Hospital

AVERA SACRED HEART HOSPITAL

Yankton, SD · CCN 430012 · Rates published

1,226 distinct procedures filed

6 distinct payers

15,926 rate rows

2026-05-09 last MRF observed

Data quality

15,625 of 15,926 rate rows are consumer-grade (98.1%)

301 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	287
exceeds 10× this hospital's gross charge — excluded from medians	8
placeholder amount (≤ $0.02) — excluded from medians	6

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.avera.org/app/files/public/14ca39ed-760e-484f-8e7e-19bb3f14df01/460225483_avera-sacred-heart-hospital_standardcharges.csv
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-05-17
Content fingerprint	fca3cabb29dc525f… · 3,881,703 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
428 OTHER	Ms-DRG 428	1	$153,749.51	$153,749.51	$153,749.51	nat. median $40,399 outlier · 3.8×
1824 OTHER	Apr-DRG 1824	1	$138,508.41	$138,508.41	$138,508.41	nat. median $4 outlier · 31988.1×
4693 OTHER	Apr-DRG 4693	1	$114,628.37	$114,628.37	$114,628.37	nat. median $9,054 outlier · 12.7×
3082 OTHER	Apr-DRG 3082	1	$109,204.13	$109,204.13	$109,204.13	nat. median $12,516 outlier · 8.7×
2201 OTHER	Apr-DRG 2201	1	$88,291.73	$88,291.73	$88,291.73	nat. median $11,978 outlier · 7.4×
3031 OTHER	Apr-DRG 3031	1	$87,820.09	$87,820.09	$87,820.09	nat. median $24,739 outlier · 3.5×
2234 OTHER	Apr-DRG 2234	1	$86,465.03	$86,465.03	$86,465.03	nat. median $32,357 outlier · 2.7×
7114 OTHER	Apr-DRG 7114	1	$81,006.83	$81,006.83	$81,006.83	nat. median $35,096 outlier · 2.3×
7113 OTHER	Apr-DRG 7113	1	$81,006.83	$81,006.83	$81,006.83	nat. median $18,741 outlier · 4.3×
3042 OTHER	Apr-DRG 3042	1	$77,826.10	$77,826.10	$77,826.10	nat. median $21,290 outlier · 3.7×
3054 OTHER	Apr-DRG 3054	1	$75,230.28	$75,230.28	$75,230.28	nat. median $31,799 outlier · 2.4×
J2350 OTHER	Ocrelizumab 300 Mg/10 Ml	5	$6.09	$86,126.02	$72,141.64	nat. median $65 outlier · 1112.1×
867 OTHER	Ms-DRG 867	1	$70,595.63	$70,595.63	$70,595.63	nat. median $20,892 outlier · 3.4×
38 OTHER	Ms-DRG 38	1	$68,085.87	$68,085.87	$68,085.87	nat. median $16,210 outlier · 4.2×
3122 OTHER	Apr-DRG 3122	1	$67,667.53	$67,667.53	$67,667.53	nat. median $16,854 outlier · 4.0×
3253 OTHER	Apr-DRG 3253	2	$24,776.91	$65,602.33	$65,602.33	nat. median $23,688 outlier · 2.8×
3041 OTHER	Apr-DRG 3041	1	$64,958.98	$64,958.98	$64,958.98	nat. median $18,741 outlier · 3.5×
486 OTHER	Ms-DRG 486	1	$64,930.09	$64,930.09	$64,930.09	nat. median $20,184 outlier · 3.2×
573 OTHER	Ms-DRG 573	1	$62,736.70	$62,736.70	$62,736.70	nat. median $54,881 1.1× median
464 OTHER	Ms-DRG 464	1	$61,599.19	$61,599.19	$61,599.19	nat. median $26,454 outlier · 2.3×
9123 OTHER	Apr-DRG 9123	1	$57,797.15	$57,797.15	$57,797.15	nat. median $4 outlier · 13794.1×
3133 OTHER	Apr-DRG 3133	1	$57,528.41	$57,528.41	$57,528.41	nat. median $20,441 outlier · 2.8×
3053 OTHER	Apr-DRG 3053	1	$56,283.37	$56,283.37	$56,283.37	nat. median $18,741 outlier · 3.0×
6333 OTHER	Apr-DRG 6333	1	$56,028.24	$56,028.24	$56,028.24	nat. median $21,058 outlier · 2.7×
602 OTHER	Ms-DRG 602	1	$55,861.56	$55,861.56	$55,861.56	nat. median $14,934 outlier · 3.7×
551 OTHER	Ms-DRG 551	1	$51,765.09	$51,765.09	$51,765.09	nat. median $15,276 outlier · 3.4×
7214 OTHER	Apr-DRG 7214	1	$51,296.28	$51,296.28	$51,296.28	nat. median $18,741 outlier · 2.7×
896 OTHER	Ms-DRG 896	1	$51,253.74	$51,253.74	$51,253.74	nat. median $13,577 outlier · 3.8×
708 OTHER	Ms-DRG 708	1	$50,674.11	$50,674.11	$50,674.11	nat. median $11,616 outlier · 4.4×
820 OTHER	Ms-DRG 820	1	$50,516.54	$50,516.54	$50,516.54	nat. median $45,972 1.1× median
