▸ Hospital · MN · CCN 242004

M Health Fairview Bethesda Hospital

559 N CAPITOL BLVD, ST PAUL, MN, 55103

24 beds2

Compliance grade

100/100

Rates published

338,272

last crawl 2026-05-24

Procedures tracked

201

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All MN hospitals JSON

Source MRF: https://requiredlearning.fairview.org/price_transparency/410991680-1245217520_fairview-health-services_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	11	—	—	$4,052.31	$11,579	$29,019
Psychiatric diagnostic evaluation	CPT	90791	17	$916	$389.3	$111.69	$433.88	$824.4
Psychiatric eval with medical services	CPT	90792	12	—	—	$127.13	$168.64	$821.99
Psychotherapy 30 minutes	CPT	90832	17	$545	$231.63	$35.24	$214.8	$490.5
Psychotherapy 45 minutes	CPT	90834	17	$561	$238.43	$74.74	$300.35	$504.9
Psychotherapy 60 minutes	CPT	90837	17	$791	$336.18	$101.65	$434.83	$711.9
Crisis psychotherapy 60 minutes	CPT	90839	17	$588	$249.9	$106.66	$307.68	$585.44
emergency
ED visit level 1	CPT	99281	17	$517	$219.73	$7.41	$299.31	$1,617
ED visit level 2	CPT	99282	17	$605.6	$257.39	$28.22	$356.63	$1,617
ED visit level 3	CPT	99283	17	$728.5	$309.62	$47.84	$437.1	$1,617
ED visit level 4	CPT	99284	17	$1,249	$530.83	$81.32	$748.26	$1,617
ED visit level 5	CPT	99285	17	$1,772	$753.1	$117.68	$1,084.3	$2,423
Critical care, first hour	CPT	99291	17	$3,515	$1,493.88	$144.95	$1,408.6	$3,163.5
imaging
CT head without contrast	CPT	70450	17	$1,198.83	$509.51	$27.55	$694.04	$1,078.95
CT head with contrast	CPT	70460	17	$1,198	$509.15	$36.74	$173.17	$1,078.2
CT head with and without contrast	CPT	70470	17	$1,198	$509.15	$41.22	$182	$1,078.2
CT neck with contrast	CPT	70491	17	$1,402.1	$595.9	$44.74	$197.29	$1,261.89
MRI brain without contrast	CPT	70551	17	$1,604.01	$681.71	$47.81	$249.25	$1,443.61
MRI brain with contrast	CPT	70552	17	$2,244	$953.7	$57.93	$335.92	$2,019.6
MRI brain with and without contrast	CPT	70553	17	$2,898.26	$1,231.77	$74.42	$826.48	$2,608.44
Chest X-ray single view	CPT	71045	17	$323.07	$137.31	$5.89	$85.65	$290.76
Chest X-ray 2 views	CPT	71046	17	$357	$151.73	$7.06	$36.03	$321.3
Chest X-ray 3 views	CPT	71047	17	$234	$99.45	$8.95	$64.49	$263.85
CT chest without contrast	CPT	71250	17	$1,174.1	$499	$35.08	$162.35	$1,056.69
CT chest with contrast	CPT	71260	17	$1,444.22	$613.8	$37.91	$382.2	$1,299.8
CT chest with and without contrast	CPT	71270	17	$977	$415.23	$40.5	$191.93	$879.76
MRI chest without contrast	CPT	71550	17	$1,552	$659.6	$47.34	$271.4	$1,456.1
MRI chest with contrast	CPT	71551	17	$1,552	$659.6	$56.05	$492.49	$1,766.15
MRI chest with and without contrast	CPT	71552	17	$1,552.32	$659.74	$73.48	$504.38	$2,032.81
Lumbosacral spine X-ray	CPT	72100	17	$388	$164.9	$7.3	$77.88	$349.2
CT cervical spine without contrast	CPT	72125	17	$1,178	$500.65	$32.26	$141.98	$1,060.2
CT thoracic spine without contrast	CPT	72128	17	$1,161	$493.43	$32.26	$134.27	$1,044.9
