Van Diest Medical Center

All Charges

Charge

Type

Setting

Price

NECK ADJUSTMENT 4MM SLEEVE UNITRAX

Facility

$1,952.00

Service Code	HCPCS C1776
Hospital Charge Code	8046961
Hospital Revenue Code	278
Min. Negotiated Rate	$878.40
Max. Negotiated Rate	$1,756.80
Rate for Payer: Aetna of IA Commercial	$1,756.80
Rate for Payer: Aetna of IA Medical Rental Products	$1,756.80
Rate for Payer: Aetna of IA Medicare	$1,112.64
Rate for Payer: Amerigroup Medicaid	$1,125.91
Rate for Payer: Amerigroup Medicare	$887.18
Rate for Payer: Cash Price	$1,561.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$1,464.00
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$878.40
Rate for Payer: Iowa Total Care Managed Medicaid	$1,114.98
Rate for Payer: Medical Associates Commercial	$1,464.00
Rate for Payer: Medical Associates Managed Medicare	$878.40
Rate for Payer: Midlands Choice Commercial	$1,366.40
Rate for Payer: Molina Healthcare Managed Medicaid	$1,131.38
Rate for Payer: Partners Health Alliance Commercial	$1,010.16
Rate for Payer: United Healthcare Commercial	$1,756.80
Rate for Payer: United Healthcare Managed Medicare	$1,151.68

NECK ADJUSTMENT 4MM SLEEVE UNITRAX

Facility

$1,952.00

Service Code	HCPCS C1776
Hospital Charge Code	8046961
Hospital Revenue Code	278
Min. Negotiated Rate	$1,366.40
Max. Negotiated Rate	$1,756.80
Rate for Payer: Aetna of IA Commercial	$1,756.80
Rate for Payer: Aetna of IA Medical Rental Products	$1,756.80
Rate for Payer: Cash Price	$1,561.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$1,464.00
Rate for Payer: Medical Associates Commercial	$1,464.00
Rate for Payer: Midlands Choice Commercial	$1,366.40
Rate for Payer: United Healthcare Commercial	$1,756.80

NECK ADJUSTMENT 4MM SLEEVE UNITRAX-1

Facility

$405.00

Service Code	HCPCS C1776
Hospital Charge Code	8046962
Hospital Revenue Code	278
Min. Negotiated Rate	$283.50
Max. Negotiated Rate	$364.50
Rate for Payer: Aetna of IA Commercial	$364.50
Rate for Payer: Aetna of IA Medical Rental Products	$364.50
Rate for Payer: Cash Price	$324.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$303.75
Rate for Payer: Medical Associates Commercial	$303.75
Rate for Payer: Midlands Choice Commercial	$283.50
Rate for Payer: United Healthcare Commercial	$364.50

NECK ADJUSTMENT 4MM SLEEVE UNITRAX-1

Facility

$405.00

Service Code	HCPCS C1776
Hospital Charge Code	8046962
Hospital Revenue Code	278
Min. Negotiated Rate	$182.25
Max. Negotiated Rate	$364.50
Rate for Payer: Aetna of IA Commercial	$364.50
Rate for Payer: Aetna of IA Medical Rental Products	$364.50
Rate for Payer: Aetna of IA Medicare	$230.85
Rate for Payer: Amerigroup Medicaid	$233.60
Rate for Payer: Amerigroup Medicare	$184.07
Rate for Payer: Cash Price	$324.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$303.75
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$182.25
Rate for Payer: Iowa Total Care Managed Medicaid	$231.34
Rate for Payer: Medical Associates Commercial	$303.75
Rate for Payer: Medical Associates Managed Medicare	$182.25
Rate for Payer: Midlands Choice Commercial	$283.50
Rate for Payer: Molina Healthcare Managed Medicaid	$234.74
Rate for Payer: Partners Health Alliance Commercial	$209.59
Rate for Payer: United Healthcare Commercial	$364.50
Rate for Payer: United Healthcare Managed Medicare	$238.95