69 OTHER	Ms-DRG 69	1	$47,319.27	$47,319.27	$47,319.27	nat. median $8,623 outlier · 5.5×
354 OTHER	Ms-DRG 354	1	$45,694.52	$45,694.52	$45,694.52	nat. median $16,527 outlier · 2.8×
239 OTHER	Ms-DRG 239	1	$43,706.61	$43,706.61	$43,706.61	nat. median $46,864 0.9× median
8174 OTHER	Apr-DRG 8174	1	$43,704.25	$43,704.25	$43,704.25	nat. median $13,379 outlier · 3.3×
2484 OTHER	Apr-DRG 2484	1	$43,404.77	$43,404.77	$43,404.77	nat. median $17,562 outlier · 2.5×
1344 OTHER	Apr-DRG 1344	1	$43,036.92	$43,036.92	$43,036.92	nat. median $16,157 outlier · 2.7×
3132 OTHER	Apr-DRG 3132	1	$43,018.94	$43,018.94	$43,018.94	nat. median $14,628 outlier · 2.9×
743 OTHER	Ms-DRG 743	1	$42,105.79	$42,105.79	$42,105.79	nat. median $9,706 outlier · 4.3×
853 OTHER	Ms-DRG 853	2	$41,172.24	$65,658.51	$41,172.24	nat. median $39,509 1.0× median
7204 OTHER	Apr-DRG 7204	2	$41,100.60	$77,998.10	$41,100.60	nat. median $18,741 outlier · 2.2×
2314 OTHER	Apr-DRG 2314	1	$41,033.49	$41,033.49	$41,033.49	nat. median $31,586 1.3× median
2302 OTHER	Apr-DRG 2302	1	$38,239.72	$38,239.72	$38,239.72	nat. median $11,950 outlier · 3.2×
914 OTHER	Ms-DRG 914	1	$37,615.05	$37,615.05	$37,615.05	nat. median $5,582 outlier · 6.7×
7922 OTHER	Apr-DRG 7922	1	$36,395.57	$36,395.57	$36,395.57	nat. median $11,582 outlier · 3.1×
742 OTHER	Ms-DRG 742	1	$36,215.67	$36,215.67	$36,215.67	nat. median $13,690 outlier · 2.6×
2312 OTHER	Apr-DRG 2312	1	$35,519.04	$35,519.04	$35,519.04	nat. median $11,633 outlier · 3.1×
448 OTHER	Ms-DRG 448	2	$35,440.04	$122,988.25	$35,440.04	nat. median $35,627 1.0× median
7102 OTHER	Apr-DRG 7102	1	$34,565.36	$34,565.36	$34,565.36	nat. median $11,514 outlier · 3.0×
6633 OTHER	Apr-DRG 6633	1	$34,500.39	$34,500.39	$34,500.39	nat. median $9,182 outlier · 3.8×
6914 OTHER	Apr-DRG 6914	1	$34,039.34	$34,039.34	$34,039.34	nat. median $28,678 1.2× median

Other procedures at this hospital

Browse this hospital's 1,226 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

100	OTHER	Ms-DRG 100	1	1	—	—	$27,789.82	$27,789.82	$27,789.82	2026-05-09
1131	OTHER	Apr-DRG 1131	2	1	—	—	$8,489.99	$8,489.99	$8,489.99	2026-05-09
1132	OTHER	Apr-DRG 1132	3	2	—	—	$4,146.27	$10,159.83	$10,159.83	2026-05-09
1133	OTHER	Apr-DRG 1133	2	1	—	—	$14,765.22	$14,765.22	$14,765.22	2026-05-09
1151	OTHER	Apr-DRG 1151	2	1	—	—	$6,589.53	$6,589.53	$6,589.53	2026-05-09
1332	OTHER	Apr-DRG 1332	2	1	—	—	$15,621.33	$15,621.33	$15,621.33	2026-05-09
1344	OTHER	Apr-DRG 1344	2	1	—	—	$43,036.92	$43,036.92	$43,036.92	2026-05-09
1351	OTHER	Apr-DRG 1351	2	1	—	—	$12,257.73	$12,257.73	$12,257.73	2026-05-09
1352	OTHER	Apr-DRG 1352	2	1	—	—	$14,155.83	$14,155.83	$14,155.83	2026-05-09
1353	OTHER	Apr-DRG 1353	2	1	—	—	$13,450.29	$13,450.29	$13,450.29	2026-05-09
1373	OTHER	Apr-DRG 1373	2	1	—	—	$19,737.75	$19,737.75	$19,737.75	2026-05-09
1381	OTHER	Apr-DRG 1381	2	1	—	—	$12,722.64	$12,722.64	$12,722.64	2026-05-09
1382	OTHER	Apr-DRG 1382	2	1	—	—	$8,941.53	$8,941.53	$8,941.53	2026-05-09
1383	OTHER	Apr-DRG 1383	2	1	—	—	$13,296.18	$13,296.18	$13,296.18	2026-05-09
1391	OTHER	Apr-DRG 1391	2	1	—	—	$10,535.03	$10,535.03	$10,535.03	2026-05-09
1392	OTHER	Apr-DRG 1392	2	1	—	—	$14,473.27	$14,473.27	$14,473.27	2026-05-09
1393	OTHER	Apr-DRG 1393	3	2	—	—	$6,845.25	$13,063.21	$13,063.21	2026-05-09
1394	OTHER	Apr-DRG 1394	2	1	—	—	$18,180.09	$18,180.09	$18,180.09	2026-05-09
1411	OTHER	Apr-DRG 1411	2	1	—	—	$8,186.27	$8,186.27	$8,186.27	2026-05-09
1412	OTHER	Apr-DRG 1412	2	1	—	—	$10,885.16	$10,885.16	$10,885.16	2026-05-09
1413	OTHER	Apr-DRG 1413	2	1	—	—	$13,988.00	$13,988.00	$13,988.00	2026-05-09
1414	OTHER	Apr-DRG 1414	2	1	—	—	$27,848.12	$27,848.12	$27,848.12	2026-05-09
