Van Diest Medical Center

All Charges

Charge

Type

Price

predniSONE 1 mg Tab

Facility OP

$1.64

Service Code	CPT A9270
Hospital Charge Code	43701494
Hospital Revenue Code	637
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$1.48
Rate for Payer: Aetna of IA Commercial	$1.48
Rate for Payer: Aetna of IA Medical Rental Products	$1.48
Rate for Payer: Aetna of IA Medicare	$0.93
Rate for Payer: Amerigroup Medicaid	$0.83
Rate for Payer: Amerigroup Medicare	$0.83
Rate for Payer: Cash Price	$1.31
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$1.23
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$0.82
Rate for Payer: Iowa Total Care Managed Medicaid	$0.82
Rate for Payer: Medical Associates Commercial	$1.23
Rate for Payer: Medical Associates Managed Medicare	$0.82
Rate for Payer: Midlands Choice Commercial	$1.15
Rate for Payer: Molina Healthcare Managed Medicaid	$0.83
Rate for Payer: Partners Health Alliance Commercial	$1.23
Rate for Payer: United Healthcare Commercial	$1.48
Rate for Payer: United Healthcare Managed Medicare	$0.97

predniSONE 1 mg Tab

Facility IP

$1.64

Service Code	CPT A9270
Hospital Charge Code	43701494
Hospital Revenue Code	637
Min. Negotiated Rate	$1.15
Max. Negotiated Rate	$1.48
Rate for Payer: Aetna of IA Commercial	$1.48
Rate for Payer: Aetna of IA Medical Rental Products	$1.48
Rate for Payer: Cash Price	$1.31
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$1.23
Rate for Payer: Medical Associates Commercial	$1.23
Rate for Payer: Midlands Choice Commercial	$1.15
Rate for Payer: United Healthcare Commercial	$1.48

predniSONE 20 mg Tab

Facility OP

$1.50

Service Code	CPT A9270
Hospital Charge Code	43701488
Hospital Revenue Code	637
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$1.35
Rate for Payer: Aetna of IA Commercial	$1.35
Rate for Payer: Aetna of IA Medical Rental Products	$1.35
Rate for Payer: Aetna of IA Medicare	$0.86
Rate for Payer: Amerigroup Medicaid	$0.76
Rate for Payer: Amerigroup Medicare	$0.76
Rate for Payer: Cash Price	$1.20
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$1.12
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$0.75
Rate for Payer: Iowa Total Care Managed Medicaid	$0.75
Rate for Payer: Medical Associates Commercial	$1.12
Rate for Payer: Medical Associates Managed Medicare	$0.75
Rate for Payer: Midlands Choice Commercial	$1.05
Rate for Payer: Molina Healthcare Managed Medicaid	$0.76
Rate for Payer: Partners Health Alliance Commercial	$1.12
Rate for Payer: United Healthcare Commercial	$1.35
Rate for Payer: United Healthcare Managed Medicare	$0.89

predniSONE 20 mg Tab

Facility IP

$1.50

Service Code	CPT A9270
Hospital Charge Code	43701488
Hospital Revenue Code	637
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.35
Rate for Payer: Aetna of IA Commercial	$1.35
Rate for Payer: Aetna of IA Medical Rental Products	$1.35
Rate for Payer: Cash Price	$1.20
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$1.12
Rate for Payer: Medical Associates Commercial	$1.12
Rate for Payer: Midlands Choice Commercial	$1.05
Rate for Payer: United Healthcare Commercial	$1.35

predniSONE 5 mg Tab

Facility OP

$1.52

Service Code	CPT A9270
Hospital Charge Code	43701484
Hospital Revenue Code	637
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$1.37
Rate for Payer: Aetna of IA Commercial	$1.37
Rate for Payer: Aetna of IA Medical Rental Products	$1.37
Rate for Payer: Aetna of IA Medicare	$0.87
Rate for Payer: Amerigroup Medicaid	$0.77
Rate for Payer: Amerigroup Medicare	$0.77
Rate for Payer: Cash Price	$1.22
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$1.14
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$0.76
Rate for Payer: Iowa Total Care Managed Medicaid	$0.76
Rate for Payer: Medical Associates Commercial	$1.14
Rate for Payer: Medical Associates Managed Medicare	$0.76
Rate for Payer: Midlands Choice Commercial	$1.06
Rate for Payer: Molina Healthcare Managed Medicaid	$0.77
Rate for Payer: Partners Health Alliance Commercial	$1.14
Rate for Payer: United Healthcare Commercial	$1.37
Rate for Payer: United Healthcare Managed Medicare	$0.90

