St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ANGINA PECTORIS

Facility

$23,386.88

Service Code	MSDRG 311
Min. Negotiated Rate	$5,986.21
Max. Negotiated Rate	$23,386.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$10,293.48
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$17,008.64
Rate for Payer: Aetna Government	$17,008.64
Rate for Payer: Brighton Health Commercial	$10,122.45
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$17,348.81
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$12,055.49
Rate for Payer: Cigna LocalPlus Benefit Plan	$9,948.71
Rate for Payer: Elderplan Medicare Advantage	$16,158.21
Rate for Payer: EmblemHealth Commercial	$5,986.21
Rate for Payer: Fidelis Medicare Advantage	$17,008.64
Rate for Payer: Group Health Inc Commercial	$17,008.64
Rate for Payer: Group Health Inc Medicare	$17,008.64
Rate for Payer: Hamaspik Choice Inc Medicare	$17,008.64
Rate for Payer: Healthfirst Medicare Advantage	$7,909.02
Rate for Payer: Humana Medicare	$23,386.88
Rate for Payer: Senior Whole Health Medicare Advantage	$17,008.64
Rate for Payer: United Healthcare Commercial	$13,883.11
Rate for Payer: United Healthcare Medicare Advantage	$17,008.64
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$17,008.64
Rate for Payer: Wellcare Medicare	$16,158.21

ANGIO CATHETER

Facility

$12.50

Service Code	HCPCS C1725
Hospital Charge Code	64907115
Hospital Revenue Code	278
Min. Negotiated Rate	$4.38
Max. Negotiated Rate	$44.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$44.85
Rate for Payer: Aetna Government	$44.85
Rate for Payer: Brighton Health Commercial	$7.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$7.19
Rate for Payer: EmblemHealth Commercial	$6.25
Rate for Payer: Fidelis Medicare Advantage	$13.12
Rate for Payer: Group Health Inc Commercial	$6.25
Rate for Payer: Group Health Inc Medicare	$4.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.25
Rate for Payer: Hamaspik Choice Inc Medicare	$6.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$8.12

ANGIO CATHETER

Facility

$12.50

Service Code	HCPCS C1725
Hospital Charge Code	64907115
Hospital Revenue Code	278
Min. Negotiated Rate	$6.25
Max. Negotiated Rate	$6.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$6.25
Rate for Payer: Hamaspik Choice Inc Medicare	$6.25

ANGIODYNAMICS MINI STICK MAX 5F

Facility

$30.00

Hospital Charge Code	66570999
Hospital Revenue Code	270
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$24.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$16.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$15.00
Rate for Payer: Aetna Government	$15.00
Rate for Payer: Brighton Health Commercial	$22.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$24.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$20.40
Rate for Payer: Group Health Inc Commercial	$15.00
Rate for Payer: Group Health Inc Medicare	$10.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$15.00
Rate for Payer: Hamaspik Choice Inc Medicare	$15.00

ANGIOGRAM TRAY

Facility

$63.43

Hospital Charge Code	40200340
Hospital Revenue Code	270
Min. Negotiated Rate	$22.20
Max. Negotiated Rate	$50.74
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$34.89
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$31.72
Rate for Payer: Aetna Government	$31.72
Rate for Payer: Brighton Health Commercial	$47.57
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$50.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$43.13
Rate for Payer: Group Health Inc Commercial	$31.72
Rate for Payer: Group Health Inc Medicare	$22.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$31.72
Rate for Payer: Hamaspik Choice Inc Medicare	$31.72

ANGIOGRAPHIC CATH SET

Facility

$49.60

Hospital Charge Code	66524677
Hospital Revenue Code	272
Min. Negotiated Rate	$17.36
Max. Negotiated Rate	$39.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$27.28
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$24.80
Rate for Payer: Aetna Government	$24.80
Rate for Payer: Brighton Health Commercial	$37.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$39.68
Rate for Payer: Cigna LocalPlus Benefit Plan	$33.73
Rate for Payer: Group Health Inc Commercial	$24.80
Rate for Payer: Group Health Inc Medicare	$17.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$24.80
Rate for Payer: Hamaspik Choice Inc Medicare	$24.80

