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Price reports for 99284 Emergency Care - Level 4

PriceCheck journalist

Price charged

$187.89

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.smmcnj.com/for-patients-visitors/financial-assistance/ .
Provider: St. Michael's Medical Center
Phone: 973-877-5000
Address: Newark, 111 Central Ave., NJ
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$200.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.margaretvillehosp.org/billing-insurance-and-financial-assistance .
Provider: Margaretville Hospital
Phone: 845-586-2631
Address: Margaretville, 42084 State Hwy. 28, NY
Click to get contact details of the provider.
Community member

Price charged

$242.00

Insurance paid

$60.46

You paid

$181.54

Physician's charge
Insurer: Aetna
Provider: St. Luke's Boise Medical Center
Phone: (208) 381-2222
Address: Boise, 190, East Bannock Street, ID
Open map
Community member

Price charged

$266.00

Insurance paid

$162.49

You paid

$40.62

Insurer: HighMark Blue Cross Blue Shield
Provider: West Virginia University
Phone: (304) 293-0111
Address: Morgantown, ,, WV
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PriceCheck journalist

Price charged

$374.78

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.saintclares.com/463483967_SaintClaresHealth_standardcharges.json .
Provider: St. Clare's Denville
Phone: 973-625-6000
Address: Denville, 25 Pocono Rd., NJ
Click to get contact details of the provider.
Community member

Price charged

$395.00

Insurance paid

$287.35

You paid

$107.65

Insurer: AvMed
Provider: Nicklaus Children's Hospital
Phone: (305) 666-6511
Address: Miami, 3100, Southwest 62nd Avenue, FL
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Community member

Price charged

$400.00

Insurance paid

$0.00

You paid

$0.00

Provider: Tulane University
Address: New Orleans, 6823, Saint Charles Avenue, LA
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PriceCheck journalist

Price charged

$404.56

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://carepointhealth.org/patients-visitors/hospital-charges/ .
Provider: Carepoint Health - Hoboken University Medical Center
Phone: 201-418-1000
Address: Hoboken, 308 Willow Ave., NJ
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$404.56

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://carepointhealth.org/patients-visitors/hospital-charges/ .
Provider: Carepoint Health - Christ Hospital
Phone: 201-795-8200
Address: Jersey City, 176 Palisade Ave., NJ
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$404.56

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://carepointhealth.org/patients-visitors/hospital-charges/ .
Provider: Carepoint Health - Bayonne Medical Center
Phone: 201-858-5000
Address: Bayonne, 29 E. 29th St., NJ
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$440.13

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.montefioreslc.org/patients/billing-insurance-information/ .
Provider: Montefiore - St. Lukes Cornwall Hospital
Phone: (845) 561-4400
Address: Newburgh, 70 Dubois St., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$447.91

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.montefiorenyack.org/price-transparency .
Provider: Montefiore - Nyack Hospital
Phone: 845-348-2000
Address: Nyack, 160 N. Midland Ave., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$506.15

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://uhnj.org/transparency/charges.htm .
Provider: University Hospital Newark
Phone: 973-972-4300
Address: Newark, 150 Bergen St., NJ
Click to get contact details of the provider.
Community member

Price charged

$512.46

Insurance paid

$512.46

You paid

$0.00

The amount billed was $780.00, but the member rate was $512.46. An uninsured patient would have been billed $780.
Provider: EMA
Phone: (888) 541-6368
Address: Germantown, 20010, Century Boulevard, MD
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PriceCheck journalist

