Kauai Veterans Memorial Hospital

All Charges

Charge

Type

Setting

Price

tropicamide 1% ophth drop 15mL [HHSC]

Facility

$217.12

Service Code	NDC 61314035502
Hospital Charge Code	2500841
Hospital Revenue Code	250
Min. Negotiated Rate	$108.56
Max. Negotiated Rate	$210.61
Rate for Payer: AlohaCare Medicaid	$108.56
Rate for Payer: AlohaCare Medicare	$108.56
Rate for Payer: Cash Price	$141.13
Rate for Payer: Devoted Health Medicare	$119.42
Rate for Payer: Hawaii Medical Service Association Medicare	$108.56
Rate for Payer: Hawaii Western Management Group Commercial	$206.26
Rate for Payer: Health Management Network Commercial	$184.55
Rate for Payer: Humana Medicare	$108.56
Rate for Payer: Kaiser Permanente Commercial	$195.41
Rate for Payer: Kaiser Permanente Medicaid	$110.73
Rate for Payer: Kaiser Permanente Medicare	$108.56
Rate for Payer: MDX Hawaii PPO	$210.61
Rate for Payer: Ohana Health Plan Medicaid	$108.56
Rate for Payer: Ohana Health Plan Medicare	$108.56
Rate for Payer: UnitedHealthcare Medicaid	$130.27
Rate for Payer: UnitedHealthcare Medicare	$108.56
Rate for Payer: University Health Alliance Commercial	$158.26

tropicamide 1% ophth drop 15mL [HHSC]

Facility

$217.12

Service Code	NDC 61314035502
Hospital Charge Code	2500841
Hospital Revenue Code	250
Min. Negotiated Rate	$184.55
Max. Negotiated Rate	$210.61
Rate for Payer: Cash Price	$141.13
Rate for Payer: Health Management Network Commercial	$184.55
Rate for Payer: Kaiser Permanente Commercial	$195.41
Rate for Payer: MDX Hawaii PPO	$210.61

tropicamide 1% ophth drop 15mL [HHSC]

Facility

$174.90

Service Code	NDC 24208058564
Hospital Charge Code	2500841
Hospital Revenue Code	250
Min. Negotiated Rate	$87.45
Max. Negotiated Rate	$169.65
Rate for Payer: AlohaCare Medicaid	$87.45
Rate for Payer: AlohaCare Medicare	$87.45
Rate for Payer: Cash Price	$113.68
Rate for Payer: Devoted Health Medicare	$96.19
Rate for Payer: Hawaii Medical Service Association Medicare	$87.45
Rate for Payer: Hawaii Western Management Group Commercial	$166.16
Rate for Payer: Health Management Network Commercial	$148.66
Rate for Payer: Humana Medicare	$87.45
Rate for Payer: Kaiser Permanente Commercial	$157.41
Rate for Payer: Kaiser Permanente Medicaid	$89.20
Rate for Payer: Kaiser Permanente Medicare	$87.45
Rate for Payer: MDX Hawaii PPO	$169.65
Rate for Payer: Ohana Health Plan Medicaid	$87.45
Rate for Payer: Ohana Health Plan Medicare	$87.45
Rate for Payer: UnitedHealthcare Medicaid	$104.94
Rate for Payer: UnitedHealthcare Medicare	$87.45
Rate for Payer: University Health Alliance Commercial	$127.48

tropicamide 1% ophth drop 15mL [HHSC]

Facility

$167.08

Service Code	NDC 70069012101
Hospital Charge Code	2500841
Hospital Revenue Code	250
Min. Negotiated Rate	$142.02
Max. Negotiated Rate	$162.07
Rate for Payer: Cash Price	$108.60
Rate for Payer: Health Management Network Commercial	$142.02
Rate for Payer: Kaiser Permanente Commercial	$150.37
Rate for Payer: MDX Hawaii PPO	$162.07

tropicamide 1% ophth drop 15mL [HHSC]

Facility

$174.90

Service Code	NDC 24208058564
Hospital Charge Code	2500841
Hospital Revenue Code	250
Min. Negotiated Rate	$148.66
Max. Negotiated Rate	$169.65
Rate for Payer: Cash Price	$113.68
Rate for Payer: Health Management Network Commercial	$148.66
Rate for Payer: Kaiser Permanente Commercial	$157.41
Rate for Payer: MDX Hawaii PPO	$169.65

tropicamide 1% ophth drop 15mL [HHSC]

