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ST JOSEPHS HOSPITAL HOSPITAL SISTERS THIRD ORDER OF ST FRANCIS · HC HEALTH FAIR HEMOGLOBIN A1C
$10.80
Source file dated 2026-03-24 · both
Source note: ST. JOSEPH'S HOSPITAL - BREESE (ACU). 59.7% of $15.00 in Billed Charges for Rev 301 Proc 83036 = $8.96. 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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