Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

ALLEGIANCE BEHAVIORAL HEALTH CENTER OF PLAINVIEW

Plainview, TX · CCN 454101 · Rates published

2,110 distinct procedures filed
13 distinct payers
10,596 rate rows
2026-07-31 last MRF observed
Data quality

10,550 of 10,596 rate rows are consumer-grade (99.6%)

46 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 — reasonRows
exceeds 10× this hospital's gross charge — excluded from medians 36
placeholder amount (≤ $0.02) — excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://freedombehavioral.com/wp-content/uploads/2026/03/201871394_allegiance-behavioral-health-center-of-plainview_standardchargesupdated.csv
Found on page https://freedombehavioral.com/price-transparency/
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-08-14
Content fingerprint 8ca16860e4ffafdb… · 300,404 bytes · first seen 2026-05-13

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
48300001
OTHER 		Inpatient Psychiatric Services 5 $4,562.00 $4,562.00 $4,562.00 nat. median
$471
outlier · 9.7×
35200007
OTHER 		Inpatient Psychiatric Services 5 $4,460.00 $4,460.00 $4,460.00 nat. median
$557
outlier · 8.0×
35000004
OTHER 		Inpatient Psychiatric Services 5 $4,460.00 $4,460.00 $4,460.00 nat. median
$993
outlier · 4.5×
35000011
OTHER 		Inpatient Psychiatric Services 5 $4,131.00 $4,131.00 $4,131.00 nat. median
$1,023
outlier · 4.0×
61200004
OTHER 		Inpatient Psychiatric Services 5 $3,876.00 $3,876.00 $3,876.00 nat. median
$950
outlier · 4.1×
35100005
OTHER 		Inpatient Psychiatric Services 5 $3,380.00 $3,380.00 $3,380.00 nat. median
$1,014
outlier · 3.3×
35000014
OTHER 		Inpatient Psychiatric Services 5 $3,333.00 $3,333.00 $3,333.00 nat. median
$1,085
outlier · 3.1×
25005073
OTHER 		Inpatient Psychiatric Services 5 $3,209.67 $3,209.67 $3,209.67 nat. median
$3,210
1.0× median
32000240
OTHER 		Inpatient Psychiatric Services 5 $3,111.00 $3,111.00 $3,111.00 nat. median
$3,116
1.0× median
61100004
OTHER 		Inpatient Psychiatric Services 5 $3,007.00 $3,007.00 $3,007.00 nat. median
$3,012
1.0× median
61000018
OTHER 		Inpatient Psychiatric Services 5 $3,007.00 $3,007.00 $3,007.00 nat. median
$1,185
outlier · 2.5×
61400002
OTHER 		Inpatient Psychiatric Services 5 $3,007.00 $3,007.00 $3,007.00 nat. median
$1,060
outlier · 2.8×
35000012
OTHER 		Inpatient Psychiatric Services 5 $2,733.00 $2,733.00 $2,733.00 nat. median
$1,109
outlier · 2.5×
27000796
OTHER 		Inpatient Psychiatric Services 5 $2,713.00 $2,713.00 $2,713.00 nat. median
$51
outlier · 52.8×
35200005
OTHER 		Inpatient Psychiatric Services 5 $2,539.00 $2,539.00 $2,539.00 nat. median
$753
outlier · 3.4×
35100004
OTHER 		Inpatient Psychiatric Services 5 $2,456.00 $2,456.00 $2,456.00 nat. median
$786
outlier · 3.1×
35100003
OTHER 		Inpatient Psychiatric Services 5 $2,373.00 $2,373.00 $2,373.00 nat. median
$600
outlier · 4.0×
35200006
OTHER 		Inpatient Psychiatric Services 5 $2,356.00 $2,356.00 $2,356.00 nat. median
$778
outlier · 3.0×
35000015
OTHER 		Inpatient Psychiatric Services 5 $2,254.00 $2,254.00 $2,254.00 nat. median
$1,024
outlier · 2.2×
40200014
OTHER 		Inpatient Psychiatric Services 5 $2,040.00 $2,040.00 $2,040.00 nat. median
$195
outlier · 10.5×
25004934
OTHER 		Inpatient Psychiatric Services 5 $1,992.40 $1,992.40 $1,992.40 nat. median
$1,992
1.0× median
35000002
OTHER 		Inpatient Psychiatric Services 5 $1,974.00 $1,974.00 $1,974.00 nat. median
$987
outlier · 2.0×
25003581
OTHER 		Inpatient Psychiatric Services 5 $1,815.00 $1,815.00 $1,815.00 nat. median
$1,815
1.0× median
40200013
OTHER 		Inpatient Psychiatric Services 5 $1,800.00 $1,800.00 $1,800.00 nat. median
$194
outlier · 9.3×
35000003
OTHER 		Inpatient Psychiatric Services 5 $1,798.00 $1,798.00 $1,798.00 nat. median
$1,024
1.8× median
32000157
OTHER 		Inpatient Psychiatric Services 5 $1,762.00 $1,762.00 $1,762.00 nat. median
$122
outlier · 14.4×
35000013
OTHER 		Inpatient Psychiatric Services 5 $1,749.00 $1,749.00 $1,749.00 nat. median
$1,109
1.6× median
40000001
OTHER 		Inpatient Psychiatric Services 5 $1,749.00 $1,749.00 $1,749.00 nat. median
$386
outlier · 4.5×
35000006
OTHER 		Inpatient Psychiatric Services 5 $1,693.00 $1,693.00 $1,693.00 nat. median
$1,106
1.5× median
25005074
OTHER 		Inpatient Psychiatric Services 5 $1,610.73 $1,610.73 $1,610.73 nat. median
$1,611
1.0× median
40000003
OTHER 		Inpatient Psychiatric Services 5 $1,598.48 $1,598.48 $1,598.48 nat. median
$508
outlier · 3.1×
25005025
