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Service Code CPT 00140
Hospital Charge Code 22406078
Hospital Revenue Code 370
Min. Negotiated Rate $0.13
Max. Negotiated Rate $8.10
Rate for Payer: Aetna of AZ Commercial $8.10
Rate for Payer: Aetna of AZ Medicare $2.52
Rate for Payer: AHCCCS Medicaid $0.13
Rate for Payer: Allwell Medicaid $0.13
Rate for Payer: Allwell Medicare $1.35
Rate for Payer: Amerigroup Medicare $1.35
Rate for Payer: APIPA Medicare/Medicaid $3.36
Rate for Payer: AZCH Complete Medicaid $0.13
Rate for Payer: AZCH Complete Medicare $1.35
Rate for Payer: Banner UC Health Medicaid $0.13
Rate for Payer: Banner UC Health Medicare $1.35
Rate for Payer: Bisbee Police All Plans $2.34
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $6.12
Rate for Payer: Cash Price $7.20
Rate for Payer: Cash Price $7.20
Rate for Payer: Cigna of AZ Commercial $5.85
Rate for Payer: Copperpoint Commercial $2.23
Rate for Payer: Health Net of AZ Commercial $5.40
Rate for Payer: Health Net of AZ Medicare $2.52
Rate for Payer: Humana of AZ Medicare $1.35
Rate for Payer: Mercy Care Medicaid $0.13
Rate for Payer: Self Pay Self Pay $7.20
Rate for Payer: TriWest Medicare $1.35
Rate for Payer: UnitedHealth Group of AZ Commercial $5.25
Rate for Payer: UnitedHealth Group of AZ Medicare $1.62
Service Code CPT 00140
Hospital Charge Code 22406078
Hospital Revenue Code 370
Min. Negotiated Rate $2.34
Max. Negotiated Rate $8.10
Rate for Payer: Aetna of AZ Commercial $8.10
Rate for Payer: Bisbee Police All Plans $2.34
Rate for Payer: Cash Price $7.20
Rate for Payer: Self Pay Self Pay $7.20
Service Code CPT 00140
Hospital Charge Code 22406079
Hospital Revenue Code 370
Min. Negotiated Rate $0.13
Max. Negotiated Rate $268.20
Rate for Payer: Aetna of AZ Commercial $268.20
Rate for Payer: Aetna of AZ Medicare $83.44
Rate for Payer: AHCCCS Medicaid $0.13
Rate for Payer: Allwell Medicaid $0.13
Rate for Payer: Allwell Medicare $44.70
Rate for Payer: Amerigroup Medicare $44.70
Rate for Payer: APIPA Medicare/Medicaid $111.30
Rate for Payer: AZCH Complete Medicaid $0.13
Rate for Payer: AZCH Complete Medicare $44.70
Rate for Payer: Banner UC Health Medicaid $0.13
Rate for Payer: Banner UC Health Medicare $44.70
Rate for Payer: Bisbee Police All Plans $77.48
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $202.64
Rate for Payer: Cash Price $238.40
Rate for Payer: Cash Price $238.40
Rate for Payer: Cigna of AZ Commercial $193.70
Rate for Payer: Copperpoint Commercial $73.76
Rate for Payer: Health Net of AZ Commercial $178.80
Rate for Payer: Health Net of AZ Medicare $83.44
Rate for Payer: Humana of AZ Medicare $44.70
Rate for Payer: Mercy Care Medicaid $0.13
Rate for Payer: Self Pay Self Pay $238.40
Rate for Payer: TriWest Medicare $44.70
Rate for Payer: UnitedHealth Group of AZ Commercial $173.73
Rate for Payer: UnitedHealth Group of AZ Medicare $53.64
Service Code CPT 00140
Hospital Charge Code 22406079
Hospital Revenue Code 370
Min. Negotiated Rate $77.48
Max. Negotiated Rate $268.20
Rate for Payer: Aetna of AZ Commercial $268.20
Rate for Payer: Bisbee Police All Plans $77.48
Rate for Payer: Cash Price $238.40
Rate for Payer: Self Pay Self Pay $238.40
Service Code CPT 00164
