The medical cost comes out to 45*10+250=$<<45*10+250=700>>700

Insurance covers 700*.8=$<<700*.8=560>>560

So he has to pay 700-560=$<<700-560=140>>140

Added to the cost of the trip he has to pay 1200+140=$<<1200+140=1340>>1340

# Answer

1340
<|im_start|>system
You are a helpful assistant.<|im_end|>
<|im_start|>user
Tom wants to visit Barbados.  He needs to get 10 different vaccines to go and a doctor's visit.  They each cost $45 and the doctor's visit costs $250 but insurance will cover 80% of these medical bills.  The trip itself cost $1200.  How much will he have to pay?
Please reason step by step, and put your final answer within \boxed{{}}.<|im_end|>
<|im_start|>assistant

user
1340
Tom wants to visit Barbados.  He needs to get 10 different vaccines to go and a doctor's visit.  They each cost $45 and the doctor's visit costs $250 but insurance will cover 80% of these medical bills.  The trip itself cost $1200.  How much will he have to pay?
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