Heights University Hospital

All Charges

Charge

Type

Setting

Price

MAJOR CHEST PROCEDURES WITH CC

Facility

$85,108.98

Service Code	MSDRG 164
Min. Negotiated Rate	$26,943.01
Max. Negotiated Rate	$85,108.98
Rate for Payer: Aetna Commercial	$85,108.98
Rate for Payer: Aetna Medicare Advantage	$27,543.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70,295.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70,295.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$28,361.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70,295.85
Rate for Payer: Cigna Commercial	$54,319.00
Rate for Payer: Cigna Medicare Advantage	$28,361.06
Rate for Payer: Clover Medicare Advantage	$26,943.01
Rate for Payer: EmblemHealth Commercial	$85,083.18
Rate for Payer: Humana Medicare Advantage	$29,211.89
Rate for Payer: Oxford Commercial	$33,947.80
Rate for Payer: UnitedHealthcare Commercial	$38,533.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$28,361.06
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$30,062.72
Rate for Payer: Wellcare Medicare Advantage	$28,361.06

MAJOR CHEST PROCEDURES WITH MCC

Facility

$151,125.75

Service Code	MSDRG 163
Min. Negotiated Rate	$44,938.10
Max. Negotiated Rate	$151,125.75
Rate for Payer: Aetna Commercial	$151,125.75
Rate for Payer: Aetna Medicare Advantage	$48,908.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129,840.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129,840.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$47,303.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129,840.57
Rate for Payer: Cigna Commercial	$96,452.82
Rate for Payer: Cigna Medicare Advantage	$47,303.26
Rate for Payer: Clover Medicare Advantage	$44,938.10
Rate for Payer: EmblemHealth Commercial	$141,909.78
Rate for Payer: Humana Medicare Advantage	$48,722.36
Rate for Payer: Oxford Commercial	$60,280.21
Rate for Payer: UnitedHealthcare Commercial	$68,423.64
Rate for Payer: UnitedHealthcare Medicare Advantage	$47,303.26
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$50,141.46
Rate for Payer: Wellcare Medicare Advantage	$47,303.26

MAJOR CHEST PROCEDURES WITHOUT CC/MCC

Facility

$67,383.30

Service Code	MSDRG 165
Min. Negotiated Rate	$20,888.87
Max. Negotiated Rate	$67,383.30
Rate for Payer: Aetna Commercial	$64,546.61
Rate for Payer: Aetna Medicare Advantage	$20,888.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51,825.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51,825.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,461.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51,825.96
Rate for Payer: Cigna Commercial	$41,195.50
Rate for Payer: Cigna Medicare Advantage	$22,461.10
Rate for Payer: Clover Medicare Advantage	$21,338.04
Rate for Payer: EmblemHealth Commercial	$67,383.30
Rate for Payer: Humana Medicare Advantage	$23,134.93
Rate for Payer: Oxford Commercial	$25,745.99
Rate for Payer: UnitedHealthcare Commercial	$29,224.09
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,461.10
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$23,808.77
Rate for Payer: Wellcare Medicare Advantage	$22,461.10

MAJOR CHEST TRAUMA WITH CC

Facility

$42,708.51

Service Code	MSDRG 184
Min. Negotiated Rate	$11,612.08
Max. Negotiated Rate	$42,708.51
Rate for Payer: Aetna Commercial	$35,881.33
Rate for Payer: Aetna Medicare Advantage	$11,612.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,945.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,945.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,236.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28,945.35
Rate for Payer: Cigna Commercial	$22,900.50
Rate for Payer: Cigna Medicare Advantage	$14,236.17
Rate for Payer: Clover Medicare Advantage	$13,524.36
Rate for Payer: EmblemHealth Commercial	$42,708.51
Rate for Payer: Humana Medicare Advantage	$14,663.26
Rate for Payer: Oxford Commercial	$14,312.15
Rate for Payer: UnitedHealthcare Commercial	$16,245.61
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,236.17
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$15,090.34
Rate for Payer: Wellcare Medicare Advantage	$14,236.17

