Copper Queen Community Hospital

All Charges

Charge

Type

Setting

Price

SET BLOOD Y-TYPE HOSPIRA LIFESHIELD

Facility

$101.00

Hospital Charge Code	22355308
Hospital Revenue Code	270
Min. Negotiated Rate	$15.15
Max. Negotiated Rate	$90.90
Rate for Payer: Aetna of AZ Commercial	$90.90
Rate for Payer: Aetna of AZ Medicare	$28.28
Rate for Payer: Allwell Medicare	$15.15
Rate for Payer: Amerigroup Medicare	$15.15
Rate for Payer: APIPA Medicare/Medicaid	$37.72
Rate for Payer: AZCH Complete Medicare	$15.15
Rate for Payer: Banner UC Health Medicare	$15.15
Rate for Payer: Bisbee Police All Plans	$26.26
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$68.68
Rate for Payer: Cash Price	$80.80
Rate for Payer: Cigna of AZ Commercial	$70.70
Rate for Payer: Copperpoint Commercial	$25.00
Rate for Payer: Health Net of AZ Commercial	$60.60
Rate for Payer: Health Net of AZ Medicare	$28.28
Rate for Payer: Humana of AZ Medicare	$15.15
Rate for Payer: Self Pay Self Pay	$80.80
Rate for Payer: TriWest Medicare	$15.15
Rate for Payer: UnitedHealth Group of AZ Commercial	$58.88
Rate for Payer: UnitedHealth Group of AZ Medicare	$18.18

SET CATH RUTNER SUPRAPUBIC 16F COOK

Facility

$237.00

Hospital Charge Code	22354213
Hospital Revenue Code	270
Min. Negotiated Rate	$61.62
Max. Negotiated Rate	$213.30
Rate for Payer: Aetna of AZ Commercial	$213.30
Rate for Payer: Bisbee Police All Plans	$61.62
Rate for Payer: Cash Price	$189.60
Rate for Payer: Self Pay Self Pay	$189.60

SET CATH RUTNER SUPRAPUBIC 16F COOK

Facility

$237.00

Hospital Charge Code	22354213
Hospital Revenue Code	270
Min. Negotiated Rate	$35.55
Max. Negotiated Rate	$213.30
Rate for Payer: Aetna of AZ Commercial	$213.30
Rate for Payer: Aetna of AZ Medicare	$66.36
Rate for Payer: Allwell Medicare	$35.55
Rate for Payer: Amerigroup Medicare	$35.55
Rate for Payer: APIPA Medicare/Medicaid	$88.52
Rate for Payer: AZCH Complete Medicare	$35.55
Rate for Payer: Banner UC Health Medicare	$35.55
Rate for Payer: Bisbee Police All Plans	$61.62
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$161.16
Rate for Payer: Cash Price	$189.60
Rate for Payer: Cigna of AZ Commercial	$165.90
Rate for Payer: Copperpoint Commercial	$58.66
Rate for Payer: Health Net of AZ Commercial	$142.20
Rate for Payer: Health Net of AZ Medicare	$66.36
Rate for Payer: Humana of AZ Medicare	$35.55
Rate for Payer: Self Pay Self Pay	$189.60
Rate for Payer: TriWest Medicare	$35.55
Rate for Payer: UnitedHealth Group of AZ Commercial	$138.17
Rate for Payer: UnitedHealth Group of AZ Medicare	$42.66

SET CATH SUPRAPUBIC COOK

Facility

$272.00

Hospital Charge Code	22354225
Hospital Revenue Code	270
Min. Negotiated Rate	$40.80
Max. Negotiated Rate	$244.80
Rate for Payer: Aetna of AZ Commercial	$244.80
Rate for Payer: Aetna of AZ Medicare	$76.16
Rate for Payer: Allwell Medicare	$40.80
Rate for Payer: Amerigroup Medicare	$40.80
Rate for Payer: APIPA Medicare/Medicaid	$101.59
Rate for Payer: AZCH Complete Medicare	$40.80
Rate for Payer: Banner UC Health Medicare	$40.80
Rate for Payer: Bisbee Police All Plans	$70.72
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$184.96
Rate for Payer: Cash Price	$217.60
Rate for Payer: Cigna of AZ Commercial	$190.40
Rate for Payer: Copperpoint Commercial	$67.32
Rate for Payer: Health Net of AZ Commercial	$163.20
Rate for Payer: Health Net of AZ Medicare	$76.16
Rate for Payer: Humana of AZ Medicare	$40.80
Rate for Payer: Self Pay Self Pay	$217.60
Rate for Payer: TriWest Medicare	$40.80
Rate for Payer: UnitedHealth Group of AZ Commercial	$158.58
Rate for Payer: UnitedHealth Group of AZ Medicare	$48.96

