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{"sheet":"Survey Set-Up","index":0,"n_rows":248,"n_cols":105,"rows_kept":248,"cut":false,"hidden":true,"merged":[[31,1,34,1],[38,6,38,7],[38,8,38,11],[39,3,40,4],[247,0,247,13],[36,4,36,11],[35,4,35,11],[34,4,34,11],[16,5,16,13],[3,1,3,7],[10,1,10,7],[20,3,20,11],[7,8,7,14],[17,5,17,13],[18,3,18,13],[23,27,23,34],[24,3,24,12],[31,4,31,11],[32,4,32,11],[33,4,33,11],[27,3,27,12],[28,3,28,12],[29,3,29,12]]}
["1.  State:","Georgia",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Header Choices:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Adjustment tab column numbers for each state depending on whether \"state-only\" is displayed or not.","Alabama","Alaska","Arizona","Arkansas","California DPH","California NDPH","Colorado","Connecticut","Delaware","Florida","Georgia","Hawaii","Idaho","Illinois","Indiana","Iowa","Kansas","Kentucky","Louisiana","Maine","Maryland","Massachusetts","Michigan","Minnesota","Mississippi","Missouri","Montana","Nebraska","Nevada","New Hampshire","New Jersey","New Mexico","New York","North Carolina","North Dakota","Ohio","Oklahoma","Oregon","Pennsylvania","Rhode Island","South Carolina","South Dakota","Tennessee","Texas","Utah","Vermont","Virginia","Washington","West Virginia","Wisconsin","Wyoming"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"H & I Columns - StateOnlyDisplay = \"NO\"",11,11,11,11,19,11,11,11,11,11,11,11,11,11,19,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11,11]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Set 1 - State Provided Data","Set 1 - State Provided Data Instructions","Set 1 - State Provided Data UCC Summary Titles",null,"Set 2 - Hospital Provided Data","Set 2 - Hospital Provided Data Instructions","Set 2 - Hospital Provided Data UCC Summary Titles",null,"Set 3 - Other","Set 3 - Other Instructions","Set 3 - Other UCC Summary Titles",null,null,null,null,null,null,"Tax Instructions",null,null,null,null,null,null,null,null,null,"H & I Columns - StateOnlyDisplay = \"YES\"",13,13,13,13,21,13,13,13,13,13,13,13,13,13,21,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13]
[null,"Select the Column Headings You Want for Section H of the Survey (This will depend on data received from state for crossovers and managed care)",null,null,null,null,null,null,"Instructions Tab will Say This:",null,null,null,null,null,null,null,"UCC Summary Tab Will Say This:",null,null,null,null,null,null,null,null,null,"In-State Medicaid FFS Primary","Traditional Medicaid Primary  (should exclude non-Title 19 programs such as CHIP/SCHIP)","Medicaid Fee for Service",null,"In-State Medicaid FFS Primary","Traditional Medicaid Primary  (should exclude non-Title 19 programs such as CHIP/SCHIP)","Medicaid Fee for Service",null,"In-State Medicaid FFS Primary","Traditional Medicaid Primary  (should exclude non-Title 19 programs such as CHIP/SCHIP)","Medicaid Fee for Service",null,null,null,null,null,null,"N/A","No tax forms/columns will be used or displayed in the survey.",null,null,null,null,null,null,null,null,"J Columns - StateOnlyDisplay = \"NO\"",14,14,14,14,22,14,14,14,14,14,14,14,14,14,20,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14,14]
["2.  In-State:","Set 3 - Other",1,{"$f":"HLOOKUP($B$5,$AA$3:$AJ$15,2,FALSE)","v":"In-State Medicaid FFS Primary"},null,null,null,null,{"$f":"HLOOKUP(CONCATENATE($B$5, \" Instructions\"),$AA$3:$AJ$15,2,FALSE)","v":"Traditional Medicaid Primary  (should exclude non-Title 19 programs such as CHIP/SCHIP)"},null,null,null,null,null,null,null,{"$f":"HLOOKUP(CONCATENATE($B$5, \" UCC Summary Titles\"),$AA$3:$AK$15,2,FALSE)","v":"Medicaid Fee for Service"},null,null,null,null,null,null,null,null,null,"In-State Medicaid Managed Care Primary","Managed Care Medicaid Primary   (should exclude non-Title 19 programs such as CHIP/SCHIP)","Medicaid Managed Care",null,"In-State Medicaid Managed Care Primary","Managed Care Medicaid Primary  (should exclude non-Title 19 programs such as CHIP/SCHIP)","Medicaid Managed Care",null,"In-State Medicaid Managed Care Primary","Managed Care Medicaid Primary  (should exclude non-Title 19 programs such as CHIP/SCHIP)","Medicaid Managed Care",null,null,null,null,null,null,"Days","Tax will be allocated based on inpatient days in the survey in Section L (back-end).",null,null,null,null,null,null,null,null,"J Columns - StateOnlyDisplay = \"YES\"",16,16,16,16,24,16,16,16,16,16,16,16,16,16,22,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16,16]
[null,null,2,{"$f":"HLOOKUP($B$5,$AA$3:$AJ$15,3,FALSE)","v":"In-State Medicaid Managed Care Primary"},null,null,null,null,{"$f":"HLOOKUP(CONCATENATE($B$5, \" Instructions\"),$AA$3:$AJ$15,3,FALSE)","v":"Managed Care Medicaid Primary  (should exclude non-Title 19 programs such as CHIP/SCHIP)"},null,null,null,null,null,null,null,{"$f":"HLOOKUP(CONCATENATE($B$5, \" UCC Summary Titles\"),$AA$3:$AK$15,3,FALSE)","v":"Medicaid Managed Care"},null,null,null,null,null,null,null,null,null,"In-State Medicare FFS Cross-Overs (with Medicaid Secondary)","Traditional Medicare Primary with Traditional Medicaid or Managed Care Medicaid Secondary","Medicare Cross-over (FFS)",null,"In-State Medicare FFS Cross-Overs (with Medicaid Secondary)","Traditional Medicare Primary with Traditional Medicaid or Managed Care Medicaid Secondary","Medicare Cross-over (FFS)",null,"In-State Medicare FFS Cross-Overs (with Medicaid Secondary)","Traditional Medicare Primary with Traditional Medicaid or Managed Care Medicaid Secondary","Medicare Cross-over (FFS)",null,null,null,null,null,null,"Charges Sec. F-3","Tax will be allocated based on charges in the survey in Section L (back-end). Total hospital cost report charges will be pulled from Section F-3 (should be used when multiple hospitals are included in one cost report, but they file separate DSH surveys)."]
[null,null,3,{"$f":"HLOOKUP($B$5,$AA$3:$AJ$15,4,FALSE)","v":"In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},null,null,null,null,{"$f":"HLOOKUP(CONCATENATE($B$5, \" Instructions\"),$AA$3:$AJ$15,4,FALSE)","v":"Traditional Medicare Primary with Traditional Medicaid or Managed Care Medicaid Secondary"},null,null,null,null,null,null,null,{"$f":"HLOOKUP(CONCATENATE($B$5, \" UCC Summary Titles\"),$AA$3:$AK$15,4,FALSE)","v":"Medicare Cross-over (FFS)"},null,null,null,null,null,null,null,null,null,"In-State Medicare Managed Care Cross-Overs (with Medicaid Secondary)","Medicare Managed Care Primary with Traditional Medicaid or Managed Care Medicaid Secondary (should exclude QMBs if already included in Medicaid FFS data from state)","Medicare Cross-over (Mg. Care)",null,"In-State Medicare Managed Care Cross-Overs (with Medicaid Secondary)","Medicare Managed Care Primary with Traditional Medicaid or Managed Care Medicaid Secondary","Medicare Cross-over (Mg. Care)",null,"In-State Other Medicaid Eligibles (Not Included Elsewhere)","In-State Other Medicaid Eligibles (Not Included Elsewhere)  (should exclude non-Title 19 programs such as CHIP/SCHIP)","Other Medicaid Eligibles",null,null,null,null,null,null,"Charges Sec. G","Tax will be allocated based on charges in the survey in Section L (back-end). Total hospital cost report charges will be pulled from Section G.",null,null,null,null,null,null,null,null,{"$f":"State&StateOnlyDisplay","v":"GeorgiaNO"}]
[null,null,4,{"$f":"HLOOKUP($B$5,$AA$3:$AJ$15,5,FALSE)","v":"In-State Other Medicaid Eligibles (Not Included Elsewhere)"},null,null,null,null,{"$f":"HLOOKUP(CONCATENATE($B$5, \" Instructions\"),$AA$3:$AJ$15,5,FALSE)","v":"In-State Other Medicaid Eligibles (Not Included Elsewhere)  (should exclude non-Title 19 programs such as CHIP/SCHIP)"},null,null,null,null,null,null,null,{"$f":"HLOOKUP(CONCATENATE($B$5, \" UCC Summary Titles\"),$AA$3:$AK$15,5,FALSE)","v":"Other Medicaid Eligibles"},null,null,null,null,null,null,null,null,null,"Uninsured","Uninsured","Uninsured",null,"Uninsured","Uninsured","Uninsured",null,"Uninsured","Uninsured","Uninsured",null,null,null,null,null,null,"Cost","Tax will be spread across reimbursable cost centers in Section G based on their total cost (added to CCRs / per diems)."]
[null,null,5,{"$f":"HLOOKUP($B$5,$AA$3:$AJ$15,6,FALSE)","v":"Uninsured"},null,null,null,null,{"$f":"HLOOKUP(CONCATENATE($B$5, \" Instructions\"),$AA$3:$AJ$15,6,FALSE)","v":"Uninsured"},null,null,null,null,null,null,null,{"$f":"HLOOKUP(CONCATENATE($B$5, \" UCC Summary Titles\"),$AA$3:$AK$15,6,FALSE)","v":"Uninsured"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"C/R","Tax is already in the cost report being used but the tax reconciliation schedule (Section L) is still displayed to show the reconciliation of the tax in the cost report.  Nothing will be added in to the survey UCC."]
[]
[null,"Select the Column Headings You Want for Section I of the Survey (This will depend on data received from state for crossovers and managed care)",null,null,null,null,null,null,"Instructions Tab will Say This:",null,null,null,null,null,null,null,"UCC Summary Tab Will Say This:",null,null,null,null,null,null,null,null,null,"Out-of-State Medicaid FFS Primary","Traditional Medicaid Primary  (should exclude non-Title 19 programs such as CHIP/SCHIP)","Out-of-State Medicaid",null,"Out-of-State Medicaid FFS Primary","Traditional Medicaid Primary  (should exclude non-Title 19 programs such as CHIP/SCHIP)","Out-of-State Medicaid",null,"Out-of-State Medicaid FFS Primary","Traditional Medicaid Primary  (should exclude non-Title 19 programs such as CHIP/SCHIP)","Out-of-State Medicaid"]
["3. Out-of-State:","Set 3 - Other",1,{"$f":"HLOOKUP($B$12,$AA$3:$AJ$15,9,FALSE)","v":"Out-of-State Medicaid FFS Primary"},null,null,null,null,{"$f":"HLOOKUP(CONCATENATE($B$12, \" Instructions\"),$AA$3:$AJ$15,9,FALSE)","v":"Traditional Medicaid Primary  (should exclude non-Title 19 programs such as CHIP/SCHIP)"},null,null,null,null,null,null,null,{"$f":"HLOOKUP(CONCATENATE($B$5, \" UCC Summary Titles\"),$AA$3:$AK$15,9,FALSE)","v":"Out-of-State Medicaid"},null,null,null,null,null,null,null,null,null,"Out-of-State Medicaid Managed Care Primary","Managed Care Medicaid Primary  (should exclude non-Title 19 programs such as CHIP/SCHIP)",null,null,"Out-of-State Medicaid Managed Care Primary","Managed Care Medicaid Primary  (should exclude non-Title 19 programs such as CHIP/SCHIP)",null,null,"Out-of-State Medicaid Managed Care Primary","Managed Care Medicaid Primary  (should exclude non-Title 19 programs such as CHIP/SCHIP)"]
[null,null,2,{"$f":"HLOOKUP($B$12,$AA$3:$AJ$15,10,FALSE)","v":"Out-of-State Medicaid Managed Care Primary"},null,null,null,null,{"$f":"HLOOKUP(CONCATENATE($B$12, \" Instructions\"),$AA$3:$AJ$15,10,FALSE)","v":"Managed Care Medicaid Primary  (should exclude non-Title 19 programs such as CHIP/SCHIP)"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)","Traditional Medicare Primary with Traditional Medicaid or Managed Care Medicaid Secondary",null,null,"Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)","Traditional Medicare Primary with Traditional Medicaid or Managed Care Medicaid Secondary",null,null,"Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)","Traditional Medicare Primary with Traditional Medicaid or Managed Care Medicaid Secondary "]
[null,null,3,{"$f":"HLOOKUP($B$12,$AA$3:$AJ$15,11,FALSE)","v":"Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},null,null,null,null,{"$f":"HLOOKUP(CONCATENATE($B$12, \" Instructions\"),$AA$3:$AJ$15,11,FALSE)","v":"Traditional Medicare Primary with Traditional Medicaid or Managed Care Medicaid Secondary "},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Out-of-State Medicare Managed Care Cross-Overs (with Medicaid Secondary)","Medicare Managed Care Primary with Traditional Medicaid or Managed Care Medicaid Secondary (should exclude QMBs if already included in Medicaid FFS data from state)",null,null,"Out-of-State Medicare Managed Care Cross-Overs (with Medicaid Secondary)","Medicare Managed Care Primary with Traditional Medicaid or Managed Care Medicaid Secondary",null,null,"Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)","Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)  (should exclude non-Title 19 programs such as CHIP/SCHIP)"]
[null,null,4,{"$f":"HLOOKUP($B$12,$AA$3:$AJ$15,12,FALSE)","v":"Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},null,null,null,null,{"$f":"HLOOKUP(CONCATENATE($B$12, \" Instructions\"),$AA$3:$AJ$15,12,FALSE)","v":"Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)  (should exclude non-Title 19 programs such as CHIP/SCHIP)"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Uninsured","Uninsured",null,null,"Uninsured","Uninsured"]
[]
["4. Tax Options:","Display Provider Tax Form?","YES","Tax Methodology?","Charges Sec. G",{"$f":"VLOOKUP(FRAMethod,$AR$4:$AS$9,2,FALSE)","v":"Tax will be allocated based on charges in the survey in Section L (back-end). Total hospital cost report charges will be pulled from Section G."}]
[null,null,null,null,null,"NOTE:  Review the certification and instructions in the DSH Survey Part I to ensure that section L is properly excluded or included from the certification and instructions. (See set-up tab of DSH Survey Part I.)"]
["5. State/Local-Only Indigent Care Program Options:","Display State/Local-Only Indigent Care Program Column?","NO","NOTE: This column is intended to collect Exhibit C data for State/Local-Only Indigent Care Program claims for such programs where a private Managed Care Organization (MCO) is delivering the services to the indigent patients and is paying the hospital for the services provided. Per CMS FAQ published April 7, 2014 (#12), these payments from the MCO must be netted against cost in the UCC calculation. Payments should be reported on accrual basis, and thus cannot be picked up in Exhibit B. Before generating surveys, lock down and black out any payment cells in these columns that you do not want providers to utilize to report payments to ensure accurate reporting. (This column should NOT include any state/local government indigent care program claims where the patient is also enrolled in Medicaid, Medicare, or private insurance.)",null,null,null,null,null,null,null,null,null,null,null,"Note F - Only include claims in this column that are NOT Medicaid eligible, but are covered under a state/local-only indigent care program. Payments received on these claims from the state/local-only indigent care program should be reported as subsidies in Section F-2. Do not report these state/local-only indigent care program payments in Section H unless the payments are from a private Managed Care Organization that is delivering the state/local-only indigent care program. Payments received from a private Managed Care Organization that is delivering the state/local-only indigent care program should be included on line 133. Payments received from patients related to these claims should be reported on line 135 if not already included in cash basis uninsured payments on line 143. ",null,null,null,null,null,null,null,null,null,null,null,"Increase worksheet G-3, Line 2 for Bad Debts NOT INCLUDED on worksheet G-3, Line 2 (impact is a decrease in net patient revenue)",null,null,null,null,null,null,null,"INCREASE",null,null,null,null,null,null,null,"State/Local Only Indigent Care Program:","Enter claim charges, days, and payments for individuals enrolled in a state-only/local government-only indigent care program in which services are delivered through a private managed care organization (MCO). Per CMS FAQ published April 7, 2014 (#12), these individuals are considered uninsured and must be included in the calculation of the hospital-specific DSH limit. Payments received by the hospital from the MCO for these individuals should be reported on an accrual basis and all data must be supported by an Exhibit C. Any such claims where the patient is dual enrolled in a state/local government indigent care program and any other third party coverage (Medicaid, Medicare, private insurance) should NOT be reported in this column. SEE NOTE F ON SECTION H REGARDING PAYMENTS RELATED TO STATE/LOCAL-ONLY INDIGENT CARE PROGRAMS."]
["6. Is Ambulance considered a hospital service?","NO",null,"8. REQUIRED MACRO:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Increase worksheet G-3, Line 2 for Charity Care Write-Offs NOT INCLUDED on worksheet G-3, Line 2 (impact is a decrease in net patient revenue)",null,null,null,null,null,null,null,"INCREASE"]
[null,null,null,"After entering 1-6, above, click on \"Run page setup\" below to set-up the headers and footers with the state name (in all sheets).  This is a slow process so be patient!  This also sets up the Provider Tax forms and certain Indiana-only columns based on your answers, above.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Increase worksheet G-3, Line 2 to reverse offset of Medicaid DSH Revenue INCLUDED on worksheet G-3, Line 2 (impact is a decrease in net patient revenue)",null,null,null,null,null,null,null,"INCREASE"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Increase worksheet G-3, Line 2 to reverse offset of State and Local Patient Care Cash Subsidies INCLUDED on worksheet G-3, Line 2 (impact is a decrease in net patient revenue)",null,null,null,null,null,null,null,"INCREASE"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Decrease worksheet G-3, Line 2 to remove Medicaid Provider Taxes INCLUDED on worksheet G-3, Line 2 (impact is an increase in net patient revenue)",null,null,null,null,null,null,null,"DECREASE"]
[null,null,null,"9. Update LIUR calculation",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Blank Recon Line OR \"Decrease worksheet G-3, Line 2 to remove Charity Care Charges related to insured patients INCLUDED on worksheet G-3, Line 2 (impact is an increase in net patient revenue)\"",null,null,null,null,null,null,null,"DECREASE"]
["7. Contact Info:","Myers and Stauffer LC",null,"If your state has a broader LIUR calculation than the federal LIUR, and you want to update the LIUR reconciliation lines in Section F-3 of the DSH survey, change the descriptions and the +/- values below to match your state's LIUR calculation (the +/- indicates whether you are increasing or decreasing worksheet G-3, Line 2). The default descriptions and +/- included below are based on the FEDERAL LIUR. The federal LIUR defaults are available in the drop-down selections on lines 28-32 below."]
[null,"Attention:  DSH Examinations",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Ambulance"]
[null,"700 W. 47th Street, Suite 1100",null,"Note: If you are not using all available lines, you should:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0]
[null,"Kansas City, MO 64112",null,"1. Update the reconciliation Line Numbers on the as-filed Section F-3. All other tabs are linked to this tab, so it is only necessary to update the line numbers on \"Sec. D, E, F CR Data\" tab.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0]
[null,"Fax:  (816) 945-5301",null,"2. Hide any un-used reconciliation Lines on BOTH the as-filed Section F-3 and ADJ Section F-3 BEFORE you generate the surveys.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0]
[null,"Phone:  (800) 374-6858",null,"Note: Line 36 is an optional line that can be blank, or can account for a state-specific difference in the definition of charity care, for example. Line 36 is NOT part of the reconciliation intended to calculate the LIUR following the federal definition."]
[null,"e-mail:  "]
[null,"NOTE: DO NOT DELETE LINES IN THE SURVEY! THIS WILL CAUSE REFERENCE ERRORS THROUGHOUT! HIDE ANY UNUSED LINES AND UPDATE THE LINE NUMBERS.",null,{"$f":"CONCATENATE(\"Line \",'Sec. D, E, F CR Data'!A127)","v":"Line 30."},"Increase worksheet G-3, Line 2 for Bad Debts NOT INCLUDED on worksheet G-3, Line 2 (impact is a decrease in net patient revenue)",null,null,null,null,null,null,null,"INCREASE"]
[null,null,null,{"$f":"CONCATENATE(\"Line \",'Sec. D, E, F CR Data'!A128)","v":"Line 31."},"Increase worksheet G-3, Line 2 for Charity Care Write-Offs NOT INCLUDED on worksheet G-3, Line 2 (impact is a decrease in net patient revenue)",null,null,null,null,null,null,null,"INCREASE"]
[null,null,null,{"$f":"CONCATENATE(\"Line \",'Sec. D, E, F CR Data'!A129)","v":"Line 32."},"Increase worksheet G-3, Line 2 to reverse offset of Medicaid DSH Revenue INCLUDED on worksheet G-3, Line 2 (impact is a decrease in net patient revenue)",null,null,null,null,null,null,null,"INCREASE"]
[null,null,null,{"$f":"CONCATENATE(\"Line \",'Sec. D, E, F CR Data'!A130)","v":"Line 33."},"Increase worksheet G-3, Line 2 to reverse offset of State and Local Patient Care Cash Subsidies INCLUDED on worksheet G-3, Line 2 (impact is a decrease in net patient revenue)",null,null,null,null,null,null,null,"INCREASE"]
[null,null,null,{"$f":"CONCATENATE(\"Line \",'Sec. D, E, F CR Data'!A131)","v":"Line 34."},"Decrease worksheet G-3, Line 2 to remove Medicaid Provider Taxes INCLUDED on worksheet G-3, Line 2 (impact is an increase in net patient revenue)",null,null,null,null,null,null,null,"DECREASE"]
[null,null,null,{"$f":"CONCATENATE(\"Line \",'Sec. D, E, F CR Data'!A132)","v":"Line 35."},"Blank Recon Line OR \"Decrease worksheet G-3, Line 2 to remove Charity Care Charges related to insured patients INCLUDED on worksheet G-3, Line 2 (impact is an increase in net patient revenue)\"",null,null,null,null,null,null,null,"DECREASE"]
[]
[null,null,null,"9. HCRIS Survey Macro:",null,null,"Output Directory:",null,"G:\\Data\\State Data\\Georgia\\Georgia DSH Project\\2019 DSH Project\\Survey Part II\\"]
[null,null,null,"*Notes* - This requires SQL drivers to be installed.",null,null,null,null,null,null,null,null,null," "]
["List All Hospital Data Below:",null,null,null,null,"*NOTE: Medicare number should not contain anything but numbers"]
[null,1,2,3,4,5,6,7,8,9,10,11]
[null,"Hospital Name","Medicaid Provider ID","Medicaid SubProvider1 ID","Medicaid SubProvider2 ID","Medicare Provider ID","Report Period From","Reporting Period To","Report Period From","Reporting Period To","Report Period From","Reporting Period To","Owner Type","DSH Pool"]
[null,"SELECT HOSPITAL NAME","M'Caid #","M'Caid Sub 1 #","M'Caid Sub 2 #","M'Care #"]
[1,"HAMILTON MEDICAL CENTER","000000899A",null,null,110001,"2016-10-01","2017-09-30",null,null,null,null,"Private","Urban"]
[{"$f":"A45+1","v":2},"UPSON REGIONAL MEDICAL CENTER","000001988A",null,null,110002,"2017-01-01","2017-12-31",null,null,null,null,"Non-State Govt.","Non-Small Rural"]
[{"$f":"A46+1","v":3},"MEMORIAL SATILLA HEALTH","000001229A",null,null,110003,"2017-01-01","2017-04-30","2017-05-01","2017-12-31",null,null,"Private","Non-Small Rural"]
[4,"NORTHSIDE HOSPITAL-FORSYTH","000000767A",null,null,110005,"2016-10-01","2017-09-30",null,null,null,null,"Non-State Govt.","Urban"]
[5,"SAINT MARY'S HOSPITAL","000001823A",null,null,110006,"2016-07-01","2017-06-30",null,null,null,null,"Private","Urban"]
[6,"PHOEBE PUTNEY MEMORIAL HOSPITAL","000001482A","000001416A",null,110007,"2016-08-01","2017-07-31",null,null,null,null,"Non-State Govt.","Urban"]
[7,"NORTHSIDE HOSPITAL-CHEROKEE","000001108A",null,null,110008,"2016-10-01","2017-09-30",null,null,null,null,"Non-State Govt.","Urban"]
[8,"EMORY UNIVERSITY HOSPITAL","000000712A","000000712B",null,110010,"2016-09-01","2017-08-31",null,null,null,null,"Private","Urban"]
[9,"TANNER MEDICAL CENTER-CARROLLTON","000001867A",null,null,110011,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Urban"]
[10,"TANNER MEDICAL CENTER-VILLA RICA","000002032A",null,null,110015,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Urban"]
[11,"WELLSTAR WEST GEORGIA HOSPITAL","000002065A",null,null,110016,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Non-Small Rural"]
[12,"PIEDMONT NEWTON HOSPITAL","000001394A",null,null,110018,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Urban"]
[13,"GORDON HOSPITAL","000000833A",null,null,110023,"2017-01-01","2017-12-31",null,null,null,null,"Private","Small Rural"]
[14,"CANDLER HOSPITAL","000000327A",null,null,110024,"2016-07-01","2017-06-30",null,null,null,null,"Private","Urban"]
[15,"SOUTHEAST GEORGIA MEDICAL CENTER","000000822A",null,null,110025,"2016-05-01","2017-04-30",null,null,null,null,"Non-State Govt.","Urban"]
[16,"ELBERT MEMORIAL HOSPITAL","000000668A",null,null,110026,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[17,"ST. MARYS SACRED HEART HOSPITAL","000000437A",null,null,110027,"2016-07-01","2017-06-30",null,null,null,null,"Private","Small Rural"]
[18,"UNIVERSITY HOSPITAL","000001977A",null,null,110028,"2017-01-01","2017-12-31",null,null,null,null,"Non-State Govt.","Urban"]
[19,"NORTHEAST GEORGIA MEDICAL CENTER","000000888A","000000888S",null,110029,"2016-10-01","2017-09-30",null,null,null,null,"Non-State Govt.","Urban"]
[20,"CARTERSVILLE MEDICAL CENTER","000001625A",null,null,110030,"2016-10-01","2017-09-30",null,null,null,null,"Private","Urban"]
[21,"WELLSTAR SPALDING REGIONAL HOSPITAL","000000866A",null,null,110031,"2016-07-01","2017-06-30",null,null,null,null,"Private","Urban"]
[22,"STEPHENS COUNTY HOSPITAL","000001834A",null,null,110032,"2016-10-01","2017-09-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[23,"MEDICAL COLLEGE OF GA HOSP & CLINICS","000000723A",null,null,110034,"2016-07-01","2017-06-30",null,null,null,null,"State Govt.","Urban"]
[24,"WELLSTAR KENNESTONE HOSPITAL","000001119A",null,null,110035,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Urban"]
[25,"MEMORIAL HEALTH UNIV MEDICAL CENTER","000001273A",null,null,110036,"2017-01-01","2018-01-31",null,null,null,null,"Private","Urban"]
[26,"JOHN D. ARCHBOLD MEMORIAL HOSPITAL","000000063A",null,null,110038,"2016-10-01","2017-09-30",null,null,null,null,"Private","Non-Small Rural"]
[27,"TRINITY HOSPITAL OF AUGUSTA","000001779A",null,null,110039,"2016-10-01","2017-06-30",null,null,null,null,"Private","Urban"]
[28,"NORTHRIDGE MEDICAL CENTER","000000151A",null,null,110040,"2017-01-01","2017-12-31",null,null,null,null,"Private","Small Rural"]
[29,"HABERSHAM COUNTY MEDICAL CENTER","000000877A",null,null,110041,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[30,"WELLSTAR PAULDING HOSPITAL","000001438A",null,null,110042,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Urban"]
[31,"ST. JOSEPH HOSPITAL SAVANNAH","000001801A",null,null,110043,"2016-07-01","2017-06-30",null,null,null,null,"Private","Urban"]
[32,"PHOEBE SUMTER MEDICAL CENTER","000000019A",null,null,110044,"2016-08-01","2017-07-31",null,null,null,null,"Non-State Govt.","Non-Small Rural"]
[33,"BARROW REGIONAL MEDICAL CENTER","000002098A",null,null,110045,"2017-01-01","2017-09-30",null,null,null,null,"Private","Urban"]
[34,"PIEDMONT WALTON","000020677A",null,null,110046,"2016-10-01","2017-09-30",null,null,null,null,"Private","Urban"]
[35,"MURRAY MEDICAL CENTER","000001383A",null,null,110050,"2017-01-01","2017-12-31",null,null,null,null,"Non-State Govt.","Urban"]
[36,"UNION GENERAL HOSPITAL","000001966A",null,null,110051,"2016-05-01","2017-04-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[37,"FLOYD MEDICAL CENTER","000000756A",null,null,110054,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Urban"]
[38,"MIDTOWN MEDICAL CENTER","000001196A","000148233A",null,110064,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Urban"]
[39,"HOUSTON MEDICAL CENTER","000000976A",null,null,110069,"2017-01-01","2017-12-31",null,null,null,null,"Non-State Govt.","Urban"]
[40,"APPLING HOSPITAL","000000052A",null,null,110071,"2016-09-01","2017-08-31",null,null,null,null,"Non-State Govt.","Small Rural"]
[41,"DORMINY MEDICAL CENTER","000000613A",null,null,110073,"2016-08-01","2017-07-31",null,null,null,null,"Non-State Govt.","Small Rural"]
[42,"PIEDMONT ATHENS REGIONAL MED CTR","000000074A",null,null,110074,"2016-10-01","2017-06-30",null,null,null,null,"Non-State Govt.","Urban"]
[43,"EAST GEORGIA MEDICAL CENTER","000000272A",null,null,110075,"2016-10-01","2017-09-30",null,null,null,null,"Private","Non-Small Rural"]
[44,"DEKALB MEDICAL CENTER","000000536A",null,null,110076,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Urban"]
[45,"EMORY UNIVERSITY HOSPITAL MIDTOWN","000000503A",null,null,110078,"2016-09-01","2017-08-31",null,null,null,null,"Private","Urban"]
[46,"CHILDREN'S HLTHCRE-HUGHES SPALDING","000679808A",null,null,110079,"2017-01-01","2017-12-31",null,null,null,null,"Non-State Govt.","Urban"]
[47,"GRADY MEMORIAL HOSPITAL","000000855A",null,null,110079,"2017-01-01","2017-12-31",null,null,null,null,"Non-State Govt.","Urban"]
[48,"ST. JOSEPH HOSPITAL-ATLANTA","000001812A",null,null,110082,"2016-09-01","2017-08-31",null,null,null,null,null,"Urban"]
[49,"PIEDMONT HOSPITAL","000001504A",null,null,110083,"2016-07-01","2017-06-30",null,null,null,null,"Private","Urban"]
[50,"WASHINGTON COUNTY REGIONAL MED CTR","000001218A",null,null,110086,"2016-09-01","2017-08-31",null,null,null,null,"Non-State Govt.","Small Rural"]
[51,"GWINNETT MEDICAL CENTER-DULUTH","000001064A",null,null,110087,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Urban"]
[52,"GWINNETT MEDICAL CTR LAWRENCEVILLE","000000294A",null,null,110087,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Urban"]
[53,"COFFEE REGIONAL MEDICAL CENTER","000000448A",null,null,110089,"2017-01-01","2017-12-31",null,null,null,null,"Non-State Govt.","Small Rural"]
[54,"ROCKDALE MEDICAL CENTER","000001603A",null,null,110091,"2016-10-01","2017-09-30",null,null,null,null,"Private","Urban"]
[55,"DODGE COUNTY HOSPITAL","000000591A",null,null,110092,"2016-10-01","2017-09-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[56,"TIFT REGIONAL MEDICAL CENTER","000001922A",null,null,110095,"2016-10-01","2017-09-30",null,null,null,null,"Non-State Govt.","Non-Small Rural"]
[57,"JEFFERSON HOSPITAL","000001031A",null,null,110100,"2017-01-01","2017-12-31",null,null,null,null,"Non-State Govt.","Small Rural"]
[58,"COOK MEDICAL CENTER","000001251A",null,null,110101,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[59,"CRISP REGIONAL HOSPITAL","000000514A",null,null,110104,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[60,"COLQUITT REGIONAL MEDICAL CENTER","000002021A",null,null,110105,"2016-10-01","2017-09-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[61,"MEDICAL CENTER OF CENTRAL GEORGIA","000001207A",null,null,110107,"2016-10-01","2017-09-30",null,null,null,null,"Non-State Govt.","Urban"]
[62,"EMANUEL MEDICAL CENTER","000000701A",null,null,110109,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[63,"UNIVERSITY HOSPITAL MCDUFFIE","000001185A",null,null,110111,"2017-01-01","2017-12-31",null,null,null,null,"Non-State Govt.","Small Rural"]
[64,"BURKE MEDICAL CENTER","000000283A",null,null,110113,"2016-06-01","2017-05-31",null,null,null,null,"Non-State Govt.","Small Rural"]
[65,"WELLSTAR ATLANTA MEDICAL CENTER","000000789A","000001713A",null,110115,"2016-07-01","2017-06-30",null,null,null,null,"Private","Urban"]
[66,"GRADY GENERAL HOSPITAL","000000844A",null,null,110121,"2016-10-01","2017-09-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[{"$f":"A110+1","v":67},"SOUTH GEORGIA MEDICAL CENTER","000001724A","000001724G",null,110122,"2016-10-01","2017-09-30",null,null,null,null,"Non-State Govt.","Urban"]
[68,"WAYNE MEMORIAL HOSPITAL","000002054A",null,null,110124,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[69,"FAIRVIEW PARK HOSPITAL","000001141A",null,null,110125,"2016-05-01","2017-04-30",null,null,null,null,"Private","Non-Small Rural"]
[70,"MEADOWS REGIONAL MEDICAL CENTER","000001086A",null,null,110128,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[71,"SAINT FRANCIS HOSPITAL","000001768A",null,null,110129,"2017-01-01","2017-12-31",null,null,null,null,"Private","Urban"]
[72,"IRWIN COUNTY HOSPITAL","000000987A",null,null,110130,"2016-12-01","2017-11-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[73,"MEMORIAL HOSPITAL & MANOR-BAINBRIDGE","000001262A",null,null,110132,"2016-04-01","2017-03-31",null,null,null,null,"Non-State Govt.","Small Rural"]
[74,"TAYLOR REGIONAL HOSPITAL","000001548A",null,null,110135,"2016-04-01","2017-03-31",null,null,null,null,"Private","Small Rural"]
[75,"EVANS MEMORIAL HOSPITAL","000000734A",null,null,110142,"2016-10-01","2017-09-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[76,"WELLSTAR COBB HOSPITAL","000000426A",null,null,110143,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Urban"]
[77,"SOUTHEAST GA HLTH SYS-CAMDEN CAMPUS","000000811A",null,null,110146,"2016-05-01","2017-04-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[78,"OCONEE REGIONAL MEDICAL CENTER","000000129A",null,null,110150,"2016-10-01","2017-09-30",null,null,null,null,"Private","Non-Small Rural"]
[79,"PERRY HOSPITAL","000001471A",null,null,110153,"2017-01-01","2017-12-31"]
[80,"NORTHSIDE HOSPITAL","000001405A",null,null,110161,"2016-10-01","2017-09-30",null,null,null,null,"Non-State Govt.","Urban"]
[81,"COLISEUM MEDICAL CENTER","000000459A",null,null,110164,"2016-07-01","2017-06-30",null,null,null,null,"Private","Urban"]
[82,"SOUTHERN REGIONAL MEDICAL CENTER","000000404A",null,null,110165,"2017-01-01","2017-12-31",null,null,null,null,"Private","Urban"]
[83,"REDMOND REGIONAL MEDICAL CENTER","000001581A",null,null,110168,"2016-07-01","2017-06-30",null,null,null,null,"Private","Urban"]
[84,"DOCTORS HOSPITAL-AUGUSTA","000000558A",null,null,110177,"2016-04-01","2017-03-31",null,null,null,null,"Private","Urban"]
[85,"WELLSTAR DOUGLAS HOSPITAL","000000624A",null,null,110184,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Urban"]
[86,"FANNIN REGIONAL HOSPITAL","000134406A",null,null,110189,"2017-01-01","2017-12-31",null,null,null,null,"Private","Small Rural"]
[87,"FLINT RIVER HOSPITAL","000149487A",null,null,110190,"2017-01-01","2017-12-31",null,null,null,null,"Private","Small Rural"]
[88,"PIEDMONT HENRY HOSPITAL","000182388A",null,null,110191,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Urban"]
[89,"EMORY EASTSIDE MEDICAL CENTER","000190088A",null,null,110192,"2016-09-01","2017-08-31",null,null,null,null,"Private","Urban"]
[90,"DONALSONVILLE HOSPITAL","000206181A",null,null,110194,"2016-07-01","2017-06-30",null,null,null,null,"Private","Small Rural"]
[91,"WELLSTAR NORTH FULTON REGIONAL HOSP","000275976A",null,null,110198,"2016-07-01","2017-06-30",null,null,null,null,"Private","Urban"]
[92,"NORTHSIDE MEDICAL CENTER","000315642A",null,null,110200,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Urban"]
[93,"COLISEUM NORTHSIDE","000295358A",null,null,110201,"2016-07-01","2017-06-30",null,null,null,null,"Private","Urban"]
[94,"PIEDMONT FAYETTE HOSPITAL","000755323A",null,null,110215,"2016-07-01","2017-06-30",null,null,null,null,"Private","Urban"]
[95,"PIEDMONT MOUNTAINSIDE HOSPITAL","000001493A",null,null,110225,"2016-07-01","2017-06-30",null,null,null,null,"Private","Small Rural"]
[96,"DEKALB MEDICAL CENTER-HILLENDALE","000000536U",null,null,110226,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Urban"]
[97,"PIEDMONT NEWNAN HOSPITAL","000000492A",null,null,110229,"2016-07-01","2017-06-30",null,null,null,null,"Private","Urban"]
[98,"EMORY JOHNS CREEK","344886600A",null,null,110230,"2016-09-01","2017-08-31",null,null,null,null,"Private","Urban"]
[99,"SOUTH GEORGIA MED CTR - BERRIEN","000000173A",null,null,110234,"2016-10-01","2017-09-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[100,"CORNERSTONE MEDICAL CENTER","003180661A",null,null,110236,"2017-01-01","2017-12-29",null,null,null,null,"Private","Urban"]
[101,"SOUTHWEST GEORGIA REGIONAL MEDICAL C","000001427A",null,null,111300,"2016-08-01","2017-07-31",null,null,null,null,"Non-State Govt.","Small Rural"]
[102,"BLECKLEY MEMORIAL HOSPITAL","000000195A",null,null,111302,"2016-04-01","2017-03-31",null,null,null,null,"Non-State Govt.","Small Rural"]
[103,"JASPER MEMORIAL HOSPITAL","000000998A",null,null,111303,"2016-10-01","2017-09-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[104,"MORGAN MEMORIAL HOSPITAL","000694229A",null,null,111304,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[105,"MILLER COUNTY HOSPITAL","000001317A",null,null,111305,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[106,"EFFINGHAM HOSPITAL","000000657A",null,null,111306,"2016-07-01","2016-10-31","2016-11-01","2017-06-30",null,null,"Non-State Govt.","Urban"]
[107,"CLINCH MEMORIAL HOSPITAL","000000415A",null,null,111308,42552,42916,null,null,null,null,"Non-State Govt.","Small Rural"]
[108,"MEDICAL CENTER OF PEACH COUNTY","000001449A",null,null,111310,"2016-10-01","2017-09-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[109,"OPTIM MEDICAL CENTER - JENKINS","000001042A",null,null,111311,"2017-01-01","2017-06-15",null,null,null,null,"Private","Small Rural"]
[110,"OPTIM MEDICAL CENTER - SCREVEN","000001647A",null,null,111312,"2017-01-01","2017-12-31",null,null,null,null,"Private","Small Rural"]
[111,"PUTNAM GENERAL HOSPITAL","000001537A",null,null,111313,"2016-10-01","2017-09-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[112,"PIONEER HLTH SERV OF EARLY COUNTY","000000635A",null,null,111314,"2016-10-01","2017-10-31",null,null,null,null,"Non-State Govt.","Small Rural"]
[113,"WARM SPRINGS MEDICAL CENTER","000001284A",null,null,111316,"2017-01-01","2017-12-31",null,null,null,null,"Non-State Govt.","Small Rural"]
[114,"MONROE COUNTY HOSPITAL","000001361A",null,null,111318,"2016-10-01","2017-09-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[115,"WELLSTAR SYLVAN GROVE HOSPITAL","000001856A",null,null,111319,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[116,"HIGGINS GENERAL HOSPITAL","000000954A",null,null,111320,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[117,"OPTIM MEDICAL CENTER - TATTNALL","000001878A",null,null,111323,"2017-01-01","2017-12-31",null,null,null,null,"Private","Small Rural"]
[118,"CHATUGE REGIONAL HOSPITAL","000001933A",null,null,111324,"2016-05-01","2017-04-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[119,"WILLS MEMORIAL HOSPITAL","000002087A",null,null,111325,"2016-05-01","2017-04-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[120,"SOUTH GEORGIA MED CTR - LANIER","000001163A",null,null,111326,"2016-10-01","2017-09-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[121,"BACON COUNTY HOSPITAL","000000118A",null,null,111327,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[122,"PHOEBE WORTH MEDICAL CENTER","000002109A",null,null,111328,"2016-08-01","2017-07-31",null,null,null,null,"Private","Small Rural"]
[123,"ST. MARYS GOOD SAMARITAN","000001328A",null,null,111329,"2016-07-01","2017-06-30",null,null,null,null,"Private","Small Rural"]
[124,"POLK MEDICAL CENTER","000001526A",null,null,111330,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[125,"MITCHELL COUNTY HOSPITAL","000001339A",null,null,111331,"2016-10-01","2017-09-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[126,"BROOKS COUNTY HOSPITAL","000000239A",null,null,111332,"2016-10-01","2017-09-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[127,"JEFF DAVIS HOSPITAL","000001009A",null,null,111333,"2016-10-01","2017-09-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[128,"CANDLER COUNTY HOSPITAL","000000316A",null,null,111334,"2017-01-01","2017-12-31",null,null,null,null,"Non-State Govt.","Small Rural"]
[129,"LIBERTY REGIONAL MEDICAL CENTER","000001152A",null,null,111335,"2016-12-01","2017-11-30",null,null,null,null,"Non-State Govt.","Small Rural"]
[130,"MOUNTAIN LAKES MEDICAL CENTER","000001559A",null,null,111336,"2017-01-01","2017-12-31",null,null,null,null,"Private","Small Rural"]
[{"$f":"A174+1","v":131},"SHEPHERD CENTER","000248069A",null,null,112003,"2016-04-01","2017-03-31",null,null,null,null,"Private","Urban"]
[132,"DEKALB MEDICAL CENTER AT DECATUR","000000525A",null,null,112006,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Urban"]
[133,"WELLSTAR WINDY HILL HOSPITAL","000001999A",null,null,112007,"2016-07-01","2017-06-30",null,null,null,null,"Non-State Govt.","Urban"]
[134,"KINDRED HOSPITAL ROME","000886179A",null,null,112010,"2016-09-01","2017-08-31",null,null,null,null,null,"Urban"]
[135,"HEALTHSOUTH WALTON REHAB HOSPITAL","000368387A",null,null,113030,"2016-04-01","2017-03-31",null,null,null,null,null,"Urban"]
[136,"ROOSEVELT WARM SPRGS LTAC HOSPITAL","000000778A",null,null,113028,"2016-07-01","2017-06-30",null,null,null,null,"State Govt.","Small Rural"]
[137,"CHILDREN'S HOSPITAL ATL AT EGLESTON","000000943A",null,null,113300,"2017-01-01","2017-12-31",null,null,null,null,"Private","Urban"]
[138,"CHILDREN'S HEALTHCARE-SCOTTISH RITE","000001636A",null,null,113301,"2017-01-01","2017-12-31",null,null,null,null,"Private","Urban"]
[139]
[140]
[141]
[142]
[143]
[144]
[145]
[146]
[147]
[148]
[149]
[150]
[151]
[152]
[153]
[154]
[155]
[156]
[157]
[158]
[159]
[160]
[161]
[162]
[163]
[164]
[165]
[166]
[167]
[168]
[169]
[170]
[171]
[172]
[173]
[174]
[175]
[176]
[177]
[178]
[179]
[180]
[181]
[182]
[183]
[184]
[185]
[186]
[187]
[188]
[189]
[190]
[191]
[192]
[193]
[194]
[{"$f":"A238+1","v":195}]
[196]
[197]
[198]
[199]
[200]
[201]
[202]
[203]
["If more providers are needed, insert rows above this line. DO NOT delete this line and continue the list."]

{"sheet":"Instructions","index":1,"n_rows":170,"n_cols":7,"rows_kept":170,"cut":false,"hidden":false,"merged":[[160,0,160,2],[170,0,170,2]]}
["General Instructions and Identification of Cost Reports that Cover the DSH Year:"]
[]
[null,null,"Macro Settings for Microsoft Excel 2007 Software"]
["1.",null,"Please make sure Macros are enabled under the Excel options. If Macros are disabled, the DSH survey will not have full functionality. Macros can be enabled for Microsoft Excel 2007 software by first selecting \"Excel Options\" under the Microsoft Office File Menu Button (upper left hand corner of the screen). Then under the Excel Options dialog box select the \"Trust Center\" option. Under the Trust Center Dialog box select the \"Trust Center Settings\" button. Then select \"Macro Settings\" and click the \"Enable all macros\" button. Then press the OK button. After the Macro settings have been enabled it will be necessary to save changes and close the Excel program and re-open the DSH Survey Part II Excel workbook so the setting changes can take place.\n\nOR\n\nSelect the Developer tab on the Excel Ribbon Menu. If the Developer tab is not displayed, click the Microsoft Office File Menu Button (upper left hand corner of the screen), then select the \"Excel Options\" button. Under Excel Options, Select the \"Popular\" category, then under \"Top Options for working with Excel\" select the \"Show Developer Tab in The Ribbon\" option. Once the Developer tab is available select the \"Macro Security\" option under the Code Group. Under Macro Security settings select the \"Enable All Macros\" option or the option that allows you to disable macros with notification (if the notification option is chosen, you will see a \"SECURITY WARNING\" message). Then close and re-open the Excel workbook so the settings changes can take place.\n"]
[null,null,"Macro Settings for Older Versions of Microsoft Excel Software"]
[null,null,"For older versions of Microsoft Excel software (before Microsoft Excel 2007) select the \"Tools\" menu. Under the Tools Menu select \"Macro\" - \"Security\". Then select \"Low\" or \"Medium\" security. Then close and re-open the Excel workbook for the settings changes to take place."]
["2.",null,"DSH Survey Sections A, B, and C are part of a separate Excel workbook titled DSH Survey Part I and should be submitted along with the completed DSH Survey Part II Excel workbook. DSH Survey sections A, B, and C contain DSH eligibility and certification questions."]
[]
["3.",null,"Select the \"Survey - Sec. D, E, F CR Data\" tab in the Excel workbook. On Line 1, select your facility from the drop-down menu provided. When your facility is selected, the following Lines will be populated with your facility specific information: Line 2 - applicable cost report years, Line 4 - Hospital Name, Line 5 - in-state Medicaid provider number, Line 6 - Medicaid Subprovider Number 1 (Psychiatric or Rehab), Line 7 - Medicaid Provider Number 2 (Psychiatric or Rehab), and Line 8 -Medicare provider number. The provider must manually select the appropriate option from the drop down menu for Line 3 - Status of Cost Report Used for the Survey. Review the information and indicate whether it is correct or incorrect. If incorrect, provide correct information in the provided space and submit supporting documentation when you submit your survey."]
[]
["4.",null,"You must complete a separate DSH Survey Part II Excel workbook for each cost report year needed to cover the State DSH year and not previously submitted for a DSH examination. To indicate the proper time period for the current survey select an \"X\" from the drop down menu on the appropriate box of Line 2 of the \"Survey - Sec. D, E, F CR Data\" tab in this Excel workbook. If two cost report years are selected at the same time the survey will generate an error message as only one cost report year may be selected per Excel workbook."]
[null,null,"NOTE: For the 2014 DSH Survey, if your hospital completed the DSH survey for 2013, the first cost report year should follow the last cost report year reported on the 2013 DSH survey. The last cost report year on the 2014 survey must end on or after the end of the 2014 DSH year. If your hospital did not complete the 2013 survey, you must report data for each cost report year that covers the 2014 DSH year."]
[]
["5.",null,"Supporting documentation for all data elements provided within the DSH survey must be maintained for a minimum of five years."]
["Exhibit A - Support of Uninsured I/P and O/P Hospital Services:"]
[]
["1.",null,"See Exhibit A for an example format of the information that needs to be available to support the data reported in Section H of the survey related to uninsured services provided in each cost reporting year needed to completely cover the DSH year. This information must be maintained by the facility in accordance with the documentation retention requirements outlined in the general instructions section. Submit a separate Exhibit A for each cost reporting period included in the survey."]
["2.",null,"Complete Exhibit A based on your individual state Medicaid hospital reimbursement methodology (if your state reimburses based on discharge date then only include claims in Exhibit A that were discharged during the cost reporting period for which you are pulling the data). "]
["3.",null,"Exhibit A population should include all uninsured patients whose dates of service (see above) fall within the cost report period. "]
["4.",null,"The total inpatient and outpatient hospital (excluding professional fees, and other non-hospital items) charges from Exhibit A, column N should tie to Section H, line 128 of the DSH survey. "]
[]
["Exhibit B - Support for Self-Pay I/P and O/P Hospital Payments Received: "]
[]
["1.",null,"See Exhibit B for an example format of the information that needs to be available to support the data reported in Section E of the survey related to ALL patient payments received during each cost reporting year needed to completely cover the DSH year. This information must be maintained by the facility in accordance with the documentation retention requirements outlined in the general instructions section. Submit a separate Exhibit B for each cost reporting period included in the survey."]
[null,null,"Note: If insurance status cannot be determined on older service dates, report the older service date payments received during the cost report period on Exhibit B-1, as noted below. "]
[null,null,"Note: Include Section 1011 payments received related to undocumented aliens if they are applied at a patient level."]
["2.",null,"Exhibit B population should include all payments received from patients during the cost report year regardless of dates of service and insurance status. "]
["3.",null,"Only the payments received from uninsured patients should be included on Section H of the DSH survey, line 143. Payments from both the uninsured and insured patients should be reported on Section E of the DSH survey, lines 9 and 10, respectively. The total payments from Section H, line 143 should reconcile to Section E, line 9."]
[]
["Exhibit B-1 - Support for Self-Pay I/P and O/P Hospital Payments Received for Older Service Dates: "]
["1.",null,"Exhibit B-1 is only needed if a hospital cannot determine or support insurance status related to self-pay payments received during the cost report periods on the survey. This may be the case on much older service date payments (e.g., 1999 service dates paid on in 2005).  In these cases, we will calculate the uninsured portion of the older service date payments based on the more recent self-pay data included on the previous exhibit (Exhibit B). "]
[null,null,"See Exhibit B-1 for an example format of the information needed to support the data reported in Section D of the survey related to payments received from ALL older self-pay services during each cost report year needed to completely cover the DSH year. Submit a separate Exhibit B-1 for each cost reporting period included in the survey, if applicable."]
[]
["Section D - General Cost Report Year Information"]
[]
["1.",null,"For Lines 1 through 8 of Section D, please refer to the instructions listed above in the \"General Information and Identification of Cost Reports that Cover the DSH Year\" section."]
[]
["2.",null,"For Lines 9 through 15, provide the name and Medicaid provider number for each state (other than your home state) where you had a current Medicaid provider agreement during the term of the DSH year. Per federal regulation, the DSH examination must review both in-state Medicaid services as well as out-of-state Medicaid services when determining the Medicaid shortfall or longfall. "]
[]
["Section E - Disclosure of Medicaid / Uninsured Payments Received"]
["1.",null,"Please read \"Note 1\" located at the bottom of Section E before entering information for Lines 1 through 7. After reading through Note 1, please provide the applicable Section 1011 payment information as indicated. "]
["2.",null,"Please read \"Note 2\" located at the bottom of Section E before entering information for Line 8. After reading through Note 2, please provide the total Out-of-State DSH payments as indicated. "]
["3.",null,"Lines 9 and 10 should reconcile to the Exhibit B information provided by the facility."]
[]
["4.",null,{"$f":"IF(State=\"California DPH\",\"Line 13 is a drop-down menu. Please answer 'Yes' or 'No' to the question. This question is referring to Rate Range, Seniors with Disabilities, and Hospital Fee payments received by your hospital.\",\"Line 13 is a drop-down menu. Please answer 'Yes' or 'No' to the question.\")","v":"Line 13 is a drop-down menu. Please answer 'Yes' or 'No' to the question."}]
[]
["5.",null,"Lines 14 and 15 should be completed if you answered 'Yes' to line 13. Please provide the amount of lump sum (non-claims-based) payments received from Medicaid Managed Care plans. Please also provide supporting documentation for the amounts reported in the form of cancelled checks, general ledger records, or some other financial records."]
[]
["Section F - MIUR / LIUR Qualifying Data from the Cost Report"]
[]
[null,null,"Section F-1 Total Hospital Days Used in Medicaid Inpatient Utilization Ration (MIUR)"]
["1.",null,"Section F-1 is required to calculate the Medicaid Inpatient Utilization Rate (MIUR). The MIUR is a federal DSH eligibility criteria that must be met in order to receive DSH payments. "]
[null,null,"Section F-2 Cash Subsidies for Patient Services Received from State or Local Governments and Charity Care Charges"]
["2.",null,"For Lines 2 through 6 report all state or local government cash subsidies received for patient care services. If the subsidies are directed specifically for inpatient or outpatient services, record the subsidies in the appropriate cell. If the subsidies do not specify inpatient or outpatient services, record the subsidies in the unspecified cell. If any subsidies are directed toward non-hospital services, record the subsidies in the non-hospital cell."]
[null,null,{"$f":"IF(State=\"California DPH\",\"The amount reported here should reconcile to the amount that was reported on the hospital's OSHPD report. Please submit the OSHPD report as support for the amount reported in this section.\",\"\")","v":""}]
["3.",null,"The unspecified subsidies will be allocated between inpatient and outpatient using your hospital volume statistics. State and local subsidies do not include regular Medicaid payments, supplemental (UPL) Medicaid payments or Medicaid/Medicare DSH payments. Subsidies are funds the hospital received from state or local government sources to assist hospitals to provide care to uninsured or underinsured patients."]
["4.",null,"Cash subsidies are used to calculate Medicaid DSH eligibility under the federal low-income utilization rate formula. They are NOT used to reduce your net uninsured cost for DSH payment programs."]
["5.",null,"For Lines 7 through 10 report the applicable charity care charges. Charity care charges are used in the calculation of the low-income utilization rate. Report the hospital's inpatient and outpatient charity care charges for the applicable cost reporting period. Any charity care charges related to non-hospital services should be reported on the non-hospital charity care charges line. Total charity care charges must reconcile to the charity care charges reported in your financial statements and/or annual audit or they must be in compliance with the definition of charity per your state's DSH payment program."]
[null,null,{"$f":"IF(State=\"California DPH\",\"The amount reported here should reconcile to the amount that was reported on the hospital's OSHPD report. Please submit the OSHPD report as support for the amount reported in this section.\",\"\")","v":""}]
[]
[null,null,"Section F-3 Calculation of Net Hospital Revenue from Patient Services (Used for LIUR)"]
[]
["6.",null,"For purposes of the low-income utilization rate (LIUR) calculation, it is necessary to calculate net hospital revenue from patient services. This section of the survey requests a breakdown of charges reported on cost report Worksheet G-2 between hospital and non-hospital services. The form directs you to allocate your total contractual adjustments, as reported on cost report Worksheet G-3, Line 2, between hospital and non-hospital services. The form provides space for an allocation of contractual allowances among service types. If contractual adjustment amounts are not maintained by service type in your accounting system, a reasonable allocation method must be used. This will allow for the calculation of net \"hospital\" revenue. Total charges and contractual adjustments must agree to your cost report. Contractuals may have been spread on the survey using formulas but you can overwrite those amounts with actual contractuals if you have the data."]
[]
["7.",null,"A separate Excel workbook must be used for each cost reporting period needed to completely cover the DSH year as indicated in the \"General Information and Identification of Cost Reports that Cover the DSH Year\" section of the instructions."]
[]
["Section G - CR Data"]
[null,null,null,null,"NOTE: All data in this section must be verified by the hospital. If data is already present in this section, it was completed using CMS HCRIS cost report data. If the hospital has a more recent version of the cost report or will be using the Medi-Cal Cost Report, the data should be updated to the hospital's version of the cost report. Formulas can be overwritten as needed with actual data."]
[null,null,{"$f":"IF(State=\"California DPH\",E68,E69)","v":"NOTE: All data in this section must be verified by the hospital. If data is already present in this section, it was completed using CMS HCRIS cost report data. If the hospital has a more recent version of the cost report, the data should be updated to the hospital's version of the cost report. Formulas can be overwritten as needed with actual data."},null,"NOTE: All data in this section must be verified by the hospital. If data is already present in this section, it was completed using CMS HCRIS cost report data. If the hospital has a more recent version of the cost report, the data should be updated to the hospital's version of the cost report. Formulas can be overwritten as needed with actual data."]
["1.",null,"The provider should enter all applicable Routine and Ancillary Cost Centers not currently provided in Section G. Once the Routine and Ancillary Cost Centers have been entered into Section G of the DSH survey, they will populate the Routine and Ancillary Cost Centers on DSH survey \"Sec. H - In-State\", \"Sec. I - Out-of-State."]
[]
["2.",null,"If your teaching hospital removed intern and resident costs in Column 25 of Worksheet B, Part I, you will need to enter those amounts in the column provided so the amounts can be added back to your total cost per diems and CCRs for Medicaid/Uninsured. If intern and resident cost was not removed in Column 25 of Worksheet B, Part I then no entry is needed. Teaching costs should be included in the final cost per diems and CCRs."]
[]
["3.",null,"After the Routine and Ancillary Cost Centers have been identified, it will be necessary for the provider to fill in the remaining information required by Section G. The location of the specific cost report information required by Schedule G for both Routine and Ancillary Cost Centers is identified in each column heading. The provider will NOT need to enter data into the \"Net Cost\", or \"Medicaid Per Diem/Cost-to-Charge Ratios\" columns as these are calculated columns."]
[]
["4.",null,"Once the \"Medicaid Per Diem/Cost-to-Charge Ratios\" column has been calculated, the values will also populate on DSH Survey \"Sec. H - In-State\", and \"Sec. I - Out-of-State\"."]
[]
["Section H - Calculation of In-State Medicaid and Uninsured I/P and O/P Costs:"]
[]
["1.",null,"This section of the survey is used to collect information to calculate the hospital's Medicaid shortfall or longfall. By federal Medicaid DSH regulations, the shortfall/longfall must be calculated using Medicare cost report costing methodologies."]
[]
["2.",null,"The routine per diem cost per day for each hospital routine cost center present on the Medicaid cost report will automatically populate in Section H after DSH Survey \"Sec. G - CR Data\" has been completed. These amounts are calculated on Worksheet D-1 of the cost report. The ancillary cost-to-charge ratio for each ancillary cost center on your cost report will also automatically be populated in Section H after DSH Survey \"Sec. G - CR Data\" has been completed. "]
[]
["3.",null,"Record your routine days of care, routine charges and I/P and O/P ancillary charges in the next several columns. This information, when combined with cost information from the cost report, will calculate the total cost of hospital services provided to Medicaid and uninsured individuals."]
[null,null,{"$f":"'Survey Set-Up'!$D$5","v":"In-State Medicaid FFS Primary"}]
[null,null,{"$f":"'Survey Set-Up'!I5","v":"Traditional Medicaid Primary  (should exclude non-Title 19 programs such as CHIP/SCHIP)"}]
[null,null,"In these two columns, record your in-state Medicaid fee-for-services days and charges. The days and charges should reconcile to your Medicaid provider statistics and reimbursement (PS&R) report, or your state version generated from the MMIS. Record in the box labeled \"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down),\" the total (gross) payments, prior to reductions for third party liability (TPL), your hospital received for these services. Reconcile your responses on the survey with the PS&R total at the bottom of each column. Provide an explanation for any unreconciled amounts."]
[null,null,{"$f":"'Survey Set-Up'!$D$6","v":"In-State Medicaid Managed Care Primary"}]
[null,null,{"$f":"'Survey Set-Up'!I6","v":"Managed Care Medicaid Primary  (should exclude non-Title 19 programs such as CHIP/SCHIP)"}]
[null,null,"Same requirements as above, except payments received from the Medicaid Managed Care entity should be reported on the line titled \"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down)\". If your hospital does business with more than one in-state Medicaid managed care entity, your combined results should be reported in these two columns (inpatient and outpatient). NOTE: Medicaid Managed Care payments should include all Medicaid Managed Care payments related to the services provided, including, but not limited to, incentive payments, bonus payments, capitation and sub-capitation payments."]
[null,null,{"$f":"IF(State=\"California DPH\",E91,\"\")","v":""},null,"Medicaid Managed Care lump sum (non-claims-based payments) reported on Line 14 of Section E such as Rate Range, Seniors and Persons with Disabilities, and Hospital Fee payments should be reported on line 138 of Section H. The payments reported on line 138 should EXCLUDE the physician and non-hospital program amounts."]
[null,null,{"$f":"'Survey Set-Up'!D7","v":"In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"}]
[null,null,{"$f":"'Survey Set-Up'!I7","v":"Traditional Medicare Primary with Traditional Medicaid or Managed Care Medicaid Secondary"}]
[null,null,"Each hospital must report its Medicare/Medicaid cross-over claims summary data on the survey. Total cross-over days and routine and ancillary charges must be reported and grouped in the same cost centers as reported on the hospital's cost report. Report payments as instructed on each line. In total, payments must include all amounts collected from the Medicare program, patient co-pays and deductible payments, Medicare bad debt payments, and any Medicaid payments and other third party payments."]
[null,null,{"$f":"IF(State=\"California DPH\",\"For Designated Public Hospitals (DPH), report your Medi-Medi Longfall claims here.\",\"\")","v":""}]
[null,null,{"$f":"IF(State=\"California DPH\",CONCATENATE(\"In-State \",'Sec. H In-State'!$X$5),\"N/A\")","v":"N/A"}]
[null,null,{"$f":"'Survey Set-Up'!I7","v":"Traditional Medicare Primary with Traditional Medicaid or Managed Care Medicaid Secondary"}]
[null,null,"Each hospital must report its Medicare/Medicaid cross-over claims summary data on the survey. Total cross-over days and routine and ancillary charges must be reported and grouped in the same cost centers as reported on the hospital's cost report. Report payments as instructed on each line. In total, payments must include all amounts collected from the Medicare program, patient co-pays and deductible payments, Medicare bad debt payments, and any Medicaid payments and other third party payments."]
[null,null,{"$f":"IF(State=\"California DPH\",\"For Designated Public Hospitals (DPH), report your Medi-Medi Shortfall claims here.\",\"N/A\")","v":"N/A"}]
[null,null,{"$f":"'Survey Set-Up'!D8","v":"In-State Other Medicaid Eligibles (Not Included Elsewhere)"}]
[null,null,{"$f":"'Survey Set-Up'!I8","v":"In-State Other Medicaid Eligibles (Not Included Elsewhere)  (should exclude non-Title 19 programs such as CHIP/SCHIP)"}]
[null,null,{"$f":"IF(C100=\"In-State Other Medicaid Eligibles (Not Included Elsewhere)\", G102, G115)","v":"Enter claim charges, days, and payments for any other Medicaid-Eligible patients that have not been reported anywhere else in the survey. The patients must be Medicaid-eligible for the dates of service and they must be supported by Exhibit C and include the patient's Medicaid ID number. This would include Medicare Part C cross-overs not reported elsewhere on the survey."},null,null,null,"Enter claim charges, days, and payments for any other Medicaid-Eligible patients that have not been reported anywhere else in the survey. The patients must be Medicaid-eligible for the dates of service and they must be supported by Exhibit C and include the patient's Medicaid ID number. This would include Medicare Part C cross-overs not reported elsewhere on the survey."]
[null,null,{"$f":"IF(State=\"California NDPH\",\"Report your hospital's psychiatric days, charges and payments in this category.\",\"\")","v":""}]
[null,null,{"$f":"IF(State=\"California DPH\",CONCATENATE(\"In-State \",'Sec. H In-State'!$AB$5),\"N/A\")","v":"N/A"}]
[null,null,null,null,null,"Enter days, charges, and payment for Medicaid psychiatric claims. The patients included in this category must be Medicaid-eligible for the dates of service and the claims patient detail must be supported by an Exhibit C that includes the patient's Medicaid recipient ID number. Please also submit support identifying the number of psychiatric administrative days included in the days reported in Section H of the DSH survey."]
[null,null,{"$f":"IF(State=\"California DPH\",F105,\"N/A\")","v":"N/A"}]
[null,null,{"$f":"IF(State=\"California DPH\",CONCATENATE(\"In-State \",'Sec. H In-State'!$AF$5),\"N/A\")","v":"N/A"}]
[null,null,null,null,null,"Enter days, charges, and payment for LIHP and MCE claims. The patients included in this category must be Medicaid-eligible for the dates of service and the claims patient detail must be supported by an Exhibit C that includes the patient's Medicaid recipient ID number."]
[null,null,{"$f":"IF(State=\"California DPH\",F108,\"N/A\")","v":"N/A"}]
[null,null,{"$f":"IF(State=\"California DPH\",CONCATENATE(\"In-State \",'Sec. H In-State'!$AJ$5),\"N/A\")","v":"N/A"}]
[null,null,null,null,null,"Enter days, charges, and payment for HCCI claims. The patients included in this category must be Medicaid-eligible for the dates of service and the claims patient detail must be supported by an Exhibit C that includes the patient's Medicaid recipient ID number."]
[null,null,{"$f":"IF(State=\"California DPH\",F111,\"N/A\")","v":"N/A"}]
[null,null,{"$f":"IF(StateOnlyDisplay=\"YES\",CONCATENATE('Sec. H In-State'!AN5,\" (without any other third party coverage)\"),\"N/A\")","v":"N/A"}]
[null,null,{"$f":"IF(StateOnlyDisplay=\"YES\",'Survey Set-Up'!AS19,\"N/A\")","v":"N/A"}]
[null,null,null,null,null,null,"Each hospital must report its Medicare/Medicaid managed care cross-over claims summary data on the survey. Total cross-over days and routine and ancillary charges must be reported and grouped in the same cost centers as reported on the hospital's cost report. Report payments as instructed on each line. In total, payments must include all amounts collected from the Medicare program, patient co-pays and deductible payments, Medicare bad debt payments, and any Medicaid managed care payments and other third party payments."]
[null,null,{"$f":"'Sec. H In-State'!$AR$5","v":"Uninsured"}]
[null,null,"Federal requirements mandate the uninsured services must be costed using Medicare cost reporting methodologies. As such, a hospital will need to report the uninsured days of care they provided each cost reporting period, by routine cost center, as well as inpatient and outpatient ancillary service revenue by cost report cost center. Exhibit A has been prepared to assist hospitals in developing the data needed to support responses on the survey. This data must be maintained in a reviewable format. It must also only include charges for inpatient and outpatient hospital services, excluding physician charges and other non-hospital charges. Per federal guidelines uninsured patients are individuals with no source of third party healthcare coverage (insurance) or third party liability for the specific service provided. See \"Uninsured Definitions\" tab for additional details."]
[]
["4.",null,"Federal requirements mandate the hospital cost of providing services to the uninsured during the DSH year must be reduced by uninsured self-pay payments received during the DSH year. Exhibit B will assist hospitals in developing the data necessary to support uninsured payments received during each cost reporting period. The data must be maintained in a reviewable format and made available upon request. "]
[]
["Section I - Calculation of Out-of-State Medicaid Costs:"]
["1.",null,"This schedule is formatted similar to Schedule H. It should be prepared to capture all out-of-state Medicaid FFS, managed care, FFS cross-over and managed care cross-over services the hospital provided during the cost reporting year. Like Schedule H, a separate schedule is required for each cost reporting period needed to completely cover the DSH year. Amounts reported on this schedule should reconcile to the out-of-state PS&R (or equivalent schedule) produced by the Medicaid program or managed care entity."]
[null,null,{"$f":"'Survey Set-Up'!D12","v":"Out-of-State Medicaid FFS Primary"}]
[null,null,{"$f":"'Survey Set-Up'!I12","v":"Traditional Medicaid Primary  (should exclude non-Title 19 programs such as CHIP/SCHIP)"}]
[]
[null,null,{"$f":"'Survey Set-Up'!D13","v":"Out-of-State Medicaid Managed Care Primary"}]
[null,null,{"$f":"'Survey Set-Up'!I13","v":"Managed Care Medicaid Primary  (should exclude non-Title 19 programs such as CHIP/SCHIP)"}]
[]
[null,null,{"$f":"'Survey Set-Up'!D14","v":"Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"}]
[null,null,{"$f":"'Survey Set-Up'!I14","v":"Traditional Medicare Primary with Traditional Medicaid or Managed Care Medicaid Secondary "}]
[]
[null,null,{"$f":"'Survey Set-Up'!D15","v":"Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"}]
[null,null,{"$f":"'Survey Set-Up'!I15","v":"Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)  (should exclude non-Title 19 programs such as CHIP/SCHIP)"}]
[]
["Section J - Calculation of In-State Medicaid and Uninsured Organ Acquisition Costs:"]
["1.",null,"This section is to be completed by hospitals that have incurred in-state Medicaid or uninsured organ acquisition costs only. Information is collected in a format similar to Section H."]
["2.",null,"Total Medicaid and uninsured organ acquisition cost is calculated based on the ratio of Medicaid and uninsured useable organs to total organs. "]
[]
["Section K - Calculation of Out-of-State Medicaid Organ Acquisition Costs:"]
["1.",null,"This section is to be completed by hospitals that have incurred out-of-state Medicaid organ acquisition costs only. Information is collected in a format similar to Section I."]
["2.",null,"Total Medicaid and uninsured organ acquisition cost is calculated based on the ratio of Medicaid and uninsured useable organs to total organs. "]
["3.",null,"The following columns will NOT need to be entered by the provider as they will automatically populate after Section J has been completed: \"Total Organ Acquisition Cost\", \"Revenue for Medicaid/Uninsured Organs Sold\", and \"Total Useable Organs (Count)\"."]
[]
[{"$f":"IF(IncludeFRA=\"YES\", CONCATENATE(\"Section \" & 'Sec. L Tax'!B2),\"N/A\")","v":"Section L. Provider Tax Assessment Reconciliation / Adjustment"}]
[{"$f":"IF(IncludeFRA=\"YES\",\"1.\",\"\")","v":"1."},null,{"$f":"IF(IncludeFRA=\"YES\",\"This section is to be completed by all hospitals in states that assess a provider tax on hospitals. Complete all lines as instructed below.\",\"N/A\")","v":"This section is to be completed by all hospitals in states that assess a provider tax on hospitals. Complete all lines as instructed below."}]
[null,null,{"$f":"IF(IncludeFRA=\"YES\",\"The objective of this form is to determine the state-assessed total hospital provider tax not included in your cost-to-charge ratios and per diem cost on the cost report.\", \"\")","v":"The objective of this form is to determine the state-assessed total hospital provider tax not included in your cost-to-charge ratios and per diem cost on the cost report."}]
[{"$f":"IF(IncludeFRA=\"YES\",A145+1,\"\")","v":2},null,{"$f":"IF(IncludeFRA=\"YES\",\"Line 1 should be the total hospital Provider Tax Assessment from the general ledger, whether it is included as an expense, a revenue offset, etc..\",\"N/A\")","v":"Line 1 should be the total hospital Provider Tax Assessment from the general ledger, whether it is included as an expense, a revenue offset, etc.."}]
[null,null,{"$f":"IF(IncludeFRA=\"YES\",\"It should exclude non-hospital assessments such as a nursing facility tax unless an adjustment is made on W/S A-8 to remove the non-hospital expense.\",\"\")","v":"It should exclude non-hospital assessments such as a nursing facility tax unless an adjustment is made on W/S A-8 to remove the non-hospital expense."}]
[{"$f":"IF(IncludeFRA=\"YES\",A147+1,\"\")","v":3},null,{"$f":"IF(IncludeFRA=\"YES\",\"Line 2 should be the total amount of the Provider Tax Assessment from line 1 that is included in Expense on Worksheet A, Column 2 of the cost report. Please report the cost report line number in which the expense is included in the box provided.\",\"N/A\")","v":"Line 2 should be the total amount of the Provider Tax Assessment from line 1 that is included in Expense on Worksheet A, Column 2 of the cost report. Please report the cost report line number in which the expense is included in the box provided."}]
[{"$f":"IF(IncludeFRA=\"YES\",A149+1,\"\")","v":4},null,{"$f":"IF(IncludeFRA=\"YES\",\"If there is a difference in the values you are reporting in lines 1 and 2, please explain that difference in the box provided (or attach separate explanation if it won't fit).\",\"N/A\")","v":"If there is a difference in the values you are reporting in lines 1 and 2, please explain that difference in the box provided (or attach separate explanation if it won't fit)."}]
[5,null,{"$f":"IF(IncludeFRA=\"YES\",\"Lines 4-7 should identify any amount of the Provider Tax expense that was reclassified on Worksheet A-6 of the cost report. Please report the reasons for the reclassifications and the cost report line numbers affected in the boxes provided.\",\"N/A\")","v":"Lines 4-7 should identify any amount of the Provider Tax expense that was reclassified on Worksheet A-6 of the cost report. Please report the reasons for the reclassifications and the cost report line numbers affected in the boxes provided."}]
[6,null,{"$f":"IF(IncludeFRA=\"YES\",\"Lines 8-11 should identify any amount of the hospital allowable Provider Tax expense (assessed by the state) that was adjusted on Worksheet A-8 of the cost report.\",\"N/A\")","v":"Lines 8-11 should identify any amount of the hospital allowable Provider Tax expense (assessed by the state) that was adjusted on Worksheet A-8 of the cost report."}]
[null,null,{"$f":"IF(IncludeFRA=\"YES\",\"Please report the reasons for the adjustments and the affected cost report line numbers in the boxes provided.\",\"\")","v":"Please report the reasons for the adjustments and the affected cost report line numbers in the boxes provided."}]
[{"$f":"IF(IncludeFRA=\"YES\",A152+1,\"\")","v":7},null,{"$f":"IF(IncludeFRA=\"YES\",\"Lines 12-15 should identify Provider Tax expense adjustments on Worksheet A-8 of the cost report that are not related to the actual tax assessed by the state (e.g., association fees, other funding arrangments outside of the state's assessed tax). \",\"N/A\")","v":"Lines 12-15 should identify Provider Tax expense adjustments on Worksheet A-8 of the cost report that are not related to the actual tax assessed by the state (e.g., association fees, other funding arrangments outside of the state's assessed tax). "}]
[null,null,{"$f":"IF(IncludeFRA=\"YES\",\"Please report the reasons for the adjustments and the affected cost report line numbers in the boxes provided.\",\"\")","v":"Please report the reasons for the adjustments and the affected cost report line numbers in the boxes provided."}]
[{"$f":"IF(IncludeFRA=\"YES\",A154+1,\"\")","v":8},null,{"$f":"IF(IncludeFRA=\"YES\",\"Line 16 calculates the net Provider tax expense included in the cost report after all reclassifications and adjustments.\",\"N/A\")","v":"Line 16 calculates the net Provider tax expense included in the cost report after all reclassifications and adjustments."}]
[9,null,{"$f":"IF(IncludeFRA=\"YES\",\"Line 17 calculates the total Provider Tax expense that has been excluded from the cost report - this amount is used to determine the amount that will be added back to your hospital's DSH UCC.\",\"N/A\")","v":"Line 17 calculates the total Provider Tax expense that has been excluded from the cost report - this amount is used to determine the amount that will be added back to your hospital's DSH UCC."}]
[10,null,{"$f":"IF(IncludeFRA=\"YES\",\"The amount on Line 25 may NOT be the final amount added into your DSH UCC. The examination will review the various adjustments and reconciliations and make a final determination.\",\"\")","v":"The amount on Line 25 may NOT be the final amount added into your DSH UCC. The examination will review the various adjustments and reconciliations and make a final determination."}]
[]
[]
["Please submit your completed cost report year surveys (Part II), along with your Part I DSH Year Survey, and uninsured data analyses (exhibits A and B) electronically to Myers and Stauffer LC. This information contains protected health information (PHI), and as such, should be sent on CD or DVD via U.S. mail, or via other carrier authorized to transfer PHI. "]
[]
["Submit To:"]
[{"$f":"'Survey Set-Up'!B25","v":"Myers and Stauffer LC"}]
[{"$f":"'Survey Set-Up'!B26","v":"Attention:  DSH Examinations"}]
[{"$f":"'Survey Set-Up'!B27","v":"700 W. 47th Street, Suite 1100"}]
[{"$f":"'Survey Set-Up'!B28","v":"Kansas City, MO 64112"}]
[{"$f":"'Survey Set-Up'!B29","v":"Fax:  (816) 945-5301"}]
[{"$f":"'Survey Set-Up'!B30","v":"Phone:  (800) 374-6858"}]
[{"$f":"'Survey Set-Up'!B31","v":"e-mail:  "}]

{"sheet":"Instructions - Indy","index":2,"n_rows":194,"n_cols":7,"rows_kept":194,"cut":false,"hidden":true,"merged":[[184,0,184,2]]}
["General Instructions and Identification of Cost Reports that Cover the DSH Year:"]
[]
[null,null,"Macro Settings for Microsoft Excel 2007 Software"]
["1.",null,"Please make sure Macros are enabled under the Excel options.  If Macros are disabled, the DSH survey will not have full functionality.  Macros can be enabled for Microsoft Excel 2007 software by first selecting \"Excel Options\" under the Microsoft Office File Menu Button (upper left hand corner of the screen).  Then under the Excel Options dialog box select the \"Trust Center\" option. Under the Trust Center Dialog box select the \"Trust Center Settings\" button.  Then select \"Macro Settings\" and click the \"Enable all macros\" button.  Then press the OK button.  After the Macro settings have been enabled it will be necessary to save changes and close the Excel program and re-open the DSH Survey Part II Excel workbook so the setting changes can take place.\n"]
[null,null,"OR\nSelect the Developer tab on the Excel Ribbon Menu.  If the Developer tab is not displayed, click the Microsoft Office File Menu Button (upper left hand corner of the screen), then select the \"Excel Options\" button.  Under Excel Options, Select the \"Popular\" category, then under \"Top Options for working with Excel\" select the \"Show Developer Tab in The Ribbon\" option.  Once the Developer tab is available select the \"Macro Security\" option under the Code Group.  Under Macro Security settings select the \"Enable All Macros\" option or the option that allows you to disable macros with notification (if the notification option is chosen, you will see a \"SECURITY WARNING\" message).  Then close and re-open the Excel workbook so the settings changes can take place.\n"]
[]
[null,null,"Macro Settings for Older Versions of Microsoft Excel Software"]
[null,null,"For older versions of Microsoft Excel software (before Microsoft Excel 2007) select the  \"Tools\" menu.  Under the Tools Menu select \"Macro\" - \"Security\". Then select \"Low\" or \"Medium\" security.  Then close and re-open the Excel workbook for the settings changes to take place."]
[]
["2.",null,"DSH Survey Sections A, B, and C are part of a separate Excel workbook titled DSH Survey Part I and should be submitted along with the completed DSH Survey Part II Excel workbook.  DSH Survey sections A, B, and C contain DSH eligibility and certification questions."]
[]
["3.",null,"Select the \"Survey - Sec. D, E, F CR Data\" tab in the Excel workbook.  On Line 1, select your facility from the drop-down menu provided.  When your facility is selected, the following Lines will be populated with your facility specific information: Line 2 - applicable cost report years, Line 4 - Hospital Name, Line 5 - in-state Medicaid provider number, Line 6 - Medicaid Subprovider Number 1 (Psychiatric or Rehab), Line 7 - Medicaid Provider Number 2 (Psychiatric or Rehab), and Line 8 -Medicare provider number.  The provider must manually select the appropriate option from the drop down menu for Line 3 - Status of Cost Report Used for the Survey.  Review the information and indicate whether it is correct or incorrect.  If incorrect, provide correct information in the provided space and submit supporting documentation when you submit your survey."]
[]
["4.",null,"You must complete a separate DSH Survey Part II Excel workbook for each cost report year needed to cover the State DSH year and not previously submitted for a DSH examination. To indicate the proper time period for the current survey select an \"X\" from the drop down menu on the appropriate box of Line 2 of the \"Survey - Sec. D, E, F CR Data\" tab in this Excel workbook.  If two cost report years are selected at the same time the survey will generate an error message as only one cost report year may be selected per Excel workbook."]
[null,null,"NOTE:  For the 2012 DSH Survey, if your hospital completed the DSH survey for 2011, the first cost report year should follow the last cost report year reported on the 2011 DSH survey.  The last cost report year on the 2012 survey must end on or after the end of the 2012 DSH year.  If your hospital did not complete the 2011 survey, you must report data for each cost report year that covers the 2012 DSH year."]
[]
["5.",null,"Supporting documentation for all data elements provided within the DSH survey must be maintained for a minimum of five years."]
[]
["Section D - General Cost Report Year Information"]
[]
["1.",null,"For Lines 1 through 8 of Section D, please refer to the instructions listed above in the \"General Information and Identification of Cost Reports that Cover the DSH Year\" section."]
[]
["2.",null,"For Lines 9 through 15, provide the name and Medicaid provider number for each state (other than your home state) where you had a current Medicaid provider agreement during the term of the DSH year.  Per federal regulation, the DSH examination must review both in-state Medicaid services as well as out-of-state Medicaid services when determining the Medicaid shortfall or longfall. "]
[]
["Section E - Disclosure of Medicaid / Uninsured Payments Received"]
[]
["1.",null,"Please read \"Note 1\" located at the bottom of Section E before entering information for Lines 1 through 7.  After reading through Note 1, please provide the applicable Section 1011 payment information as indicated.  "]
[]
["2.",null,"Please read \"Note 2\" located at the bottom of Section E before entering information for Line 8.  After reading through Note 2, please provide the total Out-of-State DSH payments as indicated.  "]
[]
["3.",null,"Lines 9 and 10 should reconcile to the Exhibit B information provided by the facility."]
[]
["Section F - MIUR / LIUR Qualifying Data from the Cost Report"]
[]
[null,null,"Section F-1 Total Hospital Days Used in Medicaid Inpatient Utilization Ration (MIUR)"]
["1.",null,"Section F-1 is required to calculate the Medicaid Inpatient Utilization Rate (MIUR).  The MIUR is a federal DSH eligibility criteria that must be met in order to receive DSH payments. "]
[]
[null,null,"Section F-2 Cash Subsidies for Patient Services Received from State or Local Governments and Charity Care Charges"]
["2a.",null,"For Lines 2 report all state or local government cash subsidies received for patient care services.  If the subsidies are directed specifically for inpatient or outpatient services, record the subsidies in the appropriate box.  If the subsidies do not specify inpatient or outpatient services, record the subsidies in the unspecified column."]
["2b.",null,"The unspecified subsidies will be allocated between inpatient and outpatient using your hospital volume statistics.  State and local subsidies do not include regular Medicaid payments, supplemental (UPL) Medicaid payments or Medicaid/Medicare DSH payments.  Subsidies are funds the hospital received from state or local government sources to assist hospitals to provide care to uninsured or underinsured patients."]
["2c.",null,"Answer Line 3a question.  If there is cash subsidy amount not included in w/s G-3, Line 3 (survey Section F-3 Column P, line 25), list the amount in Line 3b, which will be added back to Total Hospital Revenues to calculate LIUR."]
["2d.",null,"Cash subsidies are used to calculate Medicaid DSH eligibility under the federal low-income utilization rate formula.  They are NOT used to reduce your net uninsured cost for DSH payment programs."]
["3a.",null,"Report the applicable charity care charges in lines 4.  Report the hospital's inpatient and outpatient charity care charges for the applicable cost reporting period.  These charges must reconcile to the charity care charges reported in your financial statements and/or annual audit or they must be in compliance with the definition of charity per your state's DSH payment program."]
["3b.",null,"Amount reported in Line 5 should be traced back to Exhibit A."]
["3c.",null,"Charity care charges are used in the calculation of the low-income utilization rate.  "]
[]
[null,null,"Section F-3 Calculation of Net Hospital Revenue from Patient Services (Used for LIUR)"]
["6.",null,"For purposes of the low-income utilization rate (LIUR) calculation, it is necessary to calculate net hospital revenue from patient services.  This section of the survey requests a breakdown of charges reported on cost report Worksheet G-2 between hospital and non-hospital services.  The form directs you to allocate your total contractual adjustments, as reported on cost report Worksheet G-3, Line 2, between hospital and non-hospital services.  The form provides space for an allocation of contractual allowances among service types.  If contractual adjustment amounts are not maintained by service type in your accounting system, a reasonable allocation method must be used.  This will allow for the calculation of net \"hospital\" revenue.  Total charges and contractual adjustments must agree to your cost report.  Contractuals may have been spread on the survey using formulas but you can overwrite those amounts with actual contractuals if you have the data."]
[]
["7.",null,"A separate Excel workbook must be used for each cost reporting period needed to completely cover the DSH year as indicated in the \"General Information and Identification of Cost Reports that Cover the DSH Year\" section of the instructions."]
[]
["Section G - CR Data"]
[]
[null,null,"NOTE:  All data in this section must be verified by the hospital.  If data is already present in this section, it was completed using CMS HCRIS cost report data.  If the hospital has a more recent version of the cost report, the data should be updated to the hospital's version of the cost report.  Formulas can be overwritten as needed with actual data."]
["1.",null,"The provider should enter all applicable Routine and Ancillary Cost Centers not currently provided in Section G.  Once the Routine and Ancillary Cost Centers have been entered into Section G of the DSH survey, they will populate the Routine and Ancillary Cost Centers on DSH survey \"Sec. H - In-State\", \"Sec. I - Out-of-State."]
[]
["2.",null,"If your teaching hospital removed intern and resident costs in Column 25 of Worksheet B, Part I, you will need to enter those amounts in the column provided so the amounts can be added back to your total cost per diems and CCRs for Medicaid/Uninsured. If intern and resident cost was not removed in Column 25 of Worksheet B, Part I then no entry is needed.  Teaching costs should be included in the final cost per diems and CCRs."]
[]
["3.",null,"After the Routine and Ancillary Cost Centers have been identified, it will be necessary for the provider to fill in the remaining information required by Section G.  The location of the specific cost report information required by Schedule G for both Routine and Ancillary Cost Centers is identified in each column heading.  The provider will NOT need to enter data into the \"Net Cost\", or \"Medicaid Per Diem/Cost-to-Charge Ratios\" columns as these are calculated columns."]
[]
["4.",null,"Once the \"Medicaid Per Diem/Cost-to-Charge Ratios\" column has been calculated, the values will also populate on DSH Survey \"Sec. H - In-State\", and \"Sec. I - Out-of-State\"."]
[]
["Section H - Calculation of In-State Medicaid and Uninsured I/P and O/P Costs:"]
[]
["1.",null,"This section of the survey is used to collect information to calculate the hospital's Medicaid shortfall or longfall.  By federal Medicaid DSH regulations, the shortfall/longfall must be calculated using Medicare cost report costing methodologies."]
[]
["2.",null,"The routine per diem cost per day for each hospital routine cost center present on the Medicaid cost report will automatically populate in Section H after DSH Survey \"Sec. G - CR Data\" has been completed.  These amounts are calculated on Worksheet D-1 of the cost report.  The ancillary cost-to-charge ratio for each ancillary cost center on your cost report will also automatically be populated in Section H after DSH Survey \"Sec. G - CR Data\" has been completed.  "]
[]
["3.",null,"Record your routine days of care, routine charges and I/P and O/P ancillary charges in the next several columns.  This information, when combined with cost information from the cost report, will calculate the total cost of hospital services provided to Medicaid and uninsured individuals."]
["i)",null,"In-State Paid Claims - from M&S paid claims reports"]
[null,null,"In-State Medicaid FFS Primary"]
[null,null,"Traditional Medicaid Primary"]
[null,null,"In these two columns, record your in-state Medicaid fee-for-services days and charges.  The days and charges should reconcile to the Included Medicaid Paid Claims data.  Record in the box labeled \"Total Allowed Amount from Medicaid Paid Claim Data (Payments)\" the total (gross) payments, prior to reductions for third party liability (TPL), your hospital received for these services.  Reconcile your responses on the survey with the Included Medicaid Paid Claims data total at the bottom of each column.  Provide an explanation for any unreconciled amounts."]
[null,null,"In-State Medicaid Managed Care Primary"]
[null,null,"Managed Care Medicaid Primary"]
[null,null,"Same requirements as above.  If your hospital does business with more than one in-state Medicaid managed care entity, your combined results should be reported in these two columns (inpatient and outpatient)."]
[null,null,"In-State Medicaid FFS Cross-Overs (with Medicare Primary)"]
[null,null,"Traditional Medicare or Managed Care Medicare Primary with Traditional Medicaid Secondary"]
[null,null,"Each hospital must report its Medicare/Medicaid cross-over claims summary data on the survey.  Total cross-over days and routine and ancillary charges must be reported and grouped in the same cost centers as reported on the hospital's cost report.  Report payments as instructed on each line.  In total, payments must include all amounts collected from the Medicare program, patient co-pays and deductible payments, Medicare bad debt payments, and any Medicaid payments and other third party payments.  Reconcile your responses on the survey with the Included Medicaid Paid Claims data total for cross-overs at the bottom of each column.  Provide an explanation for any unreconciled amounts."]
[null,null,"HIP claims"]
[null,null,"Same requirements as i) above.  If your hospital does business with more than one in-state Medicaid managed care entity, your combined results should be reported in these two columns (inpatient and outpatient).\n"]
[null,null,"*If you have supplemental HIP claims that not included in the Included Medicaid Paid Claims data, put those claims in column \"In-State Medicaid-Eligible Not on Medicaid Paid Claims Data - MCO and HIP\", with supporting detail claims submitted in Exhibit C."]
[]
["ii)",null,"Validated Paid Claims – Not Duplicates/Overlaps"]
[null,null,"Using the criteria listed below, we identified several sets of Medicaid claims that may pertain to the same service-which may indicate a possible duplicate claim for which no adjustment was made by Indiana AIM; and some sets of Medicaid claims that the FDOS and LDOS overlapped (within the same provider and across the providers) - which may indicate a possible overlap claim.  Accordingly, we have removed these claims from the Included paid claims report, and put them in a separate report entitled “Possible Duplicate and Overlap Claims Report” and mailed to you.  "]
[null,null,"Criteria for including inpatient claims in Possible Duplicate/Overlap Claims Report: Claims, including managed care and crossovers, were identified as possible duplicate records if they that had different ICNs, but identical recipient ID, provider ID, FDOS and LDOS; were identified as possible overlap records if the FDOS/LODS of the claims overlap each other.\n",null,null,null,"Enter claim charges, days, and payments for any other Medicaid-Eligible patients that have not been reported anywhere else in the survey.  The patients must be Medicaid-eligible for the dates of service and they must be supported by Exhibit C and include the patient's Medicaid ID number.  This would include Medicare Part C cross-overs not reported elsewhere on the survey."]
[null,null,"Please review these claims against your records and make decision which claims should be included in the survey.",null,null,null,"Each hospital must report its Medicare/Medicaid managed care cross-over claims summary data on the survey.  Total cross-over days and routine and ancillary charges must be reported and grouped in the same cost centers as reported on the hospital's cost report.  Report payments as instructed on each line.  In total, payments must include all amounts collected from the Medicare program, patient co-pays and deductible payments, Medicare bad debt payments, and any Medicaid managed care payments and other third party payments."]
[null,null,"1)   Send the \"Possible Duplicates and Overlaps-provider number-FYE\" back with a column added to indicate that among the duplicates/overlaps, which claim(s) should be included in the survey, and which should be excluded.  Please note: You can NOT include both/all of a duplicate/overlap set."]
[null,null,"2)   For valid claims that are for separate services and are not duplicates/overlaps of other reported services, please include in the Section H \"Validated Paid Claims – Not Duplicates/Overlaps\" columns.  Please provide an explanation as to why these claims do not represent duplicate/overlap claims.  Supporting documentation for these explanations to verify that they are separate services, and are not duplicate/overlap claims, should be prepared and retained in your records, and made available upon request by OMPP."]
[null,null,"3)   For claims you identify as a duplicate/overlap reporting of a service already included in the survey, do not include in your survey response. "]
[]
["iii)",null,"Report services provided to all Indiana Medicaid-eligible patients that were not included in the Medicaid Paid Claims reports, regardless of payment status or if covered under other insurance."]
[null,null,"In-State Medicaid-Eligible Not on Medicaid Paid Claims Data - FFS "]
[null,null,"In these two columns, record your in-state Medicaid fee-for-service days, charges and payments for services not included on the Medicaid Paid Claims Data. Exhibit C needed as supporting documentation."]
[null,null,"In-State Medicaid-Eligible Not on Medicaid Paid Claims Data -  MC and HIP"]
[null,null,"Same requirements as above.  If your hospital does business with more than one in-state Medicaid managed care entity, your combined results should be reported in these two columns (inpatient and outpatient).  Exhibit C needed as supporting documentation."]
[null,null,"In-State Medicaid-Eligible Not on Medicaid Paid Claims Data - FFS Cross-over"]
[null,null,"Same requirements as above.  If your hospital does business with more than one in-state Medicaid managed care entity, your combined results should be reported in these two columns (inpatient and outpatient).  Exhibit C needed as supporting documentation."]
[]
["vi)",null,"Uninsured claims"]
[null,null,"Federal requirements mandate the uninsured services must be costed using Medicare cost reporting methodologies.  As such, a hospital will need to report the uninsured days of care they provided each cost reporting period, by routine cost center, as well as inpatient and outpatient ancillary service revenue by cost report cost center.  Exhibit A has been prepared to assist hospitals in developing the data needed to support responses on the survey.  This data must be maintained in an auditable analysis.  It must also only include charges for inpatient and outpatient hospital services, excluding physician charges and other non-hospital charges.  Per federal guidelines uninsured patients are individuals with no source of third party healthcare coverage (insurance).  If the patient had health insurance, even if the third party insurer did not pay, those services are insured and cannot be reported as uninsured on the survey."]
[null,null,"Federal requirements mandate the hospital cost of providing services to the uninsured during the DSH year must be reduced by uninsured self-pay payments received during the DSH year.  Exhibit B will assist hospitals in developing the data necessary to support uninsured payments received during each cost reporting period.  The data must be maintained in an auditable format and made available upon request.  "]
[null,null,"Federal requirements mandate the hospital cost of providing services to the uninsured during the DSH year must be reduced by uninsured self-pay payments received during the DSH year.  Exhibit B will assist hospitals in developing the data necessary to support uninsured payments received during each cost reporting period.  The data must be maintained in a reviewable format and made available upon request.  "]
[]
["4.",null,"The Lines 19 and 129 \"Total Days / Charges per Paid Claims Reports or other Exhibits\" MUST be filled, and any outstanding reconciled amount in Lines below need to be explained.\n"]
[null,null,"The totals need to be traceable to the \"Included Claims-provider number-FYE\" we mailed to you, the \"Possible Duplicates and Overlaps-provider number-FYE\" you sent back, and the other supplemental claims supported by the Exhibit A, B and C submitted by you."]
[]
[]
["Section I - Calculation of Out-of-State Medicaid Costs:"]
[]
["1.",null,"This schedule is formatted similar to Schedule H.  It should be prepared to capture all out-of-state Medicaid FFS, managed care, FFS cross-over and other services the hospital provided during the cost reporting year.  Like Schedule H, a separate schedule is required for each cost reporting period needed to completely cover the DSH year.  Amounts reported on this schedule (details in Exhibit D) should reconcile to the out-of-state PS&R (or equivalent schedule) produced by the Medicaid program or managed care entity."]
[null,null,"Out-of-State Medicaid FFS Primary"]
[null,null,"Traditional Medicaid Primary  (should exclude non-Title 19 programs such as CHIP/SCHIP)"]
[null,null,"Out-of-State Medicaid Managed Care Primary"]
[null,null,"Managed Care Medicaid Primary  (should exclude non-Title 19 programs such as CHIP/SCHIP)"]
[null,null,"Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"]
[null,null,"Traditional Medicare Primary with Traditional Medicaid or Managed Care Medicaid Secondary "]
[null,null,"Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"]
[null,null,"Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)  (should exclude non-Title 19 programs such as CHIP/SCHIP)"]
[]
["2.",null,"The Lines 19 and 129 \"Total Days / Charges per Paid Claims Reports or other Exhibits\" MUST be filled, and any outstanding reconciled amount in Lines below need to be explained.\n"]
[null,null,"The totals need to be traceable to the Out-Of-State claims supported by the Exhibit D submitted by you."]
[]
[]
["Section J - Calculation of In-State Medicaid and Uninsured Organ Acquisition Costs:"]
[]
["1.",null,"This section is to be completed by hospitals that have incurred in-state Medicaid or uninsured organ acquisition costs only.  Information is collected in a format similar to Section H."]
[]
["2.",null,"Total Medicaid and uninsured organ acquisition cost is calculated based on the ratio of Medicaid and uninsured useable organs to total organs.  "]
[]
["Section K - Calculation of Out-of-State Medicaid Organ Acquisition Costs:"]
[]
["1.",null,"This section is to be completed by hospitals that have incurred out-of-state Medicaid organ acquisition costs only.  Information is collected in a format similar to Section I."]
[]
["2.",null,"Total Medicaid and uninsured organ acquisition cost is calculated based on the ratio of Medicaid and uninsured useable organs to total organs.  "]
[]
["3.",null,"The following columns will NOT need to be entered by the provider as they will automatically populate after Section J has been completed: \"Total Organ Acquisition Cost\", \"Revenue for Medicaid/Uninsured Organs Sold\", and \"Total Useable Organs (Count)\"."]
[]
["Section L - Tax Assessment"]
["1.",null,"This section is to be completed by all hospitals in states that assess a provider tax on hospitals.  Complete all lines as instructed below."]
[null,null,"The objective of this form is to determine the state-assessed total hospital provider tax not included in your cost-to-charge ratios and per diem cost on the cost report."]
[2,null,"Line 1 should be the total hospital Provider Tax Assessment from the general ledger, whether it is included as an expense, a revenue offset, etc.."]
[null,null,"It should exclude non-hospital assessments such as a nursing facility tax unless an adjustment is made on W/S A-8 to remove the non-hospital expense."]
[3,null,"Line 2 should be the total amount of the Provider Tax Assessment from line 1 that is included in Expense on Worksheet A, Column 2 of the cost report.  Please report the cost report line number in which the expense is included in the box provided."]
[4,null,"If there is a difference in the values you are reporting in lines 1 and 2, please explain that difference in the box provided (or attach separate explanation if it won't fit)."]
[5,null,"Lines 4-7 should identify any amount of the Provider Tax expense that was reclassified on Worksheet A-6 of the cost report.  Please report the reasons for the reclassifications and the cost report line numbers affected in the boxes provided."]
[6,null,"Lines 8-11 should identify any amount of the hospital allowable Provider Tax expense (assessed by the state) that was adjusted on Worksheet A-8 of the cost report."]
[null,null,"Please report the reasons for the adjustments and the affected cost report line numbers in the boxes provided."]
[7,null,"Lines 12-15 should identify Provider Tax expense adjustments on Worksheet A-8 of the cost report that are not related to the actual tax assessed by the state (e.g., association fees, other funding arrangements outside of the state's assessed tax). "]
[null,null,"Please report the reasons for the adjustments and the affected cost report line numbers in the boxes provided."]
[8,null,"Line 16 calculates the net Provider tax expense included in the cost report after all reclassifications and adjustments."]
[{"$f":"IF(IncludeFRA=\"YES\",A151+1,\"\")","v":9},null,"Line 17 calculates the total Provider Tax expense that has been excluded from the cost report - this amount is used to determine the amount that will be added back to your hospital's DSH UCC."]
[{"$f":"IF(IncludeFRA=\"YES\",A152+1,\"\")","v":10}]
[null,null,"The amount on Line 25 may NOT be the final amount added into your DSH UCC.  The examination will review the various adjustments and reconciliations and make a final determination."]
[]
["Exhibit A - Support of Uninsured I/P and O/P Hospital Services:"]
[]
["1.",null,"See Exhibit A for an example format of the information that needs to be available to support the data reported in Section H of the survey related to uninsured services provided in each cost reporting year needed to completely cover the DSH year.  This information must be maintained by the facility in accordance with the documentation retention requirements outlined in the general instructions section.  Submit a separate Exhibit A for each cost reporting period included in the survey."]
["2.",null,"Complete Exhibit A based on your individual state Medicaid hospital reimbursement methodology (if your state reimburses based on discharge date then only include claims in Exhibit A that were discharged during the cost reporting period for which you are pulling the data). "]
["3.",null,"Exhibit A population should include all uninsured patients whose dates of service (see above) fall within the cost report period.  "]
["4.",null,"The total inpatient and outpatient hospital charges (Column N - excluding professional fees, and other non-hospital items)  from Exhibit A should tie to Section H, Uninsured columns, line 129 of the survey. "]
["5.",null,"The total inpatient and outpatient hospital charges (Column N) from Exhibit A,  with Column R indicating \"the charges NOT included in charity care charges\" should tie to Section F-2, line 5 of the survey. "]
[]
["Exhibit B - Support for Self-Pay I/P and O/P Hospital Payments Received: "]
[]
["1.",null,"See Exhibit B for an example format of the information that needs to be available to support the data reported in Section E of the survey related to ALL patient payments received during each cost reporting year needed to completely cover the DSH year.  This information must be maintained by the facility in accordance with the documentation retention requirements outlined in the general instructions section.  Submit a separate Exhibit B for each cost reporting period included in the survey."]
[null,null,"Note:  If insurance status cannot be determined on older service dates, report the older service date payments received during the cost report period on Exhibit B-1, as noted below.  "]
[null,null,"Note:  Include Section 1011 payments received related to undocumented aliens if they are applied at a patient level."]
["2.",null,"Exhibit B population should include all payments received from patients during the cost report year regardless of dates of service and insurance status.  "]
["3.",null,"Only the payments received from uninsured patients should be included on Section H of the survey, line 140.  Payments from both the uninsured and insured patients should be reported on Section E of the survey, lines 9 and 10, respectively.  The total payments from Section H, line 140 should reconcile to Section E, line 9."]
[]
["Exhibit B-1 - Support for Self-Pay I/P and O/P Hospital Payments Received for Older Service Dates: "]
["1.",null,"Exhibit B-1 is only needed if a hospital cannot determine or support insurance status related to self-pay payments received  during the cost report periods on the survey.  This may be the case on much older service date payments (e.g., 1999 service dates paid on in 2005).   In these cases, we will calculate the uninsured portion of the older service date payments based on the more recent self-pay data included on the previous exhibit (Exhibit B). "]
[null,null,"See Exhibit B-1 for an example format of the information needed to support the data reported in Section D of the survey related to payments received from ALL older self-pay services during each cost report year needed to completely cover the DSH year.  Submit a separate Exhibit B-1 for each cost reporting period included in the survey, if applicable."]
[]
["Exhibit C - Support of In-State Medicaid-Eligible Not on Included Medicaid Paid Claims  report data"]
[]
["1.",null,"See Exhibit C for an example format of the information that needs to be available to support the data reported in Section H of the survey related to services for In-State Medicaid-Eligible Not on Medicaid Paid Claims Data provided for each cost reporting year needed to completely cover the DSH year.  This information must be maintained by the facility in accordance with the documentation retention requirements outlined in the general instructions section.  Submit a separate Exhibit C for each cost reporting period included in the survey."]
[]
["Exhibit D - Support of Out-Of-State claims data:"]
[]
["1.",null,"See Exhibit D for an example format of the information that needs to be available to support the data reported in Section I of the survey related to  services provided for Out-Of-State Medicaid-Eligible claims for each cost reporting year needed to completely cover the DSH year.  This information must be maintained by the facility in accordance with the documentation retention requirements outlined in the general instructions section.   Submit a separate Exhibit D for each cost reporting period included in the survey."]
[]
[]
["Please submit your completed cost report year surveys (Part II), along with your Part I DSH Year Survey, and uninsured data analyses (exhibits A and B) electronically to Myers and Stauffer LC.  This information contains protected health information (PHI), and as such, should be sent on CD or DVD via U.S. mail, or via other carrier authorized to transfer PHI.  "]
[]
["Submit To:"]
[null,"Myers and Stauffer LC"]
[null,"Attention:  DSH Audits"]
[null,"9266 Counselors Row, Suite 200"]
[null,"Indianapolis, Indiana 46241"]
[null,"Phone: 800-877-6928"]
[null,"Fax: (317) 571-8482"]
[null,"claimsrequest@mslc.com "]

{"sheet":"Paid Claims Reports - Indy","index":3,"n_rows":47,"n_cols":1,"rows_kept":47,"cut":false,"hidden":true,"merged":[]}
["Medicaid Paid Claims Reports Summary"]
["Medicaid Paid Claims reports have been provided to assist you in completing this survey.  The accuracy and completeness of these reports has not been verified.  You are responsible for the accuracy and completeness of the information reported on the survey you submit."]
["Several paid claims reports accompany this survey on the CD sent to your facility.  Below is a description of the reports, as well as the purpose.  Please note, depending upon the claims submitted by your facility, the CD may not include all of these reports."]
["As noted above, the accuracy and completeness of this information has not been verified.  There may be inaccuracies or missing information, particularly with respect to managed care claims.  "]
[]
["File Name"]
["Included Claims-provider number-FYE"]
["Description"]
["Header Level Information for included paid claims - FFS, MC, HIP, Crossover"]
["Purpose"]
["The survey allows you to report services provided to Medicaid-eligible patients that are not included on the paid claims report.  This report provides you patient level detail in order to identify which services have not been included. "]
["File Name"]
["Included Claims-provider number-FYE-Paid and Denied Detail"]
["Description"]
["Paid/Denied Detail Level Information for included paid claims - FFS, MC, HIP, Crossover"]
["Purpose"]
["A revenue code summary has been provided to assist with completing Survey Section H (Medicaid costs).   Even though some claims were denied at the detail level, costs of hospital services provided to Medicaid-eligible patients are permitted."]
["File Name"]
["Included Claims-provider number-FYE-Disallowed Detail"]
["Description"]
["Disallowed Detail Level Information for included paid claims - FFS, MC, HIP, Crossover"]
["Purpose"]
["Costs for these detail lines are for services not permitted by federal rule to be included in the DSH calculation.  These are included so that you can identify these charges - do not include them in your survey response.  If your paid claims include charges for these services, do not include an apportionment of header level charges, if they include charges for these disallowed services."]
["File Name"]
["Possible Duplicates and Overlaps-provider number-FYE"]
["Description"]
["Possible Duplicates/Overlaps - Header Level Information for paid claims - FFS, MC, HIP, Crossover"]
["Purpose"]
["Our review of paid claims data indicated several claims that could be duplicates or overlaps.  Please review and determine which, if any services, are not duplicates/overlaps and are eligible to be included in the DSH calculation.  "]
["File Name"]
["Possible Duplicates and Overlaps-provider number-FYE-Paid and Denied Detail"]
["Description"]
["Possible Duplicates/Overlaps - Paid/Denied Detail Level Information for paid claims - FFS, MC, HIP, Crossover"]
["Purpose"]
["A revenue code summary has been provided to assist with completing Survey Section H (Medicaid costs).  Even though some claims were denied at the detail level, costs of hospital services provided to Medicaid-eligible patients are permitted in the DSH calculation.  These are possible duplicate/overlap claims .  Please review and determine which, if any services, are not duplicates/overlaps, and are eligible to be included in the DSH calculation.   "]
["File Name"]
["Possible Duplicates and Overlaps-provider number-FYE-Disallowed Detail"]
["Description"]
["Possible Duplicates/Overlaps - Disallowed Detail Level Information for paid claims - FFS, MC, HIP, Crossover"]
["Purpose"]
["Costs for these detail lines are for services not permitted by federal rule to be included in the DSH calculation.  These are included so that you can identify these charges - do not include them in your survey response.  If your paid claims include charges for these services, do not include an apportionment of header level charges, if they include charges for these disallowed services. "]
["File Name"]
["Excluded Claims-provider number-FYE "]
["Description"]
["Claims excluded from DSH calculation"]
["Purpose"]
["The claims in this report were excluded from the claims to be utilized in completing the Hospital Specific Limit survey.  These claims represent payments for patients eligible under the Assistance to Residents to County Homes (ARCH), category 9 with no credible insurance or TPL ( CHIP1), SCHIP (category 10),  or disallowed services.  These claims should not be included in your survey response.  They are provided to serve as identification of these claims for that exclusion."]

