Van Diest Medical Center

All Charges

Charge

Type

Price

atorvastatin 40 mg Tab

Facility IP

$1.71

Service Code	CPT A9270
Hospital Charge Code	43792171
Hospital Revenue Code	637
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$1.54
Rate for Payer: Aetna of IA Commercial	$1.54
Rate for Payer: Aetna of IA Medical Rental Products	$1.54
Rate for Payer: Cash Price	$1.37
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$1.28
Rate for Payer: Medical Associates Commercial	$1.28
Rate for Payer: Midlands Choice Commercial	$1.20
Rate for Payer: United Healthcare Commercial	$1.54

atropine 1 mg/mL 1 ml SDV Inj Sol

Facility OP

$41.67

Service Code	CPT J0461
Hospital Charge Code	43702176
Hospital Revenue Code	636
Min. Negotiated Rate	$20.83
Max. Negotiated Rate	$37.50
Rate for Payer: Aetna of IA Commercial	$37.50
Rate for Payer: Aetna of IA Medical Rental Products	$37.50
Rate for Payer: Aetna of IA Medicare	$23.75
Rate for Payer: Amerigroup Medicaid	$21.03
Rate for Payer: Amerigroup Medicare	$21.04
Rate for Payer: Cash Price	$33.34
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$31.25
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$20.84
Rate for Payer: Iowa Total Care Managed Medicaid	$20.83
Rate for Payer: Medical Associates Commercial	$31.25
Rate for Payer: Medical Associates Managed Medicare	$20.84
Rate for Payer: Midlands Choice Commercial	$29.17
Rate for Payer: Molina Healthcare Managed Medicaid	$21.15
Rate for Payer: Partners Health Alliance Commercial	$31.25
Rate for Payer: United Healthcare Commercial	$37.50
Rate for Payer: United Healthcare Managed Medicare	$24.59

atropine 1 mg/mL 1 ml SDV Inj Sol

Facility IP

$41.67

Service Code	CPT J0461
Hospital Charge Code	43702176
Hospital Revenue Code	636
Min. Negotiated Rate	$29.17
Max. Negotiated Rate	$37.50
Rate for Payer: Aetna of IA Commercial	$37.50
Rate for Payer: Aetna of IA Medical Rental Products	$37.50
Rate for Payer: Cash Price	$33.34
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$31.25
Rate for Payer: Medical Associates Commercial	$31.25
Rate for Payer: Midlands Choice Commercial	$29.17
Rate for Payer: United Healthcare Commercial	$37.50

atropine-diphenoxylate 0.025 mg-2.5 mg Tab

Facility OP

$3.62

Service Code	CPT A9270
Hospital Charge Code	43702324
Hospital Revenue Code	637
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$3.26
Rate for Payer: Aetna of IA Commercial	$3.26
Rate for Payer: Aetna of IA Medical Rental Products	$3.26
Rate for Payer: Aetna of IA Medicare	$2.06
Rate for Payer: Amerigroup Medicaid	$1.83
Rate for Payer: Amerigroup Medicare	$1.83
Rate for Payer: Cash Price	$2.90
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$2.72
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$1.81
Rate for Payer: Iowa Total Care Managed Medicaid	$1.81
Rate for Payer: Medical Associates Commercial	$2.72
Rate for Payer: Medical Associates Managed Medicare	$1.81
Rate for Payer: Midlands Choice Commercial	$2.53
Rate for Payer: Molina Healthcare Managed Medicaid	$1.84
Rate for Payer: Partners Health Alliance Commercial	$2.72
Rate for Payer: United Healthcare Commercial	$3.26
Rate for Payer: United Healthcare Managed Medicare	$2.14

atropine-diphenoxylate 0.025 mg-2.5 mg Tab

Facility IP

$3.62

Service Code	CPT A9270
Hospital Charge Code	43702324
Hospital Revenue Code	637
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$3.26
Rate for Payer: Aetna of IA Commercial	$3.26
Rate for Payer: Aetna of IA Medical Rental Products	$3.26
Rate for Payer: Cash Price	$2.90
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$2.72
Rate for Payer: Medical Associates Commercial	$2.72
Rate for Payer: Midlands Choice Commercial	$2.53
Rate for Payer: United Healthcare Commercial	$3.26