Angiography, extremity, unilateral, radiological supervision and interpretation

Facility

$3,759.80

Service Code	CPT 75710
Hospital Revenue Code	360
Min. Negotiated Rate	$1,505.00
Max. Negotiated Rate	$3,759.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$3,686.08
Rate for Payer: Aetna Government	$3,686.08
Rate for Payer: Affinity Essential Plan 1&2	$2,580.26
Rate for Payer: Affinity Essential Plan 3&4	$2,580.26
Rate for Payer: Affinity Medicaid/CHP/HARP	$2,580.26
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$3,686.08
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	$3,686.08
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa	$3,133.17
Rate for Payer: Fidelis Essential Plan QHP	$3,280.61
Rate for Payer: Fidelis Medicare Advantage	$3,686.08
Rate for Payer: Fidelis Qualified Health Plan	$3,280.61
Rate for Payer: Group Health Inc Commercial	$3,686.08
Rate for Payer: Group Health Inc Medicare	$3,686.08
Rate for Payer: Hamaspik Choice Inc Medicare	$3,686.08
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$3,317.47
Rate for Payer: Healthfirst Medicare Advantage	$3,133.17
Rate for Payer: Healthfirst QHP	$3,686.08
Rate for Payer: Humana Medicare	$3,759.80
Rate for Payer: Senior Whole Health Medicare Advantage	$3,686.08
Rate for Payer: United Healthcare Medicare Advantage	$3,686.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,686.08
Rate for Payer: Wellcare CHP/FHP/Medicaid	$2,948.86
Rate for Payer: Wellcare Medicare	$3,501.78

ANGIOTENSIN CONVERT ENZ., CSF

Facility

$36.50

Service Code	HCPCS 82164
Hospital Charge Code	40609855
Hospital Revenue Code	301
Min. Negotiated Rate	$10.22
Max. Negotiated Rate	$27.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.60
Rate for Payer: Aetna Government	$14.60
Rate for Payer: Affinity Essential Plan 1&2	$10.22
Rate for Payer: Affinity Essential Plan 3&4	$10.22
Rate for Payer: Affinity Medicaid/CHP/HARP	$10.22
Rate for Payer: Brighton Health Commercial	$27.38
Rate for Payer: Cash Price	$14.60
Rate for Payer: Cash Price	$14.60
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$14.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$23.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$19.64
Rate for Payer: Elderplan Medicare Advantage	$14.60
Rate for Payer: EmblemHealth Commercial	$14.60
Rate for Payer: Fidelis Essential Plan Aliesa	$12.41
Rate for Payer: Fidelis Essential Plan QHP	$12.99
Rate for Payer: Fidelis Medicare Advantage	$14.60
Rate for Payer: Fidelis Qualified Health Plan	$12.99
Rate for Payer: Group Health Inc Commercial	$14.60
Rate for Payer: Group Health Inc Medicare	$14.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.25
Rate for Payer: Hamaspik Choice Inc Medicare	$14.60
Rate for Payer: Healthfirst Medicare Advantage	$14.60
Rate for Payer: Healthfirst QHP	$14.60
Rate for Payer: Humana Medicare	$14.89
Rate for Payer: Senior Whole Health Medicare Advantage	$14.60
Rate for Payer: United Healthcare Commercial	$18.49
Rate for Payer: United Healthcare Medicare Advantage	$14.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$14.60
Rate for Payer: Wellcare CHP/FHP/Medicaid	$11.68
Rate for Payer: Wellcare Medicare	$13.14

ANGIOTENSIN CONVERT ENZ., CSF

Facility

$36.50

Service Code	HCPCS 82164
Hospital Charge Code	40609855
Hospital Revenue Code	301
Rate for Payer: Cash Price	$14.60