{"sheet":"Uninsured Definitions","index":4,"n_rows":104,"n_cols":2,"rows_kept":104,"cut":false,"hidden":false,"merged":[[65,1,65,10],[53,1,53,10],[56,1,56,10],[55,1,55,10],[25,0,25,10],[39,1,39,10],[36,1,36,10],[37,1,37,10],[57,1,57,10],[61,1,61,10],[63,1,63,10],[40,1,40,10],[41,1,41,10],[43,1,43,10],[49,1,49,10],[45,1,45,10],[17,1,17,10],[19,1,19,10],[21,1,21,10],[27,1,27,10],[35,1,35,10],[29,1,29,10],[31,1,31,10],[33,1,33,10],[34,1,34,10],[47,1,47,10],[48,1,48,10],[91,1,91,10],[2,0,2,10],[4,0,4,10],[5,1,5,10],[7,1,7,10],[9,1,9,10],[11,1,11,10],[15,0,15,10],[83,1,83,10],[51,1,51,10],[87,1,87,10],[69,1,69,10],[82,1,82,10],[84,1,84,10],[76,1,76,10],[50,1,50,10],[104,1,104,10],[70,1,70,10],[71,1,71,10],[72,1,72,10],[74,1,74,10],[75,1,75,10],[88,1,88,10],[77,1,77,10],[89,1,89,10],[90,1,90,10],[78,1,78,10],[79,1,79,10],[85,1,85,10],[86,1,86,10],[80,1,80,10],[81,1,81,10],[100,1,100,10],[101,1,101,10],[102,1,102,10],[103,1,103,10],[92,1,92,10],[93,1,93,10],[94,1,94,10],[95,1,95,10],[97,1,97,10],[98,1,98,10]]}
["Include In Hospital Uninsured Charges:"]
[]
["To the extent hospital charges pertain to services that are medically necessary under applicable Medicaid standards and the services are defined as inpatient or outpatient hospital services under the Medicaid state plan the following charges are generally considered to be \"uninsured\":"]
[]
["Hospital inpatient and outpatient charges for services to patients who have no source of third party coverage for a specific inpatient hospital or outpatient hospital service (reported based on date of service). (42 CFR 447.295 (b))"]
["■","Include facility fee charges generated for hospital provider based sub-provider services to uninsured patients.  Such services are identified as psychiatric or rehabilitation services, as identified on the facility cost report, Worksheet S-2, Line 3.  The costs of these services are included on the provider's cost report."]
[]
["■","Include hospital charges for undocumented aliens with no source of third party coverage for hospital services.  (73 FR dated 12/19/08, page 77916 / 42 CFR 447.299 (13))"]
[]
["■","Include lab and therapy outpatient hospital services."]
[]
["■","Include services paid for by religious charities with no legal obligation to pay."]
[]
["Include In Hospital Uninsured Payments:"]
[]
["Include all payments provided for hospital patients that met the uninsured definition for the specific inpatient or outpatient hospital service provided.  The payments must be reported on a cash basis (report in the year provided, regardless of the year of service).  (73 FR dated 12/19/08, pages 77913 & 77927)"]
[]
["■","Include uninsured liens and uninsured accounts sold, when the cash is collected.  (73 FR dated 12/19/08, pages 77942 & 77927)"]
[]
["■","Include Section 1011 payments for hospital services without insurance or other third party coverage (undocumented aliens).  (42 CFR 447.299 (13))"]
[]
["■","Include other waiver payments for uninsured such as Hurricane Katrina/Rita payments.  (73 FR dated 12/19/08, pages 77942 & 77927)"]
[]
["Do NOT Include In Hospital Uninsured Charges:"]
[]
["Exclude charges for patients who had hospital health insurance or other legally liable third party coverage for the specific inpatient or outpatient hospital service provided.  Exclude charges for all non-hospital services.  (42 CFR 447.295 (b))"]
[]
["■","Exclude professional fees for hospital services to uninsured patients, such as Emergency Room (ER) physician charges and provider-based outpatient services. Exclude all physician professional services fees and CRNA charges.  (42 CFR 447.299 (15) / 73 FR dated 12/19/08, pages 77924-77926)"]
[]
["■","Exclude bad debts and charity care associated with patients that have insurance or other third party coverage for the specific inpatient or outpatient hospital service provided.  (42 CFR 447.299 (15) and 42 CFR 447.295 (b))"]
[]
["■","Exclude claims denied by an active health insurance carrier unless the entire claim was denied due to exhaustion of benefits or due to the benefit package not covering the specific inpatient or outpatient hospital service provided. (73 FR dated 12/19/08, pages 77910-77911, 77913 and 42 CFR 447.295 (b))"]
[]
["■","Exclude uninsured charges for services that are not medically necessary (including elective procedures), under applicable Medicaid standards (if the service does not meet definition of a hospital service covered under the Medicaid state plan).  (42 CFR 447.299 (14) / 73 FR dated 12/19/08, pages 77913 & 77930)"]
[]
["■","Exclude charges for services to prisoners (wards of the state).  (73 FR dated 12/19/08, page 77915 / State Medicaid Director letter dated August 16, 2002)"]
[]
["■","Exclude Medicaid eligible patient charges (even if claim was not paid or denied).  (42 CFR 447.299 (14)  / 73 FR dated 12/19/08, page 77916)"]
[]
["■","Exclude patient charges covered under an automobile or liability policy that actually covers the hospital service (insured).  (45 CFR 146.113, 45 CFR 146.145, 73 FR dated 12/19/08, pages 77911 & 77916)"]
[]
["■","Exclude contractual adjustments required by law or contract with respect to services provided to patients covered by Medicare, Medicaid or other government or private third party payers (insured).  (42 CFR 447.299 (15), 73 FR dated 12/19/08, page 77922)"]
[]
["■","Exclude charges for services to patients where coverage has been denied by the patient's public or private payer on the basis of lack of medical necessity, regardless as to whether they met Medicaid's medical necessity and coverage criteria (still insured).  (73 FR dated 12/19/08, page 77916)"]
[]
["■","Exclude charges related to accounts with unpaid Medicaid or Medicare deductible or co-payment amounts (patient has coverage).  (42 CFR 447.299 (15))"]
[]
["■","Exclude charges associated with the provision of durable medical equipment (DME) or prescribed drugs that are for \"at home use\", because the goods or services upon which these charges are based are not hospital services.  (42 CFR 447.299 (14) / 73 FR dated 12/19/08, page 77913)"]
[]
["■","Exclude charges associated with services not billed under the hospital’s provider numbers, as identified on the facility cost report, Worksheet S-2, Lines 2 and 3.  These include non-hospital services offered by provider owned or provider based nursing facilities (SNF) and home health agencies (HHA). (42 CFR 447.299 (14) / 73 FR dated 12/19/08, page 77913)"]
[]
["■","Exclude facility fees generated in provider based rural health clinic outpatient facilities (not a hospital service in state plan).  (42 CFR 447.299 (14) / 73 FR dated 12/19/08, pages 77913 & 77926)"]
[]
["■","Exclude charges for provider's swing bed SNF services (not a hospital service in state plan).  (42 CFR 447.299 (14) / 73 FR dated 12/19/08, page 77913)"]
[]
["■","Exclude non-Title XIX charges including stand-alone Supplemental Children's Hospital Insurance Programs (SCHIP / CHIP)."]
[]
["■","Exclude Independent Clinical (“Reference”) Laboratory Charges (not a hospital service).  (42 CFR 447.299 (14) / 73 FR dated 12/19/08, page 77913)"]
[]
["Do NOT Include In Hospital Uninsured Payments:"]
[]
["■","Exclude State, county or other municipal subsidy payments made to hospitals for indigent care.  (42 CFR 447.299 (12))"]
[]
["■","Exclude any individual payments or third party payments on deductibles and co-insurance on Commercial and Medicare accounts (cost not included so neither is payment).  (42 CFR 447.299 (15))  "]
[]
["■","Exclude collections for non-hospital services:  Skilled Nursing Facility, Nursing Facility, Rural Health Clinic, Federally Qualified Health Clinic, and non-hospital clinics (i.e. clinics not reported on Worksheet “C” Part I)  (not hospital services).  (42 CFR 447.299 (14) / 73 FR dated 12/19/08, page 77913)"]
[]
["December 3, 2014 Final Rule Highlights:"]
[]
["■","Medicaid Eligible Individuals: "]
[null,"• If an individual is Medicaid eligible for any day during a single inpatient stay for a particular service, states must classify the individual as Medicaid eligible. "]
[null,"• If an individual is not Medicaid eligible and has a source of third party coverage for all or a portion of the single inpatient stay for a particular service, states cannot include any costs and revenues associated with that particular service when calculating the hospital-specific DSH limit."]
[null,"• If an individual has no source of third-party coverage for the specific inpatient hospital or outpatient hospital service, states should classify the individual as uninsured and include all costs and revenues associated with the particular service when calculating the hospital-specific DSH limit."]
[]
["■","Uninsured and Underinsured:"]
[null,"• Individuals who have exhausted benefits before obtaining services will be considered uninsured."]
[null,"• Individuals who exhaust covered benefits during the course of a service will not be considered uninsured for the particular service.  If the individual is not Medicaid eligible and has a source of third party coverage for all or a portion of the single inpatient stay for a particular service, the costs and revenues of the service cannot be included in the hospital-specific DSH limit."]
[null,"• Individuals with high deductible or catastrophic plans are considered insured for the service even in instances when the policy requires the individual to satisfy a deductible and/or share in the overall cost of the hospital service.  The cost and revenues associated with these claims cannot be included in the hospital-specific DSH limit."]
[null,"• The costs and revenues, including the payments from private insurance for Medicaid eligible individuals, should be included in the calculation of the hospital-specific DSH limit."]
[]
["■","Scope of Inpatient and Outpatient Hospital Services:"]
[null,"• To be considered as an inpatient or outpatient hospital service for purposes of Medicaid DSH, the service must meet the federal and state definitions of inpatient or outpatient hospital services and must be included in the state’s definition of an inpatient or outpatient hospital service under the approved state plan."]
[null,"• FQHC services are not inpatient or outpatient hospital services and cannot be included in the hospital-specific DSH limit."]
[null,"• Example: If transplant services are not covered under the approved state plan, costs associated with transplants cannot be included in calculating the hospital-specific DSH limit."]
[null,"• Example: NF, HHA, employed physicians or other licensed practitioners are not recognized as inpatient or outpatient hospital services and are not covered under the inpatient or outpatient hospital Medicaid benefit service categories and cannot be included in the hospital-specific DSH limit."]
[null,"• Administratively necessary days (days awaiting placement) are recognized as inpatient hospital services and should be included in the hospital-specific DSH limit."]
[]
["■","Timing of Service Specific Determination:"]
[null,"• The determination of an individual’s status as having a source of third party coverage can occur only once per individual per service provided and applies to the entire claim’s services."]
[null,"• When benefits have been exhausted for individuals with a source of third party coverage, only costs associated with separate services provided after the exhaustion of covered benefits are permitted for inclusion in the calculation of the hospital-specific limit.  These services must be a separate service based on the definition of a service for Medicaid (e.g., separate inpatient stay or separate outpatient billing period)."]
[null,"• Uncompensated care costs incurred by hospitals due to unpaid co-pays, co-insurance, or deductibles associated with a non-Medicaid eligible individual cannot be included in the calculation of the hospital-specific DSH limit."]
[]
["■","Physician Services:"]
[null,"• Services that are not inpatient or outpatient hospital services, including physician services, must be excluded when calculating the hospital-specific DSH limit. "]
[null,"• Exception:  Costs where insurance pays an all inclusive rate are allowable."]
[null,"• Physician costs under Section 1115 waivers are still excluded from the DSH limit calculation."]
[]
["■","Prisoners:"]
[null,"• Individuals who are inmates in a public institution or are otherwise involuntarily in secure custody as a result of criminal charges are considered to have a source of third party coverage."]
[]
["■","Indian Health Services:"]
[null,"• For Medicaid DSH purposes, American Indians/Alaska Natives are considered to have third party coverage for inpatient and outpatient hospital services received directly from IHS or tribal health programs (direct health care services) and for services specifically authorized under CHS."]
[null,"• Determining factor in deciding whether an American Indian or Alaska Native has health insurance for I/P or O/P hospital service is if the providing entity is an IHS facility or tribal health program."]
[null,"• Contract Services (Non-IHS provider): if the service is specifically authorized via a purchase order or equivalent document, it is considered to be insured.  If it does not have an authorization, it is considered an uninsured service."]

{"sheet":"Exhibit A - Uninsured","index":5,"n_rows":23,"n_cols":18,"rows_kept":23,"cut":false,"hidden":false,"merged":[[15,0,15,17],[16,0,16,17],[17,0,17,17],[18,0,18,17],[22,0,26,17]]}
["Claim Type (A)","Primary Payor Plan (B)","Secondary Payor Plan (C)","Hospital's Medicaid Provider # (D)","Patient Identifier Code (PCN) (E)","Patient's Birth Date (F)","Patient's Social Security Number (G)","Patient's Gender (H)","Name (I)","Admit Date (J)","Discharge Date (K)","Service Indicator (Inpatient / Outpatient) (L)","Revenue Code (M)","Total Charges for Services Provided (N) *","Routine Days of Care (O)","Total Patient Payments for Services Provided (P) **","Total Private Insurance Payments for Services Provided (Q) **","Claim Status (Exhausted or Non-Covered Service ***, if applicable)  (R)"]
["Uninsured Charges","Charity","Self-Pay",12345,2222222,"1960-01-01","999-99-999","Female","Doe, Jane","2010-03-01","2010-03-11","Inpatient",110,4000,7,null,0]
["Uninsured Charges","Charity","Self-Pay",12345,2222222,"1960-01-01","999-99-999","Female","Doe, Jane","2010-03-01","2010-03-11","Inpatient",200,4500,3,null,0]
["Uninsured Charges","Charity","Self-Pay",12345,2222222,"1960-01-01","999-99-999","Female","Doe, Jane","2010-03-01","2010-03-11","Inpatient",250,5200.25,null,null,0]
["Uninsured Charges","Charity","Self-Pay",12345,2222222,"1960-01-01","999-99-999","Female","Doe, Jane","2010-03-01","2010-03-11","Inpatient",300,2700,null,null,0]
["Uninsured Charges","Charity","Self-Pay",12345,2222222,"1960-01-01","999-99-999","Female","Doe, Jane","2010-03-01","2010-03-11","Inpatient",360,15000.75,null,null,0]
["Uninsured Charges","Charity","Self-Pay",12345,2222222,"1960-01-01","999-99-999","Female","Doe, Jane","2010-03-01","2010-03-11","Inpatient",450,1000.25,null,null,0]
["Uninsured Charges","Medicare",null,12345,4444444,"1985-07-12","999-99-999","Male","Jones, James","2010-06-15","2010-06-15","Outpatient",250,150,null,500,0,"Exhausted"]
["Uninsured Charges","Medicare",null,12345,4444444,"1985-07-12","999-99-999","Male","Jones, James","2010-06-15","2010-06-15","Outpatient",450,750,null,500,0,"Exhausted"]
["Uninsured Charges","Blue Cross",null,12345,1111111,"2000-03-05","999-99-999","Male","Smith, Mike","2010-08-10","2010-08-10","Outpatient",450,1100,null,null,0,"Non-Covered Service"]
[]
[]
[]
[]
[]
["Notes for Completing Exhibit A:"]
["*  All charges for non-hospital services should be excluded."]
["**  Payments reported in Columns P & Q are not reported in the survey.  These amounts are used for examination purposes only.  Amount should include all payments received to date on the account."]
["***  Report services not covered under the patient's insurance package as a \"Non-Covered Service\".  Note - the service must be covered under the state Medicaid plan."]
[]
[]
[]
["Please submit the above data in the electronic file included with this survey document.  The electronic file must be submitted in Excel (.xls or .xlsx).  If this is not possible, the data must be submitted as a CSV (.csv) file using either the TAB or | (pipe symbol above the ENTER key).  The data may not be accepted if not in one of these formats.  Please do not alter column headings!  These column headings will be used to input patient detail into a database from which Myers and Stauffer will generate reports. "]

{"sheet":"Exhibit B - Self-Pay Payments","index":6,"n_rows":23,"n_cols":22,"rows_kept":23,"cut":false,"hidden":false,"merged":[[19,0,19,20],[22,0,26,20],[13,0,13,20],[14,0,14,20],[15,0,15,20],[16,0,16,20],[17,0,17,20],[18,0,18,20]]}
["Claim Type (A)","Primary Payor Plan (B)","Secondary Payor Plan (C)","Transaction Code (D)","Hospital's Medicaid Provider # (E)","Patient Identifier Code (PCN) (F)","Patient's Birth Date (G)","Patient's Social Security Number (H)","Patient's Gender (I)","Name (J)","Admit Date (K)","Discharge Date (L)","Date of Cash Collection (M)","Amount of Cash Collections (N)","Indicate if Collection is a 1011 Payment (O) ***","Service Indicator (Inpatient / Outpatient) (P)","Total Hospital Charges for Services Provided (Q) *","Total Physician Charges for Services Provided (R) ","Total Other Non-Hospital Charges for Services Provided (S) **","Insurance Status When Services Were Provided (Insured or Uninsured) (T) *","Claim Status (Exhausted or Non-Covered Service****, if applicable) (U)","Calculated Hospital Uninsured Collections If (T)=\"Uninsured\" or (U)=\"Exhausted\" or (U)=\"Non-Covered Service\", (Q)/((Q)+(R)+(S))*(N), 0) *****"]
["Self Pay Payments","Medicare","Medicaid",500,12345,3333333,"2025-02-07","999-99-999","Male","Jones, Anthony","1995-07-12","1995-07-14","2010-01-01",50,"No","Inpatient",10000,900,0,"Insured",null,{"$f":"IF(OR(T2=\"Uninsured\", U2=\"Exhausted\",U2=\"Non-Covered Service\"),Q2/(Q2+R2+S2)*N2,0)","v":0}]
["Self Pay Payments","Medicare","Medicaid",500,12345,3333333,"2025-02-07","999-99-999","Male","Jones, Anthony","1995-07-12","1995-07-14","2010-02-01",50,"No","Inpatient",10000,900,0,"Insured",null,0]
["Self Pay Payments","Medicare","Medicaid",500,12345,3333333,"2025-02-07","999-99-999","Male","Jones, Anthony","1995-07-12","1995-07-14","2010-03-01",50,"No","Inpatient",10000,900,0,"Insured",null,0]
["Self Pay Payments","Medicare","Medicaid",500,12345,3333333,"2025-02-07","999-99-999","Male","Jones, Anthony","1995-07-12","1995-07-14","2010-04-01",50,"No","Inpatient",10000,900,0,"Insured",null,0]
["Self Pay Payments","Blue Cross",null,150,12345,9999999,"1979-09-25","999-99-999","Male","Smith, John","2000-09-21","2000-09-21","2009-09-30",150,"No","Outpatient",2000,0,50,"Insured","Exhausted",146.34146341463415]
["Self Pay Payments","Blue Cross",null,150,12345,9999999,"1979-09-25","999-99-999","Male","Smith, John","2000-09-21","2000-09-21","2009-10-31",150,"No","Outpatient",2000,0,50,"Insured","Exhausted",146.34146341463415]
["Self Pay Payments","Blue Cross",null,150,12345,9999999,"1979-09-25","999-99-999","Male","Smith, John","2000-09-21","2000-09-21","2009-11-30",150,"No","Outpatient",2000,0,50,"Insured","Exhausted",146.34146341463415]
["Self Pay Payments","Self-Pay",null,500,12345,7777777,"2000-07-09","999-99-999","Male","Cliff, Heath","2009-12-31","2010-01-01","2010-05-15",90,"No","Inpatient",15000,1000,0,"Uninsured",null,84.375]
["Self Pay Payments","Self-Pay",null,500,12345,7777777,"2000-07-09","999-99-999","Male","Cliff, Heath","2009-12-31","2010-01-01","2010-05-31",90,"No","Inpatient",15000,1000,0,"Uninsured",null,84.375]
["Self Pay Payments","United Healthcare",null,500,12345,5555555,"1960-02-15","999-99-999","Male","Johnson, Joe","2005-09-01","2005-09-03","2010-11-12",130,"No","Inpatient",14000,400,50,"Insured","Non-Covered Service",125.95155709342561]
[]
[]
["Notes for Completing Exhibit B:"]
["*  Charges and insurance status will be the same when listing multiple payments for the same patient and dates of service."]
["**  Other Non-Hospital Charges should include RHC, FQHC, Pharmacy, etc..."]
["***  If Section 1011 (Undocumented Alien) payments are applied at a patient level, include those payments in the cash collection column.  If they are not applied at patient level, include them in Section E of the survey document."]
["****  Report services not covered under the patient's insurance package as a \"Non-Covered Service\".  Note - the service must be covered under the state Medicaid plan."]
["***** The total Calculated Hospital Uninsured Collections (column V) should tie to the total Inpatient and Outpatient payments reported in Section H, Line 143 of the DSH Survey."]
[]
[]
[]
["Please submit the above data in the electronic file included with this survey document.  The electronic file must be submitted in Excel (.xls or .xlsx).  If this is not possible, the data must be submitted as a CSV (.csv) file using either the TAB or | (pipe symbol above the ENTER key).  The data may not be accepted if not in one of these formats.  Please do not alter column headings!  These column headings will be used to input patient detail into a database from which Myers and Stauffer will generate reports. "]

{"sheet":"Exhibit B-1 Unknown Ins Status","index":7,"n_rows":23,"n_cols":12,"rows_kept":23,"cut":false,"hidden":false,"merged":[[19,0,19,11],[22,0,22,11],[1,0,1,11],[2,0,2,11],[15,0,15,11],[16,0,16,11],[17,0,17,11],[18,0,18,11],[3,0,3,11]]}
[]
["Summary of Self Pay Cash Collections During the Cost Report Year"]
["(Unknown Insurance Status)"]
["NOTE: This is NOT intended for DOS prior to the cost report period. It is intended to be used for claims that are too old to determine the patient's true insurance status. Claims with DOS prior to the cost report period should be included in Exhibit B unless the patient's insurance status cannot be determined."]
["Patient Identifier Code (PCN) (A)","Name (B)","Admit Date (C)","Discharge Date (D)","Date of Cash Collection (E)","Amount of Cash Collections (F)","Indicate if Collection is a 1011 Payment (G) ***","Total Hospital Charges for Services Provided (H) *","Total Physician Charges for Services Provided (I) ","Total Other Non-Hospital Charges for Services Provided (J) **","Calculated Uninsured Percentage (K) ****","Calculated Hospital Uninsured Collections (= (H)/((H)+(I)+(J))*(F)*(K))"]
[8888888,"Johnson, Joe","1999-05-12","1999-05-25","2010-05-01",500,"No",55000,1100,0,6.7241379310344823E-2,{"$f":" ROUND(H6/(H6+I6+J6)*F6*K6,0)","v":33}]
[8888888,"Johnson, Joe","1999-05-12","1999-05-25","2010-03-01",250,"Yes",55000,1100,0,6.7241379310344823E-2,16]
[8888888,"Johnson, Joe","1999-05-12","1999-05-25","2010-05-15",100,"No",55000,1100,0,6.7241379310344823E-2,7]
[8888888,"Johnson, Joe","1999-05-12","1999-05-25","2010-06-15",300,"No",55000,1100,0,6.7241379310344823E-2,20]
[5555555,"Smith, Scott","2004-07-01","2004-07-15","2010-02-18",800,"No",35000,550,330,6.7241379310344823E-2,52]
[5555555,"Smith, Scott","2004-07-01","2004-07-15","2010-03-25",500,"No",35000,550,330,6.7241379310344823E-2,33]
[5555555,"Smith, Scott","2004-07-01","2004-07-15","2010-04-28",200,"No",35000,550,330,6.7241379310344823E-2,13]
[5555555,"Smith, Scott","2004-07-01","2004-07-15","2010-06-15",100,"No",35000,550,330,6.7241379310344823E-2,7]
[]
[]
["Notes for Completing Exhibit B-1:"]
["*  Charges will be the same when listing multiple payments for the same patient and dates of service."]
["**  Other Non-Hospital Charges should include RHC, FQHC, Pharmacy, etc..."]
["***  If Section 1011 (Undocumented Alien) payments are applied at a patient level, include those payments in the cash collection column.  If they are not applied at patient level, include them in Section E of the survey document."]
["****  The uninsured percentage should be calculated based on the total uninsured payments as a percentage of the self pay payments shown on Exhibit B.  This percentage will be the same for all of the older service date collections since documentation is not available to support the insurance status."]
[]
[]
["Please submit the above data in an electronic file with this survey document.  The electronic file must be submitted in Excel (.xls, .xlsx).   If this is not possible, the data must be submitted as a CSV (.csv) file using either the TAB or | (pipe symbol above the ENTER key). "]

{"sheet":"Exhibit C Other MCD","index":8,"n_rows":23,"n_cols":23,"rows_kept":23,"cut":false,"hidden":false,"merged":[[15,0,15,17],[16,0,16,17],[17,0,17,17],[18,0,18,17],[22,0,26,17]]}
["Claim Type (A) **","Primary Payor Plan (B)","Secondary Payor Plan (C)","Hospital's Medicaid Provider # (D)","Patient Identifier Number (PCN) (E)","Patient's Medicaid Recipient # (F)","Patient's Birth Date (G)","Patient's Social Security Number (H)","Patient's Gender (I)","Name (J)","Admit Date (K)","Discharge Date (L)","Service Indicator (Inpatient / Outpatient) (M)","Revenue Code (N)","Total Charges for Services Provided (O) *","Routine Days of Care (P)","Total Medicare Payments for Services Provided (Q)","Total Medicare HMO Payments for Services Provided (R)","Total Medicaid Payments for Services Provided (S)","Total Medicaid MCO Payments for Services Provided (T)","Total Private Insurance Payments for Services Provided (U)","Self-Pay Payments (V)","Sum of All Payments Received on Claim (Q)+(R)+(S)+(T)+(U)+(V)"]
["Other Medicaid Eligibles","Blue Cross","Medicaid",12345,888888,123456789,"1960-01-01","999-99-999","Male","James, Samuel","2009-09-01","2009-09-04","Inpatient",120,1200,3,0,0,50,0,1500,0,{"$f":"SUM(Q2:V2)","v":1550}]
["Other Medicaid Eligibles","Blue Cross","Medicaid",12345,888888,123456789,"1960-01-01","999-99-999","Male","James, Samuel","2009-09-01","2009-09-04","Inpatient",206,1500,1,0,0,50,0,1500,0,1550]
["Other Medicaid Eligibles","Blue Cross","Medicaid",12345,888888,123456789,"1960-01-01","999-99-999","Male","James, Samuel","2009-09-01","2009-09-04","Inpatient",250,100,0,0,0,50,0,1500,0,1550]
["Other Medicaid Eligibles","Blue Cross","Medicaid",12345,888888,123456789,"1960-01-01","999-99-999","Male","James, Samuel","2009-09-01","2009-09-04","Inpatient",300,375,0,0,0,50,0,1500,0,1550]
["Other Medicaid Eligibles","Blue Cross","Medicaid",12345,888888,123456789,"1960-01-01","999-99-999","Male","James, Samuel","2009-09-01","2009-09-04","Inpatient",450,1500,0,0,0,50,0,1500,0,1550]
["Other Medicaid Eligibles","Aetna","Medicaid",12345,666666,978654321,"1985-07-12","999-99-999","Female","Johnson, Sandy","2010-06-30","2010-06-30","Outpatient",250,100,0,0,0,0,0,900,75,975]
["Other Medicaid Eligibles","Aetna","Medicaid",12345,666666,978654321,"1985-07-12","999-99-999","Female","Johnson, Sandy","2010-06-30","2010-06-30","Outpatient",300,375,0,0,0,0,0,900,75,975]
["Other Medicaid Eligibles","Aetna","Medicaid",12345,666666,978654321,"1985-07-12","999-99-999","Female","Johnson, Sandy","2010-06-30","2010-06-30","Outpatient",450,1500,0,0,0,0,0,900,75,975]
["Other Medicaid Eligibles","Cigna","Medicaid",12345,555555,654321978,"2000-03-05","999-99-999","Female","Jeffery, Susan","2010-02-28","2010-02-28","Outpatient",300,375,0,0,0,100,0,1000,0,1100]
["Other Medicaid Eligibles","Cigna","Medicaid",12345,555555,654321978,"2000-03-05","999-99-999","Female","Jeffery, Susan","2010-02-28","2010-02-28","Outpatient",450,1500,0,0,0,100,0,1000,0,1100]
[]
[]
[]
[]
["Notes for Completing Exhibit C:"]
["*  All charges for non-hospital services should be excluded."]
["**  A separate Exhibit C file should be submitted for each claim type reported (e.g. Medicaid Managed Care, Other Medicaid Eligibles, Out-of-State Medicaid, etc.).  The format above should be used for each Exhibit C."]
[]
[]
[]
[]
["Please submit the above data in the electronic file included with this survey document.  The electronic file must be submitted in Excel (.xls or .xlsx).  If this is not possible, the data must be submitted as a CSV (.csv) file using either the TAB or | (pipe symbol above the ENTER key).  The data may not be accepted if not in one of these formats.  Please do not alter column headings!  These column headings will be used to input patient detail into a database from which Myers and Stauffer will generate reports. "]

{"sheet":"Exhibit D Other MCD OOS","index":9,"n_rows":24,"n_cols":23,"rows_kept":24,"cut":false,"hidden":true,"merged":[[16,0,16,17],[17,0,17,17],[18,0,18,17],[19,0,19,17],[23,0,27,17]]}
["Example of Exhibit D   (Out-of-State Medicaid example)\n"]
["Claim Type (A) **","Primary Payor Plan (B)","Secondary Payor Plan (C)","Hospital's Medicaid Provider # (D)","Patient Identifier Number (PCN) (E)","Patient's Medicaid Recipient # (F)","Patient's Birth Date (G)","Patient's Social Security Number (H)","Patient's Gender (I)","Name (J)","Admit Date (K)","Discharge Date (L)","Service Indicator (Inpatient / Outpatient) (M)","Revenue Code (N)","Total Charges for Services Provided (O) *","Routine Days of Care (P)","Total Medicare Payments for Services Provided (Q)","Total Medicare HMO Payments for Services Provided (R)","Total Medicaid Payments for Services Provided (S)","Total Medicaid MCO Payments for Services Provided (T)","Total Private Insurance Payments for Services Provided (U)","Self-Pay Payments (V)","Sum of All Payments Received on Claim (Q)+(R)+(S)+(T)+(U)+(V)"]
["Out-of-State Medicaid","Arkansas Medicaid",null,12345,888888,123456789,"1960-01-01","999-99-999","Male","James, Samuel","2009-09-01","2009-09-04","Inpatient",120,1200,3,0,0,1500,0,50,0,{"$f":"SUM(Q3:V3)","v":1550}]
["Out-of-State Medicaid","Arkansas Medicaid",null,12345,888888,123456789,"1960-01-01","999-99-999","Male","James, Samuel","2009-09-01","2009-09-04","Inpatient",206,1500,1,0,0,1500,0,50,0,1550]
["Out-of-State Medicaid","Arkansas Medicaid",null,12345,888888,123456789,"1960-01-01","999-99-999","Male","James, Samuel","2009-09-01","2009-09-04","Inpatient",250,100,0,0,0,1500,0,50,0,1550]
["Out-of-State Medicaid","Arkansas Medicaid",null,12345,888888,123456789,"1960-01-01","999-99-999","Male","James, Samuel","2009-09-01","2009-09-04","Inpatient",300,375,0,0,0,1500,0,50,0,1550]
["Out-of-State Medicaid","Arkansas Medicaid",null,12345,888888,123456789,"1960-01-01","999-99-999","Male","James, Samuel","2009-09-01","2009-09-04","Inpatient",450,1500,0,0,0,1500,0,50,0,1550]
["Out-of-State Medicaid","Texas Medicaid",null,12345,666666,978654321,"1985-07-12","999-99-999","Female","Johnson, Sandy","2010-06-30","2010-06-30","Outpatient",250,100,0,0,0,900,0,0,75,975]
["Out-of-State Medicaid","Texas Medicaid",null,12345,666666,978654321,"1985-07-12","999-99-999","Female","Johnson, Sandy","2010-06-30","2010-06-30","Outpatient",300,375,0,0,0,900,0,0,75,975]
["Out-of-State Medicaid","Texas Medicaid",null,12345,666666,978654321,"1985-07-12","999-99-999","Female","Johnson, Sandy","2010-06-30","2010-06-30","Outpatient",450,1500,0,0,0,900,0,0,75,975]
["Out-of-State Medicaid","Texas Medicaid",null,12345,555555,654321978,"2000-03-05","999-99-999","Female","Jeffery, Susan","2010-02-28","2010-02-28","Outpatient",300,375,0,0,0,1000,0,100,0,1100]
["Out-of-State Medicaid","Texas Medicaid",null,12345,555555,654321978,"2000-03-05","999-99-999","Female","Jeffery, Susan","2010-02-28","2010-02-28","Outpatient",450,1500,0,0,0,1000,0,100,0,1100]
[]
[]
[]
[]
["Notes for Completing Exhibit D:"]
["*  All charges for non-hospital services should be excluded."]
["**  A separate Exhibit D file should be submitted for each claim type reported (e.g. OOS FFS, OOS Medicaid Managed Care, OOS Other Medicaid Eligibles, etc.).  The format above should be used for each Exhibit D."]
[]
[]
[]
[]
["Please submit the above data in the electronic file included with this survey document.  The electronic file must be submitted in Excel (.xls or .xlsx).  If this is not possible, the data must be submitted as a CSV (.csv) file using either the TAB or | (pipe symbol above the ENTER key).  The data may not be accepted if not in one of these formats.  Please do not alter column headings!  These column headings will be used to input patient detail into a database from which Myers and Stauffer will generate reports. "]

{"sheet":"Sec. D, E, F CR Data","index":10,"n_rows":136,"n_cols":29,"rows_kept":136,"cut":false,"hidden":false,"merged":[[128,1,128,4],[129,1,129,4],[131,1,131,4],[62,1,62,6],[97,1,97,6],[84,1,84,12],[100,0,102,1],[64,1,64,12],[63,1,63,12],[80,1,80,6],[130,1,130,4],[126,1,126,4],[65,1,65,6],[68,1,68,6],[66,1,66,12],[67,1,67,6],[69,1,69,6],[127,1,127,4],[48,1,48,6],[50,1,50,4],[19,2,19,4],[23,2,23,4],[37,2,37,4],[20,2,20,4],[21,2,21,4],[24,2,24,4],[35,2,35,4],[38,2,38,4],[25,2,25,4],[26,2,26,4],[135,1,135,14],[100,8,100,12],[100,2,100,6],[19,8,19,12],[59,1,59,6],[60,1,60,6],[56,1,56,4],[47,1,47,6],[61,1,61,6],[22,2,22,4],[57,1,57,4],[53,1,53,4],[51,1,51,6],[49,1,49,6],[55,1,55,4],[52,1,52,6],[5,0,5,10],[7,2,7,6],[32,2,32,4],[33,2,33,4],[36,2,36,4],[13,8,15,14],[15,2,15,6],[23,8,23,12],[24,8,24,12],[31,2,31,4],[34,2,34,4],[20,8,20,12],[21,8,21,12],[22,8,22,12],[25,8,25,12],[26,8,26,12],[92,28,92,29],[94,28,94,29],[95,28,95,29],[91,28,91,29],[71,0,71,14],[73,0,73,14],[79,1,79,6]]}
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,"DSH Version",null,7.25,null,"2018-05-03"]
["D.  General Cost Report Year Information",null,{"$f":"IF(UPPER($C$14)=\"X\", $C$11, IF(UPPER($E$14)=\"X\", $E$11, IF(UPPER($G$14)=\"X\", $G$11, \"\")))","v":"2016-07-01"},"-",{"$f":"IF(UPPER($C$14)=\"X\", $C$13, IF(UPPER($E$14)=\"X\", $E$13, IF(UPPER($G$14)=\"X\", $G$13, \"\")))","v":"2017-06-30"}]
["The following information is provided based on the information we received from the state.  Please review this information for items 4 through 8 and select \"Yes\" or \"No\" to either agree or disagree with the accuracy of the information.  If you disagree with one of these items, please provide the correct information along with supporting documentation when you submit your survey."]
[]
["1.","Select Your Facility from the Drop-Down Menu Provided:","WELLSTAR WEST GEORGIA HOSPITAL"]
[" "]
[" "]
[" ",null,{"$f":"IF(VLOOKUP(HOSPITALNAME,DATATABLE,6,FALSE)=0,\"\",VLOOKUP(HOSPITALNAME,DATATABLE,6,FALSE))","v":"2016-07-01"},null,{"$f":"IF(VLOOKUP(HOSPITALNAME,DATATABLE,8,FALSE)=0,\"\",VLOOKUP(HOSPITALNAME,DATATABLE,8,FALSE))","v":""},null,{"$f":"IF(VLOOKUP(HOSPITALNAME,DATATABLE,10,FALSE)=0,\"\",VLOOKUP(HOSPITALNAME,DATATABLE,10,FALSE))","v":""}]
[" ",null,{"$f":"IF(LEN(FYB_Choice_1)=0, \"\", \"through\")","v":"through"},null,{"$f":"IF(LEN(FYB_Choice_2)=0, \"\", \"through\")","v":""},null,{"$f":"IF(LEN(FYB_Choice_3)=0,\"\",\"through\")","v":""}]
[" ",null,{"$f":"IF(VLOOKUP(HOSPITALNAME,DATATABLE,7,FALSE)=0,\"\",VLOOKUP(HOSPITALNAME,DATATABLE,7,FALSE))","v":"2017-06-30"},null,{"$f":"IF(VLOOKUP(HOSPITALNAME,DATATABLE,9,FALSE)=0,\"\",VLOOKUP(HOSPITALNAME,DATATABLE,9,FALSE))","v":""},null,{"$f":"IF(VLOOKUP(HOSPITALNAME,DATATABLE,11,FALSE)=0,\"\",VLOOKUP(HOSPITALNAME,DATATABLE,11,FALSE))","v":""}]
["2.","Select Cost Report Year Covered by this Survey (enter \"X\"):","X",null,null,null,null,null,{"$f":"IF(COUNTIF($C$14:$G$14,\"X\")>1,\"ERROR: Please Select Only 1 Year! - Complete a Separate Survey for each Cost Report Year.\",\"\")","v":""}]
[]
["3.","Status of Cost Report Used for this Survey (Should be audited if available):","1 - As Submitted"]
[]
["3a.","Date CMS processed the HCRIS file into the HCRIS database:","2017-12-21"]
[" "]
[" ",null,"Data",null,null,null,"Correct?",null,"If Incorrect, Proper Information"]
["4.","Hospital Name:",{"$f":"VLOOKUP(HOSPITALNAME,DATATABLE,1,FALSE)","v":"WELLSTAR WEST GEORGIA HOSPITAL"},null,null,null,"Yes"]
["5.","Medicaid Provider Number:",{"$f":"VLOOKUP(HOSPITALNAME,DATATABLE,2,FALSE)","v":"000002065A"},null,null,null,"Yes"]
["6.","Medicaid Subprovider Number 1 (Psychiatric or Rehab):",{"$f":"VLOOKUP(HOSPITALNAME,DATATABLE,3,FALSE)","v":0},null,null,null,"Yes"]
["7.","Medicaid Subprovider Number 2 (Psychiatric or Rehab):",{"$f":"VLOOKUP(HOSPITALNAME,DATATABLE,4,FALSE)","v":0},null,null,null,"Yes"]
["8.","Medicare Provider Number:",{"$f":"VLOOKUP(HOSPITALNAME,DATATABLE,5,FALSE)","v":110016},null,null,null,"Yes"]
["8a.","Owner/Operator (Private, State Govt., Non-State Govt., HIS/Tribal):",{"$f":"VLOOKUP(HOSPITALNAME,DATATABLE,12,FALSE)","v":"Non-State Govt."},null,null,null,"Yes"]
["8b.","DSH Pool Classification (Small Rural, Non-Small Rural, Urban):",{"$f":"+VLOOKUP(HOSPITALNAME,DATATABLE,13,FALSE)","v":"Non-Small Rural"},null,null,null,"Yes"]
[]
[]
[null,"Out-of-State Medicaid Provider Number.  List all states where you had a Medicaid provider agreement during the cost report year:"]
[]
[null,null,"State Name",null,null,null,"Provider No."]
["9.","State Name & Number","Alabama",null,null,null,"1821221144"]
["10.","State Name & Number"]
["11.","State Name & Number"]
["12.","State Name & Number"]
["13.","State Name & Number"]
["14.","State Name & Number"]
["15.","State Name & Number"]
[null,"(List additional states on a separate attachment)"]
[]
[]
[" ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"OKLAHOMA"]
[" "]
[{"$f":"CONCATENATE(\"E.  Disclosure of Medicaid / Uninsured Payments Received: (\",TEXT(FYB_1,\"mm/dd/yyyy\"),\" - \",TEXT(FYE_1,\"mm/dd/yyyy\"),\")\")","v":"E.  Disclosure of Medicaid / Uninsured Payments Received: (07/01/2016 - 06/30/2017)"}]
[" "]
[" "]
["1.","Section 1011 Payment Related to Hospital Services Included in Exhibits B & B-1  (See Note 1)"]
["2.","Section 1011 Payment Related to Inpatient Hospital Services NOT Included in Exhibits B & B-1  (See Note 1)"]
["3.","Section 1011 Payment Related to Outpatient Hospital Services NOT Included in Exhibits B & B-1  (See Note 1)"]
["4.","Total Section 1011 Payments Related to Hospital Services  (See Note 1)",null,null,null,null,null,null,{"$f":"SUM(I48:I50)","v":0}]
["5.","Section 1011 Payment Related to Non-Hospital Services Included in Exhibits B & B-1  (See Note 1)"]
["6.","Section 1011 Payment Related to Non-Hospital Services NOT Included in Exhibits B & B-1  (See Note 1)"]
["7.","Total Section 1011 Payments Related to Non-Hospital Services  (See Note 1)",null,null,null,null,null,null,{"$f":"SUM(I52:I53)","v":0}]
[]
[]
["8.","Out-of-State DSH Payments  (See Note 2)"]
[]
[null,null,null,null,null,null,null,null,"Inpatient",null,"Outpatient",null,"Total"]
["9.","Total Cash Basis Patient Payments from Uninsured (On Exhibit B)",null,null,null,null,null,null,178219,null,572282,null,{"$f":"K60+I60","v":750501}]
["10.","Total Cash Basis Patient Payments from All Other Patients (On Exhibit B)",null,null,null,null,null,null,832938,null,4023044,null,{"$f":"K61+I61","v":4855982}]
["11.","Total Cash Basis Patient Payments Reported on Exhibit B (Agrees to Column (N) on Exhibit B, less physician and non-hospital portion of payments)",null,null,null,null,null,null,{"$f":"SUM(I60:I61)","v":1011157},null,{"$f":"SUM(K60:K61)","v":4595326},null,{"$f":"SUM(M60:M61)","v":5606483}]
["12.","Uninsured Cash Basis Patient Payments as a Percentage of Total Cash Basis Patient Payments:",null,null,null,null,null,null,{"$f":"IF(I62<>0,I60/I62,0)","v":0.17625255029634368},null,{"$f":"IF(K62<>0,K60/K62,0)","v":0.12453566950418751},null,{"$f":"IF(M62<>0,M60/M62,0)","v":0.13386306531206818}]
[null,{"$f":"IF($M$63>50%, \"NOTE: According to the payment data entered above, uninsured patient payments account for more than half of all patient payments.  Please verify this is correct.\",\"\")","v":""}]
[null,{"$f":"IF(ROUND(M60,0)<>ROUND(SUM('Sec. H In-State'!AR165,'Sec. H In-State'!AT165),0), \"NOTE: Uninsured payments reported on Section H do not reconcile to uninsured payments reported on Section E. Please verify this is correct.\",\"\")","v":""}]
["13.","Did your hospital receive any Medicaid managed care payments not paid at the claim level?",null,null,null,null,null,null,"No"]
[null,"Should include all non-claim-specific payments such as lump sum payments for full Medicaid pricing, supplementals, quality payments, bonus payments, capitation payments received by the hospital (not by the MCO), or other incentive payments."]
["14.","Total Medicaid managed care non-claims payments (see question 13 above) received applicable to hospital services",null,null,null,null,null,null,0]
["15.","Total Medicaid managed care non-claims payments (see question 13 above) received applicable to non-hospital services",null,null,null,null,null,null,0]
["16.","Total Medicaid managed care non-claims payments (see question 13 above) received",null,null,null,null,null,null,{"$f":"SUM(I68:I69)","v":0}]
[" "]
["Note 1:  Subtitle B - Miscellaneous Provision, Section 1011 of the Medicare Prescription Drug Improvement and Modernization Act of 2003 provides federal reimbursement for emergency health services furnished to undocumented aliens.  If your hospital received these funds during any cost report year covered by the survey, they must be reported here.  If you can document that a portion of the payment received is related to non-hospital services (physician or ambulance services), report that amount in the section titled \"Section 1011 Payments Related to Non-Hospital Services.\"  Otherwise report 100 percent of the funds you received in the section related to hospital services.\n"]
[" "]
["Note 2:  Report any DSH payments your hospital received from a state Medicaid program (other than your home state).  In-state DSH payments will be reported directly from the Medicaid program and should not be included in this section of the survey.\n"]
[" "]
[" "]
[{"$f":"CONCATENATE(\"F.  MIUR / LIUR Qualifying Data from the Cost Report (\",TEXT(FYB_1,\"mm/dd/yyyy\"),\" - \",TEXT(FYE_1,\"mm/dd/yyyy\"),\")\")","v":"F.  MIUR / LIUR Qualifying Data from the Cost Report (07/01/2016 - 06/30/2017)"}]
[" "]
[null,"F-1.  Total Hospital Days Used in Medicaid Inpatient Utilization Ratio (MIUR)"]
["1.","Total Hospital Days Per Cost Report Excluding Swing-Bed (C/R, W/S S-3, Pt. I, Col. 8, Sum of Lns. 14, 16, 17, 18.00-18.03, 30, 31 less lines 5 & 6)",null,null,null,null,null,null,27088,null,"(See Note in Section F-3, below)"]
[" "]
[" "]
[]
[" "]
[null,"F-2.  Cash Subsidies for Patient Services Received from State or Local Governments and Charity Care Charges (Used in Low-Income Utilization Ratio (LIUR) Calculation):"]
["2.","Inpatient Hospital Subsidies"]
["3.","Outpatient Hospital Subsidies"]
["4.","Unspecified I/P and O/P Hospital Subsidies"]
["5.","Non-Hospital Subsidies"]
["6.","Total Hospital Subsidies",null,null,null,null,null,null,{"$f":"I86+I87+I88+I89","v":0}]
[" "]
["7.","Inpatient Hospital Charity Care Charges",null,null,null,null,null,null,11312337]
["8.","Outpatient Hospital Charity Care Charges",null,null,null,null,null,null,46832555]
["9.","Non-Hospital Charity Care Charges"]
["10.","Total Charity Care Charges",null,null,null,null,null,null,{"$f":"I92+I93+I94","v":58144892}]
[" "]
[]
[null,"F-3.  Calculation of Net Hospital Revenue from Patient Services  (Used for LIUR) (W/S G-2 and G-3 of Cost Report)"]
[" "]
[" "]
["NOTE:  All data in this section must be verified by the hospital.  If data is already present in this section, it was completed using CMS HCRIS cost report data.  If the hospital has a more recent version of the cost report, the data should be updated to the hospital's version of the cost report.  Formulas can be overwritten as needed with actual data.",null,"Total Patient Revenues (Charges)",null,null,null,null,null,"Contractual Adjustments (formulas below can be overwritten if amounts are known)"]
[null,null,"Inpatient Hospital",null,"Outpatient Hospital",null,"Non-Hospital",null,"Inpatient Hospital",null,"Outpatient Hospital",null,"Non-Hospital",null,"Net Hospital Revenue"]
[]
["11.","Hospital",43829351,null,null,null,null,null,{"$f":"IF($G$122<>0, C104/$G$122*Adj_Hosp_CR_Contractuals_1, 0)","v":28872506.360398762},null,{"$f":"IF($G$122<>0, E104/$G$122*Adj_Hosp_CR_Contractuals_1, 0)","v":0},null,{"$f":"IF($G$122<>0, G104/$G$122*Adj_Hosp_CR_Contractuals_1, 0)","v":0},null,{"$f":"C104+E104-I104-K104","v":14956844.639601238}]
["12.","Subprovider I (Psych or Rehab)",0,null,null,null,null,null,{"$f":"IF($G$122<>0, C105/$G$122*Adj_Hosp_CR_Contractuals_1, 0)","v":0},null,{"$f":"IF($G$122<>0, E105/$G$122*Adj_Hosp_CR_Contractuals_1, 0)","v":0},null,0,null,{"$f":"C105+E105-I105-K105","v":0}]
["13.","Subprovider II (Psych or Rehab)",0,null,null,null,null,null,{"$f":"IF($G$122<>0, C106/$G$122*Adj_Hosp_CR_Contractuals_1, 0)","v":0},null,{"$f":"IF($G$122<>0, E106/$G$122*Adj_Hosp_CR_Contractuals_1, 0)","v":0},null,0,null,{"$f":"C106+E106-I106-K106","v":0}]
["14.","Swing Bed - SNF",null,null,null,null,0,null,null,null,null,null,0]
["15.","Swing Bed - NF",null,null,null,null,0,null,null,null,null,null,0]
["16.","Skilled Nursing Facility",null,null,null,null,8870906,null,null,null,null,null,5843693.41694107]
["17.","Nursing Facility",null,null,null,null,0,null,null,null,null,null,0]
["18.","Other Long-Term Care",null,null,null,null,0,null,null,null,null,null,0]
["19.","Ancillary Services",138621550,null,252752716,null,null,null,{"$f":"IF($G$122<>0, C112/$G$122*Adj_Hosp_CR_Contractuals_1, 0)","v":91316697.435545757},null,{"$f":"IF($G$122<>0, E112/$G$122*Adj_Hosp_CR_Contractuals_1, 0)","v":166500398.33622137},null,0,null,{"$f":"C112+E112-I112-K112","v":133557170.22823289}]
["20.","Outpatient Services",null,null,67312804,null,null,null,null,null,{"$f":"IF($G$122<>0, E113/$G$122*Adj_Hosp_CR_Contractuals_1, 0)","v":44342188.905016534},null,0,null,{"$f":"C113+E113-I113-K113","v":22970615.094983466}]
["21.","Home Health Agency",null,null,null,null,3761850,null,null,null,null,null,2478111.9403722421]
["22.","Ambulance",{"$f":"'Survey Set-Up'!AA27","v":0},null,{"$f":"'Survey Set-Up'!AA28","v":0},null,{"$f":"'Survey Set-Up'!AA29","v":0},null,{"$f":"IF($G$122<>0, C115/$G$122*Adj_Hosp_CR_Contractuals_1, 0)","v":0},null,{"$f":"IF($G$122<>0, E115/$G$122*Adj_Hosp_CR_Contractuals_1, 0)","v":0},null,0,null,{"$f":"+C115+E115-I115-K115","v":0}]
["23.","Outpatient Rehab Providers",null,null,null,null,0,null,{"$f":"IF($G$122<>0, C116/$G$122*Adj_Hosp_CR_Contractuals_1, 0)","v":0},null,{"$f":"IF($G$122<>0, E116/$G$122*Adj_Hosp_CR_Contractuals_1, 0)","v":0},null,0,null,{"$f":"C116+E116-I116-K116","v":0}]
["24.","ASC",0,null,0,null,null,null,{"$f":"IF($G$122<>0, C117/$G$122*Adj_Hosp_CR_Contractuals_1, 0)","v":0},null,{"$f":"IF($G$122<>0, E117/$G$122*Adj_Hosp_CR_Contractuals_1, 0)","v":0},null,0,null,{"$f":"C117+E117-I117-K117","v":0}]
["25.","Hospice",null,null,null,null,6634566,null,null,null,null,null,{"$f":"IF($G$122<>0, G118/$G$122*Adj_Hosp_CR_Contractuals_1, 0)","v":4370508.4529653508}]
["26.","Other",7499510,null,10296018,null,0,null,{"$f":"IF($G$122<>0, C119/$G$122*Adj_Hosp_CR_Contractuals_1, 0)","v":4940288.7616308555},null,{"$f":"IF($G$122<>0, E119/$G$122*Adj_Hosp_CR_Contractuals_1, 0)","v":6782483.3909080727},null,0,null,{"$f":"C119+E119-I119-K119","v":6072755.8474610718}]
[]
["27.","Total",{"$f":"SUM(C104:C119)","v":189950411},null,{"$f":"SUM(E104:E119)","v":330361538},null,{"$f":"SUM(G104:G119)","v":19267322},null,{"$f":"SUM(I104:I119)","v":125129492.55757537},null,{"$f":"SUM(K104:K119)","v":217625070.63214597},null,{"$f":"SUM(M104:M119)","v":12692313.810278663},null,{"$f":"SUM(O104:O119)","v":177557385.81027865}]
["28.","Total Hospital and Non Hospital",null,null,"Total from Above",null,{"$f":"G121+E121+C121","v":539579271},null,null,null,"Total from Above",null,{"$f":"I121+K121+M121","v":355446877}]
[]
[]
[]
["29.","Total Per Cost Report",null,null,"Total Patient Revenues (G-3 Line 1)",null,539579271,null,null,null,"Total Contractual Adj. (G-3 Line 2)",null,355446877]
["30.",{"$f":"IF('Survey Set-Up'!E32=\"\",\"\",'Survey Set-Up'!E32)","v":"Increase worksheet G-3, Line 2 for Bad Debts NOT INCLUDED on worksheet G-3, Line 2 (impact is a decrease in net patient revenue)"},null,null,null,null,null,null,null,null,null,{"$f":"IF('Survey Set-Up'!M32=\"Increase\",\"+\",IF('Survey Set-Up'!M32=\"Decrease\",\"-\",\"\"))","v":"+"}]
["31.",{"$f":"IF('Survey Set-Up'!E33=\"\",\"\",'Survey Set-Up'!E33)","v":"Increase worksheet G-3, Line 2 for Charity Care Write-Offs NOT INCLUDED on worksheet G-3, Line 2 (impact is a decrease in net patient revenue)"},null,null,null,null,null,null,null,null,null,{"$f":"IF('Survey Set-Up'!M33=\"Increase\",\"+\",IF('Survey Set-Up'!M33=\"Decrease\",\"-\",\"\"))","v":"+"}]
["32.",{"$f":"IF('Survey Set-Up'!E34=\"\",\"\",'Survey Set-Up'!E34)","v":"Increase worksheet G-3, Line 2 to reverse offset of Medicaid DSH Revenue INCLUDED on worksheet G-3, Line 2 (impact is a decrease in net patient revenue)"},null,null,null,null,null,null,null,null,null,{"$f":"IF('Survey Set-Up'!M34=\"Increase\",\"+\",IF('Survey Set-Up'!M34=\"Decrease\",\"-\",\"\"))","v":"+"}]
["33.",{"$f":"IF('Survey Set-Up'!E35=\"\",\"\",'Survey Set-Up'!E35)","v":"Increase worksheet G-3, Line 2 to reverse offset of State and Local Patient Care Cash Subsidies INCLUDED on worksheet G-3, Line 2 (impact is a decrease in net patient revenue)"},null,null,null,null,null,null,null,null,null,{"$f":"IF('Survey Set-Up'!M35=\"Increase\",\"+\",IF('Survey Set-Up'!M35=\"Decrease\",\"-\",\"\"))","v":"+"}]
["34.",{"$f":"IF('Survey Set-Up'!E36=\"\",\"\",'Survey Set-Up'!E36)","v":"Decrease worksheet G-3, Line 2 to remove Medicaid Provider Taxes INCLUDED on worksheet G-3, Line 2 (impact is an increase in net patient revenue)"},null,null,null,null,null,null,null,null,null,{"$f":"IF('Survey Set-Up'!M36=\"Increase\",\"+\",IF('Survey Set-Up'!M36=\"Decrease\",\"-\",\"\"))","v":"-"}]
["35.",{"$f":"IF('Survey Set-Up'!E37=\"\",\"\",'Survey Set-Up'!E37)","v":"Blank Recon Line OR \"Decrease worksheet G-3, Line 2 to remove Charity Care Charges related to insured patients INCLUDED on worksheet G-3, Line 2 (impact is an increase in net patient revenue)\""},null,null,null,null,null,null,null,null,null,{"$f":"IF('Survey Set-Up'!M37=\"Increase\",\"+\",IF('Survey Set-Up'!M37=\"Decrease\",\"-\",\"\"))","v":"-"}]
["35.","Adjusted Contractual Adjustments",null,null,null,null,null,null,null,null,null,null,{"$f":"Tot_Hosp_CR_Contractuals_1+CONCATENATE(L127,ABS(M127))+CONCATENATE(L128,ABS(M128))+CONCATENATE(L129,ABS(M129))+CONCATENATE(L130,ABS(M130))+CONCATENATE(L131,ABS(M131))+CONCATENATE(L132,ABS(M132))","v":355446877}]
["36.","Unreconciled Difference",null,null,"Unreconciled Difference (Should be $0)",null,{"$f":"G122-G126","v":0},null,null,null,"Unreconciled Difference (Should be $0)",null,{"$f":"M122-M133","v":0}]
[null,null,null,null,null,null,{"$f":"IF(ROUND('Sec. D, E, F CR Data'!G134,0)<>0, \"Please Attach Explanation of Variance\",\"\")","v":""},null,null,null,null,null,{"$f":"IF(ROUND('Sec. D, E, F CR Data'!M134,0)<>0, \"Please Attach Explanation of Variance\",\"\")","v":""}]
[null,{"$f":"IF(LIUR_1>100%,\"NOTE: Your calculated LIUR percentage is unusually high (above 100%).  Please verify your cash subsidies and charity care charges reported above are correctly reported in your total charges reported above. \", \"\")","v":""}]

{"sheet":"Sec. G CR Data","index":11,"n_rows":153,"n_cols":25,"rows_kept":153,"cut":false,"hidden":false,"merged":[[2,20,2,21],[2,23,2,24],[147,2,147,6],[149,2,149,6],[2,3,2,12],[7,0,7,2],[144,2,144,6],[145,2,145,6],[146,2,146,6]]}
[null,"G.  Cost Report - Cost / Days / Charges"]
[]
[null,{"$f":"CONCATENATE(\"Cost Report Year (\" & TEXT(FYB_1,\"MM/DD/YYYY\") & \"-\" & TEXT(FYE_1,\"MM/DD/YYYY\") &\")\")","v":"Cost Report Year (07/01/2016-06/30/2017)"},null,{"$f":"ProvName","v":"WELLSTAR WEST GEORGIA HOSPITAL"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Title XIX",null,null,"Title XVIII"]
[]
[]
[null,"Line #","Cost Center Description","Total Allowable Cost","Intern & Resident Costs Removed on Cost Report *","RCE and Therapy Add-Back (If Applicable)",null,"Provider Tax Assessment","Total Cost","I/P Days and I/P Ancillary Charges","I/P Routine Charges and O/P Ancillary Charges","Total Charges","Medicaid Per Diem / Cost or Other Ratios",null,null,null,null,null,null,null,"I/P Days and I/P Ancillary Charges","I/P Routine Charges and O/P Ancillary Charges",null,"I/P Days and I/P Ancillary Charges","I/P Routine Charges and O/P Ancillary Charges"]
[]
["NOTE:  All data in this section must be verified by the hospital.  If data is already present in this section, it was completed using CMS HCRIS cost report data.  If the hospital has a more recent version of the cost report, the data should be updated to the hospital's version of the cost report.  Formulas can be overwritten as needed with actual data.",null,null,"Cost Report Worksheet B,       Part I, Col. 26","Cost Report Worksheet B,       Part I, Col. 25 (Intern & Resident Offset ONLY)*","Cost Report Worksheet C,       Part I, Col.2 and Col. 4","Swing-Bed Carve Out - Cost Report Worksheet D-1, Part I, Line 26","Allocation of Provider Tax from Section L of the Survey Based on Total Cost","Calculated","Days - Cost Report W/S D-1, Pt. I, Line 2 for Adults & Peds; W/S D-1, Pt. 2, Lines 42-47 for others","Inpatient Routine Charges - Cost Report Worksheet C, Pt. I,  Col. 6 (Informational only unless used in Section L charges allocation)",null,"Calculated Per Diem",null,null,null,null,null,null,null,"Days - Cost Report W/S S-3, Pt. I, Column 7","Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)",null,"Days - Cost Report W/S S-3, Pt. I, Column 6","Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"]
[]
[null,"Routine Cost Centers (list below):",null,null,null,null,null,null,null,null,null,null,null,null,"Lookup HCRIS Line","True HCRIS Line","HCRIS Non-Stnd Days","I&R Lookup","I&R Lookup","Total B Alloc"]
[1,"03000","ADULTS & PEDIATRICS",20655287,{"$f":"IF($T11>=$D11,$R11,0)","v":0},0,0,{"$f":"IF(OR(FRAAddBackGross=0,FRAAddBack<>0,FRA_Basis<>\"Cost\"),0,FRAAddBackGross*(D11+ABS(E11)+F11-G11)/(SUM($D$144,ABS($E$144),$F$144)-$G$11))","v":0},{"$f":"D11+ABS(E11)+F11-G11+H11","v":20655287},26144,34554230,null,{"$f":"IF(J11<>0,ROUND(I11/J11,2),0)","v":790.06},null,3000,{"$f":"O11","v":3000},0,0,null,20655287,1618,2064065,null,7933,10871100]
[2,"03100","INTENSIVE CARE UNIT",5404012,{"$f":"IF($T12>=$D12,$R12,0)","v":0},0,null,{"$f":"IF(OR(FRAAddBackGross=0,FRAAddBack<>0,FRA_Basis<>\"Cost\"),0,FRAAddBackGross*(D12+ABS(E12)+F12)/(SUM($D$144,ABS($E$144),$F$144)-$G$11))","v":0},{"$f":"D12+ABS(E12)+F12+H12","v":5404012},{"$f":"$Q12","v":2134},6389924,null,{"$f":"IF(J12<>0,ROUND(I12/J12,2),0)","v":2532.34},null,3100,{"$f":"O12","v":3100},2134,0,null,5404012,249,535050,null,1360,2932080]
[3,"03200","CORONARY CARE UNIT",0,0,0,null,0,{"$f":"D13+ABS(E13)+F13+H13","v":0},{"$f":"$Q13","v":0},0,null,{"$f":"IF(J13<>0,ROUND(I13/J13,2),0)","v":0},null,{"$error":"#N/A"},{"$error":"#N/A"},0,0,null,0,0,0,null,0,0]
[4,"03300","BURN INTENSIVE CARE UNIT",0,0,0,null,0,0,{"$f":"$Q14","v":0},0,null,0,null,{"$error":"#N/A"},{"$error":"#N/A"},0,0,null,0,0,0,null,0,0]
[5,"03400","SURGICAL INTENSIVE CARE UNIT",0,0,0,null,0,0,{"$f":"$Q15","v":0},0,null,0,null,{"$error":"#N/A"},{"$error":"#N/A"},0,0,null,0,0,0,null,0,0]
[6,"03500","OTHER SPECIAL CARE UNIT",0,0,0,null,0,0,{"$f":"$Q16","v":0},0,null,0,null,{"$error":"#N/A"},{"$error":"#N/A"},0,0,null,0,0,0,null,0,0]
[7,"04000","SUBPROVIDER I",0,0,0,null,0,0,0,0,null,0,null,{"$error":"#N/A"},{"$error":"#N/A"},0,0,null,0,0,0,null,0,0]
[8,"04100","SUBPROVIDER II",0,0,0,null,0,0,0,0,null,0,null,4100,4100,0,0,null,0,0,0,null,0,0]
[9,"04200","OTHER SUBPROVIDER",0,0,0,null,0,0,{"$f":"$Q19","v":0},0,null,0,null,4200,4200,0,0,null,0,0,0,null,0,0]
[10,"04300","NURSERY",2118684,0,0,null,0,2118684,{"$f":"$Q20","v":2349},2885197,null,901.95,null,4300,4300,2349,0,null,2118684,99,56510,null,0,0]
[11,null,null,0,0,0,null,0,0,0,0,null,0,null,1,{"$error":"#N/A"},0,0,null,0,0,0,null,0,0]
[12,null,null,0,0,0,null,0,0,0,0,null,0,null,2,{"$error":"#N/A"},0,0,null,0,0,0,null,0,0]
[13,null,null,0,0,0,null,0,0,0,0,null,0,null,3,{"$error":"#N/A"},0,0,null,0,0,0,null,0,0]
[14,null,null,0,0,0,null,0,0,0,0,null,0,null,4,{"$error":"#N/A"},0,0,null,0,0,0,null,0,0]
[15,null,null,0,0,0,null,0,0,0,0,null,0,null,5,{"$error":"#N/A"},0,0,null,0,0,0,null,0,0]
[16,null,null,0,0,0,null,0,0,0,0,null,0,null,6,{"$error":"#N/A"},0,0,null,0,0,0,null,0,0]
[17,null,null,0,0,0,null,0,0,0,0,null,0,null,7,{"$error":"#N/A"},0,0,null,0,0,0,null,0,0]
[18,null,"Total Routine",{"$f":"SUM(D11:D27)","v":28177983},0,0,0,0,28177983,30627,43829351,null,null,null,null,null,null,null,null,null,{"$f":"SUM(U11:U27)","v":1966},2655625,null,{"$f":"SUM(X11:X27)","v":9293},13803180]
[19,null,"Weighted Average",null,null,null,null,null,null,null,null,null,{"$f":"IF(J28>0, SUMPRODUCT($M$11:$M$27,$J$11:$J$27)/$J$28,0)","v":920.03861788617871}]
[]
[null,"Observation Data (Non-Distinct)",null,null,"Hospital Observation Days - Cost Report W/S S-3, Pt. I, Line 28, Col. 8","Subprovider I Observation Days - Cost Report W/S S-3, Pt. I, Line 28.01, Col. 8","Subprovider II Observation Days - Cost Report W/S S-3, Pt. I, Line 28.02, Col. 8",null,"Calculated (Per Diems Above Multiplied by Days)","Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6","Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7","Total Charges - Cost Report Worksheet C, Pt. I, Col. 8","Medicaid Calculated Cost-to-Charge Ratio",null,null,null,null,null,null,null,"Inpatient Charges - Cost Report W/S D-3, Col. 2","Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4",null,"Inpatient Charges - Cost Report W/S D-3, Col. 2","Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"]
[20,"09200","Observation (Non-Distinct)",null,3539,0,0,null,{"$f":"IF(ISNA(VLOOKUP(\"03000\",$B$11:$M$27,12,FALSE)),0,VLOOKUP(\"03000\",$B$11:$M$27,12,FALSE)*$E$32)+IF(ISNA(VLOOKUP(\"04000\",$B$11:$M$27,12,FALSE)),0,VLOOKUP(\"04000\",$B$11:$M$27,12,FALSE))*$F$32+IF(ISNA(VLOOKUP(\"04100\",$B$11:$M$27,12,FALSE)),0,VLOOKUP(\"04100\",$B$11:$M$27,12,FALSE))*$G$32","v":2796022.34},2589077,3046875,{"$f":"SUM(J32:K32)","v":5635952},{"$f":"IF(SUM(J32:K32)<>0,ROUND(ROUND(I32,0)/SUM(J32:K32),6),0)","v":0.49610500000000002},null,"09200",null,null,null,null,null,8108,400191,null,467959,2646684]
[]
[null,null,null,{"$f":"D8","v":"Cost Report Worksheet B,       Part I, Col. 26"},{"$f":"E8","v":"Cost Report Worksheet B,       Part I, Col. 25 (Intern & Resident Offset ONLY)*"},{"$f":"F8","v":"Cost Report Worksheet C,       Part I, Col.2 and Col. 4"},null,"Allocation of Provider Tax from Section L of the Survey Based on Total Cost",{"$f":"I8","v":"Calculated"},"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6","Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7","Total Charges - Cost Report Worksheet C, Pt. I, Col. 8","Medicaid Calculated Cost-to-Charge Ratio",null,null,null,null,null,null,null,"Inpatient Charges - Cost Report W/S D-3, Col. 2","Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4",null,"Inpatient Charges - Cost Report W/S D-3, Col. 2","Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"]
[null,"Ancillary Cost Centers (from W/S C excluding Observation) (list below):",null,null,null,null,null,null,null,null,null,null,null,null,"CC Line Number","True HCRIS Line Number","I&R Lookup",null,"Total B Alloc"]
[21,{"$f":"IF(ISNA(P36),\"\",P36)","v":5000},"OPERATING ROOM",9382633,{"$f":"IF($S36>=$D36,$Q36,0)","v":0},0,null,{"$f":"IF(OR(FRAAddBackGross=0,FRAAddBack<>0,FRA_Basis<>\"Cost\"),0,FRAAddBackGross*(D36+ABS(E36)+F36)/(SUM($D$144,ABS($E$144),$F$144)-$G$11))","v":0},{"$f":"D36+ABS(E36)+F36+H36","v":9382633},19338613,42879969,{"$f":"SUM(J36:K36)","v":62218582},{"$f":"IF(SUM(J36:K36)<>0,ROUND(I36/SUM(J36:K36),6),0)","v":0.15080099999999999},null,1,5000,0,null,9382633,null,1410319,1367969,null,7092590,9851750]
[22,{"$f":"IF(ISNA(P37),\"\",P37)","v":5100},"RECOVERY ROOM",1462188,{"$f":"IF($S37>=$D37,$Q37,0)","v":0},0,null,0,{"$f":"D37+ABS(E37)+F37+H37","v":1462188},1251425,3268195,{"$f":"SUM(J37:K37)","v":4519620},0.32351999999999997,null,2,5100,0,null,1462188,null,105997,196666,null,471754,1128884]
[23,5200,"DELIVERY ROOM & LABOR ROOM",3219563,0,0,null,0,3219563,6721095,1063720,7784815,0.41356999999999999,null,3,5200,0,null,3219563,null,186461,30827,null,0,1058]
[24,5300,"ANESTHESIOLOGY",295750,0,0,null,0,295750,5542057,12604451,18146508,1.6298E-2,null,4,5300,0,null,295750,null,331460,438041,null,1389408,2363612]
[25,5400,"RADIOLOGY-DIAGNOSTIC",5439991,0,0,null,0,5439991,4494164,16163806,20657970,0.26333600000000001,null,5,5400,0,null,5439991,null,228569,1053300,null,1741776,4267726]
[26,5500,"RADIOLOGY-THERAPEUTIC",2596476,0,0,null,0,2596476,417741,15613470,16031211,0.161964,null,6,5500,0,null,2596476,null,32760,0,null,126119,6650662]
[27,5601,"NUCLEAR MEDICINE",1394555,0,0,null,0,1394555,638732,6321580,6960312,0.20035800000000001,null,7,5601,0,null,1394555,null,73830,136348,null,564101,1809662]
[28,5700,"CT SCAN",1647912,0,0,null,0,1647912,7185293,23929140,31114433,5.2963000000000003E-2,null,8,5700,0,null,1647912,null,567897,821376,null,3081258,5853302]
[29,{"$f":"IF(ISNA(P44),\"\",P44)","v":5800},"MRI",833378,0,0,null,0,833378,1024247,3653805,4678052,0.178146,null,9,5800,0,null,833378,null,72860,69030,null,369535,987285]
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[126,null,"Total Ancillary",{"$f":"SUM(D36:D140)","v":94187764},{"$f":"SUM(E36:E140)","v":0},{"$f":"SUM(F36:F140)","v":0},null,{"$f":"SUM(H36:H140)","v":0},{"$f":"SUM(I36:I140)","v":94187764},{"$f":"SUM(J36:J140) +J32","v":141699911},{"$f":"SUM(K36:K140) +K32","v":310642599},{"$f":"SUM(L36:L140) +L32","v":452342510},null,null,null,null,null,null,null,null,{"$f":"SUM(U36:U140) +U32","v":8880258},{"$f":"SUM(V36:V140) +V32","v":9417199},null,{"$f":"SUM(X36:X140) +X32","v":49100046},{"$f":"SUM(Y36:Y140) +Y32","v":73228985}]
[127,null,"Weighted Average",null,null,null,null,null,null,null,null,null,{"$f":"IF(SUM($J$141:$K$141)>0, SUMPRODUCT($M$32:$M$140,$L$32:$L$140)/$L$141,0)","v":0.21440342235091281}]
[]
[128,null,"Sub Totals",{"$f":"D141+D28","v":122365747},{"$f":"E141+E28","v":0},{"$f":"F141+F28","v":0},null,{"$f":"H141+H28","v":0},{"$f":"I141+I28","v":122365747},{"$f":"J141+K28","v":185529262},{"$f":"K141","v":310642599},{"$f":"+L141+K28","v":496171861},null,null,null,null,null,null,null,null,{"$f":"U141+V28","v":11535883},{"$f":"V141","v":9417199},null,{"$f":"X141+Y28","v":62903226},{"$f":"Y141","v":73228985}]
[129,null,"NF, SNF, and Swing Bed Cost for Medicaid (Sum of applicable Cost Report Worksheet D-3, Title 19, Column 3, Line 200 and Worksheet D, Part V, Title 19, Column 5-7, Line 200)",null,null,null,null,null,0]
[130,null,"NF, SNF, and Swing Bed Cost for Medicare (Sum of applicable Cost Report Worksheet D-3, Title 18, Column 3, Line 200 and Worksheet D, Part V, Title 18, Column 5-7, Line 200)",null,null,null,null,null,873498]
[131,null,"NF, SNF, and Swing Bed Cost for Other Payors (Hospital must calculate. Submit support for calculation of cost.)"]
[131.01,null,"Other Cost Adjustments (support must be submitted)",null,null,null,null,null,null,"Make sure the sign (+/-) is entered correctly!"]
[132,null,"Grand Total",null,null,null,null,null,{"$f":"I144-ABS(NF_SNF_SWB_Mcaid)-ABS(NF_SNF_SWB_Mcare)-ABS(NF_SNF_SWB_Other)+Other","v":121492249}]
[133,null,{"$f":"IF(H144>0,\"Total Intern/Resident & Provider Tax Add-In Cost as a Percent of Other Allowable Cost\",\"Total Intern/Resident Cost as a Percent of Other Allowable Cost\")","v":"Total Intern/Resident Cost as a Percent of Other Allowable Cost"},null,null,null,null,null,{"$f":"IF(($I$144-E$144-$H$144)<>0, ($E$144+$H$144)/($I$144-$E$144-$H$144),0)","v":0}]
[]
[]
["* Note A - Final cost-to-charge ratios should include teaching cost.  Only enter Intern & Resident costs if it was removed in Column 25 of Worksheet B, Pt. I of the cost report you are using."]

