St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ASSAY OTHER FLUID CHLORIDES

Facility

$12.50

Service Code	HCPCS 82438
Hospital Charge Code	40609608
Hospital Revenue Code	300
Rate for Payer: Cash Price	$5.00

ASSEMBLED FRAME,LENS, ASSTD

Facility

$6.95

Hospital Charge Code	64901168
Hospital Revenue Code	270
Min. Negotiated Rate	$2.43
Max. Negotiated Rate	$5.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.82
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3.48
Rate for Payer: Aetna Government	$3.48
Rate for Payer: Brighton Health Commercial	$5.21
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$4.73
Rate for Payer: Group Health Inc Commercial	$3.48
Rate for Payer: Group Health Inc Medicare	$2.43
Rate for Payer: Hamaspik Choice Inc Medicaid	$3.48
Rate for Payer: Hamaspik Choice Inc Medicare	$3.48

ASSEMBLY BULB & VALVE BP UNIT

Facility

$20.12

Hospital Charge Code	64902205
Hospital Revenue Code	270
Min. Negotiated Rate	$7.04
Max. Negotiated Rate	$16.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.06
Rate for Payer: Aetna Government	$10.06
Rate for Payer: Brighton Health Commercial	$15.09
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$13.68
Rate for Payer: Group Health Inc Commercial	$10.06
Rate for Payer: Group Health Inc Medicare	$7.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.06
Rate for Payer: Hamaspik Choice Inc Medicare	$10.06

ASSISTED METHADONE TRMNT

Facility

$258.63

Service Code	HCPCS G2067
Hospital Charge Code	30300189
Hospital Revenue Code	900
Min. Negotiated Rate	$90.52
Max. Negotiated Rate	$233.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$142.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$233.15
Rate for Payer: Aetna Government	$233.15
Rate for Payer: Brighton Health Commercial	$193.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$206.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$175.87
Rate for Payer: Group Health Inc Commercial	$129.32
Rate for Payer: Group Health Inc Medicare	$90.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$129.32
Rate for Payer: Hamaspik Choice Inc Medicare	$129.32
Rate for Payer: United Healthcare Commercial	$129.32

ASST BUPRENORPHINE IMPLNT INSERT

Facility

$258.63

Service Code	HCPCS G2070
Hospital Charge Code	30300195
Hospital Revenue Code	900
Min. Negotiated Rate	$90.52
Max. Negotiated Rate	$5,387.61
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$142.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5,387.61
Rate for Payer: Aetna Government	$5,387.61
Rate for Payer: Brighton Health Commercial	$193.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$206.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$175.87
Rate for Payer: Group Health Inc Commercial	$129.32
Rate for Payer: Group Health Inc Medicare	$90.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$129.32
Rate for Payer: Hamaspik Choice Inc Medicare	$129.32
Rate for Payer: United Healthcare Commercial	$129.32

ASST BUPRENORPHINE IMPLNT REMOVAL

Facility

$258.63

Service Code	HCPCS G2071
Hospital Charge Code	30300196
Hospital Revenue Code	900
Min. Negotiated Rate	$90.52
Max. Negotiated Rate	$490.99
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$142.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$490.99
Rate for Payer: Aetna Government	$490.99
Rate for Payer: Brighton Health Commercial	$193.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$206.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$175.87
Rate for Payer: Group Health Inc Commercial	$129.32
Rate for Payer: Group Health Inc Medicare	$90.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$129.32
Rate for Payer: Hamaspik Choice Inc Medicare	$129.32
Rate for Payer: United Healthcare Commercial	$129.32

ASST BUPRENORPHINE IMPLT INS&RMVL

Facility

$258.63

Service Code	HCPCS G2071
Hospital Charge Code	30300197
Hospital Revenue Code	900
Min. Negotiated Rate	$90.52
Max. Negotiated Rate	$490.99
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$142.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$490.99
Rate for Payer: Aetna Government	$490.99
Rate for Payer: Brighton Health Commercial	$193.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$206.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$175.87
Rate for Payer: Group Health Inc Commercial	$129.32
Rate for Payer: Group Health Inc Medicare	$90.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$129.32
Rate for Payer: Hamaspik Choice Inc Medicare	$129.32
Rate for Payer: United Healthcare Commercial	$129.32