Hospital Charge Code 22406081
Hospital Revenue Code 370
Min. Negotiated Rate $0.13
Max. Negotiated Rate $8.10
Rate for Payer: Aetna of AZ Commercial $8.10
Rate for Payer: Aetna of AZ Medicare $2.52
Rate for Payer: AHCCCS Medicaid $0.13
Rate for Payer: Allwell Medicaid $0.13
Rate for Payer: Allwell Medicare $1.35
Rate for Payer: Amerigroup Medicare $1.35
Rate for Payer: APIPA Medicare/Medicaid $3.36
Rate for Payer: AZCH Complete Medicaid $0.13
Rate for Payer: AZCH Complete Medicare $1.35
Rate for Payer: Banner UC Health Medicaid $0.13
Rate for Payer: Banner UC Health Medicare $1.35
Rate for Payer: Bisbee Police All Plans $2.34
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $6.12
Rate for Payer: Cash Price $7.20
Rate for Payer: Cash Price $7.20
Rate for Payer: Cigna of AZ Commercial $5.85
Rate for Payer: Copperpoint Commercial $2.23
Rate for Payer: Health Net of AZ Commercial $5.40
Rate for Payer: Health Net of AZ Medicare $2.52
Rate for Payer: Humana of AZ Medicare $1.35
Rate for Payer: Mercy Care Medicaid $0.13
Rate for Payer: Self Pay Self Pay $7.20
Rate for Payer: TriWest Medicare $1.35
Rate for Payer: UnitedHealth Group of AZ Commercial $5.25
Rate for Payer: UnitedHealth Group of AZ Medicare $1.62
Service Code CPT 00164
Hospital Charge Code 22406081
Hospital Revenue Code 370
Min. Negotiated Rate $2.34
Max. Negotiated Rate $8.10
Rate for Payer: Aetna of AZ Commercial $8.10
Rate for Payer: Bisbee Police All Plans $2.34
Rate for Payer: Cash Price $7.20
Rate for Payer: Self Pay Self Pay $7.20
Service Code CPT 00164
Hospital Charge Code 22406082
Hospital Revenue Code 370
Min. Negotiated Rate $0.13
Max. Negotiated Rate $268.20
Rate for Payer: Aetna of AZ Commercial $268.20
Rate for Payer: Aetna of AZ Medicare $83.44
Rate for Payer: AHCCCS Medicaid $0.13
Rate for Payer: Allwell Medicaid $0.13
Rate for Payer: Allwell Medicare $44.70
Rate for Payer: Amerigroup Medicare $44.70
Rate for Payer: APIPA Medicare/Medicaid $111.30
Rate for Payer: AZCH Complete Medicaid $0.13
Rate for Payer: AZCH Complete Medicare $44.70
Rate for Payer: Banner UC Health Medicaid $0.13
Rate for Payer: Banner UC Health Medicare $44.70
Rate for Payer: Bisbee Police All Plans $77.48
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $202.64
Rate for Payer: Cash Price $238.40
Rate for Payer: Cash Price $238.40
Rate for Payer: Cigna of AZ Commercial $193.70
Rate for Payer: Copperpoint Commercial $73.76
Rate for Payer: Health Net of AZ Commercial $178.80
Rate for Payer: Health Net of AZ Medicare $83.44
Rate for Payer: Humana of AZ Medicare $44.70
Rate for Payer: Mercy Care Medicaid $0.13
Rate for Payer: Self Pay Self Pay $238.40
Rate for Payer: TriWest Medicare $44.70
Rate for Payer: UnitedHealth Group of AZ Commercial $173.73
Rate for Payer: UnitedHealth Group of AZ Medicare $53.64
Service Code CPT 00164
Hospital Charge Code 22406082
Hospital Revenue Code 370
Min. Negotiated Rate $77.48
Max. Negotiated Rate $268.20
Rate for Payer: Aetna of AZ Commercial $268.20
Rate for Payer: Bisbee Police All Plans $77.48
Rate for Payer: Cash Price $238.40
Rate for Payer: Self Pay Self Pay $238.40
Service Code CPT 00300
Hospital Charge Code 22406217
Hospital Revenue Code 370