{"sheet":"Sec. H In-State","index":12,"n_rows":179,"n_cols":52,"rows_kept":179,"cut":false,"hidden":false,"merged":[[4,23,4,25],[30,1,30,5],[29,1,29,5],[146,1,146,5],[162,45,163,45],[161,1,161,5],[162,43,163,43],[169,1,169,5],[163,1,163,5],[168,1,168,5],[4,19,4,21],[157,1,157,5],[153,1,153,5],[4,11,4,13],[156,1,156,6],[155,1,155,6],[148,1,148,5],[154,1,154,6],[164,1,164,5],[2,3,2,5],[159,1,159,5],[158,1,158,5],[149,1,149,5],[162,1,162,5],[160,1,160,5],[4,50,5,50],[178,1,178,21],[4,47,4,49],[4,15,4,17],[4,7,4,9],[7,23,7,25],[4,35,4,37],[7,31,7,37],[4,31,4,33],[175,43,176,49],[4,43,4,45],[151,1,151,5],[7,27,7,29],[4,39,4,41],[4,27,4,29],[173,43,174,49]]}
[null,"H.  In-State Medicaid and All Uninsured Inpatient and Outpatient Hospital Data:"]
[]
[null,{"$f":"CONCATENATE(\"Cost Report Year (\" & TEXT(FYB_1,\"MM/DD/YYYY\") & \"-\" & TEXT(FYE_1,\"MM/DD/YYYY\") &\")\")","v":"Cost Report Year (07/01/2016-06/30/2017)"},null,{"$f":"ProvName","v":"WELLSTAR WEST GEORGIA HOSPITAL"},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(AND($P$5=\"In-State Medicare FFS Cross-Overs (with Medicaid Secondary)\",'Sec. I Out-of-State'!$P$5=\"Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)\",$P$172<>\"\",($P$28+'Sec. I Out-of-State'!$P$28)>$P$172),\"ERROR! Reported cross-over days exceed total Medicare days on the cost report!\",\"\")","v":""}]
[]
[null,null,null,null,null,null,null,{"$f":"'Survey Set-Up'!$D$5","v":"In-State Medicaid FFS Primary"},null,null,null,{"$f":"'Survey Set-Up'!$D$6","v":"In-State Medicaid Managed Care Primary"},null,null,null,{"$f":"'Survey Set-Up'!$D$7","v":"In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},null,null,null,{"$f":"'Survey Set-Up'!$D$8","v":"In-State Other Medicaid Eligibles (Not Included Elsewhere)"},null,null,null,{"$f":"IF(State=\"Indiana\",\"Healthy Indiana Plan (HIP)\",IF(State=\"California DPH\",\"Medi-Medi Shortfalls (Included in FFS Claiming)\",\"\"))","v":""},null,null,null,{"$f":"IF(State=\"Indiana\",\"Validated Paid Claims – Not Duplicates\",IF(State=\"California DPH\",\"Medicaid Psych\",\"\"))","v":""},null,null,null,{"$f":"IF(State=\"Indiana\",\"In-State FFS Medicaid-Eligible Not on Medicaid Paid Claims Data \nExhibit A needed\",IF(State=\"California DPH\",\"Low Income Health Program (LIHP) and Medicaid Coverage Expansion (MCE)\",\"\"))","v":""},null,null,null,{"$f":"IF(State=\"California DPH\",\"Health Care Coverage Initiative (HCCI)\",IF(State=\"Indiana\",\"In-State Managed Care Medicaid-Eligible Not on Medicaid Paid Claims Data \nExhibit B needed\",\"\"))","v":""},null,null,null,{"$f":"IF(State=\"California DPH\",\"State-Only Programs\",\"State/Local-Only Indigent Care Program\")","v":"State/Local-Only Indigent Care Program"},null,null,null,{"$f":"IF(State=\"California DPH\",\"Uninsured Including Indigent County Programs\",'Survey Set-Up'!$D$9)","v":"Uninsured"},null,null,null,"Total In-State Medicaid",null,null,"% Survey to Cost Report Totals"]
[null,"Line #","Cost Center Description","Medicaid Per Diem Cost for Routine Cost Centers",null,"Medicaid Cost to Charge Ratio for Ancillary Cost Centers",null,"Inpatient",null,"Outpatient",null,"Inpatient",null,"Outpatient",null,"Inpatient",null,"Outpatient",null,"Inpatient",null,"Outpatient",null,"Inpatient",null,"Outpatient",null,"Inpatient",null,"Outpatient",null,"Inpatient",null,"Outpatient",null,"Inpatient",null,"Outpatient",null,"Inpatient",null,"Outpatient",null,"Inpatient                        (See Exhibit A)",null,"Outpatient                 (See Exhibit A)",null,"Inpatient",null,"Outpatient"]
[]
[null,null,null,"From Section G",null,"From Section G",null,"From PS&R Summary  (Note A)",null,"From PS&R Summary  (Note A)",null,"From PS&R Summary  (Note A)",null,"From PS&R Summary  (Note A)",null,"From PS&R Summary  (Note A)",null,"From PS&R Summary  (Note A)",null,"From PS&R Summary  (Note A)",null,"From PS&R Summary  (Note A)",null,{"$f":"IF(State=\"California DPH\",\"From PS&R Summary (Note A) or Hospital's Own Internal Analysis\",IF(State=\"Indiana\",\"From Indiana Paid Claims Summary\",\"\"))","v":""},null,"From Indiana Claims Summary",null,{"$f":"IF(State=\"California DPH\",\"From PS&R Summary (Note A) or Hospital's Own Internal Analysis\",IF(State=\"Indiana\",\"From Possible Duplicate Claims Report\",\"\"))","v":""},null,null,null,{"$f":"IF(OR(State=\"Indiana\",State=\"California DPH\"), \"From Hospital's Own Internal Analysis\",\"\")","v":""},null,null,null,null,null,null,null,"From PS&R Summary  (Note A)",null,"From PS&R Summary  (Note A)",null,"From Hospital's Own Internal Analysis",null,"From Hospital's Own Internal Analysis"]
[]
[null,"Routine Cost Centers (from Section G):",null,null,null,null,null,"Days",null,null,null,"Days",null,null,null,"Days",null,null,null,"Days",null,null,null,"Days",null,null,null,"Days",null,null,null,"Days",null,null,null,"Days",null,null,null,"Days",null,null,null,"Days",null,null,null,"Days"]
[1,{"$f":"'Sec. G CR Data'!B11","v":"03000"},{"$f":"'Sec. G CR Data'!C11","v":"ADULTS & PEDIATRICS"},{"$f":"'Sec. G CR Data'!M11","v":790.06},null,null,null,2016,null,null,null,1665,null,null,null,2065,null,null,null,1765,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1968,null,null,null,{"$f":"IF(State=\"California DPH\",$T11+$P11+$L11+$H11+$X11+$AB11+$AF11,$T11+$P11+$L11+$H11+$X11+$AB11+$AF11+$AJ11)","v":7511},null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ11,AN11,AR11,AV11,'Sec. I Out-of-State'!X11)/'Sec. G CR Data'!J11,SUM(AN11,AR11,AV11,'Sec. I Out-of-State'!X11)/('Sec. G CR Data'!J11-CR_Obs_Days_Routine)),\"\")","v":0.4254810882548109},{"$f":"IF($AR11+$AV11+$AN11+'Sec. I Out-of-State'!$X11>('Sec. G CR Data'!$J11-CR_Obs_Days_Routine),\"ERROR: Days exceed total!\",\"\")","v":""}]
[2,{"$f":"'Sec. G CR Data'!B12","v":"03100"},{"$f":"'Sec. G CR Data'!C12","v":"INTENSIVE CARE UNIT"},{"$f":"'Sec. G CR Data'!M12","v":2532.34},null,null,null,313,null,null,null,65,null,null,null,317,null,null,null,160,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,250,null,null,null,855,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ12,AN12,AR12,AV12,'Sec. I Out-of-State'!X12)/'Sec. G CR Data'!J12,SUM(AN12,AR12,AV12,'Sec. I Out-of-State'!X12)/'Sec. G CR Data'!J12),\"\")","v":0.52999062792877227},{"$f":"IF($AR12+$AV12+$AN12+'Sec. I Out-of-State'!$X12>'Sec. G CR Data'!$J12,\"ERROR: Days exceed total!\",\"\")","v":""}]
[3,{"$f":"'Sec. G CR Data'!B13","v":"03200"},{"$f":"'Sec. G CR Data'!C13","v":"CORONARY CARE UNIT"},{"$f":"'Sec. G CR Data'!M13","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ13,AN13,AR13,AV13,'Sec. I Out-of-State'!X13)/'Sec. G CR Data'!J13,SUM(AN13,AR13,AV13,'Sec. I Out-of-State'!X13)/'Sec. G CR Data'!J13),\"\")","v":""},{"$f":"IF($AR13+$AV13+$AN13+'Sec. I Out-of-State'!$X13>'Sec. G CR Data'!$J13,\"ERROR: Days exceed total!\",\"\")","v":""}]
[4,{"$f":"'Sec. G CR Data'!B14","v":"03300"},{"$f":"'Sec. G CR Data'!C14","v":"BURN INTENSIVE CARE UNIT"},{"$f":"'Sec. G CR Data'!M14","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ14,AN14,AR14,AV14,'Sec. I Out-of-State'!X14)/'Sec. G CR Data'!J14,SUM(AN14,AR14,AV14,'Sec. I Out-of-State'!X14)/'Sec. G CR Data'!J14),\"\")","v":""},{"$f":"IF($AR14+$AV14+$AN14+'Sec. I Out-of-State'!$X14>'Sec. G CR Data'!$J14,\"ERROR: Days exceed total!\",\"\")","v":""}]
[5,{"$f":"'Sec. G CR Data'!B15","v":"03400"},{"$f":"'Sec. G CR Data'!C15","v":"SURGICAL INTENSIVE CARE UNIT"},{"$f":"'Sec. G CR Data'!M15","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ15,AN15,AR15,AV15,'Sec. I Out-of-State'!X15)/'Sec. G CR Data'!J15,SUM(AN15,AR15,AV15,'Sec. I Out-of-State'!X15)/'Sec. G CR Data'!J15),\"\")","v":""},{"$f":"IF($AR15+$AV15+$AN15+'Sec. I Out-of-State'!$X15>'Sec. G CR Data'!$J15,\"ERROR: Days exceed total!\",\"\")","v":""}]
[6,{"$f":"'Sec. G CR Data'!B16","v":"03500"},{"$f":"'Sec. G CR Data'!C16","v":"OTHER SPECIAL CARE UNIT"},{"$f":"'Sec. G CR Data'!M16","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ16,AN16,AR16,AV16,'Sec. I Out-of-State'!X16)/'Sec. G CR Data'!J16,SUM(AN16,AR16,AV16,'Sec. I Out-of-State'!X16)/'Sec. G CR Data'!J16),\"\")","v":""},{"$f":"IF($AR16+$AV16+$AN16+'Sec. I Out-of-State'!$X16>'Sec. G CR Data'!$J16,\"ERROR: Days exceed total!\",\"\")","v":""}]
[7,{"$f":"'Sec. G CR Data'!B17","v":"04000"},{"$f":"'Sec. G CR Data'!C17","v":"SUBPROVIDER I"},{"$f":"'Sec. G CR Data'!M17","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ17,AN17,AR17,AV17,'Sec. I Out-of-State'!X17)/'Sec. G CR Data'!J17,SUM(AN17,AR17,AV17,'Sec. I Out-of-State'!X17)/('Sec. G CR Data'!J17-CR_Obs_Days_Sub_1)),\"\")","v":""},{"$f":"IF($AR17+$AV17+$AN17+'Sec. I Out-of-State'!$X17>'Sec. G CR Data'!$J17,\"ERROR: Days exceed total!\",\"\")","v":""}]
[8,{"$f":"'Sec. G CR Data'!B18","v":"04100"},{"$f":"'Sec. G CR Data'!C18","v":"SUBPROVIDER II"},{"$f":"'Sec. G CR Data'!M18","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ18,AN18,AR18,AV18,'Sec. I Out-of-State'!X18)/'Sec. G CR Data'!J18,SUM(AN18,AR18,AV18,'Sec. I Out-of-State'!X18)/('Sec. G CR Data'!J18-CR_Obs_Days_Sub_2)),\"\")","v":""},{"$f":"IF($AR18+$AV18+$AN18+'Sec. I Out-of-State'!$X18>'Sec. G CR Data'!$J18,\"ERROR: Days exceed total!\",\"\")","v":""}]
[9,{"$f":"'Sec. G CR Data'!B19","v":"04200"},{"$f":"'Sec. G CR Data'!C19","v":"OTHER SUBPROVIDER"},{"$f":"'Sec. G CR Data'!M19","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ19,AN19,AR19,AV19,'Sec. I Out-of-State'!X19)/'Sec. G CR Data'!J19,SUM(AN19,AR19,AV19,'Sec. I Out-of-State'!X19)/'Sec. G CR Data'!J19),\"\")","v":""},{"$f":"IF($AR19+$AV19+$AN19+'Sec. I Out-of-State'!$X19>'Sec. G CR Data'!$J19,\"ERROR: Days exceed total!\",\"\")","v":""}]
[10,{"$f":"IF('Sec. G CR Data'!B20<>\"\",'Sec. G CR Data'!B20,\"\")","v":"04300"},{"$f":"IF('Sec. G CR Data'!C20<>\"\",'Sec. G CR Data'!C20,\"\")","v":"NURSERY"},{"$f":"'Sec. G CR Data'!M20","v":901.95},null,null,null,131,null,null,null,1390,null,null,null,null,null,null,null,256,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,32,null,null,null,1777,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ20,AN20,AR20,AV20,'Sec. I Out-of-State'!X20)/'Sec. G CR Data'!J20,SUM(AN20,AR20,AV20,'Sec. I Out-of-State'!X20)/'Sec. G CR Data'!J20),\"\")","v":0.77650063856960405},{"$f":"IF($AR20+$AV20+$AN20+'Sec. I Out-of-State'!$X20>'Sec. G CR Data'!$J20,\"ERROR: Days exceed total!\",\"\")","v":""}]
[11,{"$f":"IF('Sec. G CR Data'!B21<>\"\",'Sec. G CR Data'!B21,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C21<>\"\",'Sec. G CR Data'!C21,\"\")","v":""},{"$f":"'Sec. G CR Data'!M21","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ21,AN21,AR21,AV21,'Sec. I Out-of-State'!X21)/'Sec. G CR Data'!J21,SUM(AN21,AR21,AV21,'Sec. I Out-of-State'!X21)/'Sec. G CR Data'!J21),\"\")","v":""},{"$f":"IF($AR21+$AV21+$AN21+'Sec. I Out-of-State'!$X21>'Sec. G CR Data'!$J21,\"ERROR: Days exceed total!\",\"\")","v":""}]
[12,{"$f":"IF('Sec. G CR Data'!B22<>\"\",'Sec. G CR Data'!B22,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C22<>\"\",'Sec. G CR Data'!C22,\"\")","v":""},{"$f":"'Sec. G CR Data'!M22","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ22,AN22,AR22,AV22,'Sec. I Out-of-State'!X22)/'Sec. G CR Data'!J22,SUM(AN22,AR22,AV22,'Sec. I Out-of-State'!X22)/'Sec. G CR Data'!J22),\"\")","v":""},{"$f":"IF($AR22+$AV22+$AN22+'Sec. I Out-of-State'!$X22>'Sec. G CR Data'!$J22,\"ERROR: Days exceed total!\",\"\")","v":""}]
[13,{"$f":"IF('Sec. G CR Data'!B23<>\"\",'Sec. G CR Data'!B23,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C23<>\"\",'Sec. G CR Data'!C23,\"\")","v":""},{"$f":"'Sec. G CR Data'!M23","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ23,AN23,AR23,AV23,'Sec. I Out-of-State'!X23)/'Sec. G CR Data'!J23,SUM(AN23,AR23,AV23,'Sec. I Out-of-State'!X23)/'Sec. G CR Data'!J23),\"\")","v":""},{"$f":"IF($AR23+$AV23+$AN23+'Sec. I Out-of-State'!$X23>'Sec. G CR Data'!$J23,\"ERROR: Days exceed total!\",\"\")","v":""}]
[14,{"$f":"IF('Sec. G CR Data'!B24<>\"\",'Sec. G CR Data'!B24,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C24<>\"\",'Sec. G CR Data'!C24,\"\")","v":""},{"$f":"'Sec. G CR Data'!M24","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ24,AN24,AR24,AV24,'Sec. I Out-of-State'!X24)/'Sec. G CR Data'!J24,SUM(AN24,AR24,AV24,'Sec. I Out-of-State'!X24)/'Sec. G CR Data'!J24),\"\")","v":""},{"$f":"IF($AR24+$AV24+$AN24+'Sec. I Out-of-State'!$X24>'Sec. G CR Data'!$J24,\"ERROR: Days exceed total!\",\"\")","v":""}]
[15,{"$f":"IF('Sec. G CR Data'!B25<>\"\",'Sec. G CR Data'!B25,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C25<>\"\",'Sec. G CR Data'!C25,\"\")","v":""},{"$f":"'Sec. G CR Data'!M25","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ25,AN25,AR25,AV25,'Sec. I Out-of-State'!X25)/'Sec. G CR Data'!J25,SUM(AN25,AR25,AV25,'Sec. I Out-of-State'!X25)/'Sec. G CR Data'!J25),\"\")","v":""},{"$f":"IF($AR25+$AV25+$AN25+'Sec. I Out-of-State'!$X25>'Sec. G CR Data'!$J25,\"ERROR: Days exceed total!\",\"\")","v":""}]
[16,{"$f":"IF('Sec. G CR Data'!B26<>\"\",'Sec. G CR Data'!B26,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C26<>\"\",'Sec. G CR Data'!C26,\"\")","v":""},{"$f":"'Sec. G CR Data'!M26","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ26,AN26,AR26,AV26,'Sec. I Out-of-State'!X26)/'Sec. G CR Data'!J26,SUM(AN26,AR26,AV26,'Sec. I Out-of-State'!X26)/'Sec. G CR Data'!J26),\"\")","v":""},{"$f":"IF($AR26+$AV26+$AN26+'Sec. I Out-of-State'!$X26>'Sec. G CR Data'!$J26,\"ERROR: Days exceed total!\",\"\")","v":""}]
[17,{"$f":"IF('Sec. G CR Data'!B27<>\"\",'Sec. G CR Data'!B27,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C27<>\"\",'Sec. G CR Data'!C27,\"\")","v":""},{"$f":"'Sec. G CR Data'!M27","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ27,AN27,AR27,AV27,'Sec. I Out-of-State'!X27)/'Sec. G CR Data'!J27,SUM(AN27,AR27,AV27,'Sec. I Out-of-State'!X27)/'Sec. G CR Data'!J27),\"\")","v":""},{"$f":"IF($AR27+$AV27+$AN27+'Sec. I Out-of-State'!$X27>'Sec. G CR Data'!$J27,\"ERROR: Days exceed total!\",\"\")","v":""}]
[18,null,null,null,null,"Total Days",null,{"$f":"SUM(H$11:H$27)","v":2460},null,null,null,{"$f":"SUM(L$11:L$27)","v":3120},null,null,null,{"$f":"SUM(P$11:P$27)","v":2382},null,null,null,{"$f":"SUM(T$11:T$27)","v":2181},null,null,null,{"$f":"SUM(X$11:X$27)","v":0},null,null,null,{"$f":"SUM(AB$11:AB$27)","v":0},null,null,null,{"$f":"SUM(AF$11:AF$27)","v":0},null,null,null,{"$f":"SUM(AJ$11:AJ$27)","v":0},null,null,null,{"$f":"SUM(AN$11:AN$27)","v":0},null,null,null,{"$f":"SUM(AR$11:AR$27)","v":2250},null,null,null,{"$f":"SUM(AV$11:AV$27)","v":10143},null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ28,AN28,AR28,AV28,'Sec. I Out-of-State'!X28)/'Sec. G CR Data'!J28,SUM(AN28,AR28,AV28,'Sec. I Out-of-State'!X28)/'Sec. G CR Data'!J28),\"\")","v":0.4105201292976785},{"$f":"IF($AR28+$AV28+$AN28+'Sec. I Out-of-State'!$X28>'Sec. G CR Data'!$J28,\"ERROR: Days exceed total!\",\"\")","v":""}]
[]
[19,"Total Days per PS&R or Exhibit Detail",null,null,null,null,null,{"$f":"+H28","v":2460},null,null,null,{"$f":"+L28","v":3120},null,null,null,{"$f":"+P28","v":2382},null,null,null,{"$f":"+T28","v":2181},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"+AR28","v":2250}]
[20,"Unreconciled Days (Explain Variance)",null,null,null,null,null,{"$f":"H$28-H$30","v":0},null,null,null,{"$f":"L$28-L$30","v":0},null,null,null,{"$f":"P$28-P$30","v":0},null,null,null,{"$f":"T$28-T$30","v":0},null,null,null,{"$f":"X$28-X$30","v":0},null,null,null,{"$f":"AB$28-AB$30","v":0},null,null,null,{"$f":"AF$28-AF$30","v":0},null,null,null,{"$f":"AJ$28-AJ$30","v":0},null,null,null,{"$f":"AN$28-AN$30","v":0},null,null,null,{"$f":"AR$28-AR$30","v":0}]
[]
[null,null,null,null,null,null,null,"Routine Charges",null,null,null,"Routine Charges",null,null,null,"Routine Charges",null,null,null,"Routine Charges",null,null,null,"Routine Charges",null,null,null,"Routine Charges",null,null,null,"Routine Charges",null,null,null,"Routine Charges",null,null,null,"Routine Charges",null,null,null,"Routine Charges",null,null,null,"Routine Charges"]
[21,null,"Routine Charges",null,null,null,null,3374794,null,null,null,2759570,null,null,null,3501140,null,null,null,2801175,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,3227285,null,null,null,{"$f":"IF(State=\"California DPH\",$T34+$P34+$L34+$H34+$X34+$AB34+$AF34,$T34+$P34+$L34+$H34+$X34+$AB34+$AF34+$AJ34)","v":12436679},null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ34,AN34,AR34,AV34,,'Sec. I Out-of-State'!X34)/'Sec. G CR Data'!K28,SUM(AN34,AR34,AV34,,'Sec. I Out-of-State'!X34)/'Sec. G CR Data'!K28),\"\")","v":0.36311714951015361}]
["21.01",null,"Calculated Routine Charge Per Diem",null,null,null,null,{"$f":"IF(H$28>0, H$34/H$28,0)","v":1371.8674796747966},null,null,null,{"$f":"IF(L$28>0, L$34/L$28,0)","v":884.47756410256409},null,null,null,{"$f":"IF(P$28>0, P$34/P$28,0)","v":1469.8320738874895},null,null,null,{"$f":"IF(T$28>0, T$34/T$28,0)","v":1284.3535075653369},null,null,null,{"$f":"IF(X$28>0, X$34/X$28,0)","v":0},null,null,null,{"$f":"IF(AB$28>0, AB$34/AB$28,0)","v":0},null,null,null,{"$f":"IF(AF$28>0, AF$34/AF$28,0)","v":0},null,null,null,{"$f":"IF(AJ$28>0, AJ$34/AJ$28,0)","v":0},null,null,null,{"$f":"IF(AN$28>0, AN$34/AN$28,0)","v":0},null,null,null,{"$f":"IF(AR$28>0, AR$34/AR$28,0)","v":1434.348888888889},null,null,null,{"$f":"IF(AV$28>0, AV$34/AV$28,0)","v":1226.1341812087153}]
[]
[null,"Ancillary Cost Centers (from W/S C) (from Section G):",null,null,null,null,null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges"]
[22,{"$f":"'Sec. G CR Data'!B32","v":"09200"},{"$f":"'Sec. G CR Data'!C32","v":"Observation (Non-Distinct)"},null,null,{"$f":"'Sec. G CR Data'!M32","v":0.49610500000000002},null,11028.8,null,437605.05,null,2059.1,null,257645.25000000023,null,110183.40000000001,null,768365.94999999937,null,88347.89999999998,null,504225.25000000023,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5163.7000000000007,null,521106.64999999997,null,{"$f":"IF(State=\"California DPH\",$T38+$P38+$L38+$H38+$X38+$AB38+$AF38,$T38+$P38+$L38+$H38+$X38+$AB38+$AF38+$AJ38)","v":211619.19999999998},null,{"$f":"IF(State=\"California DPH\",$V38+$R38+$N38+$J38+$Z38+$AD38+$AH38,$V38+$R38+$N38+$J38+$Z38+$AD38+$AH38+$AL38)","v":1967841.5},{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ38,AL38,AN38,AP38,AR38,AT38,AV38,AX38,'Sec. I Out-of-State'!X38,'Sec. I Out-of-State'!Z38)/'Sec. G CR Data'!L32,SUM(AN38,AP38,AR38,AT38,AV38,AX38,'Sec. I Out-of-State'!X38,'Sec. I Out-of-State'!Z38)/'Sec. G CR Data'!L32),\"\")","v":0.49003517950472253},{"$f":"IF($AR38+$AV38+$AT38+$AX38+$AN38+$AP38+'Sec. I Out-of-State'!$X38+'Sec. I Out-of-State'!$Z38>'Sec. G CR Data'!$L32,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[23,{"$f":"IF('Sec. G CR Data'!B36<>\"\",'Sec. G CR Data'!B36,\"\")","v":5000},{"$f":"IF('Sec. G CR Data'!C36<>\"\",'Sec. G CR Data'!C36,\"\")","v":"OPERATING ROOM"},null,null,{"$f":"'Sec. G CR Data'!M36","v":0.15080099999999999},null,1581358.5,null,1836958.15,null,2258148.0999999996,null,6243900.9000000069,null,1789587.7500000002,null,1881606.4500000009,null,1304675.2,null,2033507.0500000005,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1594263.15,null,2053151.1000000006,null,6933769.5499999998,null,11995972.550000008,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ39,AL39,AN39,AP39,AR39,AT39,AV39,AX39,'Sec. I Out-of-State'!X39,'Sec. I Out-of-State'!Z39)/'Sec. G CR Data'!L36,SUM(AN39,AP39,AR39,AT39,AV39,AX39,'Sec. I Out-of-State'!X39,'Sec. I Out-of-State'!Z39)/'Sec. G CR Data'!L36),\"\")","v":0.36776356217825745},{"$f":"IF($AR39+$AV39+$AT39+$AX39+$AN39+$AP39+'Sec. I Out-of-State'!$X39+'Sec. I Out-of-State'!$Z39>'Sec. G CR Data'!$L36,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[24,{"$f":"IF('Sec. G CR Data'!B37<>\"\",'Sec. G CR Data'!B37,\"\")","v":5100},{"$f":"IF('Sec. G CR Data'!C37<>\"\",'Sec. G CR Data'!C37,\"\")","v":"RECOVERY ROOM"},null,null,{"$f":"'Sec. G CR Data'!M37","v":0.32351999999999997},null,118178.75,null,213053.84999999998,null,232587.55000000063,null,527993.85000000044,null,112101.09999999998,null,205023.49999999945,null,98641.299999999857,null,209686.69999999952,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,140473.49999999994,null,214393.39999999979,null,561508.70000000042,null,1155757.8999999994,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ40,AL40,AN40,AP40,AR40,AT40,AV40,AX40,'Sec. I Out-of-State'!X40,'Sec. I Out-of-State'!Z40)/'Sec. G CR Data'!L37,SUM(AN40,AP40,AR40,AT40,AV40,AX40,'Sec. I Out-of-State'!X40,'Sec. I Out-of-State'!Z40)/'Sec. G CR Data'!L37),\"\")","v":0.46511875998424634},{"$f":"IF($AR40+$AV40+$AT40+$AX40+$AN40+$AP40+'Sec. I Out-of-State'!$X40+'Sec. I Out-of-State'!$Z40>'Sec. G CR Data'!$L37,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[25,{"$f":"IF('Sec. G CR Data'!B38<>\"\",'Sec. G CR Data'!B38,\"\")","v":5200},{"$f":"IF('Sec. G CR Data'!C38<>\"\",'Sec. G CR Data'!C38,\"\")","v":"DELIVERY ROOM & LABOR ROOM"},null,null,{"$f":"'Sec. G CR Data'!M38","v":0.41356999999999999},null,253537.5,null,36698.649999999994,null,2525042.8500000015,null,446199.34999999986,null,0,null,375.20000000000005,null,646608.69999999995,null,164457.40000000069,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,48950.05,null,32091.049999999988,null,3425189.0500000017,null,647730.60000000056,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ41,AL41,AN41,AP41,AR41,AT41,AV41,AX41,'Sec. I Out-of-State'!X41,'Sec. I Out-of-State'!Z41)/'Sec. G CR Data'!L38,SUM(AN41,AP41,AR41,AT41,AV41,AX41,'Sec. I Out-of-State'!X41,'Sec. I Out-of-State'!Z41)/'Sec. G CR Data'!L38),\"\")","v":0.53731319883645312},{"$f":"IF($AR41+$AV41+$AT41+$AX41+$AN41+$AP41+'Sec. I Out-of-State'!$X41+'Sec. I Out-of-State'!$Z41>'Sec. G CR Data'!$L38,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[26,{"$f":"IF('Sec. G CR Data'!B39<>\"\",'Sec. G CR Data'!B39,\"\")","v":5300},{"$f":"IF('Sec. G CR Data'!C39<>\"\",'Sec. G CR Data'!C39,\"\")","v":"ANESTHESIOLOGY"},null,null,{"$f":"'Sec. G CR Data'!M39","v":1.6298E-2},null,385843.95,null,485072.49999999994,null,873581.55000000435,null,1528884.6999999955,null,349421.75000000035,null,435910.65000000125,null,346983.44999999937,null,466169.35000000114,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,388496.15000000072,null,497645.20000000083,null,1955830.7000000041,null,2916037.1999999979,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ42,AL42,AN42,AP42,AR42,AT42,AV42,AX42,'Sec. I Out-of-State'!X42,'Sec. I Out-of-State'!Z42)/'Sec. G CR Data'!L39,SUM(AN42,AP42,AR42,AT42,AV42,AX42,'Sec. I Out-of-State'!X42,'Sec. I Out-of-State'!Z42)/'Sec. G CR Data'!L39),\"\")","v":0.32163152547035517},{"$f":"IF($AR42+$AV42+$AT42+$AX42+$AN42+$AP42+'Sec. I Out-of-State'!$X42+'Sec. I Out-of-State'!$Z42>'Sec. G CR Data'!$L39,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[27,{"$f":"IF('Sec. G CR Data'!B40<>\"\",'Sec. G CR Data'!B40,\"\")","v":5400},{"$f":"IF('Sec. G CR Data'!C40<>\"\",'Sec. G CR Data'!C40,\"\")","v":"RADIOLOGY-DIAGNOSTIC"},null,null,{"$f":"'Sec. G CR Data'!M40","v":0.26333600000000001},null,351632.77,null,1038939.3799999999,null,184812.90008998165,null,1668680.9725626097,null,435620.1576420801,null,1020149.6404479718,null,325065.95167818654,null,1114531.0732875085,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,396611.57190336077,null,2514313.9530311609,null,1297131.7794102482,null,4842301.0662980899,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ43,AL43,AN43,AP43,AR43,AT43,AV43,AX43,'Sec. I Out-of-State'!X43,'Sec. I Out-of-State'!Z43)/'Sec. G CR Data'!L40,SUM(AN43,AP43,AR43,AT43,AV43,AX43,'Sec. I Out-of-State'!X43,'Sec. I Out-of-State'!Z43)/'Sec. G CR Data'!L40),\"\")","v":0.44771349771323199},{"$f":"IF($AR43+$AV43+$AT43+$AX43+$AN43+$AP43+'Sec. I Out-of-State'!$X43+'Sec. I Out-of-State'!$Z43>'Sec. G CR Data'!$L40,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[28,{"$f":"IF('Sec. G CR Data'!B41<>\"\",'Sec. G CR Data'!B41,\"\")","v":5500},{"$f":"IF('Sec. G CR Data'!C41<>\"\",'Sec. G CR Data'!C41,\"\")","v":"RADIOLOGY-THERAPEUTIC"},null,null,{"$f":"'Sec. G CR Data'!M41","v":0.161964},null,32759.65,null,421227.35,null,15443.6,null,117910.40000000001,null,8663.7000000000007,null,1056998.3999999999,null,34387.25,null,1185881.9000000001,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4477.3999999999996,null,512255.85000000003,null,91254.2,null,2782018.05,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ44,AL44,AN44,AP44,AR44,AT44,AV44,AX44,'Sec. I Out-of-State'!X44,'Sec. I Out-of-State'!Z44)/'Sec. G CR Data'!L41,SUM(AN44,AP44,AR44,AT44,AV44,AX44,'Sec. I Out-of-State'!X44,'Sec. I Out-of-State'!Z44)/'Sec. G CR Data'!L41),\"\")","v":0.21593018456310006},{"$f":"IF($AR44+$AV44+$AT44+$AX44+$AN44+$AP44+'Sec. I Out-of-State'!$X44+'Sec. I Out-of-State'!$Z44>'Sec. G CR Data'!$L41,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[29,{"$f":"IF('Sec. G CR Data'!B42<>\"\",'Sec. G CR Data'!B42,\"\")","v":5601},{"$f":"IF('Sec. G CR Data'!C42<>\"\",'Sec. G CR Data'!C42,\"\")","v":"NUCLEAR MEDICINE"},null,null,{"$f":"'Sec. G CR Data'!M42","v":0.20035800000000001},null,80669.149999999994,null,164249.44999999998,null,17892.149999999998,null,83321.950000000012,null,129783.85000000003,null,274042.10000000003,null,77691.55,null,306586.44999999995,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,145707.85000000003,null,423578.19999999972,null,306036.7,null,828199.95,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ45,AL45,AN45,AP45,AR45,AT45,AV45,AX45,'Sec. I Out-of-State'!X45,'Sec. I Out-of-State'!Z45)/'Sec. G CR Data'!L42,SUM(AN45,AP45,AR45,AT45,AV45,AX45,'Sec. I Out-of-State'!X45,'Sec. I Out-of-State'!Z45)/'Sec. G CR Data'!L42),\"\")","v":0.24934685399160264},{"$f":"IF($AR45+$AV45+$AT45+$AX45+$AN45+$AP45+'Sec. I Out-of-State'!$X45+'Sec. I Out-of-State'!$Z45>'Sec. G CR Data'!$L42,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[30,{"$f":"IF('Sec. G CR Data'!B43<>\"\",'Sec. G CR Data'!B43,\"\")","v":5700},{"$f":"IF('Sec. G CR Data'!C43<>\"\",'Sec. G CR Data'!C43,\"\")","v":"CT SCAN"},null,null,{"$f":"'Sec. G CR Data'!M43","v":5.2963000000000003E-2},null,676098.7,null,977780.2,null,158034.5,null,1154249.7,null,773764.7,null,1446721.0999999999,null,460941.00000000006,null,1101566,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1032050.0999999999,null,3861844.7499999972,null,2068838.9,null,4680317,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ46,AL46,AN46,AP46,AR46,AT46,AV46,AX46,'Sec. I Out-of-State'!X46,'Sec. I Out-of-State'!Z46)/'Sec. G CR Data'!L43,SUM(AN46,AP46,AR46,AT46,AV46,AX46,'Sec. I Out-of-State'!X46,'Sec. I Out-of-State'!Z46)/'Sec. G CR Data'!L43),\"\")","v":0.38065129292248379},{"$f":"IF($AR46+$AV46+$AT46+$AX46+$AN46+$AP46+'Sec. I Out-of-State'!$X46+'Sec. I Out-of-State'!$Z46>'Sec. G CR Data'!$L43,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[31,{"$f":"IF('Sec. G CR Data'!B44<>\"\",'Sec. G CR Data'!B44,\"\")","v":5800},{"$f":"IF('Sec. G CR Data'!C44<>\"\",'Sec. G CR Data'!C44,\"\")","v":"MRI"},null,null,{"$f":"'Sec. G CR Data'!M44","v":0.178146},null,77100,null,98295,null,14840,null,62530,null,91900,null,164160,null,66110,null,134265,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,124520,null,115656.5,null,249950,null,459250,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ47,AL47,AN47,AP47,AR47,AT47,AV47,AX47,'Sec. I Out-of-State'!X47,'Sec. I Out-of-State'!Z47)/'Sec. G CR Data'!L44,SUM(AN47,AP47,AR47,AT47,AV47,AX47,'Sec. I Out-of-State'!X47,'Sec. I Out-of-State'!Z47)/'Sec. G CR Data'!L44),\"\")","v":0.20619619020908703},{"$f":"IF($AR47+$AV47+$AT47+$AX47+$AN47+$AP47+'Sec. I Out-of-State'!$X47+'Sec. I Out-of-State'!$Z47>'Sec. G CR Data'!$L44,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[32,{"$f":"IF('Sec. G CR Data'!B45<>\"\",'Sec. G CR Data'!B45,\"\")","v":5900},{"$f":"IF('Sec. G CR Data'!C45<>\"\",'Sec. G CR Data'!C45,\"\")","v":"CARDIAC CATHETERIZATION"},null,null,{"$f":"'Sec. G CR Data'!M45","v":9.9239999999999995E-2},null,338602.15,null,450640.77,null,80382.326693529598,null,191781.93796450133,null,429088.23505026969,null,688478.80532554863,null,422638.39482863061,null,581173.97318582435,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,672250.94983813586,null,756383.56331587059,null,1270711.1065724299,null,1912075.4864758742,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ48,AL48,AN48,AP48,AR48,AT48,AV48,AX48,'Sec. I Out-of-State'!X48,'Sec. I Out-of-State'!Z48)/'Sec. G CR Data'!L45,SUM(AN48,AP48,AR48,AT48,AV48,AX48,'Sec. I Out-of-State'!X48,'Sec. I Out-of-State'!Z48)/'Sec. G CR Data'!L45),\"\")","v":0.19354735949058133},{"$f":"IF($AR48+$AV48+$AT48+$AX48+$AN48+$AP48+'Sec. I Out-of-State'!$X48+'Sec. I Out-of-State'!$Z48>'Sec. G CR Data'!$L45,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[33,{"$f":"IF('Sec. G CR Data'!B46<>\"\",'Sec. G CR Data'!B46,\"\")","v":6000},{"$f":"IF('Sec. G CR Data'!C46<>\"\",'Sec. G CR Data'!C46,\"\")","v":"LABORATORY"},null,null,{"$f":"'Sec. G CR Data'!M46","v":0.153979},null,2155004.65,null,2651862.7099999995,null,1654330.589999998,null,4185956.8199999882,null,2479722.3200000003,null,2292980.4699999993,null,1725261.0099999993,null,1971124.3400000019,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2288821.2099999995,null,5529879.779999923,null,8014318.5699999984,null,11101924.339999989,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ49,AL49,AN49,AP49,AR49,AT49,AV49,AX49,'Sec. I Out-of-State'!X49,'Sec. I Out-of-State'!Z49)/'Sec. G CR Data'!L46,SUM(AN49,AP49,AR49,AT49,AV49,AX49,'Sec. I Out-of-State'!X49,'Sec. I Out-of-State'!Z49)/'Sec. G CR Data'!L46),\"\")","v":0.4660866914616093},{"$f":"IF($AR49+$AV49+$AT49+$AX49+$AN49+$AP49+'Sec. I Out-of-State'!$X49+'Sec. I Out-of-State'!$Z49>'Sec. G CR Data'!$L46,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[34,{"$f":"IF('Sec. G CR Data'!B47<>\"\",'Sec. G CR Data'!B47,\"\")","v":6500},{"$f":"IF('Sec. G CR Data'!C47<>\"\",'Sec. G CR Data'!C47,\"\")","v":"RESPIRATORY THERAPY"},null,null,{"$f":"'Sec. G CR Data'!M47","v":0.25220500000000001},null,542754.05000000005,null,137115.84,null,174086.26970864614,null,157923.44999999861,null,620649.57797330618,null,80152.850000000093,null,507680.27405204298,null,108792.2,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,423348.21106477344,null,179152.84999999884,null,1845170.1717339954,null,483984.33999999869,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ50,AL50,AN50,AP50,AR50,AT50,AV50,AX50,'Sec. I Out-of-State'!X50,'Sec. I Out-of-State'!Z50)/'Sec. G CR Data'!L47,SUM(AN50,AP50,AR50,AT50,AV50,AX50,'Sec. I Out-of-State'!X50,'Sec. I Out-of-State'!Z50)/'Sec. G CR Data'!L47),\"\")","v":0.26041898715143447},{"$f":"IF($AR50+$AV50+$AT50+$AX50+$AN50+$AP50+'Sec. I Out-of-State'!$X50+'Sec. I Out-of-State'!$Z50>'Sec. G CR Data'!$L47,\"ERROR: Charges exceed total!\",\"\")","v":""}]
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[36,{"$f":"IF('Sec. G CR Data'!B49<>\"\",'Sec. G CR Data'!B49,\"\")","v":6800},{"$f":"IF('Sec. G CR Data'!C49<>\"\",'Sec. G CR Data'!C49,\"\")","v":"SPEECH PATHOLOGY"},null,null,{"$f":"'Sec. G CR Data'!M49","v":0.45214599999999999},null,7623.1,null,1046.4000000000001,null,0,null,47876.450000000012,null,0,null,2958.2,null,0,null,13483.899999999998,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,189135.56000000006,null,7623.1,null,65364.950000000012,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ52,AL52,AN52,AP52,AR52,AT52,AV52,AX52,'Sec. I Out-of-State'!X52,'Sec. I Out-of-State'!Z52)/'Sec. G CR Data'!L49,SUM(AN52,AP52,AR52,AT52,AV52,AX52,'Sec. I Out-of-State'!X52,'Sec. I Out-of-State'!Z52)/'Sec. G CR Data'!L49),\"\")","v":0.530042578560869},{"$f":"IF($AR52+$AV52+$AT52+$AX52+$AN52+$AP52+'Sec. I Out-of-State'!$X52+'Sec. I Out-of-State'!$Z52>'Sec. G CR Data'!$L49,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[37,{"$f":"IF('Sec. G CR Data'!B50<>\"\",'Sec. G CR Data'!B50,\"\")","v":6900},{"$f":"IF('Sec. G CR Data'!C50<>\"\",'Sec. G CR Data'!C50,\"\")","v":"ELECTROCARDIOLOGY"},null,null,{"$f":"'Sec. G CR Data'!M50","v":4.8252000000000003E-2},null,204978.25,null,286309.45,null,64630.3,null,298162.55,null,329505.09999999998,null,438569.89999999997,null,250122.85,null,330368.09999999998,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,317334.65000000008,null,923778.1,null,849236.5,null,1353410,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ53,AL53,AN53,AP53,AR53,AT53,AV53,AX53,'Sec. I Out-of-State'!X53,'Sec. I Out-of-State'!Z53)/'Sec. G CR Data'!L50,SUM(AN53,AP53,AR53,AT53,AV53,AX53,'Sec. I Out-of-State'!X53,'Sec. I Out-of-State'!Z53)/'Sec. G CR Data'!L50),\"\")","v":0.43432334978185144},{"$f":"IF($AR53+$AV53+$AT53+$AX53+$AN53+$AP53+'Sec. I Out-of-State'!$X53+'Sec. I Out-of-State'!$Z53>'Sec. G CR Data'!$L50,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[38,{"$f":"IF('Sec. G CR Data'!B51<>\"\",'Sec. G CR Data'!B51,\"\")","v":7000},{"$f":"IF('Sec. G CR Data'!C51<>\"\",'Sec. G CR Data'!C51,\"\")","v":"ELECTROENCEPHALOGRAPHY"},null,null,{"$f":"'Sec. G CR Data'!M51","v":1.572732},null,8509.5499999999993,null,1614.7,null,855.8,null,11738.949999999997,null,5306,null,3326.3,null,4989.4500000000007,null,1663.15,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5748.35,null,2518.9499999999998,null,19660.8,null,18343.099999999999,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ54,AL54,AN54,AP54,AR54,AT54,AV54,AX54,'Sec. I Out-of-State'!X54,'Sec. I Out-of-State'!Z54)/'Sec. G CR Data'!L51,SUM(AN54,AP54,AR54,AT54,AV54,AX54,'Sec. I Out-of-State'!X54,'Sec. I Out-of-State'!Z54)/'Sec. G CR Data'!L51),\"\")","v":0.34743093984877721},{"$f":"IF($AR54+$AV54+$AT54+$AX54+$AN54+$AP54+'Sec. I Out-of-State'!$X54+'Sec. I Out-of-State'!$Z54>'Sec. G CR Data'!$L51,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[39,{"$f":"IF('Sec. G CR Data'!B52<>\"\",'Sec. G CR Data'!B52,\"\")","v":7100},{"$f":"IF('Sec. G CR Data'!C52<>\"\",'Sec. G CR Data'!C52,\"\")","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},null,null,{"$f":"'Sec. G CR Data'!M52","v":0.58809800000000001},null,578643.74,null,420851.92,null,516455.00000000035,null,525799.00999999885,null,747702.71999999927,null,559202.86000000068,null,568444.03000000061,null,518437.42000000039,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,556363.53,null,593194.36000000045,null,2411245.4900000002,null,2024291.21,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ55,AL55,AN55,AP55,AR55,AT55,AV55,AX55,'Sec. I Out-of-State'!X55,'Sec. I Out-of-State'!Z55)/'Sec. G CR Data'!L52,SUM(AN55,AP55,AR55,AT55,AV55,AX55,'Sec. I Out-of-State'!X55,'Sec. I Out-of-State'!Z55)/'Sec. G CR Data'!L52),\"\")","v":0.28318129559111616},{"$f":"IF($AR55+$AV55+$AT55+$AX55+$AN55+$AP55+'Sec. I Out-of-State'!$X55+'Sec. I Out-of-State'!$Z55>'Sec. G CR Data'!$L52,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[40,{"$f":"IF('Sec. G CR Data'!B53<>\"\",'Sec. G CR Data'!B53,\"\")","v":7200},{"$f":"IF('Sec. G CR Data'!C53<>\"\",'Sec. G CR Data'!C53,\"\")","v":"IMPL. DEV. CHARGED TO PATIENTS"},null,null,{"$f":"'Sec. G CR Data'!M53","v":0.38389899999999999},null,281674.75,null,0,null,84313.1,null,29561.170000000002,null,403570.67999999988,null,307940.13999999996,null,197449.05,null,194792.22000000003,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,233491.80999999994,null,162685.88000000003,null,967007.57999999984,null,532293.53,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ56,AL56,AN56,AP56,AR56,AT56,AV56,AX56,'Sec. I Out-of-State'!X56,'Sec. I Out-of-State'!Z56)/'Sec. G CR Data'!L53,SUM(AN56,AP56,AR56,AT56,AV56,AX56,'Sec. I Out-of-State'!X56,'Sec. I Out-of-State'!Z56)/'Sec. G CR Data'!L53),\"\")","v":0.21053136264148445},{"$f":"IF($AR56+$AV56+$AT56+$AX56+$AN56+$AP56+'Sec. I Out-of-State'!$X56+'Sec. I Out-of-State'!$Z56>'Sec. G CR Data'!$L53,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[41,{"$f":"IF('Sec. G CR Data'!B54<>\"\",'Sec. G CR Data'!B54,\"\")","v":7300},{"$f":"IF('Sec. G CR Data'!C54<>\"\",'Sec. G CR Data'!C54,\"\")","v":"DRUGS CHARGED TO PATIENTS"},null,null,{"$f":"'Sec. G CR Data'!M54","v":0.42970399999999997},null,1559776.82,null,1612453.75,null,1266172.600000001,null,1279830.5000000007,null,1676742.4099999995,null,1203615.8799999999,null,1237510.6500000001,null,2155949.33,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1410270.0599999998,null,1814720.1899999995,null,5740202.4800000004,null,6251849.4600000009,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ57,AL57,AN57,AP57,AR57,AT57,AV57,AX57,'Sec. I Out-of-State'!X57,'Sec. I Out-of-State'!Z57)/'Sec. G CR Data'!L54,SUM(AN57,AP57,AR57,AT57,AV57,AX57,'Sec. I Out-of-State'!X57,'Sec. I Out-of-State'!Z57)/'Sec. G CR Data'!L54),\"\")","v":0.32753636770503336},{"$f":"IF($AR57+$AV57+$AT57+$AX57+$AN57+$AP57+'Sec. I Out-of-State'!$X57+'Sec. I Out-of-State'!$Z57>'Sec. G CR Data'!$L54,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[42,{"$f":"IF('Sec. G CR Data'!B55<>\"\",'Sec. G CR Data'!B55,\"\")","v":7400},{"$f":"IF('Sec. G CR Data'!C55<>\"\",'Sec. G CR Data'!C55,\"\")","v":"RENAL DIALYSIS"},null,null,{"$f":"'Sec. G CR Data'!M55","v":0.82169400000000004},null,75819.600000000006,null,0,null,2256.3000000000002,null,748.5,null,164924.7000000001,null,35546.999999999993,null,70427.100000000006,null,6683.7000000000007,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,9606.9000000000015,null,0,null,313427.70000000007,null,42979.199999999997,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ58,AL58,AN58,AP58,AR58,AT58,AV58,AX58,'Sec. I Out-of-State'!X58,'Sec. I Out-of-State'!Z58)/'Sec. G CR Data'!L55,SUM(AN58,AP58,AR58,AT58,AV58,AX58,'Sec. I Out-of-State'!X58,'Sec. I Out-of-State'!Z58)/'Sec. G CR Data'!L55),\"\")","v":0.55497870798224169},{"$f":"IF($AR58+$AV58+$AT58+$AX58+$AN58+$AP58+'Sec. I Out-of-State'!$X58+'Sec. I Out-of-State'!$Z58>'Sec. G CR Data'!$L55,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[43,{"$f":"IF('Sec. G CR Data'!B56<>\"\",'Sec. G CR Data'!B56,\"\")","v":7600},{"$f":"IF('Sec. G CR Data'!C56<>\"\",'Sec. G CR Data'!C56,\"\")","v":"CARDIOVASCULAR MEDICINE"},null,null,{"$f":"'Sec. G CR Data'!M56","v":0.18088599999999999},null,223313.12999999998,null,272448.96999999997,null,72069.953646312904,null,161440.0394728948,null,356365.33007351059,null,349473.80422647553,null,342106.98016919644,null,308928.95352666522,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,528541.41835177969,null,311908.08365300368,null,993855.39388901996,null,1092291.7672260355,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ59,AL59,AN59,AP59,AR59,AT59,AV59,AX59,'Sec. I Out-of-State'!X59,'Sec. I Out-of-State'!Z59)/'Sec. G CR Data'!L56,SUM(AN59,AP59,AR59,AT59,AV59,AX59,'Sec. I Out-of-State'!X59,'Sec. I Out-of-State'!Z59)/'Sec. G CR Data'!L56),\"\")","v":0.21949561998285644},{"$f":"IF($AR59+$AV59+$AT59+$AX59+$AN59+$AP59+'Sec. I Out-of-State'!$X59+'Sec. I Out-of-State'!$Z59>'Sec. G CR Data'!$L56,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[44,{"$f":"IF('Sec. G CR Data'!B57<>\"\",'Sec. G CR Data'!B57,\"\")","v":9000},{"$f":"IF('Sec. G CR Data'!C57<>\"\",'Sec. G CR Data'!C57,\"\")","v":"CLINIC"},null,null,{"$f":"'Sec. G CR Data'!M57","v":1.308524},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ60,AL60,AN60,AP60,AR60,AT60,AV60,AX60,'Sec. I Out-of-State'!X60,'Sec. I Out-of-State'!Z60)/'Sec. G CR Data'!L57,SUM(AN60,AP60,AR60,AT60,AV60,AX60,'Sec. I Out-of-State'!X60,'Sec. I Out-of-State'!Z60)/'Sec. G CR Data'!L57),\"\")","v":0},{"$f":"IF($AR60+$AV60+$AT60+$AX60+$AN60+$AP60+'Sec. I Out-of-State'!$X60+'Sec. I Out-of-State'!$Z60>'Sec. G CR Data'!$L57,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[45,{"$f":"IF('Sec. G CR Data'!B58<>\"\",'Sec. G CR Data'!B58,\"\")","v":9001},{"$f":"IF('Sec. G CR Data'!C58<>\"\",'Sec. G CR Data'!C58,\"\")","v":"NUTRITION"},null,null,{"$f":"'Sec. G CR Data'!M58","v":0.57625599999999999},null,0,null,329.56,null,0,null,0,null,0,null,0,null,0,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,0,null,329.56,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ61,AL61,AN61,AP61,AR61,AT61,AV61,AX61,'Sec. I Out-of-State'!X61,'Sec. I Out-of-State'!Z61)/'Sec. G CR Data'!L58,SUM(AN61,AP61,AR61,AT61,AV61,AX61,'Sec. I Out-of-State'!X61,'Sec. I Out-of-State'!Z61)/'Sec. G CR Data'!L58),\"\")","v":1.2471995155918862E-2},{"$f":"IF($AR61+$AV61+$AT61+$AX61+$AN61+$AP61+'Sec. I Out-of-State'!$X61+'Sec. I Out-of-State'!$Z61>'Sec. G CR Data'!$L58,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[46,{"$f":"IF('Sec. G CR Data'!B59<>\"\",'Sec. G CR Data'!B59,\"\")","v":9002},{"$f":"IF('Sec. G CR Data'!C59<>\"\",'Sec. G CR Data'!C59,\"\")","v":"WOUND CARE CENTER"},null,null,{"$f":"'Sec. G CR Data'!M59","v":0.373834},null,11378.65,null,6771.7999999999993,null,3768.2499999999982,null,47350.2,null,14695.050000000028,null,157924.35000000003,null,9061.9000000000051,null,143806.24999999991,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,19108.700000000012,null,35264.750000000087,null,38903.850000000035,null,355852.6,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ62,AL62,AN62,AP62,AR62,AT62,AV62,AX62,'Sec. I Out-of-State'!X62,'Sec. I Out-of-State'!Z62)/'Sec. G CR Data'!L59,SUM(AN62,AP62,AR62,AT62,AV62,AX62,'Sec. I Out-of-State'!X62,'Sec. I Out-of-State'!Z62)/'Sec. G CR Data'!L59),\"\")","v":0.13520761735927431},{"$f":"IF($AR62+$AV62+$AT62+$AX62+$AN62+$AP62+'Sec. I Out-of-State'!$X62+'Sec. I Out-of-State'!$Z62>'Sec. G CR Data'!$L59,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[47,{"$f":"IF('Sec. G CR Data'!B60<>\"\",'Sec. G CR Data'!B60,\"\")","v":9100},{"$f":"IF('Sec. G CR Data'!C60<>\"\",'Sec. G CR Data'!C60,\"\")","v":"EMERGENCY"},null,null,{"$f":"'Sec. G CR Data'!M60","v":0.134409},null,875364.85,null,4222916.79,null,207610.39999999994,null,8752384.4000001382,null,1018883.2500000003,null,2883958.3499999917,null,652918.20000000019,null,2904214.1999999881,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1138738.6999999993,null,15346602.900000043,null,2754776.7000000007,null,18763473.740000118,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ63,AL63,AN63,AP63,AR63,AT63,AV63,AX63,'Sec. I Out-of-State'!X63,'Sec. I Out-of-State'!Z63)/'Sec. G CR Data'!L60,SUM(AN63,AP63,AR63,AT63,AV63,AX63,'Sec. I Out-of-State'!X63,'Sec. I Out-of-State'!Z63)/'Sec. G CR Data'!L60),\"\")","v":0.57427647257125336},{"$f":"IF($AR63+$AV63+$AT63+$AX63+$AN63+$AP63+'Sec. I Out-of-State'!$X63+'Sec. I Out-of-State'!$Z63>'Sec. G CR Data'!$L60,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[48,{"$f":"IF('Sec. G CR Data'!B61<>\"\",'Sec. G CR Data'!B61,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C61<>\"\",'Sec. G CR Data'!C61,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M61","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ64,AL64,AN64,AP64,AR64,AT64,AV64,AX64,'Sec. I Out-of-State'!X64,'Sec. I Out-of-State'!Z64)/'Sec. G CR Data'!L61,SUM(AN64,AP64,AR64,AT64,AV64,AX64,'Sec. I Out-of-State'!X64,'Sec. I Out-of-State'!Z64)/'Sec. G CR Data'!L61),\"\")","v":""},{"$f":"IF($AR64+$AV64+$AT64+$AX64+$AN64+$AP64+'Sec. I Out-of-State'!$X64+'Sec. I Out-of-State'!$Z64>'Sec. G CR Data'!$L61,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[49,{"$f":"IF('Sec. G CR Data'!B62<>\"\",'Sec. G CR Data'!B62,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C62<>\"\",'Sec. G CR Data'!C62,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M62","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ65,AL65,AN65,AP65,AR65,AT65,AV65,AX65,'Sec. I Out-of-State'!X65,'Sec. I Out-of-State'!Z65)/'Sec. G CR Data'!L62,SUM(AN65,AP65,AR65,AT65,AV65,AX65,'Sec. I Out-of-State'!X65,'Sec. I Out-of-State'!Z65)/'Sec. G CR Data'!L62),\"\")","v":""},{"$f":"IF($AR65+$AV65+$AT65+$AX65+$AN65+$AP65+'Sec. I Out-of-State'!$X65+'Sec. I Out-of-State'!$Z65>'Sec. G CR Data'!$L62,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[50,{"$f":"IF('Sec. G CR Data'!B63<>\"\",'Sec. G CR Data'!B63,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C63<>\"\",'Sec. G CR Data'!C63,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M63","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ66,AL66,AN66,AP66,AR66,AT66,AV66,AX66,'Sec. I Out-of-State'!X66,'Sec. I Out-of-State'!Z66)/'Sec. G CR Data'!L63,SUM(AN66,AP66,AR66,AT66,AV66,AX66,'Sec. I Out-of-State'!X66,'Sec. I Out-of-State'!Z66)/'Sec. G CR Data'!L63),\"\")","v":""},{"$f":"IF($AR66+$AV66+$AT66+$AX66+$AN66+$AP66+'Sec. I Out-of-State'!$X66+'Sec. I Out-of-State'!$Z66>'Sec. G CR Data'!$L63,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[51,{"$f":"IF('Sec. G CR Data'!B64<>\"\",'Sec. G CR Data'!B64,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C64<>\"\",'Sec. G CR Data'!C64,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M64","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ67,AL67,AN67,AP67,AR67,AT67,AV67,AX67,'Sec. I Out-of-State'!X67,'Sec. I Out-of-State'!Z67)/'Sec. G CR Data'!L64,SUM(AN67,AP67,AR67,AT67,AV67,AX67,'Sec. I Out-of-State'!X67,'Sec. I Out-of-State'!Z67)/'Sec. G CR Data'!L64),\"\")","v":""},{"$f":"IF($AR67+$AV67+$AT67+$AX67+$AN67+$AP67+'Sec. I Out-of-State'!$X67+'Sec. I Out-of-State'!$Z67>'Sec. G CR Data'!$L64,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[52,{"$f":"IF('Sec. G CR Data'!B65<>\"\",'Sec. G CR Data'!B65,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C65<>\"\",'Sec. G CR Data'!C65,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M65","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ68,AL68,AN68,AP68,AR68,AT68,AV68,AX68,'Sec. I Out-of-State'!X68,'Sec. I Out-of-State'!Z68)/'Sec. G CR Data'!L65,SUM(AN68,AP68,AR68,AT68,AV68,AX68,'Sec. I Out-of-State'!X68,'Sec. I Out-of-State'!Z68)/'Sec. G CR Data'!L65),\"\")","v":""},{"$f":"IF($AR68+$AV68+$AT68+$AX68+$AN68+$AP68+'Sec. I Out-of-State'!$X68+'Sec. I Out-of-State'!$Z68>'Sec. G CR Data'!$L65,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[53,{"$f":"IF('Sec. G CR Data'!B66<>\"\",'Sec. G CR Data'!B66,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C66<>\"\",'Sec. G CR Data'!C66,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M66","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ69,AL69,AN69,AP69,AR69,AT69,AV69,AX69,'Sec. I Out-of-State'!X69,'Sec. I Out-of-State'!Z69)/'Sec. G CR Data'!L66,SUM(AN69,AP69,AR69,AT69,AV69,AX69,'Sec. I Out-of-State'!X69,'Sec. I Out-of-State'!Z69)/'Sec. G CR Data'!L66),\"\")","v":""},{"$f":"IF($AR69+$AV69+$AT69+$AX69+$AN69+$AP69+'Sec. I Out-of-State'!$X69+'Sec. I Out-of-State'!$Z69>'Sec. G CR Data'!$L66,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[54,{"$f":"IF('Sec. G CR Data'!B67<>\"\",'Sec. G CR Data'!B67,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C67<>\"\",'Sec. G CR Data'!C67,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M67","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(State=\"California DPH\",$T70+$P70+$L70+$H70+$X70+$AB70+$AF70,$T70+$P70+$L70+$H70+$X70+$AB70+$AF70+$AJ70)","v":0},null,{"$f":"IF(State=\"California DPH\",$V70+$R70+$N70+$J70+$Z70+$AD70+$AH70,$V70+$R70+$N70+$J70+$Z70+$AD70+$AH70+$AL70)","v":0},{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ70,AL70,AN70,AP70,AR70,AT70,AV70,AX70,'Sec. I Out-of-State'!X70,'Sec. I Out-of-State'!Z70)/'Sec. G CR Data'!L67,SUM(AN70,AP70,AR70,AT70,AV70,AX70,'Sec. I Out-of-State'!X70,'Sec. I Out-of-State'!Z70)/'Sec. G CR Data'!L67),\"\")","v":""},{"$f":"IF($AR70+$AV70+$AT70+$AX70+$AN70+$AP70+'Sec. I Out-of-State'!$X70+'Sec. I Out-of-State'!$Z70>'Sec. G CR Data'!$L67,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[55,{"$f":"IF('Sec. G CR Data'!B68<>\"\",'Sec. G CR Data'!B68,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C68<>\"\",'Sec. G CR Data'!C68,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M68","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ71,AL71,AN71,AP71,AR71,AT71,AV71,AX71,'Sec. I Out-of-State'!X71,'Sec. I Out-of-State'!Z71)/'Sec. G CR Data'!L68,SUM(AN71,AP71,AR71,AT71,AV71,AX71,'Sec. I Out-of-State'!X71,'Sec. I Out-of-State'!Z71)/'Sec. G CR Data'!L68),\"\")","v":""},{"$f":"IF($AR71+$AV71+$AT71+$AX71+$AN71+$AP71+'Sec. I Out-of-State'!$X71+'Sec. I Out-of-State'!$Z71>'Sec. G CR Data'!$L68,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[56,{"$f":"IF('Sec. G CR Data'!B69<>\"\",'Sec. G CR Data'!B69,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C69<>\"\",'Sec. G CR Data'!C69,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M69","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ72,AL72,AN72,AP72,AR72,AT72,AV72,AX72,'Sec. I Out-of-State'!X72,'Sec. I Out-of-State'!Z72)/'Sec. G CR Data'!L69,SUM(AN72,AP72,AR72,AT72,AV72,AX72,'Sec. I Out-of-State'!X72,'Sec. I Out-of-State'!Z72)/'Sec. G CR Data'!L69),\"\")","v":""},{"$f":"IF($AR72+$AV72+$AT72+$AX72+$AN72+$AP72+'Sec. I Out-of-State'!$X72+'Sec. I Out-of-State'!$Z72>'Sec. G CR Data'!$L69,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[57,{"$f":"IF('Sec. G CR Data'!B70<>\"\",'Sec. G CR Data'!B70,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C70<>\"\",'Sec. G CR Data'!C70,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M70","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ73,AL73,AN73,AP73,AR73,AT73,AV73,AX73,'Sec. I Out-of-State'!X73,'Sec. I Out-of-State'!Z73)/'Sec. G CR Data'!L70,SUM(AN73,AP73,AR73,AT73,AV73,AX73,'Sec. I Out-of-State'!X73,'Sec. I Out-of-State'!Z73)/'Sec. G CR Data'!L70),\"\")","v":""},{"$f":"IF($AR73+$AV73+$AT73+$AX73+$AN73+$AP73+'Sec. I Out-of-State'!$X73+'Sec. I Out-of-State'!$Z73>'Sec. G CR Data'!$L70,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[58,{"$f":"IF('Sec. G CR Data'!B71<>\"\",'Sec. G CR Data'!B71,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C71<>\"\",'Sec. G CR Data'!C71,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M71","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ74,AL74,AN74,AP74,AR74,AT74,AV74,AX74,'Sec. I Out-of-State'!X74,'Sec. I Out-of-State'!Z74)/'Sec. G CR Data'!L71,SUM(AN74,AP74,AR74,AT74,AV74,AX74,'Sec. I Out-of-State'!X74,'Sec. I Out-of-State'!Z74)/'Sec. G CR Data'!L71),\"\")","v":""},{"$f":"IF($AR74+$AV74+$AT74+$AX74+$AN74+$AP74+'Sec. I Out-of-State'!$X74+'Sec. I Out-of-State'!$Z74>'Sec. G CR Data'!$L71,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[59,{"$f":"IF('Sec. G CR Data'!B72<>\"\",'Sec. G CR Data'!B72,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C72<>\"\",'Sec. G CR Data'!C72,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M72","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ75,AL75,AN75,AP75,AR75,AT75,AV75,AX75,'Sec. I Out-of-State'!X75,'Sec. I Out-of-State'!Z75)/'Sec. G CR Data'!L72,SUM(AN75,AP75,AR75,AT75,AV75,AX75,'Sec. I Out-of-State'!X75,'Sec. I Out-of-State'!Z75)/'Sec. G CR Data'!L72),\"\")","v":""},{"$f":"IF($AR75+$AV75+$AT75+$AX75+$AN75+$AP75+'Sec. I Out-of-State'!$X75+'Sec. I Out-of-State'!$Z75>'Sec. G CR Data'!$L72,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[60,{"$f":"IF('Sec. G CR Data'!B73<>\"\",'Sec. G CR Data'!B73,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C73<>\"\",'Sec. G CR Data'!C73,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M73","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ76,AL76,AN76,AP76,AR76,AT76,AV76,AX76,'Sec. I Out-of-State'!X76,'Sec. I Out-of-State'!Z76)/'Sec. G CR Data'!L73,SUM(AN76,AP76,AR76,AT76,AV76,AX76,'Sec. I Out-of-State'!X76,'Sec. I Out-of-State'!Z76)/'Sec. G CR Data'!L73),\"\")","v":""},{"$f":"IF($AR76+$AV76+$AT76+$AX76+$AN76+$AP76+'Sec. I Out-of-State'!$X76+'Sec. I Out-of-State'!$Z76>'Sec. G CR Data'!$L73,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[61,{"$f":"IF('Sec. G CR Data'!B74<>\"\",'Sec. G CR Data'!B74,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C74<>\"\",'Sec. G CR Data'!C74,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M74","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ77,AL77,AN77,AP77,AR77,AT77,AV77,AX77,'Sec. I Out-of-State'!X77,'Sec. I Out-of-State'!Z77)/'Sec. G CR Data'!L74,SUM(AN77,AP77,AR77,AT77,AV77,AX77,'Sec. I Out-of-State'!X77,'Sec. I Out-of-State'!Z77)/'Sec. G CR Data'!L74),\"\")","v":""},{"$f":"IF($AR77+$AV77+$AT77+$AX77+$AN77+$AP77+'Sec. I Out-of-State'!$X77+'Sec. I Out-of-State'!$Z77>'Sec. G CR Data'!$L74,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[62,{"$f":"IF('Sec. G CR Data'!B75<>\"\",'Sec. G CR Data'!B75,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C75<>\"\",'Sec. G CR Data'!C75,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M75","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ78,AL78,AN78,AP78,AR78,AT78,AV78,AX78,'Sec. I Out-of-State'!X78,'Sec. I Out-of-State'!Z78)/'Sec. G CR Data'!L75,SUM(AN78,AP78,AR78,AT78,AV78,AX78,'Sec. I Out-of-State'!X78,'Sec. I Out-of-State'!Z78)/'Sec. G CR Data'!L75),\"\")","v":""},{"$f":"IF($AR78+$AV78+$AT78+$AX78+$AN78+$AP78+'Sec. I Out-of-State'!$X78+'Sec. I Out-of-State'!$Z78>'Sec. G CR Data'!$L75,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[63,{"$f":"IF('Sec. G CR Data'!B76<>\"\",'Sec. G CR Data'!B76,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C76<>\"\",'Sec. G CR Data'!C76,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M76","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ79,AL79,AN79,AP79,AR79,AT79,AV79,AX79,'Sec. I Out-of-State'!X79,'Sec. I Out-of-State'!Z79)/'Sec. G CR Data'!L76,SUM(AN79,AP79,AR79,AT79,AV79,AX79,'Sec. I Out-of-State'!X79,'Sec. I Out-of-State'!Z79)/'Sec. G CR Data'!L76),\"\")","v":""},{"$f":"IF($AR79+$AV79+$AT79+$AX79+$AN79+$AP79+'Sec. I Out-of-State'!$X79+'Sec. I Out-of-State'!$Z79>'Sec. G CR Data'!$L76,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[64,{"$f":"IF('Sec. G CR Data'!B77<>\"\",'Sec. G CR Data'!B77,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C77<>\"\",'Sec. G CR Data'!C77,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M77","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ80,AL80,AN80,AP80,AR80,AT80,AV80,AX80,'Sec. I Out-of-State'!X80,'Sec. I Out-of-State'!Z80)/'Sec. G CR Data'!L77,SUM(AN80,AP80,AR80,AT80,AV80,AX80,'Sec. I Out-of-State'!X80,'Sec. I Out-of-State'!Z80)/'Sec. G CR Data'!L77),\"\")","v":""},{"$f":"IF($AR80+$AV80+$AT80+$AX80+$AN80+$AP80+'Sec. I Out-of-State'!$X80+'Sec. I Out-of-State'!$Z80>'Sec. G CR Data'!$L77,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[65,{"$f":"IF('Sec. G CR Data'!B78<>\"\",'Sec. G CR Data'!B78,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C78<>\"\",'Sec. G CR Data'!C78,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M78","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ81,AL81,AN81,AP81,AR81,AT81,AV81,AX81,'Sec. I Out-of-State'!X81,'Sec. I Out-of-State'!Z81)/'Sec. G CR Data'!L78,SUM(AN81,AP81,AR81,AT81,AV81,AX81,'Sec. I Out-of-State'!X81,'Sec. I Out-of-State'!Z81)/'Sec. G CR Data'!L78),\"\")","v":""},{"$f":"IF($AR81+$AV81+$AT81+$AX81+$AN81+$AP81+'Sec. I Out-of-State'!$X81+'Sec. I Out-of-State'!$Z81>'Sec. G CR Data'!$L78,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[66,{"$f":"IF('Sec. G CR Data'!B79<>\"\",'Sec. G CR Data'!B79,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C79<>\"\",'Sec. G CR Data'!C79,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M79","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ82,AL82,AN82,AP82,AR82,AT82,AV82,AX82,'Sec. I Out-of-State'!X82,'Sec. I Out-of-State'!Z82)/'Sec. G CR Data'!L79,SUM(AN82,AP82,AR82,AT82,AV82,AX82,'Sec. I Out-of-State'!X82,'Sec. I Out-of-State'!Z82)/'Sec. G CR Data'!L79),\"\")","v":""},{"$f":"IF($AR82+$AV82+$AT82+$AX82+$AN82+$AP82+'Sec. I Out-of-State'!$X82+'Sec. I Out-of-State'!$Z82>'Sec. G CR Data'!$L79,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[67,{"$f":"IF('Sec. G CR Data'!B80<>\"\",'Sec. G CR Data'!B80,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C80<>\"\",'Sec. G CR Data'!C80,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M80","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ83,AL83,AN83,AP83,AR83,AT83,AV83,AX83,'Sec. I Out-of-State'!X83,'Sec. I Out-of-State'!Z83)/'Sec. G CR Data'!L80,SUM(AN83,AP83,AR83,AT83,AV83,AX83,'Sec. I Out-of-State'!X83,'Sec. I Out-of-State'!Z83)/'Sec. G CR Data'!L80),\"\")","v":""},{"$f":"IF($AR83+$AV83+$AT83+$AX83+$AN83+$AP83+'Sec. I Out-of-State'!$X83+'Sec. I Out-of-State'!$Z83>'Sec. G CR Data'!$L80,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[68,{"$f":"IF('Sec. G CR Data'!B81<>\"\",'Sec. G CR Data'!B81,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C81<>\"\",'Sec. G CR Data'!C81,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M81","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ84,AL84,AN84,AP84,AR84,AT84,AV84,AX84,'Sec. I Out-of-State'!X84,'Sec. I Out-of-State'!Z84)/'Sec. G CR Data'!L81,SUM(AN84,AP84,AR84,AT84,AV84,AX84,'Sec. I Out-of-State'!X84,'Sec. I Out-of-State'!Z84)/'Sec. G CR Data'!L81),\"\")","v":""},{"$f":"IF($AR84+$AV84+$AT84+$AX84+$AN84+$AP84+'Sec. I Out-of-State'!$X84+'Sec. I Out-of-State'!$Z84>'Sec. G CR Data'!$L81,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[69,{"$f":"IF('Sec. G CR Data'!B82<>\"\",'Sec. G CR Data'!B82,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C82<>\"\",'Sec. G CR Data'!C82,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M82","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ85,AL85,AN85,AP85,AR85,AT85,AV85,AX85,'Sec. I Out-of-State'!X85,'Sec. I Out-of-State'!Z85)/'Sec. G CR Data'!L82,SUM(AN85,AP85,AR85,AT85,AV85,AX85,'Sec. I Out-of-State'!X85,'Sec. I Out-of-State'!Z85)/'Sec. G CR Data'!L82),\"\")","v":""},{"$f":"IF($AR85+$AV85+$AT85+$AX85+$AN85+$AP85+'Sec. I Out-of-State'!$X85+'Sec. I Out-of-State'!$Z85>'Sec. G CR Data'!$L82,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[70,{"$f":"IF('Sec. G CR Data'!B83<>\"\",'Sec. G CR Data'!B83,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C83<>\"\",'Sec. G CR Data'!C83,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M83","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ86,AL86,AN86,AP86,AR86,AT86,AV86,AX86,'Sec. I Out-of-State'!X86,'Sec. I Out-of-State'!Z86)/'Sec. G CR Data'!L83,SUM(AN86,AP86,AR86,AT86,AV86,AX86,'Sec. I Out-of-State'!X86,'Sec. I Out-of-State'!Z86)/'Sec. G CR Data'!L83),\"\")","v":""},{"$f":"IF($AR86+$AV86+$AT86+$AX86+$AN86+$AP86+'Sec. I Out-of-State'!$X86+'Sec. I Out-of-State'!$Z86>'Sec. G CR Data'!$L83,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[71,{"$f":"IF('Sec. G CR Data'!B84<>\"\",'Sec. G CR Data'!B84,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C84<>\"\",'Sec. G CR Data'!C84,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M84","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ87,AL87,AN87,AP87,AR87,AT87,AV87,AX87,'Sec. I Out-of-State'!X87,'Sec. I Out-of-State'!Z87)/'Sec. G CR Data'!L84,SUM(AN87,AP87,AR87,AT87,AV87,AX87,'Sec. I Out-of-State'!X87,'Sec. I Out-of-State'!Z87)/'Sec. G CR Data'!L84),\"\")","v":""},{"$f":"IF($AR87+$AV87+$AT87+$AX87+$AN87+$AP87+'Sec. I Out-of-State'!$X87+'Sec. I Out-of-State'!$Z87>'Sec. G CR Data'!$L84,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[72,{"$f":"IF('Sec. G CR Data'!B85<>\"\",'Sec. G CR Data'!B85,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C85<>\"\",'Sec. G CR Data'!C85,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M85","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ88,AL88,AN88,AP88,AR88,AT88,AV88,AX88,'Sec. I Out-of-State'!X88,'Sec. I Out-of-State'!Z88)/'Sec. G CR Data'!L85,SUM(AN88,AP88,AR88,AT88,AV88,AX88,'Sec. I Out-of-State'!X88,'Sec. I Out-of-State'!Z88)/'Sec. G CR Data'!L85),\"\")","v":""},{"$f":"IF($AR88+$AV88+$AT88+$AX88+$AN88+$AP88+'Sec. I Out-of-State'!$X88+'Sec. I Out-of-State'!$Z88>'Sec. G CR Data'!$L85,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[73,{"$f":"IF('Sec. G CR Data'!B86<>\"\",'Sec. G CR Data'!B86,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C86<>\"\",'Sec. G CR Data'!C86,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M86","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ89,AL89,AN89,AP89,AR89,AT89,AV89,AX89,'Sec. I Out-of-State'!X89,'Sec. I Out-of-State'!Z89)/'Sec. G CR Data'!L86,SUM(AN89,AP89,AR89,AT89,AV89,AX89,'Sec. I Out-of-State'!X89,'Sec. I Out-of-State'!Z89)/'Sec. G CR Data'!L86),\"\")","v":""},{"$f":"IF($AR89+$AV89+$AT89+$AX89+$AN89+$AP89+'Sec. I Out-of-State'!$X89+'Sec. I Out-of-State'!$Z89>'Sec. G CR Data'!$L86,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[74,{"$f":"IF('Sec. G CR Data'!B87<>\"\",'Sec. G CR Data'!B87,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C87<>\"\",'Sec. G CR Data'!C87,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M87","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ90,AL90,AN90,AP90,AR90,AT90,AV90,AX90,'Sec. I Out-of-State'!X90,'Sec. I Out-of-State'!Z90)/'Sec. G CR Data'!L87,SUM(AN90,AP90,AR90,AT90,AV90,AX90,'Sec. I Out-of-State'!X90,'Sec. I Out-of-State'!Z90)/'Sec. G CR Data'!L87),\"\")","v":""},{"$f":"IF($AR90+$AV90+$AT90+$AX90+$AN90+$AP90+'Sec. I Out-of-State'!$X90+'Sec. I Out-of-State'!$Z90>'Sec. G CR Data'!$L87,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[75,{"$f":"IF('Sec. G CR Data'!B88<>\"\",'Sec. G CR Data'!B88,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C88<>\"\",'Sec. G CR Data'!C88,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M88","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ91,AL91,AN91,AP91,AR91,AT91,AV91,AX91,'Sec. I Out-of-State'!X91,'Sec. I Out-of-State'!Z91)/'Sec. G CR Data'!L88,SUM(AN91,AP91,AR91,AT91,AV91,AX91,'Sec. I Out-of-State'!X91,'Sec. I Out-of-State'!Z91)/'Sec. G CR Data'!L88),\"\")","v":""},{"$f":"IF($AR91+$AV91+$AT91+$AX91+$AN91+$AP91+'Sec. I Out-of-State'!$X91+'Sec. I Out-of-State'!$Z91>'Sec. G CR Data'!$L88,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[76,{"$f":"IF('Sec. G CR Data'!B89<>\"\",'Sec. G CR Data'!B89,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C89<>\"\",'Sec. G CR Data'!C89,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M89","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ92,AL92,AN92,AP92,AR92,AT92,AV92,AX92,'Sec. I Out-of-State'!X92,'Sec. I Out-of-State'!Z92)/'Sec. G CR Data'!L89,SUM(AN92,AP92,AR92,AT92,AV92,AX92,'Sec. I Out-of-State'!X92,'Sec. I Out-of-State'!Z92)/'Sec. G CR Data'!L89),\"\")","v":""},{"$f":"IF($AR92+$AV92+$AT92+$AX92+$AN92+$AP92+'Sec. I Out-of-State'!$X92+'Sec. I Out-of-State'!$Z92>'Sec. G CR Data'!$L89,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[77,{"$f":"IF('Sec. G CR Data'!B90<>\"\",'Sec. G CR Data'!B90,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C90<>\"\",'Sec. G CR Data'!C90,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M90","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ93,AL93,AN93,AP93,AR93,AT93,AV93,AX93,'Sec. I Out-of-State'!X93,'Sec. I Out-of-State'!Z93)/'Sec. G CR Data'!L90,SUM(AN93,AP93,AR93,AT93,AV93,AX93,'Sec. I Out-of-State'!X93,'Sec. I Out-of-State'!Z93)/'Sec. G CR Data'!L90),\"\")","v":""},{"$f":"IF($AR93+$AV93+$AT93+$AX93+$AN93+$AP93+'Sec. I Out-of-State'!$X93+'Sec. I Out-of-State'!$Z93>'Sec. G CR Data'!$L90,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[78,{"$f":"IF('Sec. G CR Data'!B91<>\"\",'Sec. G CR Data'!B91,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C91<>\"\",'Sec. G CR Data'!C91,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M91","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ94,AL94,AN94,AP94,AR94,AT94,AV94,AX94,'Sec. I Out-of-State'!X94,'Sec. I Out-of-State'!Z94)/'Sec. G CR Data'!L91,SUM(AN94,AP94,AR94,AT94,AV94,AX94,'Sec. I Out-of-State'!X94,'Sec. I Out-of-State'!Z94)/'Sec. G CR Data'!L91),\"\")","v":""},{"$f":"IF($AR94+$AV94+$AT94+$AX94+$AN94+$AP94+'Sec. I Out-of-State'!$X94+'Sec. I Out-of-State'!$Z94>'Sec. G CR Data'!$L91,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[79,{"$f":"IF('Sec. G CR Data'!B92<>\"\",'Sec. G CR Data'!B92,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C92<>\"\",'Sec. G CR Data'!C92,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M92","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ95,AL95,AN95,AP95,AR95,AT95,AV95,AX95,'Sec. I Out-of-State'!X95,'Sec. I Out-of-State'!Z95)/'Sec. G CR Data'!L92,SUM(AN95,AP95,AR95,AT95,AV95,AX95,'Sec. I Out-of-State'!X95,'Sec. I Out-of-State'!Z95)/'Sec. G CR Data'!L92),\"\")","v":""},{"$f":"IF($AR95+$AV95+$AT95+$AX95+$AN95+$AP95+'Sec. I Out-of-State'!$X95+'Sec. I Out-of-State'!$Z95>'Sec. G CR Data'!$L92,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[80,{"$f":"IF('Sec. G CR Data'!B93<>\"\",'Sec. G CR Data'!B93,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C93<>\"\",'Sec. G CR Data'!C93,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M93","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ96,AL96,AN96,AP96,AR96,AT96,AV96,AX96,'Sec. I Out-of-State'!X96,'Sec. I Out-of-State'!Z96)/'Sec. G CR Data'!L93,SUM(AN96,AP96,AR96,AT96,AV96,AX96,'Sec. I Out-of-State'!X96,'Sec. I Out-of-State'!Z96)/'Sec. G CR Data'!L93),\"\")","v":""},{"$f":"IF($AR96+$AV96+$AT96+$AX96+$AN96+$AP96+'Sec. I Out-of-State'!$X96+'Sec. I Out-of-State'!$Z96>'Sec. G CR Data'!$L93,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[81,{"$f":"IF('Sec. G CR Data'!B94<>\"\",'Sec. G CR Data'!B94,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C94<>\"\",'Sec. G CR Data'!C94,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M94","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ97,AL97,AN97,AP97,AR97,AT97,AV97,AX97,'Sec. I Out-of-State'!X97,'Sec. I Out-of-State'!Z97)/'Sec. G CR Data'!L94,SUM(AN97,AP97,AR97,AT97,AV97,AX97,'Sec. I Out-of-State'!X97,'Sec. I Out-of-State'!Z97)/'Sec. G CR Data'!L94),\"\")","v":""},{"$f":"IF($AR97+$AV97+$AT97+$AX97+$AN97+$AP97+'Sec. I Out-of-State'!$X97+'Sec. I Out-of-State'!$Z97>'Sec. G CR Data'!$L94,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[82,{"$f":"IF('Sec. G CR Data'!B95<>\"\",'Sec. G CR Data'!B95,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C95<>\"\",'Sec. G CR Data'!C95,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M95","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ98,AL98,AN98,AP98,AR98,AT98,AV98,AX98,'Sec. I Out-of-State'!X98,'Sec. I Out-of-State'!Z98)/'Sec. G CR Data'!L95,SUM(AN98,AP98,AR98,AT98,AV98,AX98,'Sec. I Out-of-State'!X98,'Sec. I Out-of-State'!Z98)/'Sec. G CR Data'!L95),\"\")","v":""},{"$f":"IF($AR98+$AV98+$AT98+$AX98+$AN98+$AP98+'Sec. I Out-of-State'!$X98+'Sec. I Out-of-State'!$Z98>'Sec. G CR Data'!$L95,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[83,{"$f":"IF('Sec. G CR Data'!B96<>\"\",'Sec. G CR Data'!B96,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C96<>\"\",'Sec. G CR Data'!C96,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M96","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ99,AL99,AN99,AP99,AR99,AT99,AV99,AX99,'Sec. I Out-of-State'!X99,'Sec. I Out-of-State'!Z99)/'Sec. G CR Data'!L96,SUM(AN99,AP99,AR99,AT99,AV99,AX99,'Sec. I Out-of-State'!X99,'Sec. I Out-of-State'!Z99)/'Sec. G CR Data'!L96),\"\")","v":""},{"$f":"IF($AR99+$AV99+$AT99+$AX99+$AN99+$AP99+'Sec. I Out-of-State'!$X99+'Sec. I Out-of-State'!$Z99>'Sec. G CR Data'!$L96,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[84,{"$f":"IF('Sec. G CR Data'!B97<>\"\",'Sec. G CR Data'!B97,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C97<>\"\",'Sec. G CR Data'!C97,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M97","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ100,AL100,AN100,AP100,AR100,AT100,AV100,AX100,'Sec. I Out-of-State'!X100,'Sec. I Out-of-State'!Z100)/'Sec. G CR Data'!L97,SUM(AN100,AP100,AR100,AT100,AV100,AX100,'Sec. I Out-of-State'!X100,'Sec. I Out-of-State'!Z100)/'Sec. G CR Data'!L97),\"\")","v":""},{"$f":"IF($AR100+$AV100+$AT100+$AX100+$AN100+$AP100+'Sec. I Out-of-State'!$X100+'Sec. I Out-of-State'!$Z100>'Sec. G CR Data'!$L97,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[85,{"$f":"IF('Sec. G CR Data'!B98<>\"\",'Sec. G CR Data'!B98,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C98<>\"\",'Sec. G CR Data'!C98,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M98","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ101,AL101,AN101,AP101,AR101,AT101,AV101,AX101,'Sec. I Out-of-State'!X101,'Sec. I Out-of-State'!Z101)/'Sec. G CR Data'!L98,SUM(AN101,AP101,AR101,AT101,AV101,AX101,'Sec. I Out-of-State'!X101,'Sec. I Out-of-State'!Z101)/'Sec. G CR Data'!L98),\"\")","v":""},{"$f":"IF($AR101+$AV101+$AT101+$AX101+$AN101+$AP101+'Sec. I Out-of-State'!$X101+'Sec. I Out-of-State'!$Z101>'Sec. G CR Data'!$L98,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[86,{"$f":"IF('Sec. G CR Data'!B99<>\"\",'Sec. G CR Data'!B99,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C99<>\"\",'Sec. G CR Data'!C99,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M99","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(State=\"California DPH\",$T102+$P102+$L102+$H102+$X102+$AB102+$AF102,$T102+$P102+$L102+$H102+$X102+$AB102+$AF102+$AJ102)","v":0},null,{"$f":"IF(State=\"California DPH\",$V102+$R102+$N102+$J102+$Z102+$AD102+$AH102,$V102+$R102+$N102+$J102+$Z102+$AD102+$AH102+$AL102)","v":0},{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ102,AL102,AN102,AP102,AR102,AT102,AV102,AX102,'Sec. I Out-of-State'!X102,'Sec. I Out-of-State'!Z102)/'Sec. G CR Data'!L99,SUM(AN102,AP102,AR102,AT102,AV102,AX102,'Sec. I Out-of-State'!X102,'Sec. I Out-of-State'!Z102)/'Sec. G CR Data'!L99),\"\")","v":""},{"$f":"IF($AR102+$AV102+$AT102+$AX102+$AN102+$AP102+'Sec. I Out-of-State'!$X102+'Sec. I Out-of-State'!$Z102>'Sec. G CR Data'!$L99,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[87,{"$f":"IF('Sec. G CR Data'!B100<>\"\",'Sec. G CR Data'!B100,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C100<>\"\",'Sec. G CR Data'!C100,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M100","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ103,AL103,AN103,AP103,AR103,AT103,AV103,AX103,'Sec. I Out-of-State'!X103,'Sec. I Out-of-State'!Z103)/'Sec. G CR Data'!L100,SUM(AN103,AP103,AR103,AT103,AV103,AX103,'Sec. I Out-of-State'!X103,'Sec. I Out-of-State'!Z103)/'Sec. G CR Data'!L100),\"\")","v":""},{"$f":"IF($AR103+$AV103+$AT103+$AX103+$AN103+$AP103+'Sec. I Out-of-State'!$X103+'Sec. I Out-of-State'!$Z103>'Sec. G CR Data'!$L100,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[88,{"$f":"IF('Sec. G CR Data'!B101<>\"\",'Sec. G CR Data'!B101,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C101<>\"\",'Sec. G CR Data'!C101,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M101","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ104,AL104,AN104,AP104,AR104,AT104,AV104,AX104,'Sec. I Out-of-State'!X104,'Sec. I Out-of-State'!Z104)/'Sec. G CR Data'!L101,SUM(AN104,AP104,AR104,AT104,AV104,AX104,'Sec. I Out-of-State'!X104,'Sec. I Out-of-State'!Z104)/'Sec. G CR Data'!L101),\"\")","v":""},{"$f":"IF($AR104+$AV104+$AT104+$AX104+$AN104+$AP104+'Sec. I Out-of-State'!$X104+'Sec. I Out-of-State'!$Z104>'Sec. G CR Data'!$L101,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[89,{"$f":"IF('Sec. G CR Data'!B102<>\"\",'Sec. G CR Data'!B102,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C102<>\"\",'Sec. G CR Data'!C102,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M102","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ105,AL105,AN105,AP105,AR105,AT105,AV105,AX105,'Sec. I Out-of-State'!X105,'Sec. I Out-of-State'!Z105)/'Sec. G CR Data'!L102,SUM(AN105,AP105,AR105,AT105,AV105,AX105,'Sec. I Out-of-State'!X105,'Sec. I Out-of-State'!Z105)/'Sec. G CR Data'!L102),\"\")","v":""},{"$f":"IF($AR105+$AV105+$AT105+$AX105+$AN105+$AP105+'Sec. I Out-of-State'!$X105+'Sec. I Out-of-State'!$Z105>'Sec. G CR Data'!$L102,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[90,{"$f":"IF('Sec. G CR Data'!B103<>\"\",'Sec. G CR Data'!B103,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C103<>\"\",'Sec. G CR Data'!C103,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M103","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ106,AL106,AN106,AP106,AR106,AT106,AV106,AX106,'Sec. I Out-of-State'!X106,'Sec. I Out-of-State'!Z106)/'Sec. G CR Data'!L103,SUM(AN106,AP106,AR106,AT106,AV106,AX106,'Sec. I Out-of-State'!X106,'Sec. I Out-of-State'!Z106)/'Sec. G CR Data'!L103),\"\")","v":""},{"$f":"IF($AR106+$AV106+$AT106+$AX106+$AN106+$AP106+'Sec. I Out-of-State'!$X106+'Sec. I Out-of-State'!$Z106>'Sec. G CR Data'!$L103,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[91,{"$f":"IF('Sec. G CR Data'!B104<>\"\",'Sec. G CR Data'!B104,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C104<>\"\",'Sec. G CR Data'!C104,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M104","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ107,AL107,AN107,AP107,AR107,AT107,AV107,AX107,'Sec. I Out-of-State'!X107,'Sec. I Out-of-State'!Z107)/'Sec. G CR Data'!L104,SUM(AN107,AP107,AR107,AT107,AV107,AX107,'Sec. I Out-of-State'!X107,'Sec. I Out-of-State'!Z107)/'Sec. G CR Data'!L104),\"\")","v":""},{"$f":"IF($AR107+$AV107+$AT107+$AX107+$AN107+$AP107+'Sec. I Out-of-State'!$X107+'Sec. I Out-of-State'!$Z107>'Sec. G CR Data'!$L104,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[92,{"$f":"IF('Sec. G CR Data'!B105<>\"\",'Sec. G CR Data'!B105,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C105<>\"\",'Sec. G CR Data'!C105,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M105","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ108,AL108,AN108,AP108,AR108,AT108,AV108,AX108,'Sec. I Out-of-State'!X108,'Sec. I Out-of-State'!Z108)/'Sec. G CR Data'!L105,SUM(AN108,AP108,AR108,AT108,AV108,AX108,'Sec. I Out-of-State'!X108,'Sec. I Out-of-State'!Z108)/'Sec. G CR Data'!L105),\"\")","v":""},{"$f":"IF($AR108+$AV108+$AT108+$AX108+$AN108+$AP108+'Sec. I Out-of-State'!$X108+'Sec. I Out-of-State'!$Z108>'Sec. G CR Data'!$L105,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[93,{"$f":"IF('Sec. G CR Data'!B106<>\"\",'Sec. G CR Data'!B106,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C106<>\"\",'Sec. G CR Data'!C106,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M106","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ109,AL109,AN109,AP109,AR109,AT109,AV109,AX109,'Sec. I Out-of-State'!X109,'Sec. I Out-of-State'!Z109)/'Sec. G CR Data'!L106,SUM(AN109,AP109,AR109,AT109,AV109,AX109,'Sec. I Out-of-State'!X109,'Sec. I Out-of-State'!Z109)/'Sec. G CR Data'!L106),\"\")","v":""},{"$f":"IF($AR109+$AV109+$AT109+$AX109+$AN109+$AP109+'Sec. I Out-of-State'!$X109+'Sec. I Out-of-State'!$Z109>'Sec. G CR Data'!$L106,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[94,{"$f":"IF('Sec. G CR Data'!B107<>\"\",'Sec. G CR Data'!B107,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C107<>\"\",'Sec. G CR Data'!C107,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M107","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ110,AL110,AN110,AP110,AR110,AT110,AV110,AX110,'Sec. I Out-of-State'!X110,'Sec. I Out-of-State'!Z110)/'Sec. G CR Data'!L107,SUM(AN110,AP110,AR110,AT110,AV110,AX110,'Sec. I Out-of-State'!X110,'Sec. I Out-of-State'!Z110)/'Sec. G CR Data'!L107),\"\")","v":""},{"$f":"IF($AR110+$AV110+$AT110+$AX110+$AN110+$AP110+'Sec. I Out-of-State'!$X110+'Sec. I Out-of-State'!$Z110>'Sec. G CR Data'!$L107,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[95,{"$f":"IF('Sec. G CR Data'!B108<>\"\",'Sec. G CR Data'!B108,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C108<>\"\",'Sec. G CR Data'!C108,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M108","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ111,AL111,AN111,AP111,AR111,AT111,AV111,AX111,'Sec. I Out-of-State'!X111,'Sec. I Out-of-State'!Z111)/'Sec. G CR Data'!L108,SUM(AN111,AP111,AR111,AT111,AV111,AX111,'Sec. I Out-of-State'!X111,'Sec. I Out-of-State'!Z111)/'Sec. G CR Data'!L108),\"\")","v":""},{"$f":"IF($AR111+$AV111+$AT111+$AX111+$AN111+$AP111+'Sec. I Out-of-State'!$X111+'Sec. I Out-of-State'!$Z111>'Sec. G CR Data'!$L108,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[96,{"$f":"IF('Sec. G CR Data'!B109<>\"\",'Sec. G CR Data'!B109,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C109<>\"\",'Sec. G CR Data'!C109,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M109","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ112,AL112,AN112,AP112,AR112,AT112,AV112,AX112,'Sec. I Out-of-State'!X112,'Sec. I Out-of-State'!Z112)/'Sec. G CR Data'!L109,SUM(AN112,AP112,AR112,AT112,AV112,AX112,'Sec. I Out-of-State'!X112,'Sec. I Out-of-State'!Z112)/'Sec. G CR Data'!L109),\"\")","v":""},{"$f":"IF($AR112+$AV112+$AT112+$AX112+$AN112+$AP112+'Sec. I Out-of-State'!$X112+'Sec. I Out-of-State'!$Z112>'Sec. G CR Data'!$L109,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[97,{"$f":"IF('Sec. G CR Data'!B110<>\"\",'Sec. G CR Data'!B110,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C110<>\"\",'Sec. G CR Data'!C110,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M110","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ113,AL113,AN113,AP113,AR113,AT113,AV113,AX113,'Sec. I Out-of-State'!X113,'Sec. I Out-of-State'!Z113)/'Sec. G CR Data'!L110,SUM(AN113,AP113,AR113,AT113,AV113,AX113,'Sec. I Out-of-State'!X113,'Sec. I Out-of-State'!Z113)/'Sec. G CR Data'!L110),\"\")","v":""},{"$f":"IF($AR113+$AV113+$AT113+$AX113+$AN113+$AP113+'Sec. I Out-of-State'!$X113+'Sec. I Out-of-State'!$Z113>'Sec. G CR Data'!$L110,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[98,{"$f":"IF('Sec. G CR Data'!B111<>\"\",'Sec. G CR Data'!B111,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C111<>\"\",'Sec. G CR Data'!C111,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M111","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ114,AL114,AN114,AP114,AR114,AT114,AV114,AX114,'Sec. I Out-of-State'!X114,'Sec. I Out-of-State'!Z114)/'Sec. G CR Data'!L111,SUM(AN114,AP114,AR114,AT114,AV114,AX114,'Sec. I Out-of-State'!X114,'Sec. I Out-of-State'!Z114)/'Sec. G CR Data'!L111),\"\")","v":""},{"$f":"IF($AR114+$AV114+$AT114+$AX114+$AN114+$AP114+'Sec. I Out-of-State'!$X114+'Sec. I Out-of-State'!$Z114>'Sec. G CR Data'!$L111,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[99,{"$f":"IF('Sec. G CR Data'!B112<>\"\",'Sec. G CR Data'!B112,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C112<>\"\",'Sec. G CR Data'!C112,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M112","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ115,AL115,AN115,AP115,AR115,AT115,AV115,AX115,'Sec. I Out-of-State'!X115,'Sec. I Out-of-State'!Z115)/'Sec. G CR Data'!L112,SUM(AN115,AP115,AR115,AT115,AV115,AX115,'Sec. I Out-of-State'!X115,'Sec. I Out-of-State'!Z115)/'Sec. G CR Data'!L112),\"\")","v":""},{"$f":"IF($AR115+$AV115+$AT115+$AX115+$AN115+$AP115+'Sec. I Out-of-State'!$X115+'Sec. I Out-of-State'!$Z115>'Sec. G CR Data'!$L112,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[100,{"$f":"IF('Sec. G CR Data'!B113<>\"\",'Sec. G CR Data'!B113,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C113<>\"\",'Sec. G CR Data'!C113,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M113","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ116,AL116,AN116,AP116,AR116,AT116,AV116,AX116,'Sec. I Out-of-State'!X116,'Sec. I Out-of-State'!Z116)/'Sec. G CR Data'!L113,SUM(AN116,AP116,AR116,AT116,AV116,AX116,'Sec. I Out-of-State'!X116,'Sec. I Out-of-State'!Z116)/'Sec. G CR Data'!L113),\"\")","v":""},{"$f":"IF($AR116+$AV116+$AT116+$AX116+$AN116+$AP116+'Sec. I Out-of-State'!$X116+'Sec. I Out-of-State'!$Z116>'Sec. G CR Data'!$L113,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[101,{"$f":"IF('Sec. G CR Data'!B114<>\"\",'Sec. G CR Data'!B114,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C114<>\"\",'Sec. G CR Data'!C114,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M114","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ117,AL117,AN117,AP117,AR117,AT117,AV117,AX117,'Sec. I Out-of-State'!X117,'Sec. I Out-of-State'!Z117)/'Sec. G CR Data'!L114,SUM(AN117,AP117,AR117,AT117,AV117,AX117,'Sec. I Out-of-State'!X117,'Sec. I Out-of-State'!Z117)/'Sec. G CR Data'!L114),\"\")","v":""},{"$f":"IF($AR117+$AV117+$AT117+$AX117+$AN117+$AP117+'Sec. I Out-of-State'!$X117+'Sec. I Out-of-State'!$Z117>'Sec. G CR Data'!$L114,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[102,{"$f":"IF('Sec. G CR Data'!B115<>\"\",'Sec. G CR Data'!B115,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C115<>\"\",'Sec. G CR Data'!C115,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M115","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ118,AL118,AN118,AP118,AR118,AT118,AV118,AX118,'Sec. I Out-of-State'!X118,'Sec. I Out-of-State'!Z118)/'Sec. G CR Data'!L115,SUM(AN118,AP118,AR118,AT118,AV118,AX118,'Sec. I Out-of-State'!X118,'Sec. I Out-of-State'!Z118)/'Sec. G CR Data'!L115),\"\")","v":""},{"$f":"IF($AR118+$AV118+$AT118+$AX118+$AN118+$AP118+'Sec. I Out-of-State'!$X118+'Sec. I Out-of-State'!$Z118>'Sec. G CR Data'!$L115,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[103,{"$f":"IF('Sec. G CR Data'!B116<>\"\",'Sec. G CR Data'!B116,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C116<>\"\",'Sec. G CR Data'!C116,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M116","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ119,AL119,AN119,AP119,AR119,AT119,AV119,AX119,'Sec. I Out-of-State'!X119,'Sec. I Out-of-State'!Z119)/'Sec. G CR Data'!L116,SUM(AN119,AP119,AR119,AT119,AV119,AX119,'Sec. I Out-of-State'!X119,'Sec. I Out-of-State'!Z119)/'Sec. G CR Data'!L116),\"\")","v":""},{"$f":"IF($AR119+$AV119+$AT119+$AX119+$AN119+$AP119+'Sec. I Out-of-State'!$X119+'Sec. I Out-of-State'!$Z119>'Sec. G CR Data'!$L116,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[104,{"$f":"IF('Sec. G CR Data'!B117<>\"\",'Sec. G CR Data'!B117,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C117<>\"\",'Sec. G CR Data'!C117,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M117","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ120,AL120,AN120,AP120,AR120,AT120,AV120,AX120,'Sec. I Out-of-State'!X120,'Sec. I Out-of-State'!Z120)/'Sec. G CR Data'!L117,SUM(AN120,AP120,AR120,AT120,AV120,AX120,'Sec. I Out-of-State'!X120,'Sec. I Out-of-State'!Z120)/'Sec. G CR Data'!L117),\"\")","v":""},{"$f":"IF($AR120+$AV120+$AT120+$AX120+$AN120+$AP120+'Sec. I Out-of-State'!$X120+'Sec. I Out-of-State'!$Z120>'Sec. G CR Data'!$L117,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[105,{"$f":"IF('Sec. G CR Data'!B118<>\"\",'Sec. G CR Data'!B118,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C118<>\"\",'Sec. G CR Data'!C118,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M118","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ121,AL121,AN121,AP121,AR121,AT121,AV121,AX121,'Sec. I Out-of-State'!X121,'Sec. I Out-of-State'!Z121)/'Sec. G CR Data'!L118,SUM(AN121,AP121,AR121,AT121,AV121,AX121,'Sec. I Out-of-State'!X121,'Sec. I Out-of-State'!Z121)/'Sec. G CR Data'!L118),\"\")","v":""},{"$f":"IF($AR121+$AV121+$AT121+$AX121+$AN121+$AP121+'Sec. I Out-of-State'!$X121+'Sec. I Out-of-State'!$Z121>'Sec. G CR Data'!$L118,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[106,{"$f":"IF('Sec. G CR Data'!B119<>\"\",'Sec. G CR Data'!B119,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C119<>\"\",'Sec. G CR Data'!C119,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M119","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ122,AL122,AN122,AP122,AR122,AT122,AV122,AX122,'Sec. I Out-of-State'!X122,'Sec. I Out-of-State'!Z122)/'Sec. G CR Data'!L119,SUM(AN122,AP122,AR122,AT122,AV122,AX122,'Sec. I Out-of-State'!X122,'Sec. I Out-of-State'!Z122)/'Sec. G CR Data'!L119),\"\")","v":""},{"$f":"IF($AR122+$AV122+$AT122+$AX122+$AN122+$AP122+'Sec. I Out-of-State'!$X122+'Sec. I Out-of-State'!$Z122>'Sec. G CR Data'!$L119,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[107,{"$f":"IF('Sec. G CR Data'!B120<>\"\",'Sec. G CR Data'!B120,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C120<>\"\",'Sec. G CR Data'!C120,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M120","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ123,AL123,AN123,AP123,AR123,AT123,AV123,AX123,'Sec. I Out-of-State'!X123,'Sec. I Out-of-State'!Z123)/'Sec. G CR Data'!L120,SUM(AN123,AP123,AR123,AT123,AV123,AX123,'Sec. I Out-of-State'!X123,'Sec. I Out-of-State'!Z123)/'Sec. G CR Data'!L120),\"\")","v":""},{"$f":"IF($AR123+$AV123+$AT123+$AX123+$AN123+$AP123+'Sec. I Out-of-State'!$X123+'Sec. I Out-of-State'!$Z123>'Sec. G CR Data'!$L120,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[108,{"$f":"IF('Sec. G CR Data'!B121<>\"\",'Sec. G CR Data'!B121,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C121<>\"\",'Sec. G CR Data'!C121,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M121","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ124,AL124,AN124,AP124,AR124,AT124,AV124,AX124,'Sec. I Out-of-State'!X124,'Sec. I Out-of-State'!Z124)/'Sec. G CR Data'!L121,SUM(AN124,AP124,AR124,AT124,AV124,AX124,'Sec. I Out-of-State'!X124,'Sec. I Out-of-State'!Z124)/'Sec. G CR Data'!L121),\"\")","v":""},{"$f":"IF($AR124+$AV124+$AT124+$AX124+$AN124+$AP124+'Sec. I Out-of-State'!$X124+'Sec. I Out-of-State'!$Z124>'Sec. G CR Data'!$L121,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[109,{"$f":"IF('Sec. G CR Data'!B122<>\"\",'Sec. G CR Data'!B122,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C122<>\"\",'Sec. G CR Data'!C122,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M122","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ125,AL125,AN125,AP125,AR125,AT125,AV125,AX125,'Sec. I Out-of-State'!X125,'Sec. I Out-of-State'!Z125)/'Sec. G CR Data'!L122,SUM(AN125,AP125,AR125,AT125,AV125,AX125,'Sec. I Out-of-State'!X125,'Sec. I Out-of-State'!Z125)/'Sec. G CR Data'!L122),\"\")","v":""},{"$f":"IF($AR125+$AV125+$AT125+$AX125+$AN125+$AP125+'Sec. I Out-of-State'!$X125+'Sec. I Out-of-State'!$Z125>'Sec. G CR Data'!$L122,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[110,{"$f":"IF('Sec. G CR Data'!B123<>\"\",'Sec. G CR Data'!B123,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C123<>\"\",'Sec. G CR Data'!C123,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M123","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ126,AL126,AN126,AP126,AR126,AT126,AV126,AX126,'Sec. I Out-of-State'!X126,'Sec. I Out-of-State'!Z126)/'Sec. G CR Data'!L123,SUM(AN126,AP126,AR126,AT126,AV126,AX126,'Sec. I Out-of-State'!X126,'Sec. I Out-of-State'!Z126)/'Sec. G CR Data'!L123),\"\")","v":""},{"$f":"IF($AR126+$AV126+$AT126+$AX126+$AN126+$AP126+'Sec. I Out-of-State'!$X126+'Sec. I Out-of-State'!$Z126>'Sec. G CR Data'!$L123,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[111,{"$f":"IF('Sec. G CR Data'!B124<>\"\",'Sec. G CR Data'!B124,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C124<>\"\",'Sec. G CR Data'!C124,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M124","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ127,AL127,AN127,AP127,AR127,AT127,AV127,AX127,'Sec. I Out-of-State'!X127,'Sec. I Out-of-State'!Z127)/'Sec. G CR Data'!L124,SUM(AN127,AP127,AR127,AT127,AV127,AX127,'Sec. I Out-of-State'!X127,'Sec. I Out-of-State'!Z127)/'Sec. G CR Data'!L124),\"\")","v":""},{"$f":"IF($AR127+$AV127+$AT127+$AX127+$AN127+$AP127+'Sec. I Out-of-State'!$X127+'Sec. I Out-of-State'!$Z127>'Sec. G CR Data'!$L124,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[112,{"$f":"IF('Sec. G CR Data'!B125<>\"\",'Sec. G CR Data'!B125,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C125<>\"\",'Sec. G CR Data'!C125,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M125","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ128,AL128,AN128,AP128,AR128,AT128,AV128,AX128,'Sec. I Out-of-State'!X128,'Sec. I Out-of-State'!Z128)/'Sec. G CR Data'!L125,SUM(AN128,AP128,AR128,AT128,AV128,AX128,'Sec. I Out-of-State'!X128,'Sec. I Out-of-State'!Z128)/'Sec. G CR Data'!L125),\"\")","v":""},{"$f":"IF($AR128+$AV128+$AT128+$AX128+$AN128+$AP128+'Sec. I Out-of-State'!$X128+'Sec. I Out-of-State'!$Z128>'Sec. G CR Data'!$L125,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[113,{"$f":"IF('Sec. G CR Data'!B126<>\"\",'Sec. G CR Data'!B126,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C126<>\"\",'Sec. G CR Data'!C126,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M126","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ129,AL129,AN129,AP129,AR129,AT129,AV129,AX129,'Sec. I Out-of-State'!X129,'Sec. I Out-of-State'!Z129)/'Sec. G CR Data'!L126,SUM(AN129,AP129,AR129,AT129,AV129,AX129,'Sec. I Out-of-State'!X129,'Sec. I Out-of-State'!Z129)/'Sec. G CR Data'!L126),\"\")","v":""},{"$f":"IF($AR129+$AV129+$AT129+$AX129+$AN129+$AP129+'Sec. I Out-of-State'!$X129+'Sec. I Out-of-State'!$Z129>'Sec. G CR Data'!$L126,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[114,{"$f":"IF('Sec. G CR Data'!B127<>\"\",'Sec. G CR Data'!B127,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C127<>\"\",'Sec. G CR Data'!C127,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M127","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ130,AL130,AN130,AP130,AR130,AT130,AV130,AX130,'Sec. I Out-of-State'!X130,'Sec. I Out-of-State'!Z130)/'Sec. G CR Data'!L127,SUM(AN130,AP130,AR130,AT130,AV130,AX130,'Sec. I Out-of-State'!X130,'Sec. I Out-of-State'!Z130)/'Sec. G CR Data'!L127),\"\")","v":""},{"$f":"IF($AR130+$AV130+$AT130+$AX130+$AN130+$AP130+'Sec. I Out-of-State'!$X130+'Sec. I Out-of-State'!$Z130>'Sec. G CR Data'!$L127,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[115,{"$f":"IF('Sec. G CR Data'!B128<>\"\",'Sec. G CR Data'!B128,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C128<>\"\",'Sec. G CR Data'!C128,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M128","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ131,AL131,AN131,AP131,AR131,AT131,AV131,AX131,'Sec. I Out-of-State'!X131,'Sec. I Out-of-State'!Z131)/'Sec. G CR Data'!L128,SUM(AN131,AP131,AR131,AT131,AV131,AX131,'Sec. I Out-of-State'!X131,'Sec. I Out-of-State'!Z131)/'Sec. G CR Data'!L128),\"\")","v":""},{"$f":"IF($AR131+$AV131+$AT131+$AX131+$AN131+$AP131+'Sec. I Out-of-State'!$X131+'Sec. I Out-of-State'!$Z131>'Sec. G CR Data'!$L128,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[116,{"$f":"IF('Sec. G CR Data'!B129<>\"\",'Sec. G CR Data'!B129,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C129<>\"\",'Sec. G CR Data'!C129,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M129","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ132,AL132,AN132,AP132,AR132,AT132,AV132,AX132,'Sec. I Out-of-State'!X132,'Sec. I Out-of-State'!Z132)/'Sec. G CR Data'!L129,SUM(AN132,AP132,AR132,AT132,AV132,AX132,'Sec. I Out-of-State'!X132,'Sec. I Out-of-State'!Z132)/'Sec. G CR Data'!L129),\"\")","v":""},{"$f":"IF($AR132+$AV132+$AT132+$AX132+$AN132+$AP132+'Sec. I Out-of-State'!$X132+'Sec. I Out-of-State'!$Z132>'Sec. G CR Data'!$L129,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[117,{"$f":"IF('Sec. G CR Data'!B130<>\"\",'Sec. G CR Data'!B130,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C130<>\"\",'Sec. G CR Data'!C130,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M130","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ133,AL133,AN133,AP133,AR133,AT133,AV133,AX133,'Sec. I Out-of-State'!X133,'Sec. I Out-of-State'!Z133)/'Sec. G CR Data'!L130,SUM(AN133,AP133,AR133,AT133,AV133,AX133,'Sec. I Out-of-State'!X133,'Sec. I Out-of-State'!Z133)/'Sec. G CR Data'!L130),\"\")","v":""},{"$f":"IF($AR133+$AV133+$AT133+$AX133+$AN133+$AP133+'Sec. I Out-of-State'!$X133+'Sec. I Out-of-State'!$Z133>'Sec. G CR Data'!$L130,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[118,{"$f":"IF('Sec. G CR Data'!B131<>\"\",'Sec. G CR Data'!B131,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C131<>\"\",'Sec. G CR Data'!C131,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M131","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(State=\"California DPH\",$T134+$P134+$L134+$H134+$X134+$AB134+$AF134,$T134+$P134+$L134+$H134+$X134+$AB134+$AF134+$AJ134)","v":0},null,{"$f":"IF(State=\"California DPH\",$V134+$R134+$N134+$J134+$Z134+$AD134+$AH134,$V134+$R134+$N134+$J134+$Z134+$AD134+$AH134+$AL134)","v":0},{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ134,AL134,AN134,AP134,AR134,AT134,AV134,AX134,'Sec. I Out-of-State'!X134,'Sec. I Out-of-State'!Z134)/'Sec. G CR Data'!L131,SUM(AN134,AP134,AR134,AT134,AV134,AX134,'Sec. I Out-of-State'!X134,'Sec. I Out-of-State'!Z134)/'Sec. G CR Data'!L131),\"\")","v":""},{"$f":"IF($AR134+$AV134+$AT134+$AX134+$AN134+$AP134+'Sec. I Out-of-State'!$X134+'Sec. I Out-of-State'!$Z134>'Sec. G CR Data'!$L131,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[119,{"$f":"IF('Sec. G CR Data'!B132<>\"\",'Sec. G CR Data'!B132,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C132<>\"\",'Sec. G CR Data'!C132,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M132","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ135,AL135,AN135,AP135,AR135,AT135,AV135,AX135,'Sec. I Out-of-State'!X135,'Sec. I Out-of-State'!Z135)/'Sec. G CR Data'!L132,SUM(AN135,AP135,AR135,AT135,AV135,AX135,'Sec. I Out-of-State'!X135,'Sec. I Out-of-State'!Z135)/'Sec. G CR Data'!L132),\"\")","v":""},{"$f":"IF($AR135+$AV135+$AT135+$AX135+$AN135+$AP135+'Sec. I Out-of-State'!$X135+'Sec. I Out-of-State'!$Z135>'Sec. G CR Data'!$L132,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[120,{"$f":"IF('Sec. G CR Data'!B133<>\"\",'Sec. G CR Data'!B133,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C133<>\"\",'Sec. G CR Data'!C133,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M133","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ136,AL136,AN136,AP136,AR136,AT136,AV136,AX136,'Sec. I Out-of-State'!X136,'Sec. I Out-of-State'!Z136)/'Sec. G CR Data'!L133,SUM(AN136,AP136,AR136,AT136,AV136,AX136,'Sec. I Out-of-State'!X136,'Sec. I Out-of-State'!Z136)/'Sec. G CR Data'!L133),\"\")","v":""},{"$f":"IF($AR136+$AV136+$AT136+$AX136+$AN136+$AP136+'Sec. I Out-of-State'!$X136+'Sec. I Out-of-State'!$Z136>'Sec. G CR Data'!$L133,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[121,{"$f":"IF('Sec. G CR Data'!B134<>\"\",'Sec. G CR Data'!B134,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C134<>\"\",'Sec. G CR Data'!C134,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M134","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ137,AL137,AN137,AP137,AR137,AT137,AV137,AX137,'Sec. I Out-of-State'!X137,'Sec. I Out-of-State'!Z137)/'Sec. G CR Data'!L134,SUM(AN137,AP137,AR137,AT137,AV137,AX137,'Sec. I Out-of-State'!X137,'Sec. I Out-of-State'!Z137)/'Sec. G CR Data'!L134),\"\")","v":""},{"$f":"IF($AR137+$AV137+$AT137+$AX137+$AN137+$AP137+'Sec. I Out-of-State'!$X137+'Sec. I Out-of-State'!$Z137>'Sec. G CR Data'!$L134,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[122,{"$f":"IF('Sec. G CR Data'!B135<>\"\",'Sec. G CR Data'!B135,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C135<>\"\",'Sec. G CR Data'!C135,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M135","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ138,AL138,AN138,AP138,AR138,AT138,AV138,AX138,'Sec. I Out-of-State'!X138,'Sec. I Out-of-State'!Z138)/'Sec. G CR Data'!L135,SUM(AN138,AP138,AR138,AT138,AV138,AX138,'Sec. I Out-of-State'!X138,'Sec. I Out-of-State'!Z138)/'Sec. G CR Data'!L135),\"\")","v":""},{"$f":"IF($AR138+$AV138+$AT138+$AX138+$AN138+$AP138+'Sec. I Out-of-State'!$X138+'Sec. I Out-of-State'!$Z138>'Sec. G CR Data'!$L135,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[123,{"$f":"IF('Sec. G CR Data'!B136<>\"\",'Sec. G CR Data'!B136,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C136<>\"\",'Sec. G CR Data'!C136,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M136","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ139,AL139,AN139,AP139,AR139,AT139,AV139,AX139,'Sec. I Out-of-State'!X139,'Sec. I Out-of-State'!Z139)/'Sec. G CR Data'!L136,SUM(AN139,AP139,AR139,AT139,AV139,AX139,'Sec. I Out-of-State'!X139,'Sec. I Out-of-State'!Z139)/'Sec. G CR Data'!L136),\"\")","v":""},{"$f":"IF($AR139+$AV139+$AT139+$AX139+$AN139+$AP139+'Sec. I Out-of-State'!$X139+'Sec. I Out-of-State'!$Z139>'Sec. G CR Data'!$L136,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[124,{"$f":"IF('Sec. G CR Data'!B137<>\"\",'Sec. G CR Data'!B137,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C137<>\"\",'Sec. G CR Data'!C137,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M137","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ140,AL140,AN140,AP140,AR140,AT140,AV140,AX140,'Sec. I Out-of-State'!X140,'Sec. I Out-of-State'!Z140)/'Sec. G CR Data'!L137,SUM(AN140,AP140,AR140,AT140,AV140,AX140,'Sec. I Out-of-State'!X140,'Sec. I Out-of-State'!Z140)/'Sec. G CR Data'!L137),\"\")","v":""},{"$f":"IF($AR140+$AV140+$AT140+$AX140+$AN140+$AP140+'Sec. I Out-of-State'!$X140+'Sec. I Out-of-State'!$Z140>'Sec. G CR Data'!$L137,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[125,{"$f":"IF('Sec. G CR Data'!B138<>\"\",'Sec. G CR Data'!B138,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C138<>\"\",'Sec. G CR Data'!C138,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M138","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ141,AL141,AN141,AP141,AR141,AT141,AV141,AX141,'Sec. I Out-of-State'!X141,'Sec. I Out-of-State'!Z141)/'Sec. G CR Data'!L138,SUM(AN141,AP141,AR141,AT141,AV141,AX141,'Sec. I Out-of-State'!X141,'Sec. I Out-of-State'!Z141)/'Sec. G CR Data'!L138),\"\")","v":""},{"$f":"IF($AR141+$AV141+$AT141+$AX141+$AN141+$AP141+'Sec. I Out-of-State'!$X141+'Sec. I Out-of-State'!$Z141>'Sec. G CR Data'!$L138,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[126,{"$f":"IF('Sec. G CR Data'!B139<>\"\",'Sec. G CR Data'!B139,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C139<>\"\",'Sec. G CR Data'!C139,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M139","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ142,AL142,AN142,AP142,AR142,AT142,AV142,AX142,'Sec. I Out-of-State'!X142,'Sec. I Out-of-State'!Z142)/'Sec. G CR Data'!L139,SUM(AN142,AP142,AR142,AT142,AV142,AX142,'Sec. I Out-of-State'!X142,'Sec. I Out-of-State'!Z142)/'Sec. G CR Data'!L139),\"\")","v":""},{"$f":"IF($AR142+$AV142+$AT142+$AX142+$AN142+$AP142+'Sec. I Out-of-State'!$X142+'Sec. I Out-of-State'!$Z142>'Sec. G CR Data'!$L139,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[127,{"$f":"IF('Sec. G CR Data'!B140<>\"\",'Sec. G CR Data'!B140,\"\")","v":""},{"$f":"IF('Sec. G CR Data'!C140<>\"\",'Sec. G CR Data'!C140,\"\")","v":""},null,null,{"$f":"'Sec. G CR Data'!M140","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ143,AL143,AN143,AP143,AR143,AT143,AV143,AX143,'Sec. I Out-of-State'!X143,'Sec. I Out-of-State'!Z143)/'Sec. G CR Data'!L140,SUM(AN143,AP143,AR143,AT143,AV143,AX143,'Sec. I Out-of-State'!X143,'Sec. I Out-of-State'!Z143)/'Sec. G CR Data'!L140),\"\")","v":""},{"$f":"IF($AR143+$AV143+$AT143+$AX143+$AN143+$AP143+'Sec. I Out-of-State'!$X143+'Sec. I Out-of-State'!$Z143>'Sec. G CR Data'!$L140,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[null,null,null,null,null,null,null,{"$f":"SUM(FFS_IP_ANCILLARY)","v":10539601.559999999},null,{"$f":"SUM(FFS_OP_ANCILLARY)","v":15791541.039999999},null,{"$f":"SUM(MCO_IP_ANCILLARY)","v":10504581.920138478},null,{"$f":"SUM(MCO_OP_ANCILLARY)","v":27880167.050000131},null,{"$f":"SUM(FFS_XOVER_IP_ANCILLARY)","v":12193593.580739167},null,{"$f":"SUM(FFS_XOVER_OP_ANCILLARY)","v":16419018.589999987},null,{"$f":"SUM(MCO_XOVER_IP_ANCILLARY)","v":9567543.4507280514},null,{"$f":"SUM(MCO_XOVER_OP_ANCILLARY)","v":16724826.579999991},null,{"$f":"SUM(HEALTHY_IP_ANCILLARY)","v":0},null,{"$f":"SUM(HEALTHY_OP_ANCILLARY)","v":0},null,{"$f":"SUM(VALIDATED_PAID_IP_ANCILLARY)","v":0},null,{"$f":"SUM(VALIDATED_PAID_OP_ANCILLARY)","v":0},null,{"$f":"SUM(FFS_MCAID_ELIGIBLE_IP_ANCILLARY)","v":0},null,{"$f":"SUM(FFS_MCAID_ELIGIBLE_OP_ANCILLARY)","v":0},null,{"$f":"SUM(MCO_MCAID_ELIGIBLE_IP_ANCILLARY)","v":0},null,{"$f":"SUM(MCO_MCAID_ELIGIBLE_OP_ANCILLARY)","v":0},null,{"$f":"SUM(STATE_ONLY_IP_ANCILLARY)","v":0},null,{"$f":"SUM(STATE_ONLY_OP_ANCILLARY)","v":0},null,{"$f":"SUM(UNINSURED_IP_ANCILLARY)","v":11563038.861158051},null,{"$f":"SUM(UNINSURED_OP_ANCILLARY)","v":36715158.239999995}]
[null,"Totals / Payments"]
[]
[128,"Total Charges (includes organ acquisition from Section J)",null,null,null,null,null,{"$f":"SUM(H$34,H$38:H$143,'Sec. J & K Organ Acq'!L$19)","v":13914395.560000002},null,{"$f":"SUM(J$38:J$143)","v":15791541.039999999},null,{"$f":"SUM(L$34,L$38:L$143,'Sec. J & K Organ Acq'!P$19)","v":13264151.920138478},null,{"$f":"SUM(N$38:N$143)","v":27880167.050000131},null,{"$f":"SUM(P$34,P$38:P$143,'Sec. J & K Organ Acq'!T$19)","v":15694733.580739165},null,{"$f":"SUM(R$38:R$143)","v":16419018.589999987},null,{"$f":"SUM(T$34,T$38:T$143,'Sec. J & K Organ Acq'!X$19)","v":12368718.450728055},null,{"$f":"SUM(V$38:V$143)","v":16724826.579999991},null,{"$f":"SUM(X$34,X$38:X$143,'Sec. J & K Organ Acq'!AB19)","v":0},null,{"$f":"SUM(Z$38:Z$143)","v":0},null,{"$f":"SUM(AB$34,AB$38:AB$143,'Sec. J & K Organ Acq'!AF$19)","v":0},null,{"$f":"SUM(AD$38:AD$143)","v":0},null,{"$f":"SUM(AF$34,AF$38:AF$143,'Sec. J & K Organ Acq'!AJ$19)","v":0},null,{"$f":"SUM(AH$38:AH$143)","v":0},null,{"$f":"SUM(AJ$34,AJ$38:AJ$143,'Sec. J & K Organ Acq'!AN$19)","v":0},null,{"$f":"SUM(AL$38:AL$143)","v":0},null,{"$f":"SUM(AN$34,AN$38:AN$143,'Sec. J & K Organ Acq'!AR$19)","v":0},null,{"$f":"SUM(AP$38:AP$143)","v":0},null,{"$f":"SUM(AR$34,AR$38:AR$143,'Sec. J & K Organ Acq'!AV$19)","v":14790323.861158047},null,{"$f":"SUM(AT$38:AT$143)","v":36715158.239999995},null,{"$f":"IF(State=\"California DPH\",$T147+$P147+$L147+$H147+$X147+$AB147+$AF147,$T147+$P147+$L147+$H147+$X147+$AB147+$AF147+$AJ147)","v":55241999.511605702},null,{"$f":"IF(State=\"California DPH\",$V147+$R147+$N147+$J147+$Z147+$AD147+$AH147,$V147+$R147+$N147+$J147+$Z147+$AD147+$AH147+$AL147)","v":76815553.26000011},{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ147,AL147,AN147,AP147,AR147,AT147,AV147,AX147,OOS_Mcaid_IP_Charges_1,OOS_Mcaid_OP_Charges_1)/'Sec. G CR Data'!L144,SUM(AN147,AP147,AR147,AT147,AV147,AX147,OOS_Mcaid_IP_Charges_1,OOS_Mcaid_OP_Charges_1)/'Sec. G CR Data'!L144),\"\")","v":0.37636463542383125}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(Agrees to Exhibit A)",null,"(Agrees to Exhibit A)"]
[129,"Total Charges per PS&R or Exhibit Detail",null,null,null,null,null,{"$f":"+H147","v":13914395.560000002},null,{"$f":"+J147","v":15791541.039999999},null,{"$f":"+L147","v":13264151.920138478},null,{"$f":"+N147","v":27880167.050000131},null,{"$f":"+P147","v":15694733.580739165},null,{"$f":"+R147","v":16419018.589999987},null,{"$f":"+T147","v":12368718.450728055},null,{"$f":"+V147","v":16724826.579999991},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"+AR147","v":14790323.861158047},null,{"$f":"+AT147","v":36715158.239999995}]
[130,"Unreconciled Charges (Explain Variance)",null,null,null,null,null,{"$f":"H147-H149","v":0},null,{"$f":"J147-J149","v":0},null,{"$f":"L147-L149","v":0},null,{"$f":"N147-N149","v":0},null,{"$f":"P147-P149","v":0},null,{"$f":"R147-R149","v":0},null,{"$f":"T147-T149","v":0},null,{"$f":"V147-V149","v":0},null,{"$f":"X147-X149","v":0},null,{"$f":"Z147-Z149","v":0},null,{"$f":"AB147-AB149","v":0},null,{"$f":"AD147-AD149","v":0},null,{"$f":"AF147-AF149","v":0},null,{"$f":"AH147-AH149","v":0},null,{"$f":"AJ147-AJ149","v":0},null,{"$f":"AL147-AL149","v":0},null,{"$f":"AN147-AN149","v":0},null,{"$f":"AP147-AP149","v":0},null,{"$f":"AR147-AR149","v":0},null,{"$f":"AT147-AT149","v":0}]
[]
[131,"Total Calculated Cost (includes organ acquisition from Section J)",null,null,null,null,null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,H$11:H$27)+SUMPRODUCT($F$38:$F$143,H$38:H$143)+'Sec. J & K Organ Acq'!N$21,0)","v":4972227},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,J$11:J$27)+SUMPRODUCT($F$38:$F$143,J$38:J$143),0)","v":3100907},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,L$11:L$27)+SUMPRODUCT($F$38:$F$143,L$38:L$143)+'Sec. J & K Organ Acq'!R$21,)","v":5545094},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,N$11:N$27)+SUMPRODUCT($F$38:$F$143,N$38:N$143),0)","v":4885421},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,P$11:P$27)+SUMPRODUCT($F$38:$F$143,P$38:P$143)+'Sec. J & K Organ Acq'!V$21,0)","v":5316086},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,R$11:R$27)+SUMPRODUCT($F$38:$F$143,R$38:R$143),0)","v":3370877},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,T$11:T$27)+SUMPRODUCT($F$38:$F$143,T$38:T$143)+'Sec. J & K Organ Acq'!Z$21,0)","v":4374644},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,V$11:V$27)+SUMPRODUCT($F$38:$F$143,V$38:V$143),0)","v":3651022},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,X$11:X$27)+SUMPRODUCT($F$38:$F$143,X$38:X$143)+'Sec. J & K Organ Acq'!$AD$21,0)","v":0},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,Z$11:Z$27)+SUMPRODUCT($F$38:$F$143,Z$38:Z$143),0)","v":0},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,AB$11:AB$27)+SUMPRODUCT($F$38:$F$143,AB$38:AB$143)+'Sec. J & K Organ Acq'!AH$21,0)","v":0},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,AD$11:AD$27)+SUMPRODUCT($F$38:$F$143,AD$38:AD$143),0)","v":0},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,AF$11:AF$27)+SUMPRODUCT($F$38:$F$143,AF$38:AF$143)+'Sec. J & K Organ Acq'!AL$21,0)","v":0},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,AH$11:AH$27)+SUMPRODUCT($F$38:$F$143,AH$38:AH$143),0)","v":0},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,AJ$11:AJ$27)+SUMPRODUCT($F$38:$F$143,AJ$38:AJ$143)+'Sec. J & K Organ Acq'!AP$21,0)","v":0},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,AL$11:AL$27)+SUMPRODUCT($F$38:$F$143,AL$38:AL$143),0)","v":0},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,AN$11:AN$27)+SUMPRODUCT($F$38:$F$143,AN$38:AN$143)+'Sec. J & K Organ Acq'!AT$21,0)","v":0},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,AP$11:AP$27)+SUMPRODUCT($F$38:$F$143,AP$38:AP$143),0)","v":0},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,AR$11:AR$27)+SUMPRODUCT($F$38:$F$143,AR$38:AR$143)+'Sec. J & K Organ Acq'!AX$21,0)","v":4608546},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,AT$11:AT$27)+SUMPRODUCT($F$38:$F$143,AT$38:AT$143),0)","v":6188450},null,{"$f":"IF(State=\"California DPH\",$T152+$P152+$L152+$H152+$X152+$AB152+$AF152,$T152+$P152+$L152+$H152+$X152+$AB152+$AF152+$AJ152)","v":20208051},null,{"$f":"IF(State=\"California DPH\",$V152+$R152+$N152+$J152+$Z152+$AD152+$AH152,$V152+$R152+$N152+$J152+$Z152+$AD152+$AH152+$AL152)","v":15008227},{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ152,AL152,AN152,AP152,AR152,AT152,AV152,AX152,Tot_Mcaid_OutOfState_IP_Cost_1,Tot_Mcaid_OutOfState_OP_Cost_1)/'Sec. G CR Data'!I149,SUM(AN152,AP152,AR152,AT152,AV152,AX152,Tot_Mcaid_OutOfState_IP_Cost_1,Tot_Mcaid_OutOfState_OP_Cost_1)/'Sec. G CR Data'!I149),\"\")","v":0.38546995701758718}]
[]
[132,"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)",null,null,null,null,null,5118268.7699999996,null,2962216.7,null,null,null,null,null,435609.49000000017,null,311357.97000000009,null,179205.20000000004,null,192550.03000000006,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"$T154+$P154+$L154+$H154+$X154+$AB154+$AF154+$AJ154","v":5733083.46},null,{"$f":"$V154+$R154+$N154+$J154+$Z154+$AD154+$AH154+$AL154","v":3466124.7}]
[133,{"$f":"IF(StateOnlyDisplay=\"Yes\",\"Total Medicaid (or State-Only) Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)\",\"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)\")","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},null,null,null,null,null,0,null,0,null,4132536,null,4346780.8200003421,null,0,null,54.300000000000004,null,99746.61000000003,null,85755.29999999977,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(StateOnlyDisplay=\"YES\",\"(See Note F)\",\"\")","v":""},null,null,null,{"$f":"$T155+$P155+$L155+$H155+$X155+$AB155+$AF155+$AJ155","v":4232282.6100000003},null,{"$f":"$V155+$R155+$N155+$J155+$Z155+$AD155+$AH155+$AL155","v":4432590.4200003417}]
[134,"Private Insurance (including primary and third party liability)",null,null,null,null,null,152352.53,null,169118.81,null,null,null,2553,null,18497.02,null,8844.9999999999964,null,1603725.3100000003,null,1550592.6099999994,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1774574.8600000003,null,1731109.4199999995]
[135,"Self-Pay (including Co-Pay and Spend-Down)",null,null,null,null,null,0,null,6875.04,null,447,null,1391,null,486.88,null,3862.1300000000006,null,9343.99,null,22676.549999999996,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(StateOnlyDisplay=\"YES\",\"(See Note F)\",\"\")","v":""},null,null,null,10277.869999999999,null,34804.719999999994]
[136,"Total Allowed Amount from Medicaid PS&R or RA Detail (All Payments)",null,null,null,null,null,{"$f":"SUM(H$154:H$157)","v":5270621.3},null,{"$f":"SUM(J$154:J$157)","v":3138210.5500000003},null,{"$f":"SUM(L$154:L$157)","v":4132983},null,{"$f":"SUM(N$154:N$157)","v":4350724.8200003421},null,null,null,null,null,null,null,null,null,{"$f":"SUM(X$154:X$157)","v":0},null,{"$f":"SUM(Z$154:Z$157)","v":0},null,{"$f":"SUM(AB$154:AB$157)","v":0},null,{"$f":"SUM(AD$154:AD$157)","v":0},null,{"$f":"SUM(AF$154:AF$157)","v":0},null,{"$f":"SUM(AH$154:AH$157)","v":0},null,{"$f":"SUM(AJ$154:AJ$157)","v":0},null,{"$f":"SUM(AL$154:AL$157)","v":0},null,{"$f":"SUM(AN$154:AN$157)","v":0},null,{"$f":"SUM(AP$154:AP$157)","v":0}]
[137,"Medicaid Cost Settlement Payments (See Note B)",null,null,null,null,null,null,null,-365561,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"$H159+$AB159+$L159","v":0},null,{"$f":"$J159+$AD159+$N159","v":-365561}]
[138,{"$f":"IF(State=\"California DPH\",\"Other Payments Reported on Cost Report Year\",\"Other Medicaid Payments Reported on Cost Report Year (See Note C)\")","v":"Other Medicaid Payments Reported on Cost Report Year (See Note C)"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(State=\"California DPH\",$L160+$H160+$X160+$AB160+$AF160,$L160+$H160+$X160+$AB160+$AF160+$AJ160)","v":0},null,{"$f":"IF(State=\"California DPH\",$N160+$J160+$Z160+$AD160+$AH160,$N160+$J160+$Z160+$AD160+$AH160+$AL160)","v":0}]
[139,"Medicare Traditional (non-HMO) Paid Amount (excludes coinsurance/deductibles)",null,null,null,null,null,null,null,null,null,null,null,null,null,4815147.3600000031,null,2444202.0499999751,null,586829.01000000013,null,782601.68000000354,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(State=\"California DPH\",$T161+$P161+$X161,$T161+$P161+$AB161)","v":5401976.3700000029},null,{"$f":"IF(State=\"California DPH\",$V161+$R161+$Z161,$V161+$R161+$AD161)","v":3226803.7299999786}]
[140,"Medicare Managed Care (HMO) Paid Amount (excludes coinsurance/deductibles)",null,null,null,null,null,null,null,null,null,null,null,null,null,7286.52,null,393,null,1702594.2000000004,null,1208975.9000000034,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(State=\"California DPH\",$T162+$P162+$X162,$T162+$P162+$AB162)","v":1709880.7200000004},null,{"$f":"IF(State=\"California DPH\",$V162+$R162+$Z162,$V162+$R162+$AD162)","v":1209368.9000000034}]
[141,"Medicare Cross-Over Bad Debt Payments",null,null,null,null,null,null,null,null,null,null,null,null,null,35003,null,55778,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(Agrees to Exhibit B and B-1)",null,"(Agrees to Exhibit B and B-1)",null,{"$f":"IF(State=\"California DPH\",$T163+$P163+$X163,$T163+$P163+$AB163)","v":35003},null,{"$f":"IF(State=\"California DPH\",$V163+$R163+$Z163,$V163+$R163+$AD163)","v":55778}]
[142,"Other Medicare Cross-Over Payments (See Note D)",null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(State=\"California DPH\",$T164+$P164+$X164,$T164+$P164+$AB164)","v":0},null,{"$f":"IF(State=\"California DPH\",$V164+$R164+$Z164,$V164+$R164+$AD164)","v":0}]
[143,"Payment from Hospital Uninsured During Cost Report Year (Cash Basis)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,178219,null,572282,null,{"$f":"IF(ROUND(SUM(AR165,AT165),0)<>ROUND('Sec. D, E, F CR Data'!$M$60,0),\"Uninsured payments do not reconcile to Section E. Please verify.\",\"\")","v":""}]
[144,"Section 1011 Payment Related to Inpatient Hospital Services NOT Included in Exhibits B & B-1  (from Section E)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"NotOnB_IP_1011_1","v":0},null,{"$f":"NotOnB_OP_1011_1","v":0}]
[]
[]
[145,"Calculated Payment Shortfall / (Longfall) (PRIOR TO SUPPLEMENTAL PAYMENTS AND DSH)",null,null,null,null,null,{"$f":"H$152-SUM(H$154:H$157)-SUM(H$159:H$160)","v":-298394.29999999981},null,{"$f":"J$152-SUM(J$154:J$157)-SUM(J$159:J$160)","v":328257.44999999972},null,{"$f":"L$152-SUM(L$154:L$157)-SUM(L$159:L$160)","v":1412111},null,{"$f":"N$152-SUM(N$154:N$157)-SUM(N$159:N$160)","v":534696.17999965791},null,{"$f":"P$152-SUM(P$154:P$157)-SUM(P$161:P$164)","v":4055.7299999967217},null,{"$f":"R$152-SUM(R$154:R$157)-SUM(R$161:R$164)","v":546384.55000002496},null,{"$f":"T$152-SUM(T$154:T$157)-SUM(T$161:T$164)","v":193199.67999999924},null,{"$f":"V$152-SUM(V$154:V$157)-SUM(V$161:V$164)","v":-192130.07000000635},null,{"$f":"IF(State=\"California DPH\",X$152-SUM(X$154:X$157)-SUM(X$160:X$164),X$152-SUM(X$154:X$157)-X$160)","v":0},null,{"$f":"IF(State=\"California DPH\",Z$152-SUM(Z$154:Z$157)-SUM(Z$160:Z$164),Z$152-SUM(Z$154:Z$157)-Z$160)","v":0},null,{"$f":"IF(State=\"California DPH\",AB$152-SUM(AB$154:AB$157)-AB160,AB$152-SUM(AB$154:AB$157)-SUM(AB$159:AB$164))","v":0},null,{"$f":"IF(State=\"California DPH\",AD$152-SUM(AD$154:AD$157)-AD160,AD$152-SUM(AD$154:AD$157)-SUM(AD$159:AD$164))","v":0},null,{"$f":"AF$152-SUM(AF$154:AF$157)-AF$160","v":0},null,{"$f":"AH$152-SUM(AH$154:AH$157)-AH$160","v":0},null,{"$f":"IF(State=\"California DPH\",AJ$152-SUM(AJ$154:AJ$157)-AJ$160-AJ165,AJ$152-SUM(AJ$154:AJ$157)-AJ$160)","v":0},null,{"$f":"IF(State=\"California DPH\",AL$152-SUM(AL$154:AL$157)-AL$160-AL165,AL$152-SUM(AL$154:AL$157)-AL$160)","v":0},null,{"$f":"AN$152-SUM(AN$154:AN$157)-SUM(AN$159:AN$165)","v":0},null,{"$f":"AP$152-SUM(AP$154:AP$157)-SUM(AP$159:AP$165)","v":0},null,{"$f":"AR$152-AR$165-AR$166","v":4430327},null,{"$f":"AT$152-AT$165-AT$166","v":5616168},null,{"$f":"AV$152-SUM(AV$154:AV$157)-SUM(AV$159:AV$164)","v":1310972.1099999975},null,{"$f":"AX$152-SUM(AX$154:AX$157)-SUM(AX$159:AX$164)","v":1217208.1099996753}]
[146,"Calculated Payments as a Percentage of Cost",null,null,null,null,null,{"$f":"IF(FFS_InState_IP_Cost_1>0, (SUM(H$154:H$157)+SUM(H$159:H$160))/FFS_InState_IP_Cost_1,0)","v":1.060012203787156},null,{"$f":"IF(FFS_InState_OP_Cost_1>0, (SUM(J$154:J$157)+SUM(J$159:J$160))/FFS_InState_OP_Cost_1,0)","v":0.89414147215637241},null,{"$f":"IF(Mngd_Care_InState_IP_Cost_1>0, (SUM(L$154:L$157)+SUM(L$159:L$160))/Mngd_Care_InState_IP_Cost_1,0)","v":0.74534047574306228},null,{"$f":"IF(Mngd_Care_InState_OP_Cost_1>0, (SUM(N$154:N$157)+SUM(N$159:N$160))/Mngd_Care_InState_OP_Cost_1,0)","v":0.89055269136484694},null,{"$f":"IF(Cross_FFS_InState_IP_Cost_1>0, (SUM(P$154:P$157)+SUM(P$161:P$164))/Cross_FFS_InState_IP_Cost_1,0)","v":0.99923708344823681},null,{"$f":"IF(Cross_FFS_InState_OP_Cost_1>0, (SUM(R$154:R$157)+SUM(R$161:R$164))/Cross_FFS_InState_OP_Cost_1,0)","v":0.8379102678620356},null,{"$f":"IF(Mngd_Care_Cross_InState_IP_Cost_1>0, (SUM(T$154:T$157)+SUM(T$161:T$164))/Mngd_Care_Cross_InState_IP_Cost_1,0)","v":0.955836479494103},null,{"$f":"IF(Mngd_Care_Cross_InState_OP_Cost_1>0, (SUM(V$154:V$157)+SUM(V$161:V$164))/Mngd_Care_Cross_InState_OP_Cost_1,0)","v":1.0526236407230651},null,{"$f":"IF(State=\"California DPH\",IF(HIP_IP_Cost_1>0,(SUM(X$154:X$157)+SUM(X$160:X$164))/HIP_IP_Cost_1,0),IF(HIP_IP_Cost_1>0,(SUM(X$154:X$157)+X$160)/HIP_IP_Cost_1,0))","v":0},null,{"$f":"IF(State=\"California DPH\",IF(HIP_OP_Cost_1>0,(SUM(Z$154:Z$157)+SUM(Z$160:Z$164))/HIP_OP_Cost_1,0),IF(HIP_OP_Cost_1>0,(SUM(Z$154:Z$157)+Z$160)/HIP_OP_Cost_1,0))","v":0},null,{"$f":"IF(State=\"California DPH\",IF(Validated_Paid_InState_IP_Cost_1>0,(SUM(AB$154:AB$157)+AB160)/Validated_Paid_InState_IP_Cost_1,0),IF(Validated_Paid_InState_IP_Cost_1>0,(SUM(AB$154:AB$157)+SUM(AB$159:AB$164))/Validated_Paid_InState_IP_Cost_1,0))","v":0},null,{"$f":"IF(State=\"California DPH\",IF(Validated_Paid_InState_OP_Cost_1>0,(SUM(AD$154:AD$157)+AD160)/Validated_Paid_InState_OP_Cost_1,0),IF(Validated_Paid_InState_OP_Cost_1>0,(SUM(AD$154:AD$157)+SUM(AD$159:AD$164))/Validated_Paid_InState_OP_Cost_1,0))","v":0},null,{"$f":"IF(FFS_Mcaid_Eligible_InState_IP_Cost_1>0, (SUM(AF$154:AF$157)+AF$160)/FFS_Mcaid_Eligible_InState_IP_Cost_1,0)","v":0},null,{"$f":"IF(FFS_Mcaid_Eligible_InState_OP_Cost_1>0, (SUM(AH$154:AH$157)+AH$160)/FFS_Mcaid_Eligible_InState_OP_Cost_1,0)","v":0},null,{"$f":"IF(State=\"California DPH\",IF(MCO_Mcaid_Eligible_InState_IP_Cost_1>0,(SUM(AJ$154:AJ$157)+AJ$160+AJ165)/MCO_Mcaid_Eligible_InState_IP_Cost_1,0),IF(MCO_Mcaid_Eligible_InState_IP_Cost_1>0,(SUM(AJ$154:AJ$157)+AJ$160)/MCO_Mcaid_Eligible_InState_IP_Cost_1,0))","v":0},null,{"$f":"IF(State=\"California DPH\",IF(MCO_Mcaid_Eligible_InState_OP_Cost_1>0,(SUM(AL$154:AL$157)+AL$160+AL165)/MCO_Mcaid_Eligible_InState_OP_Cost_1,0),IF(MCO_Mcaid_Eligible_InState_OP_Cost_1>0,(SUM(AL$154:AL$157)+AL$160)/MCO_Mcaid_Eligible_InState_OP_Cost_1,0))","v":0},null,{"$f":"IF(State_Only_InState_IP_Cost_1>0, (SUM(AN$154:AN$157)+SUM(AN$159:AN$165))/State_Only_InState_IP_Cost_1,0)","v":0},null,{"$f":"IF(State_Only_InState_OP_Cost_1>0, (SUM(AP$154:AP$157)+SUM(AP$159:AP$165))/State_Only_InState_OP_Cost_1,0)","v":0},null,{"$f":"IF(Uninsured_InState_IP_Cost_1>0,SUM(AR$165:AR$166)/Uninsured_InState_IP_Cost_1,0)","v":3.8671416103907827E-2},null,{"$f":"IF(Uninsured_Instate_OP_Cost_1>0,SUM(AT$165:AT$166)/Uninsured_Instate_OP_Cost_1,0)","v":9.2475821894012239E-2},null,{"$f":"IF(Tot_Mcaid_InState_IP_Cost_1>0,(SUM(AV$154:AV$157)+SUM(AV$159:AV$164))/Tot_Mcaid_InState_IP_Cost_1,0)","v":0.93512624695968949},null,{"$f":"IF(Tot_Mcaid_InState_OP_Cost_1>0,(SUM(AX$154:AX$157)+SUM(AX$159:AX$164))/Tot_Mcaid_InState_OP_Cost_1,0)","v":0.91889727480803196}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(AND($T$5=\"In-State Other Medicaid Eligibles (Not Included Elsewhere)\",SUM(Mngd_Care_Cross_InState_IP_Cost_1,Mngd_Care_Cross_InState_OP_Cost_1)<=0),\"ERROR! No other eligibles reported! See certification statement on DSH Survey Part I.\",\"\")","v":""}]
[147,"Total Medicare Days from W/S S-3 of the Cost Report Excluding Swing-Bed (C/R, W/S S-3, Pt. I, Col. 6, Sum of Lns. 2, 3, 4, 14, 16, 17, 18 less lines 5 & 6)",null,null,null,null,null,null,null,null,null,null,null,null,null,12387]
[148,"Percent of cross-over days to total Medicare days from the cost report",null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",(P28+X28+'Sec. I Out-of-State'!P28)/P172,(P28+'Sec. I Out-of-State'!P28)/P172),0)","v":0.19746508436263824}]
[null,"Note A - These amounts must agree to your inpatient and outpatient Medicaid paid claims summary.  For Managed Care, Cross-Over data, and other eligibles, use the hospital's logs if PS&R summaries are not available (submit logs with survey).",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(AND(Uninsured_InState_IP_Cost_1>0,OR(AR170>50%,AR170<2%)),\"NOTE: Inpatient uninsured payment rate is outside normal ranges, please verify this is correct.\",\"\")","v":""}]
[null,"Note B - Medicaid cost settlement payments refer to payments made by Medicaid during a cost report settlement that are not reflected on the claims paid summary (RA summary or PS&R)."]
[null,"Note C - Other Medicaid Payments such as Outliers and Non-Claim Specific payments.  DSH payments should NOT be included.  UPL payments made on a state fiscal year basis should be reported in Section C of the survey.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(AND(Uninsured_Instate_OP_Cost_1>0,OR(AT170>50%,AT170<5%)),\"NOTE: Outpatient uninsured payment rate is outside normal ranges, please verify this is correct.\",\"\")","v":""}]
[null,"Note D - Should include other Medicare cross-over payments not included in the paid claims data reported above.  This includes payments paid based on the Medicare cost report settlement (e.g.,  Medicare Graduate Medical Education payments)."]
[null,"Note E - Medicaid Managed Care payments should include all Medicaid Managed Care payments related to the services provided, including, but not limited to, incentive payments, bonus payments, capitation and sub-capitation payments."]
[null,{"$f":"IF(StateOnlyDisplay=\"YES\",NOTE_F,\"\")","v":""}]

