St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

IMIPRAMINE 10MG TAB

Facility

$1.00

Hospital Charge Code	41643454
Hospital Revenue Code	250
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.50
Rate for Payer: Aetna Government	$0.50
Rate for Payer: Brighton Health Commercial	$0.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.68
Rate for Payer: Group Health Inc Commercial	$0.50
Rate for Payer: Group Health Inc Medicare	$0.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50
Rate for Payer: Hamaspik Choice Inc Medicare	$0.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.65

IMIPRAMINE 25 MG TAB

Facility

$1.00

Hospital Charge Code	41653455
Hospital Revenue Code	250
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.50
Rate for Payer: Aetna Government	$0.50
Rate for Payer: Brighton Health Commercial	$0.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.68
Rate for Payer: Group Health Inc Commercial	$0.50
Rate for Payer: Group Health Inc Medicare	$0.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50
Rate for Payer: Hamaspik Choice Inc Medicare	$0.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.65

IMIPRAMINE 25 MG TAB

Facility

$1.00

Hospital Charge Code	41643455
Hospital Revenue Code	250
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.50
Rate for Payer: Aetna Government	$0.50
Rate for Payer: Brighton Health Commercial	$0.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.68
Rate for Payer: Group Health Inc Commercial	$0.50
Rate for Payer: Group Health Inc Medicare	$0.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50
Rate for Payer: Hamaspik Choice Inc Medicare	$0.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.65

IMIPRAMINE 50 MG TAB

Facility

$1.00

Hospital Charge Code	41653456
Hospital Revenue Code	250
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.50
Rate for Payer: Aetna Government	$0.50
Rate for Payer: Brighton Health Commercial	$0.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.68
Rate for Payer: Group Health Inc Commercial	$0.50
Rate for Payer: Group Health Inc Medicare	$0.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50
Rate for Payer: Hamaspik Choice Inc Medicare	$0.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.65

IMIPRAMINE 50 MG TAB

Facility

$1.00

Hospital Charge Code	41643456
Hospital Revenue Code	250
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.50
Rate for Payer: Aetna Government	$0.50
Rate for Payer: Brighton Health Commercial	$0.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.68
Rate for Payer: Group Health Inc Commercial	$0.50
Rate for Payer: Group Health Inc Medicare	$0.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.50
Rate for Payer: Hamaspik Choice Inc Medicare	$0.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.65

IMIPRAMINE HCL 25 MG PO TABS [3861]

Facility

$0.72

Service Code	NDC 49884005501
Hospital Charge Code	49884005501
Hospital Revenue Code	250
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.36
Rate for Payer: Aetna Government	$0.36
Rate for Payer: Brighton Health Commercial	$0.54
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.57
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.49
Rate for Payer: Group Health Inc Commercial	$0.36
Rate for Payer: Group Health Inc Medicare	$0.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.36
Rate for Payer: Hamaspik Choice Inc Medicare	$0.36
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.47

IMIPRAMINE HCL 50 MG PO TABS [3862]

Facility

$1.22

Service Code	NDC 49884005601
Hospital Charge Code	49884005601
Hospital Revenue Code	250
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$0.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$0.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.61
Rate for Payer: Aetna Government	$0.61
Rate for Payer: Brighton Health Commercial	$0.91
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$0.83
Rate for Payer: Group Health Inc Commercial	$0.61
Rate for Payer: Group Health Inc Medicare	$0.43
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.61
Rate for Payer: Hamaspik Choice Inc Medicare	$0.61
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$0.79

IMMEDIATE LOWER DENTURE

Facility

$1,588.00

Service Code	HCPCS D5140
Hospital Charge Code	42300975
Hospital Revenue Code	361
Min. Negotiated Rate	$438.91
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$873.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$438.91
Rate for Payer: Aetna Government	$438.91
Rate for Payer: Brighton Health Commercial	$1,191.00
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	$794.00
Rate for Payer: Group Health Inc Medicare	$555.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$794.00
Rate for Payer: Hamaspik Choice Inc Medicare	$794.00

IMMEDIATE UPPER DENTURE

Facility

$1,588.00

Service Code	HCPCS D5130
Hospital Charge Code	42300970
Hospital Revenue Code	361
Min. Negotiated Rate	$438.91
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$873.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$438.91
Rate for Payer: Aetna Government	$438.91
Rate for Payer: Brighton Health Commercial	$1,191.00
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	$794.00
Rate for Payer: Group Health Inc Medicare	$555.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$794.00
Rate for Payer: Hamaspik Choice Inc Medicare	$794.00