Facility

$61.55

Service Code	NDC 17478010212
Hospital Charge Code	2500841
Hospital Revenue Code	250
Min. Negotiated Rate	$30.77
Max. Negotiated Rate	$59.70
Rate for Payer: AlohaCare Medicaid	$30.77
Rate for Payer: AlohaCare Medicare	$30.77
Rate for Payer: Cash Price	$40.01
Rate for Payer: Devoted Health Medicare	$33.85
Rate for Payer: Hawaii Medical Service Association Medicare	$30.77
Rate for Payer: Hawaii Western Management Group Commercial	$58.47
Rate for Payer: Health Management Network Commercial	$52.32
Rate for Payer: Humana Medicare	$30.77
Rate for Payer: Kaiser Permanente Commercial	$55.40
Rate for Payer: Kaiser Permanente Medicaid	$31.39
Rate for Payer: Kaiser Permanente Medicare	$30.77
Rate for Payer: MDX Hawaii PPO	$59.70
Rate for Payer: Ohana Health Plan Medicaid	$30.77
Rate for Payer: Ohana Health Plan Medicare	$30.77
Rate for Payer: UnitedHealthcare Medicaid	$36.93
Rate for Payer: UnitedHealthcare Medicare	$30.77
Rate for Payer: University Health Alliance Commercial	$44.86

tropicamide 1% ophth drop 15mL [HHSC]

Facility

$167.08

Service Code	NDC 70069012101
Hospital Charge Code	2500841
Hospital Revenue Code	250
Min. Negotiated Rate	$83.54
Max. Negotiated Rate	$162.07
Rate for Payer: AlohaCare Medicaid	$83.54
Rate for Payer: AlohaCare Medicare	$83.54
Rate for Payer: Cash Price	$108.60
Rate for Payer: Devoted Health Medicare	$91.89
Rate for Payer: Hawaii Medical Service Association Medicare	$83.54
Rate for Payer: Hawaii Western Management Group Commercial	$158.73
Rate for Payer: Health Management Network Commercial	$142.02
Rate for Payer: Humana Medicare	$83.54
Rate for Payer: Kaiser Permanente Commercial	$150.37
Rate for Payer: Kaiser Permanente Medicaid	$85.21
Rate for Payer: Kaiser Permanente Medicare	$83.54
Rate for Payer: MDX Hawaii PPO	$162.07
Rate for Payer: Ohana Health Plan Medicaid	$83.54
Rate for Payer: Ohana Health Plan Medicare	$83.54
Rate for Payer: UnitedHealthcare Medicaid	$100.25
Rate for Payer: UnitedHealthcare Medicare	$83.54
Rate for Payer: University Health Alliance Commercial	$121.78

Troponin High Sensitivity POC

Facility

$125.00

Service Code	HCPCS 84484 QW
Hospital Charge Code	12884792
Hospital Revenue Code	301
Min. Negotiated Rate	$13.60
Max. Negotiated Rate	$121.25
Rate for Payer: AlohaCare Medicaid	$62.50
Rate for Payer: AlohaCare Medicare	$62.50
Rate for Payer: Cash Price	$81.25
Rate for Payer: Cash Price	$81.25
Rate for Payer: Devoted Health Medicare	$68.75
Rate for Payer: Hawaii Medical Service Association ABD	$13.60
Rate for Payer: Hawaii Medical Service Association Medicare	$62.50
Rate for Payer: Hawaii Medical Service Association Non-ABD	$14.28
Rate for Payer: Hawaii Western Management Group Commercial	$118.75
Rate for Payer: Health Management Network Commercial	$106.25
Rate for Payer: Humana Medicare	$62.50
Rate for Payer: Kaiser Permanente Commercial	$112.50
Rate for Payer: Kaiser Permanente Medicaid	$63.75
Rate for Payer: Kaiser Permanente Medicare	$62.50
Rate for Payer: MDX Hawaii PPO	$121.25
Rate for Payer: Ohana Health Plan Medicaid	$62.50
Rate for Payer: Ohana Health Plan Medicare	$62.50
Rate for Payer: UnitedHealthcare Medicaid	$13.60
Rate for Payer: UnitedHealthcare Medicare	$62.50
Rate for Payer: University Health Alliance Commercial	$25.44