{"sheet":"Sec. I Out-of-State","index":13,"n_rows":175,"n_cols":28,"rows_kept":175,"cut":false,"hidden":false,"merged":[[155,1,155,5],[156,1,156,5],[161,1,161,5],[29,1,29,5],[30,1,30,5],[146,1,146,5],[148,1,148,5],[149,1,149,5],[151,1,151,5],[153,1,153,5],[154,1,154,5],[168,1,168,5],[159,1,159,5],[158,1,158,5],[167,1,167,5],[157,1,157,5],[160,1,160,5],[162,1,162,5],[163,1,163,5],[4,7,4,9],[4,11,4,13],[4,15,4,17],[4,19,4,21],[4,23,4,25]]}
[null,"I.  Out-of-State Medicaid Data:"]
[]
[null,{"$f":"CONCATENATE(\"Cost Report Year (\" & TEXT(FYB_1,\"MM/DD/YYYY\") & \"-\" & TEXT(FYE_1,\"MM/DD/YYYY\") &\")\")","v":"Cost Report Year (07/01/2016-06/30/2017)"},null,{"$f":"ProvName","v":"WELLSTAR WEST GEORGIA HOSPITAL"},null,null,null,null,null,null,null,null,null,null,null,{"$f":"'Sec. H In-State'!$P$3","v":""}]
[]
[null,null,null,null,null,null,null,{"$f":"'Survey Set-Up'!$D$12","v":"Out-of-State Medicaid FFS Primary"},null,null,null,{"$f":"'Survey Set-Up'!$D$13","v":"Out-of-State Medicaid Managed Care Primary"},null,null,null,{"$f":"'Survey Set-Up'!$D$14","v":"Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},null,null,null,{"$f":"'Survey Set-Up'!$D$15","v":"Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},null,null,null,"Total Out-Of-State Medicaid"]
[null,"Line #","Cost Center Description",{"$f":"'Sec. H In-State'!D6","v":"Medicaid Per Diem Cost for Routine Cost Centers"},null,{"$f":"'Sec. H In-State'!F6","v":"Medicaid Cost to Charge Ratio for Ancillary Cost Centers"},null,"Inpatient",null,"Outpatient",null,"Inpatient",null,"Outpatient",null,"Inpatient",null,"Outpatient",null,"Inpatient",null,"Outpatient",null,"Inpatient",null,"Outpatient"]
[]
[null,null,null,{"$f":"'Sec. H In-State'!D8","v":"From Section G"},null,{"$f":"'Sec. H In-State'!F8","v":"From Section G"},null,{"$f":"'Sec. H In-State'!H8","v":"From PS&R Summary  (Note A)"},null,{"$f":"'Sec. H In-State'!J8","v":"From PS&R Summary  (Note A)"},null,{"$f":"'Sec. H In-State'!L8","v":"From PS&R Summary  (Note A)"},null,{"$f":"'Sec. H In-State'!N8","v":"From PS&R Summary  (Note A)"},null,{"$f":"'Sec. H In-State'!P8","v":"From PS&R Summary  (Note A)"},null,{"$f":"'Sec. H In-State'!R8","v":"From PS&R Summary  (Note A)"},null,{"$f":"'Sec. H In-State'!T8","v":"From PS&R Summary  (Note A)"},null,{"$f":"'Sec. H In-State'!V8","v":"From PS&R Summary  (Note A)"}]
[]
[null,"Routine Cost Centers (list below):",null,null,null,null,null,"Days",null,null,null,"Days",null,null,null,"Days",null,null,null,"Days",null,null,null,"Days"]
[1,{"$f":"IF('Sec. H In-State'!B11=0,\"\",'Sec. H In-State'!B11)","v":"03000"},{"$f":"IF('Sec. H In-State'!C11=0,\"\",'Sec. H In-State'!C11)","v":"ADULTS & PEDIATRICS"},{"$f":"'Sec. H In-State'!D11","v":790.06},null,null,null,44,null,null,null,null,null,null,null,54,null,null,null,41,null,null,null,{"$f":"$T11+$P11+$L11+$H11","v":139},null,null,null,{"$f":"IF('Sec. H In-State'!$AR11+'Sec. H In-State'!$AV11+'Sec. H In-State'!$AN11+'Sec. I Out-of-State'!$X11>('Sec. G CR Data'!$J11-CR_Obs_Days_Routine),\"ERROR: Days exceed total!\",\"\")","v":""}]
[2,{"$f":"IF('Sec. H In-State'!B12=0,\"\",'Sec. H In-State'!B12)","v":"03100"},{"$f":"IF('Sec. H In-State'!C12=0,\"\",'Sec. H In-State'!C12)","v":"INTENSIVE CARE UNIT"},{"$f":"'Sec. H In-State'!D12","v":2532.34},null,null,null,14,null,null,null,null,null,null,null,10,null,null,null,2,null,null,null,{"$f":"$T12+$P12+$L12+$H12","v":26},null,null,null,{"$f":"IF('Sec. H In-State'!$AR12+'Sec. H In-State'!$AV12+'Sec. H In-State'!$AN12+'Sec. I Out-of-State'!$X12>'Sec. G CR Data'!$J12,\"ERROR: Days exceed total!\",\"\")","v":""}]
[3,{"$f":"IF('Sec. H In-State'!B13=0,\"\",'Sec. H In-State'!B13)","v":"03200"},{"$f":"IF('Sec. H In-State'!C13=0,\"\",'Sec. H In-State'!C13)","v":"CORONARY CARE UNIT"},{"$f":"'Sec. H In-State'!D13","v":0},null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,{"$f":"IF('Sec. H In-State'!$AR13+'Sec. H In-State'!$AV13+'Sec. H In-State'!$AN13+'Sec. I Out-of-State'!$X13>'Sec. G CR Data'!$J13,\"ERROR: Days exceed total!\",\"\")","v":""}]
[4,{"$f":"IF('Sec. H In-State'!B14=0,\"\",'Sec. H In-State'!B14)","v":"03300"},{"$f":"IF('Sec. H In-State'!C14=0,\"\",'Sec. H In-State'!C14)","v":"BURN INTENSIVE CARE UNIT"},{"$f":"'Sec. H In-State'!D14","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,{"$f":"IF('Sec. H In-State'!$AR14+'Sec. H In-State'!$AV14+'Sec. H In-State'!$AN14+'Sec. I Out-of-State'!$X14>'Sec. G CR Data'!$J14,\"ERROR: Days exceed total!\",\"\")","v":""}]
[5,{"$f":"IF('Sec. H In-State'!B15=0,\"\",'Sec. H In-State'!B15)","v":"03400"},{"$f":"IF('Sec. H In-State'!C15=0,\"\",'Sec. H In-State'!C15)","v":"SURGICAL INTENSIVE CARE UNIT"},{"$f":"'Sec. H In-State'!D15","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,{"$f":"IF('Sec. H In-State'!$AR15+'Sec. H In-State'!$AV15+'Sec. H In-State'!$AN15+'Sec. I Out-of-State'!$X15>'Sec. G CR Data'!$J15,\"ERROR: Days exceed total!\",\"\")","v":""}]
[6,{"$f":"IF('Sec. H In-State'!B16=0,\"\",'Sec. H In-State'!B16)","v":"03500"},{"$f":"IF('Sec. H In-State'!C16=0,\"\",'Sec. H In-State'!C16)","v":"OTHER SPECIAL CARE UNIT"},{"$f":"'Sec. H In-State'!D16","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,{"$f":"IF('Sec. H In-State'!$AR16+'Sec. H In-State'!$AV16+'Sec. H In-State'!$AN16+'Sec. I Out-of-State'!$X16>'Sec. G CR Data'!$J16,\"ERROR: Days exceed total!\",\"\")","v":""}]
[7,{"$f":"IF('Sec. H In-State'!B17=0,\"\",'Sec. H In-State'!B17)","v":"04000"},{"$f":"IF('Sec. H In-State'!C17=0,\"\",'Sec. H In-State'!C17)","v":"SUBPROVIDER I"},{"$f":"'Sec. H In-State'!D17","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,{"$f":"IF('Sec. H In-State'!$AR17+'Sec. H In-State'!$AV17+'Sec. H In-State'!$AN17+'Sec. I Out-of-State'!$X17>'Sec. G CR Data'!$J17,\"ERROR: Days exceed total!\",\"\")","v":""}]
[8,{"$f":"IF('Sec. H In-State'!B18=0,\"\",'Sec. H In-State'!B18)","v":"04100"},{"$f":"IF('Sec. H In-State'!C18=0,\"\",'Sec. H In-State'!C18)","v":"SUBPROVIDER II"},{"$f":"'Sec. H In-State'!D18","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,{"$f":"IF('Sec. H In-State'!$AR18+'Sec. H In-State'!$AV18+'Sec. H In-State'!$AN18+'Sec. I Out-of-State'!$X18>'Sec. G CR Data'!$J18,\"ERROR: Days exceed total!\",\"\")","v":""}]
[9,{"$f":"IF('Sec. H In-State'!B19=0,\"\",'Sec. H In-State'!B19)","v":"04200"},{"$f":"IF('Sec. H In-State'!C19=0,\"\",'Sec. H In-State'!C19)","v":"OTHER SUBPROVIDER"},{"$f":"'Sec. H In-State'!D19","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,{"$f":"IF('Sec. H In-State'!$AR19+'Sec. H In-State'!$AV19+'Sec. H In-State'!$AN19+'Sec. I Out-of-State'!$X19>'Sec. G CR Data'!$J19,\"ERROR: Days exceed total!\",\"\")","v":""}]
[10,{"$f":"IF('Sec. H In-State'!B20=0,\"\",'Sec. H In-State'!B20)","v":"04300"},{"$f":"IF('Sec. H In-State'!C20=0,\"\",'Sec. H In-State'!C20)","v":"NURSERY"},{"$f":"'Sec. H In-State'!D20","v":901.95},null,null,null,1,null,null,null,null,null,null,null,null,null,null,null,14,null,null,null,15,null,null,null,{"$f":"IF('Sec. H In-State'!$AR20+'Sec. H In-State'!$AV20+'Sec. H In-State'!$AN20+'Sec. I Out-of-State'!$X20>'Sec. G CR Data'!$J20,\"ERROR: Days exceed total!\",\"\")","v":""}]
[11,{"$f":"IF('Sec. H In-State'!B21=0,\"\",'Sec. H In-State'!B21)","v":""},{"$f":"IF('Sec. H In-State'!C21=0,\"\",'Sec. H In-State'!C21)","v":""},{"$f":"'Sec. H In-State'!D21","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,{"$f":"IF('Sec. H In-State'!$AR21+'Sec. H In-State'!$AV21+'Sec. H In-State'!$AN21+'Sec. I Out-of-State'!$X21>'Sec. G CR Data'!$J21,\"ERROR: Days exceed total!\",\"\")","v":""}]
[12,{"$f":"IF('Sec. H In-State'!B22=0,\"\",'Sec. H In-State'!B22)","v":""},{"$f":"IF('Sec. H In-State'!C22=0,\"\",'Sec. H In-State'!C22)","v":""},{"$f":"'Sec. H In-State'!D22","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,{"$f":"IF('Sec. H In-State'!$AR22+'Sec. H In-State'!$AV22+'Sec. H In-State'!$AN22+'Sec. I Out-of-State'!$X22>'Sec. G CR Data'!$J22,\"ERROR: Days exceed total!\",\"\")","v":""}]
[13,{"$f":"IF('Sec. H In-State'!B23=0,\"\",'Sec. H In-State'!B23)","v":""},{"$f":"IF('Sec. H In-State'!C23=0,\"\",'Sec. H In-State'!C23)","v":""},{"$f":"'Sec. H In-State'!D23","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,{"$f":"IF('Sec. H In-State'!$AR23+'Sec. H In-State'!$AV23+'Sec. H In-State'!$AN23+'Sec. I Out-of-State'!$X23>'Sec. G CR Data'!$J23,\"ERROR: Days exceed total!\",\"\")","v":""}]
[14,{"$f":"IF('Sec. H In-State'!B24=0,\"\",'Sec. H In-State'!B24)","v":""},{"$f":"IF('Sec. H In-State'!C24=0,\"\",'Sec. H In-State'!C24)","v":""},{"$f":"'Sec. H In-State'!D24","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,{"$f":"IF('Sec. H In-State'!$AR24+'Sec. H In-State'!$AV24+'Sec. H In-State'!$AN24+'Sec. I Out-of-State'!$X24>'Sec. G CR Data'!$J24,\"ERROR: Days exceed total!\",\"\")","v":""}]
[15,{"$f":"IF('Sec. H In-State'!B25=0,\"\",'Sec. H In-State'!B25)","v":""},{"$f":"IF('Sec. H In-State'!C25=0,\"\",'Sec. H In-State'!C25)","v":""},{"$f":"'Sec. H In-State'!D25","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,{"$f":"IF('Sec. H In-State'!$AR25+'Sec. H In-State'!$AV25+'Sec. H In-State'!$AN25+'Sec. I Out-of-State'!$X25>'Sec. G CR Data'!$J25,\"ERROR: Days exceed total!\",\"\")","v":""}]
[16,{"$f":"IF('Sec. H In-State'!B26=0,\"\",'Sec. H In-State'!B26)","v":""},{"$f":"IF('Sec. H In-State'!C26=0,\"\",'Sec. H In-State'!C26)","v":""},{"$f":"'Sec. H In-State'!D26","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,{"$f":"IF('Sec. H In-State'!$AR26+'Sec. H In-State'!$AV26+'Sec. H In-State'!$AN26+'Sec. I Out-of-State'!$X26>'Sec. G CR Data'!$J26,\"ERROR: Days exceed total!\",\"\")","v":""}]
[17,{"$f":"IF('Sec. H In-State'!B27=0,\"\",'Sec. H In-State'!B27)","v":""},{"$f":"IF('Sec. H In-State'!C27=0,\"\",'Sec. H In-State'!C27)","v":""},{"$f":"'Sec. H In-State'!D27","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"$T27+$P27+$L27+$H27","v":0},null,null,null,{"$f":"IF('Sec. H In-State'!$AR27+'Sec. H In-State'!$AV27+'Sec. H In-State'!$AN27+'Sec. I Out-of-State'!$X27>'Sec. G CR Data'!$J27,\"ERROR: Days exceed total!\",\"\")","v":""}]
[18,null,null,null,null,"Total Days",null,{"$f":"SUM(H$11:H$27)","v":59},null,null,null,{"$f":"SUM(L$11:L$27)","v":0},null,null,null,{"$f":"SUM(P$11:P$27)","v":64},null,null,null,{"$f":"SUM(T$11:T$27)","v":57},null,null,null,{"$f":"SUM(X$11:X$27)","v":180},null,null,null,{"$f":"IF('Sec. H In-State'!$AR28+'Sec. H In-State'!$AV28+'Sec. H In-State'!$AN28+'Sec. I Out-of-State'!$X28>'Sec. G CR Data'!$J28,\"ERROR: Days exceed total!\",\"\")","v":""}]
[]
[19,"Total Days per PS&R or Exhibit Detail",null,null,null,null,null,{"$f":"+H28","v":59},null,null,null,{"$f":"+L28","v":0},null,null,null,{"$f":"+P28","v":64},null,null,null,{"$f":"+T28","v":57}]
[20,"Unreconciled Days (Explain Variance)",null,null,null,null,null,{"$f":"H$28-H$30","v":0},null,null,null,{"$f":"L$28-L$30","v":0},null,null,null,{"$f":"P$28-P$30","v":0},null,null,null,{"$f":"T$28-T$30","v":0}]
[]
[null,null,null,null,null,null,null,"Routine Charges",null,null,null,"Routine Charges",null,null,null,"Routine Charges",null,null,null,"Routine Charges",null,null,null,"Routine Charges"]
[21,null,"Routine Charges",null,null,null,null,93275,null,null,null,null,null,null,null,103005,null,null,null,54945,null,null,null,{"$f":"$T34+$P34+$L34+$H34","v":251225}]
["21.01",null,"Calculated Routine Charge Per Diem",null,null,null,null,{"$f":"IF(H$28>0, H$34/H$28,0)","v":1580.9322033898304},null,null,null,{"$f":"IF(L$28>0, L$34/L$28,0)","v":0},null,null,null,{"$f":"IF(P$28>0, P$34/P$28,0)","v":1609.453125},null,null,null,{"$f":"IF(T$28>0, T$34/T$28,0)","v":963.9473684210526},null,null,null,{"$f":"IF(X$28>0, X$34/X$28,0)","v":1395.6944444444443}]
[]
[null,"Ancillary Cost Centers (from W/S C) (list below):",null,null,null,null,null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges"]
[22,{"$f":"IF('Sec. H In-State'!B38=0,\"\",'Sec. H In-State'!B38)","v":"09200"},{"$f":"IF('Sec. H In-State'!C38=0,\"\",'Sec. H In-State'!C38)","v":"Observation (Non-Distinct)"},null,null,{"$f":"'Sec. H In-State'!F38","v":0.49610500000000002},null,0,null,7637.9000000000005,null,null,null,null,null,6090.5,null,34001.199999999997,null,128,null,8226.1,null,{"$f":"$T38+$P38+$L38+$H38","v":6218.5},null,{"$f":"$V38+$R38+$N38+$J38","v":49865.2},null,{"$f":"IF($X38+$Z38+'Sec. H In-State'!$AR38+'Sec. H In-State'!$AT38+'Sec. H In-State'!$AV38+'Sec. H In-State'!$AN38+'Sec. H In-State'!$AP38+'Sec. H In-State'!$AX38>'Sec. G CR Data'!$L32,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[23,{"$f":"IF('Sec. H In-State'!B39=0,\"\",'Sec. H In-State'!B39)","v":5000},{"$f":"IF('Sec. H In-State'!C39=0,\"\",'Sec. H In-State'!C39)","v":"OPERATING ROOM"},null,null,{"$f":"'Sec. H In-State'!F39","v":0.15080099999999999},null,77291.5,null,20725.099999999999,null,null,null,null,null,17002.599999999999,null,122722.6,null,43002.95,null,23826.25,null,{"$f":"$T39+$P39+$L39+$H39","v":137297.04999999999},null,{"$f":"$V39+$R39+$N39+$J39","v":167273.95000000001},null,{"$f":"IF($X39+$Z39+'Sec. H In-State'!$AR39+'Sec. H In-State'!$AT39+'Sec. H In-State'!$AV39+'Sec. H In-State'!$AN39+'Sec. H In-State'!$AP39+'Sec. H In-State'!$AX39>'Sec. G CR Data'!$L36,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[24,{"$f":"IF('Sec. H In-State'!B40=0,\"\",'Sec. H In-State'!B40)","v":5100},{"$f":"IF('Sec. H In-State'!C40=0,\"\",'Sec. H In-State'!C40)","v":"RECOVERY ROOM"},null,null,{"$f":"'Sec. H In-State'!F40","v":0.32351999999999997},null,3818.2999999999997,null,3173.1,null,null,null,null,null,0,null,13189.549999999997,null,4795.7,null,5049.8999999999996,null,8614,null,21412.549999999996,null,{"$f":"IF($X40+$Z40+'Sec. H In-State'!$AR40+'Sec. H In-State'!$AT40+'Sec. H In-State'!$AV40+'Sec. H In-State'!$AN40+'Sec. H In-State'!$AP40+'Sec. H In-State'!$AX40>'Sec. G CR Data'!$L37,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[25,{"$f":"IF('Sec. H In-State'!B41=0,\"\",'Sec. H In-State'!B41)","v":5200},{"$f":"IF('Sec. H In-State'!C41=0,\"\",'Sec. H In-State'!C41)","v":"DELIVERY ROOM & LABOR ROOM"},null,null,{"$f":"'Sec. H In-State'!F41","v":0.41356999999999999},null,303.60000000000002,null,0,null,null,null,null,null,0,null,0,null,23952.799999999999,null,4666.7,null,24256.399999999998,null,4666.7,null,{"$f":"IF($X41+$Z41+'Sec. H In-State'!$AR41+'Sec. H In-State'!$AT41+'Sec. H In-State'!$AV41+'Sec. H In-State'!$AN41+'Sec. H In-State'!$AP41+'Sec. H In-State'!$AX41>'Sec. G CR Data'!$L38,\"ERROR: Charges exceed total!\",\"\")","v":""}]
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[96,{"$f":"IF('Sec. H In-State'!B112=0,\"\",'Sec. H In-State'!B112)","v":""},{"$f":"IF('Sec. H In-State'!C112=0,\"\",'Sec. H In-State'!C112)","v":""},null,null,{"$f":"'Sec. H In-State'!F112","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X112+$Z112+'Sec. H In-State'!$AR112+'Sec. H In-State'!$AT112+'Sec. H In-State'!$AV112+'Sec. H In-State'!$AN112+'Sec. H In-State'!$AP112+'Sec. H In-State'!$AX112>'Sec. G CR Data'!$L109,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[97,{"$f":"IF('Sec. H In-State'!B113=0,\"\",'Sec. H In-State'!B113)","v":""},{"$f":"IF('Sec. H In-State'!C113=0,\"\",'Sec. H In-State'!C113)","v":""},null,null,{"$f":"'Sec. H In-State'!F113","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X113+$Z113+'Sec. H In-State'!$AR113+'Sec. H In-State'!$AT113+'Sec. H In-State'!$AV113+'Sec. H In-State'!$AN113+'Sec. H In-State'!$AP113+'Sec. H In-State'!$AX113>'Sec. G CR Data'!$L110,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[98,{"$f":"IF('Sec. H In-State'!B114=0,\"\",'Sec. H In-State'!B114)","v":""},{"$f":"IF('Sec. H In-State'!C114=0,\"\",'Sec. H In-State'!C114)","v":""},null,null,{"$f":"'Sec. H In-State'!F114","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X114+$Z114+'Sec. H In-State'!$AR114+'Sec. H In-State'!$AT114+'Sec. H In-State'!$AV114+'Sec. H In-State'!$AN114+'Sec. H In-State'!$AP114+'Sec. H In-State'!$AX114>'Sec. G CR Data'!$L111,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[99,{"$f":"IF('Sec. H In-State'!B115=0,\"\",'Sec. H In-State'!B115)","v":""},{"$f":"IF('Sec. H In-State'!C115=0,\"\",'Sec. H In-State'!C115)","v":""},null,null,{"$f":"'Sec. H In-State'!F115","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X115+$Z115+'Sec. H In-State'!$AR115+'Sec. H In-State'!$AT115+'Sec. H In-State'!$AV115+'Sec. H In-State'!$AN115+'Sec. H In-State'!$AP115+'Sec. H In-State'!$AX115>'Sec. G CR Data'!$L112,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[100,{"$f":"IF('Sec. H In-State'!B116=0,\"\",'Sec. H In-State'!B116)","v":""},{"$f":"IF('Sec. H In-State'!C116=0,\"\",'Sec. H In-State'!C116)","v":""},null,null,{"$f":"'Sec. H In-State'!F116","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X116+$Z116+'Sec. H In-State'!$AR116+'Sec. H In-State'!$AT116+'Sec. H In-State'!$AV116+'Sec. H In-State'!$AN116+'Sec. H In-State'!$AP116+'Sec. H In-State'!$AX116>'Sec. G CR Data'!$L113,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[101,{"$f":"IF('Sec. H In-State'!B117=0,\"\",'Sec. H In-State'!B117)","v":""},{"$f":"IF('Sec. H In-State'!C117=0,\"\",'Sec. H In-State'!C117)","v":""},null,null,{"$f":"'Sec. H In-State'!F117","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X117+$Z117+'Sec. H In-State'!$AR117+'Sec. H In-State'!$AT117+'Sec. H In-State'!$AV117+'Sec. H In-State'!$AN117+'Sec. H In-State'!$AP117+'Sec. H In-State'!$AX117>'Sec. G CR Data'!$L114,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[102,{"$f":"IF('Sec. H In-State'!B118=0,\"\",'Sec. H In-State'!B118)","v":""},{"$f":"IF('Sec. H In-State'!C118=0,\"\",'Sec. H In-State'!C118)","v":""},null,null,{"$f":"'Sec. H In-State'!F118","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X118+$Z118+'Sec. H In-State'!$AR118+'Sec. H In-State'!$AT118+'Sec. H In-State'!$AV118+'Sec. H In-State'!$AN118+'Sec. H In-State'!$AP118+'Sec. H In-State'!$AX118>'Sec. G CR Data'!$L115,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[103,{"$f":"IF('Sec. H In-State'!B119=0,\"\",'Sec. H In-State'!B119)","v":""},{"$f":"IF('Sec. H In-State'!C119=0,\"\",'Sec. H In-State'!C119)","v":""},null,null,{"$f":"'Sec. H In-State'!F119","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X119+$Z119+'Sec. H In-State'!$AR119+'Sec. H In-State'!$AT119+'Sec. H In-State'!$AV119+'Sec. H In-State'!$AN119+'Sec. H In-State'!$AP119+'Sec. H In-State'!$AX119>'Sec. G CR Data'!$L116,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[104,{"$f":"IF('Sec. H In-State'!B120=0,\"\",'Sec. H In-State'!B120)","v":""},{"$f":"IF('Sec. H In-State'!C120=0,\"\",'Sec. H In-State'!C120)","v":""},null,null,{"$f":"'Sec. H In-State'!F120","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X120+$Z120+'Sec. H In-State'!$AR120+'Sec. H In-State'!$AT120+'Sec. H In-State'!$AV120+'Sec. H In-State'!$AN120+'Sec. H In-State'!$AP120+'Sec. H In-State'!$AX120>'Sec. G CR Data'!$L117,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[105,{"$f":"IF('Sec. H In-State'!B121=0,\"\",'Sec. H In-State'!B121)","v":""},{"$f":"IF('Sec. H In-State'!C121=0,\"\",'Sec. H In-State'!C121)","v":""},null,null,{"$f":"'Sec. H In-State'!F121","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X121+$Z121+'Sec. H In-State'!$AR121+'Sec. H In-State'!$AT121+'Sec. H In-State'!$AV121+'Sec. H In-State'!$AN121+'Sec. H In-State'!$AP121+'Sec. H In-State'!$AX121>'Sec. G CR Data'!$L118,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[106,{"$f":"IF('Sec. H In-State'!B122=0,\"\",'Sec. H In-State'!B122)","v":""},{"$f":"IF('Sec. H In-State'!C122=0,\"\",'Sec. H In-State'!C122)","v":""},null,null,{"$f":"'Sec. H In-State'!F122","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X122+$Z122+'Sec. H In-State'!$AR122+'Sec. H In-State'!$AT122+'Sec. H In-State'!$AV122+'Sec. H In-State'!$AN122+'Sec. H In-State'!$AP122+'Sec. H In-State'!$AX122>'Sec. G CR Data'!$L119,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[107,{"$f":"IF('Sec. H In-State'!B123=0,\"\",'Sec. H In-State'!B123)","v":""},{"$f":"IF('Sec. H In-State'!C123=0,\"\",'Sec. H In-State'!C123)","v":""},null,null,{"$f":"'Sec. H In-State'!F123","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X123+$Z123+'Sec. H In-State'!$AR123+'Sec. H In-State'!$AT123+'Sec. H In-State'!$AV123+'Sec. H In-State'!$AN123+'Sec. H In-State'!$AP123+'Sec. H In-State'!$AX123>'Sec. G CR Data'!$L120,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[108,{"$f":"IF('Sec. H In-State'!B124=0,\"\",'Sec. H In-State'!B124)","v":""},{"$f":"IF('Sec. H In-State'!C124=0,\"\",'Sec. H In-State'!C124)","v":""},null,null,{"$f":"'Sec. H In-State'!F124","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X124+$Z124+'Sec. H In-State'!$AR124+'Sec. H In-State'!$AT124+'Sec. H In-State'!$AV124+'Sec. H In-State'!$AN124+'Sec. H In-State'!$AP124+'Sec. H In-State'!$AX124>'Sec. G CR Data'!$L121,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[109,{"$f":"IF('Sec. H In-State'!B125=0,\"\",'Sec. H In-State'!B125)","v":""},{"$f":"IF('Sec. H In-State'!C125=0,\"\",'Sec. H In-State'!C125)","v":""},null,null,{"$f":"'Sec. H In-State'!F125","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X125+$Z125+'Sec. H In-State'!$AR125+'Sec. H In-State'!$AT125+'Sec. H In-State'!$AV125+'Sec. H In-State'!$AN125+'Sec. H In-State'!$AP125+'Sec. H In-State'!$AX125>'Sec. G CR Data'!$L122,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[110,{"$f":"IF('Sec. H In-State'!B126=0,\"\",'Sec. H In-State'!B126)","v":""},{"$f":"IF('Sec. H In-State'!C126=0,\"\",'Sec. H In-State'!C126)","v":""},null,null,{"$f":"'Sec. H In-State'!F126","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X126+$Z126+'Sec. H In-State'!$AR126+'Sec. H In-State'!$AT126+'Sec. H In-State'!$AV126+'Sec. H In-State'!$AN126+'Sec. H In-State'!$AP126+'Sec. H In-State'!$AX126>'Sec. G CR Data'!$L123,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[111,{"$f":"IF('Sec. H In-State'!B127=0,\"\",'Sec. H In-State'!B127)","v":""},{"$f":"IF('Sec. H In-State'!C127=0,\"\",'Sec. H In-State'!C127)","v":""},null,null,{"$f":"'Sec. H In-State'!F127","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X127+$Z127+'Sec. H In-State'!$AR127+'Sec. H In-State'!$AT127+'Sec. H In-State'!$AV127+'Sec. H In-State'!$AN127+'Sec. H In-State'!$AP127+'Sec. H In-State'!$AX127>'Sec. G CR Data'!$L124,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[112,{"$f":"IF('Sec. H In-State'!B128=0,\"\",'Sec. H In-State'!B128)","v":""},{"$f":"IF('Sec. H In-State'!C128=0,\"\",'Sec. H In-State'!C128)","v":""},null,null,{"$f":"'Sec. H In-State'!F128","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X128+$Z128+'Sec. H In-State'!$AR128+'Sec. H In-State'!$AT128+'Sec. H In-State'!$AV128+'Sec. H In-State'!$AN128+'Sec. H In-State'!$AP128+'Sec. H In-State'!$AX128>'Sec. G CR Data'!$L125,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[113,{"$f":"IF('Sec. H In-State'!B129=0,\"\",'Sec. H In-State'!B129)","v":""},{"$f":"IF('Sec. H In-State'!C129=0,\"\",'Sec. H In-State'!C129)","v":""},null,null,{"$f":"'Sec. H In-State'!F129","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X129+$Z129+'Sec. H In-State'!$AR129+'Sec. H In-State'!$AT129+'Sec. H In-State'!$AV129+'Sec. H In-State'!$AN129+'Sec. H In-State'!$AP129+'Sec. H In-State'!$AX129>'Sec. G CR Data'!$L126,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[114,{"$f":"IF('Sec. H In-State'!B130=0,\"\",'Sec. H In-State'!B130)","v":""},{"$f":"IF('Sec. H In-State'!C130=0,\"\",'Sec. H In-State'!C130)","v":""},null,null,{"$f":"'Sec. H In-State'!F130","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X130+$Z130+'Sec. H In-State'!$AR130+'Sec. H In-State'!$AT130+'Sec. H In-State'!$AV130+'Sec. H In-State'!$AN130+'Sec. H In-State'!$AP130+'Sec. H In-State'!$AX130>'Sec. G CR Data'!$L127,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[115,{"$f":"IF('Sec. H In-State'!B131=0,\"\",'Sec. H In-State'!B131)","v":""},{"$f":"IF('Sec. H In-State'!C131=0,\"\",'Sec. H In-State'!C131)","v":""},null,null,{"$f":"'Sec. H In-State'!F131","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X131+$Z131+'Sec. H In-State'!$AR131+'Sec. H In-State'!$AT131+'Sec. H In-State'!$AV131+'Sec. H In-State'!$AN131+'Sec. H In-State'!$AP131+'Sec. H In-State'!$AX131>'Sec. G CR Data'!$L128,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[116,{"$f":"IF('Sec. H In-State'!B132=0,\"\",'Sec. H In-State'!B132)","v":""},{"$f":"IF('Sec. H In-State'!C132=0,\"\",'Sec. H In-State'!C132)","v":""},null,null,{"$f":"'Sec. H In-State'!F132","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X132+$Z132+'Sec. H In-State'!$AR132+'Sec. H In-State'!$AT132+'Sec. H In-State'!$AV132+'Sec. H In-State'!$AN132+'Sec. H In-State'!$AP132+'Sec. H In-State'!$AX132>'Sec. G CR Data'!$L129,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[117,{"$f":"IF('Sec. H In-State'!B133=0,\"\",'Sec. H In-State'!B133)","v":""},{"$f":"IF('Sec. H In-State'!C133=0,\"\",'Sec. H In-State'!C133)","v":""},null,null,{"$f":"'Sec. H In-State'!F133","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X133+$Z133+'Sec. H In-State'!$AR133+'Sec. H In-State'!$AT133+'Sec. H In-State'!$AV133+'Sec. H In-State'!$AN133+'Sec. H In-State'!$AP133+'Sec. H In-State'!$AX133>'Sec. G CR Data'!$L130,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[118,{"$f":"IF('Sec. H In-State'!B134=0,\"\",'Sec. H In-State'!B134)","v":""},{"$f":"IF('Sec. H In-State'!C134=0,\"\",'Sec. H In-State'!C134)","v":""},null,null,{"$f":"'Sec. H In-State'!F134","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X134+$Z134+'Sec. H In-State'!$AR134+'Sec. H In-State'!$AT134+'Sec. H In-State'!$AV134+'Sec. H In-State'!$AN134+'Sec. H In-State'!$AP134+'Sec. H In-State'!$AX134>'Sec. G CR Data'!$L131,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[119,{"$f":"IF('Sec. H In-State'!B135=0,\"\",'Sec. H In-State'!B135)","v":""},{"$f":"IF('Sec. H In-State'!C135=0,\"\",'Sec. H In-State'!C135)","v":""},null,null,{"$f":"'Sec. H In-State'!F135","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X135+$Z135+'Sec. H In-State'!$AR135+'Sec. H In-State'!$AT135+'Sec. H In-State'!$AV135+'Sec. H In-State'!$AN135+'Sec. H In-State'!$AP135+'Sec. H In-State'!$AX135>'Sec. G CR Data'!$L132,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[120,{"$f":"IF('Sec. H In-State'!B136=0,\"\",'Sec. H In-State'!B136)","v":""},{"$f":"IF('Sec. H In-State'!C136=0,\"\",'Sec. H In-State'!C136)","v":""},null,null,{"$f":"'Sec. H In-State'!F136","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X136+$Z136+'Sec. H In-State'!$AR136+'Sec. H In-State'!$AT136+'Sec. H In-State'!$AV136+'Sec. H In-State'!$AN136+'Sec. H In-State'!$AP136+'Sec. H In-State'!$AX136>'Sec. G CR Data'!$L133,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[121,{"$f":"IF('Sec. H In-State'!B137=0,\"\",'Sec. H In-State'!B137)","v":""},{"$f":"IF('Sec. H In-State'!C137=0,\"\",'Sec. H In-State'!C137)","v":""},null,null,{"$f":"'Sec. H In-State'!F137","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X137+$Z137+'Sec. H In-State'!$AR137+'Sec. H In-State'!$AT137+'Sec. H In-State'!$AV137+'Sec. H In-State'!$AN137+'Sec. H In-State'!$AP137+'Sec. H In-State'!$AX137>'Sec. G CR Data'!$L134,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[122,{"$f":"IF('Sec. H In-State'!B138=0,\"\",'Sec. H In-State'!B138)","v":""},{"$f":"IF('Sec. H In-State'!C138=0,\"\",'Sec. H In-State'!C138)","v":""},null,null,{"$f":"'Sec. H In-State'!F138","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X138+$Z138+'Sec. H In-State'!$AR138+'Sec. H In-State'!$AT138+'Sec. H In-State'!$AV138+'Sec. H In-State'!$AN138+'Sec. H In-State'!$AP138+'Sec. H In-State'!$AX138>'Sec. G CR Data'!$L135,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[123,{"$f":"IF('Sec. H In-State'!B139=0,\"\",'Sec. H In-State'!B139)","v":""},{"$f":"IF('Sec. H In-State'!C139=0,\"\",'Sec. H In-State'!C139)","v":""},null,null,{"$f":"'Sec. H In-State'!F139","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X139+$Z139+'Sec. H In-State'!$AR139+'Sec. H In-State'!$AT139+'Sec. H In-State'!$AV139+'Sec. H In-State'!$AN139+'Sec. H In-State'!$AP139+'Sec. H In-State'!$AX139>'Sec. G CR Data'!$L136,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[124,{"$f":"IF('Sec. H In-State'!B140=0,\"\",'Sec. H In-State'!B140)","v":""},{"$f":"IF('Sec. H In-State'!C140=0,\"\",'Sec. H In-State'!C140)","v":""},null,null,{"$f":"'Sec. H In-State'!F140","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X140+$Z140+'Sec. H In-State'!$AR140+'Sec. H In-State'!$AT140+'Sec. H In-State'!$AV140+'Sec. H In-State'!$AN140+'Sec. H In-State'!$AP140+'Sec. H In-State'!$AX140>'Sec. G CR Data'!$L137,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[125,{"$f":"IF('Sec. H In-State'!B141=0,\"\",'Sec. H In-State'!B141)","v":""},{"$f":"IF('Sec. H In-State'!C141=0,\"\",'Sec. H In-State'!C141)","v":""},null,null,{"$f":"'Sec. H In-State'!F141","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X141+$Z141+'Sec. H In-State'!$AR141+'Sec. H In-State'!$AT141+'Sec. H In-State'!$AV141+'Sec. H In-State'!$AN141+'Sec. H In-State'!$AP141+'Sec. H In-State'!$AX141>'Sec. G CR Data'!$L138,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[126,{"$f":"IF('Sec. H In-State'!B142=0,\"\",'Sec. H In-State'!B142)","v":""},{"$f":"IF('Sec. H In-State'!C142=0,\"\",'Sec. H In-State'!C142)","v":""},null,null,{"$f":"'Sec. H In-State'!F142","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X142+$Z142+'Sec. H In-State'!$AR142+'Sec. H In-State'!$AT142+'Sec. H In-State'!$AV142+'Sec. H In-State'!$AN142+'Sec. H In-State'!$AP142+'Sec. H In-State'!$AX142>'Sec. G CR Data'!$L139,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[127,{"$f":"IF('Sec. H In-State'!B143=0,\"\",'Sec. H In-State'!B143)","v":""},{"$f":"IF('Sec. H In-State'!C143=0,\"\",'Sec. H In-State'!C143)","v":""},null,null,{"$f":"'Sec. H In-State'!F143","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,{"$f":"IF($X143+$Z143+'Sec. H In-State'!$AR143+'Sec. H In-State'!$AT143+'Sec. H In-State'!$AV143+'Sec. H In-State'!$AN143+'Sec. H In-State'!$AP143+'Sec. H In-State'!$AX143>'Sec. G CR Data'!$L140,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[null,null,null,null,null,null,null,{"$f":"SUM(FFS_IP_ANCILLARY)","v":375030.12002562272},null,{"$f":"SUM(FFS_OP_ANCILLARY)","v":702348.5500000004},null,{"$f":"SUM(MCO_IP_ANCILLARY)","v":0},null,{"$f":"SUM(MCO_OP_ANCILLARY)","v":0},null,{"$f":"SUM(FFS_XOVER_IP_ANCILLARY)","v":307050.90003767906},null,{"$f":"SUM(FFS_XOVER_OP_ANCILLARY)","v":1063674.42},null,{"$f":"SUM(MCO_XOVER_IP_ANCILLARY)","v":198161.76000176297},null,{"$f":"SUM(MCO_XOVER_OP_ANCILLARY)","v":281015.94999999995}]
[null,"Totals / Payments"]
[]
[128,"Total Charges (includes organ acquisition from Section K)",null,null,null,null,null,{"$f":"SUM(H$34,H$38:H$143,'Sec. J & K Organ Acq'!L$46)","v":468305.12002562266},null,{"$f":"SUM(J$38:J$143)","v":702348.5500000004},null,{"$f":"SUM(L$34,L$38:L$143,'Sec. J & K Organ Acq'!P$46)","v":0},null,{"$f":"SUM(N$38:N$143)","v":0},null,{"$f":"SUM(P$34,P$38:P$143,'Sec. J & K Organ Acq'!T$46)","v":410055.90003767906},null,{"$f":"SUM(R$38:R$143)","v":1063674.42},null,{"$f":"SUM(T$34,T$38:T$143,'Sec. J & K Organ Acq'!X$46)","v":253106.76000176294},null,{"$f":"SUM(V$38:V$143)","v":281015.94999999995},null,{"$f":"$T147+$P147+$L147+$H147","v":1131467.7800650648},null,{"$f":"$V147+$R147+$N147+$J147","v":2047038.9200000004}]
[]
[129,"Total Charges per PS&R or Exhibit Detail",null,null,null,null,null,{"$f":"+H147","v":468305.12002562266},null,{"$f":"+J147","v":702348.5500000004},null,{"$f":"+L147","v":0},null,{"$f":"+N147","v":0},null,{"$f":"+P147","v":410055.90003767906},null,{"$f":"+R147","v":1063674.42},null,{"$f":"+T147","v":253106.76000176294},null,{"$f":"+V147","v":281015.94999999995}]
[130,"Unreconciled Charges (Explain Variance)",null,null,null,null,null,{"$f":"H$147-H$149","v":0},null,{"$f":"J$147-J$149","v":0},null,{"$f":"L$147-L$149","v":0},null,{"$f":"N$147-N$149","v":0},null,{"$f":"P$147-P$149","v":0},null,{"$f":"R$147-R$149","v":0},null,{"$f":"T$147-T$149","v":0},null,{"$f":"V$147-V$149","v":0}]
[]
[131,"Total Calculated Cost (includes organ acquisition from Section K)",null,null,null,null,null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,H$11:H$27)+SUMPRODUCT($F$38:$F$143,H$38:H$143)+'Sec. J & K Organ Acq'!N$48,0)","v":156521},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,J$11:J$27)+SUMPRODUCT($F$38:$F$143,J$38:J$143),0)","v":113154},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,L$11:L$27)+SUMPRODUCT($F$38:$F$143,L$38:L$143)+'Sec. J & K Organ Acq'!R$48,0)","v":0},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,N$11:N$27)+SUMPRODUCT($F$38:$F$143,N$38:N$143),0)","v":0},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,P$11:P$27)+SUMPRODUCT($F$38:$F$143,P$38:P$143)+'Sec. J & K Organ Acq'!V$48,0)","v":141697},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,R$11:R$27)+SUMPRODUCT($F$38:$F$143,R$38:R$143),0)","v":248461},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,T$11:T$27)+SUMPRODUCT($F$38:$F$143,T$38:T$143)+'Sec. J & K Organ Acq'!Z$48,0)","v":102507},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,V$11:V$27)+SUMPRODUCT($F$38:$F$143,V$38:V$143),0)","v":55998},null,{"$f":"FFS_OutOfState_IP_Cost_1+Mngd_Care_OutOfState_IP_Cost_1+Cross_FFS_OutOfState_IP_Cost_1+Mngd_Care_Cross_OutOfState_IP_Cost_1","v":400725},null,{"$f":"FFS_OutOfState_OP_Cost_1+Mngd_Care_OutOfState_OP_Cost_1+Cross_FFS_OutOfState_OP_Cost_1+Mngd_Care_Cross_OutOfState_OP_Cost_1","v":417613}]
[]
[{"$f":"'Sec. H In-State'!A154","v":132},{"$f":"'Sec. H In-State'!B154","v":"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)"},null,null,null,null,null,71448,null,45109,null,null,null,null,null,0,null,0,null,1935,null,535.54000000000008,null,{"$f":"$H154+$L154+$T154+$P154","v":73383},null,{"$f":"$J154+$N154+$V154+$R154","v":45644.54}]
[{"$f":"'Sec. H In-State'!A155","v":133},{"$f":"'Sec. H In-State'!B155","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},null,null,null,null,null,0,null,0,null,null,null,null,null,0,null,0,null,0,null,0,null,{"$f":"$H155+$L155+$T155+$P155","v":0},null,{"$f":"$J155+$N155+$V155+$R155","v":0}]
[{"$f":"'Sec. H In-State'!A156","v":134},{"$f":"'Sec. H In-State'!B156","v":"Private Insurance (including primary and third party liability)"},null,null,null,null,null,0,null,0,null,null,null,null,null,0,null,831,null,38441,null,61942.429999999993,null,{"$f":"$H156+$L156+$T156+$P156","v":38441},null,{"$f":"$J156+$N156+$V156+$R156","v":62773.429999999993}]
[{"$f":"'Sec. H In-State'!A157","v":135},{"$f":"'Sec. H In-State'!B157","v":"Self-Pay (including Co-Pay and Spend-Down)"},null,null,null,null,null,100,null,214,null,null,null,null,null,0,null,140,null,51,null,35.099999999999994,null,{"$f":"$H157+$L157+$T157+$P157","v":151},null,{"$f":"$J157+$N157+$V157+$R157","v":389.1}]
[{"$f":"'Sec. H In-State'!A158","v":136},{"$f":"'Sec. H In-State'!B158","v":"Total Allowed Amount from Medicaid PS&R or RA Detail (All Payments)"},null,null,null,null,null,{"$f":"SUM(H$154:H$157)","v":71548},null,{"$f":"SUM(J$154:J$157)","v":45323},null,{"$f":"SUM(L$154:L$157)","v":0},null,{"$f":"SUM(N$154:N$157)","v":0}]
[{"$f":"'Sec. H In-State'!A159","v":137},{"$f":"'Sec. H In-State'!B159","v":"Medicaid Cost Settlement Payments (See Note B)"},null,null,null,null,null,0,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"$H159","v":0},null,{"$f":"$J159","v":0}]
[{"$f":"'Sec. H In-State'!A160","v":138},{"$f":"'Sec. H In-State'!B160","v":"Other Medicaid Payments Reported on Cost Report Year (See Note C)"},null,null,null,null,null,0,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"$L160+$H160","v":0},null,{"$f":"$N160+$J160","v":0}]
[{"$f":"'Sec. H In-State'!A161","v":139},{"$f":"'Sec. H In-State'!B161","v":"Medicare Traditional (non-HMO) Paid Amount (excludes coinsurance/deductibles)"},null,null,null,null,null,null,null,null,null,null,null,null,null,105189,null,181449,null,0,null,0,null,{"$f":"$T161+$P161","v":105189},null,{"$f":"$V161+$R161","v":181449}]
[{"$f":"'Sec. H In-State'!A162","v":140},{"$f":"'Sec. H In-State'!B162","v":"Medicare Managed Care (HMO) Paid Amount (excludes coinsurance/deductibles)"},null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0,null,27705,null,12932,null,{"$f":"$T162+$P162","v":27705},null,{"$f":"$V162+$R162","v":12932}]
[{"$f":"'Sec. H In-State'!A163","v":141},{"$f":"'Sec. H In-State'!B163","v":"Medicare Cross-Over Bad Debt Payments"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"$T163+$P163","v":0},null,{"$f":"$V163+$R163","v":0}]
[{"$f":"'Sec. H In-State'!A164","v":142},{"$f":"'Sec. H In-State'!B164","v":"Other Medicare Cross-Over Payments (See Note D)"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"$T164+$P164","v":0},null,{"$f":"$V164+$R164","v":0}]
[]
[141]
[]
[143,"Calculated Payment Shortfall / (Longfall)",null,null,null,null,null,{"$f":"H$152-SUM(H$154:H$157)-SUM(H$159:H$160)","v":84973},null,{"$f":"J$152-SUM(J$154:J$157)-SUM(J$159:J$160)","v":67831},null,{"$f":"L$152-SUM(L$154:L$157)-L$160","v":0},null,{"$f":"N$152-SUM(N$154:N$157)-N$160","v":0},null,{"$f":"P$152-SUM(P$154:P$157)-SUM(P$161:P$164)","v":36508},null,{"$f":"R$152-SUM(R$154:R$157)-SUM(R$161:R$164)","v":66041},null,{"$f":"T$152-SUM(T$154:T$157)-SUM(T$161:T$164)","v":34375},null,{"$f":"V$152-SUM(V$154:V$157)-SUM(V$161:V$164)","v":-19447.069999999992},null,{"$f":"X$152-SUM(X$154:X$157)-SUM(X$159:X$164)","v":155856},null,{"$f":"Z$152-SUM(Z$154:Z$157)-SUM(Z$159:Z$164)","v":114424.93}]
[144,{"$f":"'Sec. H In-State'!B170:F170","v":"Calculated Payments as a Percentage of Cost"},null,null,null,null,null,{"$f":"IF(FFS_OutOfState_IP_Cost_1>0, (SUM(H$154:H$157)+SUM(H$159:H$160))/FFS_OutOfState_IP_Cost_1,0)","v":0.45711438081790939},null,{"$f":"IF(FFS_OutOfState_OP_Cost_1>0, (SUM(J$154:J$157)+SUM(J$159:J$160))/FFS_OutOfState_OP_Cost_1,0)","v":0.40054262332750057},null,{"$f":"IF(Mngd_Care_OutOfState_IP_Cost_1>0, (SUM(L$154:L$157)+L$160)/Mngd_Care_OutOfState_IP_Cost_1,0)","v":0},null,{"$f":"IF(Mngd_Care_OutOfState_OP_Cost_1>0, (SUM(N$154:N$157)+N$160)/Mngd_Care_OutOfState_OP_Cost_1,0)","v":0},null,{"$f":"IF(Cross_FFS_OutOfState_IP_Cost_1>0, (SUM(P$154:P$157)+SUM(P$161:P$164))/Cross_FFS_OutOfState_IP_Cost_1,0)","v":0.74235163764935042},null,{"$f":"IF(Cross_FFS_OutOfState_OP_Cost_1>0, (SUM(R$154:R$157)+SUM(R$161:R$164))/Cross_FFS_OutOfState_OP_Cost_1,0)","v":0.73419973355979407},null,{"$f":"IF(Mngd_Care_Cross_OutOfState_IP_Cost_1>0, (SUM(T$154:T$157)+SUM(T$161:T$164))/Mngd_Care_Cross_OutOfState_IP_Cost_1,0)","v":0.66465704781136903},null,{"$f":"IF(Mngd_Care_Cross_OutOfState_OP_Cost_1>0, (SUM(V$154:V$157)+SUM(V$161:V$164))/Mngd_Care_Cross_OutOfState_OP_Cost_1,0)","v":1.3472815100539304},null,{"$f":"IF(Tot_Mcaid_OutOfState_IP_Cost_1>0,(SUM(X$154:X$157)+SUM(X$159:X$164))/Tot_Mcaid_OutOfState_IP_Cost_1,0)","v":0.61106494478757256},null,{"$f":"IF(Tot_Mcaid_OutOfState_OP_Cost_1>0,(SUM(Z$154:Z$157)+SUM(Z$159:Z$164))/Tot_Mcaid_OutOfState_OP_Cost_1,0)","v":0.7260024711874391}]
[]
[null,{"$f":"'Sec. H In-State'!B174","v":"Note A - These amounts must agree to your inpatient and outpatient Medicaid paid claims summary.  For Managed Care, Cross-Over data, and other eligibles, use the hospital's logs if PS&R summaries are not available (submit logs with survey)."}]
[null,{"$f":"'Sec. H In-State'!B175","v":"Note B - Medicaid cost settlement payments refer to payments made by Medicaid during a cost report settlement that are not reflected on the claims paid summary (RA summary or PS&R)."}]
[null,{"$f":"'Sec. H In-State'!B176","v":"Note C - Other Medicaid Payments such as Outliers and Non-Claim Specific payments.  DSH payments should NOT be included.  UPL payments made on a state fiscal year basis should be reported in Section C of the survey."}]
[null,{"$f":"'Sec. H In-State'!B177","v":"Note D - Should include other Medicare cross-over payments not included in the paid claims data reported above.  This includes payments paid based on the Medicare cost report settlement (e.g.,  Medicare Graduate Medical Education payments)."}]
[null,{"$f":"'Sec. H In-State'!B178","v":"Note E - Medicaid Managed Care payments should include all Medicaid Managed Care payments related to the services provided, including, but not limited to, incentive payments, bonus payments, capitation and sub-capitation payments."}]

