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St Clare Memorial Hospital Inc · HC XR CHEST 2V PORTABLE

$275.88

Source file dated 2026-03-24 · both

Source note: ST. CLARE MEMORIAL HOSPITAL (CAH). 24% of $418.00 in Billed Charges for Rev 320 Proc 71046 = $100.32. 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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