Price charged

$623.16

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://med.nyu.edu/standard-charges/nyu-langone-health-standard-charges/ .
Provider: NYU - Kimmel Pavilion
Phone: 212-263-7300
Address: New York, 424 East 34th St., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$700.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.stanthonycommunityhosp.org/navigation/1652 .
Provider: St. Anthony Community Hospital
Phone: 845-986-2276
Address: Warwick, 15 Maple Ave., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$700.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.midhudsonregional.org/billing-insurance-and-financial-assistance .
Provider: MidHudson Regional Hospital
Phone: 845-483-5000
Address: Poughkeepsie, 241 North Rd., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$700.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.hahv.org/billing-insurance-and-financial-assistance .
Provider: Health Alliance Mary's Avenue
Phone: 845-331-3131
Address: Kingston, 105 Mary's Ave., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$700.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.bonsecourscommunityhosp.org/navigation/1652 .
Provider: Good Samaritan Hospital
Phone: 845-368-5000
Address: Suffern, 255 Lafayette Ave., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$700.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.bonsecourscommunityhosp.org/billing-insurance-and-financial-assistance .
Provider: Bon Secours Community Hospital
Phone: 845-858-7000
Address: Port Jervis, 160 E. Main St., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$700.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.westchestermedicalcenter.org/billing-insurance-and-financial-assistance .
Provider: Westchester Medical Center
Phone: 914-493-7000
Address: Valhalla, 100 Woods Rd., NY
Click to get contact details of the provider.
Community member

Price charged

$860.00

Insurance paid

$320.80

You paid

$80.20

Insurer: Aetna
Provider: Slidell Memorial Hospital
Phone: 888-641-7577
Address: Slidell, 1001 Gause Blvd., LA
Open map
Community member

Price charged

$881.34

Insurance paid

$476.66

You paid

$0.00

My 9 year old grandson was spending the night. He woke up at midnight screaming with an ear ache. The only place I could take him was the ER as everything else was closed. The doctor came in, looked at his ear, said he had an ear infection and walked out......never saw him again......maybe 10 minutes of face to face time. He prescribed amoxicillin. I have set up a 2 year monthly payment schedule to cover this ridiculous charge.......$37.00 a month.
Insurer: UnitedHealthcare
Provider: Medical Center of Trinity
Phone: (727) 834-4000
Address: Trinity, 9330, Florida 54, FL
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Community member

Price charged

$990.00

Insurance paid

$700.00

You paid

$220.00

Insurance payment is estimate of total
Insurer: Blue Cross Blue Shield of Florida (Florida Blue)
Provider: St. Joseph's Hospital - South
Phone: (813) 302-8000
Address: Riverview, 6901, Simmons Loop, FL
Open map
Community member

Price charged

$1,003.00

Insurance paid

$131.64

You paid

$0.00

My 3-year-old daughter had an anaphylactic reaction to a cashew, which was our first indication she has a tree nut allergy. After she received a epipen injection at the doctor's office, she had to be taken to the emergency room for observation. Plymouth Ambulance Co came and took her to the closest hospital (we didn't have a choice), which was Suburban in East Norriton. She was given a steroid and more benadryl and monitored until her redness subsided. I received a bill for the ambulance company, was instructed to send the insurance company check, and did that immediately upon receiving it, which was approx 3 weeks after the event (yet the ambulance company sent me 2 bills in the meantime and called once, each time a little harsher in tone.) I haven't received a bill from Suburban Hospital itself, to which I legitimately owe $75 copay. The issue is the Physician Practice, LPP of Pennsylvania, which apparently pays the physician who was attending to her that evening. My Explanation of Benefits from IBX clearly states that "This is the difference between the provider's charge and our allowance. Since the provider is in-network, you are not responsible for this amount." However, they continue to send me bills for the balance of $871.36. I am fortunate to have a company called Accolade to help me out by taking the time to contact the companies involved. The first bill, Accolade said "LPP said it was a processing error on their end." The second bill, I called LPP myself and they said it was an issue on the insurer's end, that they are actually an out-of-network provider. I then called Accolade, who elevated the issue to management and said it should be resolved.. This was March 9 and I received another bill on March 23. Accolade again contact LPP who requested a faxed copy of the EOB stating they are in network and it is paid in full (I have to wonder why they don't know if they are in network or not??). I did that immediately and sent a copy to Accolade. Still waiting for follow-up. I think that they are using scare tactics and lack of understanding of the system to get this paid at the full amount. It's a lot of time to put into this confusing process and I am fortunate to have a company like Accolade to handle it for me so I can still have my work and home life! I am hoping it has been fully resolved, but am expecting a new bill any day now!
Insurer: Independence Blue Cross
Provider: Suburban Community Hospital: Emergency Room
Phone: (610) 278-2185
Address: Norristown, 2701, Dekalb Pike, PA
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PriceCheck journalist