1441	OTHER	Apr-DRG 1441	2	1	—	—	$11,144.84	$11,144.84	$11,144.84	2026-05-09
1451	OTHER	Apr-DRG 1451	2	1	—	—	$13,563.83	$13,563.83	$13,563.83	2026-05-09
153	OTHER	Ms-DRG 153	2	1	—	—	$6,204.41	$6,204.41	$6,204.41	2026-05-09
177	OTHER	Ms-DRG 177	3	2	—	—	$14,048.73	$17,876.99	$14,048.73	2026-05-09
178	OTHER	Ms-DRG 178	1	1	—	—	$32,734.81	$32,734.81	$32,734.81	2026-05-09
1824	OTHER	Apr-DRG 1824	2	1	—	—	$138,508.41	$138,508.41	$138,508.41	2026-05-09
183	OTHER	Ms-DRG 183	2	1	—	—	$13,762.88	$13,762.88	$13,762.88	2026-05-09
189	OTHER	Ms-DRG 189	3	2	—	—	$10,762.55	$51,134.69	$10,762.55	2026-05-09
190	OTHER	Ms-DRG 190	1	1	—	—	$25,114.05	$25,114.05	$25,114.05	2026-05-09
1901	OTHER	Apr-DRG 1901	2	1	—	—	$6,923.00	$6,923.00	$6,923.00	2026-05-09
1902	OTHER	Apr-DRG 1902	2	1	—	—	$6,923.00	$6,923.00	$6,923.00	2026-05-09
193	OTHER	Ms-DRG 193	4	3	—	—	$11,458.81	$60,773.58	$27,048.37	2026-05-09
194	OTHER	Ms-DRG 194	3	2	—	—	$6,752.17	$62,835.44	$6,752.17	2026-05-09
1942	OTHER	Apr-DRG 1942	2	1	—	—	$16,427.20	$16,427.20	$16,427.20	2026-05-09
1943	OTHER	Apr-DRG 1943	2	1	—	—	$23,960.02	$23,960.02	$23,960.02	2026-05-09
1973	OTHER	Apr-DRG 1973	2	1	—	—	$23,288.24	$23,288.24	$23,288.24	2026-05-09
1981	OTHER	Apr-DRG 1981	2	1	—	—	$9,260.73	$9,260.73	$9,260.73	2026-05-09
1992	OTHER	Apr-DRG 1992	2	1	—	—	$13,066.92	$13,066.92	$13,066.92	2026-05-09
200	OTHER	Ms-DRG 200	1	1	—	—	$23,286.49	$23,286.49	$23,286.49	2026-05-09
2011	OTHER	Apr-DRG 2011	2	1	—	—	$9,492.50	$9,492.50	$9,492.50	2026-05-09
2012	OTHER	Apr-DRG 2012	2	1	—	—	$12,387.73	$12,387.73	$12,387.73	2026-05-09
2013	OTHER	Apr-DRG 2013	2	1	—	—	$18,842.79	$18,842.79	$18,842.79	2026-05-09
2014	OTHER	Apr-DRG 2014	2	1	—	—	$19,645.67	$19,645.67	$19,645.67	2026-05-09
202	OTHER	Ms-DRG 202	1	1	—	—	$16,663.19	$16,663.19	$16,663.19	2026-05-09
205	OTHER	Ms-DRG 205	2	1	—	—	$15,298.24	$15,298.24	$15,298.24	2026-05-09
2063	OTHER	Apr-DRG 2063	2	1	—	—	$14,135.92	$14,135.92	$14,135.92	2026-05-09
2071	OTHER	Apr-DRG 2071	2	1	—	—	$9,724.27	$9,724.27	$9,724.27	2026-05-09
2072	OTHER	Apr-DRG 2072	2	1	—	—	$25,562.37	$25,562.37	$25,562.37	2026-05-09
2201	OTHER	Apr-DRG 2201	2	1	—	—	$88,291.73	$88,291.73	$88,291.73	2026-05-09
2231	OTHER	Apr-DRG 2231	2	1	—	—	$21,718.26	$21,718.26	$21,718.26	2026-05-09
2234	OTHER	Apr-DRG 2234	2	1	—	—	$86,465.03	$86,465.03	$86,465.03	2026-05-09
2301	OTHER	Apr-DRG 2301	2	1	—	—	$26,919.72	$26,919.72	$26,919.72	2026-05-09
2302	OTHER	Apr-DRG 2302	2	1	—	—	$38,239.72	$38,239.72	$38,239.72	2026-05-09
2312	OTHER	Apr-DRG 2312	2	1	—	—	$35,519.04	$35,519.04	$35,519.04	2026-05-09
2314	OTHER	Apr-DRG 2314	2	1	—	—	$41,033.49	$41,033.49	$41,033.49	2026-05-09
2331	OTHER	Apr-DRG 2331	2	1	—	—	$20,941.04	$20,941.04	$20,941.04	2026-05-09
2332	OTHER	Apr-DRG 2332	2	1	—	—	$26,823.15	$26,823.15	$26,823.15	2026-05-09
239	OTHER	Ms-DRG 239	2	1	—	—	$43,706.61	$43,706.61	$43,706.61	2026-05-09
2402	OTHER	Apr-DRG 2402	2	1	—	—	$17,166.82	$17,166.82	$17,166.82	2026-05-09
241	OTHER	Apr-DRG 241	2	1	—	—	$17,010.97	$17,010.97	$17,010.97	2026-05-09
2413	OTHER	Apr-DRG 2413	2	1	—	—	$24,222.68	$24,222.68	$24,222.68	2026-05-09
2441	OTHER	Apr-DRG 2441	2	1	—	—	$11,936.20	$11,936.20	$11,936.20	2026-05-09
2442	OTHER	Apr-DRG 2442	2	1	—	—	$15,080.90	$15,080.90	$15,080.90	2026-05-09
2453	OTHER	Apr-DRG 2453	2	1	—	—	$24,927.31	$24,927.31	$24,927.31	2026-05-09
2471	OTHER	Apr-DRG 2471	2	1	—	—	$10,140.20	$10,140.20	$10,140.20	2026-05-09
2473	OTHER	Apr-DRG 2473	2	1	—	—	$22,919.06	$22,919.06	$22,919.06	2026-05-09
2481	OTHER	Apr-DRG 2481	2	1	—	—	$12,112.35	$12,112.35	$12,112.35	2026-05-09
2482	OTHER	Apr-DRG 2482	2	1	—	—	$14,891.09	$14,891.09	$14,891.09	2026-05-09
