Does Temple University Hospital publish its standard charges and chargemaster?

Yes. Temple University Hospital publishes a machine-readable file with 52,363 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does Temple University Hospital charge for procedures?

Temple University Hospital (Philadelphia, PA) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · PA · CCN 390027

Temple University Hospital

Philadelphia, PA, 19140

761 bedsAcute Care Hospitals2

Compliance grade

96/100

Rates published

52,363

last crawl 2026-05-24

Procedures tracked

186

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All PA hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://www.templehealth.org/sites/default/files/file/2026-04/232825878_temple-university-hospital-inc-main-campus_standardcharges.csv · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	18	—	—	$1,874	$17,107	1.3×	$60,135
Psychiatric diagnostic evaluation	CPT	90791	20	$2,796	—	$62.91	$279.84	1.6×	$1,201.2
Psychiatric eval with medical services	CPT	90792	21	$716	—	$62.91	$192.6	1.1×	$1,201.2
Psychotherapy 30 minutes	CPT	90832	21	$866	—	$31.2	$195.68	1.3×	$1,201.2
Psychotherapy 45 minutes	CPT	90834	21	$1,958	—	$46.8	$233.2	1.5×	$1,201.2
Psychotherapy 60 minutes	CPT	90837	21	$1,958	—	$62.4	$233.2	1.2×	$1,201.2
Crisis psychotherapy 60 minutes	CPT	90839	20	$1,958	—	$106.04	$272.97	1.7×	$665.72
emergency
ED visit level 1	CPT	99281	19	$1,590	—	$50	$132.94	0.95×	$1,885
ED visit level 2	CPT	99282	20	$2,317	—	$32.98	$249.5	1.1×	$1,885
ED visit level 3	CPT	99283	20	$3,644	—	$56.65	$430.38	1.1×	$1,885
ED visit level 4	CPT	99284	20	$5,987	—	$95.33	$563.38	0.84×	$2,035.58
ED visit level 5	CPT	99285	20	$10,731	—	$138.74	$782.44	0.75×	$3,648.54
Critical care, first hour	CPT	99291	20	$14,882	—	$151.63	$937	0.87×	$5,059.88
imaging
CT head without contrast	CPT	70450	20	$6,129	—	$105.54	$164.84	0.80×	$2,083.86
CT head with contrast	CPT	70460	20	$6,805	—	$160.8	$276.54	1.2×	$2,313.7
CT head with and without contrast	CPT	70470	20	$8,856	—	$183.75	$276.54	1.0×	$3,011.04
CT neck with contrast	CPT	70491	20	$6,805	—	$165	$276.54	1.0×	$2,313.7
MRI brain without contrast	CPT	70551	20	$10,444	—	$186.13	$399.21	0.99×	$3,550.96
MRI brain with contrast	CPT	70552	20	$11,813	—	$239.71	$550.05	1.2×	$4,016.42
MRI brain with and without contrast	CPT	70553	20	$20,881	—	$293.72	$550.05	0.93×	$7,099.54
Chest X-ray single view	CPT	71045	20	$1,048	—	$18.58	$100.62	1.1×	$356.32
Chest X-ray 2 views	CPT	71046	20	$1,535	—	$28.37	$100.62	1.0×	$521.9
Chest X-ray 3 views	CPT	71047	20	$1,097	—	$36.23	$100.62	1.1×	$372.98
CT chest without contrast	CPT	71250	20	$6,129	—	$105.54	$164.84	0.77×	$2,083.86
CT chest with contrast	CPT	71260	20	$6,806	—	$165.27	$276.54	0.98×	$2,314.04