Troponin High Sensitivity POC

Facility

$125.00

Service Code	HCPCS 84484 QW
Hospital Charge Code	12884792
Hospital Revenue Code	301
Min. Negotiated Rate	$106.25
Max. Negotiated Rate	$121.25
Rate for Payer: Kaiser Permanente Commercial	$112.50
Rate for Payer: Cash Price	$81.25
Rate for Payer: Health Management Network Commercial	$106.25
Rate for Payer: MDX Hawaii PPO	$121.25

Troponin I FSI

Facility

$161.00

Service Code	HCPCS 84484
Hospital Charge Code	8128157
Hospital Revenue Code	301
Min. Negotiated Rate	$12.47
Max. Negotiated Rate	$156.17
Rate for Payer: AlohaCare Medicaid	$80.50
Rate for Payer: AlohaCare Medicare	$80.50
Rate for Payer: Cash Price	$104.65
Rate for Payer: Cash Price	$104.65
Rate for Payer: Devoted Health Medicare	$88.55
Rate for Payer: Hawaii Medical Service Association ABD	$13.60
Rate for Payer: Hawaii Medical Service Association Commercial	$15.59
Rate for Payer: Hawaii Medical Service Association Medicare	$80.50
Rate for Payer: Hawaii Medical Service Association Non-ABD	$14.28
Rate for Payer: Hawaii Western Management Group Commercial	$12.47
Rate for Payer: Health Management Network Commercial	$136.85
Rate for Payer: Humana Medicare	$80.50
Rate for Payer: Kaiser Permanente Commercial	$144.90
Rate for Payer: Kaiser Permanente Medicaid	$82.11
Rate for Payer: Kaiser Permanente Medicare	$80.50
Rate for Payer: MDX Hawaii PPO	$156.17
Rate for Payer: Ohana Health Plan Medicaid	$80.50
Rate for Payer: Ohana Health Plan Medicare	$80.50
Rate for Payer: UnitedHealthcare Medicaid	$13.60
Rate for Payer: UnitedHealthcare Medicare	$80.50
Rate for Payer: University Health Alliance Commercial	$25.44

Troponin I FSI

Facility

$161.00

Service Code	HCPCS 84484
Hospital Charge Code	8128157
Hospital Revenue Code	301
Min. Negotiated Rate	$136.85
Max. Negotiated Rate	$156.17
Rate for Payer: Cash Price	$104.65
Rate for Payer: Health Management Network Commercial	$136.85
Rate for Payer: Kaiser Permanente Commercial	$144.90
Rate for Payer: MDX Hawaii PPO	$156.17

Troponin-I High Sensitivity

Facility

$142.00

Service Code	HCPCS 84484
Hospital Charge Code	9142423
Hospital Revenue Code	301
Min. Negotiated Rate	$120.70
Max. Negotiated Rate	$137.74
Rate for Payer: Cash Price	$92.30
Rate for Payer: Health Management Network Commercial	$120.70
Rate for Payer: Kaiser Permanente Commercial	$127.80
Rate for Payer: MDX Hawaii PPO	$137.74

Troponin-I High Sensitivity

Facility

$142.00

Service Code	HCPCS 84484
Hospital Charge Code	9142423
Hospital Revenue Code	301
Min. Negotiated Rate	$12.47
Max. Negotiated Rate	$137.74
Rate for Payer: AlohaCare Medicaid	$71.00
Rate for Payer: AlohaCare Medicare	$71.00
Rate for Payer: Cash Price	$92.30
Rate for Payer: Cash Price	$92.30
Rate for Payer: Devoted Health Medicare	$78.10
Rate for Payer: Hawaii Medical Service Association ABD	$13.60
Rate for Payer: Hawaii Medical Service Association Commercial	$15.59
Rate for Payer: Hawaii Medical Service Association Medicare	$71.00
Rate for Payer: Hawaii Medical Service Association Non-ABD	$14.28
Rate for Payer: Hawaii Western Management Group Commercial	$12.47
Rate for Payer: Health Management Network Commercial	$120.70
Rate for Payer: Humana Medicare	$71.00
Rate for Payer: Kaiser Permanente Commercial	$127.80
Rate for Payer: Kaiser Permanente Medicaid	$72.42
Rate for Payer: Kaiser Permanente Medicare	$71.00
Rate for Payer: MDX Hawaii PPO	$137.74
Rate for Payer: Ohana Health Plan Medicaid	$71.00
Rate for Payer: Ohana Health Plan Medicare	$71.00
Rate for Payer: UnitedHealthcare Medicaid	$13.60
Rate for Payer: UnitedHealthcare Medicare	$71.00
Rate for Payer: University Health Alliance Commercial	$25.44

