You are currently undergoing negotiations with an HMO for your medical group to provide outpatient primary care services. The HMO covers 1,400,000 lives in the community served by your facility. Your cost for an outpatient primary care visit is $90. Furthermore, the annual rate of primary care visits is estimated at 450 per 1,000 lives. The HMO proposes a capitated per member per month (PMPM) rate be paid to the medical group to provide primary care physician services. What would the break-even premium be