Kohala Hospital

All Charges

Charge

Type

Setting

Price

HCHG COMPREHENSIVE METABOLIC PROF

Facility

$185.00

Service Code	HCPCS 80053
Hospital Charge Code	H3010410
Hospital Revenue Code	301
Min. Negotiated Rate	$157.25
Max. Negotiated Rate	$179.45
Rate for Payer: Cash Price	$120.25
Rate for Payer: Health Management Network Commercial	$157.25
Rate for Payer: Kaiser Permanente Commercial	$166.50
Rate for Payer: MDX Hawaii PPO	$179.45

HCHG CONCENTRATION

Facility

$166.00

Service Code	HCPCS 87015
Hospital Charge Code	H3060132
Hospital Revenue Code	306
Min. Negotiated Rate	$6.68
Max. Negotiated Rate	$164.34
Rate for Payer: AlohaCare Medicaid	$83.00
Rate for Payer: AlohaCare Medicare	$149.40
Rate for Payer: Cash Price	$107.90
Rate for Payer: Cash Price	$107.90
Rate for Payer: Devoted Health Medicare	$164.34
Rate for Payer: Hawaii Medical Service Association ABD	$9.23
Rate for Payer: Hawaii Medical Service Association Commercial	$8.35
Rate for Payer: Hawaii Medical Service Association Medicare	$149.40
Rate for Payer: Hawaii Medical Service Association Non-ABD	$9.69
Rate for Payer: Hawaii Western Management Group Commercial	$6.68
Rate for Payer: Health Management Network Commercial	$141.10
Rate for Payer: Humana Medicare	$149.40
Rate for Payer: Kaiser Permanente Commercial	$149.40
Rate for Payer: Kaiser Permanente Medicaid	$84.66
Rate for Payer: Kaiser Permanente Medicare	$149.40
Rate for Payer: MDX Hawaii PPO	$161.02
Rate for Payer: Ohana Health Plan Medicaid	$149.40
Rate for Payer: Ohana Health Plan Medicare	$149.40
Rate for Payer: UnitedHealthcare Medicaid	$9.23
Rate for Payer: UnitedHealthcare Medicare	$149.40
Rate for Payer: University Health Alliance Commercial	$17.26

HCHG CONCENTRATION

Facility

$166.00

Service Code	HCPCS 87015
Hospital Charge Code	H3060132
Hospital Revenue Code	306
Min. Negotiated Rate	$141.10
Max. Negotiated Rate	$161.02
Rate for Payer: Cash Price	$107.90
Rate for Payer: Health Management Network Commercial	$141.10
Rate for Payer: Kaiser Permanente Commercial	$149.40
Rate for Payer: MDX Hawaii PPO	$161.02

HCHG CONCENTRATION INF AGNT

Facility

$166.00

Service Code	HCPCS 87015
Hospital Charge Code	K3060005
Hospital Revenue Code	306
Min. Negotiated Rate	$6.68
Max. Negotiated Rate	$164.34
Rate for Payer: AlohaCare Medicaid	$83.00
Rate for Payer: AlohaCare Medicare	$149.40
Rate for Payer: Cash Price	$107.90
Rate for Payer: Cash Price	$107.90
Rate for Payer: Devoted Health Medicare	$164.34
Rate for Payer: Hawaii Medical Service Association ABD	$9.23
Rate for Payer: Hawaii Medical Service Association Commercial	$8.35
Rate for Payer: Hawaii Medical Service Association Medicare	$149.40
Rate for Payer: Hawaii Medical Service Association Non-ABD	$9.69
Rate for Payer: Hawaii Western Management Group Commercial	$6.68
Rate for Payer: Health Management Network Commercial	$141.10
Rate for Payer: Humana Medicare	$149.40
Rate for Payer: Kaiser Permanente Commercial	$149.40
Rate for Payer: Kaiser Permanente Medicaid	$84.66
Rate for Payer: Kaiser Permanente Medicare	$149.40
Rate for Payer: MDX Hawaii PPO	$161.02
Rate for Payer: Ohana Health Plan Medicaid	$149.40
Rate for Payer: Ohana Health Plan Medicare	$149.40
Rate for Payer: UnitedHealthcare Medicaid	$9.23
Rate for Payer: UnitedHealthcare Medicare	$149.40
Rate for Payer: University Health Alliance Commercial	$17.26