Troponin I, High Sensitivity FSI

Facility

$142.00

Service Code	HCPCS 84484
Hospital Charge Code	9583208
Hospital Revenue Code	301
Min. Negotiated Rate	$120.70
Max. Negotiated Rate	$137.74
Rate for Payer: Cash Price	$92.30
Rate for Payer: Health Management Network Commercial	$120.70
Rate for Payer: Kaiser Permanente Commercial	$127.80
Rate for Payer: MDX Hawaii PPO	$137.74

Troponin I, High Sensitivity FSI

Facility

$142.00

Service Code	HCPCS 84484
Hospital Charge Code	9583208
Hospital Revenue Code	301
Min. Negotiated Rate	$12.47
Max. Negotiated Rate	$137.74
Rate for Payer: AlohaCare Medicaid	$71.00
Rate for Payer: AlohaCare Medicare	$71.00
Rate for Payer: Cash Price	$92.30
Rate for Payer: Cash Price	$92.30
Rate for Payer: Devoted Health Medicare	$78.10
Rate for Payer: Hawaii Medical Service Association ABD	$13.60
Rate for Payer: Hawaii Medical Service Association Commercial	$15.59
Rate for Payer: Hawaii Medical Service Association Medicare	$71.00
Rate for Payer: Hawaii Medical Service Association Non-ABD	$14.28
Rate for Payer: Hawaii Western Management Group Commercial	$12.47
Rate for Payer: Health Management Network Commercial	$120.70
Rate for Payer: Humana Medicare	$71.00
Rate for Payer: Kaiser Permanente Commercial	$127.80
Rate for Payer: Kaiser Permanente Medicaid	$72.42
Rate for Payer: Kaiser Permanente Medicare	$71.00
Rate for Payer: MDX Hawaii PPO	$137.74
Rate for Payer: Ohana Health Plan Medicaid	$71.00
Rate for Payer: Ohana Health Plan Medicare	$71.00
Rate for Payer: UnitedHealthcare Medicaid	$13.60
Rate for Payer: UnitedHealthcare Medicare	$71.00
Rate for Payer: University Health Alliance Commercial	$25.44

Troponin I (iStat TnI) FSI

Facility

$141.00

Service Code	HCPCS 84484
Hospital Charge Code	12317992
Hospital Revenue Code	301
Min. Negotiated Rate	$12.47
Max. Negotiated Rate	$136.77
Rate for Payer: AlohaCare Medicaid	$70.50
Rate for Payer: AlohaCare Medicare	$70.50
Rate for Payer: Cash Price	$91.65
Rate for Payer: Cash Price	$91.65
Rate for Payer: Devoted Health Medicare	$77.55
Rate for Payer: Hawaii Medical Service Association ABD	$13.60
Rate for Payer: Hawaii Medical Service Association Commercial	$15.59
Rate for Payer: Hawaii Medical Service Association Medicare	$70.50
Rate for Payer: Hawaii Medical Service Association Non-ABD	$14.28
Rate for Payer: Hawaii Western Management Group Commercial	$12.47
Rate for Payer: Health Management Network Commercial	$119.85
Rate for Payer: Humana Medicare	$70.50
Rate for Payer: Kaiser Permanente Commercial	$126.90
Rate for Payer: Kaiser Permanente Medicaid	$71.91
Rate for Payer: Kaiser Permanente Medicare	$70.50
Rate for Payer: MDX Hawaii PPO	$136.77
Rate for Payer: Ohana Health Plan Medicaid	$70.50
Rate for Payer: Ohana Health Plan Medicare	$70.50
Rate for Payer: UnitedHealthcare Medicaid	$13.60
Rate for Payer: UnitedHealthcare Medicare	$70.50
Rate for Payer: University Health Alliance Commercial	$25.44