CT lumbar spine without contrast	CPT	72131	17	$1,174	$498.95	$32.26	$186.67	$1,056.6
MRI cervical spine without contrast	CPT	72141	17	$1,878	$798.15	$48.05	$246.12	$1,690.2
MRI thoracic spine without contrast	CPT	72146	17	$1,801	$765.43	$48.05	$235.14	$1,620.9
MRI lumbar spine without contrast	CPT	72148	17	$1,895	$805.38	$48.05	$235.14	$1,705.5
MRI lumbar spine with and without contrast	CPT	72149	17	$1,398	$594.15	$57.93	$335.92	$1,398
MRI cervical spine with and without contrast	CPT	72156	17	$2,898	$1,231.65	$74.66	$347.41	$2,608.2
MRI lumbar spine with contrast	CPT	72158	17	$3,198	$1,359.15	$74.66	$366.95	$2,878.2
CT pelvis without contrast	CPT	72192	17	$1,254.35	$533.1	$35.33	$196.36	$1,128.91
CT pelvis with contrast	CPT	72193	17	$1,621	$688.93	$37.68	$222.57	$1,458.9
Shoulder X-ray	CPT	73030	17	$556.47	$236.5	$6.12	$82.82	$500.82
Humerus X-ray	CPT	73060	17	$459	$195.08	$5.17	$49.17	$413.1
Hand X-ray 3 views	CPT	73130	17	$535.5	$227.59	$5.64	$85.65	$481.95
MRI upper extremity joint without contrast	CPT	73221	17	$3,041.26	$1,292.54	$44.04	$235.14	$2,737.14
MRI upper extremity joint with and without contrast	CPT	73223	17	$3,812.25	$1,620.21	$69.94	$405.99	$3,431.03
Hip X-ray 2 views	CPT	73510	1	—	—	$10.84	$37.06	$67.16
Knee X-ray 1-2 views	CPT	73560	17	$565.59	$240.38	$5.41	$85.89	$509.03
Ankle X-ray 3 views	CPT	73610	17	$544.5	$231.42	$5.64	$93.68	$490.05
MRI lower extremity joint without contrast	CPT	73721	17	$3,015	$1,281.38	$44.04	$514.88	$2,713.5
MRI lower extremity joint with and without contrast	CPT	73723	17	$4,288.5	$1,822.62	$69.94	$938.44	$3,859.65
CT abdomen without contrast	CPT	74150	17	$1,174	$498.95	$38.62	$139.18	$1,056.6
CT abdomen with contrast	CPT	74160	17	$1,556	$661.3	$41.22	$226.17	$1,400.4
CT abdomen with and without contrast	CPT	74170	17	$1,794	$762.45	$45.21	$253.73	$1,614.6
CT abdomen and pelvis without contrast	CPT	74176	17	$1,286.21	$546.65	$56.52	$268.2	$1,359.31
CT abdomen and pelvis with contrast	CPT	74177	17	$1,832.02	$778.61	$59.12	$500.71	$1,648.82
CT abdomen and pelvis with and without contrast	CPT	74178	17	$2,038.2	$866.24	$65.01	$364.13	$1,834.38
MRI abdomen without contrast	CPT	74181	17	$2,077.92	$883.12	$47.11	$315.9	$1,870.13
MRI abdomen with and without contrast	CPT	74183	17	$3,126	$1,328.55	$71.36	$347.41	$2,813.4
Abdominal ultrasound complete	CPT	76700	17	$694.04	$294.97	$26.14	$115.28	$624.63
Abdominal ultrasound limited	CPT	76705	17	$546.85	$232.42	$19.08	$297.15	$492.17
Retroperitoneal ultrasound complete	CPT	76770	17	$859.5	$365.29	$23.79	$154.37	$773.55
Obstetric ultrasound first trimester	CPT	76801	17	$664	$282.2	$32.76	$128.13	$597.6
Obstetric ultrasound after first trimester	CPT	76805	17	$683	$290.28	$33.01	$128.98	$614.7
Obstetric ultrasound with fetal anatomy	CPT	76811	17	$1,123	$477.28	$63.38	$245.58	$1,359.31