atropine emergency syringe 0.1 mg/mL 10 ml SDV Inj Sol

Facility OP

$68.52

Service Code	CPT J0461
Hospital Charge Code	43701620
Hospital Revenue Code	636
Min. Negotiated Rate	$34.25
Max. Negotiated Rate	$61.67
Rate for Payer: Aetna of IA Commercial	$61.67
Rate for Payer: Aetna of IA Medical Rental Products	$61.67
Rate for Payer: Aetna of IA Medicare	$39.06
Rate for Payer: Amerigroup Medicaid	$34.58
Rate for Payer: Amerigroup Medicare	$34.60
Rate for Payer: Cash Price	$54.82
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$51.39
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$34.26
Rate for Payer: Iowa Total Care Managed Medicaid	$34.25
Rate for Payer: Medical Associates Commercial	$51.39
Rate for Payer: Medical Associates Managed Medicare	$34.26
Rate for Payer: Midlands Choice Commercial	$47.96
Rate for Payer: Molina Healthcare Managed Medicaid	$34.77
Rate for Payer: Partners Health Alliance Commercial	$51.39
Rate for Payer: United Healthcare Commercial	$61.67
Rate for Payer: United Healthcare Managed Medicare	$40.43

atropine emergency syringe 0.1 mg/mL 10 ml SDV Inj Sol

Facility IP

$68.52

Service Code	CPT J0461
Hospital Charge Code	43701620
Hospital Revenue Code	636
Min. Negotiated Rate	$47.96
Max. Negotiated Rate	$61.67
Rate for Payer: Aetna of IA Commercial	$61.67
Rate for Payer: Aetna of IA Medical Rental Products	$61.67
Rate for Payer: Cash Price	$54.82
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$51.39
Rate for Payer: Medical Associates Commercial	$51.39
Rate for Payer: Midlands Choice Commercial	$47.96
Rate for Payer: United Healthcare Commercial	$61.67

atropine/hyoscyamine/PB/scopolamine Oral Elix 120 mL

Facility IP

$6.88

Service Code	CPT A9270
Hospital Charge Code	43706189
Hospital Revenue Code	637
Min. Negotiated Rate	$4.82
Max. Negotiated Rate	$6.19
Rate for Payer: Aetna of IA Commercial	$6.19
Rate for Payer: Aetna of IA Medical Rental Products	$6.19
Rate for Payer: Cash Price	$5.50
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$5.16
Rate for Payer: Medical Associates Commercial	$5.16
Rate for Payer: Midlands Choice Commercial	$4.82
Rate for Payer: United Healthcare Commercial	$6.19

atropine/hyoscyamine/PB/scopolamine Oral Elix 120 mL

Facility OP

$6.88

Service Code	CPT A9270
Hospital Charge Code	43706189
Hospital Revenue Code	637
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$6.19
Rate for Payer: Aetna of IA Commercial	$6.19
Rate for Payer: Aetna of IA Medical Rental Products	$6.19
Rate for Payer: Aetna of IA Medicare	$3.92
Rate for Payer: Amerigroup Medicaid	$3.47
Rate for Payer: Amerigroup Medicare	$3.47
Rate for Payer: Cash Price	$5.50
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$5.16
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$3.44
Rate for Payer: Iowa Total Care Managed Medicaid	$3.44
Rate for Payer: Medical Associates Commercial	$5.16
Rate for Payer: Medical Associates Managed Medicare	$3.44
Rate for Payer: Midlands Choice Commercial	$4.82
Rate for Payer: Molina Healthcare Managed Medicaid	$3.49
Rate for Payer: Partners Health Alliance Commercial	$5.16
Rate for Payer: United Healthcare Commercial	$6.19
Rate for Payer: United Healthcare Managed Medicare	$4.06

atropine Ophth 1% Sol 5mL

Facility OP

$159.04

Service Code	CPT A9270
Hospital Charge Code	43702688
Hospital Revenue Code	637
Min. Negotiated Rate	$79.49
Max. Negotiated Rate	$143.14
Rate for Payer: Aetna of IA Commercial	$143.14
Rate for Payer: Aetna of IA Medical Rental Products	$143.14
Rate for Payer: Aetna of IA Medicare	$90.65
Rate for Payer: Amerigroup Medicaid	$80.27
Rate for Payer: Amerigroup Medicare	$80.32
Rate for Payer: Cash Price	$127.23
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$119.28
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$79.52
Rate for Payer: Iowa Total Care Managed Medicaid	$79.49
Rate for Payer: Medical Associates Commercial	$119.28
Rate for Payer: Medical Associates Managed Medicare	$79.52
Rate for Payer: Midlands Choice Commercial	$111.33
Rate for Payer: Molina Healthcare Managed Medicaid	$80.71
Rate for Payer: Partners Health Alliance Commercial	$119.28
Rate for Payer: United Healthcare Commercial	$143.14
Rate for Payer: United Healthcare Managed Medicare	$93.83