predniSONE 5 mg Tab

Facility IP

$1.52

Service Code	CPT A9270
Hospital Charge Code	43701484
Hospital Revenue Code	637
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$1.37
Rate for Payer: Aetna of IA Commercial	$1.37
Rate for Payer: Aetna of IA Medical Rental Products	$1.37
Rate for Payer: Cash Price	$1.22
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$1.14
Rate for Payer: Medical Associates Commercial	$1.14
Rate for Payer: Midlands Choice Commercial	$1.06
Rate for Payer: United Healthcare Commercial	$1.37

pregabalin 25 mg oral capsule

Facility OP

$3.24

Service Code	CPT A9270
Hospital Charge Code	43781212
Hospital Revenue Code	637
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$2.92
Rate for Payer: Aetna of IA Commercial	$2.92
Rate for Payer: Aetna of IA Medical Rental Products	$2.92
Rate for Payer: Aetna of IA Medicare	$1.85
Rate for Payer: Amerigroup Medicaid	$1.64
Rate for Payer: Amerigroup Medicare	$1.64
Rate for Payer: Cash Price	$2.59
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$2.43
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$1.62
Rate for Payer: Iowa Total Care Managed Medicaid	$1.62
Rate for Payer: Medical Associates Commercial	$2.43
Rate for Payer: Medical Associates Managed Medicare	$1.62
Rate for Payer: Midlands Choice Commercial	$2.27
Rate for Payer: Molina Healthcare Managed Medicaid	$1.64
Rate for Payer: Partners Health Alliance Commercial	$2.43
Rate for Payer: United Healthcare Commercial	$2.92
Rate for Payer: United Healthcare Managed Medicare	$1.91

pregabalin 25 mg oral capsule

Facility IP

$3.24

Service Code	CPT A9270
Hospital Charge Code	43781212
Hospital Revenue Code	637
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$2.92
Rate for Payer: Aetna of IA Commercial	$2.92
Rate for Payer: Aetna of IA Medical Rental Products	$2.92
Rate for Payer: Cash Price	$2.59
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$2.43
Rate for Payer: Medical Associates Commercial	$2.43
Rate for Payer: Midlands Choice Commercial	$2.27
Rate for Payer: United Healthcare Commercial	$2.92

pregabalin 75 mg oral capsule

Facility OP

$3.12

Service Code	CPT A9270
Hospital Charge Code	43777150
Hospital Revenue Code	637
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$2.81
Rate for Payer: Aetna of IA Commercial	$2.81
Rate for Payer: Aetna of IA Medical Rental Products	$2.81
Rate for Payer: Aetna of IA Medicare	$1.78
Rate for Payer: Amerigroup Medicaid	$1.57
Rate for Payer: Amerigroup Medicare	$1.58
Rate for Payer: Cash Price	$2.49
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$2.34
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$1.56
Rate for Payer: Iowa Total Care Managed Medicaid	$1.56
Rate for Payer: Medical Associates Commercial	$2.34
Rate for Payer: Medical Associates Managed Medicare	$1.56
Rate for Payer: Midlands Choice Commercial	$2.18
Rate for Payer: Molina Healthcare Managed Medicaid	$1.58
Rate for Payer: Partners Health Alliance Commercial	$2.34
Rate for Payer: United Healthcare Commercial	$2.81
Rate for Payer: United Healthcare Managed Medicare	$1.84

pregabalin 75 mg oral capsule

Facility IP

$3.12

Service Code	CPT A9270
Hospital Charge Code	43777150
Hospital Revenue Code	637
Min. Negotiated Rate	$2.18
Max. Negotiated Rate	$2.81
Rate for Payer: Aetna of IA Commercial	$2.81
Rate for Payer: Aetna of IA Medical Rental Products	$2.81
Rate for Payer: Cash Price	$2.49
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$2.34
Rate for Payer: Medical Associates Commercial	$2.34
Rate for Payer: Midlands Choice Commercial	$2.18
Rate for Payer: United Healthcare Commercial	$2.81