HCHG CONCENTRATION INF AGNT

Facility

$166.00

Service Code	HCPCS 87015
Hospital Charge Code	K3060005
Hospital Revenue Code	306
Min. Negotiated Rate	$141.10
Max. Negotiated Rate	$161.02
Rate for Payer: Cash Price	$107.90
Rate for Payer: Health Management Network Commercial	$141.10
Rate for Payer: Kaiser Permanente Commercial	$149.40
Rate for Payer: MDX Hawaii PPO	$161.02

HCHG CONSCIOUS SEDATION 5 YO OR > INITIAL 15 MINS

Facility

$120.00

Service Code	HCPCS 99152
Hospital Charge Code	H3701188
Hospital Revenue Code	370
Min. Negotiated Rate	$11.94
Max. Negotiated Rate	$118.80
Rate for Payer: AlohaCare Medicaid	$60.00
Rate for Payer: AlohaCare Medicare	$108.00
Rate for Payer: Cash Price	$78.00
Rate for Payer: Cash Price	$78.00
Rate for Payer: Devoted Health Medicare	$118.80
Rate for Payer: Hawaii Medical Service Association Medicare	$108.00
Rate for Payer: Hawaii Western Management Group Commercial	$114.00
Rate for Payer: Health Management Network Commercial	$102.00
Rate for Payer: Humana Medicare	$108.00
Rate for Payer: Kaiser Permanente Commercial	$108.00
Rate for Payer: Kaiser Permanente Medicaid	$61.20
Rate for Payer: Kaiser Permanente Medicare	$108.00
Rate for Payer: MDX Hawaii PPO	$116.40
Rate for Payer: Ohana Health Plan Medicaid	$108.00
Rate for Payer: Ohana Health Plan Medicare	$108.00
Rate for Payer: UnitedHealthcare Medicaid	$11.94
Rate for Payer: UnitedHealthcare Medicare	$108.00
Rate for Payer: University Health Alliance Commercial	$87.47

HCHG CONSCIOUS SEDATION 5 YO OR > INITIAL 15 MINS

Facility

$120.00

Service Code	HCPCS 99152
Hospital Charge Code	H3701188
Hospital Revenue Code	370
Min. Negotiated Rate	$102.00
Max. Negotiated Rate	$116.40
Rate for Payer: Cash Price	$78.00
Rate for Payer: Health Management Network Commercial	$102.00
Rate for Payer: Kaiser Permanente Commercial	$108.00
Rate for Payer: MDX Hawaii PPO	$116.40

HCHG CONTROL OROPHARYNG HEMORR SIMP

Facility

$2,499.00

Service Code	HCPCS 42960
Hospital Charge Code	H4500350
Hospital Revenue Code	450
Min. Negotiated Rate	$2,124.15
Max. Negotiated Rate	$2,424.03
Rate for Payer: Cash Price	$1,624.35
Rate for Payer: Health Management Network Commercial	$2,124.15
Rate for Payer: Kaiser Permanente Commercial	$2,249.10
Rate for Payer: MDX Hawaii PPO	$2,424.03

HCHG CONTROL OROPHARYNG HEMORR SIMP

Facility

$2,499.00

Service Code	HCPCS 42960
Hospital Charge Code	H4500350
Hospital Revenue Code	450
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$2,474.01
Rate for Payer: AlohaCare Medicaid	$1,249.50
Rate for Payer: AlohaCare Medicare	$2,249.10
Rate for Payer: Cash Price	$1,624.35
Rate for Payer: Cash Price	$1,624.35
Rate for Payer: Devoted Health Medicare	$2,474.01
Rate for Payer: Hawaii Medical Service Association ABD	$469.00
Rate for Payer: Hawaii Medical Service Association Commercial	$1,600.00
Rate for Payer: Hawaii Medical Service Association Medicare	$2,249.10
Rate for Payer: Hawaii Medical Service Association Non-ABD	$450.00
Rate for Payer: Hawaii Western Management Group Commercial	$2,374.05
Rate for Payer: Health Management Network Commercial	$2,124.15
Rate for Payer: Humana Medicare	$2,249.10
Rate for Payer: Kaiser Permanente Commercial	$2,249.10
Rate for Payer: Kaiser Permanente Medicaid	$937.50
Rate for Payer: Kaiser Permanente Medicare	$2,249.10
Rate for Payer: MDX Hawaii PPO	$2,424.03
Rate for Payer: Ohana Health Plan Medicaid	$2,249.10
Rate for Payer: Ohana Health Plan Medicare	$2,249.10
Rate for Payer: UnitedHealthcare Medicare	$2,249.10
Rate for Payer: University Health Alliance Commercial	$1,821.52