Min. Negotiated Rate $2.34
Max. Negotiated Rate $8.10
Rate for Payer: Aetna of AZ Commercial $8.10
Rate for Payer: Bisbee Police All Plans $2.34
Rate for Payer: Cash Price $7.20
Rate for Payer: Self Pay Self Pay $7.20
Service Code CPT 00300
Hospital Charge Code 22406217
Hospital Revenue Code 370
Min. Negotiated Rate $0.13
Max. Negotiated Rate $8.10
Rate for Payer: Aetna of AZ Commercial $8.10
Rate for Payer: Aetna of AZ Medicare $2.52
Rate for Payer: AHCCCS Medicaid $0.13
Rate for Payer: Allwell Medicaid $0.13
Rate for Payer: Allwell Medicare $1.35
Rate for Payer: Amerigroup Medicare $1.35
Rate for Payer: APIPA Medicare/Medicaid $3.36
Rate for Payer: AZCH Complete Medicaid $0.13
Rate for Payer: AZCH Complete Medicare $1.35
Rate for Payer: Banner UC Health Medicaid $0.13
Rate for Payer: Banner UC Health Medicare $1.35
Rate for Payer: Bisbee Police All Plans $2.34
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $6.12
Rate for Payer: Cash Price $7.20
Rate for Payer: Cash Price $7.20
Rate for Payer: Cigna of AZ Commercial $5.85
Rate for Payer: Copperpoint Commercial $2.23
Rate for Payer: Health Net of AZ Commercial $5.40
Rate for Payer: Health Net of AZ Medicare $2.52
Rate for Payer: Humana of AZ Medicare $1.35
Rate for Payer: Mercy Care Medicaid $0.13
Rate for Payer: Self Pay Self Pay $7.20
Rate for Payer: TriWest Medicare $1.35
Rate for Payer: UnitedHealth Group of AZ Commercial $5.25
Rate for Payer: UnitedHealth Group of AZ Medicare $1.62
Service Code CPT 00300
Hospital Charge Code 22406218
Hospital Revenue Code 370
Min. Negotiated Rate $0.13
Max. Negotiated Rate $268.20
Rate for Payer: Aetna of AZ Commercial $268.20
Rate for Payer: Aetna of AZ Medicare $83.44
Rate for Payer: AHCCCS Medicaid $0.13
Rate for Payer: Allwell Medicaid $0.13
Rate for Payer: Allwell Medicare $44.70
Rate for Payer: Amerigroup Medicare $44.70
Rate for Payer: APIPA Medicare/Medicaid $111.30
Rate for Payer: AZCH Complete Medicaid $0.13
Rate for Payer: AZCH Complete Medicare $44.70
Rate for Payer: Banner UC Health Medicaid $0.13
Rate for Payer: Banner UC Health Medicare $44.70
Rate for Payer: Bisbee Police All Plans $77.48
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $202.64
Rate for Payer: Cash Price $238.40
Rate for Payer: Cash Price $238.40
Rate for Payer: Cigna of AZ Commercial $193.70
Rate for Payer: Copperpoint Commercial $73.76
Rate for Payer: Health Net of AZ Commercial $178.80
Rate for Payer: Health Net of AZ Medicare $83.44
Rate for Payer: Humana of AZ Medicare $44.70
Rate for Payer: Mercy Care Medicaid $0.13
Rate for Payer: Self Pay Self Pay $238.40
Rate for Payer: TriWest Medicare $44.70
Rate for Payer: UnitedHealth Group of AZ Commercial $173.73
Rate for Payer: UnitedHealth Group of AZ Medicare $53.64
Service Code CPT 00300
Hospital Charge Code 22406218
Hospital Revenue Code 370
Min. Negotiated Rate $77.48
Max. Negotiated Rate $268.20
Rate for Payer: Aetna of AZ Commercial $268.20
Rate for Payer: Bisbee Police All Plans $77.48
Rate for Payer: Cash Price $238.40
Rate for Payer: Self Pay Self Pay $238.40
Service Code CPT 00300
Hospital Charge Code 22406215
Hospital Revenue Code 964
Min. Negotiated Rate $127.40
Max. Negotiated Rate $441.00