2484	OTHER	Apr-DRG 2484	2	1	—	—	$43,404.77	$43,404.77	$43,404.77	2026-05-09
2491	OTHER	Apr-DRG 2491	2	1	—	—	$10,211.07	$10,211.07	$10,211.07	2026-05-09
2492	OTHER	Apr-DRG 2492	2	1	—	—	$12,264.21	$12,264.21	$12,264.21	2026-05-09
2493	OTHER	Apr-DRG 2493	2	1	—	—	$19,047.29	$19,047.29	$19,047.29	2026-05-09
2511	OTHER	Apr-DRG 2511	2	1	—	—	$12,827.11	$12,827.11	$12,827.11	2026-05-09
2522	OTHER	Apr-DRG 2522	2	1	—	—	$15,776.54	$15,776.54	$15,776.54	2026-05-09
2532	OTHER	Apr-DRG 2532	2	1	—	—	$17,098.88	$17,098.88	$17,098.88	2026-05-09
2533	OTHER	Apr-DRG 2533	2	1	—	—	$7,364.00	$7,364.00	$7,364.00	2026-05-09
2543	OTHER	Apr-DRG 2543	1	1	—	—	$8,449.64	$8,449.64	$8,449.64	2026-05-09
2803	OTHER	Apr-DRG 2803	2	1	—	—	$25,220.75	$25,220.75	$25,220.75	2026-05-09
281	OTHER	Ms-DRG 281	2	1	—	—	$8,026.11	$8,026.11	$8,026.11	2026-05-09
282	OTHER	Ms-DRG 282	2	1	—	—	$6,287.07	$6,287.07	$6,287.07	2026-05-09
2833	OTHER	Apr-DRG 2833	2	1	—	—	$19,395.49	$19,395.49	$19,395.49	2026-05-09
2843	OTHER	Apr-DRG 2843	2	1	—	—	$8,001.00	$8,001.00	$8,001.00	2026-05-09
291	OTHER	Ms-DRG 291	4	3	—	—	$10,736.33	$59,904.35	$21,948.53	2026-05-09
299	OTHER	Ms-DRG 299	1	1	—	—	$18,917.50	$18,917.50	$18,917.50	2026-05-09
3031	OTHER	Apr-DRG 3031	2	1	—	—	$87,820.09	$87,820.09	$87,820.09	2026-05-09
3041	OTHER	Apr-DRG 3041	2	1	—	—	$64,958.98	$64,958.98	$64,958.98	2026-05-09
3042	OTHER	Apr-DRG 3042	2	1	—	—	$77,826.10	$77,826.10	$77,826.10	2026-05-09
305	OTHER	Ms-DRG 305	3	2	—	—	$6,542.55	$26,487.36	$6,542.55	2026-05-09
3053	OTHER	Apr-DRG 3053	2	1	—	—	$56,283.37	$56,283.37	$56,283.37	2026-05-09
3054	OTHER	Apr-DRG 3054	2	1	—	—	$75,230.28	$75,230.28	$75,230.28	2026-05-09
308	OTHER	Ms-DRG 308	3	2	—	—	$10,643.02	$35,342.91	$10,643.02	2026-05-09
3081	OTHER	Apr-DRG 3081	2	1	—	—	$26,364.92	$26,364.92	$26,364.92	2026-05-09
3082	OTHER	Apr-DRG 3082	2	1	—	—	$109,204.13	$109,204.13	$109,204.13	2026-05-09
309	OTHER	Ms-DRG 309	3	2	—	—	$6,443.73	$27,479.82	$6,443.73	2026-05-09
311	OTHER	Ms-DRG 311	1	1	—	—	$6,005.22	$6,005.22	$6,005.22	2026-05-09
312	OTHER	Ms-DRG 312	2	1	—	—	$7,588.24	$7,588.24	$7,588.24	2026-05-09
3122	OTHER	Apr-DRG 3122	2	1	—	—	$67,667.53	$67,667.53	$67,667.53	2026-05-09
3132	OTHER	Apr-DRG 3132	2	1	—	—	$43,018.94	$43,018.94	$43,018.94	2026-05-09
3133	OTHER	Apr-DRG 3133	2	1	—	—	$57,528.41	$57,528.41	$57,528.41	2026-05-09
3162	OTHER	Apr-DRG 3162	2	1	—	—	$18,439.54	$18,439.54	$18,439.54	2026-05-09
3172	OTHER	Apr-DRG 3172	2	1	—	—	$30,657.50	$30,657.50	$30,657.50	2026-05-09
3253	OTHER	Apr-DRG 3253	3	2	—	—	$24,776.91	$65,602.33	$65,602.33	2026-05-09
3263	OTHER	Apr-DRG 3263	1	1	—	—	$15,503.84	$15,503.84	$15,503.84	2026-05-09
327	OTHER	Ms-DRG 327	2	1	—	—	$20,410.39	$20,410.39	$20,410.39	2026-05-09
330	OTHER	Ms-DRG 330	3	2	—	—	$20,018.56	$63,080.93	$20,018.56	2026-05-09
354	OTHER	Ms-DRG 354	1	1	—	—	$45,694.52	$45,694.52	$45,694.52	2026-05-09
3641	OTHER	Apr-DRG 3641	2	1	—	—	$15,925.05	$15,925.05	$15,925.05	2026-05-09
36482	OTHER	Endoven Ther Chem Adhes 1St	8	5	$15,754.00	$15,281.38	$10,240.10	$15,281.38	$12,941.91	2026-05-09
371	OTHER	Ms-DRG 371	3	2	—	—	$14,002.30	$19,753.68	$14,002.30	2026-05-09
372	OTHER	Ms-DRG 372	3	2	—	—	$8,695.79	$25,711.71	$8,695.79	2026-05-09
377	OTHER	Ms-DRG 377	3	2	—	—	$15,764.95	$24,546.41	$15,764.95	2026-05-09
378	OTHER	Ms-DRG 378	3	2	—	—	$8,581.90	$51,544.64	$8,581.90	2026-05-09
38	OTHER	Ms-DRG 38	1	1	—	—	$68,085.87	$68,085.87	$68,085.87	2026-05-09
3811	OTHER	Apr-DRG 3811	2	1	—	—	$9,664.37	$9,664.37	$9,664.37	2026-05-09
3832	OTHER	Apr-DRG 3832	2	1	—	—	$15,764.22	$15,764.22	$15,764.22	2026-05-09
384	OTHER	Ms-DRG 384	1	1	—	—	$31,177.76	$31,177.76	$31,177.76	2026-05-09