PREGNANCY-SERUM

Facility IP

$92.00

Service Code	CPT 84703
Hospital Charge Code	4022808
Hospital Revenue Code	301
Min. Negotiated Rate	$64.40
Max. Negotiated Rate	$82.80
Rate for Payer: Aetna of IA Commercial	$82.80
Rate for Payer: Aetna of IA Medical Rental Products	$82.80
Rate for Payer: Cash Price	$73.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$69.00
Rate for Payer: Medical Associates Commercial	$69.00
Rate for Payer: Midlands Choice Commercial	$64.40
Rate for Payer: United Healthcare Commercial	$82.80

PREGNANCY-SERUM

Facility OP

$92.00

Service Code	CPT 84703
Hospital Charge Code	4022808
Hospital Revenue Code	301
Min. Negotiated Rate	$20.46
Max. Negotiated Rate	$82.80
Rate for Payer: Aetna of IA Commercial	$82.80
Rate for Payer: Aetna of IA Medical Rental Products	$82.80
Rate for Payer: Aetna of IA Medicare	$52.44
Rate for Payer: Amerigroup Medicaid	$46.43
Rate for Payer: Amerigroup Medicare	$46.46
Rate for Payer: Cash Price	$73.60
Rate for Payer: Cash Price	$73.60
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$69.00
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$46.00
Rate for Payer: Iowa Total Care Managed Medicaid	$45.98
Rate for Payer: Medical Associates Commercial	$69.00
Rate for Payer: Medical Associates Managed Medicare	$46.00
Rate for Payer: Midlands Choice Commercial	$64.40
Rate for Payer: Molina Healthcare Managed Medicaid	$46.69
Rate for Payer: Partners Health Alliance Commercial	$69.00
Rate for Payer: United Healthcare Commercial	$82.80
Rate for Payer: United Healthcare Managed Medicare	$54.28
Rate for Payer: Wellmark IA HMO	$20.46
Rate for Payer: Wellmark IA PPO	$22.51

PREGNANCY TEST-URINE

Facility OP

$60.00

Service Code	CPT 81025
Hospital Charge Code	4022807
Hospital Revenue Code	301
Min. Negotiated Rate	$22.32
Max. Negotiated Rate	$54.00
Rate for Payer: Aetna of IA Commercial	$54.00
Rate for Payer: Aetna of IA Medical Rental Products	$54.00
Rate for Payer: Aetna of IA Medicare	$34.20
Rate for Payer: Amerigroup Medicaid	$30.28
Rate for Payer: Amerigroup Medicare	$30.30
Rate for Payer: Cash Price	$48.00
Rate for Payer: Cash Price	$48.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$45.00
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$30.00
Rate for Payer: Iowa Total Care Managed Medicaid	$29.99
Rate for Payer: Medical Associates Commercial	$45.00
Rate for Payer: Medical Associates Managed Medicare	$30.00
Rate for Payer: Midlands Choice Commercial	$42.00
Rate for Payer: Molina Healthcare Managed Medicaid	$30.45
Rate for Payer: Partners Health Alliance Commercial	$45.00
Rate for Payer: United Healthcare Commercial	$54.00
Rate for Payer: United Healthcare Managed Medicare	$35.40
Rate for Payer: Wellmark IA HMO	$22.32
Rate for Payer: Wellmark IA PPO	$24.55

PREGNANCY TEST-URINE

Facility IP

$60.00

Service Code	CPT 81025
Hospital Charge Code	4022807
Hospital Revenue Code	301
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$54.00
Rate for Payer: Aetna of IA Commercial	$54.00
Rate for Payer: Aetna of IA Medical Rental Products	$54.00
Rate for Payer: Cash Price	$48.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$45.00
Rate for Payer: Medical Associates Commercial	$45.00
Rate for Payer: Midlands Choice Commercial	$42.00
Rate for Payer: United Healthcare Commercial	$54.00

Prematurity With Major Problems

Facility IP

$9,354.23

Service Code	MS-DRG 791
Hospital Charge Code	533
Min. Negotiated Rate	$2,034.00
Max. Negotiated Rate	$9,354.23
Rate for Payer: Amerigroup Medicaid	$9,309.04
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$2,034.00
Rate for Payer: Iowa Total Care Managed Medicaid	$9,218.66
Rate for Payer: Molina Healthcare Managed Medicaid	$9,354.23

