St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ATS BLOOD BAG, REINFUSION

Facility

$70.33

Hospital Charge Code	64901756
Hospital Revenue Code	270
Min. Negotiated Rate	$24.62
Max. Negotiated Rate	$56.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$38.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$35.16
Rate for Payer: Aetna Government	$35.16
Rate for Payer: Brighton Health Commercial	$52.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$56.26
Rate for Payer: Cigna LocalPlus Benefit Plan	$47.82
Rate for Payer: Group Health Inc Commercial	$35.16
Rate for Payer: Group Health Inc Medicare	$24.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$35.16
Rate for Payer: Hamaspik Choice Inc Medicare	$35.16

ATTAIN BALLOON CATHETER 6215

Facility

$241.25

Service Code	HCPCS C1725
Hospital Charge Code	66570515
Hospital Revenue Code	278
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$253.31
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$132.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$144.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$120.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$138.72
Rate for Payer: EmblemHealth Commercial	$120.62
Rate for Payer: Fidelis Medicare Advantage	$253.31
Rate for Payer: Group Health Inc Commercial	$120.62
Rate for Payer: Group Health Inc Medicare	$84.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.62
Rate for Payer: Hamaspik Choice Inc Medicare	$120.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$156.81

ATTAIN BALLOON CATHETER 6215

Facility

$241.25

Service Code	HCPCS C1725
Hospital Charge Code	66570515
Hospital Revenue Code	278
Min. Negotiated Rate	$120.62
Max. Negotiated Rate	$120.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.62
Rate for Payer: Hamaspik Choice Inc Medicare	$120.62

ATTAIN PERFOMA LEAD SYSTEM

Facility

$6,562.50

Service Code	HCPCS C1900
Hospital Charge Code	66570513
Hospital Revenue Code	278
Min. Negotiated Rate	$98.84
Max. Negotiated Rate	$6,890.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,609.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$98.84
Rate for Payer: Aetna Government	$98.84
Rate for Payer: Brighton Health Commercial	$3,937.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,281.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,773.44
Rate for Payer: EmblemHealth Commercial	$3,281.25
Rate for Payer: Fidelis Medicare Advantage	$6,890.62
Rate for Payer: Group Health Inc Commercial	$3,281.25
Rate for Payer: Group Health Inc Medicare	$2,296.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,281.25
Rate for Payer: Hamaspik Choice Inc Medicare	$3,281.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4,265.62

ATTAIN PERFOMA LEAD SYSTEM

Facility

$6,562.50

Service Code	HCPCS C1900
Hospital Charge Code	66570513
Hospital Revenue Code	278
Min. Negotiated Rate	$3,281.25
Max. Negotiated Rate	$3,281.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,281.25
Rate for Payer: Hamaspik Choice Inc Medicare	$3,281.25

ATTAIN SELECT SUREVALVE 130L

Facility

$658.12

Hospital Charge Code	66570516
Hospital Revenue Code	270
Min. Negotiated Rate	$230.34
Max. Negotiated Rate	$526.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$361.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$329.06
Rate for Payer: Aetna Government	$329.06
Rate for Payer: Brighton Health Commercial	$493.59
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$526.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$447.52
Rate for Payer: Group Health Inc Commercial	$329.06
Rate for Payer: Group Health Inc Medicare	$230.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$329.06
Rate for Payer: Hamaspik Choice Inc Medicare	$329.06

ATYPICAL PANCA

Facility

$30.13

Service Code	HCPCS 86037
Hospital Charge Code	40729917
Hospital Revenue Code	302
Rate for Payer: Cash Price	$12.05