ASSTD BUPRENORPHINE(INJ) TRM WKLY

Facility

$258.63

Service Code	HCPCS G2069
Hospital Charge Code	30300194
Hospital Revenue Code	900
Min. Negotiated Rate	$90.52
Max. Negotiated Rate	$1,783.91
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$142.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,783.91
Rate for Payer: Aetna Government	$1,783.91
Rate for Payer: Brighton Health Commercial	$193.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$206.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$175.87
Rate for Payer: Group Health Inc Commercial	$129.32
Rate for Payer: Group Health Inc Medicare	$90.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$129.32
Rate for Payer: Hamaspik Choice Inc Medicare	$129.32
Rate for Payer: United Healthcare Commercial	$129.32

ASSTD BUPRENORPHINE(ORAL) TRM

Facility

$82.54

Service Code	HCPCS G2068
Hospital Charge Code	30300193
Hospital Revenue Code	900
Min. Negotiated Rate	$28.89
Max. Negotiated Rate	$284.13
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$45.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$284.13
Rate for Payer: Aetna Government	$284.13
Rate for Payer: Brighton Health Commercial	$61.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$66.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$56.13
Rate for Payer: Group Health Inc Commercial	$41.27
Rate for Payer: Group Health Inc Medicare	$28.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$41.27
Rate for Payer: Hamaspik Choice Inc Medicare	$41.27
Rate for Payer: United Healthcare Commercial	$41.27

ASSTD MED NOT OTHERWISE SPECIFIED

Facility

$397.85

Service Code	HCPCS G2075
Hospital Charge Code	30300201
Hospital Revenue Code	900
Min. Negotiated Rate	$139.25
Max. Negotiated Rate	$318.28
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$218.82
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$198.92
Rate for Payer: Aetna Government	$198.92
Rate for Payer: Brighton Health Commercial	$298.39
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$318.28
Rate for Payer: Cigna LocalPlus Benefit Plan	$270.54
Rate for Payer: Group Health Inc Commercial	$198.92
Rate for Payer: Group Health Inc Medicare	$139.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$198.92
Rate for Payer: Hamaspik Choice Inc Medicare	$198.92
Rate for Payer: United Healthcare Commercial	$198.92

ASSTD MED TRMT DRUG NOT INCLUDED

Facility

$358.63

Service Code	HCPCS G2074
Hospital Charge Code	30300199
Hospital Revenue Code	900
Min. Negotiated Rate	$125.52
Max. Negotiated Rate	$286.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$197.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$185.80
Rate for Payer: Aetna Government	$185.80
Rate for Payer: Brighton Health Commercial	$268.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$286.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$243.87
Rate for Payer: Group Health Inc Commercial	$179.32
Rate for Payer: Group Health Inc Medicare	$125.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$179.32
Rate for Payer: Hamaspik Choice Inc Medicare	$179.32
Rate for Payer: United Healthcare Commercial	$179.32

ASSTD NALTREXONE TRMT

Facility

$258.63

Service Code	HCPCS G2073
Hospital Charge Code	30300198
Hospital Revenue Code	900
Min. Negotiated Rate	$90.52
Max. Negotiated Rate	$1,369.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$142.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,369.29
Rate for Payer: Aetna Government	$1,369.29
Rate for Payer: Brighton Health Commercial	$193.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$206.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$175.87
Rate for Payer: Group Health Inc Commercial	$129.32
Rate for Payer: Group Health Inc Medicare	$90.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$129.32
Rate for Payer: Hamaspik Choice Inc Medicare	$129.32
Rate for Payer: United Healthcare Commercial	$129.32

