Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

MICONAZOLE NITRATE 2 % TOPICAL CREAM

Facility

$18.09

Service Code	NDC 51672-2001-2
Hospital Charge Code	5039
Hospital Revenue Code	637
Min. Negotiated Rate	$11.40
Max. Negotiated Rate	$16.28
Rate for Payer: Aetna Commercial	$15.38
Rate for Payer: Aetna New Business (MI Preferred)	$11.76
Rate for Payer: Cash Price	$14.47
Rate for Payer: Cofinity Commercial	$12.66
Rate for Payer: Cofinity Commercial	$15.56
Rate for Payer: Healthscope Commercial	$16.28
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$15.38
Rate for Payer: PHP Commercial	$15.38
Rate for Payer: Priority Health Cigna Priority Health	$12.66
Rate for Payer: Priority Health SBD	$11.40

MICONAZOLE NITRATE 2 % TOPICAL CREAM

Facility

$11.75

Service Code	NDC 0536-1134-28
Hospital Charge Code	5039
Hospital Revenue Code	637
Min. Negotiated Rate	$7.40
Max. Negotiated Rate	$10.58
Rate for Payer: Aetna Commercial	$9.99
Rate for Payer: Aetna New Business (MI Preferred)	$7.64
Rate for Payer: Cash Price	$9.40
Rate for Payer: Cofinity Commercial	$10.10
Rate for Payer: Cofinity Commercial	$8.22
Rate for Payer: Healthscope Commercial	$10.58
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$9.99
Rate for Payer: PHP Commercial	$9.99
Rate for Payer: Priority Health Cigna Priority Health	$8.22
Rate for Payer: Priority Health SBD	$7.40

MICONAZOLE NITRATE 2 % TOPICAL OINTMENT

Facility

$23.92

Service Code	NDC 43553-0003-2
Hospital Charge Code	13651
Hospital Revenue Code	637
Min. Negotiated Rate	$15.07
Max. Negotiated Rate	$21.53
Rate for Payer: Aetna Commercial	$20.33
Rate for Payer: Aetna New Business (MI Preferred)	$15.55
Rate for Payer: Cash Price	$19.14
Rate for Payer: Cofinity Commercial	$16.74
Rate for Payer: Cofinity Commercial	$20.57
Rate for Payer: Healthscope Commercial	$21.53
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$20.33
Rate for Payer: PHP Commercial	$20.33
Rate for Payer: Priority Health Cigna Priority Health	$16.74
Rate for Payer: Priority Health SBD	$15.07

MICONAZOLE NITRATE 2 % TOPICAL OINTMENT

Facility

$27.54

Service Code	NDC 11701-067-23
Hospital Charge Code	13651
Hospital Revenue Code	637
Min. Negotiated Rate	$17.35
Max. Negotiated Rate	$24.79
Rate for Payer: Aetna Commercial	$23.41
Rate for Payer: Aetna New Business (MI Preferred)	$17.90
Rate for Payer: Cash Price	$22.03
Rate for Payer: Cofinity Commercial	$19.28
Rate for Payer: Cofinity Commercial	$23.68
Rate for Payer: Healthscope Commercial	$24.79
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$23.41
Rate for Payer: PHP Commercial	$23.41
Rate for Payer: Priority Health Cigna Priority Health	$19.28
Rate for Payer: Priority Health SBD	$17.35

MICONAZOLE NITRATE 2 % TOPICAL POWDER

Facility

$27.08

Service Code	NDC 11701-038-16
Hospital Charge Code	10599
Hospital Revenue Code	637
Min. Negotiated Rate	$17.06
Max. Negotiated Rate	$24.37
Rate for Payer: Aetna Commercial	$23.02
Rate for Payer: Aetna New Business (MI Preferred)	$17.60
Rate for Payer: Cash Price	$21.66
Rate for Payer: Cofinity Commercial	$23.29
Rate for Payer: Cofinity Commercial	$18.96
Rate for Payer: Healthscope Commercial	$24.37
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$23.02
Rate for Payer: PHP Commercial	$23.02
Rate for Payer: Priority Health Cigna Priority Health	$18.96
Rate for Payer: Priority Health SBD	$17.06