atropine Ophth 1% Sol 5mL

Facility IP

$159.04

Service Code	CPT A9270
Hospital Charge Code	43702688
Hospital Revenue Code	637
Min. Negotiated Rate	$111.33
Max. Negotiated Rate	$143.14
Rate for Payer: Aetna of IA Commercial	$143.14
Rate for Payer: Aetna of IA Medical Rental Products	$143.14
Rate for Payer: Cash Price	$127.23
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$119.28
Rate for Payer: Medical Associates Commercial	$119.28
Rate for Payer: Midlands Choice Commercial	$111.33
Rate for Payer: United Healthcare Commercial	$143.14

Autologous Bone Marrow Transplant With CC/MCC

Facility IP

$63,668.61

Service Code	MS-DRG 016
Hospital Charge Code	705
Min. Negotiated Rate	$2,034.00
Max. Negotiated Rate	$63,668.61
Rate for Payer: Amerigroup Medicaid	$63,361.04
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	$62,745.88
Rate for Payer: Molina Healthcare Managed Medicaid	$63,668.61

Autologous Bone Marrow Transplant Without CC/MCC

Facility IP

$38,836.20

Service Code	MS-DRG 017
Hospital Charge Code	706
Min. Negotiated Rate	$2,034.00
Max. Negotiated Rate	$38,836.20
Rate for Payer: Amerigroup Medicaid	$38,648.59
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	$38,273.36
Rate for Payer: Molina Healthcare Managed Medicaid	$38,836.20

azaCITIDine 100 mg SDV Pow

Facility OP

$395.92

Service Code	CPT J9025
Hospital Charge Code	43706704
Hospital Revenue Code	636
Min. Negotiated Rate	$197.88
Max. Negotiated Rate	$356.33
Rate for Payer: Aetna of IA Commercial	$356.33
Rate for Payer: Aetna of IA Medical Rental Products	$356.33
Rate for Payer: Aetna of IA Medicare	$225.67
Rate for Payer: Amerigroup Medicaid	$199.82
Rate for Payer: Amerigroup Medicare	$199.94
Rate for Payer: Cash Price	$316.74
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$296.94
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$197.96
Rate for Payer: Iowa Total Care Managed Medicaid	$197.88
Rate for Payer: Medical Associates Commercial	$296.94
Rate for Payer: Medical Associates Managed Medicare	$197.96
Rate for Payer: Midlands Choice Commercial	$277.14
Rate for Payer: Molina Healthcare Managed Medicaid	$200.93
Rate for Payer: Partners Health Alliance Commercial	$296.94
Rate for Payer: United Healthcare Commercial	$356.33
Rate for Payer: United Healthcare Managed Medicare	$233.59

azaCITIDine 100 mg SDV Pow

Facility IP

$395.92

Service Code	CPT J9025
Hospital Charge Code	43706704
Hospital Revenue Code	636
Min. Negotiated Rate	$277.14
Max. Negotiated Rate	$356.33
Rate for Payer: Aetna of IA Commercial	$356.33
Rate for Payer: Aetna of IA Medical Rental Products	$356.33
Rate for Payer: Cash Price	$316.74
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$296.94
Rate for Payer: Medical Associates Commercial	$296.94
Rate for Payer: Midlands Choice Commercial	$277.14
Rate for Payer: United Healthcare Commercial	$356.33

azaTHIOprine 50 mg Tab

Facility IP

$2.61

Service Code	CPT A9270
Hospital Charge Code	43750187
Hospital Revenue Code	637
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$2.35
Rate for Payer: Aetna of IA Commercial	$2.35
Rate for Payer: Aetna of IA Medical Rental Products	$2.35
Rate for Payer: Cash Price	$2.09
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$1.96
Rate for Payer: Medical Associates Commercial	$1.96
Rate for Payer: Midlands Choice Commercial	$1.83
Rate for Payer: United Healthcare Commercial	$2.35