CT chest with and without contrast	CPT	71270	20	$8,861	—	$183.75	$276.54	0.95×	$3,012.74
MRI chest without contrast	CPT	71550	20	$10,444	—	$186.13	$399.21	0.93×	$3,550.96
MRI chest with contrast	CPT	71551	20	$11,813	—	$239.71	$1,029.96	1.3×	$4,016.42
MRI chest with and without contrast	CPT	71552	20	$20,881	—	$293.72	$583.71	0.97×	$7,099.54
Lumbosacral spine X-ray	CPT	72100	20	$1,113	—	$24.64	$120.88	1.2×	$378.42
CT cervical spine without contrast	CPT	72125	20	$6,129	—	$105.54	$164.84	0.82×	$2,083.86
CT thoracic spine without contrast	CPT	72128	20	$6,129	—	$105.54	$169.31	0.85×	$2,083.86
CT lumbar spine without contrast	CPT	72131	20	$6,129	—	$105.54	$166.31	0.82×	$2,083.86
MRI cervical spine without contrast	CPT	72141	20	$10,444	—	$186.13	$399.21	1.0×	$3,550.96
MRI thoracic spine without contrast	CPT	72146	20	$10,444	—	$186.13	$376.19	1.0×	$3,550.96
MRI lumbar spine without contrast	CPT	72148	20	$10,444	—	$186.13	$376.19	1.00×	$3,550.96
MRI lumbar spine with and without contrast	CPT	72149	20	$11,813	—	$239.71	$550.05	1.2×	$4,016.42
MRI cervical spine with and without contrast	CPT	72156	20	$20,881	—	$293.72	$550.05	1.0×	$7,099.54
MRI lumbar spine with contrast	CPT	72158	20	$18,653	—	$293.72	$550.05	1.0×	$6,342.02
CT pelvis without contrast	CPT	72192	20	$6,129	—	$105.54	$164.84	0.82×	$2,083.86
CT pelvis with contrast	CPT	72193	20	$6,805	—	$165.27	$276.54	0.98×	$2,313.7
Shoulder X-ray	CPT	73030	19	$1,929	—	$24.64	$145.6	1.6×	$655.86
Humerus X-ray	CPT	73060	19	$967	—	$24.64	$114.34	1.3×	$328.78
Hand X-ray 3 views	CPT	73130	19	$1,792	—	$24.64	$117.5	1.3×	$609.28
MRI upper extremity joint without contrast	CPT	73221	19	$10,444	—	$186.13	$387.7	0.93×	$3,550.96
MRI upper extremity joint with and without contrast	CPT	73223	19	$11,813	—	$293.72	$566.88	0.93×	$4,870.48
Knee X-ray 1-2 views	CPT	73560	19	$872	—	$24.64	$107.99	1.2×	$296.48
Ankle X-ray 3 views	CPT	73610	19	$1,792	—	$24.64	$117.5	1.3×	$609.28
MRI lower extremity joint without contrast	CPT	73721	19	$20,881	—	$186.13	$387.7	0.83×	$7,099.54
MRI lower extremity joint with and without contrast	CPT	73723	19	$10,444	—	$293.72	$566.88	0.89×	$4,870.48
CT abdomen without contrast	CPT	74150	20	$6,129	—	$105.54	$164.84	0.88×	$2,083.86
CT abdomen with contrast	CPT	74160	20	$6,805	—	$165.27	$276.54	0.96×	$2,313.7
CT abdomen with and without contrast	CPT	74170	20	$8,861	—	$183.75	$276.54	0.83×	$3,012.74
CT abdomen and pelvis without contrast	CPT	74176	20	$6,129	—	$201.95	$375.71	1.0×	$2,083.86
CT abdomen and pelvis with contrast	CPT	74177	20	$6,805	—	$315.79	$550.05	1.0×	$2,313.7
CT abdomen and pelvis with and without contrast	CPT	74178	20	$8,861	—	$319.3	$550.05	0.96×	$3,012.74
MRI abdomen without contrast	CPT	74181	20	$10,444	—	$186.13	$399.21	1.0×	$3,550.96