MICONAZOLE NITRATE 2 % TOPICAL POWDER

Facility

$22.19

Service Code	NDC 53329-169-79
Hospital Charge Code	10599
Hospital Revenue Code	637
Min. Negotiated Rate	$13.98
Max. Negotiated Rate	$19.97
Rate for Payer: Aetna Commercial	$18.86
Rate for Payer: Aetna New Business (MI Preferred)	$14.42
Rate for Payer: Cash Price	$17.75
Rate for Payer: Cofinity Commercial	$15.53
Rate for Payer: Cofinity Commercial	$19.08
Rate for Payer: Healthscope Commercial	$19.97
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$18.86
Rate for Payer: PHP Commercial	$18.86
Rate for Payer: Priority Health Cigna Priority Health	$15.53
Rate for Payer: Priority Health SBD	$13.98

MICONAZOLE NITRATE 2 % TOPICAL POWDER

Facility

$22.19

Service Code	NDC 8019652856
Hospital Charge Code	10599
Hospital Revenue Code	637
Min. Negotiated Rate	$13.98
Max. Negotiated Rate	$19.97
Rate for Payer: Aetna Commercial	$18.86
Rate for Payer: Aetna New Business (MI Preferred)	$14.42
Rate for Payer: Cash Price	$17.75
Rate for Payer: Cofinity Commercial	$15.53
Rate for Payer: Cofinity Commercial	$19.08
Rate for Payer: Healthscope Commercial	$19.97
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$18.86
Rate for Payer: PHP Commercial	$18.86
Rate for Payer: Priority Health Cigna Priority Health	$15.53
Rate for Payer: Priority Health SBD	$13.98

MICONAZOLE NITRATE 2 % VAGINAL CREAM

Facility

$15.80

Service Code	NDC 51672-2035-6
Hospital Charge Code	5040
Hospital Revenue Code	637
Min. Negotiated Rate	$9.95
Max. Negotiated Rate	$14.22
Rate for Payer: Aetna Commercial	$13.43
Rate for Payer: Aetna New Business (MI Preferred)	$10.27
Rate for Payer: Cash Price	$12.64
Rate for Payer: Cofinity Commercial	$11.06
Rate for Payer: Cofinity Commercial	$13.59
Rate for Payer: Healthscope Commercial	$14.22
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$13.43
Rate for Payer: PHP Commercial	$13.43
Rate for Payer: Priority Health Cigna Priority Health	$11.06
Rate for Payer: Priority Health SBD	$9.95

MICRODERMABRASION

Professional

Both

$100.00

Service Code	HCPCS 00173
Hospital Revenue Code	960
Min. Negotiated Rate	$40.00
Max. Negotiated Rate	$70.00
Rate for Payer: BCBS Complete	$40.00
Rate for Payer: Cash Price	$80.00
Rate for Payer: Priority Health Cigna Priority Health	$70.00

MICRO NEEDLING

Professional

Both

$200.00

Service Code	HCPCS 00171
Hospital Revenue Code	960
Min. Negotiated Rate	$80.00
Max. Negotiated Rate	$140.00
Rate for Payer: BCBS Complete	$80.00
Rate for Payer: Cash Price	$160.00
Rate for Payer: Priority Health Cigna Priority Health	$140.00

MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP

Facility

$39.38

Service Code	NDC 60687-576-40
Hospital Charge Code	120031
Hospital Revenue Code	637
Min. Negotiated Rate	$24.81
Max. Negotiated Rate	$35.44
Rate for Payer: Aetna Commercial	$33.47
Rate for Payer: Aetna New Business (MI Preferred)	$25.60
Rate for Payer: Cash Price	$31.50
Rate for Payer: Cofinity Commercial	$27.57
Rate for Payer: Cofinity Commercial	$33.87
Rate for Payer: Healthscope Commercial	$35.44
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$33.47
Rate for Payer: PHP Commercial	$33.47
Rate for Payer: Priority Health Cigna Priority Health	$27.57
Rate for Payer: Priority Health SBD	$24.81

MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP

Facility

$39.38

Service Code	NDC 60687-576-86
Hospital Charge Code	120031
Hospital Revenue Code	637
Min. Negotiated Rate	$24.81
Max. Negotiated Rate	$35.44
Rate for Payer: Aetna Commercial	$33.47
Rate for Payer: Aetna New Business (MI Preferred)	$25.60
Rate for Payer: Cash Price	$31.50
Rate for Payer: Cofinity Commercial	$27.57
Rate for Payer: Cofinity Commercial	$33.87
Rate for Payer: Healthscope Commercial	$35.44
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$33.47
Rate for Payer: PHP Commercial	$33.47
Rate for Payer: Priority Health Cigna Priority Health	$27.57
Rate for Payer: Priority Health SBD	$24.81