SET CATH SUPRAPUBIC COOK

Facility

$272.00

Hospital Charge Code	22354225
Hospital Revenue Code	270
Min. Negotiated Rate	$70.72
Max. Negotiated Rate	$244.80
Rate for Payer: Aetna of AZ Commercial	$244.80
Rate for Payer: Bisbee Police All Plans	$70.72
Rate for Payer: Cash Price	$217.60
Rate for Payer: Self Pay Self Pay	$217.60

SET CYSTO

Facility

$37.00

Hospital Charge Code	22355110
Hospital Revenue Code	270
Min. Negotiated Rate	$5.55
Max. Negotiated Rate	$33.30
Rate for Payer: Aetna of AZ Commercial	$33.30
Rate for Payer: Aetna of AZ Medicare	$10.36
Rate for Payer: Allwell Medicare	$5.55
Rate for Payer: Amerigroup Medicare	$5.55
Rate for Payer: APIPA Medicare/Medicaid	$13.82
Rate for Payer: AZCH Complete Medicare	$5.55
Rate for Payer: Banner UC Health Medicare	$5.55
Rate for Payer: Bisbee Police All Plans	$9.62
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$25.16
Rate for Payer: Cash Price	$29.60
Rate for Payer: Cigna of AZ Commercial	$25.90
Rate for Payer: Copperpoint Commercial	$9.16
Rate for Payer: Health Net of AZ Commercial	$22.20
Rate for Payer: Health Net of AZ Medicare	$10.36
Rate for Payer: Humana of AZ Medicare	$5.55
Rate for Payer: Self Pay Self Pay	$29.60
Rate for Payer: TriWest Medicare	$5.55
Rate for Payer: UnitedHealth Group of AZ Commercial	$21.57
Rate for Payer: UnitedHealth Group of AZ Medicare	$6.66

SET CYSTO

Facility

$37.00

Hospital Charge Code	22355110
Hospital Revenue Code	270
Min. Negotiated Rate	$9.62
Max. Negotiated Rate	$33.30
Rate for Payer: Aetna of AZ Commercial	$33.30
Rate for Payer: Bisbee Police All Plans	$9.62
Rate for Payer: Cash Price	$29.60
Rate for Payer: Self Pay Self Pay	$29.60

SET PUMP KANGAROO 1000ML

Facility

$55.00

Hospital Charge Code	22355436
Hospital Revenue Code	272
Min. Negotiated Rate	$14.30
Max. Negotiated Rate	$49.50
Rate for Payer: Aetna of AZ Commercial	$49.50
Rate for Payer: Bisbee Police All Plans	$14.30
Rate for Payer: Cash Price	$44.00
Rate for Payer: Self Pay Self Pay	$44.00

SET PUMP KANGAROO 1000ML

Facility

$55.00

Hospital Charge Code	22355436
Hospital Revenue Code	272
Min. Negotiated Rate	$8.25
Max. Negotiated Rate	$49.50
Rate for Payer: Aetna of AZ Commercial	$49.50
Rate for Payer: Aetna of AZ Medicare	$15.40
Rate for Payer: Allwell Medicare	$8.25
Rate for Payer: Amerigroup Medicare	$8.25
Rate for Payer: APIPA Medicare/Medicaid	$20.54
Rate for Payer: AZCH Complete Medicare	$8.25
Rate for Payer: Banner UC Health Medicare	$8.25
Rate for Payer: Bisbee Police All Plans	$14.30
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$37.40
Rate for Payer: Cash Price	$44.00
Rate for Payer: Cigna of AZ Commercial	$38.50
Rate for Payer: Copperpoint Commercial	$13.61
Rate for Payer: Health Net of AZ Commercial	$33.00
Rate for Payer: Health Net of AZ Medicare	$15.40
Rate for Payer: Humana of AZ Medicare	$8.25
Rate for Payer: Self Pay Self Pay	$44.00
Rate for Payer: TriWest Medicare	$8.25
Rate for Payer: UnitedHealth Group of AZ Commercial	$32.06
Rate for Payer: UnitedHealth Group of AZ Medicare	$9.90