ATYPICAL PANCA

Facility

$30.13

Service Code	HCPCS 86037
Hospital Charge Code	40729917
Hospital Revenue Code	302
Min. Negotiated Rate	$8.44
Max. Negotiated Rate	$24.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$16.57
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$12.05
Rate for Payer: Aetna Government	$12.05
Rate for Payer: Affinity Essential Plan 1&2	$8.44
Rate for Payer: Affinity Essential Plan 3&4	$8.44
Rate for Payer: Affinity Medicaid/CHP/HARP	$8.44
Rate for Payer: Brighton Health Commercial	$22.60
Rate for Payer: Cash Price	$12.05
Rate for Payer: Cash Price	$12.05
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$12.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$24.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$20.49
Rate for Payer: Elderplan Medicare Advantage	$12.05
Rate for Payer: EmblemHealth Commercial	$12.05
Rate for Payer: Fidelis Essential Plan Aliesa	$10.24
Rate for Payer: Fidelis Essential Plan QHP	$10.72
Rate for Payer: Fidelis Medicare Advantage	$12.05
Rate for Payer: Fidelis Qualified Health Plan	$10.72
Rate for Payer: Group Health Inc Commercial	$12.05
Rate for Payer: Group Health Inc Medicare	$12.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$15.06
Rate for Payer: Hamaspik Choice Inc Medicare	$12.05
Rate for Payer: Healthfirst Medicare Advantage	$12.05
Rate for Payer: Healthfirst QHP	$12.05
Rate for Payer: Humana Medicare	$12.29
Rate for Payer: Senior Whole Health Medicare Advantage	$12.05
Rate for Payer: United Healthcare Commercial	$10.84
Rate for Payer: United Healthcare Medicare Advantage	$12.05
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$12.05
Rate for Payer: Wellcare CHP/FHP/Medicaid	$9.64
Rate for Payer: Wellcare Medicare	$10.84

AUGMENTATION OF FACIAL BONES

Facility

$14,691.05

Service Code	HCPCS 21208
Hospital Charge Code	40019891
Hospital Revenue Code	360
Min. Negotiated Rate	$1,505.00
Max. Negotiated Rate	$11,018.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,065.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$6,772.21
Rate for Payer: Aetna Government	$6,772.21
Rate for Payer: Affinity Essential Plan 1&2	$4,740.55
Rate for Payer: Affinity Essential Plan 3&4	$4,740.55
Rate for Payer: Affinity Medicaid/CHP/HARP	$4,740.55
Rate for Payer: Brighton Health Commercial	$11,018.29
Rate for Payer: Cash Price	$6,772.21
Rate for Payer: Cash Price	$6,772.21
Rate for Payer: Cash Price	$6,772.21
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$6,772.21
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: Elderplan Medicare Advantage	$6,772.21
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa	$5,756.38
Rate for Payer: Fidelis Essential Plan QHP	$6,027.27
Rate for Payer: Fidelis Medicare Advantage	$6,772.21
Rate for Payer: Fidelis Qualified Health Plan	$6,027.27
Rate for Payer: Group Health Inc Commercial	$6,772.21
Rate for Payer: Group Health Inc Medicare	$6,772.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$7,345.52
Rate for Payer: Hamaspik Choice Inc Medicare	$6,772.21
Rate for Payer: Healthfirst Medicare Advantage	$5,756.38
Rate for Payer: Healthfirst QHP	$6,772.21
Rate for Payer: Humana Medicare	$6,907.65
Rate for Payer: Senior Whole Health Medicare Advantage	$6,772.21
Rate for Payer: United Healthcare Commercial	$2,683.00
Rate for Payer: United Healthcare Medicare Advantage	$6,772.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6,772.21
Rate for Payer: Wellcare CHP/FHP/Medicaid	$5,417.77
Rate for Payer: Wellcare Medicare	$6,433.60

AUGMENTATION OF FACIAL BONES

Facility

$14,691.05

Service Code	HCPCS 21208
Hospital Charge Code	40019891
Hospital Revenue Code	360
Rate for Payer: Cash Price	$6,772.21

AUGMENT FEMORAL SIZE 4 5MM

Facility

$4,550.00

Hospital Charge Code	64905989
Hospital Revenue Code	270
Min. Negotiated Rate	$1,592.50
Max. Negotiated Rate	$3,640.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,502.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,275.00
Rate for Payer: Aetna Government	$2,275.00
Rate for Payer: Brighton Health Commercial	$3,412.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,640.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,094.00
Rate for Payer: Group Health Inc Commercial	$2,275.00
Rate for Payer: Group Health Inc Medicare	$1,592.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,275.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,275.00