3851	OTHER	Apr-DRG 3851	2	1	—	—	$7,626.72	$7,626.72	$7,626.72	2026-05-09
3852	OTHER	Apr-DRG 3852	2	1	—	—	$19,908.07	$19,908.07	$19,908.07	2026-05-09
3853	OTHER	Apr-DRG 3853	2	1	—	—	$21,044.93	$21,044.93	$21,044.93	2026-05-09
39	OTHER	Ms-DRG 39	3	2	—	—	$9,833.45	$30,311.22	$9,833.45	2026-05-09
392	OTHER	Ms-DRG 392	3	2	—	—	$6,799.20	$41,401.94	$6,799.20	2026-05-09
418	OTHER	Ms-DRG 418	2	1	—	—	$14,412.89	$14,412.89	$14,412.89	2026-05-09
4202	OTHER	Apr-DRG 4202	2	1	—	—	$12,757.23	$12,757.23	$12,757.23	2026-05-09
4203	OTHER	Apr-DRG 4203	2	1	—	—	$21,684.29	$21,684.29	$21,684.29	2026-05-09
421	OTHER	Apr-DRG 421	2	1	—	—	$14,765.22	$14,765.22	$14,765.22	2026-05-09
4213	OTHER	Apr-DRG 4213	2	1	—	—	$10,910.48	$10,910.48	$10,910.48	2026-05-09
4221	OTHER	Apr-DRG 4221	2	1	—	—	$8,437.34	$8,437.34	$8,437.34	2026-05-09
4222	OTHER	Apr-DRG 4222	2	1	—	—	$10,223.22	$10,223.22	$10,223.22	2026-05-09
4252	OTHER	Apr-DRG 4252	2	1	—	—	$15,982.00	$15,982.00	$15,982.00	2026-05-09
4253	OTHER	Apr-DRG 4253	2	1	—	—	$29,132.82	$29,132.82	$29,132.82	2026-05-09
4261	OTHER	Apr-DRG 4261	2	1	—	—	$10,394.01	$10,394.01	$10,394.01	2026-05-09
4262	OTHER	Apr-DRG 4262	2	1	—	—	$14,077.91	$14,077.91	$14,077.91	2026-05-09
4263	OTHER	Apr-DRG 4263	2	1	—	—	$23,610.37	$23,610.37	$23,610.37	2026-05-09
428	OTHER	Ms-DRG 428	1	1	—	—	$153,749.51	$153,749.51	$153,749.51	2026-05-09
433	OTHER	Ms-DRG 433	1	1	—	—	$30,240.94	$30,240.94	$30,240.94	2026-05-09
439	OTHER	Ms-DRG 439	2	1	—	—	$21,433.29	$21,433.29	$21,433.29	2026-05-09
441	OTHER	Ms-DRG 441	1	1	—	—	$29,963.11	$29,963.11	$29,963.11	2026-05-09
442	OTHER	Ms-DRG 442	2	1	—	—	$8,411.09	$8,411.09	$8,411.09	2026-05-09
445	OTHER	Ms-DRG 445	2	1	—	—	$9,228.44	$9,228.44	$9,228.44	2026-05-09
446	OTHER	Ms-DRG 446	2	1	—	—	$6,911.70	$6,911.70	$6,911.70	2026-05-09
448	OTHER	Ms-DRG 448	3	2	—	—	$35,440.04	$122,988.25	$35,440.04	2026-05-09
451	OTHER	Apr-DRG 451	5	2	—	—	$13,518.47	$103,011.75	$26,791.09	2026-05-09
452	OTHER	Apr-DRG 452	2	1	—	—	$17,950.03	$17,950.03	$17,950.03	2026-05-09
4631	OTHER	Apr-DRG 4631	2	1	—	—	$10,887.10	$10,887.10	$10,887.10	2026-05-09
4632	OTHER	Apr-DRG 4632	2	1	—	—	$12,805.18	$12,805.18	$12,805.18	2026-05-09
4633	OTHER	Apr-DRG 4633	2	1	—	—	$21,707.88	$21,707.88	$21,707.88	2026-05-09
464	OTHER	Ms-DRG 464	1	1	—	—	$61,599.19	$61,599.19	$61,599.19	2026-05-09
467	OTHER	Ms-DRG 467	2	1	—	—	$29,732.16	$29,732.16	$29,732.16	2026-05-09
468	OTHER	Ms-DRG 468	3	2	—	—	$22,779.18	$50,984.00	$22,779.18	2026-05-09
4692	OTHER	Apr-DRG 4692	2	1	—	—	$15,066.01	$15,066.01	$15,066.01	2026-05-09
4693	OTHER	Apr-DRG 4693	2	1	—	—	$114,628.37	$114,628.37	$114,628.37	2026-05-09
470	OTHER	Ms-DRG 470	2	1	—	—	$16,382.01	$16,382.01	$16,382.01	2026-05-09
480	OTHER	Ms-DRG 480	3	2	—	—	$24,180.10	$58,385.89	$24,180.10	2026-05-09
481	OTHER	Apr-DRG 481	5	2	—	—	$9,404.59	$18,388.90	$18,024.20	2026-05-09
483	OTHER	Ms-DRG 483	2	1	—	—	$22,128.03	$22,128.03	$22,128.03	2026-05-09
486	OTHER	Ms-DRG 486	1	1	—	—	$64,930.09	$64,930.09	$64,930.09	2026-05-09
5011	OTHER	Apr-DRG 5011	2	1	—	—	$14,266.74	$14,266.74	$14,266.74	2026-05-09
5013	OTHER	Apr-DRG 5013	2	1	—	—	$26,441.53	$26,441.53	$26,441.53	2026-05-09
502	OTHER	Apr-DRG 502	2	1	—	—	$18,082.60	$18,082.60	$18,082.60	2026-05-09
5131	OTHER	Apr-DRG 5131	2	1	—	—	$17,482.50	$17,482.50	$17,482.50	2026-05-09
5191	OTHER	Apr-DRG 5191	2	1	—	—	$15,800.18	$15,800.18	$15,800.18	2026-05-09
5192	OTHER	Apr-DRG 5192	2	1	—	—	$20,269.71	$20,269.71	$20,269.71	2026-05-09
522	OTHER	Ms-DRG 522	3	2	—	—	$18,312.09	$64,129.42	$18,312.09	2026-05-09
523	OTHER	Apr-DRG 523	2	1	—	—	$29,588.38	$29,588.38	$29,588.38	2026-05-09