Price charged

$1,028.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.downstate.edu/patient-care/patient-family-support/insurance-billing/index.html .
Provider: University Hospital at SUNY Downstate
Phone: 718-270-1000
Address: Brooklyn, 450 Clarkson Ave., NY
Click to get contact details of the provider.
Community member

Price charged

$1,036.50

Insurance paid

$0.00

You paid

$0.00

The hospital filed a lien against me and I am currently attempting to negotiate a payment.
Provider: Texas Health Presbyterian Hospital Dallas
Phone: (214) 345-6789
Address: Dallas, 8200, Walnut Hill Lane, TX
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Community member

Price charged

$1,068.00

Insurance paid

$677.56

You paid

$442.44

Amount charged above is for the attending physician at the time of visit. You will get 4-5 separate bills for the emergency visit. In my case, went to ER for kidney stone, first time experiencing ER visit and what a sticker shock. 1 bill from the hospital, 1 bill for the attending doctor, 1 bill from radiology department. This bill from Fairfax Hospital, INVOA healthcare system. Service code 99284 Emergency Eval & MGT $1068.00. Service code 94760 Non Invasive Pulse Oximetry $52.00
Insurer: Kaiser Permanente
Provider: Dr. Stanislaw Haciski
Phone: (703) 776-3116
Address: Falls Church, 3300, Gallows Road, VA
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Community member

Price charged

$1,105.85

Insurance paid

$0.00

You paid

$1,105.85

Just says visit, so apparently this is the cost of walking in the door.
Provider: Saint Alphonsus Medical Center Ontario
Phone: (541) 881-7000
Address: Ontario, 351, Southwest 9th Street, OR
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Community member

Price charged

$1,145.00

Insurance paid

$894.34

You paid

$250.66

Insurer: Coventry Health Care
Provider: Broward Health Coral Spg Center
Phone: (954) 344-3180
Address: Coral Springs, 3100, Coral Hills Drive, FL
Open map
PriceCheck journalist

Price charged

$1,236.57

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.ynhh.org/patients-visitors/billing-insurance/Pricing .
Provider: Yale-New Haven Hospital
Phone: 203-688-4242
Address: New Haven, 20 York St., CT
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$1,246.31

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://med.nyu.edu/standard-charges/nyu-langone-health-standard-charges/ .
Provider: NYU - Kimmel Pavilion
Phone: 212-263-7300
Address: New York, 424 East 34th St., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$1,354.50

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://montefiorenewrochelle.org/patients-and-visitors/paying-for-your-care .
Provider: Montefiore New Rochelle
Phone: 914-632-5000
Address: New Rochelle, 16 Guion Pl., NY
Click to get contact details of the provider.
Community member

Price charged

$1,360.00

Insurance paid

$0.00

You paid

$186.33

Emergency room visit for broken arm-- medical care charge
Insurer: Blue Cross Blue Shield of Alabama
Provider: Touro Infirmary Emergency Medicine
Phone: (504) 897-7011
Address: New Orleans, 1401, Foucher Street, LA
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Community member

Price charged

$1,462.00

Insurance paid

$1,162.00

You paid

$300.00

The amount billed was $1,333.00, but the member rate was $1,462.00.
Provider: Novant Health Prince William Medical Center
Phone: (703) 369-8000
Address: Manassas, 8700, Sudley Road, VA
Open map
PriceCheck journalist