{"sheet":"Sec. J & K Organ Acq","index":14,"n_rows":50,"n_cols":54,"rows_kept":50,"cut":false,"hidden":false,"merged":[[4,35,4,37],[4,31,4,33],[23,1,23,25],[8,1,8,2],[4,47,4,49],[4,39,4,41],[4,43,4,45],[4,27,4,29],[50,1,50,25],[35,1,35,2],[4,4,5,4],[4,5,5,5],[4,7,5,7],[31,7,32,7],[4,19,4,21],[4,23,4,25],[4,11,4,13],[4,15,4,17],[31,4,32,4],[31,5,32,5],[31,11,31,13],[31,15,31,17],[31,19,31,21],[31,23,31,25]]}
[null,"J.  Transplant Facilities Only:  Organ Acquisition Cost In-State Medicaid and Uninsured"]
[]
[null,{"$f":"CONCATENATE(\"Cost Report Year (\" & TEXT(FYB_1,\"MM/DD/YYYY\") & \"-\" & TEXT(FYE_1,\"MM/DD/YYYY\") &\")\")","v":"Cost Report Year (07/01/2016-06/30/2017)"},null,{"$f":"ProvName","v":"WELLSTAR WEST GEORGIA HOSPITAL"}]
[]
[null,null,null,"Total",{"$f":"IF('Sec. G CR Data'!H144>0, \"Additional Provider Tax Add-In and Intern/Resident Cost\",\"Additional Add-In Intern/Resident Cost\")","v":"Additional Add-In Intern/Resident Cost"},"Total Adjusted Organ Acquisition Cost",null,"Revenue for Medicaid/ Cross-Over / Uninsured Organs Sold",null,"Total",null,{"$f":"'Sec. H In-State'!H5","v":"In-State Medicaid FFS Primary"},null,null,null,{"$f":"'Sec. H In-State'!L5","v":"In-State Medicaid Managed Care Primary"},null,null,null,{"$f":"'Sec. H In-State'!P5","v":"In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},null,null,null,{"$f":"'Sec. H In-State'!T5","v":"In-State Other Medicaid Eligibles (Not Included Elsewhere)"},null,null,null,{"$f":"'Sec. H In-State'!X5","v":""},null,null,null,{"$f":"'Sec. H In-State'!AB5","v":""},null,null,null,{"$f":"'Sec. H In-State'!AF5","v":""},null,null,null,{"$f":"'Sec. H In-State'!AJ5","v":""},null,null,null,{"$f":"'Sec. H In-State'!AN5","v":"State/Local-Only Indigent Care Program"},null,null,null,{"$f":"'Sec. H In-State'!AR5","v":"Uninsured"}]
[null,null,null,"Organ Acquisition Cost",null,null,null,null,null,"Useable Organs (Count)",null,"Charges",null,"Useable Organs (Count)",null,"Charges",null,"Useable Organs (Count)",null,"Charges",null,"Useable Organs (Count)",null,"Charges",null,"Useable Organs (Count)",null,"Charges",null,"Useable Organs (Count)",null,"Charges",null,"Useable Organs (Count)",null,"Charges",null,"Useable Organs (Count)",null,"Charges",null,"Useable Organs (Count)",null,"Charges",null,"Useable Organs (Count)",null,"Charges",null,"Useable Organs (Count)"]
[]
[null,null,null,"Cost Report Worksheet D-4, Pt. III, Col. 1, Ln 61","Add-On Cost Factor on Section G, Line 133 x Total Cost Report Organ Acquistion Cost","Sum of Cost Report Organ Acquisition Cost and the Add-On Cost",null,"Similar to Instructions from Cost Report W/S D-4 Pt. III, Col. 1, Ln 66 (substitute Medicare with Medicaid/ Cross-Over & uninsured).  See Note C below.",null,"Cost Report Worksheet D-4, Pt. III, Line 62",null,"From Paid Claims Data or Provider Logs (Note A)",null,"From Paid Claims Data or Provider Logs (Note A)",null,"From Paid Claims Data or Provider Logs (Note A)",null,"From Paid Claims Data or Provider Logs (Note A)",null,"From Paid Claims Data or Provider Logs (Note A)",null,"From Paid Claims Data or Provider Logs (Note A)",null,"From Paid Claims Data or Provider Logs (Note A)",null,"From Paid Claims Data or Provider Logs (Note A)",null,"From Paid Claims Data or Provider Logs (Note A)",null,"From Paid Claims Data or Provider Logs (Note A)",null,"From Paid Claims Data or Provider Logs (Note A)",null,"From Paid Claims Data or Provider Logs (Note A)",null,"From Paid Claims Data or Provider Logs (Note A)",null,"From Paid Claims Data or Provider Logs (Note A)",null,"From Paid Claims Data or Provider Logs (Note A)",null,"From Paid Claims Data or Provider Logs (Note A)",null,"From Paid Claims Data or Provider Logs (Note A)",null,"From Paid Claims Data or Provider Logs (Note A)",null,"From Hospital's Own Internal Analysis",null,"From Hospital's Own Internal Analysis"]
[null,"Organ Acquisition Cost Centers (list below):",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"W/S Letter"]
[1,null,"Lung Acquisition",0,{"$f":"D10*AddOnFactor","v":0},{"$f":"SUM(D10:E10)","v":0},null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(AX10+Z10+V10+R10+N10+N37+R37+V37+Z37+AD10+AH10+AL10+AP10+AT10>J10,\"ERROR - Organs Reported Exceed Total\",\"\")","v":""},null,"P"]
[2,null,"Kidney Acquisition",0,0,{"$f":"SUM(D11:E11)","v":0},null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(AX11+Z11+V11+R11+N11+N38+R38+V38+Z38+AD11+AH11+AL11+AP11+AT11>J11,\"ERROR - Organs Reported Exceed Total\",\"\")","v":""},null,"K"]
[3,null,"Liver Acquisition",0,0,0,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",null,"L"]
[4,null,"Heart Acquisition",0,0,0,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",null,"H"]
[5,null,"Pancreas Acquisition",0,0,0,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",null,"N"]
[6,null,"Intestinal Acquisition",0,0,0,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",null,"I"]
[7,null,"Islet Acquisition",0,0,0,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",null,"S"]
[8,null,null,0,0,0,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",null,"O"]
[]
[9,null,"Totals",{"$f":"SUM(D10:D17)","v":0},{"$f":"SUM(E10:E17)","v":0},{"$f":"SUM(F10:F17)","v":0},null,{"$f":"SUM(H10:H17)","v":0},null,{"$f":"SUM(J10:J17)","v":0},null,{"$f":"SUM(L10:L17)","v":0},null,{"$f":"SUM(N10:N17)","v":0},null,{"$f":"SUM(P10:P17)","v":0},null,{"$f":"SUM(R10:R17)","v":0},null,{"$f":"SUM(T10:T17)","v":0},null,{"$f":"SUM(V10:V17)","v":0},null,{"$f":"SUM(X10:X17)","v":0},null,{"$f":"SUM(Z10:Z17)","v":0},null,{"$f":"SUM(AB10:AB17)","v":0},null,{"$f":"SUM(AD10:AD17)","v":0},null,{"$f":"SUM(AF10:AF17)","v":0},null,{"$f":"SUM(AH10:AH17)","v":0},null,{"$f":"SUM(AJ10:AJ17)","v":0},null,{"$f":"SUM(AL10:AL17)","v":0},null,{"$f":"SUM(AN10:AN17)","v":0},null,{"$f":"SUM(AP10:AP17)","v":0},null,{"$f":"SUM(AR10:AR17)","v":0},null,{"$f":"SUM(AT10:AT17)","v":0},null,{"$f":"SUM(AV10:AV17)","v":0},null,{"$f":"SUM(AX10:AX17)","v":0}]
[]
[10,null,"Total Cost",null,null,null,null,null,null,null,null,null,null,{"$f":"IF($BA$37>0,(N10/$J10*$F10)-($H10*N10/$BA$37),0)+IF($BA$38>0,(N11/$J11*$F11)-($H11*N11/$BA$38),0)+IF($BA$39>0,(N12/$J12*$F12)-($H12*N12/$BA$39),0)+IF($BA$40>0,(N13/$J13*$F13)-($H13*N13/$BA$40),0)+IF($BA$41>0,(N14/$J14*$F14)-($H14*N14/$BA$41),0)+IF($BA$42>0,(N15/$J15*$F15)-($H15*N15/$BA$42),0)+IF($BA$43>0,(N16/$J16*$F16)-($H16*N16/$BA$43),0)+IF($BA$44>0,(N17/$J17*$F17)-($H17*N17/$BA$44),0)","v":0},null,null,null,{"$f":"IF($BA$37>0,(R10/$J10*$F10)-($H10*R10/$BA$37),0)+IF($BA$38>0,(R11/$J11*$F11)-($H11*R11/$BA$38),0)+IF($BA$39>0,(R12/$J12*$F12)-($H12*R12/$BA$39),0)+IF($BA$40>0,(R13/$J13*$F13)-($H13*R13/$BA$40),0)+IF($BA$41>0,(R14/$J14*$F14)-($H14*R14/$BA$41),0)+IF($BA$42>0,(R15/$J15*$F15)-($H15*R15/$BA$42),0)+IF($BA$43>0,(R16/$J16*$F16)-($H16*R16/$BA$43),0)+IF($BA$44>0,(R17/$J17*$F17)-($H17*R17/$BA$44),0)","v":0},null,null,null,{"$f":"IF($BA$37>0,(V10/$J10*$F10)-($H10*V10/$BA$37),0)+IF($BA$38>0,(V11/$J11*$F11)-($H11*V11/$BA$38),0)+IF($BA$39>0,(V12/$J12*$F12)-($H12*V12/$BA$39),0)+IF($BA$40>0,(V13/$J13*$F13)-($H13*V13/$BA$40),0)+IF($BA$41>0,(V14/$J14*$F14)-($H14*V14/$BA$41),0)+IF($BA$42>0,(V15/$J15*$F15)-($H15*V15/$BA$42),0)+IF($BA$43>0,(V16/$J16*$F16)-($H16*V16/$BA$43),0)+IF($BA$44>0,(V17/$J17*$F17)-($H17*V17/$BA$44),0)","v":0},null,null,null,{"$f":"IF($BA$37>0,(Z10/$J10*$F10)-($H10*Z10/$BA$37),0)+IF($BA$38>0,(Z11/$J11*$F11)-($H11*Z11/$BA$38),0)+IF($BA$39>0,(Z12/$J12*$F12)-($H12*Z12/$BA$39),0)+IF($BA$40>0,(Z13/$J13*$F13)-($H13*Z13/$BA$40),0)+IF($BA$41>0,(Z14/$J14*$F14)-($H14*Z14/$BA$41),0)+IF($BA$42>0,(Z15/$J15*$F15)-($H15*Z15/$BA$42),0)+IF($BA$43>0,(Z16/$J16*$F16)-($H16*Z16/$BA$43),0)+IF($BA$44>0,(Z17/$J17*$F17)-($H17*Z17/$BA$44),0)","v":0},null,null,null,{"$f":"IF($BA$37>0,(AD10/$J10*$F10)-($H10*AD10/$BA$37),0)+IF($BA$38>0,(AD11/$J11*$F11)-($H11*AD11/$BA$38),0)+IF($BA$39>0,(AD12/$J12*$F12)-($H12*AD12/$BA$39),0)+IF($BA$40>0,(AD13/$J13*$F13)-($H13*AD13/$BA$40),0)+IF($BA$41>0,(AD14/$J14*$F14)-($H14*AD14/$BA$41),0)+IF($BA$42>0,(AD15/$J15*$F15)-($H15*AD15/$BA$42),0)+IF($BA$43>0,(AD16/$J16*$F16)-($H16*AD16/$BA$43),0)+IF($BA$44>0,(AD17/$J17*$F17)-($H17*AD17/$BA$44),0)","v":0},null,null,null,{"$f":"IF($BA$37>0,(AH10/$J10*$F10)-($H10*AH10/$BA$37),0)+IF($BA$38>0,(AH11/$J11*$F11)-($H11*AH11/$BA$38),0)+IF($BA$39>0,(AH12/$J12*$F12)-($H12*AH12/$BA$39),0)+IF($BA$40>0,(AH13/$J13*$F13)-($H13*AH13/$BA$40),0)+IF($BA$41>0,(AH14/$J14*$F14)-($H14*AH14/$BA$41),0)+IF($BA$42>0,(AH15/$J15*$F15)-($H15*AH15/$BA$42),0)+IF($BA$43>0,(AH16/$J16*$F16)-($H16*AH16/$BA$43),0)+IF($BA$44>0,(AH17/$J17*$F17)-($H17*AH17/$BA$44),0)","v":0},null,null,null,{"$f":"IF($BA$37>0,(AL10/$J10*$F10)-($H10*AL10/$BA$37),0)+IF($BA$38>0,(AL11/$J11*$F11)-($H11*AL11/$BA$38),0)+IF($BA$39>0,(AL12/$J12*$F12)-($H12*AL12/$BA$39),0)+IF($BA$40>0,(AL13/$J13*$F13)-($H13*AL13/$BA$40),0)+IF($BA$41>0,(AL14/$J14*$F14)-($H14*AL14/$BA$41),0)+IF($BA$42>0,(AL15/$J15*$F15)-($H15*AL15/$BA$42),0)+IF($BA$43>0,(AL16/$J16*$F16)-($H16*AL16/$BA$43),0)+IF($BA$44>0,(AL17/$J17*$F17)-($H17*AL17/$BA$44),0)","v":0},null,null,null,{"$f":"IF($BA$37>0,(AP10/$J10*$F10)-($H10*AP10/$BA$37),0)+IF($BA$38>0,(AP11/$J11*$F11)-($H11*AP11/$BA$38),0)+IF($BA$39>0,(AP12/$J12*$F12)-($H12*AP12/$BA$39),0)+IF($BA$40>0,(AP13/$J13*$F13)-($H13*AP13/$BA$40),0)+IF($BA$41>0,(AP14/$J14*$F14)-($H14*AP14/$BA$41),0)+IF($BA$42>0,(AP15/$J15*$F15)-($H15*AP15/$BA$42),0)+IF($BA$43>0,(AP16/$J16*$F16)-($H16*AP16/$BA$43),0)+IF($BA$44>0,(AP17/$J17*$F17)-($H17*AP17/$BA$44),0)","v":0},null,null,null,{"$f":"IF($BA$37>0,(AT10/$J10*$F10)-($H10*AT10/$BA$37),0)+IF($BA$38>0,(AT11/$J11*$F11)-($H11*AT11/$BA$38),0)+IF($BA$39>0,(AT12/$J12*$F12)-($H12*AT12/$BA$39),0)+IF($BA$40>0,(AT13/$J13*$F13)-($H13*AT13/$BA$40),0)+IF($BA$41>0,(AT14/$J14*$F14)-($H14*AT14/$BA$41),0)+IF($BA$42>0,(AT15/$J15*$F15)-($H15*AT15/$BA$42),0)+IF($BA$43>0,(AT16/$J16*$F16)-($H16*AT16/$BA$43),0)+IF($BA$44>0,(AT17/$J17*$F17)-($H17*AT17/$BA$44),0)","v":0},null,null,null,{"$f":"IF($BA$37>0,(AX10/$J10*$F10)-($H10*AX10/$BA$37),0)+IF($BA$38>0,(AX11/$J11*$F11)-($H11*AX11/$BA$38),0)+IF($BA$39>0,(AX12/$J12*$F12)-($H12*AX12/$BA$39),0)+IF($BA$40>0,(AX13/$J13*$F13)-($H13*AX13/$BA$40),0)+IF($BA$41>0,(AX14/$J14*$F14)-($H14*AX14/$BA$41),0)+IF($BA$42>0,(AX15/$J15*$F15)-($H15*AX15/$BA$42),0)+IF($BA$43>0,(AX16/$J16*$F16)-($H16*AX16/$BA$43),0)+IF($BA$44>0,(AX17/$J17*$F17)-($H17*AX17/$BA$44),0)","v":0}]
[null,"Note A - These amounts must agree to your inpatient and outpatient Medicaid paid claims summary, if available (if not, use hospital's logs and submit with survey)."]
[null,"Note B:  Enter Organ Acquisition Payments in Section H as part of your In-State Medicaid total payments."]
[null,"Note C:  Enter the total revenue applicable to organs furnished to other providers, to organ procurement organizations and others, and for organs transplanted into non-Medicaid / non-Uninsured patients (but where organs were included in the Medicaid and Uninsured organ counts above).  Such revenues must be determined under the accrual method of accounting.  If organs are transplanted into non-Medicaid/non-Uninsured patients who are not liable for payment on a charge basis, and as such there is no revenue applicable to the related organ acquisitions, the amount entered must also include an amount representing the acquisition cost of the organs transplanted into such patients.  "]
[]
[]
[]
[null,"K.  Transplant Facilities Only:  Organ Acquisition Cost Out-of-State Medicaid"]
[]
[null,{"$f":"CONCATENATE(\"Cost Report Year (\" & TEXT(FYB_1,\"MM/DD/YYYY\") & \"-\" & TEXT(FYE_1,\"MM/DD/YYYY\") &\")\")","v":"Cost Report Year (07/01/2016-06/30/2017)"},null,{"$f":"ProvName","v":"WELLSTAR WEST GEORGIA HOSPITAL"}]
[]
[null,null,null,{"$f":"D5","v":"Total"},{"$f":"E5","v":"Additional Add-In Intern/Resident Cost"},{"$f":"F5","v":"Total Adjusted Organ Acquisition Cost"},null,{"$f":"H5","v":"Revenue for Medicaid/ Cross-Over / Uninsured Organs Sold"},null,{"$f":"J5","v":"Total"},null,{"$f":"'Sec. I Out-of-State'!H5","v":"Out-of-State Medicaid FFS Primary"},null,null,null,{"$f":"'Sec. I Out-of-State'!L5","v":"Out-of-State Medicaid Managed Care Primary"},null,null,null,{"$f":"'Sec. I Out-of-State'!P5","v":"Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},null,null,null,{"$f":"'Sec. I Out-of-State'!T5","v":"Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"}]
[null,null,null,{"$f":"D6","v":"Organ Acquisition Cost"},null,null,null,null,null,{"$f":"J6","v":"Useable Organs (Count)"},null,{"$f":"L6","v":"Charges"},null,{"$f":"N6","v":"Useable Organs (Count)"},null,{"$f":"P6","v":"Charges"},null,{"$f":"R6","v":"Useable Organs (Count)"},null,{"$f":"T6","v":"Charges"},null,{"$f":"V6","v":"Useable Organs (Count)"},null,{"$f":"X6","v":"Charges"},null,{"$f":"Z6","v":"Useable Organs (Count)"}]
[]
[null,null,null,{"$f":"D8","v":"Cost Report Worksheet D-4, Pt. III, Col. 1, Ln 61"},{"$f":"E8","v":"Add-On Cost Factor on Section G, Line 133 x Total Cost Report Organ Acquistion Cost"},{"$f":"F8","v":"Sum of Cost Report Organ Acquisition Cost and the Add-On Cost"},null,{"$f":"H8","v":"Similar to Instructions from Cost Report W/S D-4 Pt. III, Col. 1, Ln 66 (substitute Medicare with Medicaid/ Cross-Over & uninsured).  See Note C below."},null,{"$f":"J8","v":"Cost Report Worksheet D-4, Pt. III, Line 62"},null,{"$f":"L8","v":"From Paid Claims Data or Provider Logs (Note A)"},null,{"$f":"N8","v":"From Paid Claims Data or Provider Logs (Note A)"},null,{"$f":"P8","v":"From Paid Claims Data or Provider Logs (Note A)"},null,{"$f":"R8","v":"From Paid Claims Data or Provider Logs (Note A)"},null,{"$f":"T8","v":"From Paid Claims Data or Provider Logs (Note A)"},null,{"$f":"V8","v":"From Paid Claims Data or Provider Logs (Note A)"},null,{"$f":"X8","v":"From Paid Claims Data or Provider Logs (Note A)"},null,{"$f":"Z8","v":"From Paid Claims Data or Provider Logs (Note A)"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Total"]
[null,"Organ Acquisition Cost Centers (list below):"]
[11,{"$f":"IF('Sec. J & K Organ Acq'!B10=0,\"\",'Sec. J & K Organ Acq'!B10)","v":""},{"$f":"IF('Sec. J & K Organ Acq'!C10=0,\"\",'Sec. J & K Organ Acq'!C10)","v":"Lung Acquisition"},{"$f":"'Sec. J & K Organ Acq'!D10","v":0},{"$f":"E10","v":0},{"$f":"F10","v":0},null,{"$f":"'Sec. J & K Organ Acq'!H10","v":0},null,{"$f":"'Sec. J & K Organ Acq'!J10","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(AX10+Z10+V10+R10+N10+N37+R37+V37+Z37+AH10+AL10+AP10>J10,\"ERROR - Organs Reported Exceed Total\",\"\")","v":""},{"$f":"Z37+V37+R37+N37+AX10+Z10+V10+R10+N10+AH10+AL10+AP10+AT10+AD10","v":0}]
[12,{"$f":"IF('Sec. J & K Organ Acq'!B11=0,\"\",'Sec. J & K Organ Acq'!B11)","v":""},{"$f":"IF('Sec. J & K Organ Acq'!C11=0,\"\",'Sec. J & K Organ Acq'!C11)","v":"Kidney Acquisition"},{"$f":"'Sec. J & K Organ Acq'!D11","v":0},{"$f":"E11","v":0},0,null,{"$f":"'Sec. J & K Organ Acq'!H11","v":0},null,{"$f":"'Sec. J & K Organ Acq'!J11","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",{"$f":"Z38+V38+R38+N38+AX11+Z11+V11+R11+N11+AH11+AL11+AP11+AT11+AD11","v":0}]
[13,{"$f":"IF('Sec. J & K Organ Acq'!B12=0,\"\",'Sec. J & K Organ Acq'!B12)","v":""},{"$f":"IF('Sec. J & K Organ Acq'!C12=0,\"\",'Sec. J & K Organ Acq'!C12)","v":"Liver Acquisition"},{"$f":"'Sec. J & K Organ Acq'!D12","v":0},0,0,null,{"$f":"'Sec. J & K Organ Acq'!H12","v":0},null,{"$f":"'Sec. J & K Organ Acq'!J12","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",0]
[14,{"$f":"IF('Sec. J & K Organ Acq'!B13=0,\"\",'Sec. J & K Organ Acq'!B13)","v":""},{"$f":"IF('Sec. J & K Organ Acq'!C13=0,\"\",'Sec. J & K Organ Acq'!C13)","v":"Heart Acquisition"},{"$f":"'Sec. J & K Organ Acq'!D13","v":0},0,0,null,{"$f":"'Sec. J & K Organ Acq'!H13","v":0},null,{"$f":"'Sec. J & K Organ Acq'!J13","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",0]
[15,{"$f":"IF('Sec. J & K Organ Acq'!B14=0,\"\",'Sec. J & K Organ Acq'!B14)","v":""},{"$f":"IF('Sec. J & K Organ Acq'!C14=0,\"\",'Sec. J & K Organ Acq'!C14)","v":"Pancreas Acquisition"},{"$f":"'Sec. J & K Organ Acq'!D14","v":0},0,0,null,{"$f":"'Sec. J & K Organ Acq'!H14","v":0},null,{"$f":"'Sec. J & K Organ Acq'!J14","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",0]
[16,{"$f":"IF('Sec. J & K Organ Acq'!B15=0,\"\",'Sec. J & K Organ Acq'!B15)","v":""},{"$f":"IF('Sec. J & K Organ Acq'!C15=0,\"\",'Sec. J & K Organ Acq'!C15)","v":"Intestinal Acquisition"},{"$f":"'Sec. J & K Organ Acq'!D15","v":0},0,0,null,{"$f":"'Sec. J & K Organ Acq'!H15","v":0},null,{"$f":"'Sec. J & K Organ Acq'!J15","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",0]
[17,null,{"$f":"IF('Sec. J & K Organ Acq'!C16=0,\"\",'Sec. J & K Organ Acq'!C16)","v":"Islet Acquisition"},{"$f":"'Sec. J & K Organ Acq'!D16","v":0},0,0,null,{"$f":"'Sec. J & K Organ Acq'!H16","v":0},null,{"$f":"'Sec. J & K Organ Acq'!J16","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",0]
[18,{"$f":"IF('Sec. J & K Organ Acq'!B17=0,\"\",'Sec. J & K Organ Acq'!B17)","v":""},{"$f":"IF('Sec. J & K Organ Acq'!C17=0,\"\",'Sec. J & K Organ Acq'!C17)","v":""},{"$f":"'Sec. J & K Organ Acq'!D17","v":0},0,0,null,{"$f":"'Sec. J & K Organ Acq'!H17","v":0},null,{"$f":"'Sec. J & K Organ Acq'!J17","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",0]
[]
[19,null,{"$f":"C19","v":"Totals"},{"$f":"SUM(D37:D44)","v":0},{"$f":"SUM(E37:E44)","v":0},{"$f":"SUM(F37:F44)","v":0},null,{"$f":"SUM(H37:H44)","v":0},null,{"$f":"SUM(J37:J44)","v":0},null,{"$f":"SUM(L37:L44)","v":0},null,{"$f":"SUM(N37:N44)","v":0},null,{"$f":"SUM(P37:P44)","v":0},null,{"$f":"SUM(R37:R44)","v":0},null,{"$f":"SUM(T37:T44)","v":0},null,{"$f":"SUM(V37:V44)","v":0},null,{"$f":"SUM(X37:X44)","v":0},null,{"$f":"SUM(Z37:Z44)","v":0}]
[]
[20,null,{"$f":"C21","v":"Total Cost"},null,null,null,null,null,null,null,null,null,null,{"$f":"IF($BA$37>0,(N37/$J37*$F37)-($H37*N37/$BA$37),0)+IF($BA$38>0,(N38/$J38*$F38)-($H38*N38/$BA$38),0)+IF($BA$39>0,(N39/$J39*$F39)-($H39*N39/$BA$39),0)+IF($BA$40>0,(N40/$J40*$F40)-($H40*N40/$BA$40),0)+IF($BA$41>0,(N41/$J41*$F41)-($H41*N41/$BA$41),0)+IF($BA$42>0,(N42/$J42*$F42)-($H42*N42/$BA$42),0)+IF($BA$43>0,(N43/$J43*$F43)-($H43*N43/$BA$43),0)+IF($BA$44>0,(N44/$J44*$F44)-($H44*N44/$BA$44),0)","v":0},null,null,null,{"$f":"IF($BA$37>0,(R37/$J37*$F37)-($H37*R37/$BA$37),0)+IF($BA$38>0,(R38/$J38*$F38)-($H38*R38/$BA$38),0)+IF($BA$39>0,(R39/$J39*$F39)-($H39*R39/$BA$39),0)+IF($BA$40>0,(R40/$J40*$F40)-($H40*R40/$BA$40),0)+IF($BA$41>0,(R41/$J41*$F41)-($H41*R41/$BA$41),0)+IF($BA$42>0,(R42/$J42*$F42)-($H42*R42/$BA$42),0)+IF($BA$43>0,(R43/$J43*$F43)-($H43*R43/$BA$43),0)+IF($BA$44>0,(R44/$J44*$F44)-($H44*R44/$BA$44),0)","v":0},null,null,null,{"$f":"IF($BA$37>0,(V37/$J37*$F37)-($H37*V37/$BA$37),0)+IF($BA$38>0,(V38/$J38*$F38)-($H38*V38/$BA$38),0)+IF($BA$39>0,(V39/$J39*$F39)-($H39*V39/$BA$39),0)+IF($BA$40>0,(V40/$J40*$F40)-($H40*V40/$BA$40),0)+IF($BA$41>0,(V41/$J41*$F41)-($H41*V41/$BA$41),0)+IF($BA$42>0,(V42/$J42*$F42)-($H42*V42/$BA$42),0)+IF($BA$43>0,(V43/$J43*$F43)-($H43*V43/$BA$43),0)+IF($BA$44>0,(V44/$J44*$F44)-($H44*V44/$BA$44),0)","v":0},null,null,null,{"$f":"IF($BA$37>0,(Z37/$J37*$F37)-($H37*Z37/$BA$37),0)+IF($BA$38>0,(Z38/$J38*$F38)-($H38*Z38/$BA$38),0)+IF($BA$39>0,(Z39/$J39*$F39)-($H39*Z39/$BA$39),0)+IF($BA$40>0,(Z40/$J40*$F40)-($H40*Z40/$BA$40),0)+IF($BA$41>0,(Z41/$J41*$F41)-($H41*Z41/$BA$41),0)+IF($BA$42>0,(Z42/$J42*$F42)-($H42*Z42/$BA$42),0)+IF($BA$43>0,(Z43/$J43*$F43)-($H43*Z43/$BA$43),0)+IF($BA$44>0,(Z44/$J44*$F44)-($H44*Z44/$BA$44),0)","v":0}]
[null,"Note A - These amounts must agree to your inpatient and outpatient Medicaid paid claims summary, if available (if not, use hospital's logs and submit with survey)."]
[null,"Note B:  Enter Organ Acquisition Payments in Section I as part of your Out-of-State Medicaid total payments."]

{"sheet":"Sec. L Tax","index":15,"n_rows":51,"n_cols":14,"rows_kept":51,"cut":false,"hidden":false,"merged":[[42,3,42,4],[31,6,31,8],[25,6,25,8],[28,6,28,8],[50,2,50,15],[29,6,29,8],[30,6,30,8],[40,3,40,4],[41,3,41,4],[1,1,1,16],[3,1,3,14],[0,1,0,14],[16,6,16,8],[17,6,17,8],[4,1,4,4],[13,6,13,8],[18,6,18,8],[19,6,19,8],[22,6,22,8],[23,6,23,8],[24,6,24,8]]}
[]
[null,"L. Provider Tax Assessment Reconciliation / Adjustment"]
[]
[null,"An adjustment is necessary to properly reflect the Medicaid and uninsured share of the provider tax assessment for some hospitals.  The Medicaid and uninsured share of the provider tax assessment collected is an allowable cost in determining hospital-specific DSH limits and, therefore, can be included in the DSH examination survey.  However, depending on how your hospital reports it on the Medicare cost report, an adjustment may be necessary to ensure the cost is properly reflected in determining your hospital-specific DSH limit.  For instance, if your hospital removed part or all of the provider tax assessment on the Medicare cost report, the full amount of the provider tax assessment would not have been apportioned to the various payers through the step down allocation process, resulting in the Medicaid and uninsured share being understated in determining the hospital-specific DSH limit.  If your hospital needs to make an adjustment for the Medicaid and uninsured share of the provider tax assessment, please fill out the reconciliation below, and submit the supporting general ledger entries and other supporting documentation to Myers and Stauffer, LC along with your hospital's DSH examination surveys."]
[null,{"$f":"CONCATENATE(\"Cost Report Year (\" & TEXT(FYB_1,\"MM/DD/YYYY\") & \"-\" & TEXT(FYE_1,\"MM/DD/YYYY\") &\")\")","v":"Cost Report Year (07/01/2016-06/30/2017)"},null,null,null,{"$f":"ProvName","v":"WELLSTAR WEST GEORGIA HOSPITAL"}]
[]
[]
[null,"Worksheet A Provider Tax Assessment Reconciliation:"]
[]
[null,null,null,null,null,null,null,null,null,null,"Dollar Amount",null,"W/S A Cost Center Line"]
[null,1,"Hospital Gross Provider Tax Assessment (from general ledger)*",null,null,null,null,null,null,null,1852728]
[null,"1a","Working Trial Balance Account Type and Account # that includes Gross Provider Tax Assessment",null,null,null,null,null,null,null,"Contractual Adjustment",null,"582555900-44100","(WTB Account # )"]
[null,2,"Hospital Gross Provider Tax Assessment Included in Expense on the Cost Report (W/S A, Col. 2)",null,null,null,null,null,null,null,null,null,null,"(Where is the cost included on w/s A?)"]
[null,3,"Difference (Explain Here ---------->)",null,null,null,null,null,null,null,{"$f":"FRAGL-FRACRGross","v":1852728}]
[]
[null,null,"Provider Tax Assessment Reclassifications  (from w/s A-6 of the Medicare cost report)"]
[null,4,null,"Reclassification Code",null,null,null,null,null,null,null,null,null,"(Reclassified to / (from))"]
[null,5,null,"Reclassification Code",null,null,null,null,null,null,null,null,null,"(Reclassified to / (from))"]
[null,6,null,"Reclassification Code",null,null,null,null,null,null,null,null,null,"(Reclassified to / (from))"]
[null,7,null,"Reclassification Code",null,null,null,null,null,null,null,null,null,"(Reclassified to / (from))"]
[]
[null,null,"DSH UCC ALLOWABLE - Provider Tax Assessment Adjustments (from w/s A-8 of the Medicare cost report)"]
[null,8,null,"Reason for adjustment",null,null,null,null,null,null,null,null,null,"(Adjusted to / (from))"]
[null,9,null,"Reason for adjustment",null,null,null,null,null,null,null,null,null,"(Adjusted to / (from))"]
[null,10,null,"Reason for adjustment",null,null,null,null,null,null,null,null,null,"(Adjusted to / (from))"]
[null,11,null,"Reason for adjustment",null,null,null,null,null,null,null,null,null,"(Adjusted to / (from))"]
[]
[null,null,"DSH UCC NON-ALLOWABLE Provider Tax Assessment Adjustments (from w/s A-8 of the Medicare cost report)"]
[null,12,null,"Reason for adjustment"]
[null,13,null,"Reason for adjustment"]
[null,14,null,"Reason for adjustment"]
[null,15,null,"Reason for adjustment"]
[]
[null,16,"Total Net Provider Tax Assessment Expense Included in the Cost Report",null,null,null,null,null,null,null,{"$f":"FRACRGross+SUM(K$17:K$20)+SUM(K$23:K$26)+SUM(K$29:K$32)","v":0}]
[]
[null,"DSH UCC Provider Tax Assessment Adjustment:"]
[]
[null,17,"Gross Allowable Assessment Not Included in the Cost Report",null,null,null,null,null,null,null,{"$f":"FRAGL-FRACR+SUM($K$29:$K$32)","v":1852728},{"$f":"IF(FRAAddBackGross<0,\"ERROR: Tax expense is being removed from UCC!\",\"\")","v":""}]
[]
[null,null,"Apportionment of Provider Tax Assessment Adjustment to Medicaid & Uninsured:"]
[null,18,null,"Medicaid Hospital",null,"Charges Sec. G",null,null,null,null,{"$f":"IF(F41=\"Days\",Mcaid_InState_Days_1+Mcaid_OutofState_Days_1,IF(OR(F41=\"Charges Sec. F-3\",F41=\"Charges Sec. G\"), InState_Mcaid_IP_Charges_1+InState_Mcaid_OP_Charges_1+OOS_Mcaid_IP_Charges_1+OOS_Mcaid_OP_Charges_1,0))","v":135236059.47167087}]
[null,19,null,"Uninsured Hospital",null,{"$f":"F41","v":"Charges Sec. G"},null,null,null,null,{"$f":"IF(F42=\"Days\",UNINSURED_TOTAL_DAYS,IF(OR(F42=\"Charges Sec. F-3\",F42=\"Charges Sec. G\"), Uninsured_IP_Charges_1+Uninsured_OP_Charges_1,0))","v":51505482.101158038}]
[null,20,null,"Total Hospital",null,{"$f":"F41","v":"Charges Sec. G"},null,null,null,null,{"$f":"IF(F43=\"Days\",CRTotHospDays,IF(F43=\"Charges Sec. F-3\",IP_Hosp_Charges_1+OP_Hosp_Charges_1,IF(F43=\"Charges Sec. G\",'Sec. G CR Data'!L144,0)))","v":496171861}]
[null,21,null,"Percentage of Provider Tax Assessment Adjustment to include in DSH Medicaid UCC",null,null,null,null,null,null,{"$f":"IF(FRA_Apportion3>0,FRA_Apportion1/FRA_Apportion3,0)","v":0.27255890569673169}]
[null,22,null,"Percentage of Provider Tax Assessment Adjustment to include in DSH Uninsured UCC",null,null,null,null,null,null,{"$f":"IF(FRA_Apportion3>0,FRA_Apportion2/FRA_Apportion3,0)","v":0.10380572972709962}]
[null,23,null,"Medicaid Provider Tax Assessment Adjustment to DSH UCC",null,null,null,null,null,null,{"$f":"ROUND(FRA_Percent_1*FRAAddBackGross,0)","v":504978}]
[null,24,null,"Uninsured Provider Tax Assessment Adjustment to DSH UCC",null,null,null,null,null,null,{"$f":"ROUND(FRA_Percent_2*FRAAddBackGross,0)","v":192324}]
[null,25,"Provider Tax Assessment Adjustment to DSH UCC",null,null,null,null,null,null,null,{"$f":"FRA_Mcaid_Add+FRA_Uninsured_Add","v":697302}]
[]
[null,null,"* Assessment must exclude any non-hospital assessment such as Nursing Facility."]
[null,null,{"$f":"CONCATENATE(\"** The Gross Allowable Assessment Not Included in the Cost Report (line 17, above) will be apportioned to Medicaid and uninsured based on \" & LOWER(F41) &  \" unless the hospital provides a revised cost report to include the amount in the cost-to-charge ratios and per diems used in the survey.\")","v":"** The Gross Allowable Assessment Not Included in the Cost Report (line 17, above) will be apportioned to Medicaid and uninsured based on charges sec. g unless the hospital provides a revised cost report to include the amount in the cost-to-charge ratios and per diems used in the survey."}]

{"sheet":"Sec. D, E, F CR Data ADJ","index":16,"n_rows":136,"n_cols":29,"rows_kept":136,"cut":false,"hidden":true,"merged":[[22,2,22,4],[22,8,22,12],[23,2,23,4],[19,2,19,4],[19,8,19,12],[20,2,20,4],[20,8,20,12],[21,2,21,4],[21,8,21,12],[23,8,23,12],[0,0,0,8],[5,0,5,10],[7,2,7,6],[13,8,15,14],[15,2,15,6],[24,2,24,4],[24,8,24,12],[31,2,31,4],[32,2,32,4],[33,2,33,4],[25,2,25,4],[25,8,25,12],[26,2,26,4],[26,8,26,12],[34,2,34,4],[35,2,35,4],[36,2,36,4],[37,2,37,4],[38,2,38,4],[47,1,47,6],[48,1,48,6],[49,1,49,6],[50,1,50,4],[51,1,51,6],[52,1,52,6],[53,1,53,4],[55,1,55,4],[56,1,56,4],[57,1,57,4],[59,1,59,6],[60,1,60,6],[91,28,91,29],[92,28,92,29],[80,1,80,6],[94,28,94,29],[95,28,95,29],[61,1,61,6],[62,1,62,6],[63,1,63,12],[64,1,64,12],[71,0,71,14],[73,0,73,14],[66,1,66,12],[97,1,97,6],[100,2,100,6],[100,8,100,12],[135,1,135,14],[79,1,79,6],[84,1,84,12],[126,1,126,4],[127,1,127,4],[128,1,128,4],[129,1,129,4],[130,1,130,4],[131,1,131,4]]}
["EXAMINER ADJUSTED SURVEY",null,null,null,null,null,null,null,null,null,"Workpaper #:",null,null,null,"Reviewer:"]
[null,null,null,null,null,null,null,null,null,null,"Examiner:"]
[null,null,null,null,null,null,null,null,null,null,"Date:"]
[null,null,null,null,null,null,null,null,null,null,"DSH Version",null,{"$f":"Version","v":7.25},null,{"$f":"'Sec. D, E, F CR Data'!O4","v":"2018-05-03"}]
["D.  General Cost Report Year Information",null,{"$f":"FYB_1","v":"2016-07-01"},"-",{"$f":"FYE_1","v":"2017-06-30"}]
["The following information is provided based on the information we received from the state.  Please review this information for items 4 through 8 and select \"Yes\" or \"No\" to either agree or disagree with the accuracy of the information.  If you disagree with one of these items, please provide the correct information along with supporting documentation when you submit your survey."]
[]
["1.","Select Your Facility from the Drop-Down Menu Provided:",{"$f":"HOSPITALNAME","v":"WELLSTAR WEST GEORGIA HOSPITAL"}]
[]
[]
[null,null,{"$f":"FYB_Choice_1","v":"2016-07-01"},null,{"$f":"FYB_Choice_2","v":""},null,{"$f":"FYB_Choice_3","v":""}]
[null,null,{"$f":"'Sec. D, E, F CR Data'!C12","v":"through"},null,{"$f":"'Sec. D, E, F CR Data'!E12","v":""},null,{"$f":"'Sec. D, E, F CR Data'!G12","v":""}]
[null,null,{"$f":"FYE_Choice_1","v":"2017-06-30"},null,{"$f":"FYE_Choice_2","v":""},null,{"$f":"FYE_Choice_3","v":""}]
["2.","Select Cost Report Year Covered by this Survey:",{"$f":"IF(LEN(Cost_Report_Selected_1)>0,Cost_Report_Selected_1,\"\")","v":"X"},null,{"$f":"IF(LEN(Cost_Report_Selected_2)>0,Cost_Report_Selected_2,\"\")","v":""},null,{"$f":"IF(LEN(Cost_Report_Selected_3)>0,Cost_Report_Selected_3,\"\")","v":""},null,{"$f":"IF(COUNTIF($C$14:$G$14,\"X\")>1,\"ERROR: Please Select Only 1 Year! - Complete a Separate Survey for each Cost Report Year.\",\"\")","v":""}]
[]
["3.","Status of Cost Report Used for this Survey (Should be audited if available):",{"$f":"IF(LEN(Cost_Report_Status)>0,Cost_Report_Status,\"\")","v":"1 - As Submitted"}]
[]
["3a.","Date CMS processed the HCRIS file into the HCRIS database:",{"$f":"'Sec. D, E, F CR Data'!C18","v":"2017-12-21"}]
[]
[null,null,"Data",null,null,null,"Correct?",null,"If Incorrect, Proper Information"]
["4.","Hospital Name:",{"$f":"ProvName","v":"WELLSTAR WEST GEORGIA HOSPITAL"},null,null,null,{"$f":"'Sec. D, E, F CR Data'!G21","v":"Yes"},null,{"$f":"IF(LEN(ProvNameAdj)>0,ProvNameAdj,\"\")","v":""}]
["5.","Medicaid Provider Number:",{"$f":"McaidNum","v":"000002065A"},null,null,null,{"$f":"'Sec. D, E, F CR Data'!G22","v":"Yes"},null,{"$f":"IF(LEN(McaidNumAdj)>0,McaidNumAdj,\"\")","v":""}]
["6.","Medicaid Subprovider Number 1 (Psychiatric or Rehab):",{"$f":"SubNum1","v":0},null,null,null,{"$f":"'Sec. D, E, F CR Data'!G23","v":"Yes"},null,{"$f":"IF(LEN(SubNum1Adj)>0,SubNum1Adj,\"\")","v":""}]
["7.","Medicaid Subprovider Number 2 (Psychiatric or Rehab):",{"$f":"SubNum2","v":0},null,null,null,{"$f":"'Sec. D, E, F CR Data'!G24","v":"Yes"},null,{"$f":"IF(LEN(SubNum2Adj)>0,SubNum2Adj,\"\")","v":""}]
["8.","Medicare Provider Number:",{"$f":"McareNum","v":110016},null,null,null,{"$f":"'Sec. D, E, F CR Data'!G25","v":"Yes"},null,{"$f":"IF(LEN(McareNumADJ)>0,McareNumADJ,\"\")","v":""}]
["8a.","Owner/Operator (Private, State Govt., Non-State Govt., HIS/Tribal):",{"$f":"OWNER_1","v":"Non-State Govt."},null,null,null,{"$f":"'Sec. D, E, F CR Data'!G26","v":"Yes"},null,{"$f":"IF(LEN(OWNERADJ)>0,OWNERADJ,\"\")","v":""}]
["8b.","DSH Pool Classification (Small Rural, Non-Small Rural, Urban):",{"$f":"POOL_1","v":"Non-Small Rural"},null,null,null,{"$f":"'Sec. D, E, F CR Data'!G27","v":"Yes"},null,{"$f":"IF(LEN(POOLADJ)>0,POOLADJ,\"\")","v":""}]
[]
[]
[null,"Out-of-State Medicaid Provider Number.  List all states where you had a Medicaid provider agreement during the cost report year:"]
[]
[null,null,"State Name",null,null,null,"Provider No."]
["9.","State Name & Number",{"$f":"IF(LEN('Sec. D, E, F CR Data'!C33)>0,'Sec. D, E, F CR Data'!C33,\"\")","v":"Alabama"},null,null,null,{"$f":"IF(LEN('Sec. D, E, F CR Data'!G33)>0,'Sec. D, E, F CR Data'!G33,\"\")","v":"1821221144"}]
["10.","State Name & Number",{"$f":"IF(LEN('Sec. D, E, F CR Data'!C34)>0,'Sec. D, E, F CR Data'!C34,\"\")","v":""},null,null,null,{"$f":"IF(LEN('Sec. D, E, F CR Data'!G34)>0,'Sec. D, E, F CR Data'!G34,\"\")","v":""}]
["11.","State Name & Number",{"$f":"IF(LEN('Sec. D, E, F CR Data'!C35)>0,'Sec. D, E, F CR Data'!C35,\"\")","v":""},null,null,null,{"$f":"IF(LEN('Sec. D, E, F CR Data'!G35)>0,'Sec. D, E, F CR Data'!G35,\"\")","v":""}]
["12.","State Name & Number",{"$f":"IF(LEN('Sec. D, E, F CR Data'!C36)>0,'Sec. D, E, F CR Data'!C36,\"\")","v":""},null,null,null,{"$f":"IF(LEN('Sec. D, E, F CR Data'!G36)>0,'Sec. D, E, F CR Data'!G36,\"\")","v":""}]
["13.","State Name & Number",{"$f":"IF(LEN('Sec. D, E, F CR Data'!C37)>0,'Sec. D, E, F CR Data'!C37,\"\")","v":""},null,null,null,{"$f":"IF(LEN('Sec. D, E, F CR Data'!G37)>0,'Sec. D, E, F CR Data'!G37,\"\")","v":""}]
["14.","State Name & Number",{"$f":"IF(LEN('Sec. D, E, F CR Data'!C38)>0,'Sec. D, E, F CR Data'!C38,\"\")","v":""},null,null,null,{"$f":"IF(LEN('Sec. D, E, F CR Data'!G38)>0,'Sec. D, E, F CR Data'!G38,\"\")","v":""}]
["15.","State Name & Number",{"$f":"IF(LEN('Sec. D, E, F CR Data'!C39)>0,'Sec. D, E, F CR Data'!C39,\"\")","v":""},null,null,null,{"$f":"IF(LEN('Sec. D, E, F CR Data'!G39)>0,'Sec. D, E, F CR Data'!G39,\"\")","v":""}]
[null,"(List additional states on a separate attachment)"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"OKLAHOMA"]
[]
[{"$f":"CONCATENATE(\"E.  Disclosure of Medicaid / Uninsured Payments Received: (\",TEXT(FYB_1,\"mm/dd/yyyy\"),\" - \",TEXT(FYE_1,\"mm/dd/yyyy\"),\")\")","v":"E.  Disclosure of Medicaid / Uninsured Payments Received: (07/01/2016 - 06/30/2017)"}]
[]
[]
["1.","Section 1011 Payment Related to Hospital Services Included in Exhibits B & B-1  (See Note 1)",null,null,null,null,null,null,{"$f":"'Sec. D, E, F CR Data'!I48","v":0}]
["2.","Section 1011 Payment Related to Inpatient Hospital Services NOT Included in Exhibits B & B-1  (See Note 1)",null,null,null,null,null,null,{"$f":"'Sec. D, E, F CR Data'!I49","v":0}]
["3.","Section 1011 Payment Related to Outpatient Hospital Services NOT Included in Exhibits B & B-1  (See Note 1)",null,null,null,null,null,null,{"$f":"'Sec. D, E, F CR Data'!I50","v":0}]
["4.","Total Section 1011 Payments Related to Hospital Services  (See Note 1)",null,null,null,null,null,null,{"$f":"SUM(I48:I50)","v":0}]
["5.","Section 1011 Payment Related to Non-Hospital Services Included in Exhibits B & B-1  (See Note 1)",null,null,null,null,null,null,{"$f":"'Sec. D, E, F CR Data'!I52","v":0}]
["6.","Section 1011 Payment Related to Non-Hospital Services NOT Included in Exhibits B & B-1  (See Note 1)",null,null,null,null,null,null,{"$f":"'Sec. D, E, F CR Data'!I53","v":0}]
["7.","Total Section 1011 Payments Related to Non-Hospital Services  (See Note 1)",null,null,null,null,null,null,{"$f":"SUM(I52:I53)","v":0}]
[]
[]
["8.","Out-of-State DSH Payments  (See Note 2)",null,null,null,null,null,null,{"$f":"'Sec. D, E, F CR Data'!I57","v":0}]
[]
[null,null,null,null,null,null,null,null,"Inpatient",null,"Outpatient",null,"Total"]
["9.","Total Cash Basis Patient Payments from Uninsured (On Exhibit B)",null,null,null,null,null,null,{"$f":"'Sec. D, E, F CR Data'!I60","v":178219},null,{"$f":"'Sec. D, E, F CR Data'!K60","v":572282},null,{"$f":"K60+I60","v":750501}]
["10.","Total Cash Basis Patient Payments from All Other Patients (On Exhibit B)",null,null,null,null,null,null,{"$f":"'Sec. D, E, F CR Data'!I61","v":832938},null,{"$f":"'Sec. D, E, F CR Data'!K61","v":4023044},null,{"$f":"K61+I61","v":4855982}]
["11.","Total Cash Basis Patient Payments Reported on Exhibit B (Agrees to Column (N) on Exhibit B)",null,null,null,null,null,null,{"$f":"SUM(I60:I61)","v":1011157},null,{"$f":"SUM(K60:K61)","v":4595326},null,{"$f":"SUM(M60:M61)","v":5606483}]
["12.","Uninsured Cash Basis Patient Payments as a Percentage of Total Cash Basis Patient Payments:",null,null,null,null,null,null,{"$f":"IF(I62<>0,I60/I62,0)","v":0.17625255029634368},null,{"$f":"IF(K62<>0,K60/K62,0)","v":0.12453566950418751},null,{"$f":"IF(M62<>0,M60/M62,0)","v":0.13386306531206818}]
[null,{"$f":"IF($M$63>50%, \"NOTE: According to the payment data entered above, uninsured patient payments account for more than half of all patient payments.  Please verify this is correct.\",\"\")","v":""}]
[null,{"$f":"IF(ROUND(M60,0)<>ROUND(SUM('Sec. H In-State ADJ'!AR165,'Sec. H In-State ADJ'!AT165),0), \"NOTE: Uninsured payments reported on Section H do not reconcile to uninsured payments reported on Section E. Please verify this is correct.\",\"\")","v":""}]
[{"$f":"'Sec. D, E, F CR Data'!A66","v":"13."},{"$f":"'Sec. D, E, F CR Data'!B66:G66","v":"Did your hospital receive any Medicaid managed care payments not paid at the claim level?"},null,null,null,null,null,null,{"$f":"MCO_non_claim_pmts_received","v":"No"}]
[null,{"$f":"'Sec. D, E, F CR Data'!B67:G67","v":"Should include all non-claim-specific payments such as lump sum payments for full Medicaid pricing, supplementals, quality payments, bonus payments, capitation payments received by the hospital (not by the MCO), or other incentive payments."}]
[{"$f":"'Sec. D, E, F CR Data'!A68","v":"14."},{"$f":"'Sec. D, E, F CR Data'!B68:G68","v":"Total Medicaid managed care non-claims payments (see question 13 above) received applicable to hospital services"},null,null,null,null,null,null,{"$f":"'Sec. D, E, F CR Data'!I68","v":0}]
[{"$f":"'Sec. D, E, F CR Data'!A69","v":"15."},{"$f":"'Sec. D, E, F CR Data'!B69:G69","v":"Total Medicaid managed care non-claims payments (see question 13 above) received applicable to non-hospital services"},null,null,null,null,null,null,{"$f":"'Sec. D, E, F CR Data'!I69","v":0}]
[{"$f":"'Sec. D, E, F CR Data'!A70","v":"16."},{"$f":"'Sec. D, E, F CR Data'!B70:G70","v":"Total Medicaid managed care non-claims payments (see question 13 above) received"},null,null,null,null,null,null,{"$f":"SUM(I68:I69)","v":0}]
[]
["Note 1:  Subtitle B - Miscellaneous Provision, Section 1011 of the Medicare Prescription Drug Improvement and Modernization Act of 2003 provides federal reimbursement for emergency health services furnished to undocumented aliens.  If your hospital received these funds during any cost report year covered by the survey, they must be reported here.  If you can document that a portion of the payment received is related to non-hospital services (physician or ambulance services), report that amount in the section titled \"Section 1011 Payments Related to Non-Hospital Services.\"  Otherwise report 100 percent of the funds you received in the section related to hospital services.\n"]
[]
["Note 2:  Report any DSH payments your hospital received from a state Medicaid program (other than your home state).  In-state DSH payments will be reported directly from the Medicaid program and should not be included in this section of the survey.\n"]
[]
[]
[{"$f":"CONCATENATE(\"F.  MIUR / LIUR Qualifying Data from the Cost Report (\",TEXT(FYB_1,\"mm/dd/yyyy\"),\" - \",TEXT(FYE_1,\"mm/dd/yyyy\"),\")\")","v":"F.  MIUR / LIUR Qualifying Data from the Cost Report (07/01/2016 - 06/30/2017)"}]
[]
[null,"F-1.  Total Hospital Days Used in Medicaid Inpatient Utilization Ratio (MIUR)"]
[{"$f":"'Sec. D, E, F CR Data'!A80","v":"1."},{"$f":"'Sec. D, E, F CR Data'!B80","v":"Total Hospital Days Per Cost Report Excluding Swing-Bed (C/R, W/S S-3, Pt. I, Col. 8, Sum of Lns. 14, 16, 17, 18.00-18.03, 30, 31 less lines 5 & 6)"},null,null,null,null,null,null,{"$f":"'Sec. D, E, F CR Data'!I80","v":27088}]
[]
[]
[]
[]
[null,"F-2.  Cash Subsidies for Patient Services Received from State or Local Governments and Charity Care Charges (Used in Low-Income Utilization Ratio (LIUR) Calculation):"]
[{"$f":"'Sec. D, E, F CR Data'!A86","v":"2."},{"$f":"'Sec. D, E, F CR Data'!B86","v":"Inpatient Hospital Subsidies"},null,null,null,null,null,null,{"$f":"IP_Hosp_Subsidies_1","v":0}]
[{"$f":"'Sec. D, E, F CR Data'!A87","v":"3."},{"$f":"'Sec. D, E, F CR Data'!B87","v":"Outpatient Hospital Subsidies"},null,null,null,null,null,null,{"$f":"OP_Hosp_Subsidies_1","v":0}]
[{"$f":"'Sec. D, E, F CR Data'!A88","v":"4."},{"$f":"'Sec. D, E, F CR Data'!B88","v":"Unspecified I/P and O/P Hospital Subsidies"},null,null,null,null,null,null,{"$f":"Unspec_Hosp_Subsidies_1","v":0}]
[{"$f":"'Sec. D, E, F CR Data'!A89","v":"5."},{"$f":"'Sec. D, E, F CR Data'!B89","v":"Non-Hospital Subsidies"},null,null,null,null,null,null,{"$f":"NonHosp_Subsidies_1","v":0}]
[{"$f":"'Sec. D, E, F CR Data'!A90","v":"6."},{"$f":"'Sec. D, E, F CR Data'!B90","v":"Total Hospital Subsidies"},null,null,null,null,null,null,{"$f":"I86+I87+I88+I89","v":0}]
[]
[{"$f":"'Sec. D, E, F CR Data'!A92","v":"7."},{"$f":"'Sec. D, E, F CR Data'!B92","v":"Inpatient Hospital Charity Care Charges"},null,null,null,null,null,null,{"$f":"IP_Charity_Charges_1","v":11312337}]
[{"$f":"'Sec. D, E, F CR Data'!A93","v":"8."},{"$f":"'Sec. D, E, F CR Data'!B93","v":"Outpatient Hospital Charity Care Charges"},null,null,null,null,null,null,{"$f":"OP_Charity_Charges_1","v":46832555}]
[{"$f":"'Sec. D, E, F CR Data'!A94","v":"9."},{"$f":"'Sec. D, E, F CR Data'!B94","v":"Non-Hospital Charity Care Charges"},null,null,null,null,null,null,{"$f":"NonHosp_Charity_Charges_1","v":0}]
[{"$f":"'Sec. D, E, F CR Data'!A95","v":"10."},{"$f":"'Sec. D, E, F CR Data'!B95","v":"Total Charity Care Charges"},null,null,null,null,null,null,{"$f":"I92+I93+I94","v":58144892}]
[]
[]
[null,"F-3.  Calculation of Net Hospital Revenue from Patient Services  (Used for LIUR) (W/S G-2 and G-3 of Cost Report)"]
[]
[]
[null,null,"Total Patient Revenues (Charges)",null,null,null,null,null,"Contractual Adjustments"]
[null,null,"Inpatient Hospital",null,"Outpatient Hospital",null,"Non-Hospital",null,"Inpatient Hospital",null,"Outpatient Hospital",null,"Non-Hospital",null,"Net Hospital Revenue"]
[]
[{"$f":"'Sec. D, E, F CR Data'!A104","v":"11."},"Hospital",{"$f":"'Sec. D, E, F CR Data'!C104","v":43829351},null,{"$f":"'Sec. D, E, F CR Data'!E104","v":0},null,{"$f":"'Sec. D, E, F CR Data'!G104","v":0},null,{"$f":"IFERROR(C104/$G$122*Adj_Hosp_CR_Contractuals_1_ADJ,0)","v":28872506.360398762},null,{"$f":"IFERROR(E104/$G$122*Adj_Hosp_CR_Contractuals_1_ADJ,0)","v":0},null,{"$f":"IFERROR(G104/$G$122*Adj_Hosp_CR_Contractuals_1_ADJ,0)","v":0},null,{"$f":"C104+E104-I104-K104","v":14956844.639601238}]
[{"$f":"'Sec. D, E, F CR Data'!A105","v":"12."},"Psych Subprovider",{"$f":"'Sec. D, E, F CR Data'!C105","v":0},null,{"$f":"'Sec. D, E, F CR Data'!E105","v":0},null,{"$f":"'Sec. D, E, F CR Data'!G105","v":0},null,{"$f":"IFERROR(C105/$G$122*Adj_Hosp_CR_Contractuals_1_ADJ,0)","v":0},null,{"$f":"IFERROR(E105/$G$122*Adj_Hosp_CR_Contractuals_1_ADJ,0)","v":0},null,0,null,{"$f":"C105+E105-I105-K105","v":0}]
[{"$f":"'Sec. D, E, F CR Data'!A106","v":"13."},"Rehab. Subprovider",{"$f":"'Sec. D, E, F CR Data'!C106","v":0},null,{"$f":"'Sec. D, E, F CR Data'!E106","v":0},null,{"$f":"'Sec. D, E, F CR Data'!G106","v":0},null,{"$f":"IFERROR(C106/$G$122*Adj_Hosp_CR_Contractuals_1_ADJ,0)","v":0},null,{"$f":"IFERROR(E106/$G$122*Adj_Hosp_CR_Contractuals_1_ADJ,0)","v":0},null,0,null,{"$f":"C106+E106-I106-K106","v":0}]
[{"$f":"'Sec. D, E, F CR Data'!A107","v":"14."},"Swing Bed - SNF",null,null,null,null,{"$f":"'Sec. D, E, F CR Data'!G107","v":0},null,null,null,null,null,0]
[{"$f":"'Sec. D, E, F CR Data'!A108","v":"15."},"Swing Bed - NF",null,null,null,null,{"$f":"'Sec. D, E, F CR Data'!G108","v":0},null,null,null,null,null,0]
[{"$f":"'Sec. D, E, F CR Data'!A109","v":"16."},"Skilled Nursing Facility",null,null,null,null,{"$f":"'Sec. D, E, F CR Data'!G109","v":8870906},null,null,null,null,null,5843693.41694107]
[{"$f":"'Sec. D, E, F CR Data'!A110","v":"17."},"Nursing Facility",null,null,null,null,{"$f":"'Sec. D, E, F CR Data'!G110","v":0},null,null,null,null,null,0]
[{"$f":"'Sec. D, E, F CR Data'!A111","v":"18."},"Other Long-Term Care",null,null,null,null,{"$f":"'Sec. D, E, F CR Data'!G111","v":0},null,null,null,null,null,0]
[{"$f":"'Sec. D, E, F CR Data'!A112","v":"19."},"Ancillary Services",{"$f":"'Sec. D, E, F CR Data'!C112","v":138621550},null,{"$f":"'Sec. D, E, F CR Data'!E112","v":252752716},null,{"$f":"'Sec. D, E, F CR Data'!G112","v":0},null,{"$f":"IFERROR(C112/$G$122*Adj_Hosp_CR_Contractuals_1_ADJ,0)","v":91316697.435545757},null,{"$f":"IFERROR(E112/$G$122*Adj_Hosp_CR_Contractuals_1_ADJ,0)","v":166500398.33622137},null,0,null,{"$f":"C112+E112-I112-K112","v":133557170.22823289}]
[{"$f":"'Sec. D, E, F CR Data'!A113","v":"20."},"Outpatient Services",null,null,{"$f":"'Sec. D, E, F CR Data'!E113","v":67312804},null,{"$f":"'Sec. D, E, F CR Data'!G113","v":0},null,null,null,{"$f":"IFERROR(E113/$G$122*Adj_Hosp_CR_Contractuals_1_ADJ,0)","v":44342188.905016534},null,0,null,{"$f":"C113+E113-I113-K113","v":22970615.094983466}]
[{"$f":"'Sec. D, E, F CR Data'!A114","v":"21."},"Home Health Agency",null,null,null,null,{"$f":"'Sec. D, E, F CR Data'!G114","v":3761850},null,null,null,null,null,2478111.9403722421]
[{"$f":"'Sec. D, E, F CR Data'!A115","v":"22."},"Ambulance",{"$f":"'Sec. D, E, F CR Data'!C115","v":0},null,{"$f":"'Sec. D, E, F CR Data'!E115","v":0},null,{"$f":"'Sec. D, E, F CR Data'!G115","v":0},null,{"$f":"IFERROR(C115/$G$122*Adj_Hosp_CR_Contractuals_1_ADJ,0)","v":0},null,{"$f":"IFERROR(E115/$G$122*Adj_Hosp_CR_Contractuals_1_ADJ,0)","v":0},null,0,null,{"$f":"+C115+E115-I115-K115","v":0}]
[{"$f":"'Sec. D, E, F CR Data'!A116","v":"23."},"Outpatient Rehab Providers",{"$f":"'Sec. D, E, F CR Data'!C116","v":0},null,{"$f":"'Sec. D, E, F CR Data'!E116","v":0},null,{"$f":"'Sec. D, E, F CR Data'!G116","v":0},null,{"$f":"IFERROR(C116/$G$122*Adj_Hosp_CR_Contractuals_1_ADJ,0)","v":0},null,{"$f":"IFERROR(E116/$G$122*Adj_Hosp_CR_Contractuals_1_ADJ,0)","v":0},null,0,null,{"$f":"C116+E116-I116-K116","v":0}]
[{"$f":"'Sec. D, E, F CR Data'!A117","v":"24."},"ASC",{"$f":"'Sec. D, E, F CR Data'!C117","v":0},null,{"$f":"'Sec. D, E, F CR Data'!E117","v":0},null,{"$f":"'Sec. D, E, F CR Data'!G117","v":0},null,{"$f":"IFERROR(C117/$G$122*Adj_Hosp_CR_Contractuals_1_ADJ,0)","v":0},null,{"$f":"IFERROR(E117/$G$122*Adj_Hosp_CR_Contractuals_1_ADJ,0)","v":0},null,0,null,{"$f":"C117+E117-I117-K117","v":0}]
[{"$f":"'Sec. D, E, F CR Data'!A118","v":"25."},"Hospice",null,null,null,null,{"$f":"'Sec. D, E, F CR Data'!G118","v":6634566},null,null,null,null,null,4370508.4529653508]
[{"$f":"'Sec. D, E, F CR Data'!A119","v":"26."},"Other",{"$f":"'Sec. D, E, F CR Data'!C119","v":7499510},null,{"$f":"'Sec. D, E, F CR Data'!E119","v":10296018},null,{"$f":"'Sec. D, E, F CR Data'!G119","v":0},null,{"$f":"IFERROR(C119/$G$122*Adj_Hosp_CR_Contractuals_1_ADJ,0)","v":4940288.7616308555},null,{"$f":"IFERROR(E119/$G$122*Adj_Hosp_CR_Contractuals_1_ADJ,0)","v":6782483.3909080727},null,0,null,{"$f":"C119+E119-I119-K119","v":6072755.8474610718}]
[]
[{"$f":"'Sec. D, E, F CR Data'!A121","v":"27."},"Total",{"$f":"SUM(C104:C119)","v":189950411},null,{"$f":"SUM(E104:E119)","v":330361538},null,{"$f":"SUM(G104:G119)","v":19267322},null,{"$f":"SUM(I104:I119)","v":125129492.55757537},null,{"$f":"SUM(K104:K119)","v":217625070.63214597},null,{"$f":"SUM(M104:M119)","v":12692313.810278663},null,{"$f":"SUM(O104:O119)","v":177557385.81027865}]
[{"$f":"'Sec. D, E, F CR Data'!A122","v":"28."},"Total Hospital and Non Hospital",null,null,"Total from Above",null,{"$f":"G121+E121+C121","v":539579271},null,null,null,"Total from Above",null,{"$f":"I121+K121+M121","v":355446877}]
[]
[]
[]
[{"$f":"'Sec. D, E, F CR Data'!A126","v":"29."},"Total Per Cost Report",null,null,"Total Patient Revenues (G-3 Line 1)",null,{"$f":"Tot_Hosp_CR_Charges_1","v":539579271},null,null,null,"Total Contractual Adj. (G-3 Line 2)",null,{"$f":"Tot_Hosp_CR_Contractuals_1","v":355446877}]
[{"$f":"'Sec. D, E, F CR Data'!A127","v":"30."},{"$f":"'Sec. D, E, F CR Data'!B127","v":"Increase worksheet G-3, Line 2 for Bad Debts NOT INCLUDED on worksheet G-3, Line 2 (impact is a decrease in net patient revenue)"},null,null,null,null,null,null,null,null,null,{"$f":"IF('Survey Set-Up'!M32=\"Increase\",\"+\",IF('Survey Set-Up'!M32=\"Decrease\",\"-\",\"\"))","v":"+"},{"$f":"'Sec. D, E, F CR Data'!M127","v":0}]
[{"$f":"'Sec. D, E, F CR Data'!A128","v":"31."},{"$f":"'Sec. D, E, F CR Data'!B128","v":"Increase worksheet G-3, Line 2 for Charity Care Write-Offs NOT INCLUDED on worksheet G-3, Line 2 (impact is a decrease in net patient revenue)"},null,null,null,null,null,null,null,null,null,{"$f":"IF('Survey Set-Up'!M33=\"Increase\",\"+\",IF('Survey Set-Up'!M33=\"Decrease\",\"-\",\"\"))","v":"+"},{"$f":"'Sec. D, E, F CR Data'!M128","v":0}]
[{"$f":"'Sec. D, E, F CR Data'!A129","v":"32."},{"$f":"'Sec. D, E, F CR Data'!B129","v":"Increase worksheet G-3, Line 2 to reverse offset of Medicaid DSH Revenue INCLUDED on worksheet G-3, Line 2 (impact is a decrease in net patient revenue)"},null,null,null,null,null,null,null,null,null,{"$f":"IF('Survey Set-Up'!M34=\"Increase\",\"+\",IF('Survey Set-Up'!M34=\"Decrease\",\"-\",\"\"))","v":"+"},{"$f":"'Sec. D, E, F CR Data'!M129","v":0}]
[{"$f":"'Sec. D, E, F CR Data'!A130","v":"33."},{"$f":"'Sec. D, E, F CR Data'!B130","v":"Increase worksheet G-3, Line 2 to reverse offset of State and Local Patient Care Cash Subsidies INCLUDED on worksheet G-3, Line 2 (impact is a decrease in net patient revenue)"},null,null,null,null,null,null,null,null,null,{"$f":"IF('Survey Set-Up'!M35=\"Increase\",\"+\",IF('Survey Set-Up'!M35=\"Decrease\",\"-\",\"\"))","v":"+"},{"$f":"'Sec. D, E, F CR Data'!M130","v":0}]
[{"$f":"'Sec. D, E, F CR Data'!A131","v":"34."},{"$f":"'Sec. D, E, F CR Data'!B131","v":"Decrease worksheet G-3, Line 2 to remove Medicaid Provider Taxes INCLUDED on worksheet G-3, Line 2 (impact is an increase in net patient revenue)"},null,null,null,null,null,null,null,null,null,{"$f":"IF('Survey Set-Up'!M36=\"Increase\",\"+\",IF('Survey Set-Up'!M36=\"Decrease\",\"-\",\"\"))","v":"-"},{"$f":"'Sec. D, E, F CR Data'!M131","v":0}]
[{"$f":"'Sec. D, E, F CR Data'!A132","v":"35."},{"$f":"'Sec. D, E, F CR Data'!B132","v":"Blank Recon Line OR \"Decrease worksheet G-3, Line 2 to remove Charity Care Charges related to insured patients INCLUDED on worksheet G-3, Line 2 (impact is an increase in net patient revenue)\""},null,null,null,null,null,null,null,null,null,{"$f":"IF('Survey Set-Up'!M37=\"Increase\",\"+\",IF('Survey Set-Up'!M37=\"Decrease\",\"-\",\"\"))","v":"-"},{"$f":"'Sec. D, E, F CR Data'!M132","v":0}]
[{"$f":"'Sec. D, E, F CR Data'!A133","v":"35."},{"$f":"'Sec. D, E, F CR Data'!B133","v":"Adjusted Contractual Adjustments"},null,null,null,null,null,null,null,null,null,null,{"$f":"Tot_Hosp_CR_Contractuals_1_ADJ+CONCATENATE(L127,ABS(M127))+CONCATENATE(L128,ABS(M128))+CONCATENATE(L129,ABS(M129))+CONCATENATE(L130,ABS(M130))+CONCATENATE(L131,ABS(M131))+CONCATENATE(L132,ABS(M132))","v":355446877}]
[{"$f":"'Sec. D, E, F CR Data'!A134","v":"36."},"Unreconciled Difference",null,null,"Unreconciled Difference (Should be $0)",null,{"$f":"G122-G126","v":0},null,null,null,"Unreconciled Difference (Should be $0)",null,{"$f":"M122-Adj_Hosp_CR_Contractuals_1_ADJ","v":0}]
[null,null,null,null,null,null,{"$f":"IF(ROUND('Sec. D, E, F CR Data ADJ'!G134,0)<>0, \"Please Attach Explanation of Variance\",\"\")","v":""},null,null,null,null,null,{"$f":"IF(ROUND('Sec. D, E, F CR Data ADJ'!M134,0)<>0, \"Please Attach Explanation of Variance\",\"\")","v":""}]
[null,{"$f":"IF(LIUR_1_ADJ>100%,\"NOTE: Your calculated LIUR percentage is unusually high (above 100%).  Please verify your cash subsidies and charity care charges reported above are correctly reported in your total charges reported above. \", \"\")","v":""}]

{"sheet":"Sec. G CR Data ADJ","index":17,"n_rows":153,"n_cols":25,"rows_kept":153,"cut":false,"hidden":true,"merged":[[1,20,1,24],[2,20,2,21],[2,23,2,24],[33,15,34,15],[149,2,149,6],[2,3,2,12],[144,2,144,6],[145,2,145,6],[146,2,146,6],[147,2,147,6]]}
[null,"G.  Cost Report - Cost / Days / Charges"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Note: Values below are only used for spreading and analytical purposes."]
[null,{"$f":"CONCATENATE(\"Cost Report Year (\" & TEXT(FYB_1_ADJ,\"MM/DD/YYYY\") & \"-\" & TEXT(FYE_1_ADJ,\"MM/DD/YYYY\") &\")\")","v":"Cost Report Year (07/01/2016-06/30/2017)"},null,{"$f":"ProvName_ADJ","v":"WELLSTAR WEST GEORGIA HOSPITAL"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Title XIX",null,null,"Title XVIII"]
[]
[]
[null,{"$f":"'Sec. G CR Data'!B6","v":"Line #"},{"$f":"'Sec. G CR Data'!C6","v":"Cost Center Description"},{"$f":"'Sec. G CR Data'!D6","v":"Total Allowable Cost"},{"$f":"'Sec. G CR Data'!E6","v":"Intern & Resident Costs Removed on Cost Report *"},{"$f":"'Sec. G CR Data'!F6","v":"RCE and Therapy Add-Back (If Applicable)"},null,{"$f":"'Sec. G CR Data'!H6","v":"Provider Tax Assessment"},"Net Cost","I/P Days and I/P Ancillary Charges","I/P Routine Charges and O/P Ancillary Charges","Total Charges","Medicaid Per Diem / Cost or Other Ratios",null,null,null,null,null,null,null,"I/P Days and I/P Ancillary Charges","I/P Routine Charges and O/P Ancillary Charges",null,"I/P Days and I/P Ancillary Charges","I/P Routine Charges and O/P Ancillary Charges"]
[]
[null,null,null,{"$f":"'Sec. G CR Data'!D8","v":"Cost Report Worksheet B,       Part I, Col. 26"},{"$f":"'Sec. G CR Data'!E8","v":"Cost Report Worksheet B,       Part I, Col. 25 (Intern & Resident Offset ONLY)*"},{"$f":"'Sec. G CR Data'!F8","v":"Cost Report Worksheet C,       Part I, Col.2 and Col. 4"},{"$f":"'Sec. G CR Data'!G8","v":"Swing-Bed Carve Out - Cost Report Worksheet D-1, Part I, Line 26"},{"$f":"'Sec. G CR Data'!H8","v":"Allocation of Provider Tax from Section L of the Survey Based on Total Cost"},{"$f":"'Sec. G CR Data'!I8","v":"Calculated"},{"$f":"'Sec. G CR Data'!J8","v":"Days - Cost Report W/S D-1, Pt. I, Line 2 for Adults & Peds; W/S D-1, Pt. 2, Lines 42-47 for others"},{"$f":"'Sec. G CR Data'!K8","v":"Inpatient Routine Charges - Cost Report Worksheet C, Pt. I,  Col. 6 (Informational only unless used in Section L charges allocation)"},null,{"$f":"'Sec. G CR Data'!M8","v":"Calculated Per Diem"},null,null,"W/S S-3 DAYS (EXCLUDES OBSERVATION DAYS)",null,null,null,null,"Days - Cost Report W/S S-3, Pt. I, Column 7","Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)",null,"Days - Cost Report W/S S-3, Pt. I, Column 6","Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"]
[]
[null,"Routine Cost Centers (list below):"]
[1,{"$f":"IF(LEN('Sec. G CR Data'!B11)>0,'Sec. G CR Data'!B11,\"\")","v":"03000"},{"$f":"'Sec. G CR Data'!C11","v":"ADULTS & PEDIATRICS"},{"$f":"'Sec. G CR Data'!D11","v":20655287},{"$f":"'Sec. G CR Data'!E11","v":0},{"$f":"'Sec. G CR Data'!F11","v":0},{"$f":"'Sec. G CR Data'!G11","v":0},{"$f":"IF(OR(FRAAddBackGross_ADJ=0,FRAAddBack_ADJ<>0,FRA_Basis_ADJ<>\"Cost\"),0,FRAAddBackGross_ADJ*(D11+ABS(E11)+F11-G11)/(SUM($D$144,ABS($E$144),$F$144)-$G$11))","v":0},{"$f":"D11+ABS(E11)+F11-G11+H11","v":20655287},{"$f":"'Sec. G CR Data'!J11","v":26144},{"$f":"'Sec. G CR Data'!K11","v":34554230},null,{"$f":"IF(J11<>0,ROUND(I11/J11,2),0)","v":790.06},null,null,{"$f":"+$J$11-CR_Obs_Days_Routine_ADJ","v":22605},null,null,null,null,{"$f":"'Sec. G CR Data'!U11","v":1618},{"$f":"'Sec. G CR Data'!V11","v":2064065},null,{"$f":"'Sec. G CR Data'!X11","v":7933},{"$f":"'Sec. G CR Data'!Y11","v":10871100}]
[2,{"$f":"IF(LEN('Sec. G CR Data'!B12)>0,'Sec. G CR Data'!B12,\"\")","v":"03100"},{"$f":"'Sec. G CR Data'!C12","v":"INTENSIVE CARE UNIT"},{"$f":"'Sec. G CR Data'!D12","v":5404012},{"$f":"'Sec. G CR Data'!E12","v":0},{"$f":"'Sec. G CR Data'!F12","v":0},null,{"$f":"IF(OR(FRAAddBackGross_ADJ=0,FRAAddBack_ADJ<>0,FRA_Basis_ADJ<>\"Cost\"),0,FRAAddBackGross_ADJ*(D12+ABS(E12)+F12)/(SUM($D$144,ABS($E$144),$F$144)-$G$11))","v":0},{"$f":"D12+ABS(E12)+F12+H12","v":5404012},{"$f":"'Sec. G CR Data'!J12","v":2134},{"$f":"'Sec. G CR Data'!K12","v":6389924},null,{"$f":"IF(J12<>0,ROUND(I12/J12,2),0)","v":2532.34},null,null,{"$f":"+J12","v":2134},null,null,null,null,{"$f":"'Sec. G CR Data'!U12","v":249},{"$f":"'Sec. G CR Data'!V12","v":535050},null,{"$f":"'Sec. G CR Data'!X12","v":1360},{"$f":"'Sec. G CR Data'!Y12","v":2932080}]
[3,{"$f":"IF(LEN('Sec. G CR Data'!B13)>0,'Sec. G CR Data'!B13,\"\")","v":"03200"},{"$f":"'Sec. G CR Data'!C13","v":"CORONARY CARE UNIT"},{"$f":"'Sec. G CR Data'!D13","v":0},{"$f":"'Sec. G CR Data'!E13","v":0},{"$f":"'Sec. G CR Data'!F13","v":0},null,0,{"$f":"D13+ABS(E13)+F13+H13","v":0},{"$f":"'Sec. G CR Data'!J13","v":0},{"$f":"'Sec. G CR Data'!K13","v":0},null,0,null,null,{"$f":"+J13","v":0},null,null,null,null,{"$f":"'Sec. G CR Data'!U13","v":0},{"$f":"'Sec. G CR Data'!V13","v":0},null,{"$f":"'Sec. G CR Data'!X13","v":0},{"$f":"'Sec. G CR Data'!Y13","v":0}]
[4,{"$f":"IF(LEN('Sec. G CR Data'!B14)>0,'Sec. G CR Data'!B14,\"\")","v":"03300"},{"$f":"'Sec. G CR Data'!C14","v":"BURN INTENSIVE CARE UNIT"},{"$f":"'Sec. G CR Data'!D14","v":0},{"$f":"'Sec. G CR Data'!E14","v":0},{"$f":"'Sec. G CR Data'!F14","v":0},null,0,0,{"$f":"'Sec. G CR Data'!J14","v":0},{"$f":"'Sec. G CR Data'!K14","v":0},null,0,null,null,{"$f":"+J14","v":0},null,null,null,null,{"$f":"'Sec. G CR Data'!U14","v":0},{"$f":"'Sec. G CR Data'!V14","v":0},null,{"$f":"'Sec. G CR Data'!X14","v":0},{"$f":"'Sec. G CR Data'!Y14","v":0}]
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[null,"Ancillary Cost Centers (from W/S C excluding Observation) (list below):"]
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[]
[128,null,"Sub Totals",{"$f":"D141+D28","v":122365747},{"$f":"E141+E28","v":0},{"$f":"F141+F28","v":0},null,{"$f":"H141+H28","v":0},{"$f":"I141+I28","v":122365747},{"$f":"J141+K28","v":185529262},{"$f":"K141","v":310642599},{"$f":"L141+K28","v":496171861},null,null,null,null,null,null,null,null,{"$f":"U141+V28","v":11535883},{"$f":"V141","v":9417199},null,{"$f":"X141+Y28","v":62903226},{"$f":"Y141","v":73228985}]
[129,null,{"$f":"'Sec. G CR Data'!C145:G145","v":"NF, SNF, and Swing Bed Cost for Medicaid (Sum of applicable Cost Report Worksheet D-3, Title 19, Column 3, Line 200 and Worksheet D, Part V, Title 19, Column 5-7, Line 200)"},null,null,null,null,null,{"$f":"NF_SNF_SWB_Mcaid","v":0}]
[130,null,{"$f":"'Sec. G CR Data'!C146:G146","v":"NF, SNF, and Swing Bed Cost for Medicare (Sum of applicable Cost Report Worksheet D-3, Title 18, Column 3, Line 200 and Worksheet D, Part V, Title 18, Column 5-7, Line 200)"},null,null,null,null,null,{"$f":"NF_SNF_SWB_Mcare","v":873498}]
[131,null,{"$f":"'Sec. G CR Data'!C147:G147","v":"NF, SNF, and Swing Bed Cost for Other Payors (Hospital must calculate. Submit support for calculation of cost.)"},null,null,null,null,null,{"$f":"NF_SNF_SWB_Other","v":0}]
[131.01,null,{"$f":"'Sec. G CR Data'!C148:G148","v":"Other Cost Adjustments (support must be submitted)"},null,null,null,null,null,{"$f":"Other","v":0},"Make sure the sign (+/-) is entered correctly!"]
[132,null,"Grand Total",null,null,null,null,null,{"$f":"I144-ABS(NF_SNF_SWB_Mcaid_ADJ)-ABS(NF_SNF_SWB_Mcare_ADJ)-ABS(NF_SNF_SWB_Other_ADJ)+Other_ADJ","v":121492249}]
[133,null,{"$f":"IF(H144>0,\"Total Intern/Resident & Provider Tax Add-In Cost as a Percent of Other Allowable Cost\",\"Total Intern/Resident Cost as a Percent of Other Allowable Cost\")","v":"Total Intern/Resident Cost as a Percent of Other Allowable Cost"},null,null,null,null,null,{"$f":"IF(($I$144-E$144-$H$144)<>0, ($E$144+$H$144)/($I$144-$E$144-$H$144),0)","v":0}]
[]
[]
[{"$f":"'Sec. G CR Data'!A153","v":"* Note A - Final cost-to-charge ratios should include teaching cost.  Only enter Intern & Resident costs if it was removed in Column 25 of Worksheet B, Pt. I of the cost report you are using."}]