536	OTHER	Ms-DRG 536	3	2	—	—	$7,064.54	$23,248.53	$7,064.54	2026-05-09
5391	OTHER	Apr-DRG 5391	2	1	—	—	$15,376.33	$15,376.33	$15,376.33	2026-05-09
5392	OTHER	Apr-DRG 5392	2	1	—	—	$18,929.87	$18,929.87	$18,929.87	2026-05-09
5401	OTHER	Apr-DRG 5401	3	2	—	—	$4,912.30	$14,955.03	$14,955.03	2026-05-09
5402	OTHER	Apr-DRG 5402	3	2	—	—	$6,283.65	$19,664.86	$19,664.86	2026-05-09
5403	OTHER	Apr-DRG 5403	2	1	—	—	$24,815.16	$24,815.16	$24,815.16	2026-05-09
5421	OTHER	Apr-DRG 5421	2	1	—	—	$20,302.06	$20,302.06	$20,302.06	2026-05-09
5422	OTHER	Apr-DRG 5422	2	1	—	—	$13,016.97	$13,016.97	$13,016.97	2026-05-09
543	OTHER	Ms-DRG 543	1	1	—	—	$33,656.72	$33,656.72	$33,656.72	2026-05-09
551	OTHER	Ms-DRG 551	1	1	—	—	$51,765.09	$51,765.09	$51,765.09	2026-05-09
552	OTHER	Ms-DRG 552	2	1	—	—	$8,390.28	$8,390.28	$8,390.28	2026-05-09
553	OTHER	Apr-DRG 553	2	1	—	—	$12,500.00	$12,500.00	$12,500.00	2026-05-09
556	OTHER	Ms-DRG 556	2	1	—	—	$7,112.20	$7,112.20	$7,112.20	2026-05-09
5601	OTHER	Apr-DRG 5601	3	2	—	—	$2,943.61	$9,926.06	$9,926.06	2026-05-09
5602	OTHER	Apr-DRG 5602	2	1	—	—	$11,361.15	$11,361.15	$11,361.15	2026-05-09
5603	OTHER	Apr-DRG 5603	3	2	—	—	$4,254.40	$14,679.06	$14,679.06	2026-05-09
5612	OTHER	Apr-DRG 5612	3	2	—	—	$3,332.74	$8,795.73	$8,795.73	2026-05-09
563	OTHER	Ms-DRG 563	2	1	—	—	$7,783.33	$7,783.33	$7,783.33	2026-05-09
573	OTHER	Ms-DRG 573	1	1	—	—	$62,736.70	$62,736.70	$62,736.70	2026-05-09
574	OTHER	Ms-DRG 574	2	1	—	—	$30,042.88	$30,042.88	$30,042.88	2026-05-09
5813	OTHER	Apr-DRG 5813	2	1	—	—	$6,878.25	$6,878.25	$6,878.25	2026-05-09
592	OTHER	Ms-DRG 592	2	1	—	—	$17,553.16	$17,553.16	$17,553.16	2026-05-09
602	OTHER	Ms-DRG 602	1	1	—	—	$55,861.56	$55,861.56	$55,861.56	2026-05-09
603	OTHER	Ms-DRG 603	2	1	—	—	$7,670.61	$7,670.61	$7,670.61	2026-05-09
617	OTHER	Ms-DRG 617	3	2	—	—	$16,781.70	$47,064.29	$16,781.70	2026-05-09
6261	OTHER	Apr-DRG 6261	2	1	—	—	$6,971.39	$6,971.39	$6,971.39	2026-05-09
6262	OTHER	Apr-DRG 6262	2	1	—	—	$7,638.35	$7,638.35	$7,638.35	2026-05-09
6263	OTHER	Apr-DRG 6263	2	1	—	—	$13,597.08	$13,597.08	$13,597.08	2026-05-09
6331	OTHER	Apr-DRG 6331	2	1	—	—	$7,354.07	$7,354.07	$7,354.07	2026-05-09
6333	OTHER	Apr-DRG 6333	2	1	—	—	$56,028.24	$56,028.24	$56,028.24	2026-05-09
6341	OTHER	Apr-DRG 6341	2	1	—	—	$20,010.95	$20,010.95	$20,010.95	2026-05-09
6343	OTHER	Apr-DRG 6343	2	1	—	—	$14,932.41	$14,932.41	$14,932.41	2026-05-09
637	OTHER	Ms-DRG 637	1	1	—	—	$12,627.04	$12,627.04	$12,627.04	2026-05-09
638	OTHER	Ms-DRG 638	1	1	—	—	$8,148.35	$8,148.35	$8,148.35	2026-05-09
6391	OTHER	Apr-DRG 6391	2	1	—	—	$7,798.33	$7,798.33	$7,798.33	2026-05-09
6393	OTHER	Apr-DRG 6393	2	1	—	—	$8,847.28	$8,847.28	$8,847.28	2026-05-09
64	OTHER	Ms-DRG 64	3	2	—	—	$16,959.94	$37,563.14	$16,959.94	2026-05-09
640	OTHER	Ms-DRG 640	1	1	—	—	$14,501.30	$14,501.30	$14,501.30	2026-05-09
6402	OTHER	Apr-DRG 6402	2	1	—	—	$5,438.61	$5,438.61	$5,438.61	2026-05-09
6403	OTHER	Apr-DRG 6403	2	1	—	—	$12,401.90	$12,401.90	$12,401.90	2026-05-09
641	OTHER	Ms-DRG 641	2	2	—	—	$17,255.74	$27,822.77	$22,539.26	2026-05-09
65	OTHER	Ms-DRG 65	3	2	—	—	$8,850.69	$34,010.14	$8,850.69	2026-05-09
6511	OTHER	Apr-DRG 6511	2	1	—	—	$26,160.42	$26,160.42	$26,160.42	2026-05-09
6602	OTHER	Apr-DRG 6602	2	1	—	—	$21,114.61	$21,114.61	$21,114.61	2026-05-09
6612	OTHER	Apr-DRG 6612	2	1	—	—	$29,216.75	$29,216.75	$29,216.75	2026-05-09
6633	OTHER	Apr-DRG 6633	2	1	—	—	$34,500.39	$34,500.39	$34,500.39	2026-05-09
682	OTHER	Ms-DRG 682	3	2	—	—	$13,055.95	$45,783.53	$13,055.95	2026-05-09
683	OTHER	Ms-DRG 683	1	1	—	—	$14,053.90	$14,053.90	$14,053.90	2026-05-09
69	OTHER	Ms-DRG 69	1	1	—	—	$47,319.27	$47,319.27	$47,319.27	2026-05-09