OTHER 		Inpatient Psychiatric Services 5 $1,548.76 $1,548.76 $1,548.76 nat. median
$1,549
1.0× median
25004849
OTHER 		Inpatient Psychiatric Services 5 $1,538.00 $1,538.00 $1,538.00 nat. median
$1,538
1.0× median
25001429
OTHER 		Inpatient Psychiatric Services 5 $1,408.00 $1,408.00 $1,408.00 nat. median
$1,408
1.0× median
110002
OTHER 		Inpatient Psychiatric Services 5 $1,208.00 $1,208.00 $1,208.00 nat. median
$1,208
1.0× median
PH001342
OTHER 		Inpatient Psychiatric Services 5 $1,203.20 $1,203.20 $1,203.20 nat. median
$1,203
1.0× median
25005049
OTHER 		Inpatient Psychiatric Services 5 $1,108.00 $1,108.00 $1,108.00 nat. median
$1,108
1.0× median
30100319
OTHER 		Inpatient Psychiatric Services 5 $1,085.44 $1,085.44 $1,085.44 nat. median
$1,085
1.0× median
110001
OTHER 		Inpatient Psychiatric Services 5 $1,050.00 $1,050.00 $1,050.00 nat. median
$162
outlier · 6.5×
25001946
OTHER 		Inpatient Psychiatric Services 5 $1,016.00 $1,016.00 $1,016.00 nat. median
$1,016
1.0× median
32000242
OTHER 		Inpatient Psychiatric Services 5 $1,016.00 $1,016.00 $1,016.00 nat. median
$370
outlier · 2.7×
25003580
OTHER 		Inpatient Psychiatric Services 5 $1,002.00 $1,002.00 $1,002.00 nat. median
$1,002
1.0× median
25003785
OTHER 		Inpatient Psychiatric Services 5 $946.00 $946.00 $946.00 nat. median
$946
1.0× median
25003774
OTHER 		Inpatient Psychiatric Services 5 $932.00 $932.00 $932.00 nat. median
$932
1.0× median
30000043
OTHER 		Inpatient Psychiatric Services 5 $911.00 $911.00 $911.00 nat. median
$19
outlier · 48.9×
30000096
OTHER 		Inpatient Psychiatric Services 5 $911.00 $911.00 $911.00 nat. median
$161
outlier · 5.7×
30100280
OTHER 		Inpatient Psychiatric Services 5 $895.00 $895.00 $895.00 nat. median
$112
outlier · 8.0×
61400001
OTHER 		Inpatient Psychiatric Services 5 $835.00 $835.00 $835.00 nat. median
$835
1.0× median
25000088
OTHER 		Inpatient Psychiatric Services 5 $819.00 $819.00 $819.00 nat. median
$82
outlier · 9.9×
25001090
OTHER 		Inpatient Psychiatric Services 5 $729.00 $729.00 $729.00 nat. median
$8
outlier · 94.7×

Other procedures at this hospital

Browse this hospital's 2,110 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
48300001 OTHER Inpatient Psychiatric Services 5 5 $4,562.00 — $4,562.00 $4,562.00 $4,562.00 2026-07-31
35200007 OTHER Inpatient Psychiatric Services 5 5 $4,460.00 — $4,460.00 $4,460.00 $4,460.00 2026-07-31
35000004 OTHER Inpatient Psychiatric Services 5 5 $4,460.00 — $4,460.00 $4,460.00 $4,460.00 2026-07-31
35000011 OTHER Inpatient Psychiatric Services 5 5 $4,131.00 — $4,131.00 $4,131.00 $4,131.00 2026-07-31
61200004 OTHER Inpatient Psychiatric Services 5 5 $3,876.00 — $3,876.00 $3,876.00 $3,876.00 2026-07-31
35100005 OTHER Inpatient Psychiatric Services 5 5 $3,380.00 — $3,380.00 $3,380.00 $3,380.00 2026-07-31
35000014 OTHER Inpatient Psychiatric Services 5 5 $3,333.00 — $3,333.00 $3,333.00 $3,333.00 2026-07-31
25005073 OTHER Inpatient Psychiatric Services 5 5 $3,209.67 — $3,209.67 $3,209.67 $3,209.67 2026-07-31
32000240 OTHER Inpatient Psychiatric Services 5 5 $3,111.00 — $3,111.00 $3,111.00 $3,111.00 2026-07-31
61100004 OTHER Inpatient Psychiatric Services 5 5 $3,007.00 — $3,007.00 $3,007.00 $3,007.00 2026-07-31
61000018 OTHER Inpatient Psychiatric Services 5 5 $3,007.00 — $3,007.00 $3,007.00 $3,007.00 2026-07-31
61400002 OTHER Inpatient Psychiatric Services 5 5 $3,007.00 — $3,007.00 $3,007.00 $3,007.00 2026-07-31
35000012 OTHER Inpatient Psychiatric Services 5 5 $2,733.00 — $2,733.00 $2,733.00 $2,733.00 2026-07-31
27000796 OTHER Inpatient Psychiatric Services 5 5 $2,713.00 — $2,713.00 $2,713.00 $2,713.00 2026-07-31
35200005 OTHER Inpatient Psychiatric Services 5 5 $2,539.00 — $2,539.00 $2,539.00 $2,539.00 2026-07-31
35100004 OTHER Inpatient Psychiatric Services 5 5 $2,456.00 — $2,456.00 $2,456.00 $2,456.00 2026-07-31
35100003 OTHER Inpatient Psychiatric Services 5 5 $2,373.00 — $2,373.00 $2,373.00 $2,373.00 2026-07-31
35200006 OTHER Inpatient Psychiatric Services 5 5 $2,356.00 — $2,356.00 $2,356.00 $2,356.00 2026-07-31
35000015 OTHER Inpatient Psychiatric Services 5 5 $2,254.00 — $2,254.00 $2,254.00 $2,254.00 2026-07-31
40200014 OTHER Inpatient Psychiatric Services 5 5 $2,040.00 — $2,040.00 $2,040.00 $2,040.00 2026-07-31
25004934 OTHER Inpatient Psychiatric Services 5 5 $1,992.40 — $1,992.40 $1,992.40 $1,992.40 2026-07-31
35000002 OTHER Inpatient Psychiatric Services 5 5 $1,974.00 — $1,974.00 $1,974.00 $1,974.00 2026-07-31