ANGIOTENSIN-CONVERTING ENZYME

Facility

$36.50

Service Code	HCPCS 82164
Hospital Charge Code	40609044
Hospital Revenue Code	300
Min. Negotiated Rate	$10.22
Max. Negotiated Rate	$27.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$14.60
Rate for Payer: Aetna Government	$14.60
Rate for Payer: Affinity Essential Plan 1&2	$10.22
Rate for Payer: Affinity Essential Plan 3&4	$10.22
Rate for Payer: Affinity Medicaid/CHP/HARP	$10.22
Rate for Payer: Brighton Health Commercial	$27.38
Rate for Payer: Cash Price	$14.60
Rate for Payer: Cash Price	$14.60
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$14.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$23.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$19.64
Rate for Payer: Elderplan Medicare Advantage	$14.60
Rate for Payer: EmblemHealth Commercial	$14.60
Rate for Payer: Fidelis Essential Plan Aliesa	$12.41
Rate for Payer: Fidelis Essential Plan QHP	$12.99
Rate for Payer: Fidelis Medicare Advantage	$14.60
Rate for Payer: Fidelis Qualified Health Plan	$12.99
Rate for Payer: Group Health Inc Commercial	$14.60
Rate for Payer: Group Health Inc Medicare	$14.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.25
Rate for Payer: Hamaspik Choice Inc Medicare	$14.60
Rate for Payer: Healthfirst Medicare Advantage	$14.60
Rate for Payer: Healthfirst QHP	$14.60
Rate for Payer: Humana Medicare	$14.89
Rate for Payer: Senior Whole Health Medicare Advantage	$14.60
Rate for Payer: United Healthcare Commercial	$18.49
Rate for Payer: United Healthcare Medicare Advantage	$14.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$14.60
Rate for Payer: Wellcare CHP/FHP/Medicaid	$11.68
Rate for Payer: Wellcare Medicare	$13.14

ANGIOTENSIN-CONVERTING ENZYME

Facility

$36.50

Service Code	HCPCS 82164
Hospital Charge Code	40609044
Hospital Revenue Code	300
Rate for Payer: Cash Price	$14.60

ANGLED CUTTER 4.5MM TOMCAT

Facility

$100.00

Hospital Charge Code	64905672
Hospital Revenue Code	270
Min. Negotiated Rate	$35.00
Max. Negotiated Rate	$80.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$55.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$50.00
Rate for Payer: Aetna Government	$50.00
Rate for Payer: Brighton Health Commercial	$75.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$80.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$68.00
Rate for Payer: Group Health Inc Commercial	$50.00
Rate for Payer: Group Health Inc Medicare	$35.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.00
Rate for Payer: Hamaspik Choice Inc Medicare	$50.00

ANGLED POST

Facility

$100.00

Service Code	HCPCS C1713
Hospital Charge Code	40200739
Hospital Revenue Code	278
Min. Negotiated Rate	$50.00
Max. Negotiated Rate	$50.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.00
Rate for Payer: Hamaspik Choice Inc Medicare	$50.00

ANGLED POST

Facility

$100.00

Service Code	HCPCS C1713
Hospital Charge Code	40200739
Hospital Revenue Code	278
Min. Negotiated Rate	$35.00
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$55.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$60.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$50.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$57.50
Rate for Payer: EmblemHealth Commercial	$50.00
Rate for Payer: Fidelis Medicare Advantage	$105.00
Rate for Payer: Group Health Inc Commercial	$50.00
Rate for Payer: Group Health Inc Medicare	$35.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.00
Rate for Payer: Hamaspik Choice Inc Medicare	$50.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$65.00

ANGLE FRACTURE PLT,6HOLES 115

Facility

$1,062.00

Service Code	HCPCS C1713
Hospital Charge Code	40200872
Hospital Revenue Code	278
Min. Negotiated Rate	$531.00
Max. Negotiated Rate	$531.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$531.00
Rate for Payer: Hamaspik Choice Inc Medicare	$531.00

ANGLE FRACTURE PLT,6HOLES 115

Facility

$1,062.00

Service Code	HCPCS C1713
Hospital Charge Code	40200872
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,115.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$584.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$637.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$531.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$610.65
Rate for Payer: EmblemHealth Commercial	$531.00
Rate for Payer: Fidelis Medicare Advantage	$1,115.10
Rate for Payer: Group Health Inc Commercial	$531.00
Rate for Payer: Group Health Inc Medicare	$371.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$531.00
Rate for Payer: Hamaspik Choice Inc Medicare	$531.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$690.30