ASSY CBLE-RDY CERCLAGE SST 128

Facility

$1,152.00

Hospital Charge Code	64906701
Hospital Revenue Code	279
Min. Negotiated Rate	$403.20
Max. Negotiated Rate	$921.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$633.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$576.00
Rate for Payer: Aetna Government	$576.00
Rate for Payer: Brighton Health Commercial	$864.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$921.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$783.36
Rate for Payer: Group Health Inc Commercial	$576.00
Rate for Payer: Group Health Inc Medicare	$403.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$576.00
Rate for Payer: Hamaspik Choice Inc Medicare	$576.00

ASYMMETRICAL PATELLA SER A

Facility

$1,852.50

Service Code	HCPCS C1776
Hospital Charge Code	64903855
Hospital Revenue Code	278
Min. Negotiated Rate	$926.25
Max. Negotiated Rate	$926.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$926.25
Rate for Payer: Hamaspik Choice Inc Medicare	$926.25

ASYMMETRICAL PATELLA SER A

Facility

$1,852.50

Service Code	HCPCS C1776
Hospital Charge Code	64903855
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$1,945.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,018.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,111.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$926.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,065.19
Rate for Payer: EmblemHealth Commercial	$926.25
Rate for Payer: Fidelis Medicare Advantage	$1,945.12
Rate for Payer: Group Health Inc Commercial	$926.25
Rate for Payer: Group Health Inc Medicare	$648.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$926.25
Rate for Payer: Hamaspik Choice Inc Medicare	$926.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,204.12

ATAZANAVIR 100 MG CAP

Facility

$29.00

Hospital Charge Code	41643075
Hospital Revenue Code	250
Min. Negotiated Rate	$10.15
Max. Negotiated Rate	$23.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$15.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.50
Rate for Payer: Aetna Government	$14.50
Rate for Payer: Brighton Health Commercial	$21.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$23.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$19.72
Rate for Payer: Group Health Inc Commercial	$14.50
Rate for Payer: Group Health Inc Medicare	$10.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$14.50
Rate for Payer: Hamaspik Choice Inc Medicare	$14.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$18.85

ATAZANAVIR 100 MG CAP

Facility

$29.00

Hospital Charge Code	41653075
Hospital Revenue Code	250
Min. Negotiated Rate	$10.15
Max. Negotiated Rate	$23.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$15.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.50
Rate for Payer: Aetna Government	$14.50
Rate for Payer: Brighton Health Commercial	$21.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$23.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$19.72
Rate for Payer: Group Health Inc Commercial	$14.50
Rate for Payer: Group Health Inc Medicare	$10.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$14.50
Rate for Payer: Hamaspik Choice Inc Medicare	$14.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$18.85

ATAZANAVIR 200 MG CAP

Facility

$32.33

Hospital Charge Code	41643076
Hospital Revenue Code	250
Min. Negotiated Rate	$11.32
Max. Negotiated Rate	$25.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.16
Rate for Payer: Aetna Government	$16.16
Rate for Payer: Brighton Health Commercial	$24.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$25.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$21.98
Rate for Payer: Group Health Inc Commercial	$16.16
Rate for Payer: Group Health Inc Medicare	$11.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.16
Rate for Payer: Hamaspik Choice Inc Medicare	$16.16
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$21.01

ATAZANAVIR 200 MG CAP

Facility

$32.33

Hospital Charge Code	41653076
Hospital Revenue Code	250
Min. Negotiated Rate	$11.32
Max. Negotiated Rate	$25.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.16
Rate for Payer: Aetna Government	$16.16
Rate for Payer: Brighton Health Commercial	$24.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$25.86
Rate for Payer: Cigna LocalPlus Benefit Plan	$21.98
Rate for Payer: Group Health Inc Commercial	$16.16
Rate for Payer: Group Health Inc Medicare	$11.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.16
Rate for Payer: Hamaspik Choice Inc Medicare	$16.16
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$21.01