Transvaginal ultrasound	CPT	76830	17	$557.04	$236.75	$22.6	$196.38	$501.34
Pelvic ultrasound complete	CPT	76856	17	$590.05	$250.77	$22.37	$174.95	$531.04
Scrotal ultrasound	CPT	76870	17	$619	$263.08	$20.72	$103.45	$557.1
Diagnostic mammography unilateral	CPT	77065	17	$446	$189.55	$26.14	$120.96	$1,094.04
Diagnostic mammography bilateral	CPT	77066	17	$576.03	$244.82	$32.26	$152.79	$1,381.94
Screening mammography bilateral	CPT	77067	17	$469	$199.33	$24.73	$123.85	$1,117.06
EKG complete	CPT	93000	17	$54.38	$23.12	$9.89	$41.33	$128.83
EKG tracing only	CPT	93005	17	$223	$94.78	$4.23	$142.15	$312
EKG interpretation only	CPT	93010	17	$33	$14.03	$5.41	$25.23	$128.83
Transthoracic echocardiogram complete	CPT	93306	17	$1,659.17	$705.15	$46.86	$430.4	$1,493.25
Transthoracic echocardiogram	CPT	93307	12	—	—	$29.67	$145.22	$1,359.31
Stress echocardiogram	CPT	93350	17	$2,166.21	$920.64	$46.86	$236.97	$1,949.59
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	11	—	—	$8,800.14	$16,365	$41,779
Intracranial hemorrhage/CVA w CC	MS-DRG	065	11	—	—	$4,421.07	$8,566.92	$20,989
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	11	—	—	$2,994.93	$6,028.22	$14,218
Respiratory infections & inflammations w MCC	MS-DRG	177	11	—	—	$6,838.38	$12,872	$32,465
COPD w MCC	MS-DRG	190	11	—	—	$4,847.3	$9,325.88	$23,012
COPD w CC	MS-DRG	191	11	—	—	$3,688.97	$7,263.12	$17,513
COPD w/o CC/MCC	MS-DRG	192	11	—	—	$2,809.39	$5,697.5	$13,338
Simple pneumonia & pleurisy w CC	MS-DRG	194	11	—	—	$3,526.62	$6,974.8	$16,743
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	11	—	—	$2,750.32	$5,592.56	$13,057
AMI discharged alive w MCC	MS-DRG	280	11	—	—	$7,019.54	$13,195	$33,325
AMI discharged alive w CC	MS-DRG	281	11	—	—	$4,021.98	$7,856.72	$19,094
AMI discharged alive w/o CC/MCC	MS-DRG	282	11	—	—	$3,164.29	$6,329.26	$15,022
Heart failure & shock w MCC	MS-DRG	291	11	—	—	$5,617.91	$10,699	$26,671
Heart failure & shock w CC	MS-DRG	292	11	—	—	$3,715.22	$7,310.82	$17,638
Heart failure & shock w/o CC/MCC	MS-DRG	293	11	—	—	$2,476.82	$5,104.96	$11,759
Cardiac arrhythmia w MCC	MS-DRG	308	11	—	—	$5,268.7	$10,076	$25,013
Cardiac arrhythmia w CC	MS-DRG	309	11	—	—	$3,219.42	$6,427.84	$15,284
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	11	—	—	$2,477.25	$5,106.02	$11,761
GI hemorrhage w CC	MS-DRG	378	11	—	—	$4,291.54	$8,336.9	$20,374
GI hemorrhage w/o CC/MCC	MS-DRG	379	11	—	—	$2,758.63	$5,607.4	$13,097
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	11	—	—	$3,411.53	$6,769.16	$16,196
Fractures of femur w/o MCC	MS-DRG	533	11	—	—	$6,860.26	$12,911	$32,569
Kidney/UTI w MCC	MS-DRG	689	11	—	—	$5,077.47	$9,736.1	$24,105
Kidney/UTI w/o MCC	MS-DRG	690	11	—	—	$3,542.37	$7,002.36	$16,817
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	11	—	—	$8,500.38	$15,832	$40,355
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	11	—	—	$4,477.96	$8,668.68	$21,259
