St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

SODIUM HYALURONATE INTRA-ARTICULAR 8 MG/

Facility

$530.00

Hospital Charge Code	41654748
Hospital Revenue Code	250
Min. Negotiated Rate	$185.50
Max. Negotiated Rate	$424.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$291.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$265.00
Rate for Payer: Aetna Government	$265.00
Rate for Payer: Brighton Health Commercial	$397.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$424.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$360.40
Rate for Payer: Group Health Inc Commercial	$265.00
Rate for Payer: Group Health Inc Medicare	$185.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$265.00
Rate for Payer: Hamaspik Choice Inc Medicare	$265.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$344.50

SODIUM HYPOCHLORITE 0.0125 % EX SOLN [40539]

Facility

$0.02

Service Code	NDC 00436066916
Hospital Charge Code	00436066916
Hospital Revenue Code	250
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.01
Rate for Payer: Aetna Government	$0.01
Rate for Payer: Brighton Health Commercial	$0.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.02
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.02
Rate for Payer: Group Health Inc Commercial	$0.01
Rate for Payer: Group Health Inc Medicare	$0.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.01
Rate for Payer: Hamaspik Choice Inc Medicare	$0.01
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.02

SODIUM HYPOCHLORITE 0.125 % EX SOLN [171654]

Facility

$0.03

Service Code	NDC 00436067216
Hospital Charge Code	00436067216
Hospital Revenue Code	250
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.01
Rate for Payer: Aetna Government	$0.01
Rate for Payer: Brighton Health Commercial	$0.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.02
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.02
Rate for Payer: Group Health Inc Commercial	$0.01
Rate for Payer: Group Health Inc Medicare	$0.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.01
Rate for Payer: Hamaspik Choice Inc Medicare	$0.01
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.02

SODIUM HYPOCHLORITE 0.125 % EX SOLN [171654]

Facility

$0.04

Service Code	NDC 39328006412
Hospital Charge Code	39328006412
Hospital Revenue Code	250
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.02
Rate for Payer: Aetna Government	$0.02
Rate for Payer: Brighton Health Commercial	$0.03
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.03
Rate for Payer: Group Health Inc Commercial	$0.02
Rate for Payer: Group Health Inc Medicare	$0.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.02
Rate for Payer: Hamaspik Choice Inc Medicare	$0.02
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.02

SODIUM HYPOCHLORITE 0.25 % EX SOLN [171655]

Facility

$0.03

Service Code	NDC 00436093616
Hospital Charge Code	00436093616
Hospital Revenue Code	250
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.01
Rate for Payer: Aetna Government	$0.01
Rate for Payer: Brighton Health Commercial	$0.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.02
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.02
Rate for Payer: Group Health Inc Commercial	$0.01
Rate for Payer: Group Health Inc Medicare	$0.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.01
Rate for Payer: Hamaspik Choice Inc Medicare	$0.01
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.02

SODIUM HYPOCHLORITE 0.25 % EX SOLN [171655]

Facility

$0.04

Service Code	NDC 39328006325
Hospital Charge Code	39328006325
Hospital Revenue Code	250
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.02
Rate for Payer: Aetna Government	$0.02
Rate for Payer: Brighton Health Commercial	$0.03
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.03
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.03
Rate for Payer: Group Health Inc Commercial	$0.02
Rate for Payer: Group Health Inc Medicare	$0.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.02
Rate for Payer: Hamaspik Choice Inc Medicare	$0.02
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.02

SODIUM HYPOCHLORITE 0.25% SOLUTION

Facility

$20.12

Hospital Charge Code	41642014
Hospital Revenue Code	250
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
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$13.08

SODIUM HYPOCHLORITE 0.25% SOLUTION

Facility

$20.12

Hospital Charge Code	41652014
Hospital Revenue Code	250
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
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$13.08

SODIUM NITRITE 30 MG/ML IV SOLN [24049]

Facility

$11.60

Service Code	NDC 60267031110
Hospital Charge Code	60267031110
Hospital Revenue Code	278
Min. Negotiated Rate	$5.80
Max. Negotiated Rate	$5.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.80
Rate for Payer: Hamaspik Choice Inc Medicare	$5.80

SODIUM NITRITE 30 MG/ML IV SOLN [24049]