HCHG COPPER-URINE 90

Facility

$95.00

Service Code	HCPCS 82525
Hospital Charge Code	H3010416
Hospital Revenue Code	301
Min. Negotiated Rate	$12.41
Max. Negotiated Rate	$94.05
Rate for Payer: AlohaCare Medicaid	$47.50
Rate for Payer: AlohaCare Medicare	$85.50
Rate for Payer: Cash Price	$61.75
Rate for Payer: Cash Price	$61.75
Rate for Payer: Devoted Health Medicare	$94.05
Rate for Payer: Hawaii Medical Service Association ABD	$17.15
Rate for Payer: Hawaii Medical Service Association Commercial	$15.51
Rate for Payer: Hawaii Medical Service Association Medicare	$85.50
Rate for Payer: Hawaii Medical Service Association Non-ABD	$18.01
Rate for Payer: Hawaii Western Management Group Commercial	$12.41
Rate for Payer: Health Management Network Commercial	$80.75
Rate for Payer: Humana Medicare	$85.50
Rate for Payer: Kaiser Permanente Commercial	$85.50
Rate for Payer: Kaiser Permanente Medicaid	$48.45
Rate for Payer: Kaiser Permanente Medicare	$85.50
Rate for Payer: MDX Hawaii PPO	$92.15
Rate for Payer: Ohana Health Plan Medicaid	$85.50
Rate for Payer: Ohana Health Plan Medicare	$85.50
Rate for Payer: UnitedHealthcare Medicaid	$17.15
Rate for Payer: UnitedHealthcare Medicare	$85.50
Rate for Payer: University Health Alliance Commercial	$32.08

HCHG COPPER-URINE 90

Facility

$95.00

Service Code	HCPCS 82525
Hospital Charge Code	H3010416
Hospital Revenue Code	301
Min. Negotiated Rate	$80.75
Max. Negotiated Rate	$92.15
Rate for Payer: Cash Price	$61.75
Rate for Payer: Health Management Network Commercial	$80.75
Rate for Payer: Kaiser Permanente Commercial	$85.50
Rate for Payer: MDX Hawaii PPO	$92.15

HCHG CORD BLOOD GAS, ARTERIAL - 90

Facility

$180.00

Service Code	HCPCS 82803
Hospital Charge Code	K3010065
Hospital Revenue Code	301
Min. Negotiated Rate	$153.00
Max. Negotiated Rate	$174.60
Rate for Payer: Cash Price	$117.00
Rate for Payer: Health Management Network Commercial	$153.00
Rate for Payer: Kaiser Permanente Commercial	$162.00
Rate for Payer: MDX Hawaii PPO	$174.60

HCHG CORD BLOOD GAS, ARTERIAL - 90

Facility

$180.00

Service Code	HCPCS 82803
Hospital Charge Code	K3010065
Hospital Revenue Code	301
Min. Negotiated Rate	$26.07
Max. Negotiated Rate	$178.20
Rate for Payer: AlohaCare Medicaid	$90.00
Rate for Payer: AlohaCare Medicare	$162.00
Rate for Payer: Cash Price	$117.00
Rate for Payer: Cash Price	$117.00
Rate for Payer: Devoted Health Medicare	$178.20
Rate for Payer: Hawaii Medical Service Association ABD	$26.74
Rate for Payer: Hawaii Medical Service Association Commercial	$32.59
Rate for Payer: Hawaii Medical Service Association Medicare	$162.00
Rate for Payer: Hawaii Medical Service Association Non-ABD	$28.08
Rate for Payer: Hawaii Western Management Group Commercial	$26.07
Rate for Payer: Health Management Network Commercial	$153.00
Rate for Payer: Humana Medicare	$162.00
Rate for Payer: Kaiser Permanente Commercial	$162.00
Rate for Payer: Kaiser Permanente Medicaid	$91.80
Rate for Payer: Kaiser Permanente Medicare	$162.00
Rate for Payer: MDX Hawaii PPO	$174.60
Rate for Payer: Ohana Health Plan Medicaid	$162.00
Rate for Payer: Ohana Health Plan Medicare	$162.00
Rate for Payer: UnitedHealthcare Medicaid	$26.74
Rate for Payer: UnitedHealthcare Medicare	$162.00
Rate for Payer: University Health Alliance Commercial	$50.02

