Questions & corrections
ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS · HC ER LEVEL 4
$1,259.28
Source file dated 2026-03-24 · both
Source note: 100% of $1,908.00 in Billed Charges for Rev 450 Proc 99284 = $1,908.00. 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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