MIDAZOLAM 1 MG/ML INJECTION SOLUTION

Facility

$14.43

Service Code	HCPCS J2250
Hospital Charge Code	10607
Hospital Revenue Code	636
Min. Negotiated Rate	$9.09
Max. Negotiated Rate	$12.99
Rate for Payer: Aetna Commercial	$12.27
Rate for Payer: Aetna Commercial	$12.61
Rate for Payer: Aetna Commercial	$9.23
Rate for Payer: Aetna Commercial	$13.16
Rate for Payer: Aetna New Business (MI Preferred)	$7.06
Rate for Payer: Aetna New Business (MI Preferred)	$9.64
Rate for Payer: Aetna New Business (MI Preferred)	$9.38
Rate for Payer: Aetna New Business (MI Preferred)	$10.06
Rate for Payer: Cash Price	$8.69
Rate for Payer: Cash Price	$11.54
Rate for Payer: Cash Price	$11.86
Rate for Payer: Cash Price	$12.38
Rate for Payer: Cofinity Commercial	$10.10
Rate for Payer: Cofinity Commercial	$12.41
Rate for Payer: Cofinity Commercial	$10.38
Rate for Payer: Cofinity Commercial	$12.75
Rate for Payer: Cofinity Commercial	$9.34
Rate for Payer: Cofinity Commercial	$7.60
Rate for Payer: Cofinity Commercial	$10.84
Rate for Payer: Cofinity Commercial	$13.31
Rate for Payer: Healthscope Commercial	$13.35
Rate for Payer: Healthscope Commercial	$9.77
Rate for Payer: Healthscope Commercial	$12.99
Rate for Payer: Healthscope Commercial	$13.93
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$9.23
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$12.61
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$13.16
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$12.27
Rate for Payer: PHP Commercial	$12.61
Rate for Payer: PHP Commercial	$13.16
Rate for Payer: PHP Commercial	$12.27
Rate for Payer: PHP Commercial	$9.23
Rate for Payer: Priority Health Cigna Priority Health	$10.38
Rate for Payer: Priority Health Cigna Priority Health	$7.60
Rate for Payer: Priority Health Cigna Priority Health	$10.10
Rate for Payer: Priority Health Cigna Priority Health	$10.84
Rate for Payer: Priority Health SBD	$9.09
Rate for Payer: Priority Health SBD	$9.34
Rate for Payer: Priority Health SBD	$9.75
Rate for Payer: Priority Health SBD	$6.84

MIDAZOLAM 2 MG/ML ORAL SYRUP

Facility

$44.37

Service Code	NDC 9999-0019-03
Hospital Charge Code	24176
Hospital Revenue Code	250
Min. Negotiated Rate	$27.95
Max. Negotiated Rate	$39.93
Rate for Payer: Aetna Commercial	$37.71
Rate for Payer: Aetna New Business (MI Preferred)	$28.84
Rate for Payer: Cash Price	$35.50
Rate for Payer: Cofinity Commercial	$31.06
Rate for Payer: Cofinity Commercial	$38.16
Rate for Payer: Healthscope Commercial	$39.93
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$37.71
Rate for Payer: PHP Commercial	$37.71
Rate for Payer: Priority Health Cigna Priority Health	$31.06
Rate for Payer: Priority Health SBD	$27.95

MIDAZOLAM 2 MG/ML ORAL SYRUP

Facility

$787.18

Service Code	NDC 0054-3566-99
Hospital Charge Code	24176
Hospital Revenue Code	250
Min. Negotiated Rate	$495.92
Max. Negotiated Rate	$708.46
Rate for Payer: Aetna Commercial	$669.10
Rate for Payer: Aetna New Business (MI Preferred)	$511.67
Rate for Payer: Cash Price	$629.74
Rate for Payer: Cofinity Commercial	$551.03
Rate for Payer: Cofinity Commercial	$676.97
Rate for Payer: Healthscope Commercial	$708.46
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$669.10
Rate for Payer: PHP Commercial	$669.10
Rate for Payer: Priority Health Cigna Priority Health	$551.03
Rate for Payer: Priority Health SBD	$495.92