NECK UNITRAK 5MM

Facility

$367.00

Service Code	HCPCS C1776
Hospital Charge Code	8046963
Hospital Revenue Code	278
Min. Negotiated Rate	$165.15
Max. Negotiated Rate	$330.30
Rate for Payer: Aetna of IA Commercial	$330.30
Rate for Payer: Aetna of IA Medical Rental Products	$330.30
Rate for Payer: Aetna of IA Medicare	$209.19
Rate for Payer: Amerigroup Medicaid	$211.69
Rate for Payer: Amerigroup Medicare	$166.80
Rate for Payer: Cash Price	$293.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$275.25
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$165.15
Rate for Payer: Iowa Total Care Managed Medicaid	$209.63
Rate for Payer: Medical Associates Commercial	$275.25
Rate for Payer: Medical Associates Managed Medicare	$165.15
Rate for Payer: Midlands Choice Commercial	$256.90
Rate for Payer: Molina Healthcare Managed Medicaid	$212.71
Rate for Payer: Partners Health Alliance Commercial	$189.92
Rate for Payer: United Healthcare Commercial	$330.30
Rate for Payer: United Healthcare Managed Medicare	$216.53

NECK UNITRAK 5MM

Facility

$367.00

Service Code	HCPCS C1776
Hospital Charge Code	8046963
Hospital Revenue Code	278
Min. Negotiated Rate	$256.90
Max. Negotiated Rate	$330.30
Rate for Payer: Aetna of IA Commercial	$330.30
Rate for Payer: Aetna of IA Medical Rental Products	$330.30
Rate for Payer: Cash Price	$293.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$275.25
Rate for Payer: Medical Associates Commercial	$275.25
Rate for Payer: Midlands Choice Commercial	$256.90
Rate for Payer: United Healthcare Commercial	$330.30

NEEDLE BIOPSY OF LIVER

Facility

$626.00

Service Code	CPT 47000
Hospital Charge Code	7983042
Hospital Revenue Code	450
Min. Negotiated Rate	$438.20
Max. Negotiated Rate	$563.40
Rate for Payer: Aetna of IA Commercial	$563.40
Rate for Payer: Aetna of IA Medical Rental Products	$563.40
Rate for Payer: Cash Price	$500.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$469.50
Rate for Payer: Medical Associates Commercial	$469.50
Rate for Payer: Midlands Choice Commercial	$438.20
Rate for Payer: United Healthcare Commercial	$563.40

NEEDLE BIOPSY OF LIVER

Facility

$626.00

Service Code	CPT 47000
Hospital Charge Code	7983042
Hospital Revenue Code	450
Min. Negotiated Rate	$281.70
Max. Negotiated Rate	$1,659.63
Rate for Payer: Aetna of IA Commercial	$563.40
Rate for Payer: Aetna of IA Medical Rental Products	$563.40
Rate for Payer: Aetna of IA Medicare	$356.82
Rate for Payer: Amerigroup Medicaid	$361.08
Rate for Payer: Amerigroup Medicare	$284.52
Rate for Payer: Cash Price	$500.80
Rate for Payer: Cash Price	$500.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$469.50
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$281.70
Rate for Payer: Iowa Total Care Managed Medicaid	$357.57
Rate for Payer: Medical Associates Commercial	$469.50
Rate for Payer: Medical Associates Managed Medicare	$281.70
Rate for Payer: Midlands Choice Commercial	$438.20
Rate for Payer: Molina Healthcare Managed Medicaid	$362.83
Rate for Payer: Partners Health Alliance Commercial	$323.96
Rate for Payer: United Healthcare Commercial	$563.40
Rate for Payer: United Healthcare Managed Medicare	$369.34
Rate for Payer: Wellmark IA HMO WHPI	$1,506.63
Rate for Payer: Wellmark IA PPO	$1,659.63

NEEDLE LOCALIZATION BY XRAY

Facility

$735.00

Service Code	CPT 77002
Hospital Charge Code	8015868
Hospital Revenue Code	320
Min. Negotiated Rate	$330.75
Max. Negotiated Rate	$661.50
Rate for Payer: Aetna of IA Commercial	$661.50
Rate for Payer: Aetna of IA Medical Rental Products	$661.50
Rate for Payer: Aetna of IA Medicare	$418.95
Rate for Payer: Amerigroup Medicaid	$423.95
Rate for Payer: Amerigroup Medicare	$334.06
Rate for Payer: Cash Price	$588.00
Rate for Payer: Cash Price	$588.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$551.25
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$330.75
Rate for Payer: Iowa Total Care Managed Medicaid	$419.83
Rate for Payer: Medical Associates Commercial	$551.25
Rate for Payer: Medical Associates Managed Medicare	$330.75
Rate for Payer: Midlands Choice Commercial	$514.50
Rate for Payer: Molina Healthcare Managed Medicaid	$426.01
Rate for Payer: Partners Health Alliance Commercial	$380.36
Rate for Payer: United Healthcare Commercial	$661.50
Rate for Payer: United Healthcare Managed Medicare	$433.65
Rate for Payer: Wellmark IA HMO WHPI	$463.69
Rate for Payer: Wellmark IA PPO	$510.77