6914	OTHER	Apr-DRG 6914	2	1	—	—	$34,039.34	$34,039.34	$34,039.34	2026-05-09
698	OTHER	Ms-DRG 698	3	2	—	—	$14,607.99	$61,228.50	$14,607.99	2026-05-09
70553	OTHER	MRI Brain Wwo Contrast	12	5	$6,321.00	$6,131.37	$729.77	$6,131.37	$5,391.81	2026-05-09
708	OTHER	Ms-DRG 708	1	1	—	—	$50,674.11	$50,674.11	$50,674.11	2026-05-09
7102	OTHER	Apr-DRG 7102	2	1	—	—	$34,565.36	$34,565.36	$34,565.36	2026-05-09
7112	OTHER	Apr-DRG 7112	2	1	—	—	$27,655.37	$27,655.37	$27,655.37	2026-05-09
7113	OTHER	Apr-DRG 7113	2	1	—	—	$81,006.83	$81,006.83	$81,006.83	2026-05-09
7114	OTHER	Apr-DRG 7114	2	1	—	—	$81,006.83	$81,006.83	$81,006.83	2026-05-09
7201	OTHER	Apr-DRG 7201	2	1	—	—	$14,501.62	$14,501.62	$14,501.62	2026-05-09
7202	OTHER	Apr-DRG 7202	3	2	—	—	$7,839.43	$18,171.81	$18,171.81	2026-05-09
7203	OTHER	Apr-DRG 7203	2	1	—	—	$27,632.34	$27,632.34	$27,632.34	2026-05-09
7204	OTHER	Apr-DRG 7204	3	2	—	—	$41,100.60	$77,998.10	$41,100.60	2026-05-09
7214	OTHER	Apr-DRG 7214	2	1	—	—	$51,296.28	$51,296.28	$51,296.28	2026-05-09
72156	OTHER	MRI Neck Spine Wwo Dye	11	5	$6,040.00	$5,858.80	$340.05	$5,858.80	$5,152.12	2026-05-09
72158	OTHER	MRI Lumbar Spine Wwo Dye	11	5	$6,040.00	$5,858.80	$340.97	$5,858.80	$5,152.12	2026-05-09
72197	OTHER	MRI Pelvis Wwo Dye	11	5	$6,321.00	$6,131.37	$618.17	$6,131.37	$5,562.48	2026-05-09
7222	OTHER	Apr-DRG 7222	2	1	—	—	$12,689.30	$12,689.30	$12,689.30	2026-05-09
7233	OTHER	Apr-DRG 7233	2	1	—	—	$17,972.01	$17,972.01	$17,972.01	2026-05-09
7241	OTHER	Apr-DRG 7241	2	1	—	—	$12,689.30	$12,689.30	$12,689.30	2026-05-09
74174	OTHER	CTA Abd&Pelv Wwo Dye	10	5	$8,770.00	$8,506.90	$71.13	$8,506.90	$7,125.62	2026-05-09
74176	OTHER	CT Abd & Pelvis Wo Contrast	13	5	$6,472.00	$6,277.84	$95.04	$6,277.84	$5,520.62	2026-05-09
74177	OTHER	CT Abd & Pelv W Contrast	13	5	$7,761.00	$7,528.17	$227.52	$7,528.17	$6,620.13	2026-05-09
74178	OTHER	CT Abd & Pelv Wwo Contrast	11	5	$8,278.00	$8,029.66	$479.88	$8,029.66	$7,061.13	2026-05-09
742	OTHER	Ms-DRG 742	1	1	—	—	$36,215.67	$36,215.67	$36,215.67	2026-05-09
743	OTHER	Ms-DRG 743	1	1	—	—	$42,105.79	$42,105.79	$42,105.79	2026-05-09
7593	OTHER	Apr-DRG 7593	2	1	—	—	$30,443.44	$30,443.44	$30,443.44	2026-05-09
760	OTHER	Ms-DRG 760	1	1	—	—	$22,757.63	$22,757.63	$22,757.63	2026-05-09
7752	OTHER	Apr-DRG 7752	3	2	—	—	$1,988.60	$13,480.51	$13,480.51	2026-05-09
7753	OTHER	Apr-DRG 7753	2	1	—	—	$11,184.14	$11,184.14	$11,184.14	2026-05-09
786	OTHER	Ms-DRG 786	1	1	—	—	$17,133.34	$17,133.34	$17,133.34	2026-05-09
788	OTHER	Ms-DRG 788	1	1	—	—	$26,655.25	$26,655.25	$26,655.25	2026-05-09
789	OTHER	Ms-DRG 789	1	1	—	—	$14,424.06	$14,424.06	$14,424.06	2026-05-09
7921	OTHER	Apr-DRG 7921	2	1	—	—	$25,450.52	$25,450.52	$25,450.52	2026-05-09
7922	OTHER	Apr-DRG 7922	2	1	—	—	$36,395.57	$36,395.57	$36,395.57	2026-05-09
793	OTHER	Ms-DRG 793	1	1	—	—	$7,554.05	$7,554.05	$7,554.05	2026-05-09
794	OTHER	Ms-DRG 794	3	2	—	—	$6,519.11	$9,452.05	$6,519.11	2026-05-09
795	OTHER	Ms-DRG 795	2	2	—	—	$6,989.33	$7,149.33	$7,069.33	2026-05-09
806	OTHER	Ms-DRG 806	1	1	—	—	$20,325.27	$20,325.27	$20,325.27	2026-05-09
807	OTHER	Ms-DRG 807	6	5	—	—	$12,417.73	$15,865.68	$13,164.43	2026-05-09
8102	OTHER	Apr-DRG 8102	2	1	—	—	$14,463.15	$14,463.15	$14,463.15	2026-05-09
8111	OTHER	Apr-DRG 8111	2	1	—	—	$11,550.44	$11,550.44	$11,550.44	2026-05-09
812	OTHER	Ms-DRG 812	2	1	—	—	$8,035.63	$8,035.63	$8,035.63	2026-05-09
8123	OTHER	Apr-DRG 8123	2	1	—	—	$17,048.93	$17,048.93	$17,048.93	2026-05-09
813	OTHER	Ms-DRG 813	3	2	—	—	$13,422.13	$13,455.65	$13,422.13	2026-05-09
8134	OTHER	Apr-DRG 8134	2	1	—	—	$21,996.49	$21,996.49	$21,996.49	2026-05-09
8174	OTHER	Apr-DRG 8174	2	1	—	—	$43,704.25	$43,704.25	$43,704.25	2026-05-09
