Does Temple University Hospital - Transplant Center publish its standard charges and chargemaster?

Yes. Temple University Hospital - Transplant Center 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 - Transplant Center charge for procedures?

Temple University Hospital - Transplant Center 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 · · CCN 399806

Temple University Hospital - Transplant Center

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 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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