NEEDLE LOCALIZATION BY XRAY

Facility

$735.00

Service Code	CPT 77002
Hospital Charge Code	8015868
Hospital Revenue Code	320
Min. Negotiated Rate	$514.50
Max. Negotiated Rate	$661.50
Rate for Payer: Aetna of IA Commercial	$661.50
Rate for Payer: Aetna of IA Medical Rental Products	$661.50
Rate for Payer: Cash Price	$588.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$551.25
Rate for Payer: Medical Associates Commercial	$551.25
Rate for Payer: Midlands Choice Commercial	$514.50
Rate for Payer: United Healthcare Commercial	$661.50

NEG PRESSURE WOUND THERAPY > 50 CM

Facility

$266.00

Service Code	CPT 97606
Hospital Charge Code	7450784
Hospital Revenue Code	510
Min. Negotiated Rate	$186.20
Max. Negotiated Rate	$239.40
Rate for Payer: Aetna of IA Commercial	$239.40
Rate for Payer: Aetna of IA Medical Rental Products	$239.40
Rate for Payer: Cash Price	$212.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$199.50
Rate for Payer: Medical Associates Commercial	$199.50
Rate for Payer: Midlands Choice Commercial	$186.20
Rate for Payer: United Healthcare Commercial	$239.40

NEG PRESSURE WOUND THERAPY > 50 CM

Facility

$266.00

Service Code	CPT 97606
Hospital Charge Code	7450784
Hospital Revenue Code	510
Min. Negotiated Rate	$119.70
Max. Negotiated Rate	$1,127.76
Rate for Payer: Aetna of IA Commercial	$239.40
Rate for Payer: Aetna of IA Medical Rental Products	$239.40
Rate for Payer: Aetna of IA Medicare	$151.62
Rate for Payer: Amerigroup Medicaid	$153.43
Rate for Payer: Amerigroup Medicare	$120.90
Rate for Payer: Cash Price	$212.80
Rate for Payer: Cash Price	$212.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$199.50
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$119.70
Rate for Payer: Iowa Total Care Managed Medicaid	$151.94
Rate for Payer: Medical Associates Commercial	$199.50
Rate for Payer: Medical Associates Managed Medicare	$119.70
Rate for Payer: Midlands Choice Commercial	$186.20
Rate for Payer: Molina Healthcare Managed Medicaid	$154.17
Rate for Payer: Partners Health Alliance Commercial	$137.66
Rate for Payer: United Healthcare Commercial	$239.40
Rate for Payer: United Healthcare Managed Medicare	$156.94
Rate for Payer: Wellmark IA HMO WHPI	$1,023.80
Rate for Payer: Wellmark IA PPO	$1,127.76

NEG PRESSURE WOUND THERAPY 50 CM OR LESS

Professional

Both

$206.00

Service Code	CPT 97605
Hospital Charge Code	7450783
Hospital Revenue Code	983
Min. Negotiated Rate	$34.20
Max. Negotiated Rate	$154.50
Rate for Payer: Amerigroup Medicaid	$34.54
Rate for Payer: Cash Price	$164.80
Rate for Payer: Cash Price	$164.80
Rate for Payer: Iowa Total Care Managed Medicaid	$34.20
Rate for Payer: Medical Associates Commercial	$154.50
Rate for Payer: Midlands Choice Commercial	$144.20
Rate for Payer: Molina Healthcare Managed Medicaid	$34.37
Rate for Payer: Partners Health Alliance Commercial	$154.50
Rate for Payer: United Healthcare Commercial	$42.09
Rate for Payer: Wellmark IA HMO WHPI	$62.50
Rate for Payer: Wellmark IA PPO	$62.50

NEG PRESSURE WOUND THERAPY 50 CM OR LESS

Facility

$206.00

Service Code	CPT 97605
Hospital Charge Code	7450783
Hospital Revenue Code	510
Min. Negotiated Rate	$92.70
Max. Negotiated Rate	$657.60
Rate for Payer: Aetna of IA Commercial	$185.40
Rate for Payer: Aetna of IA Medical Rental Products	$185.40
Rate for Payer: Aetna of IA Medicare	$117.42
Rate for Payer: Amerigroup Medicaid	$118.82
Rate for Payer: Amerigroup Medicare	$93.63
Rate for Payer: Cash Price	$164.80
Rate for Payer: Cash Price	$164.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$154.50
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$92.70
Rate for Payer: Iowa Total Care Managed Medicaid	$117.67
Rate for Payer: Medical Associates Commercial	$154.50
Rate for Payer: Medical Associates Managed Medicare	$92.70
Rate for Payer: Midlands Choice Commercial	$144.20
Rate for Payer: Molina Healthcare Managed Medicaid	$119.40
Rate for Payer: Partners Health Alliance Commercial	$106.60
Rate for Payer: United Healthcare Commercial	$185.40
Rate for Payer: United Healthcare Managed Medicare	$121.54
Rate for Payer: Wellmark IA HMO WHPI	$596.98
Rate for Payer: Wellmark IA PPO	$657.60