MRI abdomen with and without contrast	CPT	74183	20	$20,881	—	$293.72	$583.71	1.0×	$7,099.54
Abdominal ultrasound complete	CPT	76700	20	$3,240	—	$52.97	$164.84	1.1×	$1,101.6
Abdominal ultrasound limited	CPT	76705	20	$2,335	—	$52.97	$181.32	1.2×	$10,355
Retroperitoneal ultrasound complete	CPT	76770	20	$3,240	—	$52.97	$164.84	1.1×	$1,101.6
Obstetric ultrasound first trimester	CPT	76801	20	$3,468	—	$52.97	$164.84	1.2×	$1,179.12
Obstetric ultrasound after first trimester	CPT	76805	20	$4,175	—	$52.97	$332.77	2.2×	$1,419.5
Obstetric ultrasound with fetal anatomy	CPT	76811	20	$4,175	—	$83.67	$376.19	1.6×	$1,419.5
Transvaginal ultrasound	CPT	76830	20	$2,516	—	$52.97	$164.84	1.1×	$855.44
Pelvic ultrasound complete	CPT	76856	20	$2,516	—	$52.97	$164.84	1.2×	$855.44
Scrotal ultrasound	CPT	76870	20	$2,727	—	$52.97	$164.84	1.3×	$927.18
Diagnostic mammography unilateral	CPT	77065	15	$1,081	—	$65.94	$227.48	1.5×	$392.17
Diagnostic mammography bilateral	CPT	77066	15	$1,346	—	$82.11	$288.43	1.5×	$499.7
Screening mammography bilateral	CPT	77067	15	$1,197	—	$73.02	$232.57	1.5×	$418.95
EKG tracing only	CPT	93005	20	$1,293	—	$12.55	$78.6	0.67×	$439.62
Transthoracic echocardiogram complete	CPT	93306	20	$10,200	—	$169.22	$574.33	0.96×	$3,468
Transthoracic echocardiogram	CPT	93307	20	$6,454	—	$168.46	$330.82	1.3×	$2,194.36
Stress echocardiogram	CPT	93350	20	$6,198	—	$91.8	$717.91	1.4×	$2,107.32
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	18	—	—	$22,493	$26,154	1.3×	$84,996
Intracranial hemorrhage/CVA w CC	MS-DRG	065	18	—	—	$11,774	$13,690	1.3×	$44,491
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	18	—	—	$8,282.95	$9,631	1.3×	$36,171
Respiratory infections & inflammations w MCC	MS-DRG	177	18	—	—	$17,691	$20,570	1.3×	$66,851
COPD w MCC	MS-DRG	190	18	—	—	$12,817	$14,903	1.3×	$48,434
COPD w CC	MS-DRG	191	18	—	—	$9,981.83	$12,396	1.4×	$37,719
COPD w/o CC/MCC	MS-DRG	192	18	—	—	$7,828.8	$9,916.35	1.4×	$29,583
Simple pneumonia & pleurisy w CC	MS-DRG	194	18	—	—	$9,584.43	$11,144	1.3×	$36,218
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	18	—	—	$7,684.2	$8,934.81	1.3×	$29,483
AMI discharged alive w MCC	MS-DRG	280	18	—	—	$18,134	$21,086	1.3×	$68,526
AMI discharged alive w CC	MS-DRG	281	18	—	—	$10,797	$12,554	1.3×	$46,082
AMI discharged alive w/o CC/MCC	MS-DRG	282	18	—	—	$8,697.5	$10,113	1.3×	$37,274
Heart failure & shock w MCC	MS-DRG	291	18	—	—	$14,145	$17,096	1.3×	$55,562
Heart failure & shock w CC	MS-DRG	292	18	—	—	$10,046	$12,725	1.4×	$37,962
Heart failure & shock w/o CC/MCC	MS-DRG	293	18	—	—	$7,014.7	$8,885.17	1.4×	$30,772
Cardiac arrhythmia w MCC	MS-DRG	308	18	—	—	$13,849	$16,103	1.3×	$52,332
Cardiac arrhythmia w CC	MS-DRG	309	18	—	—	$8,832.46	$10,270	1.3×	$33,376
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	18	—	—	$7,015.78	$8,157.6	1.3×	$26,511