Troponin I (iStat TnI) FSI

Facility

$141.00

Service Code	HCPCS 84484
Hospital Charge Code	12317992
Hospital Revenue Code	301
Min. Negotiated Rate	$119.85
Max. Negotiated Rate	$136.77
Rate for Payer: Cash Price	$91.65
Rate for Payer: Health Management Network Commercial	$119.85
Rate for Payer: Kaiser Permanente Commercial	$126.90
Rate for Payer: MDX Hawaii PPO	$136.77

Troponin I (POCT)

Facility

$135.00

Service Code	HCPCS 84484
Hospital Charge Code	12514707
Hospital Revenue Code	301
Min. Negotiated Rate	$114.75
Max. Negotiated Rate	$130.95
Rate for Payer: Cash Price	$87.75
Rate for Payer: Health Management Network Commercial	$114.75
Rate for Payer: Kaiser Permanente Commercial	$121.50
Rate for Payer: MDX Hawaii PPO	$130.95

Troponin I (POCT)

Facility

$135.00

Service Code	HCPCS 84484
Hospital Charge Code	12514707
Hospital Revenue Code	301
Min. Negotiated Rate	$12.47
Max. Negotiated Rate	$130.95
Rate for Payer: AlohaCare Medicaid	$67.50
Rate for Payer: AlohaCare Medicare	$67.50
Rate for Payer: Cash Price	$87.75
Rate for Payer: Cash Price	$87.75
Rate for Payer: Devoted Health Medicare	$74.25
Rate for Payer: Hawaii Medical Service Association ABD	$13.60
Rate for Payer: Hawaii Medical Service Association Commercial	$15.59
Rate for Payer: Hawaii Medical Service Association Medicare	$67.50
Rate for Payer: Hawaii Medical Service Association Non-ABD	$14.28
Rate for Payer: Hawaii Western Management Group Commercial	$12.47
Rate for Payer: Health Management Network Commercial	$114.75
Rate for Payer: Humana Medicare	$67.50
Rate for Payer: Kaiser Permanente Commercial	$121.50
Rate for Payer: Kaiser Permanente Medicaid	$68.85
Rate for Payer: Kaiser Permanente Medicare	$67.50
Rate for Payer: MDX Hawaii PPO	$130.95
Rate for Payer: Ohana Health Plan Medicaid	$67.50
Rate for Payer: Ohana Health Plan Medicare	$67.50
Rate for Payer: UnitedHealthcare Medicaid	$13.60
Rate for Payer: UnitedHealthcare Medicare	$67.50
Rate for Payer: University Health Alliance Commercial	$25.44

Troponin iSTAT

Facility

$125.00

Service Code	HCPCS 84484 QW
Hospital Charge Code	8293270
Hospital Revenue Code	301
Min. Negotiated Rate	$106.25
Max. Negotiated Rate	$121.25
Rate for Payer: Cash Price	$81.25
Rate for Payer: Health Management Network Commercial	$106.25
Rate for Payer: Kaiser Permanente Commercial	$112.50
Rate for Payer: MDX Hawaii PPO	$121.25

Troponin iSTAT

Facility

$125.00

Service Code	HCPCS 84484 QW
Hospital Charge Code	8293270
Hospital Revenue Code	301
Min. Negotiated Rate	$13.60
Max. Negotiated Rate	$121.25
Rate for Payer: AlohaCare Medicaid	$62.50
Rate for Payer: AlohaCare Medicare	$62.50
Rate for Payer: Cash Price	$81.25
Rate for Payer: Cash Price	$81.25
Rate for Payer: Devoted Health Medicare	$68.75
Rate for Payer: Hawaii Medical Service Association ABD	$13.60
Rate for Payer: Hawaii Medical Service Association Medicare	$62.50
Rate for Payer: Hawaii Medical Service Association Non-ABD	$14.28
Rate for Payer: Hawaii Western Management Group Commercial	$118.75
Rate for Payer: Health Management Network Commercial	$106.25
Rate for Payer: Humana Medicare	$62.50
Rate for Payer: Kaiser Permanente Commercial	$112.50
Rate for Payer: Kaiser Permanente Medicaid	$63.75
Rate for Payer: Kaiser Permanente Medicare	$62.50
Rate for Payer: MDX Hawaii PPO	$121.25
Rate for Payer: Ohana Health Plan Medicaid	$62.50
Rate for Payer: Ohana Health Plan Medicare	$62.50
Rate for Payer: UnitedHealthcare Medicaid	$13.60
Rate for Payer: UnitedHealthcare Medicare	$62.50
Rate for Payer: University Health Alliance Commercial	$25.44