AUGMENT TIBIAL HEMI STEPPED WE

Facility

$5,136.25

Service Code	HCPCS C1776
Hospital Charge Code	64904860
Hospital Revenue Code	278
Min. Negotiated Rate	$2,568.12
Max. Negotiated Rate	$2,568.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,568.12
Rate for Payer: Hamaspik Choice Inc Medicare	$2,568.12

AUGMENT TIBIAL HEMI STEPPED WE

Facility

$5,136.25

Service Code	HCPCS C1776
Hospital Charge Code	64904860
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$5,393.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,824.94
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$3,081.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,568.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,953.34
Rate for Payer: EmblemHealth Commercial	$2,568.12
Rate for Payer: Fidelis Medicare Advantage	$5,393.06
Rate for Payer: Group Health Inc Commercial	$2,568.12
Rate for Payer: Group Health Inc Medicare	$1,797.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,568.12
Rate for Payer: Hamaspik Choice Inc Medicare	$2,568.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,338.56

AURAGAIN SZ 1

Facility

$211.25

Hospital Charge Code	64903754
Hospital Revenue Code	270
Min. Negotiated Rate	$73.94
Max. Negotiated Rate	$169.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$116.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$105.62
Rate for Payer: Aetna Government	$105.62
Rate for Payer: Brighton Health Commercial	$158.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$169.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$143.65
Rate for Payer: Group Health Inc Commercial	$105.62
Rate for Payer: Group Health Inc Medicare	$73.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$105.62
Rate for Payer: Hamaspik Choice Inc Medicare	$105.62

AURAGAIN SZ1

Facility

$211.25

Hospital Charge Code	64903756
Hospital Revenue Code	270
Min. Negotiated Rate	$73.94
Max. Negotiated Rate	$169.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$116.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$105.62
Rate for Payer: Aetna Government	$105.62
Rate for Payer: Brighton Health Commercial	$158.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$169.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$143.65
Rate for Payer: Group Health Inc Commercial	$105.62
Rate for Payer: Group Health Inc Medicare	$73.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$105.62
Rate for Payer: Hamaspik Choice Inc Medicare	$105.62

AURAGAIN SZ 2 A

Facility

$211.25

Hospital Charge Code	64903758
Hospital Revenue Code	270
Min. Negotiated Rate	$73.94
Max. Negotiated Rate	$169.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$116.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$105.62
Rate for Payer: Aetna Government	$105.62
Rate for Payer: Brighton Health Commercial	$158.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$169.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$143.65
Rate for Payer: Group Health Inc Commercial	$105.62
Rate for Payer: Group Health Inc Medicare	$73.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$105.62
Rate for Payer: Hamaspik Choice Inc Medicare	$105.62

AURAGAIN SZ 2 B

Facility

$211.25

Hospital Charge Code	64903760
Hospital Revenue Code	270
Min. Negotiated Rate	$73.94
Max. Negotiated Rate	$169.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$116.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$105.62
Rate for Payer: Aetna Government	$105.62
Rate for Payer: Brighton Health Commercial	$158.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$169.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$143.65
Rate for Payer: Group Health Inc Commercial	$105.62
Rate for Payer: Group Health Inc Medicare	$73.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$105.62
Rate for Payer: Hamaspik Choice Inc Medicare	$105.62

AURAGAIN SZ 3

Facility

$211.25

Hospital Charge Code	64903762
Hospital Revenue Code	270
Min. Negotiated Rate	$73.94
Max. Negotiated Rate	$169.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$116.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$105.62
Rate for Payer: Aetna Government	$105.62
Rate for Payer: Brighton Health Commercial	$158.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$169.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$143.65
Rate for Payer: Group Health Inc Commercial	$105.62
Rate for Payer: Group Health Inc Medicare	$73.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$105.62
Rate for Payer: Hamaspik Choice Inc Medicare	$105.62