GI hemorrhage w CC	MS-DRG	378	18	—	—	$11,457	$13,321	1.3×	$43,293
GI hemorrhage w/o CC/MCC	MS-DRG	379	18	—	—	$7,704.53	$8,958.45	1.3×	$29,757
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	18	—	—	$7,957	$10,817	1.3×	$35,153
Fractures of femur w/o MCC	MS-DRG	533	18	—	—	$17,745	$20,632	1.4×	$67,053
Kidney/UTI w MCC	MS-DRG	689	18	—	—	$13,381	$15,558	1.3×	$50,563
Kidney/UTI w/o MCC	MS-DRG	690	18	—	—	$9,622.97	$11,189	1.3×	$36,363
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	18	—	—	$21,759	$25,301	1.4×	$82,224
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	18	—	—	$11,913	$13,852	1.3×	$48,389
lab
Basic metabolic panel (BMP)	CPT	80048	20	$1,113	—	$8.46	$12.69	0.39×	$378.42
General health panel	CPT	80050	14	$1,182	—	$43.89	$204.07	1.9×	$413.7
Electrolyte panel	CPT	80051	20	$554	—	$7	$10.52	0.44×	$188.36
Comprehensive metabolic panel	CPT	80053	20	$2,537	—	$10.56	$15.84	0.36×	$862.58
Lipid panel	CPT	80061	20	$1,549	—	$13.39	$20.09	0.53×	$526.66
Renal function panel	CPT	80069	20	$1,197	—	$8.68	$13.02	0.48×	$406.98
Hepatic function panel	CPT	80076	20	$755	—	$8.17	$12.26	0.46×	$256.7
Urinalysis non-automated	CPT	81002	20	$8	—	$1.47	$3.58	0.51×	$31.63
Urinalysis automated	CPT	81003	20	$372	—	$2.25	$7.58	0.54×	$126.48
Glucose quantitative	CPT	82947	20	$441	—	$3.93	$14.71	0.84×	$149.94
Hemoglobin A1c	CPT	83036	20	$1,010	—	$7	$14.56	0.54×	$343.4
Thyroid stimulating hormone (TSH)	CPT	84443	20	$1,293	—	$16.8	$25.2	0.53×	$439.62
Complete blood count with automated differential	CPT	85025	20	$620	—	$6	$15.81	0.60×	$210.8
Complete blood count without differential	CPT	85027	20	$457	—	$6.47	$9.71	0.45×	$155.38
Urine culture bacterial	CPT	87086	20	$642	—	$8	$12.11	0.52×	$218.28
Urine culture identification	CPT	87088	20	$1,452	—	$8	$17.77	0.80×	$493.68
Tissue exam by pathologist level IV	CPT	88305	20	$3,062	—	$34	$87.2	0.85×	$1,041.08
maternity
Fetal non-stress test	CPT	59025	20	$3,208	—	$21	$255	1.4×	$4,398.03
Cesarean section w CC/MCC	MS-DRG	765	1	—	—	$34,908	$34,908	387.0×	$34,908
Cesarean section w/o CC/MCC	MS-DRG	766	1	—	—	$26,907	$26,907	298.6×	$26,907
Vaginal delivery w complicating dx	MS-DRG	774	1	—	—	$20,763	$20,763	225.7×	$20,763
Vaginal delivery w/o complicating dx	MS-DRG	775	1	—	—	$15,662	$15,662	16.8×	$15,662
office
Office visit, new patient, 15-29 min	CPT	99202	15	$310	—	$8.91	$46.5	0.54×	$108.5
Office visit, new patient, 30-44 minutes	CPT	99203	16	$440	—	$13.3	$66	0.54×	$154
Office visit, new patient, 45-59 min	CPT	99204	16	$716	—	$21.05	$116.96	0.67×	$1,201.2
Office visit, new patient, 60-74 min	CPT	99205	16	$891	—	$26.84	$137.35	0.62×	$311.85
Office visit, established patient, 5 min	CPT	99211	16	$420	—	$1.1	$9.31	0.14×	$147
Office visit, established patient, 10-19 min	CPT	99212	16	$480	—	$2.01	$14.78	0.18×	$168