Price charged

$1,554.76

Insurance paid

$0.00

You paid

$0.00

Price from pricing page https://www.wphospital.org/patients-visitors/patients/billing-information/standard-charges/.
Provider: White Plains Hospital
Phone: 914-681-0600
Address: White Plains, 41 E. Post Rd., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$1,614.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health St. Joseph Hospital
Phone: 516-579-6000
Address: Bethpage, 4295 Hempstead Tpke., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$1,614.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health St. Charles Hospital
Phone: 631-474-6000
Address: Port Jefferson, 200 Belle Terre Rd., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$1,614.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health St. Catherine of Siena Medical Center
Phone: 631-862-3000
Address: Smithtown, 50 NY-25A, NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$1,614.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health Mercy Hospital
Phone: 516-626-3729
Address: Rockville Centre, 1000 N. Village Ave., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$1,646.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.montefiorehealthsystem.org/MountVernon .
Provider: Montefiore Munt Vernon
Phone: 914-664-8000
Address: Mount Vernon, 12 N. 7th Ave., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$1,652.12

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.northwell.edu/billing-and-insurance/price-estimator-tools#frequently-asked-questions-anchor .
Provider: Huntington Hospital
Phone: 631-351-2000
Address: Huntington, 270 Park Ave., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$1,652.12

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.northwell.edu/billing-and-insurance/price-estimator-tools#frequently-asked-questions-anchor .
Provider: Glen Cove Hospital
Phone: 516-674-7300
Address: Glen Cove, 101 St. Andrews Lane, NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$1,652.12

Insurance paid

$0.00

You paid

$0.00

From pricing page: From pricing page: https://www.northwell.edu/billing-and-insurance/price-estimator-tools#frequently-asked-questions-anchor . .
Provider: Plainview Hospital
Phone: (516) 719-3000
Address: Plainview, 888 Old Country Rd., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$1,652.12

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.northwell.edu/billing-and-insurance/price-estimator-tools#frequently-asked-questions-anchor .
Provider: South Shore University Hospital
Phone: (631) 968-3000
Address: Bay Shore, 301 E. Main St., NY
Click to get contact details of the provider.
Community member

Price charged

$1,680.00

Insurance paid

$853.58

You paid

$826.42

Insurer: Aetna
Provider: Ochsner Medical Center
Phone: 504-842-3000
Address: Slidell, 100 Medical Center Dr., LA
Open map
PriceCheck journalist

Price charged

$1,685.28

Insurance paid

$0.00

You paid

$0.00

Price from pricing page: https://elih.stonybrookmedicine.edu/patients_visitors/patient_financial_services/understanding_your_hospital_charges .
Provider: Stony Brook Eastern Long Island Hospital
Phone: 631-477-1000
Address: Greenport, 201 Manor Pl., NY
Click to get contact details of the provider.
Community member

Price charged

$1,690.00

Insurance paid

$1,690.00

You paid

$0.00

They didn’t break down my share, just the cost per item-
Insurer: Anthem Blue Cross (California)
Provider: Torrance Memorial Medical Center
Phone: (310) 325-9110
Address: Torrance, 3330, Lomita Boulevard, CA
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Community member

Price charged

$1,741.00

Insurance paid

$1,276.00

You paid

$460.00

Went in after 15 ft fall , landing on my back, hitting ladder. Had x-ray of wrist and back. Er Dr came in room , but did not come within 10 feet of me, said “ you broke your ulna and need to see orthopedic within next day or so, I will get your paper work together so you can get out of here”. I went to orthopedic next day , had broken ulna and radius in right wrist and had compression fracture of T12 and L1.
Provider: Jackson
Address: Jackson, ,, AL
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PriceCheck journalist

Price charged

$1,789.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health St. Francis Hospital
Phone: 516-562-6000
Address: Roslyn, 100 Port Washington Blvd., NY
Click to get contact details of the provider.

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What Medicare pays here?