{"sheet":"Sec. H In-State ADJ","index":18,"n_rows":179,"n_cols":52,"rows_kept":179,"cut":false,"hidden":true,"merged":[[169,1,169,5],[168,1,168,5],[157,1,157,5],[173,43,174,49],[175,43,176,49],[159,1,159,5],[160,1,160,5],[162,1,162,5],[162,43,163,43],[162,45,163,45],[163,1,163,5],[164,1,164,5],[161,1,161,5],[149,1,149,5],[151,1,151,5],[153,1,153,5],[2,3,2,5],[158,1,158,5],[155,1,155,5],[156,1,156,5],[4,15,4,17],[4,19,4,21],[4,47,4,49],[4,39,4,41],[148,1,148,5],[4,50,5,50],[178,1,178,21],[7,27,7,29],[4,43,4,45],[4,27,4,29],[4,31,4,33],[4,35,4,37],[4,23,4,25],[7,31,7,37],[7,23,7,25],[29,1,29,5],[154,1,154,6],[30,1,30,5],[146,1,146,5],[4,7,4,9],[4,11,4,13]]}
[null,"H.  In-State Medicaid and All Uninsured Inpatient and Outpatient Hospital Data:"]
[]
[null,{"$f":"CONCATENATE(\"Cost Report Year (\" & TEXT(FYB_1_ADJ,\"MM/DD/YYYY\") & \"-\" & TEXT(FYE_1_ADJ,\"MM/DD/YYYY\") &\")\")","v":"Cost Report Year (07/01/2016-06/30/2017)"},null,{"$f":"ProvName_ADJ","v":"WELLSTAR WEST GEORGIA HOSPITAL"},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(AND($P$5=\"In-State Medicare FFS Cross-Overs (with Medicaid Secondary)\",'Sec. I Out-of-State ADJ'!Heading_3_ADJ=\"Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)\",$P$172<>\"\",($P$28+'Sec. I Out-of-State ADJ'!$P$28)>$P$172),\"ERROR! Reported cross-over days exceed total Medicare days on the cost report!\",\"\")","v":""}]
[]
[null,null,null,null,null,null,null,{"$f":"'Survey Set-Up'!$D$5","v":"In-State Medicaid FFS Primary"},null,null,null,{"$f":"'Survey Set-Up'!$D$6","v":"In-State Medicaid Managed Care Primary"},null,null,null,{"$f":"'Survey Set-Up'!$D$7","v":"In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},null,null,null,{"$f":"'Survey Set-Up'!$D$8","v":"In-State Other Medicaid Eligibles (Not Included Elsewhere)"},null,null,null,{"$f":"'Sec. H In-State'!X5","v":""},null,null,null,{"$f":"'Sec. H In-State'!AB5","v":""},null,null,null,{"$f":"'Sec. H In-State'!AF5","v":""},null,null,null,{"$f":"'Sec. H In-State'!AJ5","v":""},null,null,null,{"$f":"'Sec. H In-State'!AN5","v":"State/Local-Only Indigent Care Program"},null,null,null,{"$f":"'Sec. H In-State'!AR5","v":"Uninsured"},null,null,null,"Total In-State Medicaid",null,null,"% Survey to Cost Report Totals"]
[null,"Line #","Cost Center Description","Medicaid Per Diem Cost for Routine Cost Centers",null,"Medicaid Cost to Charge Ratio for Ancillary Cost Centers",null,"Inpatient",null,"Outpatient",null,"Inpatient",null,"Outpatient",null,"Inpatient",null,"Outpatient",null,"Inpatient",null,"Outpatient",null,{"$f":"'Sec. H In-State'!X6","v":"Inpatient"},null,{"$f":"'Sec. H In-State'!Z6","v":"Outpatient"},null,{"$f":"'Sec. H In-State'!AB6","v":"Inpatient"},null,{"$f":"'Sec. H In-State'!AD6","v":"Outpatient"},null,{"$f":"'Sec. H In-State'!AF6","v":"Inpatient"},null,{"$f":"'Sec. H In-State'!AH6","v":"Outpatient"},null,{"$f":"'Sec. H In-State'!AJ6","v":"Inpatient"},null,{"$f":"'Sec. H In-State'!AL6","v":"Outpatient"},null,{"$f":"'Sec. H In-State'!AN6","v":"Inpatient"},null,{"$f":"'Sec. H In-State'!AP6","v":"Outpatient"},null,"Inpatient                        (See Exhibit A)",null,"Outpatient                 (See Exhibit A)",null,"Inpatient",null,"Outpatient"]
[]
[null,null,null,"From Section G",null,"From Section G",null,"From PS&R Summary  (Note A)",null,"From PS&R Summary  (Note A)",null,"From PS&R Summary  (Note A)",null,"From PS&R Summary  (Note A)",null,"From PS&R Summary  (Note A)",null,"From PS&R Summary  (Note A)",null,"From PS&R Summary  (Note A)",null,"From PS&R Summary  (Note A)",null,{"$f":"'Sec. H In-State'!X8","v":""},null,null,null,{"$f":"'Sec. H In-State'!AB8","v":""},null,null,null,{"$f":"'Sec. H In-State'!AF8:AL8","v":""},null,null,null,null,null,null,null,"From PS&R Summary  (Note A)",null,"From PS&R Summary  (Note A)",null,"From Hospital's Own Internal Analysis",null,"From Hospital's Own Internal Analysis"]
[]
[null,"Routine Cost Centers (from Section G):",null,null,null,null,null,"Days",null,null,null,"Days",null,null,null,"Days",null,null,null,"Days",null,null,null,"Days",null,null,null,"Days",null,null,null,"Days",null,null,null,"Days",null,null,null,"Days",null,null,null,"Days",null,null,null,"Days"]
[1,{"$f":"'Sec. G CR Data ADJ'!B11","v":"03000"},{"$f":"'Sec. G CR Data ADJ'!C11","v":"ADULTS & PEDIATRICS"},{"$f":"'Sec. G CR Data ADJ'!M11","v":790.06},null,null,null,{"$f":"'Sec. H In-State'!H11","v":2016},null,null,null,{"$f":"'Sec. H In-State'!L11","v":1665},null,null,null,{"$f":"'Sec. H In-State'!P11","v":2065},null,null,null,{"$f":"'Sec. H In-State'!T11","v":1765},null,null,null,{"$f":"'Sec. H In-State'!X11","v":0},null,null,null,{"$f":"'Sec. H In-State'!AB11","v":0},null,null,null,{"$f":"'Sec. H In-State'!AF11","v":0},null,null,null,{"$f":"'Sec. H In-State'!AJ11","v":0},null,null,null,{"$f":"'Sec. H In-State'!AN11","v":0},null,null,null,{"$f":"'Sec. H In-State'!AR11","v":1968},null,null,null,{"$f":"IF(State=\"California DPH\",$T11+$P11+$L11+$H11+$X11+$AB11+$AF11,$T11+$P11+$L11+$H11+$X11+$AB11+$AF11+$AJ11)","v":7511},null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ11,AN11,AR11,AV11,'Sec. I Out-of-State ADJ'!X11)/'Sec. G CR Data ADJ'!J11,SUM(AN11,AR11,AV11,'Sec. I Out-of-State ADJ'!X11)/'Sec. G CR Data ADJ'!P11),\"\")","v":0.4254810882548109},{"$f":"IF($AR11+$AV11+$AN11+'Sec. I Out-of-State ADJ'!$X11>('Sec. G CR Data ADJ'!$J11-'Sec. G CR Data ADJ'!E32),\"ERROR: Days exceed total!\",\"\")","v":""}]
[2,{"$f":"'Sec. G CR Data ADJ'!B12","v":"03100"},{"$f":"'Sec. G CR Data ADJ'!C12","v":"INTENSIVE CARE UNIT"},{"$f":"'Sec. G CR Data ADJ'!M12","v":2532.34},null,null,null,{"$f":"'Sec. H In-State'!H12","v":313},null,null,null,{"$f":"'Sec. H In-State'!L12","v":65},null,null,null,{"$f":"'Sec. H In-State'!P12","v":317},null,null,null,{"$f":"'Sec. H In-State'!T12","v":160},null,null,null,{"$f":"'Sec. H In-State'!X12","v":0},null,null,null,{"$f":"'Sec. H In-State'!AB12","v":0},null,null,null,{"$f":"'Sec. H In-State'!AF12","v":0},null,null,null,{"$f":"'Sec. H In-State'!AJ12","v":0},null,null,null,{"$f":"'Sec. H In-State'!AN12","v":0},null,null,null,{"$f":"'Sec. H In-State'!AR12","v":250},null,null,null,{"$f":"IF(State=\"California DPH\",$T12+$P12+$L12+$H12+$X12+$AB12+$AF12,$T12+$P12+$L12+$H12+$X12+$AB12+$AF12+$AJ12)","v":855},null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ12,AN12,AR12,AV12,'Sec. I Out-of-State ADJ'!X12)/'Sec. G CR Data ADJ'!J12,SUM(AN12,AR12,AV12,'Sec. I Out-of-State ADJ'!X12)/'Sec. G CR Data ADJ'!P12),\"\")","v":0.52999062792877227},{"$f":"IF($AR12+$AV12+$AN12+'Sec. I Out-of-State ADJ'!$X12>'Sec. G CR Data ADJ'!$J12,\"ERROR: Days exceed total!\",\"\")","v":""}]
[3,{"$f":"'Sec. G CR Data ADJ'!B13","v":"03200"},{"$f":"'Sec. G CR Data ADJ'!C13","v":"CORONARY CARE UNIT"},{"$f":"'Sec. G CR Data ADJ'!M13","v":0},null,null,null,{"$f":"'Sec. H In-State'!H13","v":0},null,null,null,{"$f":"'Sec. H In-State'!L13","v":0},null,null,null,{"$f":"'Sec. H In-State'!P13","v":0},null,null,null,{"$f":"'Sec. H In-State'!T13","v":0},null,null,null,{"$f":"'Sec. H In-State'!X13","v":0},null,null,null,{"$f":"'Sec. H In-State'!AB13","v":0},null,null,null,{"$f":"'Sec. H In-State'!AF13","v":0},null,null,null,{"$f":"'Sec. H In-State'!AJ13","v":0},null,null,null,{"$f":"'Sec. H In-State'!AN13","v":0},null,null,null,{"$f":"'Sec. H In-State'!AR13","v":0},null,null,null,0,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ13,AN13,AR13,AV13,'Sec. I Out-of-State ADJ'!X13)/'Sec. G CR Data ADJ'!J13,SUM(AN13,AR13,AV13,'Sec. I Out-of-State ADJ'!X13)/'Sec. G CR Data ADJ'!P13),\"\")","v":""},{"$f":"IF($AR13+$AV13+$AN13+'Sec. I Out-of-State ADJ'!$X13>'Sec. G CR Data ADJ'!$J13,\"ERROR: Days exceed total!\",\"\")","v":""}]
[4,{"$f":"'Sec. G CR Data ADJ'!B14","v":"03300"},{"$f":"'Sec. G CR Data ADJ'!C14","v":"BURN INTENSIVE CARE UNIT"},{"$f":"'Sec. G CR Data ADJ'!M14","v":0},null,null,null,{"$f":"'Sec. H In-State'!H14","v":0},null,null,null,{"$f":"'Sec. H In-State'!L14","v":0},null,null,null,{"$f":"'Sec. H In-State'!P14","v":0},null,null,null,{"$f":"'Sec. H In-State'!T14","v":0},null,null,null,{"$f":"'Sec. H In-State'!X14","v":0},null,null,null,{"$f":"'Sec. H In-State'!AB14","v":0},null,null,null,{"$f":"'Sec. H In-State'!AF14","v":0},null,null,null,{"$f":"'Sec. H In-State'!AJ14","v":0},null,null,null,{"$f":"'Sec. H In-State'!AN14","v":0},null,null,null,{"$f":"'Sec. H In-State'!AR14","v":0},null,null,null,0,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ14,AN14,AR14,AV14,'Sec. I Out-of-State ADJ'!X14)/'Sec. G CR Data ADJ'!J14,SUM(AN14,AR14,AV14,'Sec. I Out-of-State ADJ'!X14)/'Sec. G CR Data ADJ'!P14),\"\")","v":""},{"$f":"IF($AR14+$AV14+$AN14+'Sec. I Out-of-State ADJ'!$X14>'Sec. G CR Data ADJ'!$J14,\"ERROR: Days exceed total!\",\"\")","v":""}]
[5,{"$f":"'Sec. G CR Data ADJ'!B15","v":"03400"},{"$f":"'Sec. G CR Data ADJ'!C15","v":"SURGICAL INTENSIVE CARE UNIT"},{"$f":"'Sec. G CR Data ADJ'!M15","v":0},null,null,null,{"$f":"'Sec. H In-State'!H15","v":0},null,null,null,{"$f":"'Sec. H In-State'!L15","v":0},null,null,null,{"$f":"'Sec. H In-State'!P15","v":0},null,null,null,{"$f":"'Sec. H In-State'!T15","v":0},null,null,null,{"$f":"'Sec. H In-State'!X15","v":0},null,null,null,{"$f":"'Sec. H In-State'!AB15","v":0},null,null,null,{"$f":"'Sec. H In-State'!AF15","v":0},null,null,null,{"$f":"'Sec. H In-State'!AJ15","v":0},null,null,null,{"$f":"'Sec. H In-State'!AN15","v":0},null,null,null,{"$f":"'Sec. H In-State'!AR15","v":0},null,null,null,0,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ15,AN15,AR15,AV15,'Sec. I Out-of-State ADJ'!X15)/'Sec. G CR Data ADJ'!J15,SUM(AN15,AR15,AV15,'Sec. I Out-of-State ADJ'!X15)/'Sec. G CR Data ADJ'!P15),\"\")","v":""},{"$f":"IF($AR15+$AV15+$AN15+'Sec. I Out-of-State ADJ'!$X15>'Sec. G CR Data ADJ'!$J15,\"ERROR: Days exceed total!\",\"\")","v":""}]
[6,{"$f":"'Sec. G CR Data ADJ'!B16","v":"03500"},{"$f":"'Sec. G CR Data ADJ'!C16","v":"OTHER SPECIAL CARE UNIT"},{"$f":"'Sec. G CR Data ADJ'!M16","v":0},null,null,null,{"$f":"'Sec. H In-State'!H16","v":0},null,null,null,{"$f":"'Sec. H In-State'!L16","v":0},null,null,null,{"$f":"'Sec. H In-State'!P16","v":0},null,null,null,{"$f":"'Sec. H In-State'!T16","v":0},null,null,null,{"$f":"'Sec. H In-State'!X16","v":0},null,null,null,{"$f":"'Sec. H In-State'!AB16","v":0},null,null,null,{"$f":"'Sec. H In-State'!AF16","v":0},null,null,null,{"$f":"'Sec. H In-State'!AJ16","v":0},null,null,null,{"$f":"'Sec. H In-State'!AN16","v":0},null,null,null,{"$f":"'Sec. H In-State'!AR16","v":0},null,null,null,0,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ16,AN16,AR16,AV16,'Sec. I Out-of-State ADJ'!X16)/'Sec. G CR Data ADJ'!J16,SUM(AN16,AR16,AV16,'Sec. I Out-of-State ADJ'!X16)/'Sec. G CR Data ADJ'!P16),\"\")","v":""},{"$f":"IF($AR16+$AV16+$AN16+'Sec. I Out-of-State ADJ'!$X16>'Sec. G CR Data ADJ'!$J16,\"ERROR: Days exceed total!\",\"\")","v":""}]
[7,{"$f":"'Sec. G CR Data ADJ'!B17","v":"04000"},{"$f":"'Sec. G CR Data ADJ'!C17","v":"SUBPROVIDER I"},{"$f":"'Sec. G CR Data ADJ'!M17","v":0},null,null,null,{"$f":"'Sec. H In-State'!H17","v":0},null,null,null,{"$f":"'Sec. H In-State'!L17","v":0},null,null,null,{"$f":"'Sec. H In-State'!P17","v":0},null,null,null,{"$f":"'Sec. H In-State'!T17","v":0},null,null,null,{"$f":"'Sec. H In-State'!X17","v":0},null,null,null,{"$f":"'Sec. H In-State'!AB17","v":0},null,null,null,{"$f":"'Sec. H In-State'!AF17","v":0},null,null,null,{"$f":"'Sec. H In-State'!AJ17","v":0},null,null,null,{"$f":"'Sec. H In-State'!AN17","v":0},null,null,null,{"$f":"'Sec. H In-State'!AR17","v":0},null,null,null,0,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ17,AN17,AR17,AV17,'Sec. I Out-of-State ADJ'!X17)/'Sec. G CR Data ADJ'!J17,SUM(AN17,AR17,AV17,'Sec. I Out-of-State ADJ'!X17)/'Sec. G CR Data ADJ'!P17),\"\")","v":""},{"$f":"IF($AR17+$AV17+$AN17+'Sec. I Out-of-State ADJ'!$X17>'Sec. G CR Data ADJ'!$J17,\"ERROR: Days exceed total!\",\"\")","v":""}]
[8,{"$f":"'Sec. G CR Data ADJ'!B18","v":"04100"},{"$f":"'Sec. G CR Data ADJ'!C18","v":"SUBPROVIDER II"},{"$f":"'Sec. G CR Data ADJ'!M18","v":0},null,null,null,{"$f":"'Sec. H In-State'!H18","v":0},null,null,null,{"$f":"'Sec. H In-State'!L18","v":0},null,null,null,{"$f":"'Sec. H In-State'!P18","v":0},null,null,null,{"$f":"'Sec. H In-State'!T18","v":0},null,null,null,{"$f":"'Sec. H In-State'!X18","v":0},null,null,null,{"$f":"'Sec. H In-State'!AB18","v":0},null,null,null,{"$f":"'Sec. H In-State'!AF18","v":0},null,null,null,{"$f":"'Sec. H In-State'!AJ18","v":0},null,null,null,{"$f":"'Sec. H In-State'!AN18","v":0},null,null,null,{"$f":"'Sec. H In-State'!AR18","v":0},null,null,null,0,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ18,AN18,AR18,AV18,'Sec. I Out-of-State ADJ'!X18)/'Sec. G CR Data ADJ'!J18,SUM(AN18,AR18,AV18,'Sec. I Out-of-State ADJ'!X18)/'Sec. G CR Data ADJ'!P18),\"\")","v":""},{"$f":"IF($AR18+$AV18+$AN18+'Sec. I Out-of-State ADJ'!$X18>'Sec. G CR Data ADJ'!$J18,\"ERROR: Days exceed total!\",\"\")","v":""}]
[9,{"$f":"'Sec. G CR Data ADJ'!B19","v":"04200"},{"$f":"'Sec. G CR Data ADJ'!C19","v":"OTHER SUBPROVIDER"},{"$f":"'Sec. G CR Data ADJ'!M19","v":0},null,null,null,{"$f":"'Sec. H In-State'!H19","v":0},null,null,null,{"$f":"'Sec. H In-State'!L19","v":0},null,null,null,{"$f":"'Sec. H In-State'!P19","v":0},null,null,null,{"$f":"'Sec. H In-State'!T19","v":0},null,null,null,{"$f":"'Sec. H In-State'!X19","v":0},null,null,null,{"$f":"'Sec. H In-State'!AB19","v":0},null,null,null,{"$f":"'Sec. H In-State'!AF19","v":0},null,null,null,{"$f":"'Sec. H In-State'!AJ19","v":0},null,null,null,{"$f":"'Sec. H In-State'!AN19","v":0},null,null,null,{"$f":"'Sec. H In-State'!AR19","v":0},null,null,null,0,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ19,AN19,AR19,AV19,'Sec. I Out-of-State ADJ'!X19)/'Sec. G CR Data ADJ'!J19,SUM(AN19,AR19,AV19,'Sec. I Out-of-State ADJ'!X19)/'Sec. G CR Data ADJ'!P19),\"\")","v":""},{"$f":"IF($AR19+$AV19+$AN19+'Sec. I Out-of-State ADJ'!$X19>'Sec. G CR Data ADJ'!$J19,\"ERROR: Days exceed total!\",\"\")","v":""}]
[10,{"$f":"'Sec. G CR Data ADJ'!B20","v":"04300"},{"$f":"'Sec. G CR Data ADJ'!C20","v":"NURSERY"},{"$f":"'Sec. G CR Data ADJ'!M20","v":901.95},null,null,null,{"$f":"'Sec. H In-State'!H20","v":131},null,null,null,{"$f":"'Sec. H In-State'!L20","v":1390},null,null,null,{"$f":"'Sec. H In-State'!P20","v":0},null,null,null,{"$f":"'Sec. H In-State'!T20","v":256},null,null,null,{"$f":"'Sec. H In-State'!X20","v":0},null,null,null,{"$f":"'Sec. H In-State'!AB20","v":0},null,null,null,{"$f":"'Sec. H In-State'!AF20","v":0},null,null,null,{"$f":"'Sec. H In-State'!AJ20","v":0},null,null,null,{"$f":"'Sec. H In-State'!AN20","v":0},null,null,null,{"$f":"'Sec. H In-State'!AR20","v":32},null,null,null,1777,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ20,AN20,AR20,AV20,'Sec. I Out-of-State ADJ'!X20)/'Sec. G CR Data ADJ'!J20,SUM(AN20,AR20,AV20,'Sec. I Out-of-State ADJ'!X20)/'Sec. G CR Data ADJ'!P20),\"\")","v":0.77650063856960405},{"$f":"IF($AR20+$AV20+$AN20+'Sec. I Out-of-State ADJ'!$X20>'Sec. G CR Data ADJ'!$J20,\"ERROR: Days exceed total!\",\"\")","v":""}]
[11,{"$f":"'Sec. G CR Data ADJ'!B21","v":""},{"$f":"'Sec. G CR Data ADJ'!C21","v":0},{"$f":"'Sec. G CR Data ADJ'!M21","v":0},null,null,null,{"$f":"'Sec. H In-State'!H21","v":0},null,null,null,{"$f":"'Sec. H In-State'!L21","v":0},null,null,null,{"$f":"'Sec. H In-State'!P21","v":0},null,null,null,{"$f":"'Sec. H In-State'!T21","v":0},null,null,null,{"$f":"'Sec. H In-State'!X21","v":0},null,null,null,{"$f":"'Sec. H In-State'!AB21","v":0},null,null,null,{"$f":"'Sec. H In-State'!AF21","v":0},null,null,null,{"$f":"'Sec. H In-State'!AJ21","v":0},null,null,null,{"$f":"'Sec. H In-State'!AN21","v":0},null,null,null,{"$f":"'Sec. H In-State'!AR21","v":0},null,null,null,0,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ21,AN21,AR21,AV21,'Sec. I Out-of-State ADJ'!X21)/'Sec. G CR Data ADJ'!J21,SUM(AN21,AR21,AV21,'Sec. I Out-of-State ADJ'!X21)/'Sec. G CR Data ADJ'!P21),\"\")","v":""},{"$f":"IF($AR21+$AV21+$AN21+'Sec. I Out-of-State ADJ'!$X21>'Sec. G CR Data ADJ'!$J21,\"ERROR: Days exceed total!\",\"\")","v":""}]
[12,{"$f":"'Sec. G CR Data ADJ'!B22","v":""},{"$f":"'Sec. G CR Data ADJ'!C22","v":0},{"$f":"'Sec. G CR Data ADJ'!M22","v":0},null,null,null,{"$f":"'Sec. H In-State'!H22","v":0},null,null,null,{"$f":"'Sec. H In-State'!L22","v":0},null,null,null,{"$f":"'Sec. H In-State'!P22","v":0},null,null,null,{"$f":"'Sec. H In-State'!T22","v":0},null,null,null,{"$f":"'Sec. H In-State'!X22","v":0},null,null,null,{"$f":"'Sec. H In-State'!AB22","v":0},null,null,null,{"$f":"'Sec. H In-State'!AF22","v":0},null,null,null,{"$f":"'Sec. H In-State'!AJ22","v":0},null,null,null,{"$f":"'Sec. H In-State'!AN22","v":0},null,null,null,{"$f":"'Sec. H In-State'!AR22","v":0},null,null,null,0,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ22,AN22,AR22,AV22,'Sec. I Out-of-State ADJ'!X22)/'Sec. G CR Data ADJ'!J22,SUM(AN22,AR22,AV22,'Sec. I Out-of-State ADJ'!X22)/'Sec. G CR Data ADJ'!P22),\"\")","v":""},{"$f":"IF($AR22+$AV22+$AN22+'Sec. I Out-of-State ADJ'!$X22>'Sec. G CR Data ADJ'!$J22,\"ERROR: Days exceed total!\",\"\")","v":""}]
[13,{"$f":"'Sec. G CR Data ADJ'!B23","v":""},{"$f":"'Sec. G CR Data ADJ'!C23","v":0},{"$f":"'Sec. G CR Data ADJ'!M23","v":0},null,null,null,{"$f":"'Sec. H In-State'!H23","v":0},null,null,null,{"$f":"'Sec. H In-State'!L23","v":0},null,null,null,{"$f":"'Sec. H In-State'!P23","v":0},null,null,null,{"$f":"'Sec. H In-State'!T23","v":0},null,null,null,{"$f":"'Sec. H In-State'!X23","v":0},null,null,null,{"$f":"'Sec. H In-State'!AB23","v":0},null,null,null,{"$f":"'Sec. H In-State'!AF23","v":0},null,null,null,{"$f":"'Sec. H In-State'!AJ23","v":0},null,null,null,{"$f":"'Sec. H In-State'!AN23","v":0},null,null,null,{"$f":"'Sec. H In-State'!AR23","v":0},null,null,null,0,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ23,AN23,AR23,AV23,'Sec. I Out-of-State ADJ'!X23)/'Sec. G CR Data ADJ'!J23,SUM(AN23,AR23,AV23,'Sec. I Out-of-State ADJ'!X23)/'Sec. G CR Data ADJ'!P23),\"\")","v":""},{"$f":"IF($AR23+$AV23+$AN23+'Sec. I Out-of-State ADJ'!$X23>'Sec. G CR Data ADJ'!$J23,\"ERROR: Days exceed total!\",\"\")","v":""}]
[14,{"$f":"'Sec. G CR Data ADJ'!B24","v":""},{"$f":"'Sec. G CR Data ADJ'!C24","v":0},{"$f":"'Sec. G CR Data ADJ'!M24","v":0},null,null,null,{"$f":"'Sec. H In-State'!H24","v":0},null,null,null,{"$f":"'Sec. H In-State'!L24","v":0},null,null,null,{"$f":"'Sec. H In-State'!P24","v":0},null,null,null,{"$f":"'Sec. H In-State'!T24","v":0},null,null,null,{"$f":"'Sec. H In-State'!X24","v":0},null,null,null,{"$f":"'Sec. H In-State'!AB24","v":0},null,null,null,{"$f":"'Sec. H In-State'!AF24","v":0},null,null,null,{"$f":"'Sec. H In-State'!AJ24","v":0},null,null,null,{"$f":"'Sec. H In-State'!AN24","v":0},null,null,null,{"$f":"'Sec. H In-State'!AR24","v":0},null,null,null,0,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ24,AN24,AR24,AV24,'Sec. I Out-of-State ADJ'!X24)/'Sec. G CR Data ADJ'!J24,SUM(AN24,AR24,AV24,'Sec. I Out-of-State ADJ'!X24)/'Sec. G CR Data ADJ'!P24),\"\")","v":""},{"$f":"IF($AR24+$AV24+$AN24+'Sec. I Out-of-State ADJ'!$X24>'Sec. G CR Data ADJ'!$J24,\"ERROR: Days exceed total!\",\"\")","v":""}]
[15,{"$f":"'Sec. G CR Data ADJ'!B25","v":""},{"$f":"'Sec. G CR Data ADJ'!C25","v":0},{"$f":"'Sec. G CR Data ADJ'!M25","v":0},null,null,null,{"$f":"'Sec. H In-State'!H25","v":0},null,null,null,{"$f":"'Sec. H In-State'!L25","v":0},null,null,null,{"$f":"'Sec. H In-State'!P25","v":0},null,null,null,{"$f":"'Sec. H In-State'!T25","v":0},null,null,null,{"$f":"'Sec. H In-State'!X25","v":0},null,null,null,{"$f":"'Sec. H In-State'!AB25","v":0},null,null,null,{"$f":"'Sec. H In-State'!AF25","v":0},null,null,null,{"$f":"'Sec. H In-State'!AJ25","v":0},null,null,null,{"$f":"'Sec. H In-State'!AN25","v":0},null,null,null,{"$f":"'Sec. H In-State'!AR25","v":0},null,null,null,0,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ25,AN25,AR25,AV25,'Sec. I Out-of-State ADJ'!X25)/'Sec. G CR Data ADJ'!J25,SUM(AN25,AR25,AV25,'Sec. I Out-of-State ADJ'!X25)/'Sec. G CR Data ADJ'!P25),\"\")","v":""},{"$f":"IF($AR25+$AV25+$AN25+'Sec. I Out-of-State ADJ'!$X25>'Sec. G CR Data ADJ'!$J25,\"ERROR: Days exceed total!\",\"\")","v":""}]
[16,{"$f":"'Sec. G CR Data ADJ'!B26","v":""},{"$f":"'Sec. G CR Data ADJ'!C26","v":0},{"$f":"'Sec. G CR Data ADJ'!M26","v":0},null,null,null,{"$f":"'Sec. H In-State'!H26","v":0},null,null,null,{"$f":"'Sec. H In-State'!L26","v":0},null,null,null,{"$f":"'Sec. H In-State'!P26","v":0},null,null,null,{"$f":"'Sec. H In-State'!T26","v":0},null,null,null,{"$f":"'Sec. H In-State'!X26","v":0},null,null,null,{"$f":"'Sec. H In-State'!AB26","v":0},null,null,null,{"$f":"'Sec. H In-State'!AF26","v":0},null,null,null,{"$f":"'Sec. H In-State'!AJ26","v":0},null,null,null,{"$f":"'Sec. H In-State'!AN26","v":0},null,null,null,{"$f":"'Sec. H In-State'!AR26","v":0},null,null,null,0,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ26,AN26,AR26,AV26,'Sec. I Out-of-State ADJ'!X26)/'Sec. G CR Data ADJ'!J26,SUM(AN26,AR26,AV26,'Sec. I Out-of-State ADJ'!X26)/'Sec. G CR Data ADJ'!P26),\"\")","v":""},{"$f":"IF($AR26+$AV26+$AN26+'Sec. I Out-of-State ADJ'!$X26>'Sec. G CR Data ADJ'!$J26,\"ERROR: Days exceed total!\",\"\")","v":""}]
[17,{"$f":"'Sec. G CR Data ADJ'!B27","v":""},{"$f":"'Sec. G CR Data ADJ'!C27","v":0},{"$f":"'Sec. G CR Data ADJ'!M27","v":0},null,null,null,{"$f":"'Sec. H In-State'!H27","v":0},null,null,null,{"$f":"'Sec. H In-State'!L27","v":0},null,null,null,{"$f":"'Sec. H In-State'!P27","v":0},null,null,null,{"$f":"'Sec. H In-State'!T27","v":0},null,null,null,{"$f":"'Sec. H In-State'!X27","v":0},null,null,null,{"$f":"'Sec. H In-State'!AB27","v":0},null,null,null,{"$f":"'Sec. H In-State'!AF27","v":0},null,null,null,{"$f":"'Sec. H In-State'!AJ27","v":0},null,null,null,{"$f":"'Sec. H In-State'!AN27","v":0},null,null,null,{"$f":"'Sec. H In-State'!AR27","v":0},null,null,null,0,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ27,AN27,AR27,AV27,'Sec. I Out-of-State ADJ'!X27)/'Sec. G CR Data ADJ'!J27,SUM(AN27,AR27,AV27,'Sec. I Out-of-State ADJ'!X27)/'Sec. G CR Data ADJ'!P27),\"\")","v":""},{"$f":"IF($AR27+$AV27+$AN27+'Sec. I Out-of-State ADJ'!$X27>'Sec. G CR Data ADJ'!$J27,\"ERROR: Days exceed total!\",\"\")","v":""}]
[18,null,null,null,null,"Total Days",null,{"$f":"SUM(H$11:H$27)","v":2460},null,null,null,{"$f":"SUM(L$11:L$27)","v":3120},null,null,null,{"$f":"SUM(P$11:P$27)","v":2382},null,null,null,{"$f":"SUM(T$11:T$27)","v":2181},null,null,null,{"$f":"SUM(X$11:X$27)","v":0},null,null,null,{"$f":"SUM(AB$11:AB$27)","v":0},null,null,null,{"$f":"SUM(AF$11:AF$27)","v":0},null,null,null,{"$f":"SUM(AJ$11:AJ$27)","v":0},null,null,null,{"$f":"SUM(AN$11:AN$27)","v":0},null,null,null,{"$f":"SUM(AR$11:AR$27)","v":2250},null,null,null,{"$f":"SUM(AV$11:AV$27)","v":10143},null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ28,AN28,AR28,AV28,'Sec. I Out-of-State ADJ'!X28)/'Sec. G CR Data ADJ'!J28,SUM(AN28,AR28,AV28,'Sec. I Out-of-State ADJ'!X28)/'Sec. G CR Data ADJ'!P29),\"\")","v":0.46415386887182514},{"$f":"IF($AR28+$AV28+$AN28+'Sec. I Out-of-State ADJ'!$X28>'Sec. G CR Data ADJ'!$J28,\"ERROR: Days exceed total!\",\"\")","v":""}]
[]
[19,"Total Days per PS&R or Exhibit Detail",null,null,null,null,null,{"$f":"'Sec. H In-State'!H30","v":2460},null,null,null,{"$f":"'Sec. H In-State'!L30","v":3120},null,null,null,{"$f":"'Sec. H In-State'!P30","v":2382},null,null,null,{"$f":"'Sec. H In-State'!T30","v":2181},null,null,null,{"$f":"'Sec. H In-State'!X30","v":0},null,null,null,{"$f":"'Sec. H In-State'!AB30","v":0},null,null,null,{"$f":"'Sec. H In-State'!AF30","v":0},null,null,null,{"$f":"'Sec. H In-State'!AJ30","v":0},null,null,null,{"$f":"'Sec. H In-State'!AN30","v":0},null,null,null,{"$f":"'Sec. H In-State'!AR30","v":2250}]
[20,"Unreconciled Days (Explain Variance)",null,null,null,null,null,{"$f":"H$28-H$30","v":0},null,null,null,{"$f":"L$28-L$30","v":0},null,null,null,{"$f":"P$28-P$30","v":0},null,null,null,{"$f":"T$28-T$30","v":0},null,null,null,{"$f":"X$28-X$30","v":0},null,null,null,{"$f":"AB$28-AB$30","v":0},null,null,null,{"$f":"AF$28-AF$30","v":0},null,null,null,{"$f":"AJ$28-AJ$30","v":0},null,null,null,{"$f":"AN$28-AN$30","v":0},null,null,null,{"$f":"AR$28-AR$30","v":0}]
[]
[null,null,null,null,null,null,null,"Routine Charges",null,null,null,"Routine Charges",null,null,null,"Routine Charges",null,null,null,"Routine Charges",null,null,null,"Routine Charges",null,null,null,"Routine Charges",null,null,null,"Routine Charges",null,null,null,"Routine Charges",null,null,null,"Routine Charges",null,null,null,"Routine Charges",null,null,null,"Routine Charges"]
[21,null,"Routine Charges",null,null,null,null,{"$f":"'Sec. H In-State'!H34","v":3374794},null,null,null,{"$f":"'Sec. H In-State'!L34","v":2759570},null,null,null,{"$f":"'Sec. H In-State'!P34","v":3501140},null,null,null,{"$f":"'Sec. H In-State'!T34","v":2801175},null,null,null,{"$f":"'Sec. H In-State'!X34","v":0},null,null,null,{"$f":"'Sec. H In-State'!AB34","v":0},null,null,null,{"$f":"'Sec. H In-State'!AF34","v":0},null,null,null,{"$f":"'Sec. H In-State'!AJ34","v":0},null,null,null,{"$f":"'Sec. H In-State'!AN34","v":0},null,null,null,{"$f":"'Sec. H In-State'!AR34","v":3227285},null,null,null,{"$f":"IF(State=\"California DPH\",$T34+$P34+$L34+$H34+$X34+$AB34+$AF34,$T34+$P34+$L34+$H34+$X34+$AB34+$AF34+$AJ34)","v":12436679},null,null,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ34,AN34,AR34,AV34,'Sec. I Out-of-State ADJ'!X34)/'Sec. G CR Data ADJ'!K28,SUM(AN34,AR34,AV34,'Sec. I Out-of-State ADJ'!X34)/'Sec. G CR Data ADJ'!K28),\"\")","v":0.36311714951015361}]
["21.01",null,"Calculated Routine Charge Per Diem",null,null,null,null,{"$f":"IF(H$28>0, H$34/H$28,0)","v":1371.8674796747966},null,null,null,{"$f":"IF(L$28>0, L$34/L$28,0)","v":884.47756410256409},null,null,null,{"$f":"IF(P$28>0, P$34/P$28,0)","v":1469.8320738874895},null,null,null,{"$f":"IF(T$28>0, T$34/T$28,0)","v":1284.3535075653369},null,null,null,{"$f":"IF(X$28>0, X$34/X$28,0)","v":0},null,null,null,{"$f":"IF(AB$28>0, AB$34/AB$28,0)","v":0},null,null,null,{"$f":"IF(AF$28>0, AF$34/AF$28,0)","v":0},null,null,null,{"$f":"IF(AJ$28>0, AJ$34/AJ$28,0)","v":0},null,null,null,{"$f":"IF(AN$28>0, AN$34/AN$28,0)","v":0},null,null,null,{"$f":"IF(AR$28>0, AR$34/AR$28,0)","v":1434.348888888889},null,null,null,{"$f":"IF(AV$28>0, AV$34/AV$28,0)","v":1226.1341812087153}]
[]
[null,"Ancillary Cost Centers (from W/S C) (from Section G):",null,null,null,null,null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges"]
[{"$f":"'Sec. H In-State'!A38","v":22},{"$f":"'Sec. G CR Data ADJ'!B32","v":"09200"},{"$f":"'Sec. G CR Data ADJ'!C32","v":"Observation (Non-Distinct)"},null,null,{"$f":"'Sec. G CR Data ADJ'!M32","v":0.49610500000000002},null,{"$f":"'Sec. H In-State'!H38","v":11028.8},null,{"$f":"'Sec. H In-State'!J38","v":437605.05},null,{"$f":"'Sec. H In-State'!L38","v":2059.1},null,{"$f":"'Sec. H In-State'!N38","v":257645.25000000023},null,{"$f":"'Sec. H In-State'!P38","v":110183.40000000001},null,{"$f":"'Sec. H In-State'!R38","v":768365.94999999937},null,{"$f":"'Sec. H In-State'!T38","v":88347.89999999998},null,{"$f":"'Sec. H In-State'!V38","v":504225.25000000023},null,{"$f":"'Sec. H In-State'!X38","v":0},null,{"$f":"'Sec. H In-State'!Z38","v":0},null,{"$f":"'Sec. H In-State'!AB38","v":0},null,{"$f":"'Sec. H In-State'!AD38","v":0},null,{"$f":"'Sec. H In-State'!AF38","v":0},null,{"$f":"'Sec. H In-State'!AH38","v":0},null,{"$f":"'Sec. H In-State'!AJ38","v":0},null,{"$f":"'Sec. H In-State'!AL38","v":0},null,{"$f":"'Sec. H In-State'!AN38","v":0},null,{"$f":"'Sec. H In-State'!AP38","v":0},null,{"$f":"'Sec. H In-State'!AR38","v":5163.7000000000007},null,{"$f":"'Sec. H In-State'!AT38","v":521106.64999999997},null,{"$f":"IF(State=\"California DPH\",$T38+$P38+$L38+$H38+$X38+$AB38+$AF38,$T38+$P38+$L38+$H38+$X38+$AB38+$AF38+$AJ38)","v":211619.19999999998},null,{"$f":"IF(State=\"California DPH\",$V38+$R38+$N38+$J38+$Z38+$AD38+$AH38,$V38+$R38+$N38+$J38+$Z38+$AD38+$AH38+$AL38)","v":1967841.5},{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ38,AL38,AN38,AP38,AR38,AT38,AV38,AX38,'Sec. I Out-of-State ADJ'!X38,'Sec. I Out-of-State ADJ'!Z38)/'Sec. G CR Data ADJ'!L32,SUM(AN38,AP38,AR38,AT38,AV38,AX38,'Sec. I Out-of-State ADJ'!X38,'Sec. I Out-of-State ADJ'!Z38)/'Sec. G CR Data ADJ'!L32),\"\")","v":0.49003517950472253},{"$f":"IF($AR38+$AV38+$AT38+$AX38+$AN38+$AP38+'Sec. I Out-of-State ADJ'!$X38+'Sec. I Out-of-State ADJ'!$Z38>'Sec. G CR Data ADJ'!$L32,\"ERROR: Charges exceed total!\",\"\")","v":""}]
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[{"$f":"'Sec. H In-State'!A40","v":24},{"$f":"'Sec. G CR Data ADJ'!B37","v":5100},{"$f":"'Sec. G CR Data ADJ'!C37","v":"RECOVERY ROOM"},null,null,{"$f":"'Sec. G CR Data ADJ'!M37","v":0.32351999999999997},null,{"$f":"'Sec. H In-State'!H40","v":118178.75},null,{"$f":"'Sec. H In-State'!J40","v":213053.84999999998},null,{"$f":"'Sec. H In-State'!L40","v":232587.55000000063},null,{"$f":"'Sec. H In-State'!N40","v":527993.85000000044},null,{"$f":"'Sec. H In-State'!P40","v":112101.09999999998},null,{"$f":"'Sec. H In-State'!R40","v":205023.49999999945},null,{"$f":"'Sec. H In-State'!T40","v":98641.299999999857},null,{"$f":"'Sec. H In-State'!V40","v":209686.69999999952},null,{"$f":"'Sec. H In-State'!X40","v":0},null,{"$f":"'Sec. H In-State'!Z40","v":0},null,{"$f":"'Sec. H In-State'!AB40","v":0},null,{"$f":"'Sec. H In-State'!AD40","v":0},null,{"$f":"'Sec. H In-State'!AF40","v":0},null,{"$f":"'Sec. H In-State'!AH40","v":0},null,{"$f":"'Sec. H In-State'!AJ40","v":0},null,{"$f":"'Sec. H In-State'!AL40","v":0},null,{"$f":"'Sec. H In-State'!AN40","v":0},null,{"$f":"'Sec. H In-State'!AP40","v":0},null,{"$f":"'Sec. H In-State'!AR40","v":140473.49999999994},null,{"$f":"'Sec. H In-State'!AT40","v":214393.39999999979},null,561508.70000000042,null,1155757.8999999994,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ40,AL40,AN40,AP40,AR40,AT40,AV40,AX40,'Sec. I Out-of-State ADJ'!X40,'Sec. I Out-of-State ADJ'!Z40)/'Sec. G CR Data ADJ'!L37,SUM(AN40,AP40,AR40,AT40,AV40,AX40,'Sec. I Out-of-State ADJ'!X40,'Sec. I Out-of-State ADJ'!Z40)/'Sec. G CR Data ADJ'!L37),\"\")","v":0.46511875998424634},{"$f":"IF($AR40+$AV40+$AT40+$AX40+$AN40+$AP40+'Sec. I Out-of-State ADJ'!$X40+'Sec. I Out-of-State ADJ'!$Z40>'Sec. G CR Data ADJ'!$L37,\"ERROR: Charges exceed total!\",\"\")","v":""}]
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[{"$f":"'Sec. H In-State'!A141","v":125},{"$f":"'Sec. G CR Data ADJ'!B138","v":""},{"$f":"'Sec. G CR Data ADJ'!C138","v":""},null,null,{"$f":"'Sec. G CR Data ADJ'!M138","v":0},null,{"$f":"'Sec. H In-State'!H141","v":0},null,{"$f":"'Sec. H In-State'!J141","v":0},null,{"$f":"'Sec. H In-State'!L141","v":0},null,{"$f":"'Sec. H In-State'!N141","v":0},null,{"$f":"'Sec. H In-State'!P141","v":0},null,{"$f":"'Sec. H In-State'!R141","v":0},null,{"$f":"'Sec. H In-State'!T141","v":0},null,{"$f":"'Sec. H In-State'!V141","v":0},null,{"$f":"'Sec. H In-State'!X141","v":0},null,{"$f":"'Sec. H In-State'!Z141","v":0},null,{"$f":"'Sec. H In-State'!AB141","v":0},null,{"$f":"'Sec. H In-State'!AD141","v":0},null,{"$f":"'Sec. H In-State'!AF141","v":0},null,{"$f":"'Sec. H In-State'!AH141","v":0},null,{"$f":"'Sec. H In-State'!AJ141","v":0},null,{"$f":"'Sec. H In-State'!AL141","v":0},null,{"$f":"'Sec. H In-State'!AN141","v":0},null,{"$f":"'Sec. H In-State'!AP141","v":0},null,{"$f":"'Sec. H In-State'!AR141","v":0},null,{"$f":"'Sec. H In-State'!AT141","v":0},null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ141,AL141,AN141,AP141,AR141,AT141,AV141,AX141,'Sec. I Out-of-State ADJ'!X141,'Sec. I Out-of-State ADJ'!Z141)/'Sec. G CR Data ADJ'!L138,SUM(AN141,AP141,AR141,AT141,AV141,AX141,'Sec. I Out-of-State ADJ'!X141,'Sec. I Out-of-State ADJ'!Z141)/'Sec. G CR Data ADJ'!L138),\"\")","v":""},{"$f":"IF($AR141+$AV141+$AT141+$AX141+$AN141+$AP141+'Sec. I Out-of-State ADJ'!$X141+'Sec. I Out-of-State ADJ'!$Z141>'Sec. G CR Data ADJ'!$L138,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[{"$f":"'Sec. H In-State'!A142","v":126},{"$f":"'Sec. G CR Data ADJ'!B139","v":""},{"$f":"'Sec. G CR Data ADJ'!C139","v":""},null,null,{"$f":"'Sec. G CR Data ADJ'!M139","v":0},null,{"$f":"'Sec. H In-State'!H142","v":0},null,{"$f":"'Sec. H In-State'!J142","v":0},null,{"$f":"'Sec. H In-State'!L142","v":0},null,{"$f":"'Sec. H In-State'!N142","v":0},null,{"$f":"'Sec. H In-State'!P142","v":0},null,{"$f":"'Sec. H In-State'!R142","v":0},null,{"$f":"'Sec. H In-State'!T142","v":0},null,{"$f":"'Sec. H In-State'!V142","v":0},null,{"$f":"'Sec. H In-State'!X142","v":0},null,{"$f":"'Sec. H In-State'!Z142","v":0},null,{"$f":"'Sec. H In-State'!AB142","v":0},null,{"$f":"'Sec. H In-State'!AD142","v":0},null,{"$f":"'Sec. H In-State'!AF142","v":0},null,{"$f":"'Sec. H In-State'!AH142","v":0},null,{"$f":"'Sec. H In-State'!AJ142","v":0},null,{"$f":"'Sec. H In-State'!AL142","v":0},null,{"$f":"'Sec. H In-State'!AN142","v":0},null,{"$f":"'Sec. H In-State'!AP142","v":0},null,{"$f":"'Sec. H In-State'!AR142","v":0},null,{"$f":"'Sec. H In-State'!AT142","v":0},null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ142,AL142,AN142,AP142,AR142,AT142,AV142,AX142,'Sec. I Out-of-State ADJ'!X142,'Sec. I Out-of-State ADJ'!Z142)/'Sec. G CR Data ADJ'!L139,SUM(AN142,AP142,AR142,AT142,AV142,AX142,'Sec. I Out-of-State ADJ'!X142,'Sec. I Out-of-State ADJ'!Z142)/'Sec. G CR Data ADJ'!L139),\"\")","v":""},{"$f":"IF($AR142+$AV142+$AT142+$AX142+$AN142+$AP142+'Sec. I Out-of-State ADJ'!$X142+'Sec. I Out-of-State ADJ'!$Z142>'Sec. G CR Data ADJ'!$L139,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[{"$f":"'Sec. H In-State'!A143","v":127},{"$f":"'Sec. G CR Data ADJ'!B140","v":""},{"$f":"'Sec. G CR Data ADJ'!C140","v":""},null,null,{"$f":"'Sec. G CR Data ADJ'!M140","v":0},null,{"$f":"'Sec. H In-State'!H143","v":0},null,{"$f":"'Sec. H In-State'!J143","v":0},null,{"$f":"'Sec. H In-State'!L143","v":0},null,{"$f":"'Sec. H In-State'!N143","v":0},null,{"$f":"'Sec. H In-State'!P143","v":0},null,{"$f":"'Sec. H In-State'!R143","v":0},null,{"$f":"'Sec. H In-State'!T143","v":0},null,{"$f":"'Sec. H In-State'!V143","v":0},null,{"$f":"'Sec. H In-State'!X143","v":0},null,{"$f":"'Sec. H In-State'!Z143","v":0},null,{"$f":"'Sec. H In-State'!AB143","v":0},null,{"$f":"'Sec. H In-State'!AD143","v":0},null,{"$f":"'Sec. H In-State'!AF143","v":0},null,{"$f":"'Sec. H In-State'!AH143","v":0},null,{"$f":"'Sec. H In-State'!AJ143","v":0},null,{"$f":"'Sec. H In-State'!AL143","v":0},null,{"$f":"'Sec. H In-State'!AN143","v":0},null,{"$f":"'Sec. H In-State'!AP143","v":0},null,{"$f":"'Sec. H In-State'!AR143","v":0},null,{"$f":"'Sec. H In-State'!AT143","v":0},null,0,null,0,{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ143,AL143,AN143,AP143,AR143,AT143,AV143,AX143,'Sec. I Out-of-State ADJ'!X143,'Sec. I Out-of-State ADJ'!Z143)/'Sec. G CR Data ADJ'!L140,SUM(AN143,AP143,AR143,AT143,AV143,AX143,'Sec. I Out-of-State ADJ'!X143,'Sec. I Out-of-State ADJ'!Z143)/'Sec. G CR Data ADJ'!L140),\"\")","v":""},{"$f":"IF($AR143+$AV143+$AT143+$AX143+$AN143+$AP143+'Sec. I Out-of-State ADJ'!$X143+'Sec. I Out-of-State ADJ'!$Z143>'Sec. G CR Data ADJ'!$L140,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[null,null,null,null,null,null,null,{"$f":"SUM('Sec. H In-State ADJ'!FFS_IP_ANCILLARY_ADJ)","v":10539601.559999999},null,{"$f":"SUM(FFS_OP_ANCILLARY_ADJ)","v":15791541.039999999},null,{"$f":"SUM(MCO_IP_ANCILLARY_ADJ)","v":10504581.920138478},null,{"$f":"SUM(MCO_OP_ANCILLARY_ADJ)","v":27880167.050000131},null,{"$f":"SUM(FFS_XOVER_IP_ANCILLARY_ADJ)","v":12193593.580739167},null,{"$f":"SUM(FFS_XOVER_OP_ANCILLARY_ADJ)","v":16419018.589999987},null,{"$f":"SUM(MCO_XOVER_IP_ANCILLARY_ADJ)","v":9567543.4507280514},null,{"$f":"SUM(MCO_XOVER_OP_ANCILLARY_ADJ)","v":16724826.579999991},null,{"$f":"SUM(HEALTHY_IP_ANCILLARY_ADJ)","v":0},null,{"$f":"SUM(HEALTHY_OP_ANCILLARY_ADJ)","v":0},null,{"$f":"SUM(VALIDATED_PAID_IP_ANCILLARY_ADJ)","v":0},null,{"$f":"SUM(VALIDATED_PAID_OP_ANCILLARY_ADJ)","v":0},null,{"$f":"SUM(FFS_MCAID_ELIGIBLE_IP_ANCILLARY_ADJ)","v":0},null,{"$f":"SUM(FFS_MCAID_ELIGIBLE_OP_ANCILLARY_ADJ)","v":0},null,{"$f":"SUM(MCO_MCAID_ELIGIBLE_IP_ANCILLARY_ADJ)","v":0},null,{"$f":"SUM(MCO_MCAID_ELIGIBLE_OP_ANCILLARY_ADJ)","v":0},null,{"$f":"SUM(STATE_ONLY_IP_ANCILLARY_ADJ)","v":0},null,{"$f":"SUM(STATE_ONLY_OP_ANCILLARY_ADJ)","v":0},null,{"$f":"SUM(UNINSURED_IP_ANCILLARY_ADJ)","v":11563038.861158051},null,{"$f":"SUM(UNINSURED_OP_ANCILLARY_ADJ)","v":36715158.239999995}]
[null,"Totals / Payments"]
[]
[{"$f":"'Sec. H In-State'!A147","v":128},"Total Charges (includes organ acquisition from Section J)",null,null,null,null,null,{"$f":"SUM(H$34,H$38:H$143,'Sec. J & K Organ Acq ADJ'!L$19)","v":13914395.560000002},null,{"$f":"SUM(J$38:J$143)","v":15791541.039999999},null,{"$f":"SUM(L$34,L$38:L$143,'Sec. J & K Organ Acq ADJ'!P$19)","v":13264151.920138478},null,{"$f":"SUM(N$38:N$143)","v":27880167.050000131},null,{"$f":"SUM(P$34,P$38:P$143,'Sec. J & K Organ Acq ADJ'!T$19)","v":15694733.580739165},null,{"$f":"SUM(R$38:R$143)","v":16419018.589999987},null,{"$f":"SUM(T$34,T$38:T$143,'Sec. J & K Organ Acq ADJ'!X$19)","v":12368718.450728055},null,{"$f":"SUM(V$38:V$143)","v":16724826.579999991},null,{"$f":"SUM(X$34,X$38:X$143)+'Sec. J & K Organ Acq ADJ'!AB19","v":0},null,{"$f":"SUM(Z$38:Z$143)","v":0},null,{"$f":"SUM(AB$34,AB$38:AB$143,'Sec. J & K Organ Acq ADJ'!AF$19)","v":0},null,{"$f":"SUM(AD$38:AD$143)","v":0},null,{"$f":"SUM(AF$34,AF$38:AF$143,'Sec. J & K Organ Acq ADJ'!AJ$19)","v":0},null,{"$f":"SUM(AH$38:AH$143)","v":0},null,{"$f":"SUM(AJ$34,AJ$38:AJ$143,'Sec. J & K Organ Acq ADJ'!AN$19)","v":0},null,{"$f":"SUM(AL$38:AL$143)","v":0},null,{"$f":"SUM(AN$34,AN$38:AN$143,'Sec. J & K Organ Acq ADJ'!AR$19)","v":0},null,{"$f":"SUM(AP$38:AP$143)","v":0},null,{"$f":"SUM(AR$34,AR$38:AR$143,'Sec. J & K Organ Acq ADJ'!AV$19)","v":14790323.861158047},null,{"$f":"SUM(AT$38:AT$143)","v":36715158.239999995},null,{"$f":"IF(State=\"California DPH\",$T147+$P147+$L147+$H147+$X147+$AB147+$AF147,$T147+$P147+$L147+$H147+$X147+$AB147+$AF147+$AJ147)","v":55241999.511605702},null,{"$f":"IF(State=\"California DPH\",$V147+$R147+$N147+$J147+$Z147+$AD147+$AH147,$V147+$R147+$N147+$J147+$Z147+$AD147+$AH147+$AL147)","v":76815553.26000011},{"$f":"IFERROR(IF(State=\"California DPH\",SUM(AJ147,AL147,AN147,AP147,AR147,AT147,AV147,AX147,'Sec. I Out-of-State ADJ'!X147,'Sec. I Out-of-State ADJ'!Z147)/'Sec. G CR Data ADJ'!L144,SUM(AN147,AP147,AR147,AT147,AV147,AX147,'Sec. I Out-of-State ADJ'!X147,'Sec. I Out-of-State ADJ'!Z147)/'Sec. G CR Data ADJ'!L144),\"\")","v":0.37636463542383125}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(Agrees to Exhibit A)",null,"(Agrees to Exhibit A)"]
[{"$f":"'Sec. H In-State'!A149","v":129},"Total Charges per PS&R or Exhibit Detail",null,null,null,null,null,{"$f":"'Sec. H In-State'!H149","v":13914395.560000002},null,{"$f":"'Sec. H In-State'!J149","v":15791541.039999999},null,{"$f":"'Sec. H In-State'!L149","v":13264151.920138478},null,{"$f":"'Sec. H In-State'!N149","v":27880167.050000131},null,{"$f":"'Sec. H In-State'!P149","v":15694733.580739165},null,{"$f":"'Sec. H In-State'!R149","v":16419018.589999987},null,{"$f":"'Sec. H In-State'!T149","v":12368718.450728055},null,{"$f":"'Sec. H In-State'!V149","v":16724826.579999991},null,{"$f":"'Sec. H In-State'!X149","v":0},null,{"$f":"'Sec. H In-State'!Z149","v":0},null,{"$f":"'Sec. H In-State'!AB149","v":0},null,{"$f":"'Sec. H In-State'!AD149","v":0},null,{"$f":"'Sec. H In-State'!AF149","v":0},null,{"$f":"'Sec. H In-State'!AH149","v":0},null,{"$f":"'Sec. H In-State'!AJ149","v":0},null,{"$f":"'Sec. H In-State'!AL149","v":0},null,{"$f":"'Sec. H In-State'!AN149","v":0},null,{"$f":"'Sec. H In-State'!AP149","v":0},null,{"$f":"'Sec. H In-State'!AR149","v":14790323.861158047},null,{"$f":"'Sec. H In-State'!AT149","v":36715158.239999995}]
[{"$f":"'Sec. H In-State'!A150","v":130},"Unreconciled Charges (Explain Variance)",null,null,null,null,null,{"$f":"H147-H149","v":0},null,{"$f":"J147-J149","v":0},null,{"$f":"L147-L149","v":0},null,{"$f":"N147-N149","v":0},null,{"$f":"P147-P149","v":0},null,{"$f":"R147-R149","v":0},null,{"$f":"T147-T149","v":0},null,{"$f":"V147-V149","v":0},null,{"$f":"X147-X149","v":0},null,{"$f":"Z147-Z149","v":0},null,{"$f":"AB147-AB149","v":0},null,{"$f":"AD147-AD149","v":0},null,{"$f":"AF147-AF149","v":0},null,{"$f":"AH147-AH149","v":0},null,{"$f":"AJ147-AJ149","v":0},null,{"$f":"AL147-AL149","v":0},null,{"$f":"AN147-AN149","v":0},null,{"$f":"AP147-AP149","v":0},null,{"$f":"AR147-AR149","v":0},null,{"$f":"AT147-AT149","v":0}]
[131.01,"Sampling Cost Adjustment (if applicable)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(State=\"California DPH\",$T151+$P151+$L151+$H151+$X151+$AB151+$AF151,$T151+$P151+$L151+$H151+$X151+$AB151+$AF151+$AJ151)","v":0},null,{"$f":"IF(State=\"California DPH\",$V151+$R151+$N151+$J151+$Z151+$AD151+$AH151,$V151+$R151+$N151+$J151+$Z151+$AD151+$AH151+$AL151)","v":0}]
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[{"$f":"'Sec. H In-State'!A163","v":141},{"$f":"'Sec. H In-State'!B163","v":"Medicare Cross-Over Bad Debt Payments"},null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"'Sec. H In-State'!P163","v":35003},null,{"$f":"'Sec. H In-State'!R163","v":55778},null,{"$f":"'Sec. H In-State'!T163","v":0},null,{"$f":"'Sec. H In-State'!V163","v":0},null,null,null,null,null,{"$f":"'Sec. H In-State'!AB163","v":0},null,{"$f":"'Sec. H In-State'!AD163","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"(Agrees to Exhibit B and B-1)",null,"(Agrees to Exhibit B and B-1)",null,{"$f":"IF(State=\"California DPH\",$T163+$P163+$X163,$T163+$P163+$AB163)","v":35003},null,{"$f":"IF(State=\"California DPH\",$V163+$R163+$Z163,$V163+$R163+$AD163)","v":55778}]
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[{"$f":"'Sec. H In-State'!A165","v":143},"Payment from Hospital Uninsured During Cost Report Year (Cash Basis)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"'Sec. H In-State'!AR165","v":178219},null,{"$f":"'Sec. H In-State'!AT165","v":572282},null,{"$f":"IF(ROUND(SUM(AR165,AT165),0)<>ROUND('Sec. D, E, F CR Data ADJ'!$M$60,0),\"Uninsured payments do not reconcile to Section E. Please verify.\",\"\")","v":""}]
[{"$f":"'Sec. H In-State'!A166","v":144},"Section 1011 Payment Related to Inpatient Hospital Services NOT Included in Exhibits B & B-1  (from Section E)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"NotOnB_IP_1011_1_ADJ","v":0},null,{"$f":"NotOnB_OP_1011_1_ADJ","v":0}]
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[]
[{"$f":"'Sec. H In-State'!A169","v":145},{"$f":"'Sec. H In-State'!B169:F169","v":"Calculated Payment Shortfall / (Longfall) (PRIOR TO SUPPLEMENTAL PAYMENTS AND DSH)"},null,null,null,null,null,{"$f":"H$152-SUM(H$154:H$157)-SUM(H$159:H$160)","v":-298394.29999999981},null,{"$f":"J$152-SUM(J$154:J$157)-SUM(J$159:J$160)","v":328257.44999999972},null,{"$f":"L$152-SUM(L$154:L$157)-SUM(L$159:L$160)","v":1412111},null,{"$f":"N$152-SUM(N$154:N$157)-SUM(N$159:N$160)","v":534696.17999965791},null,{"$f":"P$152-SUM(P$154:P$157)-SUM(P$161:P$164)","v":4055.7299999967217},null,{"$f":"R$152-SUM(R$154:R$157)-SUM(R$161:R$164)","v":546384.55000002496},null,{"$f":"T$152-SUM(T$154:T$157)-SUM(T$161:T$164)","v":193199.67999999924},null,{"$f":"V$152-SUM(V$154:V$157)-SUM(V$161:V$164)","v":-192130.07000000635},null,{"$f":"IF(State=\"California DPH\",X$152-SUM(X$154:X$157)-SUM(X$160:X$164),X$152-SUM(X$154:X$157)-X$160)","v":0},null,{"$f":"IF(State=\"California DPH\",Z$152-SUM(Z$154:Z$157)-SUM(Z$160:Z$164),Z$152-SUM(Z$154:Z$157)-Z$160)","v":0},null,{"$f":"IF(State=\"California DPH\",AB$152-SUM(AB$154:AB$157)-AB160,AB$152-SUM(AB$154:AB$157)-SUM(AB$159:AB$164))","v":0},null,{"$f":"IF(State=\"California DPH\",AD$152-SUM(AD$154:AD$157)-AD160,AD$152-SUM(AD$154:AD$157)-SUM(AD$159:AD$164))","v":0},null,{"$f":"AF$152-SUM(AF$154:AF$157)-AF$160","v":0},null,{"$f":"AH$152-SUM(AH$154:AH$157)-AH$160","v":0},null,{"$f":"IF(State=\"California DPH\",AJ$152-SUM(AJ$154:AJ$157)-AJ$160-AJ165,AJ$152-SUM(AJ$154:AJ$157)-AJ$160)","v":0},null,{"$f":"IF(State=\"California DPH\",AL$152-SUM(AL$154:AL$157)-AL$160-AL165,AL$152-SUM(AL$154:AL$157)-AL$160)","v":0},null,{"$f":"AN$152-SUM(AN$154:AN$157)-SUM(AN$159:AN$165)","v":0},null,{"$f":"AP$152-SUM(AP$154:AP$157)-SUM(AP$159:AP$165)","v":0},null,{"$f":"AR$152-AR$165-AR$166","v":4430327},null,{"$f":"AT$152-AT$165-AT$166","v":5616168},null,{"$f":"AV$152-SUM(AV$154:AV$157)-SUM(AV$159:AV$164)","v":1310972.1099999975},null,{"$f":"AX$152-SUM(AX$154:AX$157)-SUM(AX$159:AX$164)","v":1217208.1099996753}]
[{"$f":"'Sec. H In-State'!A170","v":146},"Calculated Payments as a Percentage of Cost",null,null,null,null,null,{"$f":"IF(FFS_InState_IP_Cost_1_ADJ>0, (SUM(H$154:H$157)+SUM(H$159:H$160))/FFS_InState_IP_Cost_1_ADJ,0)","v":1.060012203787156},null,{"$f":"IF(FFS_InState_OP_Cost_1_ADJ>0, (SUM(J$154:J$157)+SUM(J$159:J$160))/FFS_InState_OP_Cost_1_ADJ,0)","v":0.89414147215637241},null,{"$f":"IF(Mngd_Care_InState_IP_Cost_1_ADJ>0, (SUM(L$154:L$157)+SUM(L$159:L$160))/Mngd_Care_InState_IP_Cost_1_ADJ,0)","v":0.74534047574306228},null,{"$f":"IF(Mngd_Care_InState_OP_Cost_1_ADJ>0, (SUM(N$154:N$157)+SUM(N$159:N$160))/Mngd_Care_InState_OP_Cost_1_ADJ,0)","v":0.89055269136484694},null,{"$f":"IF(Cross_FFS_InState_IP_Cost_1_ADJ>0, (SUM(P$154:P$157)+SUM(P$161:P$164))/Cross_FFS_InState_IP_Cost_1_ADJ,0)","v":0.99923708344823681},null,{"$f":"IF(Cross_FFS_InState_OP_Cost_1_ADJ>0, (SUM(R$154:R$157)+SUM(R$161:R$164))/Cross_FFS_InState_OP_Cost_1_ADJ,0)","v":0.8379102678620356},null,{"$f":"IF(Mngd_Care_Cross_InState_IP_Cost_1_ADJ>0, (SUM(T$154:T$157)+SUM(T$161:T$164))/Mngd_Care_Cross_InState_IP_Cost_1_ADJ,0)","v":0.955836479494103},null,{"$f":"IF(Mngd_Care_Cross_InState_OP_Cost_1_ADJ>0, (SUM(V$154:V$157)+SUM(V$161:V$164))/Mngd_Care_Cross_InState_OP_Cost_1_ADJ,0)","v":1.0526236407230651},null,{"$f":"IF(State=\"California DPH\",IF(HIP_IP_Cost_1_ADJ>0,(SUM(X$154:X$157)+SUM(X$160:X$164))/HIP_IP_Cost_1_ADJ,0),IF(HIP_IP_Cost_1_ADJ>0,(SUM(X$154:X$157)+X$160)/HIP_IP_Cost_1_ADJ,0))","v":0},null,{"$f":"IF(State=\"California DPH\",IF(HIP_OP_Cost_1_ADJ>0,(SUM(Z$154:Z$157)+SUM(Z$160:Z$164))/HIP_OP_Cost_1_ADJ,0),IF(HIP_OP_Cost_1_ADJ>0,(SUM(Z$154:Z$157)+Z$160)/HIP_OP_Cost_1_ADJ,0))","v":0},null,{"$f":"IF(State=\"California DPH\",IF(Validated_Paid_InState_IP_Cost_1_ADJ>0,(SUM(AB$154:AB$157)+AB160)/Validated_Paid_InState_IP_Cost_1_ADJ,0),IF(Validated_Paid_InState_IP_Cost_1_ADJ>0,(SUM(AB$154:AB$157)+SUM(AB$159:AB$164))/Validated_Paid_InState_IP_Cost_1_ADJ,0))","v":0},null,{"$f":"IF(State=\"California DPH\",IF(Validated_Paid_InState_OP_Cost_1_ADJ>0,(SUM(AD$154:AD$157)+AD160)/Validated_Paid_InState_OP_Cost_1_ADJ,0),IF(Validated_Paid_InState_OP_Cost_1_ADJ>0,(SUM(AD$154:AD$157)+SUM(AD$159:AD$164))/Validated_Paid_InState_OP_Cost_1_ADJ,0))","v":0},null,{"$f":"IF(FFS_Mcaid_Eligible_InState_IP_Cost_1_ADJ>0, (SUM(AF$154:AF$157)+AF$160)/FFS_Mcaid_Eligible_InState_IP_Cost_1_ADJ,0)","v":0},null,{"$f":"IF(FFS_Mcaid_Eligible_InState_OP_Cost_1_ADJ>0, (SUM(AH$154:AH$157)+AH$160)/FFS_Mcaid_Eligible_InState_OP_Cost_1_ADJ,0)","v":0},null,{"$f":"IF(State=\"California DPH\",IF(MCO_Mcaid_Eligible_InState_IP_Cost_1_ADJ>0,(SUM(AJ$154:AJ$157)+AJ$160+AJ165)/MCO_Mcaid_Eligible_InState_IP_Cost_1_ADJ,0),IF(MCO_Mcaid_Eligible_InState_IP_Cost_1_ADJ>0,(SUM(AJ$154:AJ$157)+AJ$160)/MCO_Mcaid_Eligible_InState_IP_Cost_1_ADJ,0))","v":0},null,{"$f":"IF(State=\"California DPH\",IF(MCO_Mcaid_Eligible_InState_OP_Cost_1_ADJ>0,(SUM(AL$154:AL$157)+AL$160+AL165)/MCO_Mcaid_Eligible_InState_OP_Cost_1_ADJ,0),IF(MCO_Mcaid_Eligible_InState_OP_Cost_1_ADJ>0,(SUM(AL$154:AL$157)+AL$160)/MCO_Mcaid_Eligible_InState_OP_Cost_1_ADJ,0))","v":0},null,{"$f":"IF(State_Only_InState_IP_Cost_1_ADJ>0, (SUM(AN$154:AN$157)+SUM(AN$159:AN$165))/State_Only_InState_IP_Cost_1_ADJ,0)","v":0},null,{"$f":"IF(State_Only_InState_OP_Cost_1_ADJ>0, (SUM(AP$154:AP$157)+SUM(AP$159:AP$165))/State_Only_InState_OP_Cost_1_ADJ,0)","v":0},null,{"$f":"IF(Uninsured_InState_IP_Cost_1_ADJ>0,SUM(AR$165:AR$166)/Uninsured_InState_IP_Cost_1_ADJ,0)","v":3.8671416103907827E-2},null,{"$f":"IF(Uninsured_Instate_OP_Cost_1_ADJ>0,SUM(AT$165:AT$166)/Uninsured_Instate_OP_Cost_1_ADJ,0)","v":9.2475821894012239E-2},null,{"$f":"IF(Tot_Mcaid_InState_IP_Cost_1_ADJ>0,(SUM(AV$154:AV$157)+SUM(AV$159:AV$164))/Tot_Mcaid_InState_IP_Cost_1_ADJ,0)","v":0.93512624695968949},null,{"$f":"IF(Tot_Mcaid_InState_OP_Cost_1_ADJ>0,(SUM(AX$154:AX$157)+SUM(AX$159:AX$164))/Tot_Mcaid_InState_OP_Cost_1_ADJ,0)","v":0.91889727480803196}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(AND($T$5=\"In-State Other Medicaid Eligibles (Not Included Elsewhere)\",SUM(Mngd_Care_Cross_InState_IP_Cost_1_ADJ,Mngd_Care_Cross_InState_OP_Cost_1_ADJ)<=0),\"ERROR! No other eligibles reported! See certification statement on DSH Survey Part I.\",\"\")","v":""}]
[{"$f":"'Sec. H In-State'!A172","v":147},{"$f":"+'Sec. H In-State'!B172","v":"Total Medicare Days from W/S S-3 of the Cost Report Excluding Swing-Bed (C/R, W/S S-3, Pt. I, Col. 6, Sum of Lns. 2, 3, 4, 14, 16, 17, 18 less lines 5 & 6)"},null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"HCRIS_MCR_DAYS","v":12387}]
[{"$f":"'Sec. H In-State'!A173","v":148},{"$f":"+'Sec. H In-State'!B173","v":"Percent of cross-over days to total Medicare days from the cost report"},null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IFERROR(IF(State=\"California DPH\",(P28+X28+'Sec. I Out-of-State ADJ'!P28)/P172,(P28+'Sec. I Out-of-State ADJ'!P28)/P172),0)","v":0.19746508436263824}]
[null,{"$f":"'Sec. H In-State'!B174","v":"Note A - These amounts must agree to your inpatient and outpatient Medicaid paid claims summary.  For Managed Care, Cross-Over data, and other eligibles, use the hospital's logs if PS&R summaries are not available (submit logs with survey)."},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(AND(Uninsured_InState_IP_Cost_1_ADJ>0,OR(AR170>50%,AR170<2%)),\"NOTE: Inpatient uninsured payment rate is outside normal ranges, please verify this is correct.\",\"\")","v":""}]
[null,{"$f":"'Sec. H In-State'!B175","v":"Note B - Medicaid cost settlement payments refer to payments made by Medicaid during a cost report settlement that are not reflected on the claims paid summary (RA summary or PS&R)."}]
[null,{"$f":"'Sec. H In-State'!B176","v":"Note C - Other Medicaid Payments such as Outliers and Non-Claim Specific payments.  DSH payments should NOT be included.  UPL payments made on a state fiscal year basis should be reported in Section C of the survey."},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(AND(Uninsured_Instate_OP_Cost_1_ADJ>0,OR(AT170>50%,AT170<5%)),\"NOTE: Outpatient uninsured payment rate is outside normal ranges, please verify this is correct.\",\"\")","v":""}]
[null,{"$f":"'Sec. H In-State'!B177","v":"Note D - Should include other Medicare cross-over payments not included in the paid claims data reported above.  This includes payments paid based on the Medicare cost report settlement (e.g.,  Medicare Graduate Medical Education payments)."}]
[null,{"$f":"'Sec. H In-State'!B178","v":"Note E - Medicaid Managed Care payments should include all Medicaid Managed Care payments related to the services provided, including, but not limited to, incentive payments, bonus payments, capitation and sub-capitation payments."}]
[null,{"$f":"'Sec. H In-State'!B179","v":""}]

{"sheet":"Sec. I Out-of-State ADJ","index":19,"n_rows":175,"n_cols":28,"rows_kept":175,"cut":false,"hidden":true,"merged":[[161,1,161,5],[162,1,162,5],[163,1,163,5],[167,1,167,5],[168,1,168,5],[166,1,166,5],[153,1,153,5],[157,1,157,5],[158,1,158,5],[159,1,159,5],[160,1,160,5],[154,1,154,5],[155,1,155,5],[156,1,156,5],[151,1,151,5],[29,1,29,5],[30,1,30,5],[146,1,146,5],[148,1,148,5],[149,1,149,5]]}
[null,"I.  Out-of-State Medicaid Data:"]
[]
[null,{"$f":"CONCATENATE(\"Cost Report Year (\" & TEXT(FYB_1_ADJ,\"MM/DD/YYYY\") & \"-\" & TEXT(FYE_1_ADJ,\"MM/DD/YYYY\") &\")\")","v":"Cost Report Year (07/01/2016-06/30/2017)"},null,{"$f":"ProvName_ADJ","v":"WELLSTAR WEST GEORGIA HOSPITAL"},null,null,null,null,null,null,null,null,null,null,null,{"$f":"'Sec. H In-State ADJ'!$P$3","v":""}]
[]
[null,null,null,null,null,null,null,{"$f":"'Survey Set-Up'!$D$12","v":"Out-of-State Medicaid FFS Primary"},null,null,null,{"$f":"'Survey Set-Up'!$D$13","v":"Out-of-State Medicaid Managed Care Primary"},null,null,null,{"$f":"'Survey Set-Up'!$D$14","v":"Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},null,null,null,{"$f":"'Survey Set-Up'!$D$15","v":"Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},null,null,null,"Total Out-Of-State Medicaid"]
[null,"Line #","Cost Center Description",{"$f":"'Sec. H In-State ADJ'!D6","v":"Medicaid Per Diem Cost for Routine Cost Centers"},null,{"$f":"'Sec. H In-State ADJ'!F6","v":"Medicaid Cost to Charge Ratio for Ancillary Cost Centers"},null,"Inpatient",null,"Outpatient",null,"Inpatient",null,"Outpatient",null,"Inpatient",null,"Outpatient",null,"Inpatient",null,"Outpatient",null,"Inpatient",null,"Outpatient"]
[]
[null,null,null,{"$f":"'Sec. H In-State ADJ'!D8","v":"From Section G"},null,{"$f":"'Sec. H In-State ADJ'!F8","v":"From Section G"},null,{"$f":"'Sec. H In-State ADJ'!H8","v":"From PS&R Summary  (Note A)"},null,{"$f":"'Sec. H In-State ADJ'!J8","v":"From PS&R Summary  (Note A)"},null,{"$f":"'Sec. H In-State ADJ'!L8","v":"From PS&R Summary  (Note A)"},null,{"$f":"'Sec. H In-State ADJ'!N8","v":"From PS&R Summary  (Note A)"},null,{"$f":"'Sec. H In-State ADJ'!P8","v":"From PS&R Summary  (Note A)"},null,{"$f":"'Sec. H In-State ADJ'!R8","v":"From PS&R Summary  (Note A)"},null,{"$f":"'Sec. H In-State ADJ'!T8","v":"From PS&R Summary  (Note A)"},null,{"$f":"'Sec. H In-State ADJ'!V8","v":"From PS&R Summary  (Note A)"}]
[]
[null,"Routine Cost Centers (list below):",null,null,null,null,null,"Days",null,null,null,"Days",null,null,null,"Days",null,null,null,"Days",null,null,null,"Days"]
[1,{"$f":"IF('Sec. H In-State ADJ'!B11=0,\"\",'Sec. H In-State ADJ'!B11)","v":"03000"},{"$f":"IF('Sec. H In-State ADJ'!C11=0,\"\",'Sec. H In-State ADJ'!C11)","v":"ADULTS & PEDIATRICS"},{"$f":"'Sec. H In-State ADJ'!D11","v":790.06},null,null,null,{"$f":"'Sec. I Out-of-State'!H11","v":44},null,null,null,{"$f":"'Sec. I Out-of-State'!L11","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!P11","v":54},null,null,null,{"$f":"'Sec. I Out-of-State'!T11","v":41},null,null,null,{"$f":"$T11+$P11+$L11+$H11","v":139},null,null,null,{"$f":"IF('Sec. H In-State ADJ'!$AR11+'Sec. H In-State ADJ'!$AV11+'Sec. H In-State ADJ'!$AN11+'Sec. I Out-of-State ADJ'!$X11>('Sec. G CR Data ADJ'!$J11-'Sec. G CR Data ADJ'!E32),\"ERROR: Days exceed total!\",\"\")","v":""}]
[2,{"$f":"IF('Sec. H In-State ADJ'!B12=0,\"\",'Sec. H In-State ADJ'!B12)","v":"03100"},{"$f":"IF('Sec. H In-State ADJ'!C12=0,\"\",'Sec. H In-State ADJ'!C12)","v":"INTENSIVE CARE UNIT"},{"$f":"'Sec. H In-State ADJ'!D12","v":2532.34},null,null,null,{"$f":"'Sec. I Out-of-State'!H12","v":14},null,null,null,{"$f":"'Sec. I Out-of-State'!L12","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!P12","v":10},null,null,null,{"$f":"'Sec. I Out-of-State'!T12","v":2},null,null,null,{"$f":"$T12+$P12+$L12+$H12","v":26},null,null,null,{"$f":"IF('Sec. H In-State ADJ'!$AR12+'Sec. H In-State ADJ'!$AV12+'Sec. H In-State ADJ'!$AN12+'Sec. I Out-of-State ADJ'!$X12>'Sec. G CR Data ADJ'!$J12,\"ERROR: Days exceed total!\",\"\")","v":""}]
[3,{"$f":"IF('Sec. H In-State ADJ'!B13=0,\"\",'Sec. H In-State ADJ'!B13)","v":"03200"},{"$f":"IF('Sec. H In-State ADJ'!C13=0,\"\",'Sec. H In-State ADJ'!C13)","v":"CORONARY CARE UNIT"},{"$f":"'Sec. H In-State ADJ'!D13","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!H13","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!L13","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!P13","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!T13","v":0},null,null,null,0,null,null,null,{"$f":"IF('Sec. H In-State ADJ'!$AR13+'Sec. H In-State ADJ'!$AV13+'Sec. H In-State ADJ'!$AN13+'Sec. I Out-of-State ADJ'!$X13>'Sec. G CR Data ADJ'!$J13,\"ERROR: Days exceed total!\",\"\")","v":""}]
[4,{"$f":"IF('Sec. H In-State ADJ'!B14=0,\"\",'Sec. H In-State ADJ'!B14)","v":"03300"},{"$f":"IF('Sec. H In-State ADJ'!C14=0,\"\",'Sec. H In-State ADJ'!C14)","v":"BURN INTENSIVE CARE UNIT"},{"$f":"'Sec. H In-State ADJ'!D14","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!H14","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!L14","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!P14","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!T14","v":0},null,null,null,0,null,null,null,{"$f":"IF('Sec. H In-State ADJ'!$AR14+'Sec. H In-State ADJ'!$AV14+'Sec. H In-State ADJ'!$AN14+'Sec. I Out-of-State ADJ'!$X14>'Sec. G CR Data ADJ'!$J14,\"ERROR: Days exceed total!\",\"\")","v":""}]
[5,{"$f":"IF('Sec. H In-State ADJ'!B15=0,\"\",'Sec. H In-State ADJ'!B15)","v":"03400"},{"$f":"IF('Sec. H In-State ADJ'!C15=0,\"\",'Sec. H In-State ADJ'!C15)","v":"SURGICAL INTENSIVE CARE UNIT"},{"$f":"'Sec. H In-State ADJ'!D15","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!H15","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!L15","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!P15","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!T15","v":0},null,null,null,0,null,null,null,{"$f":"IF('Sec. H In-State ADJ'!$AR15+'Sec. H In-State ADJ'!$AV15+'Sec. H In-State ADJ'!$AN15+'Sec. I Out-of-State ADJ'!$X15>'Sec. G CR Data ADJ'!$J15,\"ERROR: Days exceed total!\",\"\")","v":""}]
[6,{"$f":"IF('Sec. H In-State ADJ'!B16=0,\"\",'Sec. H In-State ADJ'!B16)","v":"03500"},{"$f":"IF('Sec. H In-State ADJ'!C16=0,\"\",'Sec. H In-State ADJ'!C16)","v":"OTHER SPECIAL CARE UNIT"},{"$f":"'Sec. H In-State ADJ'!D16","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!H16","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!L16","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!P16","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!T16","v":0},null,null,null,0,null,null,null,{"$f":"IF('Sec. H In-State ADJ'!$AR16+'Sec. H In-State ADJ'!$AV16+'Sec. H In-State ADJ'!$AN16+'Sec. I Out-of-State ADJ'!$X16>'Sec. G CR Data ADJ'!$J16,\"ERROR: Days exceed total!\",\"\")","v":""}]
[7,{"$f":"IF('Sec. H In-State ADJ'!B17=0,\"\",'Sec. H In-State ADJ'!B17)","v":"04000"},{"$f":"IF('Sec. H In-State ADJ'!C17=0,\"\",'Sec. H In-State ADJ'!C17)","v":"SUBPROVIDER I"},{"$f":"'Sec. H In-State ADJ'!D17","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!H17","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!L17","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!P17","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!T17","v":0},null,null,null,0,null,null,null,{"$f":"IF('Sec. H In-State ADJ'!$AR17+'Sec. H In-State ADJ'!$AV17+'Sec. H In-State ADJ'!$AN17+'Sec. I Out-of-State ADJ'!$X17>'Sec. G CR Data ADJ'!$J17,\"ERROR: Days exceed total!\",\"\")","v":""}]
[8,{"$f":"IF('Sec. H In-State ADJ'!B18=0,\"\",'Sec. H In-State ADJ'!B18)","v":"04100"},{"$f":"IF('Sec. H In-State ADJ'!C18=0,\"\",'Sec. H In-State ADJ'!C18)","v":"SUBPROVIDER II"},{"$f":"'Sec. H In-State ADJ'!D18","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!H18","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!L18","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!P18","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!T18","v":0},null,null,null,0,null,null,null,{"$f":"IF('Sec. H In-State ADJ'!$AR18+'Sec. H In-State ADJ'!$AV18+'Sec. H In-State ADJ'!$AN18+'Sec. I Out-of-State ADJ'!$X18>'Sec. G CR Data ADJ'!$J18,\"ERROR: Days exceed total!\",\"\")","v":""}]
[9,{"$f":"IF('Sec. H In-State ADJ'!B19=0,\"\",'Sec. H In-State ADJ'!B19)","v":"04200"},{"$f":"IF('Sec. H In-State ADJ'!C19=0,\"\",'Sec. H In-State ADJ'!C19)","v":"OTHER SUBPROVIDER"},{"$f":"'Sec. H In-State ADJ'!D19","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!H19","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!L19","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!P19","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!T19","v":0},null,null,null,0,null,null,null,{"$f":"IF('Sec. H In-State ADJ'!$AR19+'Sec. H In-State ADJ'!$AV19+'Sec. H In-State ADJ'!$AN19+'Sec. I Out-of-State ADJ'!$X19>'Sec. G CR Data ADJ'!$J19,\"ERROR: Days exceed total!\",\"\")","v":""}]
[10,{"$f":"IF('Sec. H In-State ADJ'!B20=0,\"\",'Sec. H In-State ADJ'!B20)","v":"04300"},{"$f":"IF('Sec. H In-State ADJ'!C20=0,\"\",'Sec. H In-State ADJ'!C20)","v":"NURSERY"},{"$f":"'Sec. H In-State ADJ'!D20","v":901.95},null,null,null,{"$f":"'Sec. I Out-of-State'!H20","v":1},null,null,null,{"$f":"'Sec. I Out-of-State'!L20","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!P20","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!T20","v":14},null,null,null,15,null,null,null,{"$f":"IF('Sec. H In-State ADJ'!$AR20+'Sec. H In-State ADJ'!$AV20+'Sec. H In-State ADJ'!$AN20+'Sec. I Out-of-State ADJ'!$X20>'Sec. G CR Data ADJ'!$J20,\"ERROR: Days exceed total!\",\"\")","v":""}]
[11,{"$f":"IF('Sec. H In-State ADJ'!B21=0,\"\",'Sec. H In-State ADJ'!B21)","v":""},{"$f":"IF('Sec. H In-State ADJ'!C21=0,\"\",'Sec. H In-State ADJ'!C21)","v":""},{"$f":"'Sec. H In-State ADJ'!D21","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!H21","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!L21","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!P21","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!T21","v":0},null,null,null,0,null,null,null,{"$f":"IF('Sec. H In-State ADJ'!$AR21+'Sec. H In-State ADJ'!$AV21+'Sec. H In-State ADJ'!$AN21+'Sec. I Out-of-State ADJ'!$X21>'Sec. G CR Data ADJ'!$J21,\"ERROR: Days exceed total!\",\"\")","v":""}]
[12,{"$f":"IF('Sec. H In-State ADJ'!B22=0,\"\",'Sec. H In-State ADJ'!B22)","v":""},{"$f":"IF('Sec. H In-State ADJ'!C22=0,\"\",'Sec. H In-State ADJ'!C22)","v":""},{"$f":"'Sec. H In-State ADJ'!D22","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!H22","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!L22","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!P22","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!T22","v":0},null,null,null,0,null,null,null,{"$f":"IF('Sec. H In-State ADJ'!$AR22+'Sec. H In-State ADJ'!$AV22+'Sec. H In-State ADJ'!$AN22+'Sec. I Out-of-State ADJ'!$X22>'Sec. G CR Data ADJ'!$J22,\"ERROR: Days exceed total!\",\"\")","v":""}]
[13,{"$f":"IF('Sec. H In-State ADJ'!B23=0,\"\",'Sec. H In-State ADJ'!B23)","v":""},{"$f":"IF('Sec. H In-State ADJ'!C23=0,\"\",'Sec. H In-State ADJ'!C23)","v":""},{"$f":"'Sec. H In-State ADJ'!D23","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!H23","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!L23","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!P23","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!T23","v":0},null,null,null,0,null,null,null,{"$f":"IF('Sec. H In-State ADJ'!$AR23+'Sec. H In-State ADJ'!$AV23+'Sec. H In-State ADJ'!$AN23+'Sec. I Out-of-State ADJ'!$X23>'Sec. G CR Data ADJ'!$J23,\"ERROR: Days exceed total!\",\"\")","v":""}]
[14,{"$f":"IF('Sec. H In-State ADJ'!B24=0,\"\",'Sec. H In-State ADJ'!B24)","v":""},{"$f":"IF('Sec. H In-State ADJ'!C24=0,\"\",'Sec. H In-State ADJ'!C24)","v":""},{"$f":"'Sec. H In-State ADJ'!D24","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!H24","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!L24","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!P24","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!T24","v":0},null,null,null,0,null,null,null,{"$f":"IF('Sec. H In-State ADJ'!$AR24+'Sec. H In-State ADJ'!$AV24+'Sec. H In-State ADJ'!$AN24+'Sec. I Out-of-State ADJ'!$X24>'Sec. G CR Data ADJ'!$J24,\"ERROR: Days exceed total!\",\"\")","v":""}]
[15,{"$f":"IF('Sec. H In-State ADJ'!B25=0,\"\",'Sec. H In-State ADJ'!B25)","v":""},{"$f":"IF('Sec. H In-State ADJ'!C25=0,\"\",'Sec. H In-State ADJ'!C25)","v":""},{"$f":"'Sec. H In-State ADJ'!D25","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!H25","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!L25","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!P25","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!T25","v":0},null,null,null,0,null,null,null,{"$f":"IF('Sec. H In-State ADJ'!$AR25+'Sec. H In-State ADJ'!$AV25+'Sec. H In-State ADJ'!$AN25+'Sec. I Out-of-State ADJ'!$X25>'Sec. G CR Data ADJ'!$J25,\"ERROR: Days exceed total!\",\"\")","v":""}]
[16,{"$f":"IF('Sec. H In-State ADJ'!B26=0,\"\",'Sec. H In-State ADJ'!B26)","v":""},{"$f":"IF('Sec. H In-State ADJ'!C26=0,\"\",'Sec. H In-State ADJ'!C26)","v":""},{"$f":"'Sec. H In-State ADJ'!D26","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!H26","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!L26","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!P26","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!T26","v":0},null,null,null,0,null,null,null,{"$f":"IF('Sec. H In-State ADJ'!$AR26+'Sec. H In-State ADJ'!$AV26+'Sec. H In-State ADJ'!$AN26+'Sec. I Out-of-State ADJ'!$X26>'Sec. G CR Data ADJ'!$J26,\"ERROR: Days exceed total!\",\"\")","v":""}]
[17,{"$f":"IF('Sec. H In-State ADJ'!B27=0,\"\",'Sec. H In-State ADJ'!B27)","v":""},{"$f":"IF('Sec. H In-State ADJ'!C27=0,\"\",'Sec. H In-State ADJ'!C27)","v":""},{"$f":"'Sec. H In-State ADJ'!D27","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!H27","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!L27","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!P27","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!T27","v":0},null,null,null,{"$f":"$T27+$P27+$L27+$H27","v":0},null,null,null,{"$f":"IF('Sec. H In-State ADJ'!$AR27+'Sec. H In-State ADJ'!$AV27+'Sec. H In-State ADJ'!$AN27+'Sec. I Out-of-State ADJ'!$X27>'Sec. G CR Data ADJ'!$J27,\"ERROR: Days exceed total!\",\"\")","v":""}]
[18,null,null,null,null,"Total Days",null,{"$f":"SUM(H$11:H$27)","v":59},null,null,null,{"$f":"SUM(L$11:L$27)","v":0},null,null,null,{"$f":"SUM(P$11:P$27)","v":64},null,null,null,{"$f":"SUM(T$11:T$27)","v":57},null,null,null,{"$f":"SUM(X$11:X$27)","v":180},null,null,null,{"$f":"IF('Sec. H In-State ADJ'!$AR28+'Sec. H In-State ADJ'!$AV28+'Sec. H In-State ADJ'!$AN28+'Sec. I Out-of-State ADJ'!$X28>'Sec. G CR Data ADJ'!$J28,\"ERROR: Days exceed total!\",\"\")","v":""}]
[]
[19,"Total Days per PS&R or Exhibit Detail",null,null,null,null,null,{"$f":"'Sec. I Out-of-State'!H30","v":59},null,null,null,{"$f":"'Sec. I Out-of-State'!L30","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!P30","v":64},null,null,null,{"$f":"'Sec. I Out-of-State'!T30","v":57}]
[20,"Unreconciled Days (Explain Variance)",null,null,null,null,null,{"$f":"H$28-H$30","v":0},null,null,null,{"$f":"L$28-L$30","v":0},null,null,null,{"$f":"P$28-P$30","v":0},null,null,null,{"$f":"T$28-T$30","v":0}]
[]
[null,null,null,null,null,null,null,"Routine Charges",null,null,null,"Routine Charges",null,null,null,"Routine Charges",null,null,null,"Routine Charges",null,null,null,"Routine Charges"]
[21,null,"Routine Charges",null,null,null,null,{"$f":"'Sec. I Out-of-State'!H34","v":93275},null,null,null,{"$f":"'Sec. I Out-of-State'!L34","v":0},null,null,null,{"$f":"'Sec. I Out-of-State'!P34","v":103005},null,null,null,{"$f":"'Sec. I Out-of-State'!T34","v":54945},null,null,null,{"$f":"$T34+$P34+$L34+$H34","v":251225}]
["21.01",null,"Calculated Routine Charge Per Diem",null,null,null,null,{"$f":"IF(H$28>0, H$34/H$28,0)","v":1580.9322033898304},null,null,null,{"$f":"IF(L$28>0, L$34/L$28,0)","v":0},null,null,null,{"$f":"IF(P$28>0, P$34/P$28,0)","v":1609.453125},null,null,null,{"$f":"IF(T$28>0, T$34/T$28,0)","v":963.9473684210526},null,null,null,{"$f":"IF(X$28>0, X$34/X$28,0)","v":1395.6944444444443}]
[]
[null,"Ancillary Cost Centers (from W/S C) (list below):",null,null,null,null,null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges",null,"Ancillary Charges"]
[{"$f":"'Sec. H In-State ADJ'!A38","v":22},{"$f":"IF('Sec. H In-State ADJ'!B38=0,\"\",'Sec. H In-State ADJ'!B38)","v":"09200"},{"$f":"IF('Sec. H In-State ADJ'!C38=0,\"\",'Sec. H In-State ADJ'!C38)","v":"Observation (Non-Distinct)"},null,null,{"$f":"'Sec. H In-State ADJ'!F38","v":0.49610500000000002},null,{"$f":"'Sec. I Out-of-State'!H38","v":0},null,{"$f":"'Sec. I Out-of-State'!J38","v":7637.9000000000005},null,{"$f":"'Sec. I Out-of-State'!L38","v":0},null,{"$f":"'Sec. I Out-of-State'!N38","v":0},null,{"$f":"'Sec. I Out-of-State'!P38","v":6090.5},null,{"$f":"'Sec. I Out-of-State'!R38","v":34001.199999999997},null,{"$f":"'Sec. I Out-of-State'!T38","v":128},null,{"$f":"'Sec. I Out-of-State'!V38","v":8226.1},null,{"$f":"$T38+$P38+$L38+$H38","v":6218.5},null,{"$f":"$V38+$R38+$N38+$J38","v":49865.2},null,{"$f":"IF($X38+$Z38+'Sec. H In-State ADJ'!$AR38+'Sec. H In-State ADJ'!$AT38+'Sec. H In-State ADJ'!$AV38+'Sec. H In-State ADJ'!$AX38+'Sec. H In-State ADJ'!$AN38+'Sec. H In-State ADJ'!$AP38>'Sec. G CR Data ADJ'!$L32,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[{"$f":"'Sec. H In-State ADJ'!A39","v":23},{"$f":"IF('Sec. H In-State ADJ'!B39=0,\"\",'Sec. H In-State ADJ'!B39)","v":5000},{"$f":"IF('Sec. H In-State ADJ'!C39=0,\"\",'Sec. H In-State ADJ'!C39)","v":"OPERATING ROOM"},null,null,{"$f":"'Sec. H In-State ADJ'!F39","v":0.15080099999999999},null,{"$f":"'Sec. I Out-of-State'!H39","v":77291.5},null,{"$f":"'Sec. I Out-of-State'!J39","v":20725.099999999999},null,{"$f":"'Sec. I Out-of-State'!L39","v":0},null,{"$f":"'Sec. I Out-of-State'!N39","v":0},null,{"$f":"'Sec. I Out-of-State'!P39","v":17002.599999999999},null,{"$f":"'Sec. I Out-of-State'!R39","v":122722.6},null,{"$f":"'Sec. I Out-of-State'!T39","v":43002.95},null,{"$f":"'Sec. I Out-of-State'!V39","v":23826.25},null,{"$f":"$T39+$P39+$L39+$H39","v":137297.04999999999},null,{"$f":"$V39+$R39+$N39+$J39","v":167273.95000000001},null,{"$f":"IF($X39+$Z39+'Sec. H In-State ADJ'!$AR39+'Sec. H In-State ADJ'!$AT39+'Sec. H In-State ADJ'!$AV39+'Sec. H In-State ADJ'!$AX39+'Sec. H In-State ADJ'!$AN39+'Sec. H In-State ADJ'!$AP39>'Sec. G CR Data ADJ'!$L36,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[{"$f":"'Sec. H In-State ADJ'!A40","v":24},{"$f":"IF('Sec. H In-State ADJ'!B40=0,\"\",'Sec. H In-State ADJ'!B40)","v":5100},{"$f":"IF('Sec. H In-State ADJ'!C40=0,\"\",'Sec. H In-State ADJ'!C40)","v":"RECOVERY ROOM"},null,null,{"$f":"'Sec. H In-State ADJ'!F40","v":0.32351999999999997},null,{"$f":"'Sec. I Out-of-State'!H40","v":3818.2999999999997},null,{"$f":"'Sec. I Out-of-State'!J40","v":3173.1},null,{"$f":"'Sec. I Out-of-State'!L40","v":0},null,{"$f":"'Sec. I Out-of-State'!N40","v":0},null,{"$f":"'Sec. I Out-of-State'!P40","v":0},null,{"$f":"'Sec. I Out-of-State'!R40","v":13189.549999999997},null,{"$f":"'Sec. I Out-of-State'!T40","v":4795.7},null,{"$f":"'Sec. I Out-of-State'!V40","v":5049.8999999999996},null,8614,null,21412.549999999996,null,{"$f":"IF($X40+$Z40+'Sec. H In-State ADJ'!$AR40+'Sec. H In-State ADJ'!$AT40+'Sec. H In-State ADJ'!$AV40+'Sec. H In-State ADJ'!$AX40+'Sec. H In-State ADJ'!$AN40+'Sec. H In-State ADJ'!$AP40>'Sec. G CR Data ADJ'!$L37,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[{"$f":"'Sec. H In-State ADJ'!A41","v":25},{"$f":"IF('Sec. H In-State ADJ'!B41=0,\"\",'Sec. H In-State ADJ'!B41)","v":5200},{"$f":"IF('Sec. H In-State ADJ'!C41=0,\"\",'Sec. H In-State ADJ'!C41)","v":"DELIVERY ROOM & LABOR ROOM"},null,null,{"$f":"'Sec. H In-State ADJ'!F41","v":0.41356999999999999},null,{"$f":"'Sec. I Out-of-State'!H41","v":303.60000000000002},null,{"$f":"'Sec. I Out-of-State'!J41","v":0},null,{"$f":"'Sec. I Out-of-State'!L41","v":0},null,{"$f":"'Sec. I Out-of-State'!N41","v":0},null,{"$f":"'Sec. I Out-of-State'!P41","v":0},null,{"$f":"'Sec. I Out-of-State'!R41","v":0},null,{"$f":"'Sec. I Out-of-State'!T41","v":23952.799999999999},null,{"$f":"'Sec. I Out-of-State'!V41","v":4666.7},null,24256.399999999998,null,4666.7,null,{"$f":"IF($X41+$Z41+'Sec. H In-State ADJ'!$AR41+'Sec. H In-State ADJ'!$AT41+'Sec. H In-State ADJ'!$AV41+'Sec. H In-State ADJ'!$AX41+'Sec. H In-State ADJ'!$AN41+'Sec. H In-State ADJ'!$AP41>'Sec. G CR Data ADJ'!$L38,\"ERROR: Charges exceed total!\",\"\")","v":""}]
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[{"$f":"'Sec. H In-State ADJ'!A132","v":116},{"$f":"IF('Sec. H In-State ADJ'!B132=0,\"\",'Sec. H In-State ADJ'!B132)","v":""},{"$f":"IF('Sec. H In-State ADJ'!C132=0,\"\",'Sec. H In-State ADJ'!C132)","v":""},null,null,{"$f":"'Sec. H In-State ADJ'!F132","v":0},null,{"$f":"'Sec. I Out-of-State'!H132","v":0},null,{"$f":"'Sec. I Out-of-State'!J132","v":0},null,{"$f":"'Sec. I Out-of-State'!L132","v":0},null,{"$f":"'Sec. I Out-of-State'!N132","v":0},null,{"$f":"'Sec. I Out-of-State'!P132","v":0},null,{"$f":"'Sec. I Out-of-State'!R132","v":0},null,{"$f":"'Sec. I Out-of-State'!T132","v":0},null,{"$f":"'Sec. I Out-of-State'!V132","v":0},null,0,null,0,null,{"$f":"IF($X132+$Z132+'Sec. H In-State ADJ'!$AR132+'Sec. H In-State ADJ'!$AT132+'Sec. H In-State ADJ'!$AV132+'Sec. H In-State ADJ'!$AX132+'Sec. H In-State ADJ'!$AN132+'Sec. H In-State ADJ'!$AP132>'Sec. G CR Data ADJ'!$L129,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[{"$f":"'Sec. H In-State ADJ'!A133","v":117},{"$f":"IF('Sec. H In-State ADJ'!B133=0,\"\",'Sec. H In-State ADJ'!B133)","v":""},{"$f":"IF('Sec. H In-State ADJ'!C133=0,\"\",'Sec. H In-State ADJ'!C133)","v":""},null,null,{"$f":"'Sec. H In-State ADJ'!F133","v":0},null,{"$f":"'Sec. I Out-of-State'!H133","v":0},null,{"$f":"'Sec. I Out-of-State'!J133","v":0},null,{"$f":"'Sec. I Out-of-State'!L133","v":0},null,{"$f":"'Sec. I Out-of-State'!N133","v":0},null,{"$f":"'Sec. I Out-of-State'!P133","v":0},null,{"$f":"'Sec. I Out-of-State'!R133","v":0},null,{"$f":"'Sec. I Out-of-State'!T133","v":0},null,{"$f":"'Sec. I Out-of-State'!V133","v":0},null,0,null,0,null,{"$f":"IF($X133+$Z133+'Sec. H In-State ADJ'!$AR133+'Sec. H In-State ADJ'!$AT133+'Sec. H In-State ADJ'!$AV133+'Sec. H In-State ADJ'!$AX133+'Sec. H In-State ADJ'!$AN133+'Sec. H In-State ADJ'!$AP133>'Sec. G CR Data ADJ'!$L130,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[{"$f":"'Sec. H In-State ADJ'!A134","v":118},{"$f":"IF('Sec. H In-State ADJ'!B134=0,\"\",'Sec. H In-State ADJ'!B134)","v":""},{"$f":"IF('Sec. H In-State ADJ'!C134=0,\"\",'Sec. H In-State ADJ'!C134)","v":""},null,null,{"$f":"'Sec. H In-State ADJ'!F134","v":0},null,{"$f":"'Sec. I Out-of-State'!H134","v":0},null,{"$f":"'Sec. I Out-of-State'!J134","v":0},null,{"$f":"'Sec. I Out-of-State'!L134","v":0},null,{"$f":"'Sec. I Out-of-State'!N134","v":0},null,{"$f":"'Sec. I Out-of-State'!P134","v":0},null,{"$f":"'Sec. I Out-of-State'!R134","v":0},null,{"$f":"'Sec. I Out-of-State'!T134","v":0},null,{"$f":"'Sec. I Out-of-State'!V134","v":0},null,0,null,0,null,{"$f":"IF($X134+$Z134+'Sec. H In-State ADJ'!$AR134+'Sec. H In-State ADJ'!$AT134+'Sec. H In-State ADJ'!$AV134+'Sec. H In-State ADJ'!$AX134+'Sec. H In-State ADJ'!$AN134+'Sec. H In-State ADJ'!$AP134>'Sec. G CR Data ADJ'!$L131,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[{"$f":"'Sec. H In-State ADJ'!A135","v":119},{"$f":"IF('Sec. H In-State ADJ'!B135=0,\"\",'Sec. H In-State ADJ'!B135)","v":""},{"$f":"IF('Sec. H In-State ADJ'!C135=0,\"\",'Sec. H In-State ADJ'!C135)","v":""},null,null,{"$f":"'Sec. H In-State ADJ'!F135","v":0},null,{"$f":"'Sec. I Out-of-State'!H135","v":0},null,{"$f":"'Sec. I Out-of-State'!J135","v":0},null,{"$f":"'Sec. I Out-of-State'!L135","v":0},null,{"$f":"'Sec. I Out-of-State'!N135","v":0},null,{"$f":"'Sec. I Out-of-State'!P135","v":0},null,{"$f":"'Sec. I Out-of-State'!R135","v":0},null,{"$f":"'Sec. I Out-of-State'!T135","v":0},null,{"$f":"'Sec. I Out-of-State'!V135","v":0},null,0,null,0,null,{"$f":"IF($X135+$Z135+'Sec. H In-State ADJ'!$AR135+'Sec. H In-State ADJ'!$AT135+'Sec. H In-State ADJ'!$AV135+'Sec. H In-State ADJ'!$AX135+'Sec. H In-State ADJ'!$AN135+'Sec. H In-State ADJ'!$AP135>'Sec. G CR Data ADJ'!$L132,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[{"$f":"'Sec. H In-State ADJ'!A136","v":120},{"$f":"IF('Sec. H In-State ADJ'!B136=0,\"\",'Sec. H In-State ADJ'!B136)","v":""},{"$f":"IF('Sec. H In-State ADJ'!C136=0,\"\",'Sec. H In-State ADJ'!C136)","v":""},null,null,{"$f":"'Sec. H In-State ADJ'!F136","v":0},null,{"$f":"'Sec. I Out-of-State'!H136","v":0},null,{"$f":"'Sec. I Out-of-State'!J136","v":0},null,{"$f":"'Sec. I Out-of-State'!L136","v":0},null,{"$f":"'Sec. I Out-of-State'!N136","v":0},null,{"$f":"'Sec. I Out-of-State'!P136","v":0},null,{"$f":"'Sec. I Out-of-State'!R136","v":0},null,{"$f":"'Sec. I Out-of-State'!T136","v":0},null,{"$f":"'Sec. I Out-of-State'!V136","v":0},null,0,null,0,null,{"$f":"IF($X136+$Z136+'Sec. H In-State ADJ'!$AR136+'Sec. H In-State ADJ'!$AT136+'Sec. H In-State ADJ'!$AV136+'Sec. H In-State ADJ'!$AX136+'Sec. H In-State ADJ'!$AN136+'Sec. H In-State ADJ'!$AP136>'Sec. G CR Data ADJ'!$L133,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[{"$f":"'Sec. H In-State ADJ'!A137","v":121},{"$f":"IF('Sec. H In-State ADJ'!B137=0,\"\",'Sec. H In-State ADJ'!B137)","v":""},{"$f":"IF('Sec. H In-State ADJ'!C137=0,\"\",'Sec. H In-State ADJ'!C137)","v":""},null,null,{"$f":"'Sec. H In-State ADJ'!F137","v":0},null,{"$f":"'Sec. I Out-of-State'!H137","v":0},null,{"$f":"'Sec. I Out-of-State'!J137","v":0},null,{"$f":"'Sec. I Out-of-State'!L137","v":0},null,{"$f":"'Sec. I Out-of-State'!N137","v":0},null,{"$f":"'Sec. I Out-of-State'!P137","v":0},null,{"$f":"'Sec. I Out-of-State'!R137","v":0},null,{"$f":"'Sec. I Out-of-State'!T137","v":0},null,{"$f":"'Sec. I Out-of-State'!V137","v":0},null,0,null,0,null,{"$f":"IF($X137+$Z137+'Sec. H In-State ADJ'!$AR137+'Sec. H In-State ADJ'!$AT137+'Sec. H In-State ADJ'!$AV137+'Sec. H In-State ADJ'!$AX137+'Sec. H In-State ADJ'!$AN137+'Sec. H In-State ADJ'!$AP137>'Sec. G CR Data ADJ'!$L134,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[{"$f":"'Sec. H In-State ADJ'!A138","v":122},{"$f":"IF('Sec. H In-State ADJ'!B138=0,\"\",'Sec. H In-State ADJ'!B138)","v":""},{"$f":"IF('Sec. H In-State ADJ'!C138=0,\"\",'Sec. H In-State ADJ'!C138)","v":""},null,null,{"$f":"'Sec. H In-State ADJ'!F138","v":0},null,{"$f":"'Sec. I Out-of-State'!H138","v":0},null,{"$f":"'Sec. I Out-of-State'!J138","v":0},null,{"$f":"'Sec. I Out-of-State'!L138","v":0},null,{"$f":"'Sec. I Out-of-State'!N138","v":0},null,{"$f":"'Sec. I Out-of-State'!P138","v":0},null,{"$f":"'Sec. I Out-of-State'!R138","v":0},null,{"$f":"'Sec. I Out-of-State'!T138","v":0},null,{"$f":"'Sec. I Out-of-State'!V138","v":0},null,0,null,0,null,{"$f":"IF($X138+$Z138+'Sec. H In-State ADJ'!$AR138+'Sec. H In-State ADJ'!$AT138+'Sec. H In-State ADJ'!$AV138+'Sec. H In-State ADJ'!$AX138+'Sec. H In-State ADJ'!$AN138+'Sec. H In-State ADJ'!$AP138>'Sec. G CR Data ADJ'!$L135,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[{"$f":"'Sec. H In-State ADJ'!A139","v":123},{"$f":"IF('Sec. H In-State ADJ'!B139=0,\"\",'Sec. H In-State ADJ'!B139)","v":""},{"$f":"IF('Sec. H In-State ADJ'!C139=0,\"\",'Sec. H In-State ADJ'!C139)","v":""},null,null,{"$f":"'Sec. H In-State ADJ'!F139","v":0},null,{"$f":"'Sec. I Out-of-State'!H139","v":0},null,{"$f":"'Sec. I Out-of-State'!J139","v":0},null,{"$f":"'Sec. I Out-of-State'!L139","v":0},null,{"$f":"'Sec. I Out-of-State'!N139","v":0},null,{"$f":"'Sec. I Out-of-State'!P139","v":0},null,{"$f":"'Sec. I Out-of-State'!R139","v":0},null,{"$f":"'Sec. I Out-of-State'!T139","v":0},null,{"$f":"'Sec. I Out-of-State'!V139","v":0},null,0,null,0,null,{"$f":"IF($X139+$Z139+'Sec. H In-State ADJ'!$AR139+'Sec. H In-State ADJ'!$AT139+'Sec. H In-State ADJ'!$AV139+'Sec. H In-State ADJ'!$AX139+'Sec. H In-State ADJ'!$AN139+'Sec. H In-State ADJ'!$AP139>'Sec. G CR Data ADJ'!$L136,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[{"$f":"'Sec. H In-State ADJ'!A140","v":124},{"$f":"IF('Sec. H In-State ADJ'!B140=0,\"\",'Sec. H In-State ADJ'!B140)","v":""},{"$f":"IF('Sec. H In-State ADJ'!C140=0,\"\",'Sec. H In-State ADJ'!C140)","v":""},null,null,{"$f":"'Sec. H In-State ADJ'!F140","v":0},null,{"$f":"'Sec. I Out-of-State'!H140","v":0},null,{"$f":"'Sec. I Out-of-State'!J140","v":0},null,{"$f":"'Sec. I Out-of-State'!L140","v":0},null,{"$f":"'Sec. I Out-of-State'!N140","v":0},null,{"$f":"'Sec. I Out-of-State'!P140","v":0},null,{"$f":"'Sec. I Out-of-State'!R140","v":0},null,{"$f":"'Sec. I Out-of-State'!T140","v":0},null,{"$f":"'Sec. I Out-of-State'!V140","v":0},null,0,null,0,null,{"$f":"IF($X140+$Z140+'Sec. H In-State ADJ'!$AR140+'Sec. H In-State ADJ'!$AT140+'Sec. H In-State ADJ'!$AV140+'Sec. H In-State ADJ'!$AX140+'Sec. H In-State ADJ'!$AN140+'Sec. H In-State ADJ'!$AP140>'Sec. G CR Data ADJ'!$L137,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[{"$f":"'Sec. H In-State ADJ'!A141","v":125},{"$f":"IF('Sec. H In-State ADJ'!B141=0,\"\",'Sec. H In-State ADJ'!B141)","v":""},{"$f":"IF('Sec. H In-State ADJ'!C141=0,\"\",'Sec. H In-State ADJ'!C141)","v":""},null,null,{"$f":"'Sec. H In-State ADJ'!F141","v":0},null,{"$f":"'Sec. I Out-of-State'!H141","v":0},null,{"$f":"'Sec. I Out-of-State'!J141","v":0},null,{"$f":"'Sec. I Out-of-State'!L141","v":0},null,{"$f":"'Sec. I Out-of-State'!N141","v":0},null,{"$f":"'Sec. I Out-of-State'!P141","v":0},null,{"$f":"'Sec. I Out-of-State'!R141","v":0},null,{"$f":"'Sec. I Out-of-State'!T141","v":0},null,{"$f":"'Sec. I Out-of-State'!V141","v":0},null,0,null,0,null,{"$f":"IF($X141+$Z141+'Sec. H In-State ADJ'!$AR141+'Sec. H In-State ADJ'!$AT141+'Sec. H In-State ADJ'!$AV141+'Sec. H In-State ADJ'!$AX141+'Sec. H In-State ADJ'!$AN141+'Sec. H In-State ADJ'!$AP141>'Sec. G CR Data ADJ'!$L138,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[{"$f":"'Sec. H In-State ADJ'!A142","v":126},{"$f":"IF('Sec. H In-State ADJ'!B142=0,\"\",'Sec. H In-State ADJ'!B142)","v":""},{"$f":"IF('Sec. H In-State ADJ'!C142=0,\"\",'Sec. H In-State ADJ'!C142)","v":""},null,null,{"$f":"'Sec. H In-State ADJ'!F142","v":0},null,{"$f":"'Sec. I Out-of-State'!H142","v":0},null,{"$f":"'Sec. I Out-of-State'!J142","v":0},null,{"$f":"'Sec. I Out-of-State'!L142","v":0},null,{"$f":"'Sec. I Out-of-State'!N142","v":0},null,{"$f":"'Sec. I Out-of-State'!P142","v":0},null,{"$f":"'Sec. I Out-of-State'!R142","v":0},null,{"$f":"'Sec. I Out-of-State'!T142","v":0},null,{"$f":"'Sec. I Out-of-State'!V142","v":0},null,0,null,0,null,{"$f":"IF($X142+$Z142+'Sec. H In-State ADJ'!$AR142+'Sec. H In-State ADJ'!$AT142+'Sec. H In-State ADJ'!$AV142+'Sec. H In-State ADJ'!$AX142+'Sec. H In-State ADJ'!$AN142+'Sec. H In-State ADJ'!$AP142>'Sec. G CR Data ADJ'!$L139,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[{"$f":"'Sec. H In-State ADJ'!A143","v":127},{"$f":"IF('Sec. H In-State ADJ'!B143=0,\"\",'Sec. H In-State ADJ'!B143)","v":""},{"$f":"IF('Sec. H In-State ADJ'!C143=0,\"\",'Sec. H In-State ADJ'!C143)","v":""},null,null,{"$f":"'Sec. H In-State ADJ'!F143","v":0},null,{"$f":"'Sec. I Out-of-State'!H143","v":0},null,{"$f":"'Sec. I Out-of-State'!J143","v":0},null,{"$f":"'Sec. I Out-of-State'!L143","v":0},null,{"$f":"'Sec. I Out-of-State'!N143","v":0},null,{"$f":"'Sec. I Out-of-State'!P143","v":0},null,{"$f":"'Sec. I Out-of-State'!R143","v":0},null,{"$f":"'Sec. I Out-of-State'!T143","v":0},null,{"$f":"'Sec. I Out-of-State'!V143","v":0},null,0,null,0,null,{"$f":"IF($X143+$Z143+'Sec. H In-State ADJ'!$AR143+'Sec. H In-State ADJ'!$AT143+'Sec. H In-State ADJ'!$AV143+'Sec. H In-State ADJ'!$AX143+'Sec. H In-State ADJ'!$AN143+'Sec. H In-State ADJ'!$AP143>'Sec. G CR Data ADJ'!$L140,\"ERROR: Charges exceed total!\",\"\")","v":""}]
[null,null,null,null,null,null,null,{"$f":"SUM(FFS_IP_ANCILLARY_ADJ)","v":375030.12002562272},null,{"$f":"SUM(FFS_OP_ANCILLARY_ADJ)","v":702348.5500000004},null,{"$f":"SUM(MCO_IP_ANCILLARY_ADJ)","v":0},null,{"$f":"SUM(MCO_OP_ANCILLARY_ADJ)","v":0},null,{"$f":"SUM(FFS_XOVER_IP_ANCILLARY_ADJ)","v":307050.90003767906},null,{"$f":"SUM(FFS_XOVER_OP_ANCILLARY_ADJ)","v":1063674.42},null,{"$f":"SUM(MCO_XOVER_IP_ANCILLARY_ADJ)","v":198161.76000176297},null,{"$f":"SUM(MCO_XOVER_OP_ANCILLARY_ADJ)","v":281015.94999999995}]
[null,"Totals / Payments"]
[]
[{"$f":"'Sec. H In-State ADJ'!A147","v":128},"Total Charges (includes organ acquisition from Section K)",null,null,null,null,null,{"$f":"SUM(H$34,H$38:H$143,'Sec. J & K Organ Acq ADJ'!L$46)","v":468305.12002562266},null,{"$f":"SUM(J$38:J$143)","v":702348.5500000004},null,{"$f":"SUM(L$34,L$38:L$143,'Sec. J & K Organ Acq ADJ'!P$46)","v":0},null,{"$f":"SUM(N$38:N$143)","v":0},null,{"$f":"SUM(P$34,P$38:P$143,'Sec. J & K Organ Acq ADJ'!T$46)","v":410055.90003767906},null,{"$f":"SUM(R$38:R$143)","v":1063674.42},null,{"$f":"SUM(T$34,T$38:T$143,'Sec. J & K Organ Acq ADJ'!X$46)","v":253106.76000176294},null,{"$f":"SUM(V$38:V$143)","v":281015.94999999995},null,{"$f":"$T147+$P147+$L147+$H147","v":1131467.7800650648},null,{"$f":"$V147+$R147+$N147+$J147","v":2047038.9200000004}]
[]
[{"$f":"'Sec. H In-State ADJ'!A149","v":129},"Total Charges per PS&R or Exhibit Detail",null,null,null,null,null,{"$f":"'Sec. I Out-of-State'!H149","v":468305.12002562266},null,{"$f":"'Sec. I Out-of-State'!J149","v":702348.5500000004},null,{"$f":"'Sec. I Out-of-State'!L149","v":0},null,{"$f":"'Sec. I Out-of-State'!N149","v":0},null,{"$f":"'Sec. I Out-of-State'!P149","v":410055.90003767906},null,{"$f":"'Sec. I Out-of-State'!R149","v":1063674.42},null,{"$f":"'Sec. I Out-of-State'!T149","v":253106.76000176294},null,{"$f":"'Sec. I Out-of-State'!V149","v":281015.94999999995}]
[{"$f":"'Sec. H In-State ADJ'!A150","v":130},"Unreconciled Charges (Explain Variance)",null,null,null,null,null,{"$f":"H$147-H$149","v":0},null,{"$f":"J$147-J$149","v":0},null,{"$f":"L$147-L$149","v":0},null,{"$f":"N$147-N$149","v":0},null,{"$f":"P$147-P$149","v":0},null,{"$f":"R$147-R$149","v":0},null,{"$f":"T$147-T$149","v":0},null,{"$f":"V$147-V$149","v":0}]
[{"$f":"'Sec. H In-State ADJ'!A151","v":131.01},{"$f":"'Sec. H In-State ADJ'!B151","v":"Sampling Cost Adjustment (if applicable)"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"H151+L151+P151+T151","v":0},null,{"$f":"J151+N151+R151+V151","v":0}]
[{"$f":"'Sec. H In-State ADJ'!A152","v":131.02000000000001},"Total Calculated Cost (includes organ acquisition from Section K)",null,null,null,null,null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,H$11:H$27)+SUMPRODUCT($F$38:$F$143,H$38:H$143)+'Sec. J & K Organ Acq ADJ'!N$48+H151,0)","v":156521},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,J$11:J$27)+SUMPRODUCT($F$38:$F$143,J$38:J$143)+J151,0)","v":113154},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,L$11:L$27)+SUMPRODUCT($F$38:$F$143,L$38:L$143)+'Sec. J & K Organ Acq ADJ'!R$48+L151,0)","v":0},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,N$11:N$27)+SUMPRODUCT($F$38:$F$143,N$38:N$143)+N151,0)","v":0},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,P$11:P$27)+SUMPRODUCT($F$38:$F$143,P$38:P$143)+'Sec. J & K Organ Acq ADJ'!V$48+P151,0)","v":141697},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,R$11:R$27)+SUMPRODUCT($F$38:$F$143,R$38:R$143)+R151,0)","v":248461},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,T$11:T$27)+SUMPRODUCT($F$38:$F$143,T$38:T$143)+'Sec. J & K Organ Acq ADJ'!Z$48+T151,0)","v":102507},null,{"$f":"ROUND(SUMPRODUCT($D$11:$D$27,V$11:V$27)+SUMPRODUCT($F$38:$F$143,V$38:V$143)+V151,0)","v":55998},null,{"$f":"FFS_OutOfState_IP_Cost_1_ADJ+Mngd_Care_OutOfState_IP_Cost_1_ADJ+Cross_FFS_OutOfState_IP_Cost_1_ADJ+Mngd_Care_Cross_OutOfState_IP_Cost_1_ADJ","v":400725},null,{"$f":"FFS_OutOfState_OP_Cost_1_ADJ+Mngd_Care_OutOfState_OP_Cost_1_ADJ+Cross_FFS_OutOfState_OP_Cost_1_ADJ+Mngd_Care_Cross_OutOfState_OP_Cost_1_ADJ","v":417613}]
[]
[{"$f":"'Sec. H In-State ADJ'!A154","v":132},{"$f":"'Sec. H In-State ADJ'!B154","v":"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)"},null,null,null,null,null,{"$f":"'Sec. I Out-of-State'!H154","v":71448},null,{"$f":"'Sec. I Out-of-State'!J154","v":45109},null,{"$f":"'Sec. I Out-of-State'!L154","v":0},null,{"$f":"'Sec. I Out-of-State'!N154","v":0},null,{"$f":"'Sec. I Out-of-State'!P154","v":0},null,{"$f":"'Sec. I Out-of-State'!R154","v":0},null,{"$f":"'Sec. I Out-of-State'!T154","v":1935},null,{"$f":"'Sec. I Out-of-State'!V154","v":535.54000000000008},null,{"$f":"$H154+$L154+$T154+$P154","v":73383},null,{"$f":"$J154+$N154+$V154+$R154","v":45644.54}]
[{"$f":"'Sec. H In-State ADJ'!A155","v":133},{"$f":"'Sec. H In-State ADJ'!B155","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},null,null,null,null,null,{"$f":"'Sec. I Out-of-State'!H155","v":0},null,{"$f":"'Sec. I Out-of-State'!J155","v":0},null,{"$f":"'Sec. I Out-of-State'!L155","v":0},null,{"$f":"'Sec. I Out-of-State'!N155","v":0},null,{"$f":"'Sec. I Out-of-State'!P155","v":0},null,{"$f":"'Sec. I Out-of-State'!R155","v":0},null,{"$f":"'Sec. I Out-of-State'!T155","v":0},null,{"$f":"'Sec. I Out-of-State'!V155","v":0},null,{"$f":"$H155+$L155+$T155+$P155","v":0},null,{"$f":"$J155+$N155+$V155+$R155","v":0}]
[{"$f":"'Sec. H In-State ADJ'!A156","v":134},{"$f":"'Sec. H In-State ADJ'!B156","v":"Private Insurance (including primary and third party liability)"},null,null,null,null,null,{"$f":"'Sec. I Out-of-State'!H156","v":0},null,{"$f":"'Sec. I Out-of-State'!J156","v":0},null,{"$f":"'Sec. I Out-of-State'!L156","v":0},null,{"$f":"'Sec. I Out-of-State'!N156","v":0},null,{"$f":"'Sec. I Out-of-State'!P156","v":0},null,{"$f":"'Sec. I Out-of-State'!R156","v":831},null,{"$f":"'Sec. I Out-of-State'!T156","v":38441},null,{"$f":"'Sec. I Out-of-State'!V156","v":61942.429999999993},null,{"$f":"$H156+$L156+$T156+$P156","v":38441},null,{"$f":"$J156+$N156+$V156+$R156","v":62773.429999999993}]
[{"$f":"'Sec. H In-State ADJ'!A157","v":135},{"$f":"'Sec. H In-State ADJ'!B157","v":"Self-Pay (including Co-Pay and Spend-Down)"},null,null,null,null,null,{"$f":"'Sec. I Out-of-State'!H157","v":100},null,{"$f":"'Sec. I Out-of-State'!J157","v":214},null,{"$f":"'Sec. I Out-of-State'!L157","v":0},null,{"$f":"'Sec. I Out-of-State'!N157","v":0},null,{"$f":"'Sec. I Out-of-State'!P157","v":0},null,{"$f":"'Sec. I Out-of-State'!R157","v":140},null,{"$f":"'Sec. I Out-of-State'!T157","v":51},null,{"$f":"'Sec. I Out-of-State'!V157","v":35.099999999999994},null,{"$f":"$H157+$L157+$T157+$P157","v":151},null,{"$f":"$J157+$N157+$V157+$R157","v":389.1}]
[{"$f":"'Sec. H In-State ADJ'!A158","v":136},{"$f":"'Sec. H In-State ADJ'!B158","v":"Total Allowed Amount from Medicaid PS&R or RA Detail (All Payments)"},null,null,null,null,null,{"$f":"SUM(H$154:H$157)","v":71548},null,{"$f":"SUM(J$154:J$157)","v":45323},null,{"$f":"SUM(L$154:L$157)","v":0},null,{"$f":"SUM(N$154:N$157)","v":0}]
[{"$f":"'Sec. H In-State ADJ'!A159","v":137},{"$f":"'Sec. H In-State ADJ'!B159","v":"Medicaid Cost Settlement Payments (See Note B)"},null,null,null,null,null,{"$f":"'Sec. I Out-of-State'!H159","v":0},null,{"$f":"'Sec. I Out-of-State'!J159","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"$H159","v":0},null,{"$f":"$J159","v":0}]
[{"$f":"'Sec. H In-State ADJ'!A160","v":138},{"$f":"'Sec. H In-State ADJ'!B160","v":"Other Medicaid Payments Reported on Cost Report Year (See Note C)"},null,null,null,null,null,{"$f":"'Sec. I Out-of-State'!H160","v":0},null,{"$f":"'Sec. I Out-of-State'!J160","v":0},null,{"$f":"'Sec. I Out-of-State'!L160","v":0},null,{"$f":"'Sec. I Out-of-State'!N160","v":0},null,null,null,null,null,null,null,null,null,{"$f":"$L160+$H160","v":0},null,{"$f":"$N160+$J160","v":0}]
[{"$f":"'Sec. H In-State ADJ'!A161","v":139},{"$f":"'Sec. H In-State ADJ'!B161","v":"Medicare Traditional (non-HMO) Paid Amount (excludes coinsurance/deductibles)"},null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"'Sec. I Out-of-State'!P161","v":105189},null,{"$f":"'Sec. I Out-of-State'!R161","v":181449},null,{"$f":"'Sec. I Out-of-State'!T161","v":0},null,{"$f":"'Sec. I Out-of-State'!V161","v":0},null,{"$f":"$T161+$P161","v":105189},null,{"$f":"$V161+$R161","v":181449}]
[{"$f":"'Sec. H In-State ADJ'!A162","v":140},{"$f":"'Sec. H In-State ADJ'!B162","v":"Medicare Managed Care (HMO) Paid Amount (excludes coinsurance/deductibles)"},null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"'Sec. I Out-of-State'!P162","v":0},null,{"$f":"'Sec. I Out-of-State'!R162","v":0},null,{"$f":"'Sec. I Out-of-State'!T162","v":27705},null,{"$f":"'Sec. I Out-of-State'!V162","v":12932},null,{"$f":"$T162+$P162","v":27705},null,{"$f":"$V162+$R162","v":12932}]
[{"$f":"'Sec. H In-State ADJ'!A163","v":141},{"$f":"'Sec. H In-State ADJ'!B163","v":"Medicare Cross-Over Bad Debt Payments"},null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"'Sec. I Out-of-State'!P163","v":0},null,{"$f":"'Sec. I Out-of-State'!R163","v":0},null,{"$f":"'Sec. I Out-of-State'!T163","v":0},null,{"$f":"'Sec. I Out-of-State'!V163","v":0},null,{"$f":"$T163+$P163","v":0},null,{"$f":"$V163+$R163","v":0}]
[{"$f":"'Sec. H In-State ADJ'!A164","v":142},{"$f":"'Sec. H In-State ADJ'!B164","v":"Other Medicare Cross-Over Payments (See Note D)"},null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"'Sec. I Out-of-State'!P164","v":0},null,{"$f":"'Sec. I Out-of-State'!R164","v":0},null,{"$f":"'Sec. I Out-of-State'!T164","v":0},null,{"$f":"'Sec. I Out-of-State'!V164","v":0},null,{"$f":"$T164+$P164","v":0},null,{"$f":"$V164+$R164","v":0}]
[]
[]
[]
[143.02000000000001,"Calculated Payment Shortfall / (Longfall)",null,null,null,null,null,{"$f":"H$152-SUM(H$154:H$157)-SUM(H$159:H$160)","v":84973},null,{"$f":"J$152-SUM(J$154:J$157)-SUM(J$159:J$160)","v":67831},null,{"$f":"L$152-SUM(L$154:L$157)-L$160","v":0},null,{"$f":"N$152-SUM(N$154:N$157)-N$160","v":0},null,{"$f":"P$152-SUM(P$154:P$157)-SUM(P$161:P$164)","v":36508},null,{"$f":"R$152-SUM(R$154:R$157)-SUM(R$161:R$164)","v":66041},null,{"$f":"T$152-SUM(T$154:T$157)-SUM(T$161:T$164)","v":34375},null,{"$f":"V$152-SUM(V$154:V$157)-SUM(V$161:V$164)","v":-19447.069999999992},null,{"$f":"X$152-SUM(X$154:X$157)-SUM(X$159:X$164)","v":155856},null,{"$f":"Z$152-SUM(Z$154:Z$157)-SUM(Z$159:Z$164)","v":114424.93}]
[144,{"$f":"'Sec. H In-State ADJ'!B170:F170","v":"Calculated Payments as a Percentage of Cost"},null,null,null,null,null,{"$f":"IF(FFS_OutOfState_IP_Cost_1_ADJ>0, (SUM(H$154:H$157)+SUM(H$159:H$160))/FFS_OutOfState_IP_Cost_1_ADJ,0)","v":0.45711438081790939},null,{"$f":"IF(FFS_OutOfState_OP_Cost_1_ADJ>0, (SUM(J$154:J$157)+SUM(J$159:J$160))/FFS_OutOfState_OP_Cost_1_ADJ,0)","v":0.40054262332750057},null,{"$f":"IF(Mngd_Care_OutOfState_IP_Cost_1_ADJ>0, (SUM(L$154:L$157)+L$160)/Mngd_Care_OutOfState_IP_Cost_1_ADJ,0)","v":0},null,{"$f":"IF(Mngd_Care_OutOfState_OP_Cost_1_ADJ>0, (SUM(N$154:N$157)+N$160)/Mngd_Care_OutOfState_OP_Cost_1_ADJ,0)","v":0},null,{"$f":"IF(Cross_FFS_OutOfState_IP_Cost_1_ADJ>0, (SUM(P$154:P$157)+SUM(P$161:P$164))/Cross_FFS_OutOfState_IP_Cost_1_ADJ,0)","v":0.74235163764935042},null,{"$f":"IF(Cross_FFS_OutOfState_OP_Cost_1_ADJ>0, (SUM(R$154:R$157)+SUM(R$161:R$164))/Cross_FFS_OutOfState_OP_Cost_1_ADJ,0)","v":0.73419973355979407},null,{"$f":"IF(Mngd_Care_Cross_OutOfState_IP_Cost_1_ADJ>0, (SUM(T$154:T$157)+SUM(T$161:T$164))/Mngd_Care_Cross_OutOfState_IP_Cost_1_ADJ,0)","v":0.66465704781136903},null,{"$f":"IF(Mngd_Care_Cross_OutOfState_OP_Cost_1_ADJ>0, (SUM(V$154:V$157)+SUM(V$161:V$164))/Mngd_Care_Cross_OutOfState_OP_Cost_1_ADJ,0)","v":1.3472815100539304},null,{"$f":"IF(Tot_Mcaid_OutOfState_IP_Cost_1_ADJ>0,(SUM(X$154:X$157)+SUM(X$159:X$164))/Tot_Mcaid_OutOfState_IP_Cost_1_ADJ,0)","v":0.61106494478757256},null,{"$f":"IF(Tot_Mcaid_OutOfState_OP_Cost_1_ADJ>0,(SUM(Z$154:Z$157)+SUM(Z$159:Z$164))/Tot_Mcaid_OutOfState_OP_Cost_1_ADJ,0)","v":0.7260024711874391}]
[]
[null,{"$f":"'Sec. H In-State ADJ'!B174","v":"Note A - These amounts must agree to your inpatient and outpatient Medicaid paid claims summary.  For Managed Care, Cross-Over data, and other eligibles, use the hospital's logs if PS&R summaries are not available (submit logs with survey)."}]
[null,{"$f":"'Sec. H In-State ADJ'!B175","v":"Note B - Medicaid cost settlement payments refer to payments made by Medicaid during a cost report settlement that are not reflected on the claims paid summary (RA summary or PS&R)."}]
[null,{"$f":"'Sec. H In-State ADJ'!B176","v":"Note C - Other Medicaid Payments such as Outliers and Non-Claim Specific payments.  DSH payments should NOT be included.  UPL payments made on a state fiscal year basis should be reported in Section C of the survey."}]
[null,{"$f":"'Sec. H In-State ADJ'!B177","v":"Note D - Should include other Medicare cross-over payments not included in the paid claims data reported above.  This includes payments paid based on the Medicare cost report settlement (e.g.,  Medicare Graduate Medical Education payments)."}]
[null,{"$f":"'Sec. H In-State ADJ'!B178","v":"Note E - Medicaid Managed Care payments should include all Medicaid Managed Care payments related to the services provided, including, but not limited to, incentive payments, bonus payments, capitation and sub-capitation payments."}]