sevoflurane Inh (16 ml per 1/2 hour) [CQCH]

Facility

$0.26

Service Code	NDC 66794001525
Hospital Charge Code	105940176
Hospital Revenue Code	251
Min. Negotiated Rate	$0.04
Max. Negotiated Rate	$0.23
Rate for Payer: Aetna of AZ Commercial	$0.23
Rate for Payer: Aetna of AZ Medicare	$0.07
Rate for Payer: Allwell Medicare	$0.04
Rate for Payer: Amerigroup Medicare	$0.04
Rate for Payer: APIPA Medicare/Medicaid	$0.10
Rate for Payer: AZCH Complete Medicare	$0.04
Rate for Payer: Banner UC Health Medicare	$0.04
Rate for Payer: Bisbee Police All Plans	$0.07
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$0.18
Rate for Payer: Cash Price	$0.21
Rate for Payer: Cigna of AZ Commercial	$0.17
Rate for Payer: Copperpoint Commercial	$0.06
Rate for Payer: Health Net of AZ Commercial	$0.16
Rate for Payer: Health Net of AZ Medicare	$0.07
Rate for Payer: Humana of AZ Medicare	$0.04
Rate for Payer: Self Pay Self Pay	$0.21
Rate for Payer: TriWest Medicare	$0.04
Rate for Payer: UnitedHealth Group of AZ Commercial	$0.15
Rate for Payer: UnitedHealth Group of AZ Medicare	$0.05

sevoflurane Inh (16 ml per 1/2 hour) [CQCH]

Facility

$0.26

Service Code	NDC 66794001525
Hospital Charge Code	105940176
Hospital Revenue Code	251
Min. Negotiated Rate	$0.07
Max. Negotiated Rate	$0.23
Rate for Payer: Aetna of AZ Commercial	$0.23
Rate for Payer: Bisbee Police All Plans	$0.07
Rate for Payer: Cash Price	$0.21
Rate for Payer: Self Pay Self Pay	$0.21

Sex Hormone Binding Globulin LC

Facility

$285.00

Service Code	CPT 84270
Hospital Charge Code	2275527
Hospital Revenue Code	301
Min. Negotiated Rate	$21.73
Max. Negotiated Rate	$256.50
Rate for Payer: Aetna of AZ Commercial	$256.50
Rate for Payer: Aetna of AZ Medicare	$79.80
Rate for Payer: AHCCCS Medicaid	$21.73
Rate for Payer: Allwell Medicaid	$21.73
Rate for Payer: Allwell Medicare	$42.75
Rate for Payer: Amerigroup Medicare	$42.75
Rate for Payer: APIPA Medicare/Medicaid	$106.45
Rate for Payer: AZCH Complete Medicaid	$21.73
Rate for Payer: AZCH Complete Medicare	$42.75
Rate for Payer: Banner UC Health Medicaid	$21.73
Rate for Payer: Banner UC Health Medicare	$42.75
Rate for Payer: Bisbee Police All Plans	$74.10
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$193.80
Rate for Payer: Cash Price	$228.00
Rate for Payer: Cash Price	$228.00
Rate for Payer: Cigna of AZ Commercial	$185.25
Rate for Payer: Copperpoint Commercial	$70.54
Rate for Payer: Health Net of AZ Commercial	$171.00
Rate for Payer: Health Net of AZ Medicare	$79.80
Rate for Payer: Humana of AZ Medicare	$42.75
Rate for Payer: Mercy Care Medicaid	$21.73
Rate for Payer: Self Pay Self Pay	$228.00
Rate for Payer: TriWest Medicare	$42.75
Rate for Payer: UnitedHealth Group of AZ Commercial	$166.16
Rate for Payer: UnitedHealth Group of AZ Medicare	$51.30