25003581 OTHER Inpatient Psychiatric Services 5 5 $1,815.00 — $1,815.00 $1,815.00 $1,815.00 2026-07-31
40200013 OTHER Inpatient Psychiatric Services 5 5 $1,800.00 — $1,800.00 $1,800.00 $1,800.00 2026-07-31
35000003 OTHER Inpatient Psychiatric Services 5 5 $1,798.00 — $1,798.00 $1,798.00 $1,798.00 2026-07-31
32000157 OTHER Inpatient Psychiatric Services 5 5 $1,762.00 — $1,762.00 $1,762.00 $1,762.00 2026-07-31
35000013 OTHER Inpatient Psychiatric Services 5 5 $1,749.00 — $1,749.00 $1,749.00 $1,749.00 2026-07-31
40000001 OTHER Inpatient Psychiatric Services 5 5 $1,749.00 — $1,749.00 $1,749.00 $1,749.00 2026-07-31
35000006 OTHER Inpatient Psychiatric Services 5 5 $1,693.00 — $1,693.00 $1,693.00 $1,693.00 2026-07-31
25005074 OTHER Inpatient Psychiatric Services 5 5 $1,610.73 — $1,610.73 $1,610.73 $1,610.73 2026-07-31
40000003 OTHER Inpatient Psychiatric Services 5 5 $1,598.48 — $1,598.48 $1,598.48 $1,598.48 2026-07-31
25005025 OTHER Inpatient Psychiatric Services 5 5 $1,548.76 — $1,548.76 $1,548.76 $1,548.76 2026-07-31
25004849 OTHER Inpatient Psychiatric Services 5 5 $1,538.00 — $1,538.00 $1,538.00 $1,538.00 2026-07-31
25001429 OTHER Inpatient Psychiatric Services 5 5 $1,408.00 — $1,408.00 $1,408.00 $1,408.00 2026-07-31
110002 OTHER Inpatient Psychiatric Services 5 5 $1,208.00 $900.00 25% off $1,208.00 $1,208.00 $1,208.00 2026-07-31
PH001342 OTHER Inpatient Psychiatric Services 5 5 $1,203.20 — $1,203.20 $1,203.20 $1,203.20 2026-07-31
25005049 OTHER Inpatient Psychiatric Services 5 5 $1,108.00 — $1,108.00 $1,108.00 $1,108.00 2026-07-31
30100319 OTHER Inpatient Psychiatric Services 5 5 $1,085.44 — $1,085.44 $1,085.44 $1,085.44 2026-07-31
110001 OTHER Inpatient Psychiatric Services 5 5 $1,050.00 $900.00 $1,050.00 $1,050.00 $1,050.00 2026-07-31
25001946 OTHER Inpatient Psychiatric Services 5 5 $1,016.00 — $1,016.00 $1,016.00 $1,016.00 2026-07-31
32000242 OTHER Inpatient Psychiatric Services 5 5 $1,016.00 — $1,016.00 $1,016.00 $1,016.00 2026-07-31
25003580 OTHER Inpatient Psychiatric Services 5 5 $1,002.00 — $1,002.00 $1,002.00 $1,002.00 2026-07-31
25003785 OTHER Inpatient Psychiatric Services 5 5 $946.00 — $946.00 $946.00 $946.00 2026-07-31
25003774 OTHER Inpatient Psychiatric Services 5 5 $932.00 — $932.00 $932.00 $932.00 2026-07-31
30000096 OTHER Inpatient Psychiatric Services 5 5 $911.00 — $911.00 $911.00 $911.00 2026-07-31
30000043 OTHER Inpatient Psychiatric Services 5 5 $911.00 — $911.00 $911.00 $911.00 2026-07-31
30100280 OTHER Inpatient Psychiatric Services 5 5 $895.00 — $895.00 $895.00 $895.00 2026-07-31
61400001 OTHER Inpatient Psychiatric Services 5 5 $835.00 — $835.00 $835.00 $835.00 2026-07-31
25000088 OTHER Inpatient Psychiatric Services 5 5 $819.00 — $819.00 $819.00 $819.00 2026-07-31
25001090 OTHER Inpatient Psychiatric Services 5 5 $729.00 — $729.00 $729.00 $729.00 2026-07-31
30100275 OTHER Inpatient Psychiatric Services 5 5 $729.00 — $729.00 $729.00 $729.00 2026-07-31
25004753 OTHER Inpatient Psychiatric Services 5 5 $728.00 — $728.00 $728.00 $728.00 2026-07-31
25004000 OTHER Inpatient Psychiatric Services 5 5 $660.00 — $660.00 $660.00 $660.00 2026-07-31
25001791 OTHER Inpatient Psychiatric Services 5 5 $654.00 — $654.00 $654.00 $654.00 2026-07-31
25000094 OTHER Inpatient Psychiatric Services 5 5 $651.00 — $651.00 $651.00 $651.00 2026-07-31
32200001 OTHER Inpatient Psychiatric Services 5 5 $647.00 — $647.00 $647.00 $647.00 2026-07-31
30000056 OTHER Inpatient Psychiatric Services 5 5 $647.00 — $647.00 $647.00 $647.00 2026-07-31
25005067 OTHER Inpatient Psychiatric Services 5 5 $645.27 — $645.27 $645.27 $645.27 2026-07-31
25004739 OTHER Inpatient Psychiatric Services 5 5 $631.00 — $631.00 $631.00 $631.00 2026-07-31
32000228 OTHER Inpatient Psychiatric Services 5 5 $609.00 — $609.00 $609.00 $609.00 2026-07-31
30500059 OTHER Inpatient Psychiatric Services 5 5 $605.00 — $605.00 $605.00 $605.00 2026-07-31
25004958 OTHER Inpatient Psychiatric Services 5 5 $594.00 — $594.00 $594.00 $594.00 2026-07-31
32000229 OTHER Inpatient Psychiatric Services 5 5 $593.00 — $593.00 $593.00 $593.00 2026-07-31
23926026 OTHER Inpatient Psychiatric Services 5 5 $568.00 — $568.00 $568.00 $568.00 2026-07-31
44400003 OTHER Inpatient Psychiatric Services 5 5 $557.00 — $557.00 $557.00 $557.00 2026-07-31
25002962 OTHER Inpatient Psychiatric Services 5 5 $557.00 — $557.00 $557.00 $557.00 2026-07-31
30000028 OTHER Inpatient Psychiatric Services 5 5 $549.00 — $549.00 $549.00 $549.00 2026-07-31