MIDAZOLAM 5 MG/ML INJECTION SOLUTION

Facility

$21.46

Service Code	HCPCS J2250
Hospital Charge Code	10608
Hospital Revenue Code	636
Min. Negotiated Rate	$13.52
Max. Negotiated Rate	$19.31
Rate for Payer: Aetna Commercial	$18.24
Rate for Payer: Aetna Commercial	$24.38
Rate for Payer: Aetna Commercial	$49.51
Rate for Payer: Aetna Commercial	$32.01
Rate for Payer: Aetna New Business (MI Preferred)	$18.64
Rate for Payer: Aetna New Business (MI Preferred)	$13.95
Rate for Payer: Aetna New Business (MI Preferred)	$24.48
Rate for Payer: Aetna New Business (MI Preferred)	$37.86
Rate for Payer: Cash Price	$46.60
Rate for Payer: Cash Price	$17.17
Rate for Payer: Cash Price	$22.94
Rate for Payer: Cash Price	$30.13
Rate for Payer: Cofinity Commercial	$26.36
Rate for Payer: Cofinity Commercial	$18.46
Rate for Payer: Cofinity Commercial	$15.02
Rate for Payer: Cofinity Commercial	$20.08
Rate for Payer: Cofinity Commercial	$40.78
Rate for Payer: Cofinity Commercial	$32.39
Rate for Payer: Cofinity Commercial	$24.66
Rate for Payer: Cofinity Commercial	$50.10
Rate for Payer: Healthscope Commercial	$19.31
Rate for Payer: Healthscope Commercial	$25.81
Rate for Payer: Healthscope Commercial	$52.42
Rate for Payer: Healthscope Commercial	$33.89
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$18.24
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$24.38
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$49.51
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$32.01
Rate for Payer: PHP Commercial	$49.51
Rate for Payer: PHP Commercial	$18.24
Rate for Payer: PHP Commercial	$24.38
Rate for Payer: PHP Commercial	$32.01
Rate for Payer: Priority Health Cigna Priority Health	$26.36
Rate for Payer: Priority Health Cigna Priority Health	$20.08
Rate for Payer: Priority Health Cigna Priority Health	$15.02
Rate for Payer: Priority Health Cigna Priority Health	$40.78
Rate for Payer: Priority Health SBD	$13.52
Rate for Payer: Priority Health SBD	$23.73
Rate for Payer: Priority Health SBD	$18.07
Rate for Payer: Priority Health SBD	$36.70

MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION

Facility

$12.73

Service Code	HCPCS J2250
Hospital Charge Code	168786
Hospital Revenue Code	636
Min. Negotiated Rate	$8.02
Max. Negotiated Rate	$11.46
Rate for Payer: Aetna Commercial	$10.82
Rate for Payer: Aetna New Business (MI Preferred)	$8.27
Rate for Payer: Cash Price	$10.18
Rate for Payer: Cofinity Commercial	$10.95
Rate for Payer: Cofinity Commercial	$8.91
Rate for Payer: Healthscope Commercial	$11.46
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$10.82
Rate for Payer: PHP Commercial	$10.82
Rate for Payer: Priority Health Cigna Priority Health	$8.91
Rate for Payer: Priority Health SBD	$8.02

MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION

Facility

$15.49

Service Code	HCPCS J2250
Hospital Charge Code	168785
Hospital Revenue Code	636
Min. Negotiated Rate	$9.76
Max. Negotiated Rate	$13.94
Rate for Payer: Aetna Commercial	$13.17
Rate for Payer: Aetna New Business (MI Preferred)	$10.07
Rate for Payer: Cash Price	$12.39
Rate for Payer: Cofinity Commercial	$10.84
Rate for Payer: Cofinity Commercial	$13.32
Rate for Payer: Healthscope Commercial	$13.94
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$13.17
Rate for Payer: PHP Commercial	$13.17
Rate for Payer: Priority Health Cigna Priority Health	$10.84
Rate for Payer: Priority Health SBD	$9.76

MIDODRINE 10 MG TABLET

Facility

$108.29

Service Code	NDC 0904-6819-07
Hospital Charge Code	33083
Hospital Revenue Code	637
Min. Negotiated Rate	$68.22
Max. Negotiated Rate	$97.46
Rate for Payer: Aetna Commercial	$92.05
Rate for Payer: Aetna New Business (MI Preferred)	$70.39
Rate for Payer: Cash Price	$86.63
Rate for Payer: Cofinity Commercial	$75.80
Rate for Payer: Cofinity Commercial	$93.13
Rate for Payer: Healthscope Commercial	$97.46
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$92.05
Rate for Payer: PHP Commercial	$92.05
Rate for Payer: Priority Health Cigna Priority Health	$75.80
Rate for Payer: Priority Health SBD	$68.22