Office visit, established patient, 20-29 minutes	CPT	99213	16	$519	—	$8.78	$75	0.65×	$181.65
Office visit, established patient, 30-39 minutes	CPT	99214	16	$716	—	$13.18	$99.77	0.65×	$1,201.2
Office visit, established patient, 40-54 min	CPT	99215	16	$891	—	$18.3	$132.41	0.70×	$1,201.2
preventive
Upper GI endoscopy diagnostic	CPT	43235	20	$3,937	—	$175.31	$1,122.19	1.2×	$6,368
Upper GI endoscopy with biopsy	CPT	43239	20	$6,328	—	$208.01	$1,191.65	1.2×	$6,368
Sigmoidoscopy diagnostic	CPT	45330	20	$3,468	—	$74.41	$1,065.44	1.3×	$10,355
Sigmoidoscopy with biopsy	CPT	45331	20	$3,468	—	$89.14	$1,075.21	1.2×	$6,368
Colonoscopy diagnostic	CPT	45378	20	$4,197	—	$252.7	$1,173.01	1.3×	$6,368
Colonoscopy with biopsy	CPT	45380	20	$6,996	—	$315.59	$1,572.21	1.3×	$6,368
Colonoscopy with polyp removal	CPT	45385	20	$6,691	—	$375.31	$1,572.21	1.3×	$6,368
surgery
Total shoulder arthroplasty	CPT	23472	19	—	—	$1,670	$19,167	4.6×	$58,720
PCI w drug-eluting stent w MCC	MS-DRG	246	2	—	—	$62,246	$82,110	3.0×	$101,974
PCI w drug-eluting stent w/o MCC	MS-DRG	247	2	—	—	$39,313	$56,967	3.1×	$74,621
Total hip replacement	CPT	27130	19	—	—	$1,670	$14,034	3.2×	$42,996
Total knee replacement	CPT	27447	19	—	—	$1,670	$14,034	3.4×	$42,996
Knee revision arthroplasty single component	CPT	27486	19	—	—	$1,670	$14,034	8.4×	$42,996
Knee revision arthroplasty all components	CPT	27487	19	—	—	$1,670	$19,167	9.6×	$58,720
Shoulder arthroscopy with decompression	CPT	29826	7	—	—	$154.38	$3,748	11.5×	$8,101.06
Shoulder arthroscopy with rotator cuff repair	CPT	29827	19	—	—	$1,670	$7,919.84	2.4×	$24,301
Knee arthroscopy with meniscectomy	CPT	29881	20	—	—	$760.9	$3,714.27	1.8×	$10,958
ACL reconstruction	CPT	29888	19	—	—	$1,670	$7,931.97	2.4×	$24,301
Major small/large bowel procedures w MCC	MS-DRG	329	18	—	—	$50,188	$60,225	1.4×	$189,650
Major small/large bowel procedures w CC	MS-DRG	330	18	—	—	$26,630	$31,956	1.4×	$163,384
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	18	—	—	$18,979	$22,067	1.3×	$73,339
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	18	—	—	$19,072	$22,886	1.4×	$72,068
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	18	—	—	$15,582	$18,698	1.4×	$58,881
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	18	—	—	$37,447	$43,542	1.3×	$141,507
Open appendectomy	CPT	44950	19	—	—	$1,670	$7,144.75	6.3×	$21,681
Laparoscopic appendectomy	CPT	44970	19	—	—	$1,670	$6,672.07	4.3×	$20,246
Spinal fusion (non-cervical) w MCC	MS-DRG	459	2	—	—	$134,153	$152,527	3.1×	$170,901
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	2	—	—	$78,312	$100,366	3.0×	$122,421
Major joint replacement w MCC	MS-DRG	469	18	—	—	$33,442	$40,131	1.4×	$126,372
Major joint replacement w/o MCC	MS-DRG	470	18	—	—	$21,614	$25,936	1.4×	$81,673
