Married taxpayers Otto and Alma are both self$-$employed. Otto earns $$432,600$ of self$-$employment income and Alma has a self$-$employment loss of $$43,100.$

How much $0\mathrm{.}9$ percent Medicare tax for high$-$income taxpayers will Otto and Alma have to pay with their $2023$ income tax return?

If required, round your final answer to nearest dollar.