You know, this is LA, does it ever pay for anything???? lol, I believe in Louisiana, which is where I'm at, Medicare only pays a portion and for ONLY SO MANY MONTHS! Most drs out here offer a monthly coupon to help with the cost but if your going to pay cash, GET READY!!! That's what I did and yes, it's up there. If you don't mind me asking, what are you detoxing from to go to the subs?