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ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS · HC ER LEVEL 5
$1,476.00
Source file dated 2026-03-24 · both
Source note: 65.5% of $2,050.00 in Billed Charges for Rev 450 Proc 99285 = $1,342.75. 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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