MAJOR CHEST TRAUMA WITH MCC

Facility

$56,228.70

Service Code	MSDRG 183
Min. Negotiated Rate	$16,695.16
Max. Negotiated Rate	$56,228.70
Rate for Payer: Aetna Commercial	$51,588.04
Rate for Payer: Aetna Medicare Advantage	$16,695.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43,280.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43,280.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,742.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43,280.19
Rate for Payer: Cigna Commercial	$32,924.98
Rate for Payer: Cigna Medicare Advantage	$18,742.90
Rate for Payer: Clover Medicare Advantage	$17,805.76
Rate for Payer: EmblemHealth Commercial	$56,228.70
Rate for Payer: Humana Medicare Advantage	$19,305.19
Rate for Payer: Oxford Commercial	$20,577.15
Rate for Payer: UnitedHealthcare Commercial	$23,356.98
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,742.90
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19,867.47
Rate for Payer: Wellcare Medicare Advantage	$18,742.90

MAJOR CHEST TRAUMA WITHOUT CC/MCC

Facility

$34,650.96

Service Code	MSDRG 185
Min. Negotiated Rate	$8,582.75
Max. Negotiated Rate	$34,650.96
Rate for Payer: Aetna Commercial	$26,520.70
Rate for Payer: Aetna Medicare Advantage	$8,582.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,950.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,950.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,550.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,950.92
Rate for Payer: Cigna Commercial	$16,926.27
Rate for Payer: Cigna Medicare Advantage	$11,550.32
Rate for Payer: Clover Medicare Advantage	$10,972.80
Rate for Payer: EmblemHealth Commercial	$34,650.96
Rate for Payer: Humana Medicare Advantage	$11,896.83
Rate for Payer: Oxford Commercial	$10,578.42
Rate for Payer: UnitedHealthcare Commercial	$12,007.50
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,550.32
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12,243.34
Rate for Payer: Wellcare Medicare Advantage	$11,550.32

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$27,552.58

Service Code	APR-DRG 0892
Min. Negotiated Rate	$20,773.39
Max. Negotiated Rate	$27,552.58
Rate for Payer: Aetna Better Health Medicaid	$27,012.33
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,552.58
Rate for Payer: Wellpoint Medicaid Managed Care	$20,773.39

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$74,647.10

Service Code	APR-DRG 0894
Min. Negotiated Rate	$61,966.01
Max. Negotiated Rate	$74,647.10
Rate for Payer: Aetna Better Health Medicaid	$73,183.43
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$74,647.10
Rate for Payer: Wellpoint Medicaid Managed Care	$61,966.01

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$20,746.94

Service Code	APR-DRG 0891
Min. Negotiated Rate	$15,973.40
Max. Negotiated Rate	$20,746.94
Rate for Payer: Aetna Better Health Medicaid	$20,340.14
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,746.94
Rate for Payer: Wellpoint Medicaid Managed Care	$15,973.40

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$52,596.88

Service Code	APR-DRG 0893
Min. Negotiated Rate	$34,718.71
Max. Negotiated Rate	$52,596.88
Rate for Payer: Aetna Better Health Medicaid	$51,565.57
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$52,596.88
Rate for Payer: Wellpoint Medicaid Managed Care	$34,718.71

MAJOR ESOPHAGEAL DISORDERS

Facility

$14,048.03

Service Code	APR-DRG 2423
Min. Negotiated Rate	$10,050.26
Max. Negotiated Rate	$14,048.03
Rate for Payer: Aetna Better Health Medicaid	$13,772.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,048.03
Rate for Payer: Wellpoint Medicaid Managed Care	$10,050.26

MAJOR ESOPHAGEAL DISORDERS

Facility

$9,775.92

Service Code	APR-DRG 2422
Min. Negotiated Rate	$6,757.65
Max. Negotiated Rate	$9,775.92
Rate for Payer: Aetna Better Health Medicaid	$9,584.24
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,775.92
Rate for Payer: Wellpoint Medicaid Managed Care	$6,757.65

MAJOR ESOPHAGEAL DISORDERS

Facility

$28,287.01

Service Code	APR-DRG 2424
Min. Negotiated Rate	$23,528.72
Max. Negotiated Rate	$28,287.01
Rate for Payer: Aetna Better Health Medicaid	$27,732.36
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$28,287.01
Rate for Payer: Wellpoint Medicaid Managed Care	$23,528.72

