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ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS · HC MRI BRAIN W/O CONTRAST
$3,178.08
Source file dated 2026-03-24 · both
Source note: 65.5% of $4,414.00 in Billed Charges for Rev 610 Proc 70551 = $2,891.17. 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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