HCHG CORD BLOOD GAS, VENOUS - 90

Facility

$180.00

Service Code	HCPCS 82803
Hospital Charge Code	K3010066
Hospital Revenue Code	301
Min. Negotiated Rate	$26.07
Max. Negotiated Rate	$178.20
Rate for Payer: AlohaCare Medicaid	$90.00
Rate for Payer: AlohaCare Medicare	$162.00
Rate for Payer: Cash Price	$117.00
Rate for Payer: Cash Price	$117.00
Rate for Payer: Devoted Health Medicare	$178.20
Rate for Payer: Hawaii Medical Service Association ABD	$26.74
Rate for Payer: Hawaii Medical Service Association Commercial	$32.59
Rate for Payer: Hawaii Medical Service Association Medicare	$162.00
Rate for Payer: Hawaii Medical Service Association Non-ABD	$28.08
Rate for Payer: Hawaii Western Management Group Commercial	$26.07
Rate for Payer: Health Management Network Commercial	$153.00
Rate for Payer: Humana Medicare	$162.00
Rate for Payer: Kaiser Permanente Commercial	$162.00
Rate for Payer: Kaiser Permanente Medicaid	$91.80
Rate for Payer: Kaiser Permanente Medicare	$162.00
Rate for Payer: MDX Hawaii PPO	$174.60
Rate for Payer: Ohana Health Plan Medicaid	$162.00
Rate for Payer: Ohana Health Plan Medicare	$162.00
Rate for Payer: UnitedHealthcare Medicaid	$26.74
Rate for Payer: UnitedHealthcare Medicare	$162.00
Rate for Payer: University Health Alliance Commercial	$50.02

HCHG CORD BLOOD GAS, VENOUS - 90

Facility

$180.00

Service Code	HCPCS 82803
Hospital Charge Code	K3010066
Hospital Revenue Code	301
Min. Negotiated Rate	$153.00
Max. Negotiated Rate	$174.60
Rate for Payer: Cash Price	$117.00
Rate for Payer: Health Management Network Commercial	$153.00
Rate for Payer: Kaiser Permanente Commercial	$162.00
Rate for Payer: MDX Hawaii PPO	$174.60

HCHG CORISTOL FREE SERUM

Facility

$331.00

Service Code	HCPCS 82530
Hospital Charge Code	H3011335
Hospital Revenue Code	301
Min. Negotiated Rate	$16.71
Max. Negotiated Rate	$327.69
Rate for Payer: AlohaCare Medicaid	$165.50
Rate for Payer: AlohaCare Medicare	$297.90
Rate for Payer: Cash Price	$215.15
Rate for Payer: Cash Price	$215.15
Rate for Payer: Devoted Health Medicare	$327.69
Rate for Payer: Hawaii Medical Service Association ABD	$23.10
Rate for Payer: Hawaii Medical Service Association Commercial	$20.89
Rate for Payer: Hawaii Medical Service Association Medicare	$297.90
Rate for Payer: Hawaii Medical Service Association Non-ABD	$24.26
Rate for Payer: Hawaii Western Management Group Commercial	$16.71
Rate for Payer: Health Management Network Commercial	$281.35
Rate for Payer: Humana Medicare	$297.90
Rate for Payer: Kaiser Permanente Commercial	$297.90
Rate for Payer: Kaiser Permanente Medicaid	$168.81
Rate for Payer: Kaiser Permanente Medicare	$297.90
Rate for Payer: MDX Hawaii PPO	$321.07
Rate for Payer: Ohana Health Plan Medicaid	$297.90
Rate for Payer: Ohana Health Plan Medicare	$297.90
Rate for Payer: UnitedHealthcare Medicaid	$23.10
Rate for Payer: UnitedHealthcare Medicare	$297.90
Rate for Payer: University Health Alliance Commercial	$43.20