25003873 OTHER Inpatient Psychiatric Services 5 5 $548.00 — $548.00 $548.00 $548.00 2026-07-31
25004986 OTHER Inpatient Psychiatric Services 5 5 $540.00 — $540.00 $540.00 $540.00 2026-07-31
PH000126 OTHER Inpatient Psychiatric Services 5 5 $538.18 — $538.18 $538.18 $538.18 2026-07-31
25000688 OTHER Inpatient Psychiatric Services 5 5 $536.00 — $536.00 $536.00 $536.00 2026-07-31
32000044 OTHER Inpatient Psychiatric Services 5 5 $536.00 — $536.00 $536.00 $536.00 2026-07-31
25004933 OTHER Inpatient Psychiatric Services 5 5 $525.00 — $525.00 $525.00 $525.00 2026-07-31
30100188 OTHER Inpatient Psychiatric Services 5 5 $521.00 — $521.00 $521.00 $521.00 2026-07-31
30100287 OTHER Inpatient Psychiatric Services 5 5 $519.00 — $519.00 $519.00 $519.00 2026-07-31
25002307 OTHER Inpatient Psychiatric Services 5 5 $519.00 — $519.00 $519.00 $519.00 2026-07-31
25003695 OTHER Inpatient Psychiatric Services 5 5 $516.00 — $516.00 $516.00 $516.00 2026-07-31
25001622 OTHER Inpatient Psychiatric Services 5 5 $515.00 — $515.00 $515.00 $515.00 2026-07-31
25000689 OTHER Inpatient Psychiatric Services 5 5 $513.00 — $513.00 $513.00 $513.00 2026-07-31
32000043 OTHER Inpatient Psychiatric Services 5 5 $504.00 — $504.00 $504.00 $504.00 2026-07-31
25004452 OTHER Inpatient Psychiatric Services 5 5 $504.00 — $504.00 $504.00 $504.00 2026-07-31
91600005 OTHER Inpatient Psychiatric Services 5 5 $500.00 — $500.00 $500.00 $500.00 2026-07-31
91400003 OTHER Inpatient Psychiatric Services 5 5 $500.00 — $500.00 $500.00 $500.00 2026-07-31
90000002 OTHER Inpatient Psychiatric Services 5 5 $500.00 — $500.00 $500.00 $500.00 2026-07-31
90000003 OTHER Inpatient Psychiatric Services 5 5 $500.00 — $500.00 $500.00 $500.00 2026-07-31
25000476 OTHER Inpatient Psychiatric Services 5 5 $499.00 — $499.00 $499.00 $499.00 2026-07-31
30100254 OTHER Inpatient Psychiatric Services 5 5 $472.00 — $472.00 $472.00 $472.00 2026-07-31
32000047 OTHER Inpatient Psychiatric Services 5 5 $471.00 — $471.00 $471.00 $471.00 2026-07-31
25002195 OTHER Inpatient Psychiatric Services 5 5 $461.00 — $461.00 $461.00 $461.00 2026-07-31
25002775 OTHER Inpatient Psychiatric Services 5 5 $458.00 — $458.00 $458.00 $458.00 2026-07-31
25000429 OTHER Inpatient Psychiatric Services 5 5 $458.00 — $458.00 $458.00 $458.00 2026-07-31
25000150 OTHER Inpatient Psychiatric Services 5 5 $453.00 — $453.00 $453.00 $453.00 2026-07-31
25002408 OTHER Inpatient Psychiatric Services 5 5 $453.00 — $453.00 $453.00 $453.00 2026-07-31
25005055 OTHER Inpatient Psychiatric Services 5 5 $447.24 — $447.24 $447.24 $447.24 2026-07-31
27000842 OTHER Inpatient Psychiatric Services 5 5 $447.24 — $447.24 $447.24 $447.24 2026-07-31
25000880 OTHER Inpatient Psychiatric Services 5 5 $447.00 — $447.00 $447.00 $447.00 2026-07-31
25001368 OTHER Inpatient Psychiatric Services 5 5 $443.00 — $443.00 $443.00 $443.00 2026-07-31
32000197 OTHER Inpatient Psychiatric Services 5 5 $443.00 — $443.00 $443.00 $443.00 2026-07-31
25003628 OTHER Inpatient Psychiatric Services 5 5 $440.00 — $440.00 $440.00 $440.00 2026-07-31
91500006 OTHER Inpatient Psychiatric Services 5 5 $435.00 — $435.00 $435.00 $435.00 2026-07-31
25000397 OTHER Inpatient Psychiatric Services 5 5 $434.00 — $434.00 $434.00 $434.00 2026-07-31
25002194 OTHER Inpatient Psychiatric Services 5 5 $431.00 — $431.00 $431.00 $431.00 2026-07-31
25000938 OTHER Inpatient Psychiatric Services 5 5 $430.00 — $430.00 $430.00 $430.00 2026-07-31
25003990 OTHER Inpatient Psychiatric Services 5 5 $429.00 — $429.00 $429.00 $429.00 2026-07-31
25002546 OTHER Inpatient Psychiatric Services 5 5 $425.00 — $425.00 $425.00 $425.00 2026-07-31
32000201 OTHER Inpatient Psychiatric Services 5 5 $425.00 — $425.00 $425.00 $425.00 2026-07-31
25002957 OTHER Inpatient Psychiatric Services 5 5 $424.00 — $424.00 $424.00 $424.00 2026-07-31
91600004 OTHER Inpatient Psychiatric Services 5 5 $418.00 — $418.00 $418.00 $418.00 2026-07-31
25004149 OTHER Inpatient Psychiatric Services 5 5 $418.00 — $418.00 $418.00 $418.00 2026-07-31
27000769 OTHER Inpatient Psychiatric Services 5 5 $417.00 — $417.00 $417.00 $417.00 2026-07-31
30000069 OTHER Inpatient Psychiatric Services 5 5 $414.00 — $414.00 $414.00 $414.00 2026-07-31
32000050 OTHER Inpatient Psychiatric Services 5 5 $411.00 — $411.00 $411.00 $411.00 2026-07-31
25000084 OTHER Inpatient Psychiatric Services 5 5 $408.00 — $408.00 $408.00 $408.00 2026-07-31
25004742 OTHER Inpatient Psychiatric Services 5 5 $406.15 — $406.15 $406.15 $406.15 2026-07-31
