Prices / Houston–Pasadena–The Woodlands, TX / Hospitals
Riceland Medical Center
538 Broadway, Winnie, TX 77665 · CCN 451328
Source: the hospital's standard-charges file dated 2026-01-01 (original file, csv_wide, 1 MB), checked by us on 2026-10-06. 135 of 300 common services found in it.
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Evaluation & Management
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Family Psychotherapy, Including Patient, 50 Min | CPT 90847 | $792.00 | $150.00 – $414.02 – $668.30 5 insurers | $815.00 |
| Family Psychotherapy, Not Including Patient, 50 Min | CPT 90846 | $769.00 | $150.00 – $402.34 – $649.44 5 insurers | $792.00 |
| Group Psychotherapy | CPT 90853 | $166.00 | $76.50 – $120.70 – $170.00 5 insurers | $170.00 |
| New Patient Office Or Other Outpatient Visit, Typically 30 Min | CPT 99203 | $303.00 | $58.41 – $158.50 – $255.84 5 insurers | $312.00 |
| New Patient Office Or Other Outpatient Visit, Typically 45 Min | CPT 99204 | $416.00 | $98.51 – $217.43 – $350.96 5 insurers | $428.00 |
| New Patient Office Or Other Outpatient Visit, Typically 60 Min | CPT 99205 | $528.00 | $128.66 – $275.85 – $445.26 5 insurers | $543.00 |
| Patient Office Consultation, Typically 40 Min | CPT 99243 | $438.00 | $106.81 – $113.50 – $126.82 5 insurers | $451.00 |
| Patient Office Consultation, Typically 60 Min | CPT 99244 | $657.00 | $157.95 – $167.84 – $187.70 5 insurers | $676.00 |
| Psychotherapy, 30 Min | CPT 90832 | $477.00 | $59.97 – $200.00 – $402.62 5 insurers | $491.00 |
| Psychotherapy, 45 Min | CPT 90834 | $634.00 | $79.40 – $200.00 – $535.46 5 insurers | $653.00 |
| Psychotherapy, 60 Min | CPT 90837 | $939.00 | $119.26 – $200.00 – $792.94 5 insurers | $967.00 |
Laboratory & Pathology
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Automated Urinalysis Test | CPT 81002 | $50.00 | $2.61 – $3.56 – $41.82 5 insurers | $51.00 |
| Automated Urinalysis Test | CPT 81003 | $46.00 | $15.98 – $23.88 – $38.54 5 insurers | $47.00 |
| Basic Metabolic Panel | CPT 80048 | $351.00 | $7.83 – $11.40 – $296.02 5 insurers | $361.00 |
| Blood Test, Clotting Time | CPT 85610 | $205.00 | $3.64 – $5.29 – $173.02 5 insurers | $211.00 |
| Blood Test, Comprehensive Group of Blood Chemicals | CPT 80053 | $522.00 | $9.78 – $14.23 – $440.34 5 insurers | $537.00 |
| Blood Test, Lipids (Cholesterol and Triglycerides) | CPT 80061 | $247.00 | $12.40 – $18.04 – $208.28 5 insurers | $254.00 |
| Blood Test, Thyroid Stimulating Hormone (Tsh) | CPT 84443 | $309.00 | $15.56 – $22.63 – $260.76 5 insurers | $318.00 |
| Coagulation Assessment Blood Test | CPT 85730 | $113.00 | $5.56 – $8.09 – $95.12 5 insurers | $116.00 |
| Complete Blood Cell Count, With Differential White Blood Cells, Automated | CPT 85025 | $209.00 | $7.19 – $10.48 – $176.30 5 insurers | $215.00 |
| Complete Blood Count, Automated | CPT 85027 | $250.00 | $5.99 – $8.72 – $210.74 5 insurers | $257.00 |
| Kidney Function Panel Test | CPT 80069 | $161.00 | $8.04 – $11.70 – $135.30 5 insurers | $165.00 |