IMMED MAND PART DENT METAL

Facility

$3,125.00

Service Code	HCPCS D5224
Hospital Charge Code	42303469
Hospital Revenue Code	361
Min. Negotiated Rate	$539.97
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,718.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$539.97
Rate for Payer: Aetna Government	$539.97
Rate for Payer: Brighton Health Commercial	$2,343.75
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	$1,562.50
Rate for Payer: Group Health Inc Medicare	$1,093.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,562.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,562.50

IMMED MAN PART DENTURE RESIN

Facility

$2,562.50

Service Code	HCPCS D5222
Hospital Charge Code	42303467
Hospital Revenue Code	361
Min. Negotiated Rate	$494.76
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,409.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$494.76
Rate for Payer: Aetna Government	$494.76
Rate for Payer: Brighton Health Commercial	$1,921.88
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	$1,281.25
Rate for Payer: Group Health Inc Medicare	$896.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,281.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,281.25

IMMED MAX PART DENT METAL

Facility

$3,000.00

Service Code	HCPCS D5223
Hospital Charge Code	42303468
Hospital Revenue Code	361
Min. Negotiated Rate	$539.97
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,650.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$539.97
Rate for Payer: Aetna Government	$539.97
Rate for Payer: Brighton Health Commercial	$2,250.00
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	$1,500.00
Rate for Payer: Group Health Inc Medicare	$1,050.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,500.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,500.00

IMMED MAX PART DENTURE RESIN

Facility

$2,625.00

Service Code	HCPCS D5221
Hospital Charge Code	42303466
Hospital Revenue Code	361
Min. Negotiated Rate	$492.39
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,443.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$492.39
Rate for Payer: Aetna Government	$492.39
Rate for Payer: Brighton Health Commercial	$1,968.75
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	$1,312.50
Rate for Payer: Group Health Inc Medicare	$918.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,312.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,312.50

IMMOBILIZER KNEE 3 PANEL 16

Facility

$14.49

Hospital Charge Code	64906341
Hospital Revenue Code	270
Min. Negotiated Rate	$5.07
Max. Negotiated Rate	$11.59
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$7.24
Rate for Payer: Aetna Government	$7.24
Rate for Payer: Brighton Health Commercial	$10.87
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$11.59
Rate for Payer: Cigna LocalPlus Benefit Plan	$9.85
Rate for Payer: Group Health Inc Commercial	$7.24
Rate for Payer: Group Health Inc Medicare	$5.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.24
Rate for Payer: Hamaspik Choice Inc Medicare	$7.24

IMMOBILIZER KNEE 3 PANEL 18

Facility

$36.23

Hospital Charge Code	64906757
Hospital Revenue Code	270
Min. Negotiated Rate	$12.68
Max. Negotiated Rate	$28.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$19.93
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$18.12
Rate for Payer: Aetna Government	$18.12
Rate for Payer: Brighton Health Commercial	$27.17
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$28.98
Rate for Payer: Cigna LocalPlus Benefit Plan	$24.64
Rate for Payer: Group Health Inc Commercial	$18.12
Rate for Payer: Group Health Inc Medicare	$12.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.12
Rate for Payer: Hamaspik Choice Inc Medicare	$18.12

IMMOBILIZER KNEE 3 PANEL 20

Facility

$40.00

Hospital Charge Code	64906526
Hospital Revenue Code	270
Min. Negotiated Rate	$14.00
Max. Negotiated Rate	$32.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$22.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$20.00
Rate for Payer: Aetna Government	$20.00
Rate for Payer: Brighton Health Commercial	$30.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$32.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$27.20
Rate for Payer: Group Health Inc Commercial	$20.00
Rate for Payer: Group Health Inc Medicare	$14.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.00
Rate for Payer: Hamaspik Choice Inc Medicare	$20.00

IMMOBILIZER KNEE 3 PANEL 22

Facility

$28.98

Hospital Charge Code	64906668
Hospital Revenue Code	270
Min. Negotiated Rate	$10.14
Max. Negotiated Rate	$23.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$15.94
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.49
Rate for Payer: Aetna Government	$14.49
Rate for Payer: Brighton Health Commercial	$21.74
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$23.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$19.71
Rate for Payer: Group Health Inc Commercial	$14.49
Rate for Payer: Group Health Inc Medicare	$10.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$14.49
Rate for Payer: Hamaspik Choice Inc Medicare	$14.49