Initial hospital care, low complexity	CPT	99221	17	$373	$158.53	$56.21	$282.94	$676.58
Initial hospital care, moderate complexity	CPT	99222	17	$527.6	$224.23	$76.72	$397.19	$1,079.64
Initial hospital care, high complexity	CPT	99223	17	$746	$317.05	$119.35	$566.96	$1,436.64
Hospital discharge, <30 min	CPT	99238	17	$327	$138.98	$56.21	$248.17	$676.58
Hospital discharge, >30 min	CPT	99239	17	$462	$196.35	$79.41	$350.39	$958.71
lab
Basic metabolic panel (BMP)	CPT	80048	17	$188	$79.91	$8.32	$96.86	$169.2
General health panel	CPT	80050	9	—	—	$16.61	$53.49	$328.21
Electrolyte panel	CPT	80051	17	$84.01	$35.71	$6.9	$48.38	$75.61
Comprehensive metabolic panel	CPT	80053	17	$230.63	$98.02	$10.39	$130.6	$207.57
Lipid panel	CPT	80061	17	$102.25	$43.46	$13.18	$55.72	$118.04
Renal function panel	CPT	80069	17	$196	$83.3	$8.54	$22.94	$176.4
Hepatic function panel	CPT	80076	17	$120.03	$51.02	$8.04	$17.58	$108.03
Urinalysis non-automated	CPT	81002	12	—	—	$2.33	$4.62	$31.68
Urinalysis automated	CPT	81003	17	$70	$29.75	$1.69	$31.25	$63
Glucose quantitative	CPT	82947	17	$59	$25.08	$3.87	$29.25	$53.1
Hemoglobin A1c	CPT	83036	17	$77	$32.73	$9.55	$40.12	$86.38
Thyroid stimulating hormone (TSH)	CPT	84443	17	$99	$42.08	$16.53	$54.01	$146.84
Complete blood count with automated differential	CPT	85025	17	$134	$56.95	$5.25	$63.22	$120.6
Complete blood count without differential	CPT	85027	17	$219	$93.08	$4.8	$78.07	$197.1
Urine culture bacterial	CPT	87086	17	$85	$36.13	$7.94	$49.8	$76.5
Urine culture identification	CPT	87088	17	$105	$44.63	$7.96	$57.58	$94.5
Tissue exam by pathologist level IV	CPT	88305	17	$317	$134.73	$23.86	$111.92	$285.3
maternity
Fetal non-stress test	CPT	59025	17	$699.48	$297.28	$14.59	$195.69	$1,438
Routine obstetric care including vaginal delivery	CPT	59400	17	$11,489	$4,882.72	$673	$5,923.87	$19,148
Vaginal delivery only	CPT	59409	17	$3,006	$1,277.55	$507.93	$2,555.1	$7,155.48
Vaginal delivery with postpartum	CPT	59410	17	$4,993.75	$2,122.35	$655.35	$2,914.08	$8,386.61
Routine obstetric care with C-section	CPT	59510	17	$12,580	$5,346.5	$87.17	$5,504.91	$21,051
C-section delivery only	CPT	59514	17	$3,343.17	$1,420.85	$495.28	$1,945.57	$6,921.19
C-section with postpartum	CPT	59515	17	$6,096.25	$2,590.91	$655.35	$3,525.82	$10,313
office
Office visit, new patient, 15-29 min	CPT	99202	17	$298	$126.65	$32.29	$188.57	$616.13
Office visit, new patient, 30-44 minutes	CPT	99203	17	$455	$193.38	$55.97	$331.41	$944.33
Office visit, new patient, 45-59 min	CPT	99204	17	$675	$286.88	$91.85	$507.98	$1,410.74
Office visit, new patient, 60-74 min	CPT	99205	17	$890	$378.25	$124.62	$663.79	$1,859.86
Office visit, established patient, 5 min	CPT	99211	17	$105.27	$44.74	$5.97	$62.77	$201.54
Office visit, established patient, 10-19 min	CPT	99212	17	$346	$147.05	$24.16	$177.45	$483.68
Office visit, established patient, 20-29 minutes	CPT	99213	17	$380.95	$161.91	$45.44	$273.6	$774.45