{"sheet":"Sec. J & K Organ Acq ADJ","index":20,"n_rows":50,"n_cols":53,"rows_kept":50,"cut":false,"hidden":true,"merged":[[31,4,32,4],[31,5,32,5],[35,1,35,2],[50,1,50,25],[8,1,8,2],[23,1,23,25],[31,7,32,7],[31,11,31,13],[31,15,31,17],[31,19,31,21],[31,23,31,25],[4,4,5,4],[4,5,5,5],[4,47,4,49],[4,31,4,33],[4,35,4,37],[4,39,4,41],[4,43,4,45],[4,7,5,7],[4,11,4,13],[4,15,4,17],[4,19,4,21],[4,23,4,25],[4,27,4,29]]}
[null,"J.  Transplant Facilities Only:  Organ Acquisition Cost In-State Medicaid and Uninsured"]
[]
[null,{"$f":"CONCATENATE(\"Cost Report Year (\" & TEXT(FYB_1_ADJ,\"MM/DD/YYYY\") & \"-\" & TEXT(FYE_1_ADJ,\"MM/DD/YYYY\") &\")\")","v":"Cost Report Year (07/01/2016-06/30/2017)"},null,{"$f":"ProvName_ADJ","v":"WELLSTAR WEST GEORGIA HOSPITAL"}]
[]
[null,null,null,"Total",{"$f":"IF('Sec. G CR Data ADJ'!H144>0, \"Additional Provider Tax Add-In and Intern/Resident Cost\",\"Additional Add-In Intern/Resident Cost\")","v":"Additional Add-In Intern/Resident Cost"},"Total Adjusted Organ Acquisition Cost",null,{"$f":"'Sec. J & K Organ Acq'!H5","v":"Revenue for Medicaid/ Cross-Over / Uninsured Organs Sold"},null,"Total",null,{"$f":"'Sec. H In-State ADJ'!H5","v":"In-State Medicaid FFS Primary"},null,null,null,{"$f":"'Sec. H In-State ADJ'!L5","v":"In-State Medicaid Managed Care Primary"},null,null,null,{"$f":"'Sec. H In-State ADJ'!P5","v":"In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},null,null,null,{"$f":"'Sec. H In-State ADJ'!T5","v":"In-State Other Medicaid Eligibles (Not Included Elsewhere)"},null,null,null,{"$f":"'Sec. J & K Organ Acq'!AB5","v":""},null,null,null,{"$f":"'Sec. J & K Organ Acq'!AF5","v":""},null,null,null,{"$f":"'Sec. J & K Organ Acq'!AJ5","v":""},null,null,null,{"$f":"'Sec. J & K Organ Acq'!AN5","v":""},null,null,null,{"$f":"'Sec. J & K Organ Acq'!AR5","v":"State/Local-Only Indigent Care Program"},null,null,null,{"$f":"'Sec. H In-State ADJ'!AR5","v":"Uninsured"}]
[null,null,null,"Organ Acquisition Cost",null,null,null,null,null,"Useable Organs (Count)",null,"Charges",null,"Useable Organs (Count)",null,"Charges",null,"Useable Organs (Count)",null,"Charges",null,"Useable Organs (Count)",null,"Charges",null,"Useable Organs (Count)",null,{"$f":"'Sec. J & K Organ Acq'!AB6","v":"Charges"},null,{"$f":"'Sec. J & K Organ Acq'!AD6","v":"Useable Organs (Count)"},null,{"$f":"'Sec. J & K Organ Acq'!AF6","v":"Charges"},null,{"$f":"'Sec. J & K Organ Acq'!AH6","v":"Useable Organs (Count)"},null,{"$f":"'Sec. J & K Organ Acq'!AJ6","v":"Charges"},null,{"$f":"'Sec. J & K Organ Acq'!AL6","v":"Useable Organs (Count)"},null,{"$f":"'Sec. J & K Organ Acq'!AN6","v":"Charges"},null,{"$f":"'Sec. J & K Organ Acq'!AP6","v":"Useable Organs (Count)"},null,{"$f":"'Sec. J & K Organ Acq'!AR6","v":"Charges"},null,{"$f":"'Sec. J & K Organ Acq'!AT6","v":"Useable Organs (Count)"},null,"Charges",null,"Useable Organs (Count)"]
[]
[null,null,null,{"$f":"'Sec. J & K Organ Acq'!D8","v":"Cost Report Worksheet D-4, Pt. III, Col. 1, Ln 61"},"Add-On Cost Factor on Section G, Line 133 x Total Cost Report Organ Acquistion Cost","Sum of Cost Report Organ Acquisition Cost and the Add-On Cost",null,{"$f":"'Sec. J & K Organ Acq'!H8","v":"Similar to Instructions from Cost Report W/S D-4 Pt. III, Col. 1, Ln 66 (substitute Medicare with Medicaid/ Cross-Over & uninsured).  See Note C below."},null,{"$f":"'Sec. J & K Organ Acq'!J8","v":"Cost Report Worksheet D-4, Pt. III, Line 62"},null,"From Paid Claims Data or Provider Logs (Note A)",null,"From Paid Claims Data or Provider Logs (Note A)",null,"From Paid Claims Data or Provider Logs (Note A)",null,"From Paid Claims Data or Provider Logs (Note A)",null,"From Paid Claims Data or Provider Logs (Note A)",null,"From Paid Claims Data or Provider Logs (Note A)",null,"From Paid Claims Data or Provider Logs (Note A)",null,"From Paid Claims Data or Provider Logs (Note A)",null,{"$f":"'Sec. J & K Organ Acq'!AB8","v":"From Paid Claims Data or Provider Logs (Note A)"},null,{"$f":"'Sec. J & K Organ Acq'!AD8","v":"From Paid Claims Data or Provider Logs (Note A)"},null,{"$f":"'Sec. J & K Organ Acq'!AF8","v":"From Paid Claims Data or Provider Logs (Note A)"},null,{"$f":"'Sec. J & K Organ Acq'!AH8","v":"From Paid Claims Data or Provider Logs (Note A)"},null,{"$f":"'Sec. J & K Organ Acq'!AJ8","v":"From Paid Claims Data or Provider Logs (Note A)"},null,{"$f":"'Sec. J & K Organ Acq'!AL8","v":"From Paid Claims Data or Provider Logs (Note A)"},null,{"$f":"'Sec. J & K Organ Acq'!AN8","v":"From Paid Claims Data or Provider Logs (Note A)"},null,{"$f":"'Sec. J & K Organ Acq'!AP8","v":"From Paid Claims Data or Provider Logs (Note A)"},null,{"$f":"'Sec. J & K Organ Acq'!AR8","v":"From Paid Claims Data or Provider Logs (Note A)"},null,{"$f":"'Sec. J & K Organ Acq'!AT8","v":"From Paid Claims Data or Provider Logs (Note A)"},null,"From Hospital's Own Internal Analysis",null,"From Hospital's Own Internal Analysis"]
[null,"Organ Acquisition Cost Centers (list below):"]
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[{"$f":"'Sec. J & K Organ Acq'!A11","v":2},{"$f":"IF(LEN('Sec. J & K Organ Acq'!B11)>0,'Sec. J & K Organ Acq'!B11,\"\")","v":""},{"$f":"IF(LEN('Sec. J & K Organ Acq'!C11)>0,'Sec. J & K Organ Acq'!C11,\"\")","v":"Kidney Acquisition"},{"$f":"'Sec. J & K Organ Acq'!D11","v":0},{"$f":"IF('Sec. J & K Organ Acq'!E11='Sec. J & K Organ Acq'!D11*AddOnFactor,D11*AddOnFactorADJ,'Sec. J & K Organ Acq'!E11)","v":0},{"$f":"SUM(D11:E11)","v":0},null,{"$f":"'Sec. J & K Organ Acq'!H11","v":0},null,{"$f":"'Sec. J & K Organ Acq'!J11","v":0},null,{"$f":"'Sec. J & K Organ Acq'!L11","v":0},null,{"$f":"'Sec. J & K Organ Acq'!N11","v":0},null,{"$f":"'Sec. J & K Organ Acq'!P11","v":0},null,{"$f":"'Sec. J & K Organ Acq'!R11","v":0},null,{"$f":"'Sec. J & K Organ Acq'!T11","v":0},null,{"$f":"'Sec. J & K Organ Acq'!V11","v":0},null,{"$f":"'Sec. J & K Organ Acq'!X11","v":0},null,{"$f":"'Sec. J & K Organ Acq'!Z11","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AB11","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AD11","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AF11","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AH11","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AJ11","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AL11","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AN11","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AP11","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AR11","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AT11","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AV11","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AX11","v":0},null,{"$f":"IF(AX11+Z11+V11+R11+N11+N38+R38+V38+Z38+AH11+AL11+AP11+AT11>J11,\"ERROR - Organs Reported Exceed Total\",\"\")","v":""}]
[{"$f":"'Sec. J & K Organ Acq'!A12","v":3},{"$f":"IF(LEN('Sec. J & K Organ Acq'!B12)>0,'Sec. J & K Organ Acq'!B12,\"\")","v":""},{"$f":"IF(LEN('Sec. J & K Organ Acq'!C12)>0,'Sec. J & K Organ Acq'!C12,\"\")","v":"Liver Acquisition"},{"$f":"'Sec. J & K Organ Acq'!D12","v":0},{"$f":"IF('Sec. J & K Organ Acq'!E12='Sec. J & K Organ Acq'!D12*AddOnFactor,D12*AddOnFactorADJ,'Sec. J & K Organ Acq'!E12)","v":0},0,null,{"$f":"'Sec. J & K Organ Acq'!H12","v":0},null,{"$f":"'Sec. J & K Organ Acq'!J12","v":0},null,{"$f":"'Sec. J & K Organ Acq'!L12","v":0},null,{"$f":"'Sec. J & K Organ Acq'!N12","v":0},null,{"$f":"'Sec. J & K Organ Acq'!P12","v":0},null,{"$f":"'Sec. J & K Organ Acq'!R12","v":0},null,{"$f":"'Sec. J & K Organ Acq'!T12","v":0},null,{"$f":"'Sec. J & K Organ Acq'!V12","v":0},null,{"$f":"'Sec. J & K Organ Acq'!X12","v":0},null,{"$f":"'Sec. J & K Organ Acq'!Z12","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AB12","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AD12","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AF12","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AH12","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AJ12","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AL12","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AN12","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AP12","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AR12","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AT12","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AV12","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AX12","v":0},null,""]
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[{"$f":"'Sec. J & K Organ Acq'!A14","v":5},{"$f":"IF(LEN('Sec. J & K Organ Acq'!B14)>0,'Sec. J & K Organ Acq'!B14,\"\")","v":""},{"$f":"IF(LEN('Sec. J & K Organ Acq'!C14)>0,'Sec. J & K Organ Acq'!C14,\"\")","v":"Pancreas Acquisition"},{"$f":"'Sec. J & K Organ Acq'!D14","v":0},{"$f":"IF('Sec. J & K Organ Acq'!E14='Sec. J & K Organ Acq'!D14*AddOnFactor,D14*AddOnFactorADJ,'Sec. J & K Organ Acq'!E14)","v":0},0,null,{"$f":"'Sec. J & K Organ Acq'!H14","v":0},null,{"$f":"'Sec. J & K Organ Acq'!J14","v":0},null,{"$f":"'Sec. J & K Organ Acq'!L14","v":0},null,{"$f":"'Sec. J & K Organ Acq'!N14","v":0},null,{"$f":"'Sec. J & K Organ Acq'!P14","v":0},null,{"$f":"'Sec. J & K Organ Acq'!R14","v":0},null,{"$f":"'Sec. J & K Organ Acq'!T14","v":0},null,{"$f":"'Sec. J & K Organ Acq'!V14","v":0},null,{"$f":"'Sec. J & K Organ Acq'!X14","v":0},null,{"$f":"'Sec. J & K Organ Acq'!Z14","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AB14","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AD14","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AF14","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AH14","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AJ14","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AL14","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AN14","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AP14","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AR14","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AT14","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AV14","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AX14","v":0},null,""]
[{"$f":"'Sec. J & K Organ Acq'!A15","v":6},{"$f":"IF(LEN('Sec. J & K Organ Acq'!B15)>0,'Sec. J & K Organ Acq'!B15,\"\")","v":""},{"$f":"IF(LEN('Sec. J & K Organ Acq'!C15)>0,'Sec. J & K Organ Acq'!C15,\"\")","v":"Intestinal Acquisition"},{"$f":"'Sec. J & K Organ Acq'!D15","v":0},{"$f":"IF('Sec. J & K Organ Acq'!E15='Sec. J & K Organ Acq'!D15*AddOnFactor,D15*AddOnFactorADJ,'Sec. J & K Organ Acq'!E15)","v":0},0,null,{"$f":"'Sec. J & K Organ Acq'!H15","v":0},null,{"$f":"'Sec. J & K Organ Acq'!J15","v":0},null,{"$f":"'Sec. J & K Organ Acq'!L15","v":0},null,{"$f":"'Sec. J & K Organ Acq'!N15","v":0},null,{"$f":"'Sec. J & K Organ Acq'!P15","v":0},null,{"$f":"'Sec. J & K Organ Acq'!R15","v":0},null,{"$f":"'Sec. J & K Organ Acq'!T15","v":0},null,{"$f":"'Sec. J & K Organ Acq'!V15","v":0},null,{"$f":"'Sec. J & K Organ Acq'!X15","v":0},null,{"$f":"'Sec. J & K Organ Acq'!Z15","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AB15","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AD15","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AF15","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AH15","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AJ15","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AL15","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AN15","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AP15","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AR15","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AT15","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AV15","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AX15","v":0},null,""]
[{"$f":"'Sec. J & K Organ Acq'!A16","v":7},{"$f":"IF(LEN('Sec. J & K Organ Acq'!B16)>0,'Sec. J & K Organ Acq'!B16,\"\")","v":""},{"$f":"IF(LEN('Sec. J & K Organ Acq'!C16)>0,'Sec. J & K Organ Acq'!C16,\"\")","v":"Islet Acquisition"},{"$f":"'Sec. J & K Organ Acq'!D16","v":0},{"$f":"IF('Sec. J & K Organ Acq'!E16='Sec. J & K Organ Acq'!D16*AddOnFactor,D16*AddOnFactorADJ,'Sec. J & K Organ Acq'!E16)","v":0},0,null,{"$f":"'Sec. J & K Organ Acq'!H16","v":0},null,{"$f":"'Sec. J & K Organ Acq'!J16","v":0},null,{"$f":"'Sec. J & K Organ Acq'!L16","v":0},null,{"$f":"'Sec. J & K Organ Acq'!N16","v":0},null,{"$f":"'Sec. J & K Organ Acq'!P16","v":0},null,{"$f":"'Sec. J & K Organ Acq'!R16","v":0},null,{"$f":"'Sec. J & K Organ Acq'!T16","v":0},null,{"$f":"'Sec. J & K Organ Acq'!V16","v":0},null,{"$f":"'Sec. J & K Organ Acq'!X16","v":0},null,{"$f":"'Sec. J & K Organ Acq'!Z16","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AB16","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AD16","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AF16","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AH16","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AJ16","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AL16","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AN16","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AP16","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AR16","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AT16","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AV16","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AX16","v":0},null,""]
[{"$f":"'Sec. J & K Organ Acq'!A17","v":8},{"$f":"IF(LEN('Sec. J & K Organ Acq'!B17)>0,'Sec. J & K Organ Acq'!B17,\"\")","v":""},{"$f":"IF(LEN('Sec. J & K Organ Acq'!C17)>0,'Sec. J & K Organ Acq'!C17,\"\")","v":""},{"$f":"'Sec. J & K Organ Acq'!D17","v":0},{"$f":"IF('Sec. J & K Organ Acq'!E17='Sec. J & K Organ Acq'!D17*AddOnFactor,D17*AddOnFactorADJ,'Sec. J & K Organ Acq'!E17)","v":0},0,null,{"$f":"'Sec. J & K Organ Acq'!H17","v":0},null,{"$f":"'Sec. J & K Organ Acq'!J17","v":0},null,{"$f":"'Sec. J & K Organ Acq'!L17","v":0},null,{"$f":"'Sec. J & K Organ Acq'!N17","v":0},null,{"$f":"'Sec. J & K Organ Acq'!P17","v":0},null,{"$f":"'Sec. J & K Organ Acq'!R17","v":0},null,{"$f":"'Sec. J & K Organ Acq'!T17","v":0},null,{"$f":"'Sec. J & K Organ Acq'!V17","v":0},null,{"$f":"'Sec. J & K Organ Acq'!X17","v":0},null,{"$f":"'Sec. J & K Organ Acq'!Z17","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AB17","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AD17","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AF17","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AH17","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AJ17","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AL17","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AN17","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AP17","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AR17","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AT17","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AV17","v":0},null,{"$f":"'Sec. J & K Organ Acq'!AX17","v":0},null,""]
[]
[{"$f":"'Sec. J & K Organ Acq'!A19","v":9},null,"Totals",{"$f":"SUM(D10:D17)","v":0},{"$f":"SUM(E10:E17)","v":0},{"$f":"SUM(F10:F17)","v":0},null,{"$f":"SUM(H10:H17)","v":0},null,{"$f":"SUM(J10:J17)","v":0},null,{"$f":"SUM(L10:L17)","v":0},null,{"$f":"SUM(N10:N17)","v":0},null,{"$f":"SUM(P10:P17)","v":0},null,{"$f":"SUM(R10:R17)","v":0},null,{"$f":"SUM(T10:T17)","v":0},null,{"$f":"SUM(V10:V17)","v":0},null,{"$f":"SUM(X10:X17)","v":0},null,{"$f":"SUM(Z10:Z17)","v":0},null,{"$f":"SUM(AB10:AB17)","v":0},null,{"$f":"SUM(AD10:AD18)","v":0},null,{"$f":"SUM(AF10:AF17)","v":0},null,{"$f":"SUM(AH10:AH17)","v":0},null,{"$f":"SUM(AJ10:AJ17)","v":0},null,{"$f":"SUM(AL10:AL17)","v":0},null,{"$f":"SUM(AN10:AN17)","v":0},null,{"$f":"SUM(AP10:AP17)","v":0},null,{"$f":"SUM(AR10:AR17)","v":0},null,{"$f":"SUM(AT10:AT17)","v":0},null,{"$f":"SUM(AV10:AV17)","v":0},null,{"$f":"SUM(AX10:AX17)","v":0}]
[]
[{"$f":"'Sec. J & K Organ Acq'!A21","v":10},null,"Total Cost",null,null,null,null,null,null,null,null,null,null,{"$f":"IF($BA$37>0,(N10/$J10*$F10)-($H10*N10/$BA$37),0)+IF($BA$38>0,(N11/$J11*$F11)-($H11*N11/$BA$38),0)+IF($BA$39>0,(N12/$J12*$F12)-($H12*N12/$BA$39),0)+IF($BA$40>0,(N13/$J13*$F13)-($H13*N13/$BA$40),0)+IF($BA$41>0,(N14/$J14*$F14)-($H14*N14/$BA$41),0)+IF($BA$42>0,(N15/$J15*$F15)-($H15*N15/$BA$42),0)+IF($BA$43>0,(N16/$J16*$F16)-($H16*N16/$BA$43),0)+IF($BA$44>0,(N17/$J17*$F17)-($H17*N17/$BA$44),0)","v":0},null,null,null,{"$f":"IF($BA$37>0,(R10/$J10*$F10)-($H10*R10/$BA$37),0)+IF($BA$38>0,(R11/$J11*$F11)-($H11*R11/$BA$38),0)+IF($BA$39>0,(R12/$J12*$F12)-($H12*R12/$BA$39),0)+IF($BA$40>0,(R13/$J13*$F13)-($H13*R13/$BA$40),0)+IF($BA$41>0,(R14/$J14*$F14)-($H14*R14/$BA$41),0)+IF($BA$42>0,(R15/$J15*$F15)-($H15*R15/$BA$42),0)+IF($BA$43>0,(R16/$J16*$F16)-($H16*R16/$BA$43),0)+IF($BA$44>0,(R17/$J17*$F17)-($H17*R17/$BA$44),0)","v":0},null,null,null,{"$f":"IF($BA$37>0,(V10/$J10*$F10)-($H10*V10/$BA$37),0)+IF($BA$38>0,(V11/$J11*$F11)-($H11*V11/$BA$38),0)+IF($BA$39>0,(V12/$J12*$F12)-($H12*V12/$BA$39),0)+IF($BA$40>0,(V13/$J13*$F13)-($H13*V13/$BA$40),0)+IF($BA$41>0,(V14/$J14*$F14)-($H14*V14/$BA$41),0)+IF($BA$42>0,(V15/$J15*$F15)-($H15*V15/$BA$42),0)+IF($BA$43>0,(V16/$J16*$F16)-($H16*V16/$BA$43),0)+IF($BA$44>0,(V17/$J17*$F17)-($H17*V17/$BA$44),0)","v":0},null,null,null,{"$f":"IF($BA$37>0,(Z10/$J10*$F10)-($H10*Z10/$BA$37),0)+IF($BA$38>0,(Z11/$J11*$F11)-($H11*Z11/$BA$38),0)+IF($BA$39>0,(Z12/$J12*$F12)-($H12*Z12/$BA$39),0)+IF($BA$40>0,(Z13/$J13*$F13)-($H13*Z13/$BA$40),0)+IF($BA$41>0,(Z14/$J14*$F14)-($H14*Z14/$BA$41),0)+IF($BA$42>0,(Z15/$J15*$F15)-($H15*Z15/$BA$42),0)+IF($BA$43>0,(Z16/$J16*$F16)-($H16*Z16/$BA$43),0)+IF($BA$44>0,(Z17/$J17*$F17)-($H17*Z17/$BA$44),0)","v":0},null,null,null,{"$f":"IF($BA$37>0,(AD10/$J10*$F10)-($H10*AD10/$BA$37),0)+IF($BA$38>0,(AD11/$J11*$F11)-($H11*AD11/$BA$38),0)+IF($BA$39>0,(AD12/$J12*$F12)-($H12*AD12/$BA$39),0)+IF($BA$40>0,(AD13/$J13*$F13)-($H13*AD13/$BA$40),0)+IF($BA$41>0,(AD14/$J14*$F14)-($H14*AD14/$BA$41),0)+IF($BA$42>0,(AD15/$J15*$F15)-($H15*AD15/$BA$42),0)+IF($BA$43>0,(AD16/$J16*$F16)-($H16*AD16/$BA$43),0)+IF($BA$44>0,(AD17/$J17*$F17)-($H17*AD17/$BA$44),0)","v":0},null,null,null,{"$f":"IF($BA$37>0,(AH10/$J10*$F10)-($H10*AH10/$BA$37),0)+IF($BA$38>0,(AH11/$J11*$F11)-($H11*AH11/$BA$38),0)+IF($BA$39>0,(AH12/$J12*$F12)-($H12*AH12/$BA$39),0)+IF($BA$40>0,(AH13/$J13*$F13)-($H13*AH13/$BA$40),0)+IF($BA$41>0,(AH14/$J14*$F14)-($H14*AH14/$BA$41),0)+IF($BA$42>0,(AH15/$J15*$F15)-($H15*AH15/$BA$42),0)+IF($BA$43>0,(AH16/$J16*$F16)-($H16*AH16/$BA$43),0)+IF($BA$44>0,(AH17/$J17*$F17)-($H17*AH17/$BA$44),0)","v":0},null,null,null,{"$f":"IF($BA$37>0,(AL10/$J10*$F10)-($H10*AL10/$BA$37),0)+IF($BA$38>0,(AL11/$J11*$F11)-($H11*AL11/$BA$38),0)+IF($BA$39>0,(AL12/$J12*$F12)-($H12*AL12/$BA$39),0)+IF($BA$40>0,(AL13/$J13*$F13)-($H13*AL13/$BA$40),0)+IF($BA$41>0,(AL14/$J14*$F14)-($H14*AL14/$BA$41),0)+IF($BA$42>0,(AL15/$J15*$F15)-($H15*AL15/$BA$42),0)+IF($BA$43>0,(AL16/$J16*$F16)-($H16*AL16/$BA$43),0)+IF($BA$44>0,(AL17/$J17*$F17)-($H17*AL17/$BA$44),0)","v":0},null,null,null,{"$f":"IF($BA$37>0,(AP10/$J10*$F10)-($H10*AP10/$BA$37),0)+IF($BA$38>0,(AP11/$J11*$F11)-($H11*AP11/$BA$38),0)+IF($BA$39>0,(AP12/$J12*$F12)-($H12*AP12/$BA$39),0)+IF($BA$40>0,(AP13/$J13*$F13)-($H13*AP13/$BA$40),0)+IF($BA$41>0,(AP14/$J14*$F14)-($H14*AP14/$BA$41),0)+IF($BA$42>0,(AP15/$J15*$F15)-($H15*AP15/$BA$42),0)+IF($BA$43>0,(AP16/$J16*$F16)-($H16*AP16/$BA$43),0)+IF($BA$44>0,(AP17/$J17*$F17)-($H17*AP17/$BA$44),0)","v":0},null,null,null,{"$f":"IF($BA$37>0,(AT10/$J10*$F10)-($H10*AT10/$BA$37),0)+IF($BA$38>0,(AT11/$J11*$F11)-($H11*AT11/$BA$38),0)+IF($BA$39>0,(AT12/$J12*$F12)-($H12*AT12/$BA$39),0)+IF($BA$40>0,(AT13/$J13*$F13)-($H13*AT13/$BA$40),0)+IF($BA$41>0,(AT14/$J14*$F14)-($H14*AT14/$BA$41),0)+IF($BA$42>0,(AT15/$J15*$F15)-($H15*AT15/$BA$42),0)+IF($BA$43>0,(AT16/$J16*$F16)-($H16*AT16/$BA$43),0)+IF($BA$44>0,(AT17/$J17*$F17)-($H17*AT17/$BA$44),0)","v":0},null,null,null,{"$f":"IF($BA$37>0,(AX10/$J10*$F10)-($H10*AX10/$BA$37),0)+IF($BA$38>0,(AX11/$J11*$F11)-($H11*AX11/$BA$38),0)+IF($BA$39>0,(AX12/$J12*$F12)-($H12*AX12/$BA$39),0)+IF($BA$40>0,(AX13/$J13*$F13)-($H13*AX13/$BA$40),0)+IF($BA$41>0,(AX14/$J14*$F14)-($H14*AX14/$BA$41),0)+IF($BA$42>0,(AX15/$J15*$F15)-($H15*AX15/$BA$42),0)+IF($BA$43>0,(AX16/$J16*$F16)-($H16*AX16/$BA$43),0)+IF($BA$44>0,(AX17/$J17*$F17)-($H17*AX17/$BA$44),0)","v":0}]
[null,"Note A - These amounts must agree to your inpatient and outpatient Medicaid paid claims summary, if available (if not, use hospital's logs and submit with survey)."]
[null,"Note B:  Enter Organ Acquisition Payments in Section D as part of your In-State Medicaid total payments."]
[null,"Note C:  Enter the total revenue applicable to organs furnished to other providers, to organ procurement organizations and others, and for organs transplanted into non-Medicaid / non-Uninsured patients (but where organs were included in the Medicaid and Uninsured organ counts above).  Such revenues must be determined under the accrual method of accounting.  If organs are transplanted into non-Medicaid/non-Uninsured patients who are not liable for payment on a charge basis, and as such there is no revenue applicable to the related organ acquisitions, the amount entered must also include an amount representing the acquisition cost of the organs transplanted into such patients.  "]
[]
[]
[]
[null,"K.  Transplant Facilities Only:  Organ Acquisition Cost Out-of-State Medicaid"]
[]
[null,{"$f":"CONCATENATE(\"Cost Report Year (\" & TEXT(FYB_1_ADJ,\"MM/DD/YYYY\") & \"-\" & TEXT(FYE_1_ADJ,\"MM/DD/YYYY\") &\")\")","v":"Cost Report Year (07/01/2016-06/30/2017)"},null,{"$f":"ProvName_ADJ","v":"WELLSTAR WEST GEORGIA HOSPITAL"}]
[]
[null,null,null,{"$f":"D5","v":"Total"},{"$f":"E5","v":"Additional Add-In Intern/Resident Cost"},{"$f":"F5","v":"Total Adjusted Organ Acquisition Cost"},null,{"$f":"H5","v":"Revenue for Medicaid/ Cross-Over / Uninsured Organs Sold"},null,{"$f":"J5","v":"Total"},null,{"$f":"'Sec. I Out-of-State'!H5","v":"Out-of-State Medicaid FFS Primary"},null,null,null,{"$f":"'Sec. I Out-of-State'!L5","v":"Out-of-State Medicaid Managed Care Primary"},null,null,null,{"$f":"'Sec. I Out-of-State'!P5","v":"Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},null,null,null,{"$f":"'Sec. I Out-of-State'!T5","v":"Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"}]
[null,null,null,{"$f":"D6","v":"Organ Acquisition Cost"},null,null,null,null,null,{"$f":"J6","v":"Useable Organs (Count)"},null,{"$f":"L6","v":"Charges"},null,{"$f":"N6","v":"Useable Organs (Count)"},null,{"$f":"P6","v":"Charges"},null,{"$f":"R6","v":"Useable Organs (Count)"},null,{"$f":"T6","v":"Charges"},null,{"$f":"V6","v":"Useable Organs (Count)"},null,{"$f":"X6","v":"Charges"},null,{"$f":"Z6","v":"Useable Organs (Count)"}]
[]
[null,null,null,{"$f":"D8","v":"Cost Report Worksheet D-4, Pt. III, Col. 1, Ln 61"},{"$f":"E8","v":"Add-On Cost Factor on Section G, Line 133 x Total Cost Report Organ Acquistion Cost"},{"$f":"F8","v":"Sum of Cost Report Organ Acquisition Cost and the Add-On Cost"},null,{"$f":"H8","v":"Similar to Instructions from Cost Report W/S D-4 Pt. III, Col. 1, Ln 66 (substitute Medicare with Medicaid/ Cross-Over & uninsured).  See Note C below."},null,{"$f":"J8","v":"Cost Report Worksheet D-4, Pt. III, Line 62"},null,{"$f":"L8","v":"From Paid Claims Data or Provider Logs (Note A)"},null,{"$f":"N8","v":"From Paid Claims Data or Provider Logs (Note A)"},null,{"$f":"P8","v":"From Paid Claims Data or Provider Logs (Note A)"},null,{"$f":"R8","v":"From Paid Claims Data or Provider Logs (Note A)"},null,{"$f":"T8","v":"From Paid Claims Data or Provider Logs (Note A)"},null,{"$f":"V8","v":"From Paid Claims Data or Provider Logs (Note A)"},null,{"$f":"X8","v":"From Paid Claims Data or Provider Logs (Note A)"},null,{"$f":"Z8","v":"From Paid Claims Data or Provider Logs (Note A)"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Total"]
[null,"Organ Acquisition Cost Centers (list below):"]
[{"$f":"'Sec. J & K Organ Acq'!A37","v":11},{"$f":"IF('Sec. J & K Organ Acq ADJ'!B10=0,\"\",'Sec. J & K Organ Acq ADJ'!B10)","v":""},{"$f":"IF('Sec. J & K Organ Acq ADJ'!C10=0,\"\",'Sec. J & K Organ Acq ADJ'!C10)","v":"Lung Acquisition"},{"$f":"'Sec. J & K Organ Acq ADJ'!D10","v":0},{"$f":"E10","v":0},{"$f":"F10","v":0},null,{"$f":"'Sec. J & K Organ Acq ADJ'!H10","v":0},null,{"$f":"'Sec. J & K Organ Acq ADJ'!J10","v":0},null,{"$f":"'Sec. J & K Organ Acq'!L37","v":0},null,{"$f":"'Sec. J & K Organ Acq'!N37","v":0},null,{"$f":"'Sec. J & K Organ Acq'!P37","v":0},null,{"$f":"'Sec. J & K Organ Acq'!R37","v":0},null,{"$f":"'Sec. J & K Organ Acq'!T37","v":0},null,{"$f":"'Sec. J & K Organ Acq'!V37","v":0},null,{"$f":"'Sec. J & K Organ Acq'!X37","v":0},null,{"$f":"'Sec. J & K Organ Acq'!Z37","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(AX10+Z10+V10+R10+N10+N37+R37+V37+Z37+AH10+AL10+AP10>J10,\"ERROR - Organs Reported Exceed Total\",\"\")","v":""},{"$f":"Z37+V37+R37+N37+AX10+Z10+V10+R10+N10+AH10+AL10+AP10+AT10+AD10","v":0}]
[{"$f":"'Sec. J & K Organ Acq'!A38","v":12},{"$f":"IF('Sec. J & K Organ Acq ADJ'!B11=0,\"\",'Sec. J & K Organ Acq ADJ'!B11)","v":""},{"$f":"IF('Sec. J & K Organ Acq ADJ'!C11=0,\"\",'Sec. J & K Organ Acq ADJ'!C11)","v":"Kidney Acquisition"},{"$f":"'Sec. J & K Organ Acq ADJ'!D11","v":0},{"$f":"E11","v":0},0,null,{"$f":"'Sec. J & K Organ Acq ADJ'!H11","v":0},null,{"$f":"'Sec. J & K Organ Acq ADJ'!J11","v":0},null,{"$f":"'Sec. J & K Organ Acq'!L38","v":0},null,{"$f":"'Sec. J & K Organ Acq'!N38","v":0},null,{"$f":"'Sec. J & K Organ Acq'!P38","v":0},null,{"$f":"'Sec. J & K Organ Acq'!R38","v":0},null,{"$f":"'Sec. J & K Organ Acq'!T38","v":0},null,{"$f":"'Sec. J & K Organ Acq'!V38","v":0},null,{"$f":"'Sec. J & K Organ Acq'!X38","v":0},null,{"$f":"'Sec. J & K Organ Acq'!Z38","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",{"$f":"Z38+V38+R38+N38+AX11+Z11+V11+R11+N11+AH11+AL11+AP11+AT11+AD11","v":0}]
[{"$f":"'Sec. J & K Organ Acq'!A39","v":13},{"$f":"IF('Sec. J & K Organ Acq ADJ'!B12=0,\"\",'Sec. J & K Organ Acq ADJ'!B12)","v":""},{"$f":"IF('Sec. J & K Organ Acq ADJ'!C12=0,\"\",'Sec. J & K Organ Acq ADJ'!C12)","v":"Liver Acquisition"},{"$f":"'Sec. J & K Organ Acq ADJ'!D12","v":0},0,0,null,{"$f":"'Sec. J & K Organ Acq ADJ'!H12","v":0},null,{"$f":"'Sec. J & K Organ Acq ADJ'!J12","v":0},null,{"$f":"'Sec. J & K Organ Acq'!L39","v":0},null,{"$f":"'Sec. J & K Organ Acq'!N39","v":0},null,{"$f":"'Sec. J & K Organ Acq'!P39","v":0},null,{"$f":"'Sec. J & K Organ Acq'!R39","v":0},null,{"$f":"'Sec. J & K Organ Acq'!T39","v":0},null,{"$f":"'Sec. J & K Organ Acq'!V39","v":0},null,{"$f":"'Sec. J & K Organ Acq'!X39","v":0},null,{"$f":"'Sec. J & K Organ Acq'!Z39","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",0]
[{"$f":"'Sec. J & K Organ Acq'!A40","v":14},{"$f":"IF('Sec. J & K Organ Acq ADJ'!B13=0,\"\",'Sec. J & K Organ Acq ADJ'!B13)","v":""},{"$f":"IF('Sec. J & K Organ Acq ADJ'!C13=0,\"\",'Sec. J & K Organ Acq ADJ'!C13)","v":"Heart Acquisition"},{"$f":"'Sec. J & K Organ Acq ADJ'!D13","v":0},0,0,null,{"$f":"'Sec. J & K Organ Acq ADJ'!H13","v":0},null,{"$f":"'Sec. J & K Organ Acq ADJ'!J13","v":0},null,{"$f":"'Sec. J & K Organ Acq'!L40","v":0},null,{"$f":"'Sec. J & K Organ Acq'!N40","v":0},null,{"$f":"'Sec. J & K Organ Acq'!P40","v":0},null,{"$f":"'Sec. J & K Organ Acq'!R40","v":0},null,{"$f":"'Sec. J & K Organ Acq'!T40","v":0},null,{"$f":"'Sec. J & K Organ Acq'!V40","v":0},null,{"$f":"'Sec. J & K Organ Acq'!X40","v":0},null,{"$f":"'Sec. J & K Organ Acq'!Z40","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",0]
[{"$f":"'Sec. J & K Organ Acq'!A41","v":15},{"$f":"IF('Sec. J & K Organ Acq ADJ'!B14=0,\"\",'Sec. J & K Organ Acq ADJ'!B14)","v":""},{"$f":"IF('Sec. J & K Organ Acq ADJ'!C14=0,\"\",'Sec. J & K Organ Acq ADJ'!C14)","v":"Pancreas Acquisition"},{"$f":"'Sec. J & K Organ Acq ADJ'!D14","v":0},0,0,null,{"$f":"'Sec. J & K Organ Acq ADJ'!H14","v":0},null,{"$f":"'Sec. J & K Organ Acq ADJ'!J14","v":0},null,{"$f":"'Sec. J & K Organ Acq'!L41","v":0},null,{"$f":"'Sec. J & K Organ Acq'!N41","v":0},null,{"$f":"'Sec. J & K Organ Acq'!P41","v":0},null,{"$f":"'Sec. J & K Organ Acq'!R41","v":0},null,{"$f":"'Sec. J & K Organ Acq'!T41","v":0},null,{"$f":"'Sec. J & K Organ Acq'!V41","v":0},null,{"$f":"'Sec. J & K Organ Acq'!X41","v":0},null,{"$f":"'Sec. J & K Organ Acq'!Z41","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",0]
[{"$f":"'Sec. J & K Organ Acq'!A42","v":16},{"$f":"IF('Sec. J & K Organ Acq ADJ'!B15=0,\"\",'Sec. J & K Organ Acq ADJ'!B15)","v":""},{"$f":"IF('Sec. J & K Organ Acq ADJ'!C15=0,\"\",'Sec. J & K Organ Acq ADJ'!C15)","v":"Intestinal Acquisition"},{"$f":"'Sec. J & K Organ Acq ADJ'!D15","v":0},0,0,null,{"$f":"'Sec. J & K Organ Acq ADJ'!H15","v":0},null,{"$f":"'Sec. J & K Organ Acq ADJ'!J15","v":0},null,{"$f":"'Sec. J & K Organ Acq'!L42","v":0},null,{"$f":"'Sec. J & K Organ Acq'!N42","v":0},null,{"$f":"'Sec. J & K Organ Acq'!P42","v":0},null,{"$f":"'Sec. J & K Organ Acq'!R42","v":0},null,{"$f":"'Sec. J & K Organ Acq'!T42","v":0},null,{"$f":"'Sec. J & K Organ Acq'!V42","v":0},null,{"$f":"'Sec. J & K Organ Acq'!X42","v":0},null,{"$f":"'Sec. J & K Organ Acq'!Z42","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",0]
[{"$f":"'Sec. J & K Organ Acq'!A43","v":17},{"$f":"IF('Sec. J & K Organ Acq ADJ'!B16=0,\"\",'Sec. J & K Organ Acq ADJ'!B16)","v":""},{"$f":"IF('Sec. J & K Organ Acq ADJ'!C16=0,\"\",'Sec. J & K Organ Acq ADJ'!C16)","v":"Islet Acquisition"},{"$f":"'Sec. J & K Organ Acq ADJ'!D16","v":0},0,0,null,{"$f":"'Sec. J & K Organ Acq ADJ'!H16","v":0},null,{"$f":"'Sec. J & K Organ Acq ADJ'!J16","v":0},null,{"$f":"'Sec. J & K Organ Acq'!L43","v":0},null,{"$f":"'Sec. J & K Organ Acq'!N43","v":0},null,{"$f":"'Sec. J & K Organ Acq'!P43","v":0},null,{"$f":"'Sec. J & K Organ Acq'!R43","v":0},null,{"$f":"'Sec. J & K Organ Acq'!T43","v":0},null,{"$f":"'Sec. J & K Organ Acq'!V43","v":0},null,{"$f":"'Sec. J & K Organ Acq'!X43","v":0},null,{"$f":"'Sec. J & K Organ Acq'!Z43","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",0]
[{"$f":"'Sec. J & K Organ Acq'!A44","v":18},{"$f":"IF('Sec. J & K Organ Acq ADJ'!B17=0,\"\",'Sec. J & K Organ Acq ADJ'!B17)","v":""},{"$f":"IF('Sec. J & K Organ Acq ADJ'!C17=0,\"\",'Sec. J & K Organ Acq ADJ'!C17)","v":""},{"$f":"'Sec. J & K Organ Acq ADJ'!D17","v":0},0,0,null,{"$f":"'Sec. J & K Organ Acq ADJ'!H17","v":0},null,{"$f":"'Sec. J & K Organ Acq ADJ'!J17","v":0},null,{"$f":"'Sec. J & K Organ Acq'!L44","v":0},null,{"$f":"'Sec. J & K Organ Acq'!N44","v":0},null,{"$f":"'Sec. J & K Organ Acq'!P44","v":0},null,{"$f":"'Sec. J & K Organ Acq'!R44","v":0},null,{"$f":"'Sec. J & K Organ Acq'!T44","v":0},null,{"$f":"'Sec. J & K Organ Acq'!V44","v":0},null,{"$f":"'Sec. J & K Organ Acq'!X44","v":0},null,{"$f":"'Sec. J & K Organ Acq'!Z44","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"",0]
[]
[{"$f":"'Sec. J & K Organ Acq'!A46","v":19},null,{"$f":"C19","v":"Totals"},{"$f":"SUM(D37:D44)","v":0},{"$f":"SUM(E37:E44)","v":0},{"$f":"SUM(F37:F44)","v":0},null,{"$f":"SUM(H37:H44)","v":0},null,{"$f":"SUM(J37:J44)","v":0},null,{"$f":"SUM(L37:L44)","v":0},null,{"$f":"SUM(N37:N44)","v":0},null,{"$f":"SUM(P37:P44)","v":0},null,{"$f":"SUM(R37:R44)","v":0},null,{"$f":"SUM(T37:T44)","v":0},null,{"$f":"SUM(V37:V44)","v":0},null,{"$f":"SUM(X37:X44)","v":0},null,{"$f":"SUM(Z37:Z44)","v":0}]
[]
[{"$f":"'Sec. J & K Organ Acq'!A48","v":20},null,{"$f":"C21","v":"Total Cost"},null,null,null,null,null,null,null,null,null,null,{"$f":"IF($BA$37>0,(N37/$J37*$F37)-($H37*N37/$BA$37),0)+IF($BA$38>0,(N38/$J38*$F38)-($H38*N38/$BA$38),0)+IF($BA$39>0,(N39/$J39*$F39)-($H39*N39/$BA$39),0)+IF($BA$40>0,(N40/$J40*$F40)-($H40*N40/$BA$40),0)+IF($BA$41>0,(N41/$J41*$F41)-($H41*N41/$BA$41),0)+IF($BA$42>0,(N42/$J42*$F42)-($H42*N42/$BA$42),0)+IF($BA$43>0,(N43/$J43*$F43)-($H43*N43/$BA$43),0)+IF($BA$44>0,(N44/$J44*$F44)-($H44*N44/$BA$44),0)","v":0},null,null,null,{"$f":"IF($BA$37>0,(R37/$J37*$F37)-($H37*R37/$BA$37),0)+IF($BA$38>0,(R38/$J38*$F38)-($H38*R38/$BA$38),0)+IF($BA$39>0,(R39/$J39*$F39)-($H39*R39/$BA$39),0)+IF($BA$40>0,(R40/$J40*$F40)-($H40*R40/$BA$40),0)+IF($BA$41>0,(R41/$J41*$F41)-($H41*R41/$BA$41),0)+IF($BA$42>0,(R42/$J42*$F42)-($H42*R42/$BA$42),0)+IF($BA$43>0,(R43/$J43*$F43)-($H43*R43/$BA$43),0)+IF($BA$44>0,(R44/$J44*$F44)-($H44*R44/$BA$44),0)","v":0},null,null,null,{"$f":"IF($BA$37>0,(V37/$J37*$F37)-($H37*V37/$BA$37),0)+IF($BA$38>0,(V38/$J38*$F38)-($H38*V38/$BA$38),0)+IF($BA$39>0,(V39/$J39*$F39)-($H39*V39/$BA$39),0)+IF($BA$40>0,(V40/$J40*$F40)-($H40*V40/$BA$40),0)+IF($BA$41>0,(V41/$J41*$F41)-($H41*V41/$BA$41),0)+IF($BA$42>0,(V42/$J42*$F42)-($H42*V42/$BA$42),0)+IF($BA$43>0,(V43/$J43*$F43)-($H43*V43/$BA$43),0)+IF($BA$44>0,(V44/$J44*$F44)-($H44*V44/$BA$44),0)","v":0},null,null,null,{"$f":"IF($BA$37>0,(Z37/$J37*$F37)-($H37*Z37/$BA$37),0)+IF($BA$38>0,(Z38/$J38*$F38)-($H38*Z38/$BA$38),0)+IF($BA$39>0,(Z39/$J39*$F39)-($H39*Z39/$BA$39),0)+IF($BA$40>0,(Z40/$J40*$F40)-($H40*Z40/$BA$40),0)+IF($BA$41>0,(Z41/$J41*$F41)-($H41*Z41/$BA$41),0)+IF($BA$42>0,(Z42/$J42*$F42)-($H42*Z42/$BA$42),0)+IF($BA$43>0,(Z43/$J43*$F43)-($H43*Z43/$BA$43),0)+IF($BA$44>0,(Z44/$J44*$F44)-($H44*Z44/$BA$44),0)","v":0}]
[null,"Note A - These amounts must agree to your inpatient and outpatient Medicaid paid claims summary, if available (if not, use hospital's logs and submit with survey)."]
[null,"Note B:  Enter Organ Acquisition Payments in Section E as part of your Out-of-State Medicaid total payments."]

{"sheet":"Sec. L Tax ADJ","index":21,"n_rows":51,"n_cols":14,"rows_kept":51,"cut":false,"hidden":true,"merged":[[25,6,25,8],[0,1,0,14],[3,1,3,14],[4,1,4,4],[16,6,16,8],[17,6,17,8],[1,1,1,16],[13,6,13,8],[18,6,18,8],[19,6,19,8],[22,6,22,8],[23,6,23,8],[24,6,24,8],[50,2,50,15],[28,6,28,8],[29,6,29,8],[30,6,30,8],[31,6,31,8],[40,3,40,4],[42,3,42,4]]}
[]
[null,{"$f":"'Sec. L Tax'!B2","v":"L. Provider Tax Assessment Reconciliation / Adjustment"}]
[]
[null,{"$f":"'Sec. L Tax'!B4","v":"An adjustment is necessary to properly reflect the Medicaid and uninsured share of the provider tax assessment for some hospitals.  The Medicaid and uninsured share of the provider tax assessment collected is an allowable cost in determining hospital-specific DSH limits and, therefore, can be included in the DSH examination survey.  However, depending on how your hospital reports it on the Medicare cost report, an adjustment may be necessary to ensure the cost is properly reflected in determining your hospital-specific DSH limit.  For instance, if your hospital removed part or all of the provider tax assessment on the Medicare cost report, the full amount of the provider tax assessment would not have been apportioned to the various payers through the step down allocation process, resulting in the Medicaid and uninsured share being understated in determining the hospital-specific DSH limit.  If your hospital needs to make an adjustment for the Medicaid and uninsured share of the provider tax assessment, please fill out the reconciliation below, and submit the supporting general ledger entries and other supporting documentation to Myers and Stauffer, LC along with your hospital's DSH examination surveys."}]
[null,{"$f":"CONCATENATE(\"Cost Report Year (\" & TEXT(FYB_1_ADJ,\"MM/DD/YYYY\") & \"-\" & TEXT(FYE_1_ADJ,\"MM/DD/YYYY\") &\")\")","v":"Cost Report Year (07/01/2016-06/30/2017)"},null,null,null,{"$f":"ProvName_ADJ","v":"WELLSTAR WEST GEORGIA HOSPITAL"}]
[]
[]
[null,{"$f":"'Sec. L Tax'!B8","v":"Worksheet A Provider Tax Assessment Reconciliation:"}]
[]
[null,null,null,null,null,null,null,null,null,null,"Dollar Amount",null,"W/S A Cost Center Line"]
[null,{"$f":"'Sec. L Tax'!B11","v":1},{"$f":"'Sec. L Tax'!C11","v":"Hospital Gross Provider Tax Assessment (from general ledger)*"},null,null,null,null,null,null,null,{"$f":"FRAGL","v":1852728}]
[null,{"$f":"'Sec. L Tax'!B12","v":"1a"},{"$f":"'Sec. L Tax'!C12","v":"Working Trial Balance Account Type and Account # that includes Gross Provider Tax Assessment"},null,null,null,null,null,null,null,{"$f":"WTB_Acct_Type","v":"Contractual Adjustment"},null,{"$f":"WTB_Acct_Num","v":"582555900-44100"},"(WTB Account # )"]
[null,2,{"$f":"'Sec. L Tax'!C13","v":"Hospital Gross Provider Tax Assessment Included in Expense on the Cost Report (W/S A, Col. 2)"},null,null,null,null,null,null,null,{"$f":"FRACRGross","v":0},null,{"$f":"FRACC","v":0},"(Where is the cost included on w/s A?)"]
[null,3,{"$f":"'Sec. L Tax'!C14","v":"Difference (Explain Here ---------->)"},null,null,null,{"$f":"FRA_CR_GL_DIFF_Reason","v":0},null,null,null,{"$f":"FRAGL_ADJ-FRACRGross_ADJ","v":1852728}]
[]
[null,null,{"$f":"'Sec. L Tax'!C16","v":"Provider Tax Assessment Reclassifications  (from w/s A-6 of the Medicare cost report)"}]
[null,{"$f":"'Sec. L Tax'!B17","v":4},null,"Reclassification Code",null,null,{"$f":"'Sec. L Tax'!G17","v":0},null,null,null,{"$f":"FRAReclass1","v":0},null,{"$f":"FRAReclassLine1","v":0},"(Reclassified to / (from))"]
[null,{"$f":"'Sec. L Tax'!B18","v":5},null,"Reclassification Code",null,null,{"$f":"'Sec. L Tax'!G18","v":0},null,null,null,{"$f":"FRAReclass2","v":0},null,{"$f":"FRAReclassLine2","v":0},"(Reclassified to / (from))"]
[null,{"$f":"'Sec. L Tax'!B19","v":6},null,"Reclassification Code",null,null,{"$f":"'Sec. L Tax'!G19","v":0},null,null,null,{"$f":"FRAReclass3","v":0},null,{"$f":"FRAReclassLine3","v":0},"(Reclassified to / (from))"]
[null,{"$f":"'Sec. L Tax'!B20","v":7},null,"Reclassification Code",null,null,{"$f":"'Sec. L Tax'!G20","v":0},null,null,null,{"$f":"FRAReclass4","v":0},null,{"$f":"FRAReclassLine4","v":0},"(Reclassified to / (from))"]
[]
[null,null,{"$f":"'Sec. L Tax'!C22","v":"DSH UCC ALLOWABLE - Provider Tax Assessment Adjustments (from w/s A-8 of the Medicare cost report)"}]
[null,{"$f":"'Sec. L Tax'!B23","v":8},null,"Reason for adjustment",null,null,{"$f":"'Sec. L Tax'!G23","v":0},null,null,null,{"$f":"FRAAllow1","v":0},null,{"$f":"FRAAllowLIne1","v":0},"(Adjusted to / (from))"]
[null,{"$f":"'Sec. L Tax'!B24","v":9},null,"Reason for adjustment",null,null,{"$f":"'Sec. L Tax'!G24","v":0},null,null,null,{"$f":"FRAAllow2","v":0},null,{"$f":"FRAAllowLIne2","v":0},"(Adjusted to / (from))"]
[null,{"$f":"'Sec. L Tax'!B25","v":10},null,"Reason for adjustment",null,null,{"$f":"'Sec. L Tax'!G25","v":0},null,null,null,{"$f":"FRAAllow3","v":0},null,{"$f":"FRAAllowLIne3","v":0},"(Adjusted to / (from))"]
[null,{"$f":"'Sec. L Tax'!B26","v":11},null,"Reason for adjustment",null,null,{"$f":"'Sec. L Tax'!G26","v":0},null,null,null,{"$f":"FRAAllow4","v":0},null,{"$f":"FRAAllowLIne4","v":0},"(Adjusted to / (from))"]
[]
[null,null,{"$f":"'Sec. L Tax'!C28","v":"DSH UCC NON-ALLOWABLE Provider Tax Assessment Adjustments (from w/s A-8 of the Medicare cost report)"}]
[null,{"$f":"'Sec. L Tax'!B29","v":12},null,"Reason for adjustment",null,null,{"$f":"'Sec. L Tax'!G29","v":0},null,null,null,{"$f":"FRANonAllow1","v":0},null,{"$f":"FRANonAllowLine1","v":0}]
[null,{"$f":"'Sec. L Tax'!B30","v":13},null,"Reason for adjustment",null,null,{"$f":"'Sec. L Tax'!G30","v":0},null,null,null,{"$f":"FRANonAllow2","v":0},null,{"$f":"FRANonAllowLine2","v":0}]
[null,{"$f":"'Sec. L Tax'!B31","v":14},null,"Reason for adjustment",null,null,{"$f":"'Sec. L Tax'!G31","v":0},null,null,null,{"$f":"FRANonAllow3","v":0},null,{"$f":"FRANonAllowLine3","v":0}]
[null,{"$f":"'Sec. L Tax'!B32","v":15},null,"Reason for adjustment",null,null,{"$f":"'Sec. L Tax'!G32","v":0},null,null,null,{"$f":"FRANonAllow4","v":0},null,{"$f":"FRANonAllowLine4","v":0}]
[]
[null,{"$f":"'Sec. L Tax'!B34","v":16},{"$f":"'Sec. L Tax'!C34","v":"Total Net Provider Tax Assessment Expense Included in the Cost Report"},null,null,null,null,null,null,null,{"$f":"FRACRGross_ADJ+SUM(K$17:K$20)+SUM(K$23:K$26)+SUM(K$29:K$32)","v":0}]
[]
[null,{"$f":"'Sec. L Tax'!B36","v":"DSH UCC Provider Tax Assessment Adjustment:"}]
[]
[null,{"$f":"'Sec. L Tax'!B38","v":17},{"$f":"'Sec. L Tax'!C38","v":"Gross Allowable Assessment Not Included in the Cost Report"},null,null,null,null,null,null,null,{"$f":"FRAGL_ADJ-FRACR_ADJ+SUM($K$29:$K$32)","v":1852728},{"$f":"IF(FRAAddBackGross_ADJ<0,\"ERROR: Tax expense is being removed from UCC!\",\"\")","v":""}]
[]
[null,null,{"$f":"'Sec. L Tax'!C40","v":"Apportionment of Provider Tax Assessment Adjustment to Medicaid & Uninsured:"}]
[null,{"$f":"'Sec. L Tax'!B41","v":18},null,{"$f":"'Sec. L Tax'!D41","v":"Medicaid Hospital"},null,{"$f":"FRA_Basis","v":"Charges Sec. G"},null,null,null,null,{"$f":"IF(F41=\"Days\",InStateMcaidDays_1_ADJ+OutofStateMcaidDays_1_ADJ,IF(OR(F41=\"Charges Sec. F-3\",F41=\"Charges Sec. G\"), InState_Mcaid_IP_Charges_1_ADJ+InState_Mcaid_OP_Charges_1_ADJ+OOS_Mcaid_IP_Charges_1_ADJ+OOS_Mcaid_OP_Charges_1_ADJ,0))","v":135236059.47167087}]
[null,{"$f":"'Sec. L Tax'!B42","v":19},null,"Uninsured Hospital",null,{"$f":"FRA_Basis_ADJ","v":"Charges Sec. G"},null,null,null,null,{"$f":"IF(F42=\"Days\",UNINSURED_TOTAL_DAYS_ADJ,IF(OR(F42=\"Charges Sec. F-3\",F42=\"Charges Sec. G\"), Uninsured_IP_Charges_1_ADJ+Uninsured_OP_Charges_1_ADJ,0))","v":51505482.101158038}]
[null,{"$f":"'Sec. L Tax'!B43","v":20},null,{"$f":"'Sec. L Tax'!D43","v":"Total Hospital"},null,{"$f":"FRA_Basis_ADJ","v":"Charges Sec. G"},null,null,null,null,{"$f":"IF(F43=\"Days\",CRTotHospDays_ADJ,IF(F43=\"Charges Sec. F-3\",IP_Hosp_Charges_1_ADJ+OP_Hosp_Charges_1_ADJ,IF(F43=\"Charges Sec. G\",'Sec. G CR Data ADJ'!L144,0)))","v":496171861}]
[null,{"$f":"'Sec. L Tax'!B44","v":21},null,{"$f":"'Sec. L Tax'!D44","v":"Percentage of Provider Tax Assessment Adjustment to include in DSH Medicaid UCC"},null,null,null,null,null,null,{"$f":"IF(FRA_Apportion3_ADJ>0,FRA_Apportion1_ADJ/FRA_Apportion3_ADJ,0)","v":0.27255890569673169}]
[null,{"$f":"'Sec. L Tax'!B45","v":22},null,{"$f":"'Sec. L Tax'!D45","v":"Percentage of Provider Tax Assessment Adjustment to include in DSH Uninsured UCC"},null,null,null,null,null,null,{"$f":"IF(FRA_Apportion3_ADJ>0,FRA_Apportion2_ADJ/FRA_Apportion3_ADJ,0)","v":0.10380572972709962}]
[null,{"$f":"'Sec. L Tax'!B46","v":23},null,{"$f":"'Sec. L Tax'!D46","v":"Medicaid Provider Tax Assessment Adjustment to DSH UCC"},null,null,null,null,null,null,{"$f":"ROUND(FRA_Percent_1_ADJ*FRAAddBackGross_ADJ,0)","v":504978}]
[null,{"$f":"'Sec. L Tax'!B47","v":24},null,{"$f":"'Sec. L Tax'!D47","v":"Uninsured Provider Tax Assessment Adjustment to DSH UCC"},null,null,null,null,null,null,{"$f":"ROUND(FRA_Percent_2_ADJ*FRAAddBackGross_ADJ,0)","v":192324}]
[null,{"$f":"'Sec. L Tax'!B48","v":25},{"$f":"'Sec. L Tax'!C48","v":"Provider Tax Assessment Adjustment to DSH UCC"},null,null,null,null,null,null,null,{"$f":"FRA_Mcaid_Add_ADJ+FRA_Uninsured_Add_ADJ","v":697302}]
[]
[null,null,{"$f":"'Sec. L Tax'!C50","v":"* Assessment must exclude any non-hospital assessment such as Nursing Facility."}]
[null,null,{"$f":"CONCATENATE(\"** The Gross Allowable Assessment Not Included in the Cost Report (line 17, above) will be apportioned to Medicaid and Uninsured based on \" & F41 &  \" unless the hospital provides a revised cost report to include the amount in the cost-to-charge ratios and per diems used in the survey.\")","v":"** The Gross Allowable Assessment Not Included in the Cost Report (line 17, above) will be apportioned to Medicaid and Uninsured based on Charges Sec. G unless the hospital provides a revised cost report to include the amount in the cost-to-charge ratios and per diems used in the survey."}]

{"sheet":"Eligibility Data","index":22,"n_rows":32,"n_cols":9,"rows_kept":32,"cut":false,"hidden":true,"merged":[[2,2,2,8],[3,2,3,8],[27,2,27,3],[10,2,10,3]]}
["DSH Examination Eligibility Summary"]
[]
["Hospital Name",null,{"$f":"IF(OR(LEN(TRIM(ProvNameAdj_ADJ))=0,ProvNameAdj_ADJ=0),ProvName_ADJ,ProvNameAdj_ADJ)","v":"WELLSTAR WEST GEORGIA HOSPITAL"}]
["Hospital Medicaid Number",null,{"$f":"IF(OR(LEN(TRIM(McaidNumAdj_ADJ))=0,McaidNumAdj_ADJ=0),McaidNum_ADJ,McaidNumAdj_ADJ)","v":"000002065A"}]
["Cost Report Period",null,"From  ",{"$f":"FYB_1_ADJ","v":"2016-07-01"},null,"To ",{"$f":"FYE_1_ADJ","v":"2017-06-30"}]
[]
[]
[null,null,null,null,"As-Reported",null,"Adjustments",null,"As-Adjusted"]
[]
[null,"LIUR"]
[1,"Medicaid Hospital Net Revenue","Survey H & I  (Sum all In-State & Out-of-State Medicaid Payments)",null,{"$f":"SUM('Sec. H In-State'!$AV$159:$AV$160,'Sec. H In-State'!$AX$159:$AX$160,'Sec. I Out-of-State'!$X$159:$X$160,'Sec. I Out-of-State'!$Z$159:$Z$160)+SUM('Sec. H In-State'!$P$154:$P$155)+SUM('Sec. H In-State'!$R$154:$R$155)+SUM('Sec. H In-State'!$T$154:$T$155)+SUM('Sec. H In-State'!$V$154:$V$155)+SUM('Sec. I Out-of-State'!$P$154:$P$155)+SUM('Sec. I Out-of-State'!$R$154:$R$155)+SUM('Sec. I Out-of-State'!$T$154:$T$155)+SUM('Sec. I Out-of-State'!$V$154:$V$155)+'Sec. H In-State'!$H$158+'Sec. H In-State'!$J$158+'Sec. H In-State'!$L$158+'Sec. H In-State'!$N$158+'Sec. I Out-of-State'!$H$158+'Sec. I Out-of-State'!$J$158+'Sec. I Out-of-State'!$L$158+'Sec. I Out-of-State'!$N$158+'Sec. H In-State'!$AF$158+'Sec. H In-State'!$AH$158+'Sec. H In-State'!$AJ$158+'Sec. H In-State'!$AL$158+'Sec. H In-State'!$X158+'Sec. H In-State'!$Z158+'Sec. H In-State'!$AB158+'Sec. H In-State'!$AD158+'Sec. H In-State ADJ'!$AN154+'Sec. H In-State ADJ'!$AP154","v":17950599.110000342},null,{"$f":"I11-E11","v":0},null,{"$f":"SUM('Sec. H In-State ADJ'!$AV$159:$AV$160,'Sec. H In-State ADJ'!$AX$159:$AX$160,'Sec. I Out-of-State ADJ'!$X$159:$X$160,'Sec. I Out-of-State ADJ'!$Z$159:$Z$160)+SUM('Sec. H In-State ADJ'!$P$154:$P$155)+SUM('Sec. H In-State ADJ'!$R$154:$R$155)+SUM('Sec. H In-State ADJ'!$T$154:$T$155)+SUM('Sec. H In-State ADJ'!$V$154:$V$155)+SUM('Sec. I Out-of-State ADJ'!$P$154:$P$155)+SUM('Sec. I Out-of-State ADJ'!$R$154:$R$155)+SUM('Sec. I Out-of-State ADJ'!$T$154:$T$155)+SUM('Sec. I Out-of-State ADJ'!$V$154:$V$155)+'Sec. H In-State ADJ'!$H$158+'Sec. H In-State ADJ'!$J$158+'Sec. H In-State ADJ'!$L$158+'Sec. H In-State ADJ'!$N$158+'Sec. I Out-of-State ADJ'!$H$158+'Sec. I Out-of-State ADJ'!$J$158+'Sec. I Out-of-State ADJ'!$L$158+'Sec. I Out-of-State ADJ'!$N$158+'Sec. H In-State ADJ'!$AF$158+'Sec. H In-State ADJ'!$AH$158+'Sec. H In-State ADJ'!$AJ$158+'Sec. H In-State ADJ'!$AL$158+'Sec. H In-State ADJ'!$X158+'Sec. H In-State ADJ'!$Z158+'Sec. H In-State ADJ'!$AB158+'Sec. H In-State ADJ'!$AD158","v":17950599.110000342}]
[2,"Hospital Cash Subsidies","Survey F-2",null,{"$f":"Tot_Hosp_Subsidies_1-NonHosp_Subsidies_1","v":0},null,{"$f":"I12-E12","v":0},null,{"$f":"Tot_Hosp_Subsidies_1_ADJ-NonHosp_Subsidies_1_ADJ","v":0}]
[3,"Total",null,null,{"$f":"SUM(E11:E12)","v":17950599.110000342},null,{"$f":"SUM(G11:G12)","v":0},null,{"$f":"SUM(I11:I12)","v":17950599.110000342}]
[4,"Net Hospital Patient Revenue","Survey F-3",null,{"$f":"Net_Hosp_Rev_1","v":177557385.81027865},null,{"$f":"I14-E14","v":0},null,{"$f":"Net_Hosp_Rev_1_ADJ","v":177557385.81027865}]
[5,"Medicaid Fraction",null,null,{"$f":"ROUND(IF(E14<>0,E13/(E14+E12),0),4)","v":0.1011},null,{"$f":"I15-E15","v":0},null,{"$f":"ROUND(IF(I14<>0,I13/(I14+I12),0),4)","v":0.1011}]
[6,"Inpatient Charity Care Charges","Survey F-2",null,{"$f":"IP_Charity_Charges_1","v":11312337},null,{"$f":"I16-E16","v":0},null,{"$f":"IP_Charity_Charges_1_ADJ","v":11312337}]
[7,"Inpatient Hospital Cash Subsidies","Survey F-2",null,{"$f":"IP_Hosp_Subsidies_1","v":0},null,{"$f":"I17-E17","v":0},null,{"$f":"IP_Hosp_Subsidies_1_ADJ","v":0}]
[8,"Unspecified Hospital Cash Subsidies","Survey F-2",null,{"$f":"Unspec_Hosp_Subsidies_1","v":0},null,{"$f":"I18-E18","v":0},null,{"$f":"Unspec_Hosp_Subsidies_1_ADJ","v":0}]
[9,"Adjusted Inpatient Charity Care",null,null,{"$f":"E16-(E17+IF(IP_Hosp_Charges_1>0,(IP_Hosp_Charges_1/(OP_Hosp_Charges_1+IP_Hosp_Charges_1)*E18),0))","v":11312337},null,{"$f":"G16-G17","v":0},null,{"$f":"I16-(I17+IF(IP_Hosp_Charges_1_ADJ>0,(IP_Hosp_Charges_1_ADJ/(OP_Hosp_Charges_1_ADJ+IP_Hosp_Charges_1_ADJ)*I18),0))","v":11312337}]
[10,"Inpatient Hospital Charges","Survey F-3",null,{"$f":"IP_Hosp_Charges_1","v":189950411},null,{"$f":"I20-E20","v":0},null,{"$f":"IP_Hosp_Charges_1_ADJ","v":189950411}]
[11,"Inpatient Charity Fraction",null,null,{"$f":"IF(E20<>0, ROUND(E19/E20,4),0)","v":5.96E-2},null,{"$f":"I21-E21","v":0},null,{"$f":"IF(I20<>0, ROUND(I19/I20,4),0)","v":5.96E-2}]
[12,"LIUR",null,null,{"$f":"E21+E15","v":0.16070000000000001},null,{"$f":"I22-E22","v":0},null,{"$f":"I21+I15","v":0.16070000000000001}]
[]
[null,"MIUR"]
[13,"In-State Medicaid Eligible Days","Survey H",null,{"$f":"Mcaid_InState_Days_1","v":10143},null,{"$f":"I25-E25","v":0},null,{"$f":"Mcaid_InState_Days_1_ADJ","v":10143}]
[14,"Out-of-State Medicaid Eligible Days","Survey I",null,{"$f":"Mcaid_OutofState_Days_1","v":180},null,{"$f":"I26-E26","v":0},null,{"$f":"Mcaid_OutofState_Days_1_ADJ","v":180}]
[15,"Total Medicaid Eligible Days",null,null,{"$f":"SUM(E25:E26)","v":10323},null,{"$f":"SUM(G25:G26)","v":0},null,{"$f":"SUM(I25:I26)","v":10323}]
[16,"Total Hospital Days (excludes swing-bed)","Survey F-1",null,{"$f":"'Sec. D, E, F CR Data'!$I$80","v":27088},null,{"$f":"I28-E28","v":0},null,{"$f":"'Sec. D, E, F CR Data ADJ'!$I$80","v":27088}]
[17,"MIUR",null,null,{"$f":"IF(E28<>0,ROUND(E27/E28,4),0)","v":0.38109999999999999},null,{"$f":"I29-E29","v":0},null,{"$f":"IF(I28<>0,ROUND(I27/I28,4),0)","v":0.38109999999999999}]
[]
[]
[null,"NOTE: LIUR calculated above does not include other Medicaid or supplemental payments reported on DSH Survey Part I and may not reconcile to DSH results letter as a result."]