32000075 OTHER Inpatient Psychiatric Services 5 5 $405.00 — $405.00 $405.00 $405.00 2026-07-31
32000188 OTHER Inpatient Psychiatric Services 5 5 $405.00 — $405.00 $405.00 $405.00 2026-07-31
32000189 OTHER Inpatient Psychiatric Services 5 5 $405.00 — $405.00 $405.00 $405.00 2026-07-31
30000006 OTHER Inpatient Psychiatric Services 5 5 $401.00 — $401.00 $401.00 $401.00 2026-07-31
30100072 OTHER Inpatient Psychiatric Services 5 5 $401.00 — $401.00 $401.00 $401.00 2026-07-31
25000423 OTHER Inpatient Psychiatric Services 5 5 $401.00 — $401.00 $401.00 $401.00 2026-07-31
25001709 OTHER Inpatient Psychiatric Services 5 5 $399.00 — $399.00 $399.00 $399.00 2026-07-31
30000104 OTHER Inpatient Psychiatric Services 5 5 $397.00 — $397.00 $397.00 $397.00 2026-07-31
30100277 OTHER Inpatient Psychiatric Services 5 5 $396.00 — $396.00 $396.00 $396.00 2026-07-31
30000081 OTHER Inpatient Psychiatric Services 5 5 $393.00 — $393.00 $393.00 $393.00 2026-07-31
91600002 OTHER Inpatient Psychiatric Services 5 5 $392.00 — $392.00 $392.00 $392.00 2026-07-31
91500003 OTHER Inpatient Psychiatric Services 5 5 $390.00 — $390.00 $390.00 $390.00 2026-07-31
25000949 OTHER Inpatient Psychiatric Services 5 5 $390.00 — $390.00 $390.00 $390.00 2026-07-31
90000001 OTHER Inpatient Psychiatric Services 5 5 $390.00 — $390.00 $390.00 $390.00 2026-07-31
25001288 OTHER Inpatient Psychiatric Services 5 5 $386.00 — $386.00 $386.00 $386.00 2026-07-31
25005076 OTHER Inpatient Psychiatric Services 5 5 $381.20 — $381.20 $381.20 $381.20 2026-07-31
30500012 OTHER Inpatient Psychiatric Services 5 5 $380.00 — $380.00 $380.00 $380.00 2026-07-31
25000364 OTHER Inpatient Psychiatric Services 5 5 $380.00 — $380.00 $380.00 $380.00 2026-07-31
25003762 OTHER Inpatient Psychiatric Services 5 5 $378.00 — $378.00 $378.00 $378.00 2026-07-31
PH000203 OTHER Inpatient Psychiatric Services 5 5 $375.50 — $375.50 $375.50 $375.50 2026-07-31
32000163 OTHER Inpatient Psychiatric Services 5 5 $369.00 — $369.00 $369.00 $369.00 2026-07-31
73000001 OTHER Inpatient Psychiatric Services 5 5 $369.00 — $369.00 $369.00 $369.00 2026-07-31
32000165 OTHER Inpatient Psychiatric Services 5 5 $369.00 — $369.00 $369.00 $369.00 2026-07-31
30000029 OTHER Inpatient Psychiatric Services 5 5 $368.00 — $368.00 $368.00 $368.00 2026-07-31
25003114 OTHER Inpatient Psychiatric Services 5 5 $368.00 — $368.00 $368.00 $368.00 2026-07-31
25004571 OTHER Inpatient Psychiatric Services 5 5 $368.00 — $368.00 $368.00 $368.00 2026-07-31
25000154 OTHER Inpatient Psychiatric Services 5 5 $358.00 — $358.00 $358.00 $358.00 2026-07-31
32000184 OTHER Inpatient Psychiatric Services 5 5 $358.00 — $358.00 $358.00 $358.00 2026-07-31
32000083 OTHER Inpatient Psychiatric Services 5 5 $356.00 — $356.00 $356.00 $356.00 2026-07-31
32400003 OTHER Inpatient Psychiatric Services 5 5 $352.00 — $352.00 $352.00 $352.00 2026-07-31
91500002 OTHER Inpatient Psychiatric Services 5 5 $350.00 — $350.00 $350.00 $350.00 2026-07-31
25000881 OTHER Inpatient Psychiatric Services 5 5 $349.00 — $349.00 $349.00 $349.00 2026-07-31
30000062 OTHER Inpatient Psychiatric Services 5 5 $348.00 — $348.00 $348.00 $348.00 2026-07-31
30100196 OTHER Inpatient Psychiatric Services 5 5 $346.00 — $346.00 $346.00 $346.00 2026-07-31
25003642 OTHER Inpatient Psychiatric Services 5 5 $345.00 — $345.00 $345.00 $345.00 2026-07-31
30000034 OTHER Inpatient Psychiatric Services 5 5 $345.00 — $345.00 $345.00 $345.00 2026-07-31
44200002 OTHER Inpatient Psychiatric Services 5 5 $340.00 — $340.00 $340.00 $340.00 2026-07-31
25005075 OTHER Inpatient Psychiatric Services 5 5 $338.84 — $338.84 $338.84 $338.84 2026-07-31
32000039 OTHER Inpatient Psychiatric Services 5 5 $337.00 — $337.00 $337.00 $337.00 2026-07-31
32000054 OTHER Inpatient Psychiatric Services 5 5 $337.00 — $337.00 $337.00 $337.00 2026-07-31
32000055 OTHER Inpatient Psychiatric Services 5 5 $337.00 — $337.00 $337.00 $337.00 2026-07-31
32000177 OTHER Inpatient Psychiatric Services 5 5 $335.00 — $335.00 $335.00 $335.00 2026-07-31
30100150 OTHER Inpatient Psychiatric Services 5 5 $334.00 — $334.00 $334.00 $334.00 2026-07-31
32000194 OTHER Inpatient Psychiatric Services 5 5 $330.00 — $330.00 $330.00 $330.00 2026-07-31
30100018 OTHER Inpatient Psychiatric Services 5 5 $327.00 — $327.00 $327.00 $327.00 2026-07-31
90400001 OTHER Inpatient Psychiatric Services 5 5 $326.00 — $326.00 $326.00 $326.00 2026-07-31