AURAGAIN SZ 4

Facility

$21.13

Hospital Charge Code	64903764
Hospital Revenue Code	270
Min. Negotiated Rate	$7.40
Max. Negotiated Rate	$16.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.56
Rate for Payer: Aetna Government	$10.56
Rate for Payer: Brighton Health Commercial	$15.85
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$14.37
Rate for Payer: Group Health Inc Commercial	$10.56
Rate for Payer: Group Health Inc Medicare	$7.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.56
Rate for Payer: Hamaspik Choice Inc Medicare	$10.56

AURAGAIN SZ 5

Facility

$211.25

Hospital Charge Code	64903766
Hospital Revenue Code	270
Min. Negotiated Rate	$73.94
Max. Negotiated Rate	$169.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$116.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$105.62
Rate for Payer: Aetna Government	$105.62
Rate for Payer: Brighton Health Commercial	$158.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$169.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$143.65
Rate for Payer: Group Health Inc Commercial	$105.62
Rate for Payer: Group Health Inc Medicare	$73.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$105.62
Rate for Payer: Hamaspik Choice Inc Medicare	$105.62

AURAGAIN SZ 6

Facility

$211.25

Hospital Charge Code	64903768
Hospital Revenue Code	270
Min. Negotiated Rate	$73.94
Max. Negotiated Rate	$169.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$116.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$105.62
Rate for Payer: Aetna Government	$105.62
Rate for Payer: Brighton Health Commercial	$158.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$169.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$143.65
Rate for Payer: Group Health Inc Commercial	$105.62
Rate for Payer: Group Health Inc Medicare	$73.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$105.62
Rate for Payer: Hamaspik Choice Inc Medicare	$105.62

AURICULAR PROSTHESIS

Facility

$2,910.00

Service Code	HCPCS D5914
Hospital Charge Code	42301230
Hospital Revenue Code	361
Min. Negotiated Rate	$1,018.50
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,600.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,150.41
Rate for Payer: Aetna Government	$2,150.41
Rate for Payer: Brighton Health Commercial	$2,182.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: Group Health Inc Commercial	$1,455.00
Rate for Payer: Group Health Inc Medicare	$1,018.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,455.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,455.00

AURICULAR PROSTHESIS, REPLACEMENT

Facility

$279.00

Service Code	HCPCS D5927
Hospital Charge Code	42301275
Hospital Revenue Code	361
Min. Negotiated Rate	$97.65
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$153.45
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,089.75
Rate for Payer: Aetna Government	$1,089.75
Rate for Payer: Brighton Health Commercial	$209.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: Group Health Inc Commercial	$139.50
Rate for Payer: Group Health Inc Medicare	$97.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$139.50
Rate for Payer: Hamaspik Choice Inc Medicare	$139.50

AUSTIAIN

Facility

$60.95

Hospital Charge Code	40200570
Hospital Revenue Code	270
Min. Negotiated Rate	$21.33
Max. Negotiated Rate	$48.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.52
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$30.48
Rate for Payer: Aetna Government	$30.48
Rate for Payer: Brighton Health Commercial	$45.71
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$48.76
Rate for Payer: Cigna LocalPlus Benefit Plan	$41.45
Rate for Payer: Group Health Inc Commercial	$30.48
Rate for Payer: Group Health Inc Medicare	$21.33
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.48
Rate for Payer: Hamaspik Choice Inc Medicare	$30.48

AUSTIN MOORE PROSTHESIS

Facility

$3,925.62

Service Code	HCPCS 27236
Hospital Charge Code	40021415
Hospital Revenue Code	360
Min. Negotiated Rate	$1,236.34
Max. Negotiated Rate	$2,944.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,159.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,236.34
Rate for Payer: Aetna Government	$1,236.34
Rate for Payer: Brighton Health Commercial	$2,944.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Group Health Inc Commercial	$1,962.81
Rate for Payer: Group Health Inc Medicare	$1,373.97
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,962.81
Rate for Payer: Hamaspik Choice Inc Medicare	$1,962.81
Rate for Payer: United Healthcare Commercial	$2,546.00

Know your out-of-pocket cost for care.

All Charges