Sex Hormone Binding Globulin LC

Facility

$285.00

Service Code	CPT 84270
Hospital Charge Code	2275527
Hospital Revenue Code	301
Min. Negotiated Rate	$74.10
Max. Negotiated Rate	$256.50
Rate for Payer: Aetna of AZ Commercial	$256.50
Rate for Payer: Bisbee Police All Plans	$74.10
Rate for Payer: Cash Price	$228.00
Rate for Payer: Self Pay Self Pay	$228.00

SHEATH FLEXOR PARALLEL 35CM

Facility

$701.00

Hospital Charge Code	22354226
Hospital Revenue Code	270
Min. Negotiated Rate	$182.26
Max. Negotiated Rate	$630.90
Rate for Payer: Aetna of AZ Commercial	$630.90
Rate for Payer: Bisbee Police All Plans	$182.26
Rate for Payer: Cash Price	$560.80
Rate for Payer: Self Pay Self Pay	$560.80

SHEATH FLEXOR PARALLEL 35CM

Facility

$701.00

Hospital Charge Code	22354226
Hospital Revenue Code	270
Min. Negotiated Rate	$105.15
Max. Negotiated Rate	$630.90
Rate for Payer: Aetna of AZ Commercial	$630.90
Rate for Payer: Aetna of AZ Medicare	$196.28
Rate for Payer: Allwell Medicare	$105.15
Rate for Payer: Amerigroup Medicare	$105.15
Rate for Payer: APIPA Medicare/Medicaid	$261.82
Rate for Payer: AZCH Complete Medicare	$105.15
Rate for Payer: Banner UC Health Medicare	$105.15
Rate for Payer: Bisbee Police All Plans	$182.26
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$476.68
Rate for Payer: Cash Price	$560.80
Rate for Payer: Cigna of AZ Commercial	$490.70
Rate for Payer: Copperpoint Commercial	$173.50
Rate for Payer: Health Net of AZ Commercial	$420.60
Rate for Payer: Health Net of AZ Medicare	$196.28
Rate for Payer: Humana of AZ Medicare	$105.15
Rate for Payer: Self Pay Self Pay	$560.80
Rate for Payer: TriWest Medicare	$105.15
Rate for Payer: UnitedHealth Group of AZ Commercial	$408.68
Rate for Payer: UnitedHealth Group of AZ Medicare	$126.18

SHEATH FLEXOR URETERAL ACCESS 35CM COOK

Facility

$776.00

Hospital Charge Code	22354221
Hospital Revenue Code	270
Min. Negotiated Rate	$201.76
Max. Negotiated Rate	$698.40
Rate for Payer: Aetna of AZ Commercial	$698.40
Rate for Payer: Bisbee Police All Plans	$201.76
Rate for Payer: Cash Price	$620.80
Rate for Payer: Self Pay Self Pay	$620.80

SHEATH FLEXOR URETERAL ACCESS 35CM COOK

Facility

$776.00

Hospital Charge Code	22354221
Hospital Revenue Code	270
Min. Negotiated Rate	$116.40
Max. Negotiated Rate	$698.40
Rate for Payer: Aetna of AZ Commercial	$698.40
Rate for Payer: Aetna of AZ Medicare	$217.28
Rate for Payer: Allwell Medicare	$116.40
Rate for Payer: Amerigroup Medicare	$116.40
Rate for Payer: APIPA Medicare/Medicaid	$289.84
Rate for Payer: AZCH Complete Medicare	$116.40
Rate for Payer: Banner UC Health Medicare	$116.40
Rate for Payer: Bisbee Police All Plans	$201.76
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$527.68
Rate for Payer: Cash Price	$620.80
Rate for Payer: Cigna of AZ Commercial	$543.20
Rate for Payer: Copperpoint Commercial	$192.06
Rate for Payer: Health Net of AZ Commercial	$465.60
Rate for Payer: Health Net of AZ Medicare	$217.28
Rate for Payer: Humana of AZ Medicare	$116.40
Rate for Payer: Self Pay Self Pay	$620.80
Rate for Payer: TriWest Medicare	$116.40
Rate for Payer: UnitedHealth Group of AZ Commercial	$452.41
Rate for Payer: UnitedHealth Group of AZ Medicare	$139.68