Troponin T Gen5 ng/L FSI

Facility

$130.00

Service Code	HCPCS 84484
Hospital Charge Code	8225278
Hospital Revenue Code	301
Min. Negotiated Rate	$12.47
Max. Negotiated Rate	$126.10
Rate for Payer: AlohaCare Medicaid	$65.00
Rate for Payer: AlohaCare Medicare	$65.00
Rate for Payer: Cash Price	$84.50
Rate for Payer: Cash Price	$84.50
Rate for Payer: Devoted Health Medicare	$71.50
Rate for Payer: Hawaii Medical Service Association ABD	$13.60
Rate for Payer: Hawaii Medical Service Association Commercial	$15.59
Rate for Payer: Hawaii Medical Service Association Medicare	$65.00
Rate for Payer: Hawaii Medical Service Association Non-ABD	$14.28
Rate for Payer: Hawaii Western Management Group Commercial	$12.47
Rate for Payer: Health Management Network Commercial	$110.50
Rate for Payer: Humana Medicare	$65.00
Rate for Payer: Kaiser Permanente Commercial	$117.00
Rate for Payer: Kaiser Permanente Medicaid	$66.30
Rate for Payer: Kaiser Permanente Medicare	$65.00
Rate for Payer: MDX Hawaii PPO	$126.10
Rate for Payer: Ohana Health Plan Medicaid	$65.00
Rate for Payer: Ohana Health Plan Medicare	$65.00
Rate for Payer: UnitedHealthcare Medicaid	$13.60
Rate for Payer: UnitedHealthcare Medicare	$65.00
Rate for Payer: University Health Alliance Commercial	$25.44

Troponin T Gen5 ng/L FSI

Facility

$130.00

Service Code	HCPCS 84484
Hospital Charge Code	8225278
Hospital Revenue Code	301
Min. Negotiated Rate	$110.50
Max. Negotiated Rate	$126.10
Rate for Payer: Cash Price	$84.50
Rate for Payer: Health Management Network Commercial	$110.50
Rate for Payer: Kaiser Permanente Commercial	$117.00
Rate for Payer: MDX Hawaii PPO	$126.10

trypan blue 0.06% 0.5ml syringe [HHSC]

Facility

$378.83

Service Code	NDC 68803061210
Hospital Charge Code	2500842
Hospital Revenue Code	250
Min. Negotiated Rate	$189.41
Max. Negotiated Rate	$367.47
Rate for Payer: AlohaCare Medicaid	$189.41
Rate for Payer: AlohaCare Medicare	$189.41
Rate for Payer: Cash Price	$246.24
Rate for Payer: Devoted Health Medicare	$208.36
Rate for Payer: Hawaii Medical Service Association Medicare	$189.41
Rate for Payer: Hawaii Western Management Group Commercial	$359.89
Rate for Payer: Health Management Network Commercial	$322.01
Rate for Payer: Humana Medicare	$189.41
Rate for Payer: Kaiser Permanente Commercial	$340.95
Rate for Payer: Kaiser Permanente Medicaid	$193.20
Rate for Payer: Kaiser Permanente Medicare	$189.41
Rate for Payer: MDX Hawaii PPO	$367.47
Rate for Payer: Ohana Health Plan Medicaid	$189.41
Rate for Payer: Ohana Health Plan Medicare	$189.41
Rate for Payer: UnitedHealthcare Medicaid	$227.30
Rate for Payer: UnitedHealthcare Medicare	$189.41
Rate for Payer: University Health Alliance Commercial	$276.13

trypan blue 0.06% 0.5ml syringe [HHSC]

Facility

$378.83

Service Code	NDC 68803061210
Hospital Charge Code	2500842
Hospital Revenue Code	250
Min. Negotiated Rate	$322.01
Max. Negotiated Rate	$367.47
Rate for Payer: Cash Price	$246.24
Rate for Payer: Health Management Network Commercial	$322.01
Rate for Payer: Kaiser Permanente Commercial	$340.95
Rate for Payer: MDX Hawaii PPO	$367.47

Know your out-of-pocket cost for care.

All Charges