… patient out-of-pocket costs such as deductibles and co-payments have grown alongside overall [health care] costs.
(payment)
/ˈpā-mənt/
noun
the act of paying
something that is paid : pay
requital
noun
a relatively small fixed fee that a health insurer (such as an HMO) requires the patient to pay upon incurring a medical expense (as for a routine office visit, surgical procedure, or prescription drug) covered by the health insurer
noun
a part of the full price paid at the time of purchase or delivery with the balance to be paid later; broadly : the first step in a process