| Liver Function Blood Test Panel | CPT 80076 | $154.00 | $7.57 – $11.00 – $129.56 5 insurers | $158.00 |
| Manual Urinalysis Test With Examination Using Microscope | CPT 81000 | $60.00 | $20.74 – $30.99 – $50.02 5 insurers | $61.00 |
| Manual Urinalysis Test With Examination Using Microscope | CPT 81001 | $181.00 | $2.94 – $4.26 – $152.52 5 insurers | $186.00 |
| Psa (Prostate Specific Antigen) | CPT 84153 | $339.00 | $17.03 – $24.78 – $286.18 5 insurers | $349.00 |
| Psa (Prostate Specific Antigen) | CPT 84154 | $339.00 | $118.66 – $177.29 – $286.18 5 insurers | $349.00 |
Medicine & Surgery
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Biopsy of Large Bowel Using An Endoscope | CPT 45380 | $5,811.00 | $934.00 – $2,372.64 – $4,907.70 5 insurers | $6,295.00 |
| Biopsy of The Esophagus, Stomach, and/Or Upper Small Bowel Using An Endoscope | CPT 43239 | $5,488.00 | $780.66 – $2,138.55 – $4,634.64 5 insurers | $5,786.00 |
| Diagnostic Examination of Esophagus, Stomach, and/Or Upper Small Bowel Using An Endoscope | CPT 43235 | $5,488.00 | $780.66 – $2,138.55 – $4,634.64 5 insurers | $5,786.00 |
| Diagnostic Examination of Large Bowel Using An Endoscope | CPT 45378 | $5,811.00 | $745.48 – $2,208.49 – $4,907.70 5 insurers | $6,295.00 |
| Injection of Substance Into Spinal Canal of Lower Back Or Sacrum Using Imaging Guidance | CPT 62322 | $4,946.00 | $538.00 – $1,835.55 – $4,177.08 5 insurers | $5,094.00 |
| Injection of Substance Into Spinal Canal of Lower Back Or Sacrum Using Imaging Guidance | CPT 62323 | $5,650.00 | $538.00 – $2,040.73 – $8,773.18 5 insurers | $10,699.00 |
| Injections of Anesthetic and/Or Steroid Drug Into Lower Or Sacral Spine Nerve Root Using Imaging Guidance | CPT 64483 | $488.00 | $284.13 – $974.66 – $8,353.34 5 insurers | $10,187.00 |
| Removal of 1 Or More Breast Growth, Open Procedure | CPT 19120 | $15,947.00 | $2,057.00 – $6,625.96 – $26,936.18 5 insurers | $32,849.00 |
| Removal of Gallbladder Using An Endoscope | CPT 47562 | $27,804.00 | $4,713.11 – $11,358.85 – $23,483.16 5 insurers | $28,638.00 |
| Removal of One Knee Cartilage Using An Endoscope | CPT 29881 | $15,830.00 | $2,777.49 – $6,531.82 – $13,369.28 5 insurers | $16,817.00 |
| Removal of Polyps Or Growths of Large Bowel Using An Endoscope | CPT 45385 | $5,811.00 | $934.00 – $2,372.64 – $4,907.70 5 insurers | $6,295.00 |
| Removal of Tonsils and Adenoid Glands Patient Younger Than Age 12 | CPT 42820 | $14,315.00 | $2,057.00 – $7,318.18 – $12,090.08 5 insurers | $15,308.00 |
Radiology
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Abdominal Ultrasound of Pregnant Uterus (>= 14 Weeks 0 Days) Single Or First Fetus | CPT 76805 | $801.00 | $188.06 – $419.10 – $676.50 5 insurers | $825.00 |
| Ct Scan, Head Or Brain, Without Contrast | CPT 70450 | $3,257.00 | $228.92 – $700.00 – $2,750.28 5 insurers | $3,354.00 |
| Ct Scan of Abdomen and Pelvis With Contrast | CPT 74177 | $5,182.00 | $505.48 – $1,800.83 – $4,376.34 5 insurers | $5,337.00 |