azaTHIOprine 50 mg Tab

Facility OP

$2.61

Service Code	CPT A9270
Hospital Charge Code	43750187
Hospital Revenue Code	637
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$2.35
Rate for Payer: Aetna of IA Commercial	$2.35
Rate for Payer: Aetna of IA Medical Rental Products	$2.35
Rate for Payer: Aetna of IA Medicare	$1.49
Rate for Payer: Amerigroup Medicaid	$1.32
Rate for Payer: Amerigroup Medicare	$1.32
Rate for Payer: Cash Price	$2.09
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$1.96
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$1.30
Rate for Payer: Iowa Total Care Managed Medicaid	$1.30
Rate for Payer: Medical Associates Commercial	$1.96
Rate for Payer: Medical Associates Managed Medicare	$1.30
Rate for Payer: Midlands Choice Commercial	$1.83
Rate for Payer: Molina Healthcare Managed Medicaid	$1.32
Rate for Payer: Partners Health Alliance Commercial	$1.96
Rate for Payer: United Healthcare Commercial	$2.35
Rate for Payer: United Healthcare Managed Medicare	$1.54

azithromycin 200 mg/5 mL Oral Liq 15 ml

Facility IP

$47.84

Service Code	CPT Q0144
Hospital Charge Code	43705798
Hospital Revenue Code	637
Min. Negotiated Rate	$33.49
Max. Negotiated Rate	$43.06
Rate for Payer: Aetna of IA Commercial	$43.06
Rate for Payer: Aetna of IA Medical Rental Products	$43.06
Rate for Payer: Cash Price	$38.27
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$35.88
Rate for Payer: Medical Associates Commercial	$35.88
Rate for Payer: Midlands Choice Commercial	$33.49
Rate for Payer: United Healthcare Commercial	$43.06

azithromycin 200 mg/5 mL Oral Liq 15 ml

Facility OP

$47.84

Service Code	CPT Q0144
Hospital Charge Code	43705798
Hospital Revenue Code	637
Min. Negotiated Rate	$23.91
Max. Negotiated Rate	$43.06
Rate for Payer: Aetna of IA Commercial	$43.06
Rate for Payer: Aetna of IA Medical Rental Products	$43.06
Rate for Payer: Aetna of IA Medicare	$27.27
Rate for Payer: Amerigroup Medicaid	$24.14
Rate for Payer: Amerigroup Medicare	$24.16
Rate for Payer: Cash Price	$38.27
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$35.88
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$23.92
Rate for Payer: Iowa Total Care Managed Medicaid	$23.91
Rate for Payer: Medical Associates Commercial	$35.88
Rate for Payer: Medical Associates Managed Medicare	$23.92
Rate for Payer: Midlands Choice Commercial	$33.49
Rate for Payer: Molina Healthcare Managed Medicaid	$24.28
Rate for Payer: Partners Health Alliance Commercial	$35.88
Rate for Payer: United Healthcare Commercial	$43.06
Rate for Payer: United Healthcare Managed Medicare	$28.23

azithromycin 250 mg Tab

Facility IP

$1.79

Service Code	CPT A9270
Hospital Charge Code	43705823
Hospital Revenue Code	637
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$1.61
Rate for Payer: Aetna of IA Commercial	$1.61
Rate for Payer: Aetna of IA Medical Rental Products	$1.61
Rate for Payer: Cash Price	$1.43
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$1.34
Rate for Payer: Medical Associates Commercial	$1.34
Rate for Payer: Midlands Choice Commercial	$1.25
Rate for Payer: United Healthcare Commercial	$1.61

azithromycin 250 mg Tab

Facility OP

$1.79

Service Code	CPT A9270
Hospital Charge Code	43705823
Hospital Revenue Code	637
Min. Negotiated Rate	$0.89
Max. Negotiated Rate	$1.61
Rate for Payer: Aetna of IA Commercial	$1.61
Rate for Payer: Aetna of IA Medical Rental Products	$1.61
Rate for Payer: Aetna of IA Medicare	$1.02
Rate for Payer: Amerigroup Medicaid	$0.90
Rate for Payer: Amerigroup Medicare	$0.90
Rate for Payer: Cash Price	$1.43
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$1.34
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$0.90
Rate for Payer: Iowa Total Care Managed Medicaid	$0.89
Rate for Payer: Medical Associates Commercial	$1.34
Rate for Payer: Medical Associates Managed Medicare	$0.90
Rate for Payer: Midlands Choice Commercial	$1.25
Rate for Payer: Molina Healthcare Managed Medicaid	$0.91
Rate for Payer: Partners Health Alliance Commercial	$1.34
Rate for Payer: United Healthcare Commercial	$1.61
Rate for Payer: United Healthcare Managed Medicare	$1.06