Prematurity Without Major Problems

Facility IP

$4,328.69

Service Code	MS-DRG 792
Hospital Charge Code	534
Min. Negotiated Rate	$2,034.00
Max. Negotiated Rate	$4,328.69
Rate for Payer: Amerigroup Medicaid	$4,307.78
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$2,034.00
Rate for Payer: Iowa Total Care Managed Medicaid	$4,265.96
Rate for Payer: Molina Healthcare Managed Medicaid	$4,328.69

PRESUTURED LAT ANKLE TENDON TISSUE

Facility IP

$2,200.00

Service Code	CPT C1762
Hospital Charge Code	8749000
Hospital Revenue Code	278
Min. Negotiated Rate	$1,540.00
Max. Negotiated Rate	$1,980.00
Rate for Payer: Aetna of IA Commercial	$1,980.00
Rate for Payer: Aetna of IA Medical Rental Products	$1,980.00
Rate for Payer: Cash Price	$1,760.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$1,650.00
Rate for Payer: Medical Associates Commercial	$1,650.00
Rate for Payer: Midlands Choice Commercial	$1,540.00
Rate for Payer: United Healthcare Commercial	$1,980.00

PRESUTURED LAT ANKLE TENDON TISSUE

Facility OP

$2,200.00

Service Code	CPT C1762
Hospital Charge Code	8749000
Hospital Revenue Code	278
Min. Negotiated Rate	$1,099.56
Max. Negotiated Rate	$1,980.00
Rate for Payer: Aetna of IA Commercial	$1,980.00
Rate for Payer: Aetna of IA Medical Rental Products	$1,980.00
Rate for Payer: Aetna of IA Medicare	$1,254.00
Rate for Payer: Amerigroup Medicaid	$1,110.34
Rate for Payer: Amerigroup Medicare	$1,111.00
Rate for Payer: Cash Price	$1,760.00
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$1,650.00
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$1,100.00
Rate for Payer: Iowa Total Care Managed Medicaid	$1,099.56
Rate for Payer: Medical Associates Commercial	$1,650.00
Rate for Payer: Medical Associates Managed Medicare	$1,100.00
Rate for Payer: Midlands Choice Commercial	$1,540.00
Rate for Payer: Molina Healthcare Managed Medicaid	$1,116.50
Rate for Payer: Partners Health Alliance Commercial	$1,650.00
Rate for Payer: United Healthcare Commercial	$1,980.00
Rate for Payer: United Healthcare Managed Medicare	$1,298.00

primidone 250 mg Tab

Facility OP

$2.15

Service Code	CPT A9270
Hospital Charge Code	43759146
Hospital Revenue Code	637
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$1.94
Rate for Payer: Aetna of IA Commercial	$1.94
Rate for Payer: Aetna of IA Medical Rental Products	$1.94
Rate for Payer: Aetna of IA Medicare	$1.23
Rate for Payer: Amerigroup Medicaid	$1.09
Rate for Payer: Amerigroup Medicare	$1.09
Rate for Payer: Cash Price	$1.72
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$1.61
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$1.08
Rate for Payer: Iowa Total Care Managed Medicaid	$1.07
Rate for Payer: Medical Associates Commercial	$1.61
Rate for Payer: Medical Associates Managed Medicare	$1.08
Rate for Payer: Midlands Choice Commercial	$1.50
Rate for Payer: Molina Healthcare Managed Medicaid	$1.09
Rate for Payer: Partners Health Alliance Commercial	$1.61
Rate for Payer: United Healthcare Commercial	$1.94
Rate for Payer: United Healthcare Managed Medicare	$1.27

primidone 250 mg Tab

Facility IP

$2.15

Service Code	CPT A9270
Hospital Charge Code	43759146
Hospital Revenue Code	637
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$1.94
Rate for Payer: Aetna of IA Commercial	$1.94
Rate for Payer: Aetna of IA Medical Rental Products	$1.94
Rate for Payer: Cash Price	$1.72
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$1.61
Rate for Payer: Medical Associates Commercial	$1.61
Rate for Payer: Midlands Choice Commercial	$1.50
Rate for Payer: United Healthcare Commercial	$1.94