ATAZANAVIR 300 MG CAP

Facility

$64.15

Hospital Charge Code	41644695
Hospital Revenue Code	250
Min. Negotiated Rate	$22.45
Max. Negotiated Rate	$51.32
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$35.28
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$32.08
Rate for Payer: Aetna Government	$32.08
Rate for Payer: Brighton Health Commercial	$48.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$51.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$43.62
Rate for Payer: Group Health Inc Commercial	$32.08
Rate for Payer: Group Health Inc Medicare	$22.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$32.08
Rate for Payer: Hamaspik Choice Inc Medicare	$32.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$41.70

ATAZANAVIR 300 MG CAP

Facility

$64.15

Hospital Charge Code	41654695
Hospital Revenue Code	250
Min. Negotiated Rate	$22.45
Max. Negotiated Rate	$51.32
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$35.28
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$32.08
Rate for Payer: Aetna Government	$32.08
Rate for Payer: Brighton Health Commercial	$48.11
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$51.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$43.62
Rate for Payer: Group Health Inc Commercial	$32.08
Rate for Payer: Group Health Inc Medicare	$22.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$32.08
Rate for Payer: Hamaspik Choice Inc Medicare	$32.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$41.70

ATAZANAVIR/COBICISTAT 300-150MG

Facility

$133.74

Hospital Charge Code	41657813
Hospital Revenue Code	250
Min. Negotiated Rate	$46.81
Max. Negotiated Rate	$106.99
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$73.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$66.87
Rate for Payer: Aetna Government	$66.87
Rate for Payer: Brighton Health Commercial	$100.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$106.99
Rate for Payer: Cigna LocalPlus Benefit Plan	$90.94
Rate for Payer: Group Health Inc Commercial	$66.87
Rate for Payer: Group Health Inc Medicare	$46.81
Rate for Payer: Hamaspik Choice Inc Medicaid	$66.87
Rate for Payer: Hamaspik Choice Inc Medicare	$66.87
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$86.93

ATAZANAVIR/COBICISTAT 300-150MG

Facility

$133.74

Hospital Charge Code	41647813
Hospital Revenue Code	250
Min. Negotiated Rate	$46.81
Max. Negotiated Rate	$106.99
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$73.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$66.87
Rate for Payer: Aetna Government	$66.87
Rate for Payer: Brighton Health Commercial	$100.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$106.99
Rate for Payer: Cigna LocalPlus Benefit Plan	$90.94
Rate for Payer: Group Health Inc Commercial	$66.87
Rate for Payer: Group Health Inc Medicare	$46.81
Rate for Payer: Hamaspik Choice Inc Medicaid	$66.87
Rate for Payer: Hamaspik Choice Inc Medicare	$66.87
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$86.93

ATAZANAVIR-COBICISTAT 300-150 MG PO TABS [128028]

Facility

$64.22

Service Code	NDC 00003364111
Hospital Charge Code	00003364111
Hospital Revenue Code	250
Min. Negotiated Rate	$22.48
Max. Negotiated Rate	$51.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$35.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$32.11
Rate for Payer: Aetna Government	$32.11
Rate for Payer: Brighton Health Commercial	$48.16
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$51.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$43.67
Rate for Payer: Group Health Inc Commercial	$32.11
Rate for Payer: Group Health Inc Medicare	$22.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$32.11
Rate for Payer: Hamaspik Choice Inc Medicare	$32.11
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$41.74

ATAZANAVIR SULFATE 200 MG PO CAPS [36150]

Facility

$27.80

Service Code	NDC 65862071260
Hospital Charge Code	65862071260
Hospital Revenue Code	250
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$22.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$15.29
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$13.90
Rate for Payer: Aetna Government	$13.90
Rate for Payer: Brighton Health Commercial	$20.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$22.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$18.91
Rate for Payer: Group Health Inc Commercial	$13.90
Rate for Payer: Group Health Inc Medicare	$9.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$13.90
Rate for Payer: Hamaspik Choice Inc Medicare	$13.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$18.07

Know your out-of-pocket cost for care.

All Charges