Facility

$11.60

Service Code	NDC 60267031110
Hospital Charge Code	60267031110
Hospital Revenue Code	278
Min. Negotiated Rate	$4.06
Max. Negotiated Rate	$12.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$5.80
Rate for Payer: Aetna Government	$5.80
Rate for Payer: Brighton Health Commercial	$6.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$6.67
Rate for Payer: EmblemHealth Commercial	$5.80
Rate for Payer: Fidelis Medicare Advantage	$12.18
Rate for Payer: Group Health Inc Commercial	$5.80
Rate for Payer: Group Health Inc Medicare	$4.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$5.80
Rate for Payer: Hamaspik Choice Inc Medicare	$5.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$7.54

SODIUM PERTECHNETATE TC 99M INJECTION [40840066]

Facility

$4.20

Service Code	HCPCS A9512
Hospital Revenue Code	250
Min. Negotiated Rate	$1.32
Max. Negotiated Rate	$3.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.31
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.32
Rate for Payer: Aetna Government	$1.32
Rate for Payer: Brighton Health Commercial	$3.15
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3.36
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.86
Rate for Payer: Group Health Inc Commercial	$2.10
Rate for Payer: Group Health Inc Medicare	$1.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.10
Rate for Payer: Hamaspik Choice Inc Medicare	$2.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.73

SODIUM PHOSPHATE-BIPHOSPHATE LIQUID

Facility

$5.00

Hospital Charge Code	41640186
Hospital Revenue Code	250
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$4.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.50
Rate for Payer: Aetna Government	$2.50
Rate for Payer: Brighton Health Commercial	$3.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.40
Rate for Payer: Group Health Inc Commercial	$2.50
Rate for Payer: Group Health Inc Medicare	$1.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.50
Rate for Payer: Hamaspik Choice Inc Medicare	$2.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.25

SODIUM PHOSPHATE-BIPHOSPHATE LIQUID

Facility

$5.00

Hospital Charge Code	41650186
Hospital Revenue Code	250
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$4.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.50
Rate for Payer: Aetna Government	$2.50
Rate for Payer: Brighton Health Commercial	$3.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.40
Rate for Payer: Group Health Inc Commercial	$2.50
Rate for Payer: Group Health Inc Medicare	$1.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.50
Rate for Payer: Hamaspik Choice Inc Medicare	$2.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3.25

SODIUM PHOSPHATE INJ

Facility

$2.44

Hospital Charge Code	41641027
Hospital Revenue Code	250
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$1.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.34
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.22
Rate for Payer: Aetna Government	$1.22
Rate for Payer: Brighton Health Commercial	$1.83
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.95
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.66
Rate for Payer: Group Health Inc Commercial	$1.22
Rate for Payer: Group Health Inc Medicare	$0.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.22
Rate for Payer: Hamaspik Choice Inc Medicare	$1.22
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.59

SODIUM PHOSPHATE INJ

Facility

$2.44

Hospital Charge Code	41651027
Hospital Revenue Code	250
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$1.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.34
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.22
Rate for Payer: Aetna Government	$1.22
Rate for Payer: Brighton Health Commercial	$1.83
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.95
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.66
Rate for Payer: Group Health Inc Commercial	$1.22
Rate for Payer: Group Health Inc Medicare	$0.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.22
Rate for Payer: Hamaspik Choice Inc Medicare	$1.22
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.59

SODIUM PHOSPHATES 3 MMOLE/ML IV SOLN (WRAPPED) [401258]

Facility

$4.09

Service Code	NDC 63323088401
Hospital Charge Code	63323088401
Hospital Revenue Code	278
Min. Negotiated Rate	$2.04
Max. Negotiated Rate	$2.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.04
Rate for Payer: Hamaspik Choice Inc Medicare	$2.04

SODIUM PHOSPHATES 3 MMOLE/ML IV SOLN (WRAPPED) [401258]

Facility

$1.46

Service Code	NDC 00409739172
Hospital Charge Code	00409739172
Hospital Revenue Code	278
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$0.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.73
Rate for Payer: Hamaspik Choice Inc Medicare	$0.73

SODIUM PHOSPHATES 3 MMOLE/ML IV SOLN (WRAPPED) [401258]

Facility

$3.87

Service Code	NDC 63323017005
Hospital Charge Code	63323017005
Hospital Revenue Code	278
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$4.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.13
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.94
Rate for Payer: Aetna Government	$1.94
Rate for Payer: Brighton Health Commercial	$2.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.23
Rate for Payer: EmblemHealth Commercial	$1.94
Rate for Payer: Fidelis Medicare Advantage	$4.07
Rate for Payer: Group Health Inc Commercial	$1.94
Rate for Payer: Group Health Inc Medicare	$1.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.94
Rate for Payer: Hamaspik Choice Inc Medicare	$1.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.52