| Ct Scan, Pelvis, With Contrast | CPT 72193 | $3,553.00 | $295.82 – $631.85 – $3,000.38 5 insurers | $3,659.00 |
| Mammography of Both Breasts | CPT 77066 | $974.00 | $244.76 – $509.53 – $822.46 5 insurers | $1,003.00 |
| Mammography of One Breast | CPT 77065 | $975.00 | $191.64 – $510.03 – $823.28 5 insurers | $1,004.00 |
| Mammography, Screening, Bilateral | CPT 77067 | $671.00 | $202.42 – $351.03 – $566.62 5 insurers | $691.00 |
| Mri Scan of Brain Before and After Contrast | CPT 70553 | $4,442.00 | $750.00 – $1,140.93 – $3,751.50 5 insurers | $4,575.00 |
| Mri Scan of Leg Joint | CPT 73721 | $3,851.00 | $464.62 – $750.00 – $6,504.24 5 insurers | $7,932.00 |
| Mri Scan of Lower Spinal Canal | CPT 72148 | $3,851.00 | $464.62 – $750.00 – $3,252.12 5 insurers | $3,966.00 |
| Ultrasound of Abdomen | CPT 76700 | $801.00 | $228.92 – $419.10 – $676.50 5 insurers | $825.00 |
| Ultrasound Pelvis Through Vagina | CPT 76830 | $801.00 | $178.72 – $419.10 – $676.50 5 insurers | $825.00 |
| X-Ray, Lower Back, Minimum Four Views | CPT 72110 | $631.00 | $44.38 – $286.15 – $532.18 5 insurers | $649.00 |
Outpatient/professional (volume)
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| 3d Radiographic Procedure | CPT 76376 | $1,129.00 | $27.28 – $610.05 – $1,162.00 5 insurers | $1,162.00 |
| Aspiration and/Or Injection of Fluid From Large Joint | CPT 20610 | $226.00 | $30.62 – $96.28 – $2,722.40 5 insurers | $3,320.00 |
| Colorectal Cancer Screening; Colonoscopy On Individual At High Risk | HCPCS G0105 | $4,822.00 | $538.00 – $1,920.12 – $4,072.12 5 insurers | $4,966.00 |
| Colorectal Cancer Screening; Colonoscopy On Individual Not Meeting Criteria For High Risk | HCPCS G0121 | $4,822.00 | $538.00 – $1,920.12 – $4,072.12 5 insurers | $4,966.00 |
| Complete Ultrasound Scan Behind Abdominal Cavity | CPT 76770 | $801.00 | $228.92 – $419.10 – $676.50 5 insurers | $825.00 |
| Critical Care, Each Additional 30 Minutes | CPT 99292 | $553.00 | $97.18 – $120.13 – $125.15 5 insurers | $569.00 |
| Critical Care, First 30-74 Minutes | CPT 99291 | $1,096.00 | $193.80 – $269.77 – $280.84 5 insurers | $1,128.00 |
| Ct Guidance For Insertion of Radiation Therapy Fields | CPT 77014 | $3,257.00 | $153.60 – $1,354.65 – $2,750.28 5 insurers | $3,354.00 |
| Ct Scan of Abdomen and Pelvis Before and After Contrast | CPT 74178 | $5,182.00 | $505.48 – $1,800.83 – $4,376.34 5 insurers | $5,337.00 |
| Ct Scan of Abdomen and Pelvis Without Contrast | CPT 74176 | $4,737.00 | $464.62 – $1,697.78 – $4,000.78 5 insurers | $4,879.00 |
| Ct Scan of Blood Vessels of Abdomen and Pelvis With Contrast | CPT 74174 | $5,182.00 | $503.88 – $1,800.83 – $4,376.34 5 insurers | $5,337.00 |
| Ct Scan of Blood Vessels of Chest With Contrast | CPT 71275 | $3,257.00 | $505.48 – $700.00 – $2,750.28 5 insurers | $3,354.00 |
| Ct Scan of Blood Vessels of Head With Contrast | CPT 70496 | $3,257.00 | $505.48 – $700.00 – $2,750.28 5 insurers | $3,354.00 |
| Ct Scan of Blood Vessels of Neck With Contrast | CPT 70498 | $3,257.00 | $505.48 – $700.00 – $2,750.28 5 insurers | $3,354.00 |
