St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

SIGNS AND SYMPTOMS WITH MCC

Facility

$25,177.95

Service Code	MSDRG 947
Min. Negotiated Rate	$10,732.50
Max. Negotiated Rate	$25,177.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$18,454.84
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$24,684.26
Rate for Payer: Aetna Government	$24,684.26
Rate for Payer: Brighton Health Commercial	$18,148.20
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$25,177.95
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$21,613.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$17,836.70
Rate for Payer: Elderplan Medicare Advantage	$23,450.05
Rate for Payer: EmblemHealth Commercial	$10,732.50
Rate for Payer: Fidelis Medicare Advantage	$24,684.26
Rate for Payer: Group Health Inc Commercial	$24,684.26
Rate for Payer: Group Health Inc Medicare	$24,684.26
Rate for Payer: Hamaspik Choice Inc Medicare	$24,684.26
Rate for Payer: Healthfirst Medicare Advantage	$11,478.18
Rate for Payer: Senior Whole Health Medicare Advantage	$24,684.26
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$24,684.26
Rate for Payer: Wellcare Medicare	$23,450.05

SIGNS AND SYMPTOMS WITHOUT MCC

Facility

$18,804.33

Service Code	MSDRG 948
Min. Negotiated Rate	$6,868.58
Max. Negotiated Rate	$18,804.33
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11,810.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$18,435.62
Rate for Payer: Aetna Government	$18,435.62
Rate for Payer: Brighton Health Commercial	$11,614.50
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$18,804.33
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$13,832.47
Rate for Payer: Cigna LocalPlus Benefit Plan	$11,415.15
Rate for Payer: Elderplan Medicare Advantage	$17,513.84
Rate for Payer: EmblemHealth Commercial	$6,868.58
Rate for Payer: Fidelis Medicare Advantage	$18,435.62
Rate for Payer: Group Health Inc Commercial	$18,435.62
Rate for Payer: Group Health Inc Medicare	$18,435.62
Rate for Payer: Hamaspik Choice Inc Medicare	$18,435.62
Rate for Payer: Healthfirst Medicare Advantage	$8,572.56
Rate for Payer: Senior Whole Health Medicare Advantage	$18,435.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$18,435.62
Rate for Payer: Wellcare Medicare	$17,513.84

SILDENAFIL 20MG

Facility

$38.00

Hospital Charge Code	41648020
Hospital Revenue Code	250
Min. Negotiated Rate	$13.30
Max. Negotiated Rate	$30.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$19.00
Rate for Payer: Aetna Government	$19.00
Rate for Payer: Brighton Health Commercial	$28.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$30.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$25.84
Rate for Payer: Group Health Inc Commercial	$19.00
Rate for Payer: Group Health Inc Medicare	$13.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$19.00
Rate for Payer: Hamaspik Choice Inc Medicare	$19.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$24.70

SILDENAFIL 20MG

Facility

$38.00

Hospital Charge Code	41658020
Hospital Revenue Code	250
Min. Negotiated Rate	$13.30
Max. Negotiated Rate	$30.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$19.00
Rate for Payer: Aetna Government	$19.00
Rate for Payer: Brighton Health Commercial	$28.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$30.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$25.84
Rate for Payer: Group Health Inc Commercial	$19.00
Rate for Payer: Group Health Inc Medicare	$13.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$19.00
Rate for Payer: Hamaspik Choice Inc Medicare	$19.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$24.70

SILDENAFIL CIT 10MG/12.5ML

Facility

$55.00

Service Code	HCPCS J3490
Hospital Charge Code	41650293
Hospital Revenue Code	636
Min. Negotiated Rate	$27.50
Max. Negotiated Rate	$27.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$27.50
Rate for Payer: Hamaspik Choice Inc Medicare	$27.50

SILDENAFIL CIT 10MG/12.5ML

Facility

$55.00

Service Code	HCPCS J3490
Hospital Charge Code	41640293
Hospital Revenue Code	636
Min. Negotiated Rate	$19.25
Max. Negotiated Rate	$35.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$30.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$27.50
Rate for Payer: Aetna Government	$27.50
Rate for Payer: Brighton Health Commercial	$33.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$27.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$31.62
Rate for Payer: Group Health Inc Commercial	$27.50
Rate for Payer: Group Health Inc Medicare	$19.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$27.50
Rate for Payer: Hamaspik Choice Inc Medicare	$27.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$35.75

SILDENAFIL CIT 10MG/12.5ML

Facility

$55.00

Service Code	HCPCS J3490
Hospital Charge Code	41640293
Hospital Revenue Code	636
Min. Negotiated Rate	$27.50
Max. Negotiated Rate	$27.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$27.50
Rate for Payer: Hamaspik Choice Inc Medicare	$27.50

SILDENAFIL CIT 10MG/12.5ML

Facility

$55.00

Service Code	HCPCS J3490
Hospital Charge Code	41650293
Hospital Revenue Code	636
Min. Negotiated Rate	$19.25
Max. Negotiated Rate	$35.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$30.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$27.50
Rate for Payer: Aetna Government	$27.50
Rate for Payer: Brighton Health Commercial	$33.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$27.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$31.62
Rate for Payer: Group Health Inc Commercial	$27.50
Rate for Payer: Group Health Inc Medicare	$19.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$27.50
Rate for Payer: Hamaspik Choice Inc Medicare	$27.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$35.75

