Questions & corrections

ST MARYS HOSPITAL DECATUR OF HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS · OFFICE O/P EST LOW 20 MIN

$300.96

Source file dated 2026-03-25 · outpatient

Source note: 55% of $418.00 in Billed Charges for Rev 510 Proc 99213 = $229.90. Percent of Charge CDM service is reimbursed at a line level and those calculations will not change from person to person.