| Ct Scan of Chest With Contrast | CPT 71260 | $3,553.00 | $311.83 – $631.85 – $3,000.38 5 insurers | $3,659.00 |
| Ct Scan of Chest Without Contrast | CPT 71250 | $3,257.00 | $228.92 – $286.15 – $2,750.28 5 insurers | $3,354.00 |
| Ct Scan of Face Without Contrast | CPT 70486 | $3,257.00 | $228.92 – $700.00 – $2,750.28 5 insurers | $3,354.00 |
| Ct Scan of Leg Without Contrast | CPT 73700 | $3,257.00 | $228.92 – $1,354.65 – $5,500.56 5 insurers | $6,708.00 |
| Ct Scan of Lower Spine Without Contrast | CPT 72131 | $3,257.00 | $228.92 – $286.15 – $2,750.28 5 insurers | $3,354.00 |
| Ct Scan of Upper Spine Without Contrast | CPT 72125 | $3,257.00 | $228.92 – $286.15 – $2,750.28 5 insurers | $3,354.00 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint | CPT 64635 | $10,817.00 | $1,691.03 – $4,320.52 – $18,267.96 5 insurers | $22,278.00 |
| Diagnostic Digital Breast Tomosynthesis, Unilateral Or Bilateral (List Separately In Addition To 77065 Or 77066) | HCPCS G0279 | $427.00 | $50.96 – $223.01 – $359.98 5 insurers | $439.00 |
| Dxa Bone Density Measurement of Hip, Pelvis, Spine | CPT 77080 | $594.00 | $64.60 – $310.39 – $501.02 5 insurers | $611.00 |
| Emergency Department Visit With High Level of Medical Decision Making | CPT 99285 | $934.00 | $150.04 – $307.96 – $1,758.90 5 insurers | $2,145.00 |
| Emergency Department Visit With Low Level of Medical Decision Making | CPT 99283 | $483.00 | $53.77 – $123.70 – $784.74 5 insurers | $957.00 |
| Emergency Department Visit With Moderate Level of Medical Decision Making | CPT 99284 | $702.00 | $102.31 – $209.59 – $1,187.36 5 insurers | $1,448.00 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More | CPT 99215 | $400.00 | $84.52 – $209.30 – $337.84 5 insurers | $412.00 |
| Established Patient Office Or Other Outpatient Visit With Low Level Od Decision Making, If Using Time, 20 Minutes Or More | CPT 99213 | $186.00 | $39.03 – $97.03 – $156.62 5 insurers | $191.00 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More | CPT 99214 | $276.00 | $59.75 – $144.27 – $232.88 5 insurers | $284.00 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More | CPT 99212 | $132.00 | $19.38 – $68.58 – $110.70 5 insurers | $135.00 |
| Evaluation of Fine Needle Aspirate With Interpretation and Report | CPT 88173 | $488.00 | $32.83 – $58.25 – $411.64 5 insurers | $502.00 |
| Hemodialysis Procedure With Physician Evaluation | CPT 90935 | $783.00 | $274.04 – $409.45 – $660.92 5 insurers | $806.00 |
| Immunologic Analysis Technique On Serum (Immunofixation) | CPT 86334 | $410.00 | $20.69 – $30.09 – $346.04 5 insurers | $422.00 |
| Injection of Anesthetic Agent and/Or Steroid Into Thigh Nerve (Femoral Nerve) | CPT 64447 | $745.00 | $69.55 – $447.16 – $628.94 5 insurers | $767.00 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level | CPT 64493 | $4,946.00 | $538.00 – $1,928.93 – $8,353.34 5 insurers | $10,187.00 |
| Insertion of Non-Tunneled Central Venous Tube For Infusion (5 Years Or Older) | CPT 36556 | $671.00 | $110.29 – $538.00 – $1,399.00 5 insurers | $1,439.00 |