MAJOR ESOPHAGEAL DISORDERS

Facility

$7,451.62

Service Code	APR-DRG 2421
Min. Negotiated Rate	$5,478.78
Max. Negotiated Rate	$7,451.62
Rate for Payer: Aetna Better Health Medicaid	$7,305.51
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,451.62
Rate for Payer: Wellpoint Medicaid Managed Care	$5,478.78

MAJOR ESOPHAGEAL DISORDERS WITH CC

Facility

$40,853.76

Service Code	MSDRG 369
Min. Negotiated Rate	$10,914.77
Max. Negotiated Rate	$40,853.76
Rate for Payer: Aetna Commercial	$33,726.64
Rate for Payer: Aetna Medicare Advantage	$10,914.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27,291.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27,291.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,617.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27,291.33
Rate for Payer: Cigna Commercial	$21,525.30
Rate for Payer: Cigna Medicare Advantage	$13,617.92
Rate for Payer: Clover Medicare Advantage	$12,937.02
Rate for Payer: EmblemHealth Commercial	$40,853.76
Rate for Payer: Humana Medicare Advantage	$14,026.46
Rate for Payer: Oxford Commercial	$13,452.69
Rate for Payer: UnitedHealthcare Commercial	$15,270.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,617.92
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14,435.00
Rate for Payer: Wellcare Medicare Advantage	$13,617.92

MAJOR ESOPHAGEAL DISORDERS WITH MCC

Facility

$58,028.31

Service Code	MSDRG 368
Min. Negotiated Rate	$17,371.74
Max. Negotiated Rate	$58,028.31
Rate for Payer: Aetna Commercial	$53,678.68
Rate for Payer: Aetna Medicare Advantage	$17,371.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45,485.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45,485.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,342.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45,485.55
Rate for Payer: Cigna Commercial	$34,259.28
Rate for Payer: Cigna Medicare Advantage	$19,342.77
Rate for Payer: Clover Medicare Advantage	$18,375.63
Rate for Payer: EmblemHealth Commercial	$58,028.31
Rate for Payer: Humana Medicare Advantage	$19,923.05
Rate for Payer: Oxford Commercial	$21,411.06
Rate for Payer: UnitedHealthcare Commercial	$24,303.54
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,342.77
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$20,503.34
Rate for Payer: Wellcare Medicare Advantage	$19,342.77

MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC

Facility

$32,163.45

Service Code	MSDRG 370
Min. Negotiated Rate	$7,647.54
Max. Negotiated Rate	$32,163.45
Rate for Payer: Aetna Commercial	$23,630.90
Rate for Payer: Aetna Medicare Advantage	$7,647.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,399.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,399.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,721.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,399.58
Rate for Payer: Cigna Commercial	$15,081.92
Rate for Payer: Cigna Medicare Advantage	$10,721.15
Rate for Payer: Clover Medicare Advantage	$10,185.09
Rate for Payer: EmblemHealth Commercial	$32,163.45
Rate for Payer: Humana Medicare Advantage	$11,042.78
Rate for Payer: Oxford Commercial	$9,425.76
Rate for Payer: UnitedHealthcare Commercial	$10,699.11
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,721.15
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11,364.42
Rate for Payer: Wellcare Medicare Advantage	$10,721.15

MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility

$9,454.32

Service Code	APR-DRG 2482
Min. Negotiated Rate	$6,924.50
Max. Negotiated Rate	$9,454.32
Rate for Payer: Aetna Better Health Medicaid	$9,268.94
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,454.32
Rate for Payer: Wellpoint Medicaid Managed Care	$6,924.50

MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility

$25,020.44

Service Code	APR-DRG 2484
Min. Negotiated Rate	$22,160.97
Max. Negotiated Rate	$25,020.44
Rate for Payer: Aetna Better Health Medicaid	$24,529.84
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,020.44
Rate for Payer: Wellpoint Medicaid Managed Care	$22,160.97

MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility

$13,958.13

Service Code	APR-DRG 2483
Min. Negotiated Rate	$10,409.20
Max. Negotiated Rate	$13,958.13
Rate for Payer: Aetna Better Health Medicaid	$13,684.44
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,958.13
Rate for Payer: Wellpoint Medicaid Managed Care	$10,409.20

MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility

$7,248.01

Service Code	APR-DRG 2481
Min. Negotiated Rate	$5,033.39
Max. Negotiated Rate	$7,248.01
Rate for Payer: Aetna Better Health Medicaid	$7,105.89
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,248.01
Rate for Payer: Wellpoint Medicaid Managed Care	$5,033.39

MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC

Facility

$41,457.51

Service Code	MSDRG 372
Min. Negotiated Rate	$11,141.75
Max. Negotiated Rate	$41,457.51
Rate for Payer: Aetna Commercial	$34,428.01
Rate for Payer: Aetna Medicare Advantage	$11,141.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,669.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,669.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,819.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28,669.68
Rate for Payer: Cigna Commercial	$21,972.94
Rate for Payer: Cigna Medicare Advantage	$13,819.17
Rate for Payer: Clover Medicare Advantage	$13,128.21
Rate for Payer: EmblemHealth Commercial	$41,457.51
Rate for Payer: Humana Medicare Advantage	$14,233.75
Rate for Payer: Oxford Commercial	$13,732.45
Rate for Payer: UnitedHealthcare Commercial	$15,587.61
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,819.17
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14,648.32
Rate for Payer: Wellcare Medicare Advantage	$13,819.17

MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC

Facility

$63,287.76

Service Code	MSDRG 371
Min. Negotiated Rate	$19,349.10
Max. Negotiated Rate	$63,287.76
Rate for Payer: Aetna Commercial	$59,788.72
Rate for Payer: Aetna Medicare Advantage	$19,349.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48,242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48,242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,095.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48,242.25
Rate for Payer: Cigna Commercial	$38,158.89
Rate for Payer: Cigna Medicare Advantage	$21,095.92
Rate for Payer: Clover Medicare Advantage	$20,041.12
Rate for Payer: EmblemHealth Commercial	$63,287.76
Rate for Payer: Humana Medicare Advantage	$21,728.80
Rate for Payer: Oxford Commercial	$23,848.19
Rate for Payer: UnitedHealthcare Commercial	$27,069.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,095.92
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$22,361.68
Rate for Payer: Wellcare Medicare Advantage	$21,095.92

MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC

Facility

$32,935.53

Service Code	MSDRG 373
Min. Negotiated Rate	$7,937.81
Max. Negotiated Rate	$32,935.53
Rate for Payer: Aetna Commercial	$24,527.83
Rate for Payer: Aetna Medicare Advantage	$7,937.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19,848.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19,848.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,978.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19,848.24
Rate for Payer: Cigna Commercial	$15,654.38
Rate for Payer: Cigna Medicare Advantage	$10,978.51
Rate for Payer: Clover Medicare Advantage	$10,429.58
Rate for Payer: EmblemHealth Commercial	$32,935.53
Rate for Payer: Humana Medicare Advantage	$11,307.87
Rate for Payer: Oxford Commercial	$9,783.53
Rate for Payer: UnitedHealthcare Commercial	$11,105.22
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,978.51
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$11,637.22
Rate for Payer: Wellcare Medicare Advantage	$10,978.51

MAJOR HEAD AND NECK PROCEDURES WITH CC

Facility

$75,130.26

Service Code	MSDRG 141
Min. Negotiated Rate	$23,791.25
Max. Negotiated Rate	$75,130.26
Rate for Payer: Aetna Commercial	$73,546.42
Rate for Payer: Aetna Medicare Advantage	$23,801.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57,063.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57,063.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25,043.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57,063.69
Rate for Payer: Cigna Commercial	$46,939.45
Rate for Payer: Cigna Medicare Advantage	$25,043.42
Rate for Payer: Clover Medicare Advantage	$23,791.25
Rate for Payer: EmblemHealth Commercial	$75,130.26
Rate for Payer: Humana Medicare Advantage	$25,794.72
Rate for Payer: Oxford Commercial	$29,335.79
Rate for Payer: UnitedHealthcare Commercial	$33,298.85
Rate for Payer: UnitedHealthcare Medicare Advantage	$25,043.42
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$26,546.03
Rate for Payer: Wellcare Medicare Advantage	$25,043.42

Know your out-of-pocket cost for care.

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