SILDENAFIL CITRATE 10 MG/12.5ML IV SOLN [100417]

Facility

$17.60

Service Code	NDC 55150016613
Hospital Charge Code	55150016613
Hospital Revenue Code	278
Min. Negotiated Rate	$8.80
Max. Negotiated Rate	$8.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.80
Rate for Payer: Hamaspik Choice Inc Medicare	$8.80

SILDENAFIL CITRATE 10 MG/12.5ML IV SOLN [100417]

Facility

$17.60

Service Code	NDC 55150016613
Hospital Charge Code	55150016613
Hospital Revenue Code	278
Min. Negotiated Rate	$6.16
Max. Negotiated Rate	$18.48
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$9.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.80
Rate for Payer: Aetna Government	$8.80
Rate for Payer: Brighton Health Commercial	$10.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$8.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$10.12
Rate for Payer: EmblemHealth Commercial	$8.80
Rate for Payer: Fidelis Medicare Advantage	$18.48
Rate for Payer: Group Health Inc Commercial	$8.80
Rate for Payer: Group Health Inc Medicare	$6.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.80
Rate for Payer: Hamaspik Choice Inc Medicare	$8.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$11.44

SILDENAFIL CITRATE 20 MG PO TABS [41832]

Facility

$16.48

Service Code	NDC 50268071715
Hospital Charge Code	50268071715
Hospital Revenue Code	250
Min. Negotiated Rate	$5.77
Max. Negotiated Rate	$13.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$9.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.24
Rate for Payer: Aetna Government	$8.24
Rate for Payer: Brighton Health Commercial	$12.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$13.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$11.21
Rate for Payer: Group Health Inc Commercial	$8.24
Rate for Payer: Group Health Inc Medicare	$5.77
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.24
Rate for Payer: Hamaspik Choice Inc Medicare	$8.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$10.71

SILDENAFIL CITRATE 20 MG PO TABS [41832]

Facility

$1.39

Service Code	NDC 00904667104
Hospital Charge Code	00904667104
Hospital Revenue Code	250
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$1.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.77
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.70
Rate for Payer: Aetna Government	$0.70
Rate for Payer: Brighton Health Commercial	$1.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.95
Rate for Payer: Group Health Inc Commercial	$0.70
Rate for Payer: Group Health Inc Medicare	$0.49
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.70
Rate for Payer: Hamaspik Choice Inc Medicare	$0.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.91

SILDENAFIL CITRATE 20 MG PO TABS [41832]

Facility

$20.00

Service Code	NDC 59762003301
Hospital Charge Code	59762003301
Hospital Revenue Code	250
Min. Negotiated Rate	$7.00
Max. Negotiated Rate	$16.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$11.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$10.00
Rate for Payer: Aetna Government	$10.00
Rate for Payer: Brighton Health Commercial	$15.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$13.60
Rate for Payer: Group Health Inc Commercial	$10.00
Rate for Payer: Group Health Inc Medicare	$7.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$10.00
Rate for Payer: Hamaspik Choice Inc Medicare	$10.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$13.00

SILK SUTURES 2-0 SH

Facility

$295.00

Hospital Charge Code	64905813
Hospital Revenue Code	270
Min. Negotiated Rate	$103.25
Max. Negotiated Rate	$236.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$162.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$147.50
Rate for Payer: Aetna Government	$147.50
Rate for Payer: Brighton Health Commercial	$221.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$236.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$200.60
Rate for Payer: Group Health Inc Commercial	$147.50
Rate for Payer: Group Health Inc Medicare	$103.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$147.50
Rate for Payer: Hamaspik Choice Inc Medicare	$147.50

SILTEX LOW/MED HT CONTOUR PROF 2

Facility

$816.60

Service Code	HCPCS C1789
Hospital Charge Code	40205210
Hospital Revenue Code	278
Min. Negotiated Rate	$285.81
Max. Negotiated Rate	$857.43
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$449.13
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$402.32
Rate for Payer: Aetna Government	$402.32
Rate for Payer: Brighton Health Commercial	$489.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$408.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$469.54
Rate for Payer: EmblemHealth Commercial	$408.30
Rate for Payer: Fidelis Medicare Advantage	$857.43
Rate for Payer: Group Health Inc Commercial	$408.30
Rate for Payer: Group Health Inc Medicare	$285.81
Rate for Payer: Hamaspik Choice Inc Medicaid	$408.30
Rate for Payer: Hamaspik Choice Inc Medicare	$408.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$530.79

SILTEX LOW/MED HT CONTOUR PROF 2

Facility

$816.60

Service Code	HCPCS C1789
Hospital Charge Code	40205210
Hospital Revenue Code	278
Min. Negotiated Rate	$408.30
Max. Negotiated Rate	$408.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$408.30
Rate for Payer: Hamaspik Choice Inc Medicare	$408.30