Office visit, established patient, 30-39 minutes	CPT	99214	17	$551.1	$234.22	$66.97	$395.55	$1,091.15
Office visit, established patient, 40-54 min	CPT	99215	17	$736.67	$313.09	$99.5	$548.03	$1,534.53
preventive
Upper GI endoscopy diagnostic	CPT	43235	17	$2,046.19	$869.64	$81.95	$1,040.45	$3,500
Upper GI endoscopy with biopsy	CPT	43239	17	$2,088.23	$887.5	$92.32	$1,249.88	$3,500
Sigmoidoscopy diagnostic	CPT	45330	17	$2,024.57	$860.45	$38.38	$886.9	$2,872
Sigmoidoscopy with biopsy	CPT	45331	17	$2,824.61	$1,200.46	$48.75	$921.69	$2,872
Colonoscopy diagnostic	CPT	45378	17	$3,012	$1,280.1	$83.34	$920.31	$3,500
Colonoscopy with biopsy	CPT	45380	17	$3,579	$1,521.08	$133.3	$1,669.79	$3,533.51
Colonoscopy with polyp removal	CPT	45385	17	$3,673.75	$1,561.35	$168.4	$1,732.87	$3,533.51
surgery
Total shoulder arthroplasty	CPT	23472	17	$5,681	$2,414.43	$836.53	$4,578.75	$41,386
Hip hemiarthroplasty	CPT	27125	12	—	—	$761.47	$3,054.96	$9,370
Total hip replacement	CPT	27130	17	$5,035	$2,139.88	$739.9	$3,965.55	$28,957
Total knee replacement	CPT	27447	17	$6,288.75	$2,672.72	$740.81	$4,066.31	$28,957
Knee revision arthroplasty single component	CPT	27486	17	$6,893.75	$2,929.85	$406.04	$3,346.2	$11,496
Knee revision arthroplasty all components	CPT	27487	17	$6,853	$2,912.53	$1,009.1	$4,169.08	$14,165
Shoulder arthroscopy with decompression	CPT	29826	17	$665	$282.63	$112.11	$505.4	$1,831.33
Shoulder arthroscopy with rotator cuff repair	CPT	29827	17	$4,234	$1,799.45	$721.42	$3,603.12	$16,077
Knee arthroscopy with meniscectomy	CPT	29881	12	—	—	$373.08	$2,127.64	$7,301.94
ACL reconstruction	CPT	29888	17	$4,832.5	$2,053.82	$569.27	$3,286.1	$16,077
Major small/large bowel procedures w MCC	MS-DRG	329	11	—	—	$19,062	$36,514	$93,815
Major small/large bowel procedures w CC	MS-DRG	330	11	—	—	$9,941.19	$19,375	$48,927
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	11	—	—	$6,978.99	$13,809	$34,348
CABG single arterial graft	CPT	33533	12	—	—	$673	$2,040	$14,323
CABG 2 arterial grafts	CPT	33534	12	—	—	$673	$2,047.69	$16,805
CABG 3 arterial grafts	CPT	33535	12	—	—	$673	$2,274.23	$18,665
CABG 4+ arterial grafts	CPT	33536	12	—	—	$673	$2,447.53	$20,107
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	11	—	—	$7,015.07	$13,876	$34,526
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	11	—	—	$5,663.97	$11,338	$27,876
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	11	—	—	$14,129	$27,245	$69,539
Open appendectomy	CPT	44950	12	—	—	$417.59	$2,308.77	$14,042
Laparoscopic appendectomy	CPT	44970	17	$2,908.75	$1,236.22	$341.76	$1,766.85	$13,130
Major joint replacement w MCC	MS-DRG	469	11	—	—	$12,579	$24,331	$62,982
Major joint replacement w/o MCC	MS-DRG	470	11	—	—	$7,999.15	$15,726	$39,369
Laparoscopic cholecystectomy	CPT	47562	17	$3,173.75	$1,348.85	$186.94	$1,597.49	$13,130
Lap cholecystectomy with cholangiography	CPT	47563	17	$3,456.25	$1,468.91	$407.15	$2,245.55	$13,130