primidone 50 mg Tab

Facility IP

$2.84

Service Code	CPT A9270
Hospital Charge Code	43701386
Hospital Revenue Code	637
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$2.56
Rate for Payer: Aetna of IA Commercial	$2.56
Rate for Payer: Aetna of IA Medical Rental Products	$2.56
Rate for Payer: Cash Price	$2.27
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$2.13
Rate for Payer: Medical Associates Commercial	$2.13
Rate for Payer: Midlands Choice Commercial	$1.99
Rate for Payer: United Healthcare Commercial	$2.56

primidone 50 mg Tab

Facility OP

$2.84

Service Code	CPT A9270
Hospital Charge Code	43701386
Hospital Revenue Code	637
Min. Negotiated Rate	$1.42
Max. Negotiated Rate	$2.56
Rate for Payer: Aetna of IA Commercial	$2.56
Rate for Payer: Aetna of IA Medical Rental Products	$2.56
Rate for Payer: Aetna of IA Medicare	$1.62
Rate for Payer: Amerigroup Medicaid	$1.43
Rate for Payer: Amerigroup Medicare	$1.43
Rate for Payer: Cash Price	$2.27
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$2.13
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$1.42
Rate for Payer: Iowa Total Care Managed Medicaid	$1.42
Rate for Payer: Medical Associates Commercial	$2.13
Rate for Payer: Medical Associates Managed Medicare	$1.42
Rate for Payer: Midlands Choice Commercial	$1.99
Rate for Payer: Molina Healthcare Managed Medicaid	$1.44
Rate for Payer: Partners Health Alliance Commercial	$2.13
Rate for Payer: United Healthcare Commercial	$2.56
Rate for Payer: United Healthcare Managed Medicare	$1.68

probenecid 500 mg Tab

Facility IP

$3.56

Service Code	CPT A9270
Hospital Charge Code	43702054
Hospital Revenue Code	637
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$3.20
Rate for Payer: Aetna of IA Commercial	$3.20
Rate for Payer: Aetna of IA Medical Rental Products	$3.20
Rate for Payer: Cash Price	$2.85
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$2.67
Rate for Payer: Medical Associates Commercial	$2.67
Rate for Payer: Midlands Choice Commercial	$2.49
Rate for Payer: United Healthcare Commercial	$3.20

probenecid 500 mg Tab

Facility OP

$3.56

Service Code	CPT A9270
Hospital Charge Code	43702054
Hospital Revenue Code	637
Min. Negotiated Rate	$1.78
Max. Negotiated Rate	$3.20
Rate for Payer: Aetna of IA Commercial	$3.20
Rate for Payer: Aetna of IA Medical Rental Products	$3.20
Rate for Payer: Aetna of IA Medicare	$2.03
Rate for Payer: Amerigroup Medicaid	$1.80
Rate for Payer: Amerigroup Medicare	$1.80
Rate for Payer: Cash Price	$2.85
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$2.67
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$1.78
Rate for Payer: Iowa Total Care Managed Medicaid	$1.78
Rate for Payer: Medical Associates Commercial	$2.67
Rate for Payer: Medical Associates Managed Medicare	$1.78
Rate for Payer: Midlands Choice Commercial	$2.49
Rate for Payer: Molina Healthcare Managed Medicaid	$1.81
Rate for Payer: Partners Health Alliance Commercial	$2.67
Rate for Payer: United Healthcare Commercial	$3.20
Rate for Payer: United Healthcare Managed Medicare	$2.10

Probiotic Blend 2 billion Cap

Facility IP

$1.23

Service Code	CPT A9270
Hospital Charge Code	43700527
Hospital Revenue Code	637
Min. Negotiated Rate	$0.86
Max. Negotiated Rate	$1.11
Rate for Payer: Aetna of IA Commercial	$1.11
Rate for Payer: Aetna of IA Medical Rental Products	$1.11
Rate for Payer: Cash Price	$0.99
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$0.92
Rate for Payer: Medical Associates Commercial	$0.92
Rate for Payer: Midlands Choice Commercial	$0.86
Rate for Payer: United Healthcare Commercial	$1.11

Price Transparency.

All Charges