SODIUM PHOSPHATES 3 MMOLE/ML IV SOLN (WRAPPED) [401258]

Facility

$2.89

Service Code	NDC 63323088101
Hospital Charge Code	63323088101
Hospital Revenue Code	278
Min. Negotiated Rate	$1.01
Max. Negotiated Rate	$3.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.59
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1.45
Rate for Payer: Aetna Government	$1.45
Rate for Payer: Brighton Health Commercial	$1.74
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1.45
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.66
Rate for Payer: EmblemHealth Commercial	$1.45
Rate for Payer: Fidelis Medicare Advantage	$3.04
Rate for Payer: Group Health Inc Commercial	$1.45
Rate for Payer: Group Health Inc Medicare	$1.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.45
Rate for Payer: Hamaspik Choice Inc Medicare	$1.45
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.88

SODIUM PHOSPHATES 3 MMOLE/ML IV SOLN (WRAPPED) [401258]

Facility

$1.46

Service Code	NDC 00409739182
Hospital Charge Code	00409739182
Hospital Revenue Code	278
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$1.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.73
Rate for Payer: Aetna Government	$0.73
Rate for Payer: Brighton Health Commercial	$0.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.73
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.84
Rate for Payer: EmblemHealth Commercial	$0.73
Rate for Payer: Fidelis Medicare Advantage	$1.54
Rate for Payer: Group Health Inc Commercial	$0.73
Rate for Payer: Group Health Inc Medicare	$0.51
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.73
Rate for Payer: Hamaspik Choice Inc Medicare	$0.73
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.95

SODIUM PHOSPHATES 3 MMOLE/ML IV SOLN (WRAPPED) [401258]

Facility

$1.46

Service Code	NDC 00409739172
Hospital Charge Code	00409739172
Hospital Revenue Code	278
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$1.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.73
Rate for Payer: Aetna Government	$0.73
Rate for Payer: Brighton Health Commercial	$0.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.73
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.84
Rate for Payer: EmblemHealth Commercial	$0.73
Rate for Payer: Fidelis Medicare Advantage	$1.54
Rate for Payer: Group Health Inc Commercial	$0.73
Rate for Payer: Group Health Inc Medicare	$0.51
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.73
Rate for Payer: Hamaspik Choice Inc Medicare	$0.73
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.95

SODIUM PHOSPHATES 3 MMOLE/ML IV SOLN (WRAPPED) [401258]

Facility

$4.09

Service Code	NDC 63323088406
Hospital Charge Code	63323088406
Hospital Revenue Code	278
Min. Negotiated Rate	$2.04
Max. Negotiated Rate	$2.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.04
Rate for Payer: Hamaspik Choice Inc Medicare	$2.04

SODIUM PHOSPHATES 3 MMOLE/ML IV SOLN (WRAPPED) [401258]

Facility

$3.87

Service Code	NDC 63323017005
Hospital Charge Code	63323017005
Hospital Revenue Code	278
Min. Negotiated Rate	$1.94
Max. Negotiated Rate	$1.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$1.94
Rate for Payer: Hamaspik Choice Inc Medicare	$1.94

SODIUM PHOSPHATES 3 MMOLE/ML IV SOLN (WRAPPED) [401258]

Facility

$4.09

Service Code	NDC 63323088406
Hospital Charge Code	63323088406
Hospital Revenue Code	278
Min. Negotiated Rate	$1.43
Max. Negotiated Rate	$4.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.04
Rate for Payer: Aetna Government	$2.04
Rate for Payer: Brighton Health Commercial	$2.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2.04
Rate for Payer: Cigna LocalPlus Benefit Plan	$2.35
Rate for Payer: EmblemHealth Commercial	$2.04
Rate for Payer: Fidelis Medicare Advantage	$4.29
Rate for Payer: Group Health Inc Commercial	$2.04
Rate for Payer: Group Health Inc Medicare	$1.43
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.04
Rate for Payer: Hamaspik Choice Inc Medicare	$2.04
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2.66

SODIUM PHOSPHATES 3 MMOLE/ML IV SOLN (WRAPPED) [401258]

Facility

$1.46

Service Code	NDC 00409739182
Hospital Charge Code	00409739182
Hospital Revenue Code	278
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$0.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.73
Rate for Payer: Hamaspik Choice Inc Medicare	$0.73

Know your out-of-pocket cost for care.

All Charges