SHEATH URETERAL ACCESS 24CM ACMI UROPASS

Facility

$530.00

Hospital Charge Code	22354818
Hospital Revenue Code	270
Min. Negotiated Rate	$137.80
Max. Negotiated Rate	$477.00
Rate for Payer: Aetna of AZ Commercial	$477.00
Rate for Payer: Bisbee Police All Plans	$137.80
Rate for Payer: Cash Price	$424.00
Rate for Payer: Self Pay Self Pay	$424.00

SHEATH URETERAL ACCESS 24CM ACMI UROPASS

Facility

$530.00

Hospital Charge Code	22354818
Hospital Revenue Code	270
Min. Negotiated Rate	$79.50
Max. Negotiated Rate	$477.00
Rate for Payer: Aetna of AZ Commercial	$477.00
Rate for Payer: Aetna of AZ Medicare	$148.40
Rate for Payer: Allwell Medicare	$79.50
Rate for Payer: Amerigroup Medicare	$79.50
Rate for Payer: APIPA Medicare/Medicaid	$197.96
Rate for Payer: AZCH Complete Medicare	$79.50
Rate for Payer: Banner UC Health Medicare	$79.50
Rate for Payer: Bisbee Police All Plans	$137.80
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$360.40
Rate for Payer: Cash Price	$424.00
Rate for Payer: Cigna of AZ Commercial	$371.00
Rate for Payer: Copperpoint Commercial	$131.18
Rate for Payer: Health Net of AZ Commercial	$318.00
Rate for Payer: Health Net of AZ Medicare	$148.40
Rate for Payer: Humana of AZ Medicare	$79.50
Rate for Payer: Self Pay Self Pay	$424.00
Rate for Payer: TriWest Medicare	$79.50
Rate for Payer: UnitedHealth Group of AZ Commercial	$308.99
Rate for Payer: UnitedHealth Group of AZ Medicare	$95.40

SHEATH URETERAL ACCESS 38CM ACMI UROPASS

Facility

$530.00

Hospital Charge Code	22354819
Hospital Revenue Code	270
Min. Negotiated Rate	$79.50
Max. Negotiated Rate	$477.00
Rate for Payer: Aetna of AZ Commercial	$477.00
Rate for Payer: Aetna of AZ Medicare	$148.40
Rate for Payer: Allwell Medicare	$79.50
Rate for Payer: Amerigroup Medicare	$79.50
Rate for Payer: APIPA Medicare/Medicaid	$197.96
Rate for Payer: AZCH Complete Medicare	$79.50
Rate for Payer: Banner UC Health Medicare	$79.50
Rate for Payer: Bisbee Police All Plans	$137.80
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$360.40
Rate for Payer: Cash Price	$424.00
Rate for Payer: Cigna of AZ Commercial	$371.00
Rate for Payer: Copperpoint Commercial	$131.18
Rate for Payer: Health Net of AZ Commercial	$318.00
Rate for Payer: Health Net of AZ Medicare	$148.40
Rate for Payer: Humana of AZ Medicare	$79.50
Rate for Payer: Self Pay Self Pay	$424.00
Rate for Payer: TriWest Medicare	$79.50
Rate for Payer: UnitedHealth Group of AZ Commercial	$308.99
Rate for Payer: UnitedHealth Group of AZ Medicare	$95.40

SHEATH URETERAL ACCESS 38CM ACMI UROPASS

Facility

$530.00

Hospital Charge Code	22354819
Hospital Revenue Code	270
Min. Negotiated Rate	$137.80
Max. Negotiated Rate	$477.00
Rate for Payer: Aetna of AZ Commercial	$477.00
Rate for Payer: Bisbee Police All Plans	$137.80
Rate for Payer: Cash Price	$424.00
Rate for Payer: Self Pay Self Pay	$424.00