Rate for Payer: Aetna of AZ Commercial $441.00
Rate for Payer: Bisbee Police All Plans $127.40
Rate for Payer: Cash Price $392.00
Rate for Payer: Self Pay Self Pay $392.00
Service Code CPT 00300
Hospital Charge Code 22406215
Hospital Revenue Code 964
Min. Negotiated Rate $0.13
Max. Negotiated Rate $441.00
Rate for Payer: Aetna of AZ Commercial $441.00
Rate for Payer: Aetna of AZ Medicare $137.20
Rate for Payer: AHCCCS Medicaid $0.13
Rate for Payer: Allwell Medicaid $0.13
Rate for Payer: Allwell Medicare $73.50
Rate for Payer: Amerigroup Medicare $73.50
Rate for Payer: APIPA Medicare/Medicaid $183.02
Rate for Payer: AZCH Complete Medicaid $0.13
Rate for Payer: AZCH Complete Medicare $73.50
Rate for Payer: Banner UC Health Medicaid $0.13
Rate for Payer: Banner UC Health Medicare $73.50
Rate for Payer: Bisbee Police All Plans $127.40
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $333.20
Rate for Payer: Cash Price $392.00
Rate for Payer: Cash Price $392.00
Rate for Payer: Cigna of AZ Commercial $343.00
Rate for Payer: Copperpoint Commercial $121.28
Rate for Payer: Health Net of AZ Commercial $294.00
Rate for Payer: Health Net of AZ Medicare $137.20
Rate for Payer: Humana of AZ Medicare $73.50
Rate for Payer: Mercy Care Medicaid $0.13
Rate for Payer: Self Pay Self Pay $392.00
Rate for Payer: TriWest Medicare $73.50
Rate for Payer: UnitedHealth Group of AZ Commercial $285.67
Rate for Payer: UnitedHealth Group of AZ Medicare $88.20
Service Code CPT 00400
Hospital Charge Code 22406084
Hospital Revenue Code 370
Min. Negotiated Rate $2.34
Max. Negotiated Rate $8.10
Rate for Payer: Aetna of AZ Commercial $8.10
Rate for Payer: Bisbee Police All Plans $2.34
Rate for Payer: Cash Price $7.20
Rate for Payer: Self Pay Self Pay $7.20
Service Code CPT 00400
Hospital Charge Code 22406084
Hospital Revenue Code 370
Min. Negotiated Rate $0.13
Max. Negotiated Rate $8.10
Rate for Payer: Aetna of AZ Commercial $8.10
Rate for Payer: Aetna of AZ Medicare $2.52
Rate for Payer: AHCCCS Medicaid $0.13
Rate for Payer: Allwell Medicaid $0.13
Rate for Payer: Allwell Medicare $1.35
Rate for Payer: Amerigroup Medicare $1.35
Rate for Payer: APIPA Medicare/Medicaid $3.36
Rate for Payer: AZCH Complete Medicaid $0.13
Rate for Payer: AZCH Complete Medicare $1.35
Rate for Payer: Banner UC Health Medicaid $0.13
Rate for Payer: Banner UC Health Medicare $1.35
Rate for Payer: Bisbee Police All Plans $2.34
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $6.12
Rate for Payer: Cash Price $7.20
Rate for Payer: Cash Price $7.20
Rate for Payer: Cigna of AZ Commercial $5.85
Rate for Payer: Copperpoint Commercial $2.23
Rate for Payer: Health Net of AZ Commercial $5.40
Rate for Payer: Health Net of AZ Medicare $2.52
Rate for Payer: Humana of AZ Medicare $1.35
Rate for Payer: Mercy Care Medicaid $0.13
Rate for Payer: Self Pay Self Pay $7.20
Rate for Payer: TriWest Medicare $1.35
Rate for Payer: UnitedHealth Group of AZ Commercial $5.25
Rate for Payer: UnitedHealth Group of AZ Medicare $1.62
Service Code CPT 00400
Hospital Charge Code 22406085
Hospital Revenue Code 370
Min. Negotiated Rate $0.13
Max. Negotiated Rate $268.20
Rate for Payer: Aetna of AZ Commercial $268.20
Rate for Payer: Aetna of AZ Medicare $83.44