NEG PRESSURE WOUND THERAPY 50 CM OR LESS

Facility

$206.00

Service Code	CPT 97605
Hospital Charge Code	7450783
Hospital Revenue Code	510
Min. Negotiated Rate	$144.20
Max. Negotiated Rate	$185.40
Rate for Payer: Aetna of IA Commercial	$185.40
Rate for Payer: Aetna of IA Medical Rental Products	$185.40
Rate for Payer: Cash Price	$164.80
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$154.50
Rate for Payer: Medical Associates Commercial	$154.50
Rate for Payer: Midlands Choice Commercial	$144.20
Rate for Payer: United Healthcare Commercial	$185.40

neomycin/polymyxin B/gramicidin Ophth 10 ml Sol [VDMC]

Facility

$182.92

Service Code	HCPCS A9270
Hospital Charge Code	10392728
Hospital Revenue Code	259
Min. Negotiated Rate	$82.31
Max. Negotiated Rate	$164.63
Rate for Payer: Aetna of IA Commercial	$164.63
Rate for Payer: Aetna of IA Medical Rental Products	$164.63
Rate for Payer: Aetna of IA Medicare	$104.26
Rate for Payer: Amerigroup Medicaid	$105.51
Rate for Payer: Amerigroup Medicare	$83.14
Rate for Payer: Cash Price	$146.34
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$137.19
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$82.31
Rate for Payer: Iowa Total Care Managed Medicaid	$104.48
Rate for Payer: Medical Associates Commercial	$137.19
Rate for Payer: Medical Associates Managed Medicare	$82.31
Rate for Payer: Midlands Choice Commercial	$128.04
Rate for Payer: Molina Healthcare Managed Medicaid	$106.02
Rate for Payer: Partners Health Alliance Commercial	$94.66
Rate for Payer: United Healthcare Commercial	$164.63
Rate for Payer: United Healthcare Managed Medicare	$107.92

neomycin/polymyxin B/gramicidin Ophth 10 ml Sol [VDMC]

Facility

$182.92

Service Code	HCPCS A9270
Hospital Charge Code	10392728
Hospital Revenue Code	259
Min. Negotiated Rate	$128.04
Max. Negotiated Rate	$164.63
Rate for Payer: Aetna of IA Commercial	$164.63
Rate for Payer: Aetna of IA Medical Rental Products	$164.63
Rate for Payer: Cash Price	$146.34
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$137.19
Rate for Payer: Medical Associates Commercial	$137.19
Rate for Payer: Midlands Choice Commercial	$128.04
Rate for Payer: United Healthcare Commercial	$164.63

Neonatal Screen Ref

Facility

$139.00

Service Code	CPT 82775
Hospital Charge Code	7822382
Hospital Revenue Code	301
Min. Negotiated Rate	$97.30
Max. Negotiated Rate	$125.10
Rate for Payer: Aetna of IA Commercial	$125.10
Rate for Payer: Aetna of IA Medical Rental Products	$125.10
Rate for Payer: Cash Price	$111.20
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$104.25
Rate for Payer: Medical Associates Commercial	$104.25
Rate for Payer: Midlands Choice Commercial	$97.30
Rate for Payer: United Healthcare Commercial	$125.10

Neonatal Screen Ref

Facility

$139.00

Service Code	CPT 82775
Hospital Charge Code	7822382
Hospital Revenue Code	301
Min. Negotiated Rate	$61.68
Max. Negotiated Rate	$125.10
Rate for Payer: Aetna of IA Commercial	$125.10
Rate for Payer: Aetna of IA Medical Rental Products	$125.10
Rate for Payer: Aetna of IA Medicare	$79.23
Rate for Payer: Amerigroup Medicaid	$80.18
Rate for Payer: Amerigroup Medicare	$63.18
Rate for Payer: Cash Price	$111.20
Rate for Payer: Cash Price	$111.20
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$104.25
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$62.55
Rate for Payer: Iowa Total Care Managed Medicaid	$79.40
Rate for Payer: Medical Associates Commercial	$104.25
Rate for Payer: Medical Associates Managed Medicare	$62.55
Rate for Payer: Midlands Choice Commercial	$97.30
Rate for Payer: Molina Healthcare Managed Medicaid	$80.56
Rate for Payer: Partners Health Alliance Commercial	$71.93
Rate for Payer: United Healthcare Commercial	$125.10
Rate for Payer: United Healthcare Managed Medicare	$82.01
Rate for Payer: Wellmark IA HMO WHPI	$61.68
Rate for Payer: Wellmark IA PPO	$67.95

NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY

Facility

$2,745.13

Service Code	MSDRG 789
Min. Negotiated Rate	$2,705.35
Max. Negotiated Rate	$2,745.13
Rate for Payer: Amerigroup Medicaid	$2,731.87
Rate for Payer: Iowa Total Care Managed Medicaid	$2,705.35
Rate for Payer: Molina Healthcare Managed Medicaid	$2,745.13

NEONATE WITH OTHER SIGNIFICANT PROBLEMS

Facility

$3,738.24

Service Code	MSDRG 794
Min. Negotiated Rate	$3,684.06
Max. Negotiated Rate	$3,738.24
Rate for Payer: Amerigroup Medicaid	$3,720.18
Rate for Payer: Iowa Total Care Managed Medicaid	$3,684.06
Rate for Payer: Molina Healthcare Managed Medicaid	$3,738.24

neostigmine 1 mg/mL 10ml Sol [VDMC]

Facility

$173.52

Service Code	HCPCS J2710
Hospital Charge Code	11224533
Hospital Revenue Code	259
Min. Negotiated Rate	$121.46
Max. Negotiated Rate	$156.17
Rate for Payer: Aetna of IA Commercial	$156.17
Rate for Payer: Aetna of IA Medical Rental Products	$156.17
Rate for Payer: Cash Price	$138.82
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$130.14
Rate for Payer: Medical Associates Commercial	$130.14
Rate for Payer: Midlands Choice Commercial	$121.46
Rate for Payer: United Healthcare Commercial	$156.17

neostigmine 1 mg/mL 10ml Sol [VDMC]

Facility

$173.52

Service Code	HCPCS J2710
Hospital Charge Code	11224533
Hospital Revenue Code	259
Min. Negotiated Rate	$78.08
Max. Negotiated Rate	$221.80
Rate for Payer: Aetna of IA Commercial	$156.17
Rate for Payer: Aetna of IA Medical Rental Products	$156.17
Rate for Payer: Aetna of IA Medicare	$98.91
Rate for Payer: Amerigroup Medicaid	$100.09
Rate for Payer: Amerigroup Medicare	$78.86
Rate for Payer: Cash Price	$138.82
Rate for Payer: Cash Price	$138.82
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$130.14
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$78.08
Rate for Payer: Iowa Total Care Managed Medicaid	$99.11
Rate for Payer: Medical Associates Commercial	$130.14
Rate for Payer: Medical Associates Managed Medicare	$78.08
Rate for Payer: Midlands Choice Commercial	$121.46
Rate for Payer: Molina Healthcare Managed Medicaid	$100.57
Rate for Payer: Partners Health Alliance Commercial	$89.80
Rate for Payer: United Healthcare Commercial	$156.17
Rate for Payer: United Healthcare Managed Medicare	$102.38
Rate for Payer: Wellmark IA HMO WHPI	$201.36
Rate for Payer: Wellmark IA PPO	$221.80

NERVOUS SYSTEM NEOPLASMS WITH MCC

Facility

$9,917.61

Service Code	MSDRG 054
Min. Negotiated Rate	$9,773.87
Max. Negotiated Rate	$9,917.61
Rate for Payer: Amerigroup Medicaid	$9,869.69
Rate for Payer: Iowa Total Care Managed Medicaid	$9,773.87
Rate for Payer: Molina Healthcare Managed Medicaid	$9,917.61

NERVOUS SYSTEM NEOPLASMS WITHOUT MCC

Facility

$9,917.61

Service Code	MSDRG 055
Min. Negotiated Rate	$9,773.87
Max. Negotiated Rate	$9,917.61
Rate for Payer: Amerigroup Medicaid	$9,869.69
Rate for Payer: Iowa Total Care Managed Medicaid	$9,773.87
Rate for Payer: Molina Healthcare Managed Medicaid	$9,917.61

Know your out-of-pocket cost for care.

All Charges