HCHG CORISTOL FREE SERUM

Facility

$331.00

Service Code	HCPCS 82530
Hospital Charge Code	H3011335
Hospital Revenue Code	301
Min. Negotiated Rate	$281.35
Max. Negotiated Rate	$321.07
Rate for Payer: Cash Price	$215.15
Rate for Payer: Health Management Network Commercial	$281.35
Rate for Payer: Kaiser Permanente Commercial	$297.90
Rate for Payer: MDX Hawaii PPO	$321.07

HCHG CORTISOL FREE 24 HR URINE

Facility

$331.00

Service Code	HCPCS 82530
Hospital Charge Code	H3010418
Hospital Revenue Code	301
Min. Negotiated Rate	$281.35
Max. Negotiated Rate	$321.07
Rate for Payer: Cash Price	$215.15
Rate for Payer: Health Management Network Commercial	$281.35
Rate for Payer: Kaiser Permanente Commercial	$297.90
Rate for Payer: MDX Hawaii PPO	$321.07

HCHG CORTISOL FREE 24 HR URINE

Facility

$331.00

Service Code	HCPCS 82530
Hospital Charge Code	H3010418
Hospital Revenue Code	301
Min. Negotiated Rate	$16.71
Max. Negotiated Rate	$327.69
Rate for Payer: AlohaCare Medicaid	$165.50
Rate for Payer: AlohaCare Medicare	$297.90
Rate for Payer: Cash Price	$215.15
Rate for Payer: Cash Price	$215.15
Rate for Payer: Devoted Health Medicare	$327.69
Rate for Payer: Hawaii Medical Service Association ABD	$23.10
Rate for Payer: Hawaii Medical Service Association Commercial	$20.89
Rate for Payer: Hawaii Medical Service Association Medicare	$297.90
Rate for Payer: Hawaii Medical Service Association Non-ABD	$24.26
Rate for Payer: Hawaii Western Management Group Commercial	$16.71
Rate for Payer: Health Management Network Commercial	$281.35
Rate for Payer: Humana Medicare	$297.90
Rate for Payer: Kaiser Permanente Commercial	$297.90
Rate for Payer: Kaiser Permanente Medicaid	$168.81
Rate for Payer: Kaiser Permanente Medicare	$297.90
Rate for Payer: MDX Hawaii PPO	$321.07
Rate for Payer: Ohana Health Plan Medicaid	$297.90
Rate for Payer: Ohana Health Plan Medicare	$297.90
Rate for Payer: UnitedHealthcare Medicaid	$23.10
Rate for Payer: UnitedHealthcare Medicare	$297.90
Rate for Payer: University Health Alliance Commercial	$43.20

HCHG CORTISOL SERUM/PLASMA RIA

Facility

$321.00

Service Code	HCPCS 82533
Hospital Charge Code	H3010420
Hospital Revenue Code	301
Min. Negotiated Rate	$272.85
Max. Negotiated Rate	$311.37
Rate for Payer: Cash Price	$208.65
Rate for Payer: Health Management Network Commercial	$272.85
Rate for Payer: Kaiser Permanente Commercial	$288.90
Rate for Payer: MDX Hawaii PPO	$311.37

HCHG CORTISOL SERUM/PLASMA RIA

Facility

$321.00

Service Code	HCPCS 82533
Hospital Charge Code	H3010420
Hospital Revenue Code	301
Min. Negotiated Rate	$16.30
Max. Negotiated Rate	$317.79
Rate for Payer: AlohaCare Medicaid	$160.50
Rate for Payer: AlohaCare Medicare	$288.90
Rate for Payer: Cash Price	$208.65
Rate for Payer: Cash Price	$208.65
Rate for Payer: Devoted Health Medicare	$317.79
Rate for Payer: Hawaii Medical Service Association ABD	$22.53
Rate for Payer: Hawaii Medical Service Association Commercial	$20.38
Rate for Payer: Hawaii Medical Service Association Medicare	$288.90
Rate for Payer: Hawaii Medical Service Association Non-ABD	$23.66
Rate for Payer: Hawaii Western Management Group Commercial	$16.30
Rate for Payer: Health Management Network Commercial	$272.85
Rate for Payer: Humana Medicare	$288.90
Rate for Payer: Kaiser Permanente Commercial	$288.90
Rate for Payer: Kaiser Permanente Medicaid	$163.71
Rate for Payer: Kaiser Permanente Medicare	$288.90
Rate for Payer: MDX Hawaii PPO	$311.37
Rate for Payer: Ohana Health Plan Medicaid	$288.90
Rate for Payer: Ohana Health Plan Medicare	$288.90
Rate for Payer: UnitedHealthcare Medicaid	$22.53
Rate for Payer: UnitedHealthcare Medicare	$288.90
Rate for Payer: University Health Alliance Commercial	$42.14