azithromycin 500 mg IV SDV Inj

Facility OP

$27.10

Service Code	CPT J0456
Hospital Charge Code	43705877
Hospital Revenue Code	636
Min. Negotiated Rate	$13.54
Max. Negotiated Rate	$24.39
Rate for Payer: Aetna of IA Commercial	$24.39
Rate for Payer: Aetna of IA Medical Rental Products	$24.39
Rate for Payer: Aetna of IA Medicare	$15.45
Rate for Payer: Amerigroup Medicaid	$13.68
Rate for Payer: Amerigroup Medicare	$13.69
Rate for Payer: Cash Price	$21.68
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$20.32
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$13.55
Rate for Payer: Iowa Total Care Managed Medicaid	$13.54
Rate for Payer: Medical Associates Commercial	$20.32
Rate for Payer: Medical Associates Managed Medicare	$13.55
Rate for Payer: Midlands Choice Commercial	$18.97
Rate for Payer: Molina Healthcare Managed Medicaid	$13.75
Rate for Payer: Partners Health Alliance Commercial	$20.32
Rate for Payer: United Healthcare Commercial	$24.39
Rate for Payer: United Healthcare Managed Medicare	$15.99

azithromycin 500 mg IV SDV Inj

Facility IP

$27.10

Service Code	CPT J0456
Hospital Charge Code	43705877
Hospital Revenue Code	636
Min. Negotiated Rate	$18.97
Max. Negotiated Rate	$24.39
Rate for Payer: Aetna of IA Commercial	$24.39
Rate for Payer: Aetna of IA Medical Rental Products	$24.39
Rate for Payer: Cash Price	$21.68
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$20.32
Rate for Payer: Medical Associates Commercial	$20.32
Rate for Payer: Midlands Choice Commercial	$18.97
Rate for Payer: United Healthcare Commercial	$24.39

aztreonam 1 g SDV Inj

Facility IP

$107.42

Service Code	CPT J3490
Hospital Charge Code	43701044
Hospital Revenue Code	636
Min. Negotiated Rate	$75.19
Max. Negotiated Rate	$96.68
Rate for Payer: Aetna of IA Commercial	$96.68
Rate for Payer: Aetna of IA Medical Rental Products	$96.68
Rate for Payer: Cash Price	$85.94
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$80.56
Rate for Payer: Medical Associates Commercial	$80.56
Rate for Payer: Midlands Choice Commercial	$75.19
Rate for Payer: United Healthcare Commercial	$96.68

aztreonam 1 g SDV Inj

Facility OP

$107.42

Service Code	CPT J3490
Hospital Charge Code	43701044
Hospital Revenue Code	636
Min. Negotiated Rate	$53.69
Max. Negotiated Rate	$96.68
Rate for Payer: Aetna of IA Commercial	$96.68
Rate for Payer: Aetna of IA Medical Rental Products	$96.68
Rate for Payer: Aetna of IA Medicare	$61.23
Rate for Payer: Amerigroup Medicaid	$54.21
Rate for Payer: Amerigroup Medicare	$54.25
Rate for Payer: Cash Price	$85.94
Rate for Payer: Health Alliance-Midwest, Inc. of IA Commercial	$80.56
Rate for Payer: Humana of IA Commercial PPO (non PPOx)/Medicare Advantage HMO/Medicare Advantage PPO/PFFS	$53.71
Rate for Payer: Iowa Total Care Managed Medicaid	$53.69
Rate for Payer: Medical Associates Commercial	$80.56
Rate for Payer: Medical Associates Managed Medicare	$53.71
Rate for Payer: Midlands Choice Commercial	$75.19
Rate for Payer: Molina Healthcare Managed Medicaid	$54.52
Rate for Payer: Partners Health Alliance Commercial	$80.56
Rate for Payer: United Healthcare Commercial	$96.68
Rate for Payer: United Healthcare Managed Medicare	$63.38

Price Transparency.

All Charges