91400001 OTHER Inpatient Psychiatric Services 5 5 $326.00 — $326.00 $326.00 $326.00 2026-07-31
25001775 OTHER Inpatient Psychiatric Services 5 5 $326.00 — $326.00 $326.00 $326.00 2026-07-31
91500001 OTHER Inpatient Psychiatric Services 5 5 $326.00 — $326.00 $326.00 $326.00 2026-07-31
91500004 OTHER Inpatient Psychiatric Services 5 5 $326.00 — $326.00 $326.00 $326.00 2026-07-31
91400002 OTHER Inpatient Psychiatric Services 5 5 $326.00 — $326.00 $326.00 $326.00 2026-07-31
91300001 OTHER Inpatient Psychiatric Services 5 5 $326.00 — $326.00 $326.00 $326.00 2026-07-31
30100154 OTHER Inpatient Psychiatric Services 5 5 $323.00 — $323.00 $323.00 $323.00 2026-07-31
25004279 OTHER Inpatient Psychiatric Services 5 5 $323.00 — $323.00 $323.00 $323.00 2026-07-31
32000077 OTHER Inpatient Psychiatric Services 5 5 $323.00 — $323.00 $323.00 $323.00 2026-07-31
25000806 OTHER Inpatient Psychiatric Services 5 5 $318.00 — $318.00 $318.00 $318.00 2026-07-31
25000967 OTHER Inpatient Psychiatric Services 5 5 $312.00 — $312.00 $312.00 $312.00 2026-07-31
32000153 OTHER Inpatient Psychiatric Services 5 5 $311.00 — $311.00 $311.00 $311.00 2026-07-31
32000152 OTHER Inpatient Psychiatric Services 5 5 $311.00 — $311.00 $311.00 $311.00 2026-07-31
32000169 OTHER Inpatient Psychiatric Services 5 5 $311.00 — $311.00 $311.00 $311.00 2026-07-31
30000098 OTHER Inpatient Psychiatric Services 5 5 $309.00 — $309.00 $309.00 $309.00 2026-07-31
32000117 OTHER Inpatient Psychiatric Services 5 5 $307.00 — $307.00 $307.00 $307.00 2026-07-31
32000086 OTHER Inpatient Psychiatric Services 5 5 $306.00 — $306.00 $306.00 $306.00 2026-07-31
25005048 OTHER Inpatient Psychiatric Services 5 5 $304.74 — $304.74 $304.74 $304.74 2026-07-31
25002226 OTHER Inpatient Psychiatric Services 5 5 $304.00 — $304.00 $304.00 $304.00 2026-07-31
25004422 OTHER Inpatient Psychiatric Services 5 5 $299.00 — $299.00 $299.00 $299.00 2026-07-31
32000204 OTHER Inpatient Psychiatric Services 5 5 $299.00 — $299.00 $299.00 $299.00 2026-07-31
32000071 OTHER Inpatient Psychiatric Services 5 5 $299.00 — $299.00 $299.00 $299.00 2026-07-31
25000085 OTHER Inpatient Psychiatric Services 5 5 $294.00 — $294.00 $294.00 $294.00 2026-07-31
30000050 OTHER Inpatient Psychiatric Services 5 5 $294.00 — $294.00 $294.00 $294.00 2026-07-31
41000036 OTHER Inpatient Psychiatric Services 5 5 $294.00 — $294.00 $294.00 $294.00 2026-07-31
32000167 OTHER Inpatient Psychiatric Services 5 5 $294.00 — $294.00 $294.00 $294.00 2026-07-31
41200006 OTHER Inpatient Psychiatric Services 5 5 $294.00 — $294.00 $294.00 $294.00 2026-07-31
25004944 OTHER Inpatient Psychiatric Services 5 5 $291.18 — $291.18 $291.18 $291.18 2026-07-31
30000065 OTHER Inpatient Psychiatric Services 5 5 $286.00 — $286.00 $286.00 $286.00 2026-07-31
30100146 OTHER Inpatient Psychiatric Services 5 5 $285.00 — $285.00 $285.00 $285.00 2026-07-31
30100300 OTHER Inpatient Psychiatric Services 5 5 $282.00 — $282.00 $282.00 $282.00 2026-07-31
PH001503 OTHER Inpatient Psychiatric Services 5 5 $280.36 — $280.36 $280.36 $280.36 2026-07-31
25002478 OTHER Inpatient Psychiatric Services 5 5 $279.00 — $279.00 $279.00 $279.00 2026-07-31
25001545 OTHER Inpatient Psychiatric Services 5 5 $279.00 — $279.00 $279.00 $279.00 2026-07-31
32400011 OTHER Inpatient Psychiatric Services 5 5 $278.00 — $278.00 $278.00 $278.00 2026-07-31
30100103 OTHER Inpatient Psychiatric Services 5 5 $278.00 — $278.00 $278.00 $278.00 2026-07-31
25003585 OTHER Inpatient Psychiatric Services 5 5 $278.00 — $278.00 $278.00 $278.00 2026-07-31
25003583 OTHER Inpatient Psychiatric Services 5 5 $278.00 — $278.00 $278.00 $278.00 2026-07-31
25003107 OTHER Inpatient Psychiatric Services 5 5 $271.00 — $271.00 $271.00 $271.00 2026-07-31
32400010 OTHER Inpatient Psychiatric Services 5 5 $271.00 — $271.00 $271.00 $271.00 2026-07-31
42000005 OTHER Inpatient Psychiatric Services 5 5 $271.00 — $271.00 $271.00 $271.00 2026-07-31
32000215 OTHER Inpatient Psychiatric Services 5 5 $269.00 — $269.00 $269.00 $269.00 2026-07-31
32000210 OTHER Inpatient Psychiatric Services 5 5 $269.00 — $269.00 $269.00 $269.00 2026-07-31
25002379 OTHER Inpatient Psychiatric Services 5 5 $269.00 — $269.00 $269.00 $269.00 2026-07-31
32000129 OTHER Inpatient Psychiatric Services 5 5 $268.00 — $268.00 $268.00 $268.00 2026-07-31
41900001 OTHER Inpatient Psychiatric Services 5 5 $268.00 — $268.00 $268.00 $268.00 2026-07-31
25002920 OTHER Inpatient Psychiatric Services 5 5 $266.00 — $266.00 $266.00 $266.00 2026-07-31
