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ST MARYS HOSPITAL DECATUR OF HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS · X-RAY EXAM CHEST 2 VIEWS
$503.28
Source file dated 2026-03-25 · both
Source note: 55% of $699.00 in Billed Charges for Rev 320 Proc 71046 = $384.45. Percent of Charge CDM service is reimbursed at a line level and those calculations will not change from person to person.
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