HCHG COV-19 AMP PRB HGH THRUPUT

Facility

$300.00

Service Code	HCPCS U0003
Hospital Charge Code	H3060750
Hospital Revenue Code	306
Min. Negotiated Rate	$255.00
Max. Negotiated Rate	$291.00
Rate for Payer: Cash Price	$195.00
Rate for Payer: Health Management Network Commercial	$255.00
Rate for Payer: Kaiser Permanente Commercial	$270.00
Rate for Payer: MDX Hawaii PPO	$291.00

HCHG COV-19 AMP PRB HGH THRUPUT

Facility

$300.00

Service Code	HCPCS U0003
Hospital Charge Code	H3060750
Hospital Revenue Code	306
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$297.00
Rate for Payer: AlohaCare Medicaid	$150.00
Rate for Payer: AlohaCare Medicare	$270.00
Rate for Payer: Cash Price	$195.00
Rate for Payer: Devoted Health Medicare	$297.00
Rate for Payer: Hawaii Medical Service Association Medicare	$270.00
Rate for Payer: Hawaii Western Management Group Commercial	$285.00
Rate for Payer: Health Management Network Commercial	$255.00
Rate for Payer: Humana Medicare	$270.00
Rate for Payer: Kaiser Permanente Commercial	$270.00
Rate for Payer: Kaiser Permanente Medicaid	$153.00
Rate for Payer: Kaiser Permanente Medicare	$270.00
Rate for Payer: MDX Hawaii PPO	$291.00
Rate for Payer: Ohana Health Plan Medicaid	$270.00
Rate for Payer: Ohana Health Plan Medicare	$270.00
Rate for Payer: UnitedHealthcare Medicare	$270.00
Rate for Payer: University Health Alliance Commercial	$218.67

HCHG COV-19 AMP PRB HGH THRUPUT WITHIN 2 DAYS COLLECT

Facility

$219.00

Service Code	HCPCS U0005
Hospital Charge Code	H3060753
Hospital Revenue Code	306
Min. Negotiated Rate	$109.50
Max. Negotiated Rate	$216.81
Rate for Payer: AlohaCare Medicaid	$109.50
Rate for Payer: AlohaCare Medicare	$197.10
Rate for Payer: Cash Price	$142.35
Rate for Payer: Devoted Health Medicare	$216.81
Rate for Payer: Hawaii Medical Service Association Medicare	$197.10
Rate for Payer: Hawaii Western Management Group Commercial	$208.05
Rate for Payer: Health Management Network Commercial	$186.15
Rate for Payer: Humana Medicare	$197.10
Rate for Payer: Kaiser Permanente Commercial	$197.10
Rate for Payer: Kaiser Permanente Medicaid	$111.69
Rate for Payer: Kaiser Permanente Medicare	$197.10
Rate for Payer: MDX Hawaii PPO	$212.43
Rate for Payer: Ohana Health Plan Medicaid	$197.10
Rate for Payer: Ohana Health Plan Medicare	$197.10
Rate for Payer: UnitedHealthcare Medicare	$197.10
Rate for Payer: University Health Alliance Commercial	$159.63

HCHG COV-19 AMP PRB HGH THRUPUT WITHIN 2 DAYS COLLECT

Facility

$219.00

Service Code	HCPCS U0005
Hospital Charge Code	H3060753
Hospital Revenue Code	306
Min. Negotiated Rate	$186.15
Max. Negotiated Rate	$212.43
Rate for Payer: Cash Price	$142.35
Rate for Payer: Health Management Network Commercial	$186.15
Rate for Payer: Kaiser Permanente Commercial	$197.10
Rate for Payer: MDX Hawaii PPO	$212.43

Know your out-of-pocket cost for care.

All Charges