27000484 OTHER Inpatient Psychiatric Services 5 5 $266.00 — $266.00 $266.00 $266.00 2026-07-31
32000125 OTHER Inpatient Psychiatric Services 5 5 $265.00 — $265.00 $265.00 $265.00 2026-07-31
32000126 OTHER Inpatient Psychiatric Services 5 5 $265.00 — $265.00 $265.00 $265.00 2026-07-31
25001500 OTHER Inpatient Psychiatric Services 5 5 $264.00 — $264.00 $264.00 $264.00 2026-07-31
32000067 OTHER Inpatient Psychiatric Services 5 5 $264.00 — $264.00 $264.00 $264.00 2026-07-31
25004664 OTHER Inpatient Psychiatric Services 5 5 $264.00 — $264.00 $264.00 $264.00 2026-07-31
30500015 OTHER Inpatient Psychiatric Services 5 5 $264.00 — $264.00 $264.00 $264.00 2026-07-31
25001642 OTHER Inpatient Psychiatric Services 5 5 $263.00 — $263.00 $263.00 $263.00 2026-07-31
32000007 OTHER Inpatient Psychiatric Services 5 5 $263.00 — $263.00 $263.00 $263.00 2026-07-31
25002402 OTHER Inpatient Psychiatric Services 5 5 $263.00 — $263.00 $263.00 $263.00 2026-07-31
25000517 OTHER Inpatient Psychiatric Services 5 5 $262.00 — $262.00 $262.00 $262.00 2026-07-31
32000190 OTHER Inpatient Psychiatric Services 5 5 $261.00 — $261.00 $261.00 $261.00 2026-07-31
30500082 OTHER Inpatient Psychiatric Services 5 5 $256.00 — $256.00 $256.00 $256.00 2026-07-31
30100264 OTHER Inpatient Psychiatric Services 5 5 $254.00 — $254.00 $254.00 $254.00 2026-07-31
30100125 OTHER Inpatient Psychiatric Services 5 5 $253.00 — $253.00 $253.00 $253.00 2026-07-31
30100173 OTHER Inpatient Psychiatric Services 5 5 $252.00 — $252.00 $252.00 $252.00 2026-07-31
32000166 OTHER Inpatient Psychiatric Services 5 5 $252.00 — $252.00 $252.00 $252.00 2026-07-31
25004449 OTHER Inpatient Psychiatric Services 5 5 $252.00 — $252.00 $252.00 $252.00 2026-07-31
25001963 OTHER Inpatient Psychiatric Services 5 5 $251.00 — $251.00 $251.00 $251.00 2026-07-31
30100148 OTHER Inpatient Psychiatric Services 5 5 $248.00 — $248.00 $248.00 $248.00 2026-07-31
32000012 OTHER Inpatient Psychiatric Services 5 5 $248.00 — $248.00 $248.00 $248.00 2026-07-31
32000076 OTHER Inpatient Psychiatric Services 5 5 $248.00 — $248.00 $248.00 $248.00 2026-07-31
32000120 OTHER Inpatient Psychiatric Services 5 5 $247.00 — $247.00 $247.00 $247.00 2026-07-31
32000246 OTHER Inpatient Psychiatric Services 5 5 $247.00 — $247.00 $247.00 $247.00 2026-07-31
32000178 OTHER Inpatient Psychiatric Services 5 5 $247.00 — $247.00 $247.00 $247.00 2026-07-31
90000004 OTHER Inpatient Psychiatric Services 5 5 $247.00 — $247.00 $247.00 $247.00 2026-07-31
32000091 OTHER Inpatient Psychiatric Services 5 5 $247.00 — $247.00 $247.00 $247.00 2026-07-31
30100314 OTHER Inpatient Psychiatric Services 5 5 $243.00 — $243.00 $243.00 $243.00 2026-07-31
30100105 OTHER Inpatient Psychiatric Services 5 5 $242.00 — $242.00 $242.00 $242.00 2026-07-31
32000088 OTHER Inpatient Psychiatric Services 5 5 $240.00 — $240.00 $240.00 $240.00 2026-07-31
25001084 OTHER Inpatient Psychiatric Services 5 5 $240.00 — $240.00 $240.00 $240.00 2026-07-31
32000122 OTHER Inpatient Psychiatric Services 5 5 $239.00 — $239.00 $239.00 $239.00 2026-07-31
30000064 OTHER Inpatient Psychiatric Services 5 5 $239.00 — $239.00 $239.00 $239.00 2026-07-31
32000063 OTHER Inpatient Psychiatric Services 5 5 $239.00 — $239.00 $239.00 $239.00 2026-07-31
25002117 OTHER Inpatient Psychiatric Services 5 5 $239.00 — $239.00 $239.00 $239.00 2026-07-31
32000061 OTHER Inpatient Psychiatric Services 5 5 $239.00 — $239.00 $239.00 $239.00 2026-07-31
32000069 OTHER Inpatient Psychiatric Services 5 5 $239.00 — $239.00 $239.00 $239.00 2026-07-31
25001693 OTHER Inpatient Psychiatric Services 5 5 $237.00 — $237.00 $237.00 $237.00 2026-07-31
25001367 OTHER Inpatient Psychiatric Services 5 5 $235.00 — $235.00 $235.00 $235.00 2026-07-31
25000347 OTHER Inpatient Psychiatric Services 5 5 $233.00 — $233.00 $233.00 $233.00 2026-07-31
91600003 OTHER Inpatient Psychiatric Services 5 5 $233.00 — $233.00 $233.00 $233.00 2026-07-31
25000936 OTHER Inpatient Psychiatric Services 5 5 $233.00 — $233.00 $233.00 $233.00 2026-07-31
25001624 OTHER Inpatient Psychiatric Services 5 5 $230.00 — $230.00 $230.00 $230.00 2026-07-31
25005079 OTHER Inpatient Psychiatric Services 5 5 $227.20 — $227.20 $227.20 $227.20 2026-07-31
25002849 OTHER Inpatient Psychiatric Services 5 5 $226.00 — $226.00 $226.00 $226.00 2026-07-31
25002776 OTHER Inpatient Psychiatric Services 5 5 $226.00 — $226.00 $226.00 $226.00 2026-07-31
30100286 OTHER Inpatient Psychiatric Services 5 5 $226.00 — $226.00 $226.00 $226.00 2026-07-31