IMMOBILIZER KNEE 3 PANEL 24

Facility

$40.00

Hospital Charge Code	64906515
Hospital Revenue Code	270
Min. Negotiated Rate	$14.00
Max. Negotiated Rate	$32.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$22.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$20.00
Rate for Payer: Aetna Government	$20.00
Rate for Payer: Brighton Health Commercial	$30.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$32.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$27.20
Rate for Payer: Group Health Inc Commercial	$20.00
Rate for Payer: Group Health Inc Medicare	$14.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.00
Rate for Payer: Hamaspik Choice Inc Medicare	$20.00

IMMOBILIZER KNEE LARGE

Facility

$48.75

Hospital Charge Code	64901246
Hospital Revenue Code	270
Min. Negotiated Rate	$17.06
Max. Negotiated Rate	$39.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$26.81
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$24.38
Rate for Payer: Aetna Government	$24.38
Rate for Payer: Brighton Health Commercial	$36.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$39.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$33.15
Rate for Payer: Group Health Inc Commercial	$24.38
Rate for Payer: Group Health Inc Medicare	$17.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$24.38
Rate for Payer: Hamaspik Choice Inc Medicare	$24.38

IMMOBILIZER KNEE MEDIUM

Facility

$48.75

Hospital Charge Code	64901206
Hospital Revenue Code	270
Min. Negotiated Rate	$17.06
Max. Negotiated Rate	$39.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$26.81
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$24.38
Rate for Payer: Aetna Government	$24.38
Rate for Payer: Brighton Health Commercial	$36.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$39.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$33.15
Rate for Payer: Group Health Inc Commercial	$24.38
Rate for Payer: Group Health Inc Medicare	$17.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$24.38
Rate for Payer: Hamaspik Choice Inc Medicare	$24.38

IMMOBILIZER KNEE SMALL

Facility

$48.75

Hospital Charge Code	64901902
Hospital Revenue Code	270
Min. Negotiated Rate	$17.06
Max. Negotiated Rate	$39.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$26.81
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$24.38
Rate for Payer: Aetna Government	$24.38
Rate for Payer: Brighton Health Commercial	$36.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$39.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$33.15
Rate for Payer: Group Health Inc Commercial	$24.38
Rate for Payer: Group Health Inc Medicare	$17.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$24.38
Rate for Payer: Hamaspik Choice Inc Medicare	$24.38

IMMOBILIZER KNEE X-LARGE

Facility

$48.75

Hospital Charge Code	64901204
Hospital Revenue Code	270
Min. Negotiated Rate	$17.06
Max. Negotiated Rate	$39.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$26.81
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$24.38
Rate for Payer: Aetna Government	$24.38
Rate for Payer: Brighton Health Commercial	$36.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$39.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$33.15
Rate for Payer: Group Health Inc Commercial	$24.38
Rate for Payer: Group Health Inc Medicare	$17.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$24.38
Rate for Payer: Hamaspik Choice Inc Medicare	$24.38

IMMOBILIZER SHOULDER

Facility

$17.27

Hospital Charge Code	64901245
Hospital Revenue Code	270
Min. Negotiated Rate	$6.04
Max. Negotiated Rate	$13.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$9.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$8.64
Rate for Payer: Aetna Government	$8.64
Rate for Payer: Brighton Health Commercial	$12.95
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$13.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$11.74
Rate for Payer: Group Health Inc Commercial	$8.64
Rate for Payer: Group Health Inc Medicare	$6.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$8.64
Rate for Payer: Hamaspik Choice Inc Medicare	$8.64

IMMOBIL KNEE TRI-PAN UNIV 19

Facility

$33.98

Hospital Charge Code	64904733
Hospital Revenue Code	270
Min. Negotiated Rate	$11.89
Max. Negotiated Rate	$27.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$18.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$16.99
Rate for Payer: Aetna Government	$16.99
Rate for Payer: Brighton Health Commercial	$25.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$27.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$23.11
Rate for Payer: Group Health Inc Commercial	$16.99
Rate for Payer: Group Health Inc Medicare	$11.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.99
Rate for Payer: Hamaspik Choice Inc Medicare	$16.99

IMMUNE ADMIN 1 INJ, < 8 YRS

Facility

$35.25

Service Code	HCPCS 90465
Hospital Charge Code	30101230
Hospital Revenue Code	510
Min. Negotiated Rate	$17.62
Max. Negotiated Rate	$250.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$19.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$17.62
Rate for Payer: Aetna Government	$17.62
Rate for Payer: Brighton Health Commercial	$233.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$204.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$173.89
Rate for Payer: Group Health Inc Commercial	$250.00
Rate for Payer: Group Health Inc Medicare	$250.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$17.62
Rate for Payer: Hamaspik Choice Inc Medicare	$17.62
Rate for Payer: United Healthcare Commercial	$222.00

Know your out-of-pocket cost for care.

All Charges