| Limited Ultrasound Scan of 1 Breast | CPT 76642 | $801.00 | $280.50 – $419.10 – $676.50 5 insurers | $825.00 |
| Limited Ultrasound Scan of Abdomen | CPT 76705 | $801.00 | $228.92 – $419.10 – $676.50 5 insurers | $825.00 |
| Low Dose Ct Scan of Chest For Lung Cancer Screening | CPT 71271 | $258.00 | $90.10 – $467.23 – $1,614.58 5 insurers | $1,969.00 |
| Mri Scan of Abdomen Before and After Contrast | CPT 74183 | $4,442.00 | $750.00 – $1,140.93 – $3,751.50 5 insurers | $4,575.00 |
| Mri Scan of Brain Without Contrast | CPT 70551 | $3,851.00 | $464.62 – $750.00 – $3,252.12 5 insurers | $3,966.00 |
| Mri Scan of Upper Spinal Canal Without Contrast | CPT 72141 | $3,851.00 | $464.62 – $750.00 – $3,252.12 5 insurers | $3,966.00 |
| Nuclear Medicine Studies of Heart Muscle At Rest and With Stress and Spect | CPT 78452 | $6,353.00 | $836.20 – $3,323.85 – $5,365.26 5 insurers | $6,543.00 |
| Pathology Examination of Tissue Using A Microscope, Intermediate Complexity | CPT 88305 | $406.00 | $32.83 – $45.02 – $342.76 5 insurers | $418.00 |
| Pathology Examination of Tissue Using A Microscope, Moderately High Complexity | CPT 88307 | $399.00 | $50.78 – $199.28 – $336.20 5 insurers | $410.00 |
| Pathology Examination of Tissue Using A Microscope, Moderately Low Complexity | CPT 88304 | $239.00 | $13.81 – $41.35 – $201.72 5 insurers | $246.00 |
| Protein Measurement, Serum | CPT 84165 | $199.00 | $9.95 – $14.47 – $167.28 5 insurers | $204.00 |
| Psychiatric Diagnostic Evaluation With Medical Services | CPT 90792 | $788.00 | $138.02 – $144.08 – $486.60 5 insurers | $811.00 |
| Removal of Skin and Tissue, 20.0 Sq Cm Or Less | CPT 11042 | $395.00 | $68.02 – $254.92 – $1,500.60 5 insurers | $1,830.00 |
| Removal of Skin and Tissue, Each Additional 20.0 Sq Cm Or Less | CPT 11045 | $611.00 | $173.00 – $319.53 – $515.78 5 insurers | $629.00 |
| Routine Electrocardiogram (Ecg) Using At Least 12 Leads With Interpretation and Report Only | CPT 93010 | $110.00 | $6.46 – $8.61 – $132.02 5 insurers | $161.00 |
| Screening 3d Breast Mammography | CPT 77063 | $427.00 | $50.96 – $223.01 – $359.98 5 insurers | $439.00 |
| Special Stained Specimen Slides To Examine Tissue, Initial Procedure | CPT 88342 | $1,000.00 | $32.83 – $199.28 – $844.60 5 insurers | $1,030.00 |
| Special Stained Specimen Slides To Identify Organisms Including Interpretation and Report | CPT 88312 | $107.00 | $15.36 – $53.48 – $90.20 5 insurers | $110.00 |
| Test To Measure Expiratory Airflow and Volume Changes Before and After Medication Administration | CPT 94060 | $325.00 | $65.00 – $169.67 – $273.88 5 insurers | $334.00 |
| Ultrasonic Guidance For Blood Vessel Access | CPT 76937 | $387.00 | $34.46 – $202.19 – $326.36 5 insurers | $398.00 |
| Ultrasonic Guidance For Needle Placement | CPT 76942 | $1,558.00 | $55.98 – $814.83 – $1,315.28 5 insurers | $1,604.00 |
| Ultrasound of Both Sides of Head and Neck Blood Flow | CPT 93880 | $1,267.00 | $88.55 – $504.32 – $1,070.10 5 insurers | $1,305.00 |