SILTEX LOW/MED HT CONTOUR PROF 3

Facility

$2,850.00

Service Code	HCPCS C1789
Hospital Charge Code	40205763
Hospital Revenue Code	278
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,425.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,425.00

SILTEX LOW/MED HT CONTOUR PROF 3

Facility

$2,850.00

Service Code	HCPCS C1789
Hospital Charge Code	40205763
Hospital Revenue Code	278
Min. Negotiated Rate	$402.32
Max. Negotiated Rate	$2,992.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,567.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$402.32
Rate for Payer: Aetna Government	$402.32
Rate for Payer: Brighton Health Commercial	$1,710.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,425.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,638.75
Rate for Payer: EmblemHealth Commercial	$1,425.00
Rate for Payer: Fidelis Medicare Advantage	$2,992.50
Rate for Payer: Group Health Inc Commercial	$1,425.00
Rate for Payer: Group Health Inc Medicare	$997.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,425.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,425.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,852.50

SILTEX LOW/MED HT CONTOUR PROF I

Facility

$2,850.00

Service Code	HCPCS C1789
Hospital Charge Code	40208177
Hospital Revenue Code	278
Min. Negotiated Rate	$402.32
Max. Negotiated Rate	$2,992.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,567.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$402.32
Rate for Payer: Aetna Government	$402.32
Rate for Payer: Brighton Health Commercial	$1,710.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,425.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,638.75
Rate for Payer: EmblemHealth Commercial	$1,425.00
Rate for Payer: Fidelis Medicare Advantage	$2,992.50
Rate for Payer: Group Health Inc Commercial	$1,425.00
Rate for Payer: Group Health Inc Medicare	$997.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,425.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,425.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,852.50

SILTEX LOW/MED HT CONTOUR PROF I

Facility

$2,850.00

Service Code	HCPCS C1789
Hospital Charge Code	40208177
Hospital Revenue Code	278
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,425.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,425.00

SILTEX MED HT CON PRO XPNDR 500CC

Facility

$2,750.00

Service Code	HCPCS C1713
Hospital Charge Code	40202281
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,887.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,512.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,650.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,375.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,581.25
Rate for Payer: EmblemHealth Commercial	$1,375.00
Rate for Payer: Fidelis Medicare Advantage	$2,887.50
Rate for Payer: Group Health Inc Commercial	$1,375.00
Rate for Payer: Group Health Inc Medicare	$962.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,375.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,375.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,787.50

SILTEX MED HT CON PRO XPNDR 500CC

Facility

$2,750.00

Service Code	HCPCS C1713
Hospital Charge Code	40202281
Hospital Revenue Code	278
Min. Negotiated Rate	$1,375.00
Max. Negotiated Rate	$1,375.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,375.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,375.00

SILVER BUNIONECTOMY

Facility

$8,291.05

Service Code	HCPCS 28292
Hospital Charge Code	40082745
Hospital Revenue Code	360
Rate for Payer: Cash Price	$3,743.15

SILVER BUNIONECTOMY

Facility

$8,291.05

Service Code	HCPCS 28292
Hospital Charge Code	40082745
Hospital Revenue Code	360
Min. Negotiated Rate	$1,505.00
Max. Negotiated Rate	$6,218.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,888.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3,743.15
Rate for Payer: Aetna Government	$3,743.15
Rate for Payer: Brighton Health Commercial	$6,218.29
Rate for Payer: Cash Price	$3,743.15
Rate for Payer: Cash Price	$3,743.15
Rate for Payer: Cash Price	$3,743.15
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$3,743.15
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	$3,743.15
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa	$3,181.68
Rate for Payer: Fidelis Essential Plan QHP	$3,331.40
Rate for Payer: Fidelis Medicare Advantage	$3,743.15
Rate for Payer: Fidelis Qualified Health Plan	$3,331.40
Rate for Payer: Group Health Inc Commercial	$3,743.15
Rate for Payer: Group Health Inc Medicare	$3,743.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,145.52
Rate for Payer: Hamaspik Choice Inc Medicare	$3,743.15
Rate for Payer: Healthfirst Medicare Advantage	$3,181.68
Rate for Payer: Healthfirst QHP	$3,743.15
Rate for Payer: Senior Whole Health Medicare Advantage	$3,743.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,743.15
Rate for Payer: Wellcare CHP/FHP/Medicaid	$2,994.52
Rate for Payer: Wellcare Medicare	$3,555.99

SILVER NITRATE-POT NITRATE 75-25 % EX MISC [11359]

Facility

$0.84

Service Code	NDC 12870000102
Hospital Charge Code	12870000102
Hospital Revenue Code	250
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$0.67
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.42
Rate for Payer: Aetna Government	$0.42
Rate for Payer: Brighton Health Commercial	$0.63
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.67
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.57
Rate for Payer: Group Health Inc Commercial	$0.42
Rate for Payer: Group Health Inc Medicare	$0.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.42
Rate for Payer: Hamaspik Choice Inc Medicare	$0.42
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.55

Know your out-of-pocket cost for care.

All Charges