$118.44

Service Code	NDC 9629513723
Hospital Charge Code	16830
Hospital Revenue Code	637
Min. Negotiated Rate	$74.62
Max. Negotiated Rate	$106.60
Rate for Payer: Aetna Commercial	$100.67
Rate for Payer: Aetna New Business (MI Preferred)	$76.99
Rate for Payer: Cash Price	$94.75
Rate for Payer: Cofinity Commercial	$101.86
Rate for Payer: Cofinity Commercial	$82.91
Rate for Payer: Healthscope Commercial	$106.60
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$100.67
Rate for Payer: PHP Commercial	$100.67
Rate for Payer: Priority Health Cigna Priority Health	$82.91
Rate for Payer: Priority Health SBD	$74.62

MELATONIN 3 MG TABLET

Facility

$3.81

Service Code	NDC 7733351625
Hospital Charge Code	16830
Hospital Revenue Code	637
Min. Negotiated Rate	$2.40
Max. Negotiated Rate	$3.43
Rate for Payer: Aetna Commercial	$3.24
Rate for Payer: Aetna New Business (MI Preferred)	$2.48
Rate for Payer: Cash Price	$3.05
Rate for Payer: Cofinity Commercial	$2.67
Rate for Payer: Cofinity Commercial	$3.28
Rate for Payer: Healthscope Commercial	$3.43
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$3.24
Rate for Payer: PHP Commercial	$3.24
Rate for Payer: Priority Health Cigna Priority Health	$2.67
Rate for Payer: Priority Health SBD	$2.40

MELATONIN 3 MG TABLET

Facility

$123.38

Service Code	NDC 2055503600
Hospital Charge Code	16830
Hospital Revenue Code	637
Min. Negotiated Rate	$77.73
Max. Negotiated Rate	$111.04
Rate for Payer: Aetna Commercial	$104.87
Rate for Payer: Aetna New Business (MI Preferred)	$80.20
Rate for Payer: Cash Price	$98.70
Rate for Payer: Cofinity Commercial	$106.11
Rate for Payer: Cofinity Commercial	$86.37
Rate for Payer: Healthscope Commercial	$111.04
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$104.87
Rate for Payer: PHP Commercial	$104.87
Rate for Payer: Priority Health Cigna Priority Health	$86.37
Rate for Payer: Priority Health SBD	$77.73

MELATONIN 3 MG TABLET

Facility

$212.68

Service Code	NDC 5026852415
Hospital Charge Code	16830
Hospital Revenue Code	637
Min. Negotiated Rate	$133.99
Max. Negotiated Rate	$191.41
Rate for Payer: Aetna Commercial	$180.78
Rate for Payer: Aetna New Business (MI Preferred)	$138.24
Rate for Payer: Cash Price	$170.14
Rate for Payer: Cofinity Commercial	$148.88
Rate for Payer: Cofinity Commercial	$182.90
Rate for Payer: Healthscope Commercial	$191.41
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$180.78
Rate for Payer: PHP Commercial	$180.78
Rate for Payer: Priority Health Cigna Priority Health	$148.88
Rate for Payer: Priority Health SBD	$133.99

MELATONIN 3 MG TABLET

Facility

$380.70

Service Code	NDC 7733351610
Hospital Charge Code	16830
Hospital Revenue Code	637
Min. Negotiated Rate	$239.84
Max. Negotiated Rate	$342.63
Rate for Payer: Aetna Commercial	$323.60
Rate for Payer: Aetna New Business (MI Preferred)	$247.46
Rate for Payer: Cash Price	$304.56
Rate for Payer: Cofinity Commercial	$266.49
Rate for Payer: Cofinity Commercial	$327.40
Rate for Payer: Healthscope Commercial	$342.63
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$323.60
Rate for Payer: PHP Commercial	$323.60
Rate for Payer: Priority Health Cigna Priority Health	$266.49
Rate for Payer: Priority Health SBD	$239.84

MELATONIN 3 MG TABLET

Facility

$4.26

Service Code	NDC 5026852411
Hospital Charge Code	16830
Hospital Revenue Code	637
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$3.83
Rate for Payer: Aetna Commercial	$3.62
Rate for Payer: Aetna New Business (MI Preferred)	$2.77
Rate for Payer: Cash Price	$3.41
Rate for Payer: Cofinity Commercial	$2.98
Rate for Payer: Cofinity Commercial	$3.66
Rate for Payer: Healthscope Commercial	$3.83
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$3.62
Rate for Payer: PHP Commercial	$3.62
Rate for Payer: Priority Health Cigna Priority Health	$2.98
Rate for Payer: Priority Health SBD	$2.68

Know your out-of-pocket cost for care.

All Charges