ANGLE FRACTURE PLT,6 HOLES 140

Facility

$1,062.00

Service Code	HCPCS C1713
Hospital Charge Code	40200873
Hospital Revenue Code	278
Min. Negotiated Rate	$531.00
Max. Negotiated Rate	$531.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$531.00
Rate for Payer: Hamaspik Choice Inc Medicare	$531.00

ANGLE FRACTURE PLT,6 HOLES 140

Facility

$1,062.00

Service Code	HCPCS C1713
Hospital Charge Code	40200873
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,115.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$584.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$637.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$531.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$610.65
Rate for Payer: EmblemHealth Commercial	$531.00
Rate for Payer: Fidelis Medicare Advantage	$1,115.10
Rate for Payer: Group Health Inc Commercial	$531.00
Rate for Payer: Group Health Inc Medicare	$371.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$531.00
Rate for Payer: Hamaspik Choice Inc Medicare	$531.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$690.30

ANGLE RIGHT 7 X 23 HOBS

Facility

$3,598.00

Service Code	HCPCS C1713
Hospital Charge Code	40200116
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,777.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,978.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,158.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,799.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,068.85
Rate for Payer: EmblemHealth Commercial	$1,799.00
Rate for Payer: Fidelis Medicare Advantage	$3,777.90
Rate for Payer: Group Health Inc Commercial	$1,799.00
Rate for Payer: Group Health Inc Medicare	$1,259.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,799.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,799.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,338.70

ANGLE RIGHT 7 X 23 HOBS

Facility

$3,598.00

Service Code	HCPCS C1713
Hospital Charge Code	40200116
Hospital Revenue Code	278
Min. Negotiated Rate	$1,799.00
Max. Negotiated Rate	$1,799.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,799.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,799.00

ANIDULAFUNGIN 100 MG INJ

Facility

$1.86

Service Code	HCPCS J0348
Hospital Charge Code	41645302
Hospital Revenue Code	636
Min. Negotiated Rate	$0.93
Max. Negotiated Rate	$0.93
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.93
Rate for Payer: Hamaspik Choice Inc Medicare	$0.93

ANIDULAFUNGIN 100 MG INJ

Facility

$1.86

Hospital Charge Code	41655302
Hospital Revenue Code	636
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$1.21
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.93
Rate for Payer: Aetna Government	$0.93
Rate for Payer: Brighton Health Commercial	$1.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.93
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.07
Rate for Payer: Group Health Inc Commercial	$0.93
Rate for Payer: Group Health Inc Medicare	$0.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.93
Rate for Payer: Hamaspik Choice Inc Medicare	$0.93
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.21

ANIDULAFUNGIN 100 MG INJ

Facility

$1.86

Hospital Charge Code	41655302
Hospital Revenue Code	636
Min. Negotiated Rate	$0.93
Max. Negotiated Rate	$0.93
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.93
Rate for Payer: Hamaspik Choice Inc Medicare	$0.93

ANIDULAFUNGIN 100 MG INJ

Facility

$1.86

Service Code	HCPCS J0348
Hospital Charge Code	41645302
Hospital Revenue Code	636
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$1.21
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$0.57
Rate for Payer: Aetna Government	$0.57
Rate for Payer: Brighton Health Commercial	$1.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$0.93
Rate for Payer: Cigna LocalPlus Benefit Plan	$1.07
Rate for Payer: Group Health Inc Commercial	$0.93
Rate for Payer: Group Health Inc Medicare	$0.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.93
Rate for Payer: Hamaspik Choice Inc Medicare	$0.93
Rate for Payer: SOMOS CHP/HARP/Medicaid	$0.49
Rate for Payer: SOMOS Essential	$0.49
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1.21

ANIDULAFUNGIN 50 MG INJ

Facility

$1.86

Service Code	HCPCS J0348
Hospital Charge Code	41645301
Hospital Revenue Code	636
Min. Negotiated Rate	$0.93
Max. Negotiated Rate	$0.93
Rate for Payer: Hamaspik Choice Inc Medicaid	$0.93
Rate for Payer: Hamaspik Choice Inc Medicare	$0.93

Know your out-of-pocket cost for care.

All Charges