Rate for Payer: AHCCCS Medicaid $0.13
Rate for Payer: Allwell Medicaid $0.13
Rate for Payer: Allwell Medicare $44.70
Rate for Payer: Amerigroup Medicare $44.70
Rate for Payer: APIPA Medicare/Medicaid $111.30
Rate for Payer: AZCH Complete Medicaid $0.13
Rate for Payer: AZCH Complete Medicare $44.70
Rate for Payer: Banner UC Health Medicaid $0.13
Rate for Payer: Banner UC Health Medicare $44.70
Rate for Payer: Bisbee Police All Plans $77.48
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $202.64
Rate for Payer: Cash Price $238.40
Rate for Payer: Cash Price $238.40
Rate for Payer: Cigna of AZ Commercial $193.70
Rate for Payer: Copperpoint Commercial $73.76
Rate for Payer: Health Net of AZ Commercial $178.80
Rate for Payer: Health Net of AZ Medicare $83.44
Rate for Payer: Humana of AZ Medicare $44.70
Rate for Payer: Mercy Care Medicaid $0.13
Rate for Payer: Self Pay Self Pay $238.40
Rate for Payer: TriWest Medicare $44.70
Rate for Payer: UnitedHealth Group of AZ Commercial $173.73
Rate for Payer: UnitedHealth Group of AZ Medicare $53.64
Service Code CPT 00400
Hospital Charge Code 22406085
Hospital Revenue Code 370
Min. Negotiated Rate $77.48
Max. Negotiated Rate $268.20
Rate for Payer: Aetna of AZ Commercial $268.20
Rate for Payer: Bisbee Police All Plans $77.48
Rate for Payer: Cash Price $238.40
Rate for Payer: Self Pay Self Pay $238.40
Service Code CPT 80339
Hospital Charge Code 23173817
Hospital Revenue Code 301
Min. Negotiated Rate $270.66
Max. Negotiated Rate $936.90
Rate for Payer: Aetna of AZ Commercial $936.90
Rate for Payer: Bisbee Police All Plans $270.66
Rate for Payer: Cash Price $832.80
Rate for Payer: Self Pay Self Pay $832.80
Service Code CPT 80339
Hospital Charge Code 23173817
Hospital Revenue Code 301
Min. Negotiated Rate $0.13
Max. Negotiated Rate $936.90
Rate for Payer: Aetna of AZ Commercial $936.90
Rate for Payer: Aetna of AZ Medicare $291.48
Rate for Payer: AHCCCS Medicaid $0.13
Rate for Payer: Allwell Medicaid $0.13
Rate for Payer: Allwell Medicare $156.15
Rate for Payer: Amerigroup Medicare $156.15
Rate for Payer: APIPA Medicare/Medicaid $388.81
Rate for Payer: AZCH Complete Medicaid $0.13
Rate for Payer: AZCH Complete Medicare $156.15
Rate for Payer: Banner UC Health Medicaid $0.13
Rate for Payer: Banner UC Health Medicare $156.15
Rate for Payer: Bisbee Police All Plans $270.66
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $707.88
Rate for Payer: Cash Price $832.80
Rate for Payer: Cash Price $832.80
Rate for Payer: Cigna of AZ Commercial $676.65
Rate for Payer: Copperpoint Commercial $257.65
Rate for Payer: Health Net of AZ Commercial $624.60
Rate for Payer: Health Net of AZ Medicare $291.48
Rate for Payer: Humana of AZ Medicare $156.15
Rate for Payer: Mercy Care Medicaid $0.13
Rate for Payer: Self Pay Self Pay $832.80
Rate for Payer: TriWest Medicare $156.15
Rate for Payer: UnitedHealth Group of AZ Commercial $606.90
Rate for Payer: UnitedHealth Group of AZ Medicare $187.38
Service Code CPT 00731
Hospital Charge Code 22406087
Hospital Revenue Code 370
Min. Negotiated Rate $2.34
Max. Negotiated Rate $8.10
Rate for Payer: Aetna of AZ Commercial $8.10
Rate for Payer: Bisbee Police All Plans $2.34