MIDODRINE 5 MG TABLET

Facility

$323.04

Service Code	NDC 0904-6818-61
Hospital Charge Code	10610
Hospital Revenue Code	637
Min. Negotiated Rate	$203.52
Max. Negotiated Rate	$290.74
Rate for Payer: Aetna Commercial	$274.58
Rate for Payer: Aetna New Business (MI Preferred)	$209.98
Rate for Payer: Cash Price	$258.43
Rate for Payer: Cofinity Commercial	$226.13
Rate for Payer: Cofinity Commercial	$277.81
Rate for Payer: Healthscope Commercial	$290.74
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$274.58
Rate for Payer: PHP Commercial	$274.58
Rate for Payer: Priority Health Cigna Priority Health	$226.13
Rate for Payer: Priority Health SBD	$203.52

MIDODRINE 5 MG TABLET

Facility

$334.56

Service Code	NDC 60687-398-01
Hospital Charge Code	10610
Hospital Revenue Code	637
Min. Negotiated Rate	$210.77
Max. Negotiated Rate	$301.10
Rate for Payer: Aetna Commercial	$284.38
Rate for Payer: Aetna New Business (MI Preferred)	$217.46
Rate for Payer: Cash Price	$267.65
Rate for Payer: Cofinity Commercial	$234.19
Rate for Payer: Cofinity Commercial	$287.72
Rate for Payer: Healthscope Commercial	$301.10
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$284.38
Rate for Payer: PHP Commercial	$284.38
Rate for Payer: Priority Health Cigna Priority Health	$234.19
Rate for Payer: Priority Health SBD	$210.77

MIDODRINE 5 MG TABLET

Facility

$327.36

Service Code	NDC 60505-1321-1
Hospital Charge Code	10610
Hospital Revenue Code	637
Min. Negotiated Rate	$206.24
Max. Negotiated Rate	$294.62
Rate for Payer: Aetna Commercial	$278.26
Rate for Payer: Aetna New Business (MI Preferred)	$212.78
Rate for Payer: Cash Price	$261.89
Rate for Payer: Cofinity Commercial	$229.15
Rate for Payer: Cofinity Commercial	$281.53
Rate for Payer: Healthscope Commercial	$294.62
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$278.26
Rate for Payer: PHP Commercial	$278.26
Rate for Payer: Priority Health Cigna Priority Health	$229.15
Rate for Payer: Priority Health SBD	$206.24

MIDODRINE 5 MG TABLET

Facility

$360.00

Service Code	NDC 51079-453-20
Hospital Charge Code	10610
Hospital Revenue Code	637
Min. Negotiated Rate	$226.80
Max. Negotiated Rate	$324.00
Rate for Payer: Aetna Commercial	$306.00
Rate for Payer: Aetna New Business (MI Preferred)	$234.00
Rate for Payer: Cash Price	$288.00
Rate for Payer: Cofinity Commercial	$252.00
Rate for Payer: Cofinity Commercial	$309.60
Rate for Payer: Healthscope Commercial	$324.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$306.00
Rate for Payer: PHP Commercial	$306.00
Rate for Payer: Priority Health Cigna Priority Health	$252.00
Rate for Payer: Priority Health SBD	$226.80

MIDODRINE 5 MG TABLET

Facility

$3.60

Service Code	NDC 51079-453-01
Hospital Charge Code	10610
Hospital Revenue Code	637
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$3.24
Rate for Payer: Aetna Commercial	$3.06
Rate for Payer: Aetna New Business (MI Preferred)	$2.34
Rate for Payer: Cash Price	$2.88
Rate for Payer: Cofinity Commercial	$2.52
Rate for Payer: Cofinity Commercial	$3.10
Rate for Payer: Healthscope Commercial	$3.24
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$3.06
Rate for Payer: PHP Commercial	$3.06
Rate for Payer: Priority Health Cigna Priority Health	$2.52
Rate for Payer: Priority Health SBD	$2.27

MIDODRINE 5 MG TABLET

Facility

$3.35

Service Code	NDC 60687-398-11
Hospital Charge Code	10610
Hospital Revenue Code	637
Min. Negotiated Rate	$2.11
Max. Negotiated Rate	$3.02
Rate for Payer: Aetna Commercial	$2.85
Rate for Payer: Aetna New Business (MI Preferred)	$2.18
Rate for Payer: Cash Price	$2.68
Rate for Payer: Cofinity Commercial	$2.34
Rate for Payer: Cofinity Commercial	$2.88
Rate for Payer: Healthscope Commercial	$3.02
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$2.85
Rate for Payer: PHP Commercial	$2.85
Rate for Payer: Priority Health Cigna Priority Health	$2.34
Rate for Payer: Priority Health SBD	$2.11

Know your out-of-pocket cost for care.

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