Laparoscopic cholecystectomy	CPT	47562	19	—	—	$1,670	$6,672.07	3.8×	$20,246
Lap cholecystectomy with cholangiography	CPT	47563	19	—	—	$1,670	$6,672.07	3.6×	$20,246
Hip & femur procedures except major joint w MCC	MS-DRG	480	18	—	—	$32,147	$38,577	1.4×	$121,478
Hip & femur procedures except major joint w CC	MS-DRG	481	18	—	—	$23,387	$28,065	1.4×	$88,376
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	18	—	—	$18,423	$22,107	1.4×	$69,615
Lap inguinal hernia repair	CPT	49650	19	—	—	$1,670	$6,672.07	5.9×	$20,246
Total abdominal hysterectomy	CPT	58150	7	—	—	$975.83	$6,368	6.5×	$10,801
Vaginal hysterectomy	CPT	58260	19	—	—	$1,670	$5,731.21	3.2×	$16,753
Lap-assisted vaginal hysterectomy	CPT	58550	19	—	—	$1,670	$6,830.93	4.6×	$20,246
Lap-assisted vaginal hysterectomy >250g	CPT	58552	19	—	—	$1,670	$11,396	5.1×	$35,599
Lap salpingo-oophorectomy	CPT	58661	19	—	—	$1,670	$6,672.07	3.3×	$20,246
OR procedure for obesity w MCC	MS-DRG	619	18	—	—	$31,881	$38,257	1.4×	$120,471
OR procedure for obesity w CC	MS-DRG	620	18	—	—	$18,094	$21,712	1.3×	$82,949
OR procedure for obesity w/o CC/MCC	MS-DRG	621	18	—	—	$17,109	$20,531	1.4×	$82,949
Complex cataract surgery	CPT	66982	19	—	—	$1,670	$2,668.28	1.2×	$12,075
Cataract surgery with lens implant	CPT	66984	20	—	—	$843.54	$2,634.16	1.2×	$12,075
Vitrectomy mechanical	CPT	67042	19	—	—	$1,670	$4,779.03	1.9×	$13,888
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	18	—	—	$14,242	$16,560	1.3×	$53,817
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	18	—	—	$22,901	$26,628	1.4×	$86,539
PCI single major coronary artery	CPT	92920	19	$14,095	—	$1,670	$5,982.31	1.1×	$19,061
PCI with drug-eluting stent	CPT	92928	19	$21,404	—	$1,670	$10,355	1.0×	$38,661
PCI bypass graft	CPT	92937	19	$21,404	—	$1,670	$10,355	0.95×	$38,661
Left heart catheterization	CPT	93452	19	$30,821	—	$1,670	$4,432.17	1.4×	$15,431
Coronary angiography with cath	CPT	93455	19	$28,479	—	$1,670	$4,271.85	1.4×	$15,431
Coronary angiography with bypass cath	CPT	93458	19	$20,754	—	$1,670	$3,985.03	1.3×	$15,431

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 21)

Payer	Codes covered	Median rate
geisinger	186	$1,551.58
Blue Cross Blue Shield	182	$703.22
UnitedHealthcare	178	$859.01
gateway health plan	178	$458.38
keystone first	178	$385.04
Aetna	178	$937
health partners plans	177	$255.81
innovage	176	$281.46
Cigna	176	$330.82
Oscar Health	176	$376.19
pennsylvania health and wellness	176	$331.7
prime health services	176	$399.21
upmc health plan	176	$329.4
naphcare	163	$657.87
Humana	163	$438.58
elder health	163	$526.3
clover health	163	$464.89
wtc health program	163	$548.23
occunet	133	$304.19
amerihealth caritas	97	$111.38
magellan health	14	$146.38

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