Rate for Payer: Cash Price $7.20
Rate for Payer: Self Pay Self Pay $7.20
Service Code CPT 00731
Hospital Charge Code 22406087
Hospital Revenue Code 370
Min. Negotiated Rate $0.13
Max. Negotiated Rate $8.10
Rate for Payer: Aetna of AZ Commercial $8.10
Rate for Payer: Aetna of AZ Medicare $2.52
Rate for Payer: AHCCCS Medicaid $0.13
Rate for Payer: Allwell Medicaid $0.13
Rate for Payer: Allwell Medicare $1.35
Rate for Payer: Amerigroup Medicare $1.35
Rate for Payer: APIPA Medicare/Medicaid $3.36
Rate for Payer: AZCH Complete Medicaid $0.13
Rate for Payer: AZCH Complete Medicare $1.35
Rate for Payer: Banner UC Health Medicaid $0.13
Rate for Payer: Banner UC Health Medicare $1.35
Rate for Payer: Bisbee Police All Plans $2.34
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $6.12
Rate for Payer: Cash Price $7.20
Rate for Payer: Cash Price $7.20
Rate for Payer: Cigna of AZ Commercial $5.85
Rate for Payer: Copperpoint Commercial $2.23
Rate for Payer: Health Net of AZ Commercial $5.40
Rate for Payer: Health Net of AZ Medicare $2.52
Rate for Payer: Humana of AZ Medicare $1.35
Rate for Payer: Mercy Care Medicaid $0.13
Rate for Payer: Self Pay Self Pay $7.20
Rate for Payer: TriWest Medicare $1.35
Rate for Payer: UnitedHealth Group of AZ Commercial $5.25
Rate for Payer: UnitedHealth Group of AZ Medicare $1.62
Service Code CPT 00731
Hospital Charge Code 22406088
Hospital Revenue Code 370
Min. Negotiated Rate $77.48
Max. Negotiated Rate $268.20
Rate for Payer: Aetna of AZ Commercial $268.20
Rate for Payer: Bisbee Police All Plans $77.48
Rate for Payer: Cash Price $238.40
Rate for Payer: Self Pay Self Pay $238.40
Service Code CPT 00731
Hospital Charge Code 22406088
Hospital Revenue Code 370
Min. Negotiated Rate $0.13
Max. Negotiated Rate $268.20
Rate for Payer: Aetna of AZ Commercial $268.20
Rate for Payer: Aetna of AZ Medicare $83.44
Rate for Payer: AHCCCS Medicaid $0.13
Rate for Payer: Allwell Medicaid $0.13
Rate for Payer: Allwell Medicare $44.70
Rate for Payer: Amerigroup Medicare $44.70
Rate for Payer: APIPA Medicare/Medicaid $111.30
Rate for Payer: AZCH Complete Medicaid $0.13
Rate for Payer: AZCH Complete Medicare $44.70
Rate for Payer: Banner UC Health Medicaid $0.13
Rate for Payer: Banner UC Health Medicare $44.70
Rate for Payer: Bisbee Police All Plans $77.48
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $202.64
Rate for Payer: Cash Price $238.40
Rate for Payer: Cash Price $238.40
Rate for Payer: Cigna of AZ Commercial $193.70
Rate for Payer: Copperpoint Commercial $73.76
Rate for Payer: Health Net of AZ Commercial $178.80
Rate for Payer: Health Net of AZ Medicare $83.44
Rate for Payer: Humana of AZ Medicare $44.70
Rate for Payer: Mercy Care Medicaid $0.13
Rate for Payer: Self Pay Self Pay $238.40
Rate for Payer: TriWest Medicare $44.70
Rate for Payer: UnitedHealth Group of AZ Commercial $173.73
Rate for Payer: UnitedHealth Group of AZ Medicare $53.64
Service Code CPT 00790
Hospital Charge Code 22406094
Hospital Revenue Code 370
Min. Negotiated Rate $2.34
Max. Negotiated Rate $8.10
Rate for Payer: Aetna of AZ Commercial $8.10
Rate for Payer: Bisbee Police All Plans $2.34
Rate for Payer: Cash Price $7.20
Rate for Payer: Self Pay Self Pay $7.20