25002774 OTHER Inpatient Psychiatric Services 5 5 $226.00 — $226.00 $226.00 $226.00 2026-07-31
25002063 OTHER Inpatient Psychiatric Services 5 5 $226.00 — $226.00 $226.00 $226.00 2026-07-31
25000095 OTHER Inpatient Psychiatric Services 5 5 $225.00 — $225.00 $225.00 $225.00 2026-07-31
25002039 OTHER Inpatient Psychiatric Services 5 5 $224.00 — $224.00 $224.00 $224.00 2026-07-31
25003442 OTHER Inpatient Psychiatric Services 5 5 $224.00 — $224.00 $224.00 $224.00 2026-07-31
25004536 OTHER Inpatient Psychiatric Services 5 5 $222.00 — $222.00 $222.00 $222.00 2026-07-31
32400006 OTHER Inpatient Psychiatric Services 5 5 $221.00 — $221.00 $221.00 $221.00 2026-07-31
25001716 OTHER Inpatient Psychiatric Services 5 5 $221.00 — $221.00 $221.00 $221.00 2026-07-31
32400001 OTHER Inpatient Psychiatric Services 5 5 $221.00 — $221.00 $221.00 $221.00 2026-07-31
32000217 OTHER Inpatient Psychiatric Services 5 5 $221.00 — $221.00 $221.00 $221.00 2026-07-31
32000042 OTHER Inpatient Psychiatric Services 5 5 $221.00 — $221.00 $221.00 $221.00 2026-07-31
25003319 OTHER Inpatient Psychiatric Services 5 5 $221.00 — $221.00 $221.00 $221.00 2026-07-31
25001774 OTHER Inpatient Psychiatric Services 5 5 $219.00 — $219.00 $219.00 $219.00 2026-07-31
25000313 OTHER Inpatient Psychiatric Services 5 5 $218.00 — $218.00 $218.00 $218.00 2026-07-31
32000185 OTHER Inpatient Psychiatric Services 5 5 $218.00 — $218.00 $218.00 $218.00 2026-07-31
30000108 OTHER Inpatient Psychiatric Services 5 5 $218.00 — $218.00 $218.00 $218.00 2026-07-31
32000208 OTHER Inpatient Psychiatric Services 5 5 $218.00 — $218.00 $218.00 $218.00 2026-07-31
30100325 OTHER Inpatient Psychiatric Services 5 5 $218.00 — $218.00 $218.00 $218.00 2026-07-31
30500036 OTHER Inpatient Psychiatric Services 5 5 $216.00 — $216.00 $216.00 $216.00 2026-07-31
PH000217 OTHER Inpatient Psychiatric Services 5 5 $216.00 — $216.00 $216.00 $216.00 2026-07-31
32000171 OTHER Inpatient Psychiatric Services 5 5 $216.00 — $216.00 $216.00 $216.00 2026-07-31
30200119 OTHER Inpatient Psychiatric Services 5 5 $216.00 — $216.00 $216.00 $216.00 2026-07-31
25000289 OTHER Inpatient Psychiatric Services 5 5 $213.00 — $213.00 $213.00 $213.00 2026-07-31
25000516 OTHER Inpatient Psychiatric Services 5 5 $213.00 — $213.00 $213.00 $213.00 2026-07-31
25002531 OTHER Inpatient Psychiatric Services 5 5 $210.00 — $210.00 $210.00 $210.00 2026-07-31
32000127 OTHER Inpatient Psychiatric Services 5 5 $209.00 — $209.00 $209.00 $209.00 2026-07-31
25002284 OTHER Inpatient Psychiatric Services 5 5 $209.00 — $209.00 $209.00 $209.00 2026-07-31
32000137 OTHER Inpatient Psychiatric Services 5 5 $209.00 — $209.00 $209.00 $209.00 2026-07-31
32000065 OTHER Inpatient Psychiatric Services 5 5 $209.00 — $209.00 $209.00 $209.00 2026-07-31
32000104 OTHER Inpatient Psychiatric Services 5 5 $209.00 — $209.00 $209.00 $209.00 2026-07-31
30100200 OTHER Inpatient Psychiatric Services 5 5 $208.00 — $208.00 $208.00 $208.00 2026-07-31
30100092 OTHER Inpatient Psychiatric Services 5 5 $206.00 — $206.00 $206.00 $206.00 2026-07-31
32000001 OTHER Inpatient Psychiatric Services 5 5 $205.00 — $205.00 $205.00 $205.00 2026-07-31
30500061 OTHER Inpatient Psychiatric Services 5 5 $205.00 — $205.00 $205.00 $205.00 2026-07-31
25002153 OTHER Inpatient Psychiatric Services 5 5 $204.00 — $204.00 $204.00 $204.00 2026-07-31
25004995 OTHER Inpatient Psychiatric Services 5 5 $202.60 — $202.60 $202.60 $202.60 2026-07-31
32000147 OTHER Inpatient Psychiatric Services 5 5 $202.00 — $202.00 $202.00 $202.00 2026-07-31
32000146 OTHER Inpatient Psychiatric Services 5 5 $202.00 — $202.00 $202.00 $202.00 2026-07-31
25003566 OTHER Inpatient Psychiatric Services 5 5 $200.00 — $200.00 $200.00 $200.00 2026-07-31
30100059 OTHER Inpatient Psychiatric Services 5 5 $198.00 — $198.00 $198.00 $198.00 2026-07-31
32000092 OTHER Inpatient Psychiatric Services 5 5 $198.00 — $198.00 $198.00 $198.00 2026-07-31
25004996 OTHER Inpatient Psychiatric Services 5 5 $195.80 — $195.80 $195.80 $195.80 2026-07-31
25004970 OTHER Inpatient Psychiatric Services 5 5 $195.00 — $195.00 $195.00 $195.00 2026-07-31
25003047 OTHER Inpatient Psychiatric Services 5 5 $194.00 — $194.00 $194.00 $194.00 2026-07-31
30100016 OTHER Inpatient Psychiatric Services 5 5 $194.00 — $194.00 $194.00 $194.00 2026-07-31
25004478 OTHER Inpatient Psychiatric Services 5 5 $192.00 — $192.00 $192.00 $192.00 2026-07-31
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