Emergency Care - Level 4
Region Price
Alabama $113.34
Alaska $165.59
Arizona $117.72
Arkansas $113.69
Anaheim/Santa Ana, CA $125.19
Los Angeles, CA $122.95
Marin/Napa/Solano, CA $124.58
Oakland/Berkeley, CA $125.84
Rest of California $119.73
San Francisco, CA $129.16
San Mateo, CA $129.04
Santa Clara, CA $129.18
Ventura, CA $123.20
Colorado $120.34
Connecticut $125.84
DC + MD/VA Suburbs $129.88
Delaware $121.64
Fort Lauderdale, FL $126.49
Miami, FL $133.18
Rest of Florida $121.70
Atlanta, GA $120.32
Rest of Georgia $118.33
Hawaii/Guam $120.10
Idaho $113.73
Chicago, IL $128.70
East St. Louis, IL $124.93
Rest of Illinois $119.83
Suburban Chicago, IL $126.18
Indiana $112.96
Iowa $113.09
Kansas $114.76
Kentucky $115.86
New Orleans, LA $121.26
Rest of Louisiana $119.14
Rest of Maine $115.42
Southern Maine $117.05
Baltimore/Surr. Cntys, MD $126.03
Rest of Maryland $121.79
Metropolitan Boston $122.05
Rest of Massachusetts $123.28
Detroit, MI $125.17
Rest of Michigan $118.25
Minnesota $114.57
Mississippi $111.94
Metropolitan Kansas City, MO $119.55
Metropolitan St Louis, MO $119.31
Rest of Missouri $116.97
Montana $124.88
Nebraska $112.28
Nevada $119.40
New Hampshire $120.92
Northern NJ $126.36
Rest of New Jersey $123.70
New Mexico $120.19
Manhattan, NY $132.98
NYC Suburbs/Long I., NY $136.87
Poughkpsie/N NYC Suburbs, NY $125.06
Queens, NY $137.56
Rest of New York $115.34
North Carolina $115.80
North Dakota $115.84
Ohio $118.11
Oklahoma $117.19
Portland, OR $119.81
Rest of Oregon $117.22
Metropolitan Philadelphia, PA $126.23
Rest of Pennsylvania $118.70
Puerto Rico $119.70
Rhode Island $123.09
South Carolina $114.26
South Dakota $114.59
Tennessee $113.83
Austin, TX $117.95
Beaumont, TX $116.86
Brazoria, TX $120.10
Dallas, TX $119.10
Fort Worth, TX $117.93
Galveston, TX $120.37
Houston, TX $121.19
Rest of Texas $116.77
Utah $119.62
Vermont $116.58
Virgin Islands $119.70
Virginia $118.62
Rest of Washington $119.05
Seattle (King Cnty), WA $124.36
West Virginia $119.37
Wisconsin $113.42
Wyoming $118.66
Bakersfield, CA $119.74
Chico, CA $119.28
El Centro, CA $119.34
Fresno, CA $119.28
Hanford-Corcoran, CA $119.37
Los Angeles-Long Beach-Anaheim (Los Angeles Cnty), CA $124.74
Los Angeles-Long Beach-Anaheim (Orange Cnty), CA $124.74
Madera, CA $119.28
Merced, CA $119.28
Modesto, CA $119.28
Napa, CA $125.12
Oxnard-Thousand Oaks-Ventura, CA $122.52
Redding, CA $119.28
Riverside-San Bernardino-Ontario, CA $120.95
Sacramento--Roseville--Arden-Arcade, CA $120.27
Salinas, CA $120.35
San Diego-Carlsbad, CA $120.42
San Francisco-Oakland-Hayward (Alameda/Contra Costa Cnty), CA $127.98
San Francisco-Oakland-Hayward (Marin Cnty), CA $126.71
San Francisco-Oakland-Hayward (San Francisco Cnty), CA $127.98
San Francisco-Oakland-Hayward (San Mateo Cnty), CA $127.98
San Jose-Sunnyvale-Santa Clara (San Benito Cnty), CA $124.90
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty), CA $129.00
San Luis Obispo-Paso Robles-Arroyo Grande, CA $119.47
Santa Cruz-Watsonville, CA $121.86
Santa Maria-Santa Barbara, CA $121.38
Santa Rosa, CA $120.72
Stockton-Lodi, CA $119.28
Vallejo-Fairfield, CA $125.12
Visalia-Porterville, CA $119.28
Yuba City, CA $119.28
Rest Of California, CA $119.28
Hawaii, GUam $119.33
Metropolitan Boston, MA $126.62

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