SHEATH URETERAL ACCESS DBL LUMEN 12X35

Facility

$534.00

Hospital Charge Code	22354224
Hospital Revenue Code	270
Min. Negotiated Rate	$138.84
Max. Negotiated Rate	$480.60
Rate for Payer: Aetna of AZ Commercial	$480.60
Rate for Payer: Bisbee Police All Plans	$138.84
Rate for Payer: Cash Price	$427.20
Rate for Payer: Self Pay Self Pay	$427.20

SHEATH URETERAL ACCESS DBL LUMEN 12X35

Facility

$534.00

Hospital Charge Code	22354224
Hospital Revenue Code	270
Min. Negotiated Rate	$80.10
Max. Negotiated Rate	$480.60
Rate for Payer: Aetna of AZ Commercial	$480.60
Rate for Payer: Aetna of AZ Medicare	$149.52
Rate for Payer: Allwell Medicare	$80.10
Rate for Payer: Amerigroup Medicare	$80.10
Rate for Payer: APIPA Medicare/Medicaid	$199.45
Rate for Payer: AZCH Complete Medicare	$80.10
Rate for Payer: Banner UC Health Medicare	$80.10
Rate for Payer: Bisbee Police All Plans	$138.84
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$363.12
Rate for Payer: Cash Price	$427.20
Rate for Payer: Cigna of AZ Commercial	$373.80
Rate for Payer: Copperpoint Commercial	$132.16
Rate for Payer: Health Net of AZ Commercial	$320.40
Rate for Payer: Health Net of AZ Medicare	$149.52
Rate for Payer: Humana of AZ Medicare	$80.10
Rate for Payer: Self Pay Self Pay	$427.20
Rate for Payer: TriWest Medicare	$80.10
Rate for Payer: UnitedHealth Group of AZ Commercial	$311.32
Rate for Payer: UnitedHealth Group of AZ Medicare	$96.12

SHIGA-TOXIN 1 AG

Facility

$83.00

Service Code	CPT 87899
Hospital Charge Code	22272337
Hospital Revenue Code	306
Min. Negotiated Rate	$12.45
Max. Negotiated Rate	$74.70
Rate for Payer: Aetna of AZ Commercial	$74.70
Rate for Payer: Aetna of AZ Medicare	$23.24
Rate for Payer: AHCCCS Medicaid	$16.07
Rate for Payer: Allwell Medicaid	$16.07
Rate for Payer: Allwell Medicare	$12.45
Rate for Payer: Amerigroup Medicare	$12.45
Rate for Payer: APIPA Medicare/Medicaid	$31.00
Rate for Payer: AZCH Complete Medicaid	$16.07
Rate for Payer: AZCH Complete Medicare	$12.45
Rate for Payer: Banner UC Health Medicaid	$16.07
Rate for Payer: Banner UC Health Medicare	$12.45
Rate for Payer: Bisbee Police All Plans	$21.58
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$56.44
Rate for Payer: Cash Price	$66.40
Rate for Payer: Cash Price	$66.40
Rate for Payer: Cigna of AZ Commercial	$53.95
Rate for Payer: Copperpoint Commercial	$20.54
Rate for Payer: Health Net of AZ Commercial	$49.80
Rate for Payer: Health Net of AZ Medicare	$23.24
Rate for Payer: Humana of AZ Medicare	$12.45
Rate for Payer: Mercy Care Medicaid	$16.07
Rate for Payer: Self Pay Self Pay	$66.40
Rate for Payer: TriWest Medicare	$12.45
Rate for Payer: UnitedHealth Group of AZ Commercial	$48.39
Rate for Payer: UnitedHealth Group of AZ Medicare	$14.94

SHIGA-TOXIN 1 AG

Facility

$83.00

Service Code	CPT 87899
Hospital Charge Code	22272337
Hospital Revenue Code	306
Min. Negotiated Rate	$21.58
Max. Negotiated Rate	$74.70
Rate for Payer: Aetna of AZ Commercial	$74.70
Rate for Payer: Bisbee Police All Plans	$21.58
Rate for Payer: Cash Price	$66.40
Rate for Payer: Self Pay Self Pay	$66.40

Know your out-of-pocket cost for care.

All Charges