Hip & femur procedures except major joint w MCC	MS-DRG	480	11	—	—	$12,077	$23,389	$59,440
Hip & femur procedures except major joint w CC	MS-DRG	481	11	—	—	$8,685.89	$17,016	$42,749
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	11	—	—	$6,763.76	$13,405	$33,289
Open umbilical hernia repair	CPT	49560	2	—	—	$706.91	$2,742.1	$4,244.14
Umbilical hernia repair age 5+	CPT	49585	2	—	—	$433.71	$1,887.52	$6,348.61
Lap inguinal hernia repair	CPT	49650	17	$3,161.25	$1,343.54	$247.09	$1,360.79	$13,130
Lap incisional hernia repair	CPT	49652	2	—	—	$712.84	$3,102.33	$9,156.66
Total abdominal hysterectomy	CPT	58150	17	$4,002	$1,700.85	$589.29	$2,410.59	$8,303.13
Vaginal hysterectomy	CPT	58260	17	$3,330	$1,415.25	$560.09	$2,830.5	$11,109
Lap-assisted vaginal hysterectomy	CPT	58550	12	—	—	$589.06	$3,136.32	$13,130
Lap-assisted vaginal hysterectomy >250g	CPT	58552	17	$3,876	$1,647.3	$570.74	$3,091.66	$23,430
Lap salpingo-oophorectomy	CPT	58661	17	$4,824.38	$2,050.37	$378.87	$2,109.86	$13,130
OR procedure for obesity w MCC	MS-DRG	619	11	—	—	$11,974	$23,195	$58,932
OR procedure for obesity w CC	MS-DRG	620	11	—	—	$6,636.44	$13,165	$32,662
OR procedure for obesity w/o CC/MCC	MS-DRG	621	11	—	—	$6,255.33	$12,449	$30,786
Complex cataract surgery	CPT	66982	12	—	—	$512.75	$2,218.65	$5,132.74
Cataract surgery with lens implant	CPT	66984	12	—	—	$374.96	$2,028.66	$5,132.74
Intravitreal injection	CPT	67028	17	$1,748	$742.9	$62.88	$685.36	$1,617
Vitrectomy mechanical	CPT	67042	12	—	—	$782.66	$3,751.55	$9,053.38
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	11	—	—	$5,145.18	$10,363	$25,323
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	11	—	—	$8,497.62	$16,662	$41,822
PCI single major coronary artery	CPT	92920	17	$17,472	$7,425.6	$329.26	$5,316.99	$16,515
PCI with drug-eluting stent	CPT	92928	17	$29,872	$12,696	$366.01	$2,061.49	$26,885
PCI bypass graft	CPT	92937	17	$29,872	$12,696	$365.78	$10,576	$26,885
Left heart catheterization	CPT	93452	17	$8,848	$3,760.4	$149.09	$1,864.51	$7,963.2
Coronary angiography with cath	CPT	93455	17	$8,757	$3,721.73	$175.46	$2,429.43	$7,881.3
Coronary angiography with bypass cath	CPT	93458	17	$9,757	$4,146.73	$185.36	$2,484.96	$8,781.3

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 17)

Payer	Codes covered	Median rate
health partners	201	$265.41
Blue Cross Blue Shield	200	$244.55
UnitedHealthcare	197	$321.28
itasca medical care	197	$126.59
medica	197	$337.11
south country health alliance	197	$126.59
ucare	197	$220.21
primewest	197	$126.59
security health plan	196	$369.69
WellCare	196	$152.79
sanford health plan	196	$306.12
hennepin health	154	$108.03
wisconsin physician services	139	$501.32
First Health	139	$456.76
Multiplan	139	$473.45
private healthcare systems	139	$473.45
america's ppo	139	$377.6

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