820	OTHER	Ms-DRG 820	2	1	—	—	$50,516.54	$50,516.54	$50,516.54	2026-05-09
846	OTHER	Ms-DRG 846	2	1	—	—	$22,176.58	$22,176.58	$22,176.58	2026-05-09
853	OTHER	Ms-DRG 853	3	2	—	—	$41,172.24	$65,658.51	$41,172.24	2026-05-09
857	OTHER	Ms-DRG 857	2	1	—	—	$22,068.37	$22,068.37	$22,068.37	2026-05-09
8612	OTHER	Apr-DRG 8612	2	1	—	—	$15,011.87	$15,011.87	$15,011.87	2026-05-09
8613	OTHER	Apr-DRG 8613	1	1	—	—	$7,528.15	$7,528.15	$7,528.15	2026-05-09
865	OTHER	Ms-DRG 865	2	1	—	—	$12,830.52	$12,830.52	$12,830.52	2026-05-09
866	OTHER	Ms-DRG 866	2	1	—	—	$7,671.78	$7,671.78	$7,671.78	2026-05-09
867	OTHER	Ms-DRG 867	1	1	—	—	$70,595.63	$70,595.63	$70,595.63	2026-05-09
871	OTHER	Ms-DRG 871	4	3	—	—	$17,045.29	$29,632.70	$17,045.73	2026-05-09
872	OTHER	Ms-DRG 872	3	2	—	—	$8,972.94	$30,444.34	$8,972.94	2026-05-09
896	OTHER	Ms-DRG 896	1	1	—	—	$51,253.74	$51,253.74	$51,253.74	2026-05-09
897	OTHER	Ms-DRG 897	1	1	—	—	$27,545.03	$27,545.03	$27,545.03	2026-05-09
91	OTHER	Ms-DRG 91	2	1	—	—	$14,674.64	$14,674.64	$14,674.64	2026-05-09
9123	OTHER	Apr-DRG 9123	2	1	—	—	$57,797.15	$57,797.15	$57,797.15	2026-05-09
914	OTHER	Ms-DRG 914	1	1	—	—	$37,615.05	$37,615.05	$37,615.05	2026-05-09
918	OTHER	Ms-DRG 918	1	1	—	—	$11,591.93	$11,591.93	$11,591.93	2026-05-09
948	OTHER	Ms-DRG 948	1	1	—	—	$6,922.34	$6,922.34	$6,922.34	2026-05-09
95810	OTHER	Polysomnogram	13	5	$6,524.00	$6,328.28	$2,507.27	$6,328.28	$5,564.97	2026-05-09
95811	OTHER	Polysomnogram W CPap	11	5	$7,497.00	$7,272.09	$2,507.27	$7,272.09	$6,394.94	2026-05-09
J0129	OTHER	Abatacept 250 Mg Vial	8	5	$6,467.00	$6,273.41	$588.00	$6,273.41	$5,254.79	2026-05-09
J0717	OTHER	Certolizumab Pegol 400 Mg Kit	8	5	$25,886.00	$25,109.77	$3.42	$25,109.77	$21,032.67	2026-05-09
J0897	OTHER	Denosumab 60 Mg/ml Syringe	20	5	$7,432.00	$7,209.62	$9.69	$13,322.09	$6,038.99	2026-05-09
J1569	OTHER	Immune Glob Gamagar 30gr/300ml	8	5	$14,132.00	$13,708.84	$21.77	$13,708.84	$11,482.92	2026-05-09
J1602	OTHER	Golimumab 50 Mg/4 Ml Vial	8	5	$8,593.00	$8,335.92	$43.11	$8,335.92	$6,982.40	2026-05-09
J2350	OTHER	Ocrelizumab 300 Mg/10 Ml	10	5	$88,789.00	$86,126.02	$6.09	$86,126.02	$72,141.64	2026-05-09
J2353	OTHER	Octreotide (Depot) 30 Mg Syr	8	5	$27,842.00	$27,006.83	$17.33	$27,006.83	$22,621.69	2026-05-09
J3101	OTHER	Tenecteplase 50 Mg/10 Ml Syrng	10	5	$31,584.00	$30,637.29	$0.41	$30,637.29	$25,662.68	2026-05-09
J3380	OTHER	Vedolizumab 300 Mg Vial	12	5	$39,149.00	$37,975.12	$72.63	$37,975.12	$33,394.62	2026-05-09
J9173	OTHER	Durvalumab 500 Mg/10 Ml Vial	8	5	$18,222.00	$17,675.82	$16.91	$17,675.82	$14,805.77	2026-05-09
J9271	OTHER	Pembrolizumab 100 Mg/4 Ml Vial	8	5	$26,038.00	$25,257.65	$13.37	$25,257.65	$21,156.53	2026-05-09
J9306	OTHER	Pertuzumab 420 Mg/14 Ml Vial	8	5	$29,670.00	$28,780.39	$508.34	$28,780.39	$24,107.29	2026-05-09
J9317	OTHER	Sacituzumab Gov-hziy 180Mg	8	5	$10,917.00	$10,589.85	$4,156.37	$10,589.85	$8,870.36	2026-05-09
Q5108	OTHER	Pegfilgrastim-jmdb 6 Mg/0.6 Ml	10	5	$8,047.00	$7,806.07	$1,626.36	$7,806.08	$6,538.60	2026-05-09
Q5111	OTHER	Pegfilgrastim-cbqv 6 Mg/0.6 Ml	8	5	$8,925.00	$8,657.25	$1,112.40	$8,657.25	$7,251.57	2026-05-09
Q5112	OTHER	Trastuzumab-dttb 420 Mg Vial	8	5	$7,913.00	$7,675.65	$3,051.38	$7,675.65	$6,429.34	2026-05-09
Q5116	OTHER	Trastuzumab Qyyp 420Mg Vial	8	5	$8,101.00	$7,858.11	$2,896.88	$7,858.11	$6,582.18	2026-05-09
Q5119	OTHER	Rituximab-pvvr 500Mg/50Ml Vial	10	5	$10,504.00	$10,189.19	$1,112.40	$10,189.19	$8,534.76	2026-05-09
Q5122	OTHER	Pegfilgrastim 6 Mg/0.6 Ml Syr	10	5	$7,555.00	$7,328.37	$786.12	$7,328.37	$6,138.45	2026-05-09

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