| Ultrasound of Heart Blood Flow, Valves and Chambers | CPT 93320 | $742.00 | $27.46 – $428.71 – $626.48 5 insurers | $764.00 |
| Ultrasound of Heart Blood Flow, Valves and Chambers, Follow-Up | CPT 93321 | $594.00 | $15.35 – $356.22 – $501.02 5 insurers | $611.00 |
| Ultrasound of Heart, Follow-Up | CPT 93308 | $530.00 | $61.10 – $317.74 – $446.90 5 insurers | $545.00 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate and Valve Function | CPT 93325 | $742.00 | $17.23 – $428.71 – $626.48 5 insurers | $764.00 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function | CPT 93306 | $1,267.00 | $103.90 – $581.82 – $1,070.10 5 insurers | $1,305.00 |
| Ultrasound Scan of Head and Neck Soft Tissue | CPT 76536 | $801.00 | $228.92 – $419.10 – $676.50 5 insurers | $825.00 |
| Ultrasound Study of Arm Or Leg Veins With Compression and Maneuvers | CPT 93970 | $1,267.00 | $124.62 – $504.32 – $1,070.10 5 insurers | $1,305.00 |
| Ultrasound Study of One Arm Or Leg Veins With Compression and Maneuvers | CPT 93971 | $801.00 | $75.37 – $368.48 – $676.50 5 insurers | $825.00 |
| Use of A Drug To Induce Depression of Consciousness By Physician Performing A Procedure (5 Years Or Older), Initial 15 Minutes | CPT 99152 | $174.00 | $60.86 – $90.93 – $146.78 5 insurers | $179.00 |
| X-Ray of Abdomen, 1 View | CPT 74018 | $381.00 | $124.24 – $199.14 – $321.44 5 insurers | $392.00 |
| X-Ray of Ankle, Minimum of 3 Views | CPT 73610 | $381.00 | $124.24 – $228.54 – $642.06 5 insurers | $783.00 |
| X-Ray of Chest, 1 View | CPT 71045 | $381.00 | $124.24 – $199.14 – $321.44 5 insurers | $392.00 |
| X-Ray of Chest, 2 Views | CPT 71046 | $381.00 | $124.24 – $199.14 – $321.44 5 insurers | $392.00 |
| X-Ray of Foot, Minimum of 3 Views | CPT 73630 | $381.00 | $124.24 – $228.54 – $642.06 5 insurers | $783.00 |
| X-Ray of Hand, Minimum of 3 Views | CPT 73130 | $381.00 | $124.24 – $228.54 – $642.06 5 insurers | $783.00 |
| X-Ray of Hip, 2-3 Views | CPT 73502 | $381.00 | $124.24 – $199.14 – $321.44 5 insurers | $392.00 |
| X-Ray of Knee, 1-2 Views | CPT 73560 | $381.00 | $124.24 – $228.54 – $642.06 5 insurers | $783.00 |
| X-Ray of Knee, 3 Views | CPT 73562 | $381.00 | $124.24 – $228.54 – $642.06 5 insurers | $783.00 |
| X-Ray of Knee, 4 Or More Views | CPT 73564 | $381.00 | $176.40 – $235.20 – $321.44 5 insurers | $392.00 |
| X-Ray of Lower and Sacral Spine, 2-3 Views | CPT 72100 | $381.00 | $32.53 – $232.06 – $321.44 5 insurers | $392.00 |
| X-Ray of Lower Leg, 2 Views | CPT 73590 | $381.00 | $124.24 – $199.14 – $321.44 5 insurers | $392.00 |
| X-Ray of Pelvis, 1-2 Views | CPT 72170 | $381.00 | $22.38 – $232.06 – $321.44 5 insurers | $392.00 |
| X-Ray of Shoulder, Minimum of 2 Views | CPT 73030 | $381.00 | $124.24 – $228.54 – $642.06 5 insurers | $783.00 |
| X-Ray of Thigh Bone, Minimum 2 Views | CPT 73552 | $381.00 | $124.24 – $199.14 – $321.44 5 insurers | $392.00 |
| X-Ray of Wrist, Minimum of 3 Views | CPT 73110 | $381.00 | $124.24 – $228.54 – $642.06 5 insurers | $783.00 |