{"sheet":"UCC Summary","index":23,"n_rows":90,"n_cols":37,"rows_kept":90,"cut":false,"hidden":true,"merged":[[91,1,91,35],[2,3,2,10],[3,3,3,10]]}
["DSH Examination UCC Cost & Payment Summary",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"State","v":"Georgia"}]
[]
["Hospital Name",null,null,{"$f":"IF(OR(LEN(TRIM(ProvNameAdj_ADJ))=0,ProvNameAdj_ADJ=0),ProvName_ADJ,ProvNameAdj_ADJ)","v":"WELLSTAR WEST GEORGIA HOSPITAL"}]
["Hospital Medicaid Number",null,null,{"$f":"IF(OR(LEN(TRIM(McaidNumAdj_ADJ))=0,McaidNumAdj_ADJ=0),McaidNum_ADJ,McaidNumAdj_ADJ)","v":"000002065A"}]
["Cost Report Period",null,null,"From",null,{"$f":"FYB_1_ADJ","v":"2016-07-01"},null,"To",null,{"$f":"FYE_1_ADJ","v":"2017-06-30"}]
[]
["As-Reported:"]
[null,"Service Type",null,null,null,"Total Costs",null,"Medicaid Basic Rate Payments",null,{"$f":"IF(StateOnlyDisplay=\"YES\",\"Medicaid (or State-Only) Managed Care Payments\",\"Medicaid Managed Care Payments\")","v":"Medicaid Managed Care Payments"},null,"Private Insurance Payments",null,"Self-Pay Payments (Includes Co-Pay and Spenddown)",null,"Medicaid Cost Settlement Payments",null,{"$f":"IF(State=\"California DPH\",\"Other Payments (Outliers, etc..) **\",\"Other Medicaid Payments (Outliers, etc..) **\")","v":"Other Medicaid Payments (Outliers, etc..) **"},null,"Medicare Traditional (non-HMO) Payments",null,"Medicare Managed Care (HMO) Payments",null,"Medicare Cross-over Bad Debt",null,"Other Medicare Cross-over Payments (GME, etc..)",null,"Uninsured Payments",null,"Uninsured Payments Not On Exhibit B (1011 Payments)",null,"Total Payments",null,"Uncomp. Care Costs",null,"Payment to Cost Ratio"]
[null,null,null,null,null,"Survey H & I",null,"Survey H & I",null,"Survey H & I",null,"Survey H & I",null,"Survey H & I",null,"Survey H & I",null,"Survey H & I",null,"Survey H & I",null,"Survey H & I",null,"Survey H & I",null,"Survey H & I",null,"Survey H & I",null,"Survey E"]
[]
[1,{"$f":"IF(State=\"Indiana\", \"Medicaid Fee for Service (Includes Validated Duplicates)\", \"Medicaid Fee for Service\")","v":"Medicaid Fee for Service"},null,"Inpatient",null,{"$f":"FFS_InState_IP_Cost_1+Validated_Paid_InState_IP_Cost_1+FFS_Mcaid_Eligible_InState_IP_Cost_1","v":4972227},null,{"$f":"'Sec. H In-State'!$H$154+'Sec. H In-State'!$AB$154+'Sec. H In-State'!$AF$154","v":5118268.7699999996},null,{"$f":"'Sec. H In-State'!$H$155+'Sec. H In-State'!$AB$155+'Sec. H In-State'!$AF$155","v":0},null,{"$f":"'Sec. H In-State'!$H$156+'Sec. H In-State'!$AB$156+'Sec. H In-State'!$AF$156","v":152352.53},null,{"$f":"'Sec. H In-State'!$H$157+'Sec. H In-State'!$AB$157+'Sec. H In-State'!$AF$157","v":0},null,{"$f":"'Sec. H In-State'!$H$159+'Sec. H In-State'!$AB$159","v":0},null,{"$f":"'Sec. H In-State'!$H$160+'Sec. H In-State'!$AB$160+'Sec. H In-State'!$AF$160","v":0},null,{"$f":"IF(State=\"California DPH\",0,'Sec. H In-State'!$AB$161)","v":0},null,{"$f":"IF(State=\"California DPH\",0,'Sec. H In-State'!$AB$162)","v":0},null,{"$f":"IF(State=\"California DPH\",0,'Sec. H In-State'!$AB$163)","v":0},null,{"$f":"IF(State=\"California DPH\",0,'Sec. H In-State'!$AB$164)","v":0},null,null,null,null,null,{"$f":"H11+J11+N11+L11+P11+R11+T11+V11+X11+Z11","v":5270621.3},null,{"$f":"F11-AF11","v":-298394.29999999981},null,{"$f":"IF(F11<1,\"n/a\",AF11/F11)","v":1.060012203787156}]
[2,{"$f":"IF(State=\"Indiana\", \"Medicaid Fee for Service (Includes Validated Duplicates)\", \"Medicaid Fee for Service\")","v":"Medicaid Fee for Service"},null,"Outpatient",null,{"$f":"FFS_InState_OP_Cost_1+Validated_Paid_InState_OP_Cost_1+FFS_Mcaid_Eligible_InState_OP_Cost_1","v":3100907},null,{"$f":"'Sec. H In-State'!$J$154+'Sec. H In-State'!$AD$154+'Sec. H In-State'!$AH$154","v":2962216.7},null,{"$f":"'Sec. H In-State'!$J$155+'Sec. H In-State'!$AD$155+'Sec. H In-State'!$AH$155","v":0},null,{"$f":"'Sec. H In-State'!$J$156+'Sec. H In-State'!$AD$156+'Sec. H In-State'!$AH$156","v":169118.81},null,{"$f":"'Sec. H In-State'!$J$157+'Sec. H In-State'!$AD$157+'Sec. H In-State'!$AH$157","v":6875.04},null,{"$f":"'Sec. H In-State'!$J$159+'Sec. H In-State'!$AD$159","v":-365561},null,{"$f":"'Sec. H In-State'!$J$160+'Sec. H In-State'!$AD$160+'Sec. H In-State'!$AH$160","v":0},null,{"$f":"IF(State=\"California DPH\",0,'Sec. H In-State'!$AD$161)","v":0},null,{"$f":"IF(State=\"California DPH\",0,'Sec. H In-State'!$AD$162)","v":0},null,{"$f":"IF(State=\"California DPH\",0,'Sec. H In-State'!$AD$163)","v":0},null,{"$f":"IF(State=\"California DPH\",0,'Sec. H In-State'!$AD$164)","v":0},null,null,null,null,null,{"$f":"H12+J12+N12+L12+P12+R12+T12+V12+X12+Z12","v":2772649.5500000003},null,{"$f":"F12-AF12","v":328257.44999999972},null,{"$f":"IF(F12<1,\"n/a\",AF12/F12)","v":0.89414147215637241}]
[]
[3,{"$f":"'Survey Set-Up'!$Q$6","v":"Medicaid Managed Care"},null,"Inpatient",null,{"$f":"IF(State=\"California DPH\",Mngd_Care_InState_IP_Cost_1,Mngd_Care_InState_IP_Cost_1+MCO_Mcaid_Eligible_InState_IP_Cost_1+HIP_IP_Cost_1)","v":5545094},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$L$154,'Sec. H In-State'!$L$154+'Sec. H In-State'!$AJ$154+'Sec. H In-State'!$X$154)","v":0},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$L$155,'Sec. H In-State'!$L$155+'Sec. H In-State'!$AJ$155+'Sec. H In-State'!$X$155)","v":4132536},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$L$156,'Sec. H In-State'!$L$156+'Sec. H In-State'!$AJ$156+'Sec. H In-State'!$X$156)","v":0},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$L$157,'Sec. H In-State'!$L$157+'Sec. H In-State'!$AJ$157+'Sec. H In-State'!$X$157)","v":447},null,{"$f":"'Sec. H In-State'!$L$159","v":0},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$L$160,'Sec. H In-State'!$L$160+'Sec. H In-State'!$AJ$160+'Sec. H In-State'!$X$160)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"H14+J14+N14+L14+P14+R14+V14","v":4132983},null,{"$f":"F14-AF14","v":1412111},null,{"$f":"IF(F14<1,\"n/a\",AF14/F14)","v":0.74534047574306228}]
[4,{"$f":"'Survey Set-Up'!$Q$6","v":"Medicaid Managed Care"},null,"Outpatient",null,{"$f":"IF(State=\"California DPH\",Mngd_Care_InState_OP_Cost_1,Mngd_Care_InState_OP_Cost_1+MCO_Mcaid_Eligible_InState_OP_Cost_1+HIP_OP_Cost_1)","v":4885421},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$N$154,'Sec. H In-State'!$N$154+'Sec. H In-State'!$AL$154+'Sec. H In-State'!$Z$154)","v":0},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$N$155,'Sec. H In-State'!$N$155+'Sec. H In-State'!$AL$155+'Sec. H In-State'!$Z$155)","v":4346780.8200003421},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$N$156,'Sec. H In-State'!$N$156+'Sec. H In-State'!$AL$156+'Sec. H In-State'!$Z$156)","v":2553},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$N$157,'Sec. H In-State'!$N$157+'Sec. H In-State'!$AL$157+'Sec. H In-State'!$Z$157)","v":1391},null,{"$f":"'Sec. H In-State'!$N$159","v":0},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$N$160,'Sec. H In-State'!$N$160+'Sec. H In-State'!$AL$160+'Sec. H In-State'!$Z$160)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"H15+J15+N15+L15+P15+R15+V15","v":4350724.8200003421},null,{"$f":"F15-AF15","v":534696.17999965791},null,{"$f":"IF(F15<1,\"n/a\",AF15/F15)","v":0.89055269136484694}]
[]
[5,{"$f":"'Survey Set-Up'!$Q$7","v":"Medicare Cross-over (FFS)"},null,"Inpatient",null,{"$f":"IF(State=\"California DPH\",HIP_IP_Cost_1+Cross_FFS_InState_IP_Cost_1,Cross_FFS_InState_IP_Cost_1)","v":5316086},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$P$154+'Sec. H In-State'!$X$154,'Sec. H In-State'!$P$154)","v":435609.49000000017},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$P$155+'Sec. H In-State'!$X$155,'Sec. H In-State'!$P$155)","v":0},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$P$156+'Sec. H In-State'!$X$156,'Sec. H In-State'!$P$156)","v":18497.02},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$P$157+'Sec. H In-State'!$X$157,'Sec. H In-State'!$P$157)","v":486.88},null,null,null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$X$160,0)","v":0},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$P$161+'Sec. H In-State'!$X$161,'Sec. H In-State'!$P$161)","v":4815147.3600000031},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$P$162+'Sec. H In-State'!$X$162,'Sec. H In-State'!$P$162)","v":7286.52},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$P$163+'Sec. H In-State'!$X$163,'Sec. H In-State'!$P$163)","v":35003},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$P$164+'Sec. H In-State'!$X$164,'Sec. H In-State'!$P$164)","v":0},null,null,null,null,null,{"$f":"H17+J17+L17+N17+R17+T17+V17+X17+Z17","v":5312030.2700000033},null,{"$f":"F17-AF17","v":4055.7299999967217},null,{"$f":"IF(F17<1,\"n/a\",AF17/F17)","v":0.99923708344823681}]
[6,{"$f":"'Survey Set-Up'!$Q$7","v":"Medicare Cross-over (FFS)"},null,"Outpatient",null,{"$f":"IF(State=\"California DPH\",Cross_FFS_InState_OP_Cost_1+HIP_OP_Cost_1,Cross_FFS_InState_OP_Cost_1)","v":3370877},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$R$154+'Sec. H In-State'!$Z$154,'Sec. H In-State'!$R$154)","v":311357.97000000009},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$R$155+'Sec. H In-State'!$Z$155,'Sec. H In-State'!$R$155)","v":54.300000000000004},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$R$156+'Sec. H In-State'!$Z$156,'Sec. H In-State'!$R$156)","v":8844.9999999999964},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$R$157+'Sec. H In-State'!$Z$157,'Sec. H In-State'!$R$157)","v":3862.1300000000006},null,null,null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$Z$160,0)","v":0},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$R$161+'Sec. H In-State'!$Z$161,'Sec. H In-State'!$R$161)","v":2444202.0499999751},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$R$162+'Sec. H In-State'!$Z$162,'Sec. H In-State'!$R$162)","v":393},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$R$163+'Sec. H In-State'!$Z$163,'Sec. H In-State'!$R$163)","v":55778},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$R$164+'Sec. H In-State'!$Z$164,'Sec. H In-State'!$R$164)","v":0},null,null,null,null,null,{"$f":"H18+J18+L18+N18+R18+T18+V18+X18+Z18","v":2824492.449999975},null,{"$f":"F18-AF18","v":546384.55000002496},null,{"$f":"IF(F18<1,\"n/a\",AF18/F18)","v":0.8379102678620356}]
[]
[7,{"$f":"'Survey Set-Up'!$Q$8","v":"Other Medicaid Eligibles"},null,"Inpatient",null,{"$f":"Mngd_Care_Cross_InState_IP_Cost_1","v":4374644},null,{"$f":"'Sec. H In-State'!$T$154","v":179205.20000000004},null,{"$f":"'Sec. H In-State'!$T$155","v":99746.61000000003},null,{"$f":"'Sec. H In-State'!$T$156","v":1603725.3100000003},null,{"$f":"'Sec. H In-State'!$T$157","v":9343.99},null,null,null,null,null,{"$f":"'Sec. H In-State'!$T$161","v":586829.01000000013},null,{"$f":"'Sec. H In-State'!$T$162","v":1702594.2000000004},null,{"$f":"'Sec. H In-State'!$T$163","v":0},null,{"$f":"'Sec. H In-State'!$T$164","v":0},null,null,null,null,null,{"$f":"H20+J20+L20+N20+T20+V20+X20+Z20","v":4181444.3200000012},null,{"$f":"F20-AF20","v":193199.67999999877},null,{"$f":"IF(F20<1,\"n/a\",AF20/F20)","v":0.95583647949410311}]
[8,{"$f":"'Survey Set-Up'!$Q$8","v":"Other Medicaid Eligibles"},null,"Outpatient",null,{"$f":"Mngd_Care_Cross_InState_OP_Cost_1","v":3651022},null,{"$f":"'Sec. H In-State'!$V$154","v":192550.03000000006},null,{"$f":"'Sec. H In-State'!$V$155","v":85755.29999999977},null,{"$f":"'Sec. H In-State'!$V$156","v":1550592.6099999994},null,{"$f":"'Sec. H In-State'!$V$157","v":22676.549999999996},null,null,null,null,null,{"$f":"'Sec. H In-State'!$V$161","v":782601.68000000354},null,{"$f":"'Sec. H In-State'!$V$162","v":1208975.9000000034},null,{"$f":"'Sec. H In-State'!$V$163","v":0},null,{"$f":"'Sec. H In-State'!$V$164","v":0},null,null,null,null,null,{"$f":"H21+J21+L21+N21+T21+V21+X21+Z21","v":3843152.0700000059},null,{"$f":"F21-AF21","v":-192130.07000000589},null,{"$f":"IF(F21<1,\"n/a\",AF21/F21)","v":1.0526236407230649}]
[]
[9,{"$f":"'Survey Set-Up'!$Q$9","v":"Uninsured"},null,"Inpatient",null,{"$f":"IF(State=\"California DPH\",MCO_Mcaid_Eligible_InState_IP_Cost_1+Uninsured_InState_IP_Cost_1+State_Only_InState_IP_Cost_1,Uninsured_InState_IP_Cost_1+State_Only_InState_IP_Cost_1)","v":4608546},null,{"$f":"'Sec. H In-State'!$AN$154","v":0},null,{"$f":"'Sec. H In-State'!$AN$155","v":0},null,{"$f":"'Sec. H In-State'!$AN$156","v":0},null,{"$f":"'Sec. H In-State'!$AN$157","v":0},null,{"$f":"'Sec. H In-State'!$AN$159","v":0},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$AN$160+MCO_Mcaid_Eligible_IP_Other_Pmts,'Sec. H In-State'!$AN$160)","v":0},null,{"$f":"'Sec. H In-State'!$AN$161","v":0},null,{"$f":"'Sec. H In-State'!$AN$162","v":0},null,{"$f":"'Sec. H In-State'!$AN$163","v":0},null,{"$f":"'Sec. H In-State'!$AN$164","v":0},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$AR$165+'Sec. H In-State'!$AN$165+'Sec. H In-State'!$AJ$165,'Sec. H In-State'!$AR$165+'Sec. H In-State'!$AN$165)","v":178219},null,{"$f":"NotOnB_IP_1011_1","v":0},null,{"$f":"H23+J23+N23+L23+P23+R23+T23+V23+X23+Z23+AB23+AD23","v":178219},null,{"$f":"F23-AF23","v":4430327},null,{"$f":"IF(F23<1,\"n/a\",AF23/F23)","v":3.8671416103907827E-2},{"$f":"H23+J23+L23+N23+P23+R23+T23+V23+X23+Z23+AB23","v":178219}]
[10,{"$f":"'Survey Set-Up'!$Q$9","v":"Uninsured"},null,"Outpatient",null,{"$f":"IF(State=\"California DPH\",MCO_Mcaid_Eligible_InState_OP_Cost_1+Uninsured_Instate_OP_Cost_1+State_Only_InState_OP_Cost_1,Uninsured_Instate_OP_Cost_1+State_Only_InState_OP_Cost_1)","v":6188450},null,{"$f":"'Sec. H In-State'!$AP$154","v":0},null,{"$f":"'Sec. H In-State'!$AP$155","v":0},null,{"$f":"'Sec. H In-State'!$AP$156","v":0},null,{"$f":"'Sec. H In-State'!$AP$157","v":0},null,{"$f":"'Sec. H In-State'!$AP$159","v":0},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$AP$160+MCO_Mcaid_Eligible_OP_Other_Pmts,'Sec. H In-State'!$AP$160)","v":0},null,{"$f":"'Sec. H In-State'!$AP$161","v":0},null,{"$f":"'Sec. H In-State'!$AP$162","v":0},null,{"$f":"'Sec. H In-State'!$AP$163","v":0},null,{"$f":"'Sec. H In-State'!$AP$164","v":0},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State'!$AT$165+'Sec. H In-State'!$AP$165+'Sec. H In-State'!$AL$165,'Sec. H In-State'!$AT$165+'Sec. H In-State'!$AP$165)","v":572282},null,{"$f":"NotOnB_OP_1011_1","v":0},null,{"$f":"H24+J24+N24+L24+P24+R24+T24+V24+X24+Z24+AB24+AD24","v":572282},null,{"$f":"F24-AF24","v":5616168},null,{"$f":"IF(F24<1,\"n/a\",AF24/F24)","v":9.2475821894012239E-2},{"$f":"H24+J24+L24+N24+P24+R24+T24+V24+X24+Z24+AB24","v":572282}]
[]
[11,"In-State Sub-total",null,"Inpatient",null,{"$f":"F11+F14+F17+F20+F23","v":24816597},null,{"$f":"H11+H14+H17+H20+H23","v":5733083.46},null,{"$f":"J11+J14+J17+J20+J23","v":4232282.6100000003},null,{"$f":"L11+L14+L17+L20+L23","v":1774574.8600000003},null,{"$f":"N11+N14+N17+N20+N23","v":10277.869999999999},null,{"$f":"P11+P14+P17+P20+P23","v":0},null,{"$f":"R11+R14+R17+R20+R23","v":0},null,{"$f":"T11+T14+T17+T20+T23","v":5401976.3700000029},null,{"$f":"V11+V14+V17+V20+V23","v":1709880.7200000004},null,{"$f":"X11+X14+X17+X20+X23","v":35003},null,{"$f":"Z11+Z14+Z17+Z20+Z23","v":0},null,{"$f":"AB11+AB14+AB17+AB20+AB23","v":178219},null,{"$f":"AD11+AD14+AD17+AD20+AD23","v":0},null,{"$f":"AF11+AF14+AF17+AF20+AF23","v":19075297.890000004},null,{"$f":"AH11+AH14+AH17+AH20+AH23","v":5741299.1099999957},null,{"$f":"IF(F26<1,\"n/a\",AF26/F26)","v":0.7686508303293963}]
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[]
[15,"Sub-Total",null,"I/P and O/P",null,{"$f":"F26+F27+F29+F30","v":46831612},null,{"$f":"H26+H27+H29+H30","v":9318235.6999999993},null,{"$f":"J26+J27+J29+J30","v":8664873.0300003421},null,{"$f":"L26+L27+L29+L30","v":3606898.71},null,{"$f":"N26+N27+N29+N30","v":45622.689999999995},null,{"$f":"P26+P27+P29+P30","v":-365561},null,{"$f":"R26+R27+R29+R30","v":0},null,{"$f":"T26+T27+T29+T30","v":8915418.099999981},null,{"$f":"V26+V27+V29+V30","v":2959886.6200000038},null,{"$f":"X26+X27+X29+X30","v":90781},null,{"$f":"Z26+Z27+Z29+Z30","v":0},null,{"$f":"AB26+AB27+AB29+AB30","v":750501},null,{"$f":"AD26+AD27+AD29+AD30","v":0},null,{"$f":"AF26+AF27+AF29+AF30","v":33986655.850000329},null,{"$f":"AH26+AH27+AH29+AH30","v":12844956.149999673},null,{"$f":"IF(F32<1,\"n/a\",AF32/F32)","v":0.72572039266981303}]
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[]
["Adjustments:"]
[null,"Service Type",null,null,null,{"$f":"F8","v":"Total Costs"},null,{"$f":"H8","v":"Medicaid Basic Rate Payments"},null,{"$f":"J8","v":"Medicaid Managed Care Payments"},null,{"$f":"L8","v":"Private Insurance Payments"},null,{"$f":"N8","v":"Self-Pay Payments (Includes Co-Pay and Spenddown)"},null,{"$f":"P8","v":"Medicaid Cost Settlement Payments"},null,{"$f":"R8","v":"Other Medicaid Payments (Outliers, etc..) **"},null,{"$f":"T8","v":"Medicare Traditional (non-HMO) Payments"},null,{"$f":"V8","v":"Medicare Managed Care (HMO) Payments"},null,{"$f":"X8","v":"Medicare Cross-over Bad Debt"},null,{"$f":"Z8","v":"Other Medicare Cross-over Payments (GME, etc..)"},null,{"$f":"AB8","v":"Uninsured Payments"},null,{"$f":"AD8","v":"Uninsured Payments Not On Exhibit B (1011 Payments)"},null,{"$f":"AF8","v":"Total Payments"},null,{"$f":"AH8","v":"Uncomp. Care Costs"},null,{"$f":"AJ8","v":"Payment to Cost Ratio"}]
[]
[1,{"$f":"B11","v":"Medicaid Fee for Service"},null,"Inpatient",null,{"$f":"F66-F11","v":0},null,{"$f":"H66-H11","v":0},null,{"$f":"J66-J11","v":0},null,{"$f":"L66-L11","v":0},null,{"$f":"N66-N11","v":0},null,{"$f":"P66-P11","v":0},null,{"$f":"R66-R11","v":0},null,{"$f":"T66-T11","v":0},null,{"$f":"V66-V11","v":0},null,{"$f":"X66-X11","v":0},null,{"$f":"Z66-Z11","v":0},null,null,null,null,null,{"$f":"H38+J38+N38+L38+P38+R38+T38+V38+X38+Z38","v":0},null,{"$f":"F38-AF38","v":0},null,{"$f":"IF(AND(AJ11<>\"n/a\", AJ66<>\"n/a\"),AJ66-AJ11,0)","v":0}]
[2,{"$f":"B12","v":"Medicaid Fee for Service"},null,"Outpatient",null,{"$f":"F67-F12","v":0},null,{"$f":"H67-H12","v":0},null,{"$f":"J67-J12","v":0},null,{"$f":"L67-L12","v":0},null,{"$f":"N67-N12","v":0},null,{"$f":"P67-P12","v":0},null,{"$f":"R67-R12","v":0},null,{"$f":"T67-T12","v":0},null,{"$f":"V67-V12","v":0},null,{"$f":"X67-X12","v":0},null,{"$f":"Z67-Z12","v":0},null,null,null,null,null,{"$f":"H39+J39+N39+L39+P39+R39+T39+V39+X39+Z39","v":0},null,{"$f":"F39-AF39","v":0},null,{"$f":"IF(AND(AJ12<>\"n/a\", AJ67<>\"n/a\"),AJ67-AJ12,0)","v":0}]
[]
[3,{"$f":"'Survey Set-Up'!$Q$6","v":"Medicaid Managed Care"},null,"Inpatient",null,{"$f":"F69-F14","v":0},null,{"$f":"H69-H14","v":0},null,{"$f":"J69-J14","v":0},null,{"$f":"L69-L14","v":0},null,{"$f":"N69-N14","v":0},null,{"$f":"P69-P14","v":0},null,{"$f":"R69-R14","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"H41+J41+N41+L41+P41+R41+V41","v":0},null,{"$f":"F41-AF41","v":0},null,{"$f":"IF(AND(AJ14<>\"n/a\", AJ69<>\"n/a\"),AJ69-AJ14,0)","v":0}]
[4,{"$f":"'Survey Set-Up'!$Q$6","v":"Medicaid Managed Care"},null,"Outpatient",null,{"$f":"F70-F15","v":0},null,{"$f":"H70-H15","v":0},null,{"$f":"J70-J15","v":0},null,{"$f":"L70-L15","v":0},null,{"$f":"N70-N15","v":0},null,{"$f":"P70-P15","v":0},null,{"$f":"R70-R15","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"H42+J42+N42+L42+P42+R42+V42","v":0},null,{"$f":"F42-AF42","v":0},null,{"$f":"IF(AND(AJ15<>\"n/a\", AJ70<>\"n/a\"),AJ70-AJ15,0)","v":0}]
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[5,{"$f":"'Survey Set-Up'!$Q$7","v":"Medicare Cross-over (FFS)"},null,"Inpatient",null,{"$f":"F72-F17","v":0},null,{"$f":"H72-H17","v":0},null,{"$f":"J72-J17","v":0},null,{"$f":"L72-L17","v":0},null,{"$f":"N72-N17","v":0},null,null,null,{"$f":"R72-R17","v":0},null,{"$f":"T72-T17","v":0},null,{"$f":"V72-V17","v":0},null,{"$f":"X72-X17","v":0},null,{"$f":"Z72-Z17","v":0},null,null,null,null,null,{"$f":"H44+J44+L44+N44+R44+T44+V44+X44+Z44","v":0},null,{"$f":"F44-AF44","v":0},null,{"$f":"IF(AND(AJ17<>\"n/a\", AJ72<>\"n/a\"),AJ72-AJ17,0)","v":0}]
[6,{"$f":"'Survey Set-Up'!$Q$7","v":"Medicare Cross-over (FFS)"},null,"Outpatient",null,{"$f":"F73-F18","v":0},null,{"$f":"H73-H18","v":0},null,{"$f":"J73-J18","v":0},null,{"$f":"L73-L18","v":0},null,{"$f":"N73-N18","v":0},null,null,null,{"$f":"R73-R18","v":0},null,{"$f":"T73-T18","v":0},null,{"$f":"V73-V18","v":0},null,{"$f":"X73-X18","v":0},null,{"$f":"Z73-Z18","v":0},null,null,null,null,null,{"$f":"H45+J45+L45+N45+R45+T45+V45+X45+Z45","v":0},null,{"$f":"F45-AF45","v":0},null,{"$f":"IF(AND(AJ18<>\"n/a\", AJ73<>\"n/a\"),AJ73-AJ18,0)","v":0}]
[]
[7,{"$f":"'Survey Set-Up'!$Q$8","v":"Other Medicaid Eligibles"},null,"Inpatient",null,{"$f":"F75-F20","v":0},null,{"$f":"H75-H20","v":0},null,{"$f":"J75-J20","v":0},null,{"$f":"L75-L20","v":0},null,{"$f":"N75-N20","v":0},null,null,null,null,null,{"$f":"T75-T20","v":0},null,{"$f":"V75-V20","v":0},null,{"$f":"X75-X20","v":0},null,{"$f":"Z75-Z20","v":0},null,null,null,null,null,{"$f":"H47+J47+L47+N47+T47+V47+X47+Z47","v":0},null,{"$f":"F47-AF47","v":0},null,{"$f":"IF(AND(AJ20<>\"n/a\", AJ75<>\"n/a\"),AJ75-AJ20,0)","v":0}]
[8,{"$f":"'Survey Set-Up'!$Q$8","v":"Other Medicaid Eligibles"},null,"Outpatient",null,{"$f":"F76-F21","v":0},null,{"$f":"H76-H21","v":0},null,{"$f":"J76-J21","v":0},null,{"$f":"L76-L21","v":0},null,{"$f":"N76-N21","v":0},null,null,null,null,null,{"$f":"T76-T21","v":0},null,{"$f":"V76-V21","v":0},null,{"$f":"X76-X21","v":0},null,{"$f":"Z76-Z21","v":0},null,null,null,null,null,{"$f":"H48+J48+L48+N48+T48+V48+X48+Z48","v":0},null,{"$f":"F48-AF48","v":0},null,{"$f":"IF(AND(AJ21<>\"n/a\", AJ76<>\"n/a\"),AJ76-AJ21,0)","v":0}]
[]
[9,{"$f":"'Survey Set-Up'!$Q$9","v":"Uninsured"},null,"Inpatient",null,{"$f":"F78-F23","v":0},null,{"$f":"H78-H23","v":0},null,{"$f":"J78-J23","v":0},null,{"$f":"L78-L23","v":0},null,{"$f":"N78-N23","v":0},null,{"$f":"P78-P23","v":0},null,{"$f":"R78-R23","v":0},null,{"$f":"T78-T23","v":0},null,{"$f":"V78-V23","v":0},null,{"$f":"X78-X23","v":0},null,{"$f":"Z78-Z23","v":0},null,{"$f":"AB78-AB23","v":0},null,{"$f":"AD78-AD23","v":0},null,{"$f":"H50+J50+N50+L50+P50+R50+T50+V50+X50+Z50+AB50+AD50","v":0},null,{"$f":"F50-AF50","v":0},null,{"$f":"IF(AND(AJ23<>\"n/a\", AJ78<>\"n/a\"),AJ78-AJ23,0)","v":0},{"$f":"H50+J50+L50+N50+P50+R50+T50+V50+X50+Z50+AB50","v":0}]
[10,{"$f":"'Survey Set-Up'!$Q$9","v":"Uninsured"},null,"Outpatient",null,{"$f":"F79-F24","v":0},null,{"$f":"H79-H24","v":0},null,{"$f":"J79-J24","v":0},null,{"$f":"L79-L24","v":0},null,{"$f":"N79-N24","v":0},null,{"$f":"P79-P24","v":0},null,{"$f":"R79-R24","v":0},null,{"$f":"T79-T24","v":0},null,{"$f":"V79-V24","v":0},null,{"$f":"X79-X24","v":0},null,{"$f":"Z79-Z24","v":0},null,{"$f":"AB79-AB24","v":0},null,{"$f":"AD79-AD24","v":0},null,{"$f":"H51+J51+N51+L51+P51+R51+T51+V51+X51+Z51+AB51+AD51","v":0},null,{"$f":"F51-AF51","v":0},null,{"$f":"IF(AND(AJ24<>\"n/a\", AJ79<>\"n/a\"),AJ79-AJ24,0)","v":0},{"$f":"H51+J51+L51+N51+P51+R51+T51+V51+X51+Z51+AB51","v":0}]
[]
[11,"In-State Sub-total",null,"Inpatient",null,{"$f":"F38+F41+F44+F47+F50","v":0},null,{"$f":"H38+H41+H44+H47+H50","v":0},null,{"$f":"J38+J41+J44+J47+J50","v":0},null,{"$f":"L38+L41+L44+L47+L50","v":0},null,{"$f":"N38+N41+N44+N47+N50","v":0},null,{"$f":"P38+P41+P44+P47+P50","v":0},null,{"$f":"R38+R41+R44+R47+R50","v":0},null,{"$f":"T38+T41+T44+T47+T50","v":0},null,{"$f":"V38+V41+V44+V47+V50","v":0},null,{"$f":"X38+X41+X44+X47+X50","v":0},null,{"$f":"Z38+Z41+Z44+Z47+Z50","v":0},null,{"$f":"AB38+AB41+AB44+AB47+AB50","v":0},null,{"$f":"AD38+AD41+AD44+AD47+AD50","v":0},null,{"$f":"AF38+AF41+AF44+AF47+AF50","v":0},null,{"$f":"AH38+AH41+AH44+AH47+AH50","v":0},null,{"$f":"IF(AND(AJ26<>\"n/a\", AJ81<>\"n/a\"),AJ81-AJ26,0)","v":0}]
[12,"In-State Sub-total",null,"Outpatient",null,{"$f":"F39+F42+F45+F48+F51","v":0},null,{"$f":"H39+H42+H45+H48+H51","v":0},null,{"$f":"J39+J42+J45+J48+J51","v":0},null,{"$f":"L39+L42+L45+L48+L51","v":0},null,{"$f":"N39+N42+N45+N48+N51","v":0},null,{"$f":"P39+P42+P45+P48+P51","v":0},null,{"$f":"R39+R42+R45+R48+R51","v":0},null,{"$f":"T39+T42+T45+T48+T51","v":0},null,{"$f":"V39+V42+V45+V48+V51","v":0},null,{"$f":"X39+X42+X45+X48+X51","v":0},null,{"$f":"Z39+Z42+Z45+Z48+Z51","v":0},null,{"$f":"AB39+AB42+AB45+AB48+AB51","v":0},null,{"$f":"AD39+AD42+AD45+AD48+AD51","v":0},null,{"$f":"AF39+AF42+AF45+AF48+AF51","v":0},null,{"$f":"AH39+AH42+AH45+AH48+AH51","v":0},null,{"$f":"IF(AND(AJ27<>\"n/a\", AJ82<>\"n/a\"),AJ82-AJ27,0)","v":0}]
[]
[13,{"$f":"'Survey Set-Up'!$Q$12","v":"Out-of-State Medicaid"},null,"Inpatient",null,{"$f":"F84-F29","v":0},null,{"$f":"H84-H29","v":0},null,{"$f":"J84-J29","v":0},null,{"$f":"L84-L29","v":0},null,{"$f":"N84-N29","v":0},null,{"$f":"P84-P29","v":0},null,{"$f":"R84-R29","v":0},null,{"$f":"T84-T29","v":0},null,{"$f":"V84-V29","v":0},null,{"$f":"X84-X29","v":0},null,{"$f":"Z84-Z29","v":0},null,null,null,null,null,{"$f":"H56+J56+P56+R56+T56+N56+L56+V56+X56+Z56","v":0},null,{"$f":"F56-AF56","v":0},null,{"$f":"IF(AND(AJ29<>\"n/a\", AJ84<>\"n/a\"),AJ84-AJ29,0)","v":0}]
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[]
[15,"Sub-Total",null,"I/P and O/P",null,{"$f":"F53+F54+F56+F57","v":0},null,{"$f":"H53+H54+H56+H57","v":0},null,{"$f":"J53+J54+J56+J57","v":0},null,{"$f":"L53+L54+L56+L57","v":0},null,{"$f":"N53+N54+N56+N57","v":0},null,{"$f":"P53+P54+P56+P57","v":0},null,{"$f":"R53+R54+R56+R57","v":0},null,{"$f":"T53+T54+T56+T57","v":0},null,{"$f":"V53+V54+V56+V57","v":0},null,{"$f":"X53+X54+X56+X57","v":0},null,{"$f":"Z53+Z54+Z56+Z57","v":0},null,{"$f":"AB53+AB54+AB56+AB57","v":0},null,{"$f":"AD53+AD54+AD56+AD57","v":0},null,{"$f":"AF53+AF54+AF56+AF57","v":0},null,{"$f":"AH53+AH54+AH56+AH57","v":0},null,{"$f":"IF(AND(AJ32<>\"n/a\", AJ87<>\"n/a\"),AJ87-AJ32,0)","v":0}]
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[]
["As-Adjusted:"]
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[]
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[7,{"$f":"'Survey Set-Up'!$Q$8","v":"Other Medicaid Eligibles"},null,"Inpatient",null,{"$f":"Mngd_Care_Cross_InState_IP_Cost_1_ADJ","v":4374644},null,{"$f":"'Sec. H In-State ADJ'!$T$154","v":179205.20000000004},null,{"$f":"'Sec. H In-State ADJ'!$T$155","v":99746.61000000003},null,{"$f":"'Sec. H In-State ADJ'!$T$156","v":1603725.3100000003},null,{"$f":"'Sec. H In-State ADJ'!$T$157","v":9343.99},null,null,null,null,null,{"$f":"'Sec. H In-State ADJ'!$T$161","v":586829.01000000013},null,{"$f":"'Sec. H In-State ADJ'!$T$162","v":1702594.2000000004},null,{"$f":"'Sec. H In-State ADJ'!$T$163","v":0},null,{"$f":"'Sec. H In-State ADJ'!$T$164","v":0},null,null,null,null,null,{"$f":"H75+J75+L75+N75+T75+V75+X75+Z75","v":4181444.3200000012},null,{"$f":"F75-AF75","v":193199.67999999877},null,{"$f":"IF(F75<1,\"n/a\",AF75/F75)","v":0.95583647949410311}]
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[9,{"$f":"'Survey Set-Up'!$Q$9","v":"Uninsured"},null,"Inpatient",null,{"$f":"IF(State=\"California DPH\",Uninsured_InState_IP_Cost_1_ADJ+State_Only_InState_IP_Cost_1_ADJ+MCO_Mcaid_Eligible_InState_IP_Cost_1_ADJ,Uninsured_InState_IP_Cost_1_ADJ+State_Only_InState_IP_Cost_1_ADJ)","v":4608546},null,{"$f":"'Sec. H In-State ADJ'!$AN$154","v":0},null,{"$f":"'Sec. H In-State ADJ'!$AN$155","v":0},null,{"$f":"'Sec. H In-State ADJ'!$AN$156","v":0},null,{"$f":"'Sec. H In-State ADJ'!$AN$157","v":0},null,{"$f":"'Sec. H In-State ADJ'!$AN$159","v":0},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State ADJ'!$AN$160+'Sec. H In-State ADJ'!$AJ$160,'Sec. H In-State ADJ'!$AN$160)","v":0},null,{"$f":"'Sec. H In-State ADJ'!$AN$161","v":0},null,{"$f":"'Sec. H In-State ADJ'!$AN$162","v":0},null,{"$f":"'Sec. H In-State ADJ'!$AN$163","v":0},null,{"$f":"'Sec. H In-State ADJ'!$AN$164","v":0},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State ADJ'!$AR$165+'Sec. H In-State ADJ'!$AN$165+'Sec. H In-State ADJ'!$AJ$165,'Sec. H In-State ADJ'!$AR$165+'Sec. H In-State ADJ'!$AN$165)","v":178219},null,{"$f":"NotOnB_IP_1011_1_ADJ","v":0},null,{"$f":"H78+J78+N78+L78+P78+R78+T78+V78+X78+Z78+AB78+AD78","v":178219},null,{"$f":"F78-AF78","v":4430327},null,{"$f":"IF(F78<1,\"n/a\",AF78/F78)","v":3.8671416103907827E-2},{"$f":"H78+J78+L78+N78+P78+R78+T78+V78+X78+Z78+AB78","v":178219}]
[10,{"$f":"'Survey Set-Up'!$Q$9","v":"Uninsured"},null,"Outpatient",null,{"$f":"IF(State=\"California DPH\",Uninsured_Instate_OP_Cost_1_ADJ+State_Only_InState_OP_Cost_1_ADJ+MCO_Mcaid_Eligible_InState_OP_Cost_1_ADJ,Uninsured_Instate_OP_Cost_1_ADJ+State_Only_InState_OP_Cost_1_ADJ)","v":6188450},null,{"$f":"'Sec. H In-State ADJ'!$AP$154","v":0},null,{"$f":"'Sec. H In-State ADJ'!$AP$155","v":0},null,{"$f":"'Sec. H In-State ADJ'!$AP$156","v":0},null,{"$f":"'Sec. H In-State ADJ'!$AP$157","v":0},null,{"$f":"'Sec. H In-State ADJ'!$AP$159","v":0},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State ADJ'!$AP$160+'Sec. H In-State ADJ'!$AL$160,'Sec. H In-State ADJ'!$AP$160)","v":0},null,{"$f":"'Sec. H In-State ADJ'!$AP$161","v":0},null,{"$f":"'Sec. H In-State ADJ'!$AP$162","v":0},null,{"$f":"'Sec. H In-State ADJ'!$AP$163","v":0},null,{"$f":"'Sec. H In-State ADJ'!$AP$164","v":0},null,{"$f":"IF(State=\"California DPH\",'Sec. H In-State ADJ'!$AT$165+'Sec. H In-State ADJ'!$AP$165+'Sec. H In-State ADJ'!$AL$165,'Sec. H In-State ADJ'!$AT$165+'Sec. H In-State ADJ'!$AP$165)","v":572282},null,{"$f":"NotOnB_OP_1011_1_ADJ","v":0},null,{"$f":"H79+J79+N79+L79+P79+R79+T79+V79+X79+Z79+AB79+AD79","v":572282},null,{"$f":"F79-AF79","v":5616168},null,{"$f":"IF(F79<1,\"n/a\",AF79/F79)","v":9.2475821894012239E-2},{"$f":"H79+J79+L79+N79+P79+R79+T79+V79+X79+Z79+AB79","v":572282}]
[]
[11,"In-State Sub-total",null,"Inpatient",null,{"$f":"F66+F69+F72+F75+F78","v":24816597},null,{"$f":"H66+H69+H72+H75+H78","v":5733083.46},null,{"$f":"J66+J69+J72+J75+J78","v":4232282.6100000003},null,{"$f":"L66+L69+L72+L75+L78","v":1774574.8600000003},null,{"$f":"N66+N69+N72+N75+N78","v":10277.869999999999},null,{"$f":"P66+P69+P72+P75+P78","v":0},null,{"$f":"R66+R69+R72+R75+R78","v":0},null,{"$f":"T66+T69+T72+T75+T78","v":5401976.3700000029},null,{"$f":"V66+V69+V72+V75+V78","v":1709880.7200000004},null,{"$f":"X66+X69+X72+X75+X78","v":35003},null,{"$f":"Z66+Z69+Z72+Z75+Z78","v":0},null,{"$f":"AB66+AB69+AB72+AB75+AB78","v":178219},null,{"$f":"AD66+AD69+AD72+AD75+AD78","v":0},null,{"$f":"AF66+AF69+AF72+AF75+AF78","v":19075297.890000004},null,{"$f":"AH66+AH69+AH72+AH75+AH78","v":5741299.1099999957},null,{"$f":"IF(F81<1,\"n/a\",AF81/F81)","v":0.7686508303293963}]
[12,"In-State Sub-total",null,"Outpatient",null,{"$f":"F67+F70+F73+F76+F79","v":21196677},null,{"$f":"H67+H70+H73+H76+H79","v":3466124.7000000007},null,{"$f":"J67+J70+J73+J76+J79","v":4432590.4200003417},null,{"$f":"L67+L70+L73+L76+L79","v":1731109.4199999995},null,{"$f":"N67+N70+N73+N76+N79","v":34804.720000000001},null,{"$f":"P67+P70+P73+P76+P79","v":-365561},null,{"$f":"R67+R70+R73+R76+R79","v":0},null,{"$f":"T67+T70+T73+T76+T79","v":3226803.7299999786},null,{"$f":"V67+V70+V73+V76+V79","v":1209368.9000000034},null,{"$f":"X67+X70+X73+X76+X79","v":55778},null,{"$f":"Z67+Z70+Z73+Z76+Z79","v":0},null,{"$f":"AB67+AB70+AB73+AB76+AB79","v":572282},null,{"$f":"AD67+AD70+AD73+AD76+AD79","v":0},null,{"$f":"AF67+AF70+AF73+AF76+AF79","v":14363300.890000323},null,{"$f":"AH67+AH70+AH73+AH76+AH79","v":6833376.1099996772},null,{"$f":"IF(F82<1,\"n/a\",AF82/F82)","v":0.67762040672697532}]
[]
[13,{"$f":"'Survey Set-Up'!$Q$12","v":"Out-of-State Medicaid"},null,"Inpatient",null,{"$f":"Tot_Mcaid_OutOfState_IP_Cost_1_ADJ","v":400725},null,{"$f":"'Sec. I Out-of-State ADJ'!$X$154","v":73383},null,{"$f":"'Sec. I Out-of-State ADJ'!$X$155","v":0},null,{"$f":"'Sec. I Out-of-State ADJ'!$X$156","v":38441},null,{"$f":"'Sec. I Out-of-State ADJ'!$X$157","v":151},null,{"$f":"'Sec. I Out-of-State ADJ'!$X$159","v":0},null,{"$f":"'Sec. I Out-of-State ADJ'!$X$160","v":0},null,{"$f":"'Sec. I Out-of-State ADJ'!$X$161","v":105189},null,{"$f":"'Sec. I Out-of-State ADJ'!$X$162","v":27705},null,{"$f":"'Sec. I Out-of-State ADJ'!$X$163","v":0},null,{"$f":"'Sec. I Out-of-State ADJ'!$X$164","v":0},null,null,null,null,null,{"$f":"H84+J84+P84+R84+T84+N84+L84+V84+X84+Z84","v":244869},null,{"$f":"F84-AF84","v":155856},null,{"$f":"IF(F84<1,\"n/a\",AF84/F84)","v":0.61106494478757256}]
[14,{"$f":"'Survey Set-Up'!$Q$12","v":"Out-of-State Medicaid"},null,"Outpatient",null,{"$f":"Tot_Mcaid_OutOfState_OP_Cost_1_ADJ","v":417613},null,{"$f":"'Sec. I Out-of-State ADJ'!$Z$154","v":45644.54},null,{"$f":"'Sec. I Out-of-State ADJ'!$Z$155","v":0},null,{"$f":"'Sec. I Out-of-State ADJ'!$Z$156","v":62773.429999999993},null,{"$f":"'Sec. I Out-of-State ADJ'!$Z$157","v":389.1},null,{"$f":"'Sec. I Out-of-State ADJ'!$Z$159","v":0},null,{"$f":"'Sec. I Out-of-State ADJ'!$Z$160","v":0},null,{"$f":"'Sec. I Out-of-State ADJ'!$Z$161","v":181449},null,{"$f":"'Sec. I Out-of-State ADJ'!$Z$162","v":12932},null,{"$f":"'Sec. I Out-of-State ADJ'!$Z$163","v":0},null,{"$f":"'Sec. I Out-of-State ADJ'!$Z$164","v":0},null,null,null,null,null,{"$f":"H85+J85+P85+R85+T85+N85+L85+V85+X85+Z85","v":303188.07},null,{"$f":"F85-AF85","v":114424.93},null,{"$f":"IF(F85<1,\"n/a\",AF85/F85)","v":0.7260024711874391}]
[]
[15,"Cost Report Year Sub-Total",null,"I/P and O/P",null,{"$f":"F81+F82+F84+F85","v":46831612},null,{"$f":"H81+H82+H84+H85","v":9318235.6999999993},null,{"$f":"J81+J82+J84+J85","v":8664873.0300003421},null,{"$f":"L81+L82+L84+L85","v":3606898.71},null,{"$f":"N81+N82+N84+N85","v":45622.689999999995},null,{"$f":"P81+P82+P84+P85","v":-365561},null,{"$f":"R81+R82+R84+R85","v":0},null,{"$f":"T81+T82+T84+T85","v":8915418.099999981},null,{"$f":"V81+V82+V84+V85","v":2959886.6200000038},null,{"$f":"X81+X82+X84+X85","v":90781},null,{"$f":"Z81+Z82+Z84+Z85","v":0},null,{"$f":"AB81+AB82+AB84+AB85","v":750501},null,{"$f":"AD81+AD82+AD84+AD85","v":0},null,{"$f":"AF81+AF82+AF84+AF85","v":33986655.850000329},null,{"$f":"AH81+AH82+AH84+AH85","v":12844956.149999673},null,{"$f":"IF(F87<1,\"n/a\",AF87/F87)","v":0.72572039266981303}]
[{"$f":"IF(AH88<>0,\"15.01\",\"\")","v":"15.01"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(AND(OR(FRA_Basis_ADJ=\"Days\", FRA_Basis_ADJ=\"Charges Sec. F-3\", FRA_Basis_ADJ=\"Charges Sec. G\"),FRAAddBack_ADJ<>0),\"Provider Tax Assessment Adjustment to UCC\",\"\")","v":"Provider Tax Assessment Adjustment to UCC"},null,{"$f":"FRAAddBack_ADJ","v":697302}]
[16,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Less:  Out of State DSH Payments from Adjusted Survey",null,{"$f":"OutOfState_DSH_Pmts_1_ADJ","v":0}]
[17,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Adjusted Sub-Total UCC Prior to Supplemental Medicaid Payments",null,{"$f":"AH87+AH88-OutofStateDSH_1_ADJ","v":13542258.149999673}]

{"sheet":"Exam Adjustments","index":24,"n_rows":4926,"n_cols":11,"rows_kept":4926,"cut":false,"hidden":true,"merged":[[6,0,6,8],[2,2,2,6],[0,0,0,8],[5,0,5,10]]}
["Medicaid DSH Survey Adjustments"]
[]
["PROVIDER:",null,{"$f":"ProvName_ADJ","v":"WELLSTAR WEST GEORGIA HOSPITAL"},null,null,null,null,"Mcaid Number:",{"$f":"IF(OR(LEN(TRIM(McaidNumAdj_ADJ))=0,McaidNumAdj_ADJ=0),McaidNum_ADJ,McaidNumAdj_ADJ)","v":"000002065A"}]
["FROM:",null,{"$f":"FYB_1_ADJ","v":"2016-07-01"},null,"TO:",{"$f":"FYE_1_ADJ","v":"2017-06-30"},null,"Mcare Number:",{"$f":"IF(OR(LEN(TRIM(McareNumADJ_ADJ))=0,McareNumADJ_ADJ=0),McareNum_ADJ,McareNumADJ_ADJ)","v":110016}]
[]
["Myers and Stauffer DSH Survey Adjustments"]
[]
["Adj. #","Schedule","Line #","Line Description","Column","Column Description","Explanation for Adjustment","Original Amount","Adjustment","Adjusted Total","W/P Ref."]
[null,"E - Disclosure of Medicaid / Uninsured Payments",{"$f":"'Sec. D, E, F CR Data'!$A$48","v":"1."},{"$f":"'Sec. D, E, F CR Data'!$B$48","v":"Section 1011 Payment Related to Hospital Services Included in Exhibits B & B-1  (See Note 1)"},"1.00","Amount","Adjust to 1011 payment data.",{"$f":"'Sec. D, E, F CR Data'!$I$48","v":0},{"$f":"$J$9-$H$9","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$I$48","v":0}]
[null,"E - Disclosure of Medicaid / Uninsured Payments",{"$f":"'Sec. D, E, F CR Data'!$A$49","v":"2."},{"$f":"'Sec. D, E, F CR Data'!$B$49","v":"Section 1011 Payment Related to Inpatient Hospital Services NOT Included in Exhibits B & B-1  (See Note 1)"},"1.00","Amount","Adjust to 1011 payment data.",{"$f":"'Sec. D, E, F CR Data'!$I$49","v":0},{"$f":"$J$10-$H$10","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$I$49","v":0}]
[null,"E - Disclosure of Medicaid / Uninsured Payments",{"$f":"'Sec. D, E, F CR Data'!$A$50","v":"3."},{"$f":"'Sec. D, E, F CR Data'!$B$50","v":"Section 1011 Payment Related to Outpatient Hospital Services NOT Included in Exhibits B & B-1  (See Note 1)"},"1.00","Amount","Adjust to 1011 payment data.",{"$f":"'Sec. D, E, F CR Data'!$I$50","v":0},{"$f":"$J$11-$H$11","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$I$50","v":0}]
[null,"E - Disclosure of Medicaid / Uninsured Payments",{"$f":"'Sec. D, E, F CR Data'!$A$52","v":"5."},{"$f":"'Sec. D, E, F CR Data'!$B$52","v":"Section 1011 Payment Related to Non-Hospital Services Included in Exhibits B & B-1  (See Note 1)"},"1.00","Amount","Adjust to 1011 payment data.",{"$f":"'Sec. D, E, F CR Data'!$I$52","v":0},{"$f":"$J$12-$H$12","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$I$52","v":0}]
[null,"E - Disclosure of Medicaid / Uninsured Payments",{"$f":"'Sec. D, E, F CR Data'!$A$53","v":"6."},{"$f":"'Sec. D, E, F CR Data'!$B$53","v":"Section 1011 Payment Related to Non-Hospital Services NOT Included in Exhibits B & B-1  (See Note 1)"},"1.00","Amount","Adjust to 1011 payment data.",{"$f":"'Sec. D, E, F CR Data'!$I$53","v":0},{"$f":"$J$13-$H$13","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$I$53","v":0}]
[null,"E - Disclosure of Medicaid / Uninsured Payments",{"$f":"'Sec. D, E, F CR Data'!$A$57","v":"8."},{"$f":"'Sec. D, E, F CR Data'!$B$57","v":"Out-of-State DSH Payments  (See Note 2)"},"1.00","Amount","Adjust to out-of-state DSH payment data.",{"$f":"OutOfState_DSH_Pmts_1","v":0},{"$f":"$J$14-$H$14","v":0},{"$f":"OutOfState_DSH_Pmts_1_ADJ","v":0}]
[null,"E - Disclosure of Medicaid / Uninsured Payments",{"$f":"'Sec. D, E, F CR Data'!$A$60","v":"9."},{"$f":"'Sec. D, E, F CR Data'!$B$60","v":"Total Cash Basis Patient Payments from Uninsured (On Exhibit B)"},"1.00","Amount - Inpatient","Adjust to hospital's uninsured data.",{"$f":"'Sec. D, E, F CR Data'!$I$60","v":178219},{"$f":"$J$15-$H$15","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$I$60","v":178219}]
[null,"E - Disclosure of Medicaid / Uninsured Payments",{"$f":"'Sec. D, E, F CR Data'!$A$61","v":"10."},{"$f":"'Sec. D, E, F CR Data'!$B$61","v":"Total Cash Basis Patient Payments from All Other Patients (On Exhibit B)"},"1.00","Amount - Inpatient","Adjust to hospital's data.",{"$f":"'Sec. D, E, F CR Data'!$I$61","v":832938},{"$f":"$J$16-$H$16","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$I$61","v":832938}]
[null,"E - Disclosure of Medicaid / Uninsured Payments",{"$f":"'Sec. D, E, F CR Data'!$A$60","v":"9."},{"$f":"'Sec. D, E, F CR Data'!$B$60","v":"Total Cash Basis Patient Payments from Uninsured (On Exhibit B)"},"2.00","Amount - Outpatient","Adjust to hospital's uninsured data.",{"$f":"'Sec. D, E, F CR Data'!$K$60","v":572282},{"$f":"$J$17-$H$17","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$K$60","v":572282}]
[null,"E - Disclosure of Medicaid / Uninsured Payments",{"$f":"'Sec. D, E, F CR Data'!$A$61","v":"10."},{"$f":"'Sec. D, E, F CR Data'!$B$61","v":"Total Cash Basis Patient Payments from All Other Patients (On Exhibit B)"},"2.00","Amount - Outpatient","Adjust to hospital's data.",{"$f":"'Sec. D, E, F CR Data'!$K$61","v":4023044},{"$f":"$J$18-$H$18","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$K$61","v":4023044}]
[null,"E - Disclosure of Medicaid / Uninsured Payments",{"$f":"'Sec. D, E, F CR Data'!$A$66","v":"13."},{"$f":"'Sec. D, E, F CR Data'!$B$66","v":"Did your hospital receive any Medicaid managed care payments not paid at the claim level?"},"2.00","Amount - Outpatient","Adjust to hospital's data.",{"$f":"'Sec. D, E, F CR Data'!$I$66","v":"No"},{"$f":"IF(H19=J19,0,J19)","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$I$66","v":"No"}]
[null,"E - Disclosure of Medicaid / Uninsured Payments",{"$f":"'Sec. D, E, F CR Data'!$A$68","v":"14."},{"$f":"'Sec. D, E, F CR Data'!$B$68","v":"Total Medicaid managed care non-claims payments (see question 13 above) received applicable to hospital services"},"2.00","Amount - Outpatient","Adjust to hospital's data.",{"$f":"'Sec. D, E, F CR Data'!$I$68","v":0},{"$f":"$J$20-$H$20","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$I$68","v":0}]
[null,"E - Disclosure of Medicaid / Uninsured Payments",{"$f":"'Sec. D, E, F CR Data'!$A$69","v":"15."},{"$f":"'Sec. D, E, F CR Data'!$B$69","v":"Total Medicaid managed care non-claims payments (see question 13 above) received applicable to non-hospital services"},"2.00","Amount - Outpatient","Adjust to hospital's data.",{"$f":"'Sec. D, E, F CR Data'!$I$69","v":0},{"$f":"$J$21-$H$21","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$I$69","v":0}]
[null,"E - Disclosure of Medicaid / Uninsured Payments",{"$f":"'Sec. D, E, F CR Data'!$A$70","v":"16."},{"$f":"'Sec. D, E, F CR Data'!$B$70","v":"Total Medicaid managed care non-claims payments (see question 13 above) received"},"2.00","Amount - Outpatient","Adjust to hospital's data.",{"$f":"'Sec. D, E, F CR Data'!$I$70","v":0},{"$f":"$J$22-$H$22","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$I$70","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$80","v":"1."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$80","v":"Total Hospital Days Per Cost Report Excluding Swing-Bed (C/R, W/S S-3, Pt. I, Col. 8, Sum of Lns. 14, 16, 17, 18.00-18.03, 30, 31 less lines 5 & 6)"},"1.00","Amount","Adjust to cost report.",{"$f":"CRTotHospDays","v":27088},{"$f":"$J$23-$H$23","v":0},{"$f":"CRTotHospDays_ADJ","v":27088}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$86","v":"2."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$86","v":"Inpatient Hospital Subsidies"},"1.00","Amount","Adjust to hospital's financial records.",{"$f":"IP_Hosp_Subsidies_1","v":0},{"$f":"$J$24-$H$24","v":0},{"$f":"IP_Hosp_Subsidies_1_ADJ","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$87","v":"3."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$87","v":"Outpatient Hospital Subsidies"},"1.00","Amount","Adjust to hospital's financial records.",{"$f":"OP_Hosp_Subsidies_1","v":0},{"$f":"$J$25-$H$25","v":0},{"$f":"OP_Hosp_Subsidies_1_ADJ","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$88","v":"4."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$88","v":"Unspecified I/P and O/P Hospital Subsidies"},"1.00","Amount","Adjust to hospital's financial records.",{"$f":"Unspec_Hosp_Subsidies_1","v":0},{"$f":"$J$26-$H$26","v":0},{"$f":"Unspec_Hosp_Subsidies_1_ADJ","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$89","v":"5."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$89","v":"Non-Hospital Subsidies"},"1.00","Amount","Adjust to hospital's financial records.",{"$f":"NonHosp_Subsidies_1","v":0},{"$f":"$J$27-$H$27","v":0},{"$f":"NonHosp_Subsidies_1_ADJ","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$92","v":"7."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$92","v":"Inpatient Hospital Charity Care Charges"},"1.00","Amount","Adjust to hospital's financial records.",{"$f":"IP_Charity_Charges_1","v":11312337},{"$f":"$J$28-$H$28","v":0},{"$f":"IP_Charity_Charges_1_ADJ","v":11312337}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$93","v":"8."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$93","v":"Outpatient Hospital Charity Care Charges"},"1.00","Amount","Adjust to hospital's financial records.",{"$f":"OP_Charity_Charges_1","v":46832555},{"$f":"$J$29-$H$29","v":0},{"$f":"OP_Charity_Charges_1_ADJ","v":46832555}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$94","v":"9."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$94","v":"Non-Hospital Charity Care Charges"},"1.00","Amount","Adjust to hospital's financial records.",{"$f":"NonHosp_Charity_Charges_1","v":0},{"$f":"$J$30-$H$30","v":0},{"$f":"NonHosp_Charity_Charges_1_ADJ","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$104","v":"11."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$104","v":"Hospital"},"1.00","Inpatient Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$C$104","v":43829351},{"$f":"$J$31-$H$31","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$C$104","v":43829351}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$105","v":"12."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$105","v":"Psych Subprovider"},"1.00","Inpatient Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$C$105","v":0},{"$f":"$J$32-$H$32","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$C$105","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$106","v":"13."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$106","v":"Rehab. Subprovider"},"1.00","Inpatient Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$C$106","v":0},{"$f":"$J$33-$H$33","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$C$106","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$112","v":"19."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$112","v":"Ancillary Services"},"1.00","Inpatient Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$C$112","v":138621550},{"$f":"$J$34-$H$34","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$C$112","v":138621550}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$115","v":"22."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$115","v":"Ambulance"},"1.00","Inpatient Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$C$115","v":0},{"$f":"$J$35-$H$35","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$C$115","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$116","v":"23."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$116","v":"Outpatient Rehab Providers"},"1.00","Inpatient Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$C$116","v":0},{"$f":"$J$36-$H$36","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$C$116","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$117","v":"24."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$117","v":"ASC"},"1.00","Inpatient Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$C$117","v":0},{"$f":"$J$37-$H$37","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$C$117","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$119","v":"26."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$119","v":"Other"},"1.00","Inpatient Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$C$119","v":7499510},{"$f":"$J$38-$H$38","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$C$119","v":7499510}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$104","v":"11."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$104","v":"Hospital"},"2.00","Outpatient Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$E$104","v":0},{"$f":"$J$39-$H$39","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$E$104","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$105","v":"12."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$105","v":"Psych Subprovider"},"2.00","Outpatient Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$E$105","v":0},{"$f":"$J$40-$H$40","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$E$105","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$106","v":"13."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$106","v":"Rehab. Subprovider"},"2.00","Outpatient Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$E$106","v":0},{"$f":"$J$41-$H$41","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$E$106","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$112","v":"19."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$112","v":"Ancillary Services"},"2.00","Outpatient Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$E$112","v":252752716},{"$f":"$J$42-$H$42","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$E$112","v":252752716}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$115","v":"22."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$115","v":"Ambulance"},"2.00","Outpatient Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$E$115","v":0},{"$f":"$J$43-$H$43","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$E$115","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$116","v":"23."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$116","v":"Outpatient Rehab Providers"},"2.00","Outpatient Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$E$116","v":0},{"$f":"$J$44-$H$44","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$E$116","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$117","v":"24."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$117","v":"ASC"},"2.00","Outpatient Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$E$117","v":0},{"$f":"$J$45-$H$45","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$E$117","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$119","v":"26."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$119","v":"Other"},"2.00","Outpatient Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$E$119","v":10296018},{"$f":"$J$46-$H$46","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$E$119","v":10296018}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$113","v":"20."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$113","v":"Outpatient Services"},"2.00","Outpatient Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$E$113","v":67312804},{"$f":"$J$47-$H$47","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$E$113","v":67312804}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$104","v":"11."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$104","v":"Hospital"},"3.00","Non-Hospital Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$G$104","v":0},{"$f":"$J$48-$H$48","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$G$104","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$105","v":"12."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$105","v":"Psych Subprovider"},"3.00","Non-Hospital Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$G$105","v":0},{"$f":"$J$49-$H$49","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$G$105","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$106","v":"13."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$106","v":"Rehab. Subprovider"},"3.00","Non-Hospital Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$G$106","v":0},{"$f":"$J$50-$H$50","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$G$106","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$107","v":"14."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$107","v":"Swing Bed - SNF"},"3.00","Non-Hospital Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$G$107","v":0},{"$f":"$J$51-$H$51","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$G$107","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$108","v":"15."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$108","v":"Swing Bed - NF"},"3.00","Non-Hospital Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$G$108","v":0},{"$f":"$J$52-$H$52","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$G$108","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$109","v":"16."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$109","v":"Skilled Nursing Facility"},"3.00","Non-Hospital Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$G$109","v":8870906},{"$f":"$J$53-$H$53","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$G$109","v":8870906}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$110","v":"17."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$110","v":"Nursing Facility"},"3.00","Non-Hospital Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$G$110","v":0},{"$f":"$J$54-$H$54","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$G$110","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$111","v":"18."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$111","v":"Other Long-Term Care"},"3.00","Non-Hospital Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$G$111","v":0},{"$f":"$J$55-$H$55","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$G$111","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$112","v":"19."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$112","v":"Ancillary Services"},"3.00","Non-Hospital Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$G$112","v":0},{"$f":"$J$56-$H$56","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$G$112","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$113","v":"20."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$113","v":"Outpatient Services"},"3.00","Non-Hospital Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$G$113","v":0},{"$f":"$J$57-$H$57","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$G$113","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$114","v":"21."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$114","v":"Home Health Agency"},"3.00","Non-Hospital Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$G$114","v":3761850},{"$f":"$J$58-$H$58","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$G$114","v":3761850}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$115","v":"22."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$115","v":"Ambulance"},"3.00","Non-Hospital Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$G$115","v":0},{"$f":"$J$59-$H$59","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$G$115","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$116","v":"23."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$116","v":"Outpatient Rehab Providers"},"3.00","Non-Hospital Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$G$116","v":0},{"$f":"$J$60-$H$60","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$G$116","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$117","v":"24."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$117","v":"ASC"},"3.00","Non-Hospital Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$G$117","v":0},{"$f":"$J$61-$H$61","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$G$117","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$118","v":"25."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$118","v":"Hospice"},"3.00","Non-Hospital Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$G$118","v":6634566},{"$f":"$J$62-$H$62","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$G$118","v":6634566}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$119","v":"26."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$119","v":"Other"},"3.00","Non-Hospital Total Patient Revenues (Total Charges)","Adjust hospital revenues to the hospital cost report worksheet G-2.",{"$f":"'Sec. D, E, F CR Data'!$G$119","v":0},{"$f":"$J$63-$H$63","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$G$119","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$104","v":"11."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$104","v":"Hospital"},"4.00","Inpatient Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$I$104","v":28872506.360398762},{"$f":"$J$64-$H$64","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$I$104","v":28872506.360398762}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$105","v":"12."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$105","v":"Psych Subprovider"},"4.00","Inpatient Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$I$105","v":0},{"$f":"$J$65-$H$65","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$I$105","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$106","v":"13."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$106","v":"Rehab. Subprovider"},"4.00","Inpatient Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$I$106","v":0},{"$f":"$J$66-$H$66","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$I$106","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$112","v":"19."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$112","v":"Ancillary Services"},"4.00","Inpatient Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$I$112","v":91316697.435545757},{"$f":"$J$67-$H$67","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$I$112","v":91316697.435545757}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$115","v":"22."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$115","v":"Ambulance"},"4.00","Inpatient Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$I$115","v":0},{"$f":"$J$68-$H$68","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$I$115","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$116","v":"23."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$116","v":"Outpatient Rehab Providers"},"4.00","Inpatient Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$I$116","v":0},{"$f":"$J$69-$H$69","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$I$116","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$117","v":"24."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$117","v":"ASC"},"4.00","Inpatient Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$I$117","v":0},{"$f":"$J$70-$H$70","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$I$117","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$119","v":"26."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$119","v":"Other"},"4.00","Inpatient Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$I$119","v":4940288.7616308555},{"$f":"$J$71-$H$71","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$I$119","v":4940288.7616308555}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$104","v":"11."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$104","v":"Hospital"},"5.00","Outpatient Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$K$104","v":0},{"$f":"$J$72-$H$72","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$K$104","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$105","v":"12."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$105","v":"Psych Subprovider"},"5.00","Outpatient Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$K$105","v":0},{"$f":"$J$73-$H$73","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$K$105","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$106","v":"13."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$106","v":"Rehab. Subprovider"},"5.00","Outpatient Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$K$106","v":0},{"$f":"$J$74-$H$74","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$K$106","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$112","v":"19."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$112","v":"Ancillary Services"},"5.00","Outpatient Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$K$112","v":166500398.33622137},{"$f":"$J$75-$H$75","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$K$112","v":166500398.33622137}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$115","v":"22."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$115","v":"Ambulance"},"5.00","Outpatient Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$K$115","v":0},{"$f":"$J$76-$H$76","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$K$115","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$116","v":"23."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$116","v":"Outpatient Rehab Providers"},"5.00","Outpatient Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$K$116","v":0},{"$f":"$J$77-$H$77","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$K$116","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$117","v":"24."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$117","v":"ASC"},"5.00","Outpatient Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$K$117","v":0},{"$f":"$J$78-$H$78","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$K$117","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$119","v":"26."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$119","v":"Other"},"5.00","Outpatient Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$K$119","v":6782483.3909080727},{"$f":"$J$79-$H$79","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$K$119","v":6782483.3909080727}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$113","v":"20."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$113","v":"Outpatient Services"},"5.00","Outpatient Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$K$113","v":44342188.905016534},{"$f":"$J$80-$H$80","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$K$113","v":44342188.905016534}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$104","v":"11."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$104","v":"Hospital"},"6.00","Non-Hospital Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$M$104","v":0},{"$f":"$J$81-$H$81","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$M$104","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$105","v":"12."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$105","v":"Psych Subprovider"},"6.00","Non-Hospital Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$M$105","v":0},{"$f":"$J$82-$H$82","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$M$105","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$106","v":"13."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$106","v":"Rehab. Subprovider"},"6.00","Non-Hospital Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$M$106","v":0},{"$f":"$J$83-$H$83","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$M$106","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$107","v":"14."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$107","v":"Swing Bed - SNF"},"6.00","Non-Hospital Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$M$107","v":0},{"$f":"$J$84-$H$84","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$M$107","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$108","v":"15."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$108","v":"Swing Bed - NF"},"6.00","Non-Hospital Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$M$108","v":0},{"$f":"$J$85-$H$85","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$M$108","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$109","v":"16."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$109","v":"Skilled Nursing Facility"},"6.00","Non-Hospital Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$M$109","v":5843693.41694107},{"$f":"$J$86-$H$86","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$M$109","v":5843693.41694107}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$110","v":"17."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$110","v":"Nursing Facility"},"6.00","Non-Hospital Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$M$110","v":0},{"$f":"$J$87-$H$87","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$M$110","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$111","v":"18."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$111","v":"Other Long-Term Care"},"6.00","Non-Hospital Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$M$111","v":0},{"$f":"$J$88-$H$88","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$M$111","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$112","v":"19."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$112","v":"Ancillary Services"},"6.00","Non-Hospital Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$M$112","v":0},{"$f":"$J$89-$H$89","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$M$112","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$114","v":"21."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$114","v":"Home Health Agency"},"6.00","Non-Hospital Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$M$114","v":2478111.9403722421},{"$f":"$J$90-$H$90","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$M$114","v":2478111.9403722421}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$115","v":"22."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$115","v":"Ambulance"},"6.00","Non-Hospital Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$M$115","v":0},{"$f":"$J$91-$H$91","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$M$115","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$116","v":"23."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$116","v":"Outpatient Rehab Providers"},"6.00","Non-Hospital Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$M$116","v":0},{"$f":"$J$92-$H$92","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$M$116","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$117","v":"24."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$117","v":"ASC"},"6.00","Non-Hospital Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$M$117","v":0},{"$f":"$J$93-$H$93","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$M$117","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$118","v":"25."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$118","v":"Hospice"},"6.00","Non-Hospital Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$M$118","v":4370508.4529653508},{"$f":"$J$94-$H$94","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$M$118","v":4370508.4529653508}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$119","v":"26."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$119","v":"Other"},"6.00","Non-Hospital Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$M$119","v":0},{"$f":"$J$95-$H$95","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$M$119","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$113","v":"20."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$113","v":"Outpatient Services"},"6.00","Non-Hospital Contractuals","Adjust hospital contractuals to the hospital cost report worksheet G-3 total.",{"$f":"'Sec. D, E, F CR Data'!$M$113","v":0},{"$f":"$J$96-$H$96","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$M$113","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$127","v":"30."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$127","v":"Increase worksheet G-3, Line 2 for Bad Debts NOT INCLUDED on worksheet G-3, Line 2 (impact is a decrease in net patient revenue)"},"6.00","Total","Adjust to hospital's documentation.",{"$f":"'Sec. D, E, F CR Data'!$M$127","v":0},{"$f":"$J$97-$H$97","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$M$127","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$128","v":"31."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$128","v":"Increase worksheet G-3, Line 2 for Charity Care Write-Offs NOT INCLUDED on worksheet G-3, Line 2 (impact is a decrease in net patient revenue)"},"6.00","Total","Adjust to hospital's documentation.",{"$f":"'Sec. D, E, F CR Data'!$M$128","v":0},{"$f":"$J$98-$H$98","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$M$128","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$129","v":"32."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$129","v":"Increase worksheet G-3, Line 2 to reverse offset of Medicaid DSH Revenue INCLUDED on worksheet G-3, Line 2 (impact is a decrease in net patient revenue)"},"6.00","Total","Adjust to hospital's documentation.",{"$f":"'Sec. D, E, F CR Data'!$M$129","v":0},{"$f":"$J$99-$H$99","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$M$129","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$130","v":"33."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$130","v":"Increase worksheet G-3, Line 2 to reverse offset of State and Local Patient Care Cash Subsidies INCLUDED on worksheet G-3, Line 2 (impact is a decrease in net patient revenue)"},"6.00","Total","Adjust to hospital's documentation.",{"$f":"'Sec. D, E, F CR Data'!$M$130","v":0},{"$f":"$J$100-$H$100","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$M$130","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$131","v":"34."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$131","v":"Decrease worksheet G-3, Line 2 to remove Medicaid Provider Taxes INCLUDED on worksheet G-3, Line 2 (impact is an increase in net patient revenue)"},"6.00","Total","Adjust to hospital's documentation.",{"$f":"'Sec. D, E, F CR Data'!$M$131","v":0},{"$f":"$J$101-$H$101","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$M$131","v":0}]
[null,"F - MIUR/LIUR Data",{"$f":"'Sec. D, E, F CR Data ADJ'!$A$132","v":"35."},{"$f":"'Sec. D, E, F CR Data ADJ'!$B$132","v":"Blank Recon Line OR \"Decrease worksheet G-3, Line 2 to remove Charity Care Charges related to insured patients INCLUDED on worksheet G-3, Line 2 (impact is an increase in net patient revenue)\""},"6.00","Total","Adjust to hospital's documentation.",{"$f":"'Sec. D, E, F CR Data'!$M$132","v":0},{"$f":"$J$102-$H$102","v":0},{"$f":"'Sec. D, E, F CR Data ADJ'!$M$132","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$11","v":1},{"$f":"'Sec. G CR Data ADJ'!$C$11","v":"ADULTS & PEDIATRICS"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$11","v":20655287},{"$f":"$J$103-$H$103","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$11","v":20655287}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$12","v":2},{"$f":"'Sec. G CR Data ADJ'!$C$12","v":"INTENSIVE CARE UNIT"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$12","v":5404012},{"$f":"$J$104-$H$104","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$12","v":5404012}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$13","v":3},{"$f":"'Sec. G CR Data ADJ'!$C$13","v":"CORONARY CARE UNIT"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$13","v":0},{"$f":"$J$105-$H$105","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$13","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$14","v":4},{"$f":"'Sec. G CR Data ADJ'!$C$14","v":"BURN INTENSIVE CARE UNIT"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$14","v":0},{"$f":"$J$106-$H$106","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$14","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$15","v":5},{"$f":"'Sec. G CR Data ADJ'!$C$15","v":"SURGICAL INTENSIVE CARE UNIT"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$15","v":0},{"$f":"$J$107-$H$107","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$15","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$16","v":6},{"$f":"'Sec. G CR Data ADJ'!$C$16","v":"OTHER SPECIAL CARE UNIT"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$16","v":0},{"$f":"$J$108-$H$108","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$16","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$17","v":7},{"$f":"'Sec. G CR Data ADJ'!$C$17","v":"SUBPROVIDER I"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$17","v":0},{"$f":"$J$109-$H$109","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$17","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$18","v":8},{"$f":"'Sec. G CR Data ADJ'!$C$18","v":"SUBPROVIDER II"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$18","v":0},{"$f":"$J$110-$H$110","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$18","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$19","v":9},{"$f":"'Sec. G CR Data ADJ'!$C$19","v":"OTHER SUBPROVIDER"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$19","v":0},{"$f":"$J$111-$H$111","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$19","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$20","v":10},{"$f":"'Sec. G CR Data ADJ'!$C$20","v":"NURSERY"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$20","v":2118684},{"$f":"$J$112-$H$112","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$20","v":2118684}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$21","v":11},{"$f":"'Sec. G CR Data ADJ'!$C$21","v":0},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$21","v":0},{"$f":"$J$113-$H$113","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$21","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$22","v":12},{"$f":"'Sec. G CR Data ADJ'!$C$22","v":0},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$22","v":0},{"$f":"$J$114-$H$114","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$22","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$23","v":13},{"$f":"'Sec. G CR Data ADJ'!$C$23","v":0},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$23","v":0},{"$f":"$J$115-$H$115","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$23","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$24","v":14},{"$f":"'Sec. G CR Data ADJ'!$C$24","v":0},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$24","v":0},{"$f":"$J$116-$H$116","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$24","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$25","v":15},{"$f":"'Sec. G CR Data ADJ'!$C$25","v":0},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$25","v":0},{"$f":"$J$117-$H$117","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$25","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$26","v":16},{"$f":"'Sec. G CR Data ADJ'!$C$26","v":0},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$26","v":0},{"$f":"$J$118-$H$118","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$26","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$27","v":17},{"$f":"'Sec. G CR Data ADJ'!$C$27","v":0},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$27","v":0},{"$f":"$J$119-$H$119","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$27","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$36","v":21},{"$f":"'Sec. G CR Data ADJ'!$C$37","v":"RECOVERY ROOM"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$36","v":9382633},{"$f":"$J$120-$H$120","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$36","v":9382633}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$37","v":22},{"$f":"'Sec. G CR Data ADJ'!$C$37","v":"RECOVERY ROOM"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$37","v":1462188},{"$f":"$J$121-$H$121","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$37","v":1462188}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$38","v":23},{"$f":"'Sec. G CR Data ADJ'!$C$38","v":"DELIVERY ROOM & LABOR ROOM"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$38","v":3219563},{"$f":"$J$122-$H$122","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$38","v":3219563}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$39","v":24},{"$f":"'Sec. G CR Data ADJ'!$C$39","v":"ANESTHESIOLOGY"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$39","v":295750},{"$f":"$J$123-$H$123","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$39","v":295750}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$40","v":25},{"$f":"'Sec. G CR Data ADJ'!$C$40","v":"RADIOLOGY-DIAGNOSTIC"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$40","v":5439991},{"$f":"$J$124-$H$124","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$40","v":5439991}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$41","v":26},{"$f":"'Sec. G CR Data ADJ'!$C$41","v":"RADIOLOGY-THERAPEUTIC"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$41","v":2596476},{"$f":"$J$125-$H$125","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$41","v":2596476}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$42","v":27},{"$f":"'Sec. G CR Data ADJ'!$C$42","v":"NUCLEAR MEDICINE"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$42","v":1394555},{"$f":"$J$126-$H$126","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$42","v":1394555}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$43","v":28},{"$f":"'Sec. G CR Data ADJ'!$C$43","v":"CT SCAN"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$43","v":1647912},{"$f":"$J$127-$H$127","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$43","v":1647912}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$44","v":29},{"$f":"'Sec. G CR Data ADJ'!$C$44","v":"MRI"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$44","v":833378},{"$f":"$J$128-$H$128","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$44","v":833378}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$45","v":30},{"$f":"'Sec. G CR Data ADJ'!$C$45","v":"CARDIAC CATHETERIZATION"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$45","v":2393773},{"$f":"$J$129-$H$129","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$45","v":2393773}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$46","v":31},{"$f":"'Sec. G CR Data ADJ'!$C$46","v":"LABORATORY"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$46","v":9038887},{"$f":"$J$130-$H$130","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$46","v":9038887}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$47","v":32},{"$f":"'Sec. G CR Data ADJ'!$C$47","v":"RESPIRATORY THERAPY"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$47","v":2934569},{"$f":"$J$131-$H$131","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$47","v":2934569}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$48","v":33},{"$f":"'Sec. G CR Data ADJ'!$C$48","v":"PHYSICAL THERAPY"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$48","v":3452964},{"$f":"$J$132-$H$132","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$48","v":3452964}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$49","v":34},{"$f":"'Sec. G CR Data ADJ'!$C$49","v":"SPEECH PATHOLOGY"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$49","v":224488},{"$f":"$J$133-$H$133","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$49","v":224488}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$50","v":35},{"$f":"'Sec. G CR Data ADJ'!$C$50","v":"ELECTROCARDIOLOGY"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$50","v":390014},{"$f":"$J$134-$H$134","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$50","v":390014}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$51","v":36},{"$f":"'Sec. G CR Data ADJ'!$C$51","v":"ELECTROENCEPHALOGRAPHY"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$51","v":209458},{"$f":"$J$135-$H$135","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$51","v":209458}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$52","v":37},{"$f":"'Sec. G CR Data ADJ'!$C$52","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$52","v":11838179},{"$f":"$J$136-$H$136","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$52","v":11838179}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$53","v":38},{"$f":"'Sec. G CR Data ADJ'!$C$53","v":"IMPL. DEV. CHARGED TO PATIENTS"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$53","v":3541280},{"$f":"$J$137-$H$137","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$53","v":3541280}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$54","v":39},{"$f":"'Sec. G CR Data ADJ'!$C$54","v":"DRUGS CHARGED TO PATIENTS"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$54","v":20434159},{"$f":"$J$138-$H$138","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$54","v":20434159}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$55","v":40},{"$f":"'Sec. G CR Data ADJ'!$C$55","v":"RENAL DIALYSIS"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$55","v":544142},{"$f":"$J$139-$H$139","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$55","v":544142}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$56","v":41},{"$f":"'Sec. G CR Data ADJ'!$C$56","v":"CARDIOVASCULAR MEDICINE"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$56","v":2464064},{"$f":"$J$140-$H$140","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$56","v":2464064}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$57","v":42},{"$f":"'Sec. G CR Data ADJ'!$C$57","v":"CLINIC"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$57","v":139948},{"$f":"$J$141-$H$141","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$57","v":139948}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$58","v":43},{"$f":"'Sec. G CR Data ADJ'!$C$58","v":"NUTRITION"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$58","v":15227},{"$f":"$J$142-$H$142","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$58","v":15227}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$59","v":44},{"$f":"'Sec. G CR Data ADJ'!$C$59","v":"WOUND CARE CENTER"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$59","v":1246701},{"$f":"$J$143-$H$143","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$59","v":1246701}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$60","v":45},{"$f":"'Sec. G CR Data ADJ'!$C$60","v":"EMERGENCY"},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$60","v":9047465},{"$f":"$J$144-$H$144","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$60","v":9047465}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$61","v":46},{"$f":"'Sec. G CR Data ADJ'!$C$61","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$61","v":0},{"$f":"$J$145-$H$145","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$61","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$62","v":47},{"$f":"'Sec. G CR Data ADJ'!$C$62","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$62","v":0},{"$f":"$J$146-$H$146","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$62","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$63","v":48},{"$f":"'Sec. G CR Data ADJ'!$C$63","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$63","v":0},{"$f":"$J$147-$H$147","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$63","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$64","v":49},{"$f":"'Sec. G CR Data ADJ'!$C$64","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$64","v":0},{"$f":"$J$148-$H$148","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$64","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$65","v":50},{"$f":"'Sec. G CR Data ADJ'!$C$65","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$65","v":0},{"$f":"$J$149-$H$149","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$65","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$66","v":51},{"$f":"'Sec. G CR Data ADJ'!$C$66","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$66","v":0},{"$f":"$J$150-$H$150","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$66","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$67","v":52},{"$f":"'Sec. G CR Data ADJ'!$C$67","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$67","v":0},{"$f":"$J$151-$H$151","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$67","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$68","v":53},{"$f":"'Sec. G CR Data ADJ'!$C$68","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$68","v":0},{"$f":"$J$152-$H$152","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$68","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$69","v":54},{"$f":"'Sec. G CR Data ADJ'!$C$69","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$69","v":0},{"$f":"$J$153-$H$153","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$69","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$70","v":55},{"$f":"'Sec. G CR Data ADJ'!$C$70","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$70","v":0},{"$f":"$J$154-$H$154","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$70","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$71","v":56},{"$f":"'Sec. G CR Data ADJ'!$C$71","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$71","v":0},{"$f":"$J$155-$H$155","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$71","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$72","v":57},{"$f":"'Sec. G CR Data ADJ'!$C$72","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$72","v":0},{"$f":"$J$156-$H$156","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$72","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$73","v":58},{"$f":"'Sec. G CR Data ADJ'!$C$73","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$73","v":0},{"$f":"$J$157-$H$157","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$73","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$74","v":59},{"$f":"'Sec. G CR Data ADJ'!$C$74","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$74","v":0},{"$f":"$J$158-$H$158","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$74","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$75","v":60},{"$f":"'Sec. G CR Data ADJ'!$C$75","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$75","v":0},{"$f":"$J$159-$H$159","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$75","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$76","v":61},{"$f":"'Sec. G CR Data ADJ'!$C$76","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$76","v":0},{"$f":"$J$160-$H$160","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$76","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$77","v":62},{"$f":"'Sec. G CR Data ADJ'!$C$77","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$77","v":0},{"$f":"$J$161-$H$161","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$77","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$78","v":63},{"$f":"'Sec. G CR Data ADJ'!$C$78","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$78","v":0},{"$f":"$J$162-$H$162","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$78","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$79","v":64},{"$f":"'Sec. G CR Data ADJ'!$C$79","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$79","v":0},{"$f":"$J$163-$H$163","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$79","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$80","v":65},{"$f":"'Sec. G CR Data ADJ'!$C$80","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$80","v":0},{"$f":"$J$164-$H$164","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$80","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$81","v":66},{"$f":"'Sec. G CR Data ADJ'!$C$81","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$81","v":0},{"$f":"$J$165-$H$165","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$81","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$82","v":67},{"$f":"'Sec. G CR Data ADJ'!$C$82","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$82","v":0},{"$f":"$J$166-$H$166","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$82","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$83","v":68},{"$f":"'Sec. G CR Data ADJ'!$C$83","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$83","v":0},{"$f":"$J$167-$H$167","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$83","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$84","v":69},{"$f":"'Sec. G CR Data ADJ'!$C$84","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$84","v":0},{"$f":"$J$168-$H$168","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$84","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$85","v":70},{"$f":"'Sec. G CR Data ADJ'!$C$85","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$85","v":0},{"$f":"$J$169-$H$169","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$85","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$86","v":71},{"$f":"'Sec. G CR Data ADJ'!$C$86","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$86","v":0},{"$f":"$J$170-$H$170","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$86","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$87","v":72},{"$f":"'Sec. G CR Data ADJ'!$C$87","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$87","v":0},{"$f":"$J$171-$H$171","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$87","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$88","v":73},{"$f":"'Sec. G CR Data ADJ'!$C$88","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$88","v":0},{"$f":"$J$172-$H$172","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$88","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$89","v":74},{"$f":"'Sec. G CR Data ADJ'!$C$89","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$89","v":0},{"$f":"$J$173-$H$173","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$89","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$90","v":75},{"$f":"'Sec. G CR Data ADJ'!$C$90","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$90","v":0},{"$f":"$J$174-$H$174","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$90","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$91","v":76},{"$f":"'Sec. G CR Data ADJ'!$C$91","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$91","v":0},{"$f":"$J$175-$H$175","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$91","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$92","v":77},{"$f":"'Sec. G CR Data ADJ'!$C$92","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$92","v":0},{"$f":"$J$176-$H$176","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$92","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$93","v":78},{"$f":"'Sec. G CR Data ADJ'!$C$93","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$93","v":0},{"$f":"$J$177-$H$177","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$93","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$94","v":79},{"$f":"'Sec. G CR Data ADJ'!$C$94","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$94","v":0},{"$f":"$J$178-$H$178","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$94","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$95","v":80},{"$f":"'Sec. G CR Data ADJ'!$C$95","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$95","v":0},{"$f":"$J$179-$H$179","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$95","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$96","v":81},{"$f":"'Sec. G CR Data ADJ'!$C$96","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$96","v":0},{"$f":"$J$180-$H$180","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$96","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$97","v":82},{"$f":"'Sec. G CR Data ADJ'!$C$97","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$97","v":0},{"$f":"$J$181-$H$181","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$97","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$98","v":83},{"$f":"'Sec. G CR Data ADJ'!$C$98","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$98","v":0},{"$f":"$J$182-$H$182","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$98","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$99","v":84},{"$f":"'Sec. G CR Data ADJ'!$C$99","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$99","v":0},{"$f":"$J$183-$H$183","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$99","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$100","v":85},{"$f":"'Sec. G CR Data ADJ'!$C$100","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$100","v":0},{"$f":"$J$184-$H$184","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$100","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$101","v":86},{"$f":"'Sec. G CR Data ADJ'!$C$101","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$101","v":0},{"$f":"$J$185-$H$185","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$101","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$102","v":87},{"$f":"'Sec. G CR Data ADJ'!$C$102","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$102","v":0},{"$f":"$J$186-$H$186","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$102","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$103","v":88},{"$f":"'Sec. G CR Data ADJ'!$C$103","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$103","v":0},{"$f":"$J$187-$H$187","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$103","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$104","v":89},{"$f":"'Sec. G CR Data ADJ'!$C$104","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$104","v":0},{"$f":"$J$188-$H$188","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$104","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$105","v":90},{"$f":"'Sec. G CR Data ADJ'!$C$105","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$105","v":0},{"$f":"$J$189-$H$189","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$105","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$106","v":91},{"$f":"'Sec. G CR Data ADJ'!$C$106","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$106","v":0},{"$f":"$J$190-$H$190","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$106","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$107","v":92},{"$f":"'Sec. G CR Data ADJ'!$C$107","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$107","v":0},{"$f":"$J$191-$H$191","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$107","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$108","v":93},{"$f":"'Sec. G CR Data ADJ'!$C$108","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$108","v":0},{"$f":"$J$192-$H$192","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$108","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$109","v":94},{"$f":"'Sec. G CR Data ADJ'!$C$109","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$109","v":0},{"$f":"$J$193-$H$193","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$109","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$110","v":95},{"$f":"'Sec. G CR Data ADJ'!$C$110","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$110","v":0},{"$f":"$J$194-$H$194","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$110","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$111","v":96},{"$f":"'Sec. G CR Data ADJ'!$C$111","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$111","v":0},{"$f":"$J$195-$H$195","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$111","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$112","v":97},{"$f":"'Sec. G CR Data ADJ'!$C$112","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$112","v":0},{"$f":"$J$196-$H$196","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$112","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$113","v":98},{"$f":"'Sec. G CR Data ADJ'!$C$113","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$113","v":0},{"$f":"$J$197-$H$197","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$113","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$114","v":99},{"$f":"'Sec. G CR Data ADJ'!$C$114","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$114","v":0},{"$f":"$J$198-$H$198","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$114","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$115","v":100},{"$f":"'Sec. G CR Data ADJ'!$C$115","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$115","v":0},{"$f":"$J$199-$H$199","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$115","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$116","v":101},{"$f":"'Sec. G CR Data ADJ'!$C$116","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$116","v":0},{"$f":"$J$200-$H$200","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$116","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$117","v":102},{"$f":"'Sec. G CR Data ADJ'!$C$117","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$117","v":0},{"$f":"$J$201-$H$201","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$117","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$118","v":103},{"$f":"'Sec. G CR Data ADJ'!$C$118","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$118","v":0},{"$f":"$J$202-$H$202","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$118","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$119","v":104},{"$f":"'Sec. G CR Data ADJ'!$C$119","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$119","v":0},{"$f":"$J$203-$H$203","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$119","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$120","v":105},{"$f":"'Sec. G CR Data ADJ'!$C$120","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$120","v":0},{"$f":"$J$204-$H$204","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$120","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$121","v":106},{"$f":"'Sec. G CR Data ADJ'!$C$121","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$121","v":0},{"$f":"$J$205-$H$205","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$121","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$122","v":107},{"$f":"'Sec. G CR Data ADJ'!$C$122","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$122","v":0},{"$f":"$J$206-$H$206","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$122","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$123","v":108},{"$f":"'Sec. G CR Data ADJ'!$C$123","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$123","v":0},{"$f":"$J$207-$H$207","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$123","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$124","v":109},{"$f":"'Sec. G CR Data ADJ'!$C$124","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$124","v":0},{"$f":"$J$208-$H$208","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$124","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$125","v":110},{"$f":"'Sec. G CR Data ADJ'!$C$125","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$125","v":0},{"$f":"$J$209-$H$209","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$125","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$126","v":111},{"$f":"'Sec. G CR Data ADJ'!$C$126","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$126","v":0},{"$f":"$J$210-$H$210","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$126","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$127","v":112},{"$f":"'Sec. G CR Data ADJ'!$C$127","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$127","v":0},{"$f":"$J$211-$H$211","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$127","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$128","v":113},{"$f":"'Sec. G CR Data ADJ'!$C$128","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$128","v":0},{"$f":"$J$212-$H$212","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$128","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$129","v":114},{"$f":"'Sec. G CR Data ADJ'!$C$129","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$129","v":0},{"$f":"$J$213-$H$213","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$129","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$130","v":115},{"$f":"'Sec. G CR Data ADJ'!$C$130","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$130","v":0},{"$f":"$J$214-$H$214","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$130","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$131","v":116},{"$f":"'Sec. G CR Data ADJ'!$C$131","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$131","v":0},{"$f":"$J$215-$H$215","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$131","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$132","v":117},{"$f":"'Sec. G CR Data ADJ'!$C$132","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$132","v":0},{"$f":"$J$216-$H$216","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$132","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$133","v":118},{"$f":"'Sec. G CR Data ADJ'!$C$133","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$133","v":0},{"$f":"$J$217-$H$217","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$133","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$134","v":119},{"$f":"'Sec. G CR Data ADJ'!$C$134","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$134","v":0},{"$f":"$J$218-$H$218","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$134","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$135","v":120},{"$f":"'Sec. G CR Data ADJ'!$C$135","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$135","v":0},{"$f":"$J$219-$H$219","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$135","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$136","v":121},{"$f":"'Sec. G CR Data ADJ'!$C$136","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$136","v":0},{"$f":"$J$220-$H$220","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$136","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$137","v":122},{"$f":"'Sec. G CR Data ADJ'!$C$137","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$137","v":0},{"$f":"$J$221-$H$221","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$137","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$138","v":123},{"$f":"'Sec. G CR Data ADJ'!$C$138","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$138","v":0},{"$f":"$J$222-$H$222","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$138","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$139","v":124},{"$f":"'Sec. G CR Data ADJ'!$C$139","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$139","v":0},{"$f":"$J$223-$H$223","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$139","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$140","v":125},{"$f":"'Sec. G CR Data ADJ'!$C$140","v":""},"3.00",{"$f":"'Sec. G CR Data'!$D$6","v":"Total Allowable Cost"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$D$140","v":0},{"$f":"$J$224-$H$224","v":0},{"$f":"'Sec. G CR Data ADJ'!$D$140","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$11","v":1},{"$f":"'Sec. G CR Data ADJ'!$C$11","v":"ADULTS & PEDIATRICS"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$11","v":0},{"$f":"$J$225-$H$225","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$11","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$12","v":2},{"$f":"'Sec. G CR Data ADJ'!$C$12","v":"INTENSIVE CARE UNIT"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$12","v":0},{"$f":"$J$226-$H$226","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$12","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$13","v":3},{"$f":"'Sec. G CR Data ADJ'!$C$13","v":"CORONARY CARE UNIT"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$13","v":0},{"$f":"$J$227-$H$227","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$13","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$14","v":4},{"$f":"'Sec. G CR Data ADJ'!$C$14","v":"BURN INTENSIVE CARE UNIT"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$14","v":0},{"$f":"$J$228-$H$228","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$14","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$15","v":5},{"$f":"'Sec. G CR Data ADJ'!$C$15","v":"SURGICAL INTENSIVE CARE UNIT"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$15","v":0},{"$f":"$J$229-$H$229","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$15","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$16","v":6},{"$f":"'Sec. G CR Data ADJ'!$C$16","v":"OTHER SPECIAL CARE UNIT"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$16","v":0},{"$f":"$J$230-$H$230","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$16","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$17","v":7},{"$f":"'Sec. G CR Data ADJ'!$C$17","v":"SUBPROVIDER I"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$17","v":0},{"$f":"$J$231-$H$231","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$17","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$18","v":8},{"$f":"'Sec. G CR Data ADJ'!$C$18","v":"SUBPROVIDER II"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$18","v":0},{"$f":"$J$232-$H$232","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$18","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$19","v":9},{"$f":"'Sec. G CR Data ADJ'!$C$19","v":"OTHER SUBPROVIDER"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$19","v":0},{"$f":"$J$233-$H$233","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$19","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$20","v":10},{"$f":"'Sec. G CR Data ADJ'!$C$20","v":"NURSERY"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$20","v":0},{"$f":"$J$234-$H$234","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$20","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$21","v":11},{"$f":"'Sec. G CR Data ADJ'!$C$21","v":0},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$21","v":0},{"$f":"$J$235-$H$235","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$21","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$22","v":12},{"$f":"'Sec. G CR Data ADJ'!$C$22","v":0},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$22","v":0},{"$f":"$J$236-$H$236","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$22","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$23","v":13},{"$f":"'Sec. G CR Data ADJ'!$C$23","v":0},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$23","v":0},{"$f":"$J$237-$H$237","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$23","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$24","v":14},{"$f":"'Sec. G CR Data ADJ'!$C$24","v":0},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$24","v":0},{"$f":"$J$238-$H$238","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$24","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$25","v":15},{"$f":"'Sec. G CR Data ADJ'!$C$25","v":0},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$25","v":0},{"$f":"$J$239-$H$239","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$25","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$26","v":16},{"$f":"'Sec. G CR Data ADJ'!$C$26","v":0},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$26","v":0},{"$f":"$J$240-$H$240","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$26","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$27","v":17},{"$f":"'Sec. G CR Data ADJ'!$C$27","v":0},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$27","v":0},{"$f":"$J$241-$H$241","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$27","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$36","v":21},{"$f":"'Sec. G CR Data ADJ'!$C$36","v":"OPERATING ROOM"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$36","v":0},{"$f":"$J$242-$H$242","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$36","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$37","v":22},{"$f":"'Sec. G CR Data ADJ'!$C$37","v":"RECOVERY ROOM"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$37","v":0},{"$f":"$J$243-$H$243","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$37","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$38","v":23},{"$f":"'Sec. G CR Data ADJ'!$C$38","v":"DELIVERY ROOM & LABOR ROOM"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$38","v":0},{"$f":"$J$244-$H$244","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$38","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$39","v":24},{"$f":"'Sec. G CR Data ADJ'!$C$39","v":"ANESTHESIOLOGY"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$39","v":0},{"$f":"$J$245-$H$245","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$39","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$40","v":25},{"$f":"'Sec. G CR Data ADJ'!$C$40","v":"RADIOLOGY-DIAGNOSTIC"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$40","v":0},{"$f":"$J$246-$H$246","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$40","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$41","v":26},{"$f":"'Sec. G CR Data ADJ'!$C$41","v":"RADIOLOGY-THERAPEUTIC"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$41","v":0},{"$f":"$J$247-$H$247","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$41","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$42","v":27},{"$f":"'Sec. G CR Data ADJ'!$C$42","v":"NUCLEAR MEDICINE"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$42","v":0},{"$f":"$J$248-$H$248","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$42","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$43","v":28},{"$f":"'Sec. G CR Data ADJ'!$C$43","v":"CT SCAN"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$43","v":0},{"$f":"$J$249-$H$249","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$43","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$44","v":29},{"$f":"'Sec. G CR Data ADJ'!$C$44","v":"MRI"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$44","v":0},{"$f":"$J$250-$H$250","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$44","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$45","v":30},{"$f":"'Sec. G CR Data ADJ'!$C$45","v":"CARDIAC CATHETERIZATION"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$45","v":0},{"$f":"$J$251-$H$251","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$45","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$46","v":31},{"$f":"'Sec. G CR Data ADJ'!$C$46","v":"LABORATORY"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$46","v":0},{"$f":"$J$252-$H$252","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$46","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$47","v":32},{"$f":"'Sec. G CR Data ADJ'!$C$47","v":"RESPIRATORY THERAPY"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$47","v":0},{"$f":"$J$253-$H$253","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$47","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$48","v":33},{"$f":"'Sec. G CR Data ADJ'!$C$48","v":"PHYSICAL THERAPY"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$48","v":0},{"$f":"$J$254-$H$254","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$48","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$49","v":34},{"$f":"'Sec. G CR Data ADJ'!$C$49","v":"SPEECH PATHOLOGY"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$49","v":0},{"$f":"$J$255-$H$255","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$49","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$50","v":35},{"$f":"'Sec. G CR Data ADJ'!$C$50","v":"ELECTROCARDIOLOGY"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$50","v":0},{"$f":"$J$256-$H$256","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$50","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$51","v":36},{"$f":"'Sec. G CR Data ADJ'!$C$51","v":"ELECTROENCEPHALOGRAPHY"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$51","v":0},{"$f":"$J$257-$H$257","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$51","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$52","v":37},{"$f":"'Sec. G CR Data ADJ'!$C$52","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$52","v":0},{"$f":"$J$258-$H$258","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$52","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$53","v":38},{"$f":"'Sec. G CR Data ADJ'!$C$53","v":"IMPL. DEV. CHARGED TO PATIENTS"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$53","v":0},{"$f":"$J$259-$H$259","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$53","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$54","v":39},{"$f":"'Sec. G CR Data ADJ'!$C$54","v":"DRUGS CHARGED TO PATIENTS"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$54","v":0},{"$f":"$J$260-$H$260","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$54","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$55","v":40},{"$f":"'Sec. G CR Data ADJ'!$C$55","v":"RENAL DIALYSIS"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$55","v":0},{"$f":"$J$261-$H$261","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$55","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$56","v":41},{"$f":"'Sec. G CR Data ADJ'!$C$56","v":"CARDIOVASCULAR MEDICINE"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$56","v":0},{"$f":"$J$262-$H$262","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$56","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$57","v":42},{"$f":"'Sec. G CR Data ADJ'!$C$57","v":"CLINIC"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$57","v":0},{"$f":"$J$263-$H$263","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$57","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$58","v":43},{"$f":"'Sec. G CR Data ADJ'!$C$58","v":"NUTRITION"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$58","v":0},{"$f":"$J$264-$H$264","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$58","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$59","v":44},{"$f":"'Sec. G CR Data ADJ'!$C$59","v":"WOUND CARE CENTER"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$59","v":0},{"$f":"$J$265-$H$265","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$59","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$60","v":45},{"$f":"'Sec. G CR Data ADJ'!$C$60","v":"EMERGENCY"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$60","v":0},{"$f":"$J$266-$H$266","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$60","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$61","v":46},{"$f":"'Sec. G CR Data ADJ'!$C$61","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$61","v":0},{"$f":"$J$267-$H$267","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$61","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$62","v":47},{"$f":"'Sec. G CR Data ADJ'!$C$62","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$62","v":0},{"$f":"$J$268-$H$268","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$62","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$63","v":48},{"$f":"'Sec. G CR Data ADJ'!$C$63","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$63","v":0},{"$f":"$J$269-$H$269","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$63","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$64","v":49},{"$f":"'Sec. G CR Data ADJ'!$C$64","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$64","v":0},{"$f":"$J$270-$H$270","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$64","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$65","v":50},{"$f":"'Sec. G CR Data ADJ'!$C$65","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$65","v":0},{"$f":"$J$271-$H$271","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$65","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$66","v":51},{"$f":"'Sec. G CR Data ADJ'!$C$66","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$66","v":0},{"$f":"$J$272-$H$272","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$66","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$67","v":52},{"$f":"'Sec. G CR Data ADJ'!$C$67","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$67","v":0},{"$f":"$J$273-$H$273","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$67","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$68","v":53},{"$f":"'Sec. G CR Data ADJ'!$C$68","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$68","v":0},{"$f":"$J$274-$H$274","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$68","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$69","v":54},{"$f":"'Sec. G CR Data ADJ'!$C$69","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$69","v":0},{"$f":"$J$275-$H$275","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$69","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$70","v":55},{"$f":"'Sec. G CR Data ADJ'!$C$70","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$70","v":0},{"$f":"$J$276-$H$276","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$70","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$71","v":56},{"$f":"'Sec. G CR Data ADJ'!$C$71","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$71","v":0},{"$f":"$J$277-$H$277","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$71","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$72","v":57},{"$f":"'Sec. G CR Data ADJ'!$C$72","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$72","v":0},{"$f":"$J$278-$H$278","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$72","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$73","v":58},{"$f":"'Sec. G CR Data ADJ'!$C$73","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$73","v":0},{"$f":"$J$279-$H$279","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$73","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$74","v":59},{"$f":"'Sec. G CR Data ADJ'!$C$74","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$74","v":0},{"$f":"$J$280-$H$280","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$74","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$75","v":60},{"$f":"'Sec. G CR Data ADJ'!$C$75","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$75","v":0},{"$f":"$J$281-$H$281","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$75","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$76","v":61},{"$f":"'Sec. G CR Data ADJ'!$C$76","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$76","v":0},{"$f":"$J$282-$H$282","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$76","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$77","v":62},{"$f":"'Sec. G CR Data ADJ'!$C$77","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$77","v":0},{"$f":"$J$283-$H$283","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$77","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$78","v":63},{"$f":"'Sec. G CR Data ADJ'!$C$78","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$78","v":0},{"$f":"$J$284-$H$284","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$78","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$79","v":64},{"$f":"'Sec. G CR Data ADJ'!$C$79","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$79","v":0},{"$f":"$J$285-$H$285","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$79","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$80","v":65},{"$f":"'Sec. G CR Data ADJ'!$C$80","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$80","v":0},{"$f":"$J$286-$H$286","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$80","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$81","v":66},{"$f":"'Sec. G CR Data ADJ'!$C$81","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$81","v":0},{"$f":"$J$287-$H$287","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$81","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$82","v":67},{"$f":"'Sec. G CR Data ADJ'!$C$82","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$82","v":0},{"$f":"$J$288-$H$288","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$82","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$83","v":68},{"$f":"'Sec. G CR Data ADJ'!$C$83","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$83","v":0},{"$f":"$J$289-$H$289","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$83","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$84","v":69},{"$f":"'Sec. G CR Data ADJ'!$C$84","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$84","v":0},{"$f":"$J$290-$H$290","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$84","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$85","v":70},{"$f":"'Sec. G CR Data ADJ'!$C$85","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$85","v":0},{"$f":"$J$291-$H$291","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$85","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$86","v":71},{"$f":"'Sec. G CR Data ADJ'!$C$86","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$86","v":0},{"$f":"$J$292-$H$292","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$86","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$87","v":72},{"$f":"'Sec. G CR Data ADJ'!$C$87","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$87","v":0},{"$f":"$J$293-$H$293","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$87","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$88","v":73},{"$f":"'Sec. G CR Data ADJ'!$C$88","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$88","v":0},{"$f":"$J$294-$H$294","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$88","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$89","v":74},{"$f":"'Sec. G CR Data ADJ'!$C$89","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$89","v":0},{"$f":"$J$295-$H$295","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$89","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$90","v":75},{"$f":"'Sec. G CR Data ADJ'!$C$90","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$90","v":0},{"$f":"$J$296-$H$296","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$90","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$91","v":76},{"$f":"'Sec. G CR Data ADJ'!$C$91","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$91","v":0},{"$f":"$J$297-$H$297","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$91","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$92","v":77},{"$f":"'Sec. G CR Data ADJ'!$C$92","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$92","v":0},{"$f":"$J$298-$H$298","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$92","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$93","v":78},{"$f":"'Sec. G CR Data ADJ'!$C$93","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$93","v":0},{"$f":"$J$299-$H$299","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$93","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$94","v":79},{"$f":"'Sec. G CR Data ADJ'!$C$94","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$94","v":0},{"$f":"$J$300-$H$300","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$94","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$95","v":80},{"$f":"'Sec. G CR Data ADJ'!$C$95","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$95","v":0},{"$f":"$J$301-$H$301","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$95","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$96","v":81},{"$f":"'Sec. G CR Data ADJ'!$C$96","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$96","v":0},{"$f":"$J$302-$H$302","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$96","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$97","v":82},{"$f":"'Sec. G CR Data ADJ'!$C$97","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$97","v":0},{"$f":"$J$303-$H$303","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$97","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$98","v":83},{"$f":"'Sec. G CR Data ADJ'!$C$98","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$98","v":0},{"$f":"$J$304-$H$304","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$98","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$99","v":84},{"$f":"'Sec. G CR Data ADJ'!$C$99","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$99","v":0},{"$f":"$J$305-$H$305","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$99","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$100","v":85},{"$f":"'Sec. G CR Data ADJ'!$C$100","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$100","v":0},{"$f":"$J$306-$H$306","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$100","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$101","v":86},{"$f":"'Sec. G CR Data ADJ'!$C$101","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$101","v":0},{"$f":"$J$307-$H$307","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$101","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$102","v":87},{"$f":"'Sec. G CR Data ADJ'!$C$102","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$102","v":0},{"$f":"$J$308-$H$308","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$102","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$103","v":88},{"$f":"'Sec. G CR Data ADJ'!$C$103","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$103","v":0},{"$f":"$J$309-$H$309","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$103","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$104","v":89},{"$f":"'Sec. G CR Data ADJ'!$C$104","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$104","v":0},{"$f":"$J$310-$H$310","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$104","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$105","v":90},{"$f":"'Sec. G CR Data ADJ'!$C$105","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$105","v":0},{"$f":"$J$311-$H$311","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$105","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$106","v":91},{"$f":"'Sec. G CR Data ADJ'!$C$106","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$106","v":0},{"$f":"$J$312-$H$312","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$106","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$107","v":92},{"$f":"'Sec. G CR Data ADJ'!$C$107","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$107","v":0},{"$f":"$J$313-$H$313","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$107","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$108","v":93},{"$f":"'Sec. G CR Data ADJ'!$C$108","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$108","v":0},{"$f":"$J$314-$H$314","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$108","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$109","v":94},{"$f":"'Sec. G CR Data ADJ'!$C$109","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$109","v":0},{"$f":"$J$315-$H$315","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$109","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$110","v":95},{"$f":"'Sec. G CR Data ADJ'!$C$110","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$110","v":0},{"$f":"$J$316-$H$316","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$110","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$111","v":96},{"$f":"'Sec. G CR Data ADJ'!$C$111","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$111","v":0},{"$f":"$J$317-$H$317","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$111","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$112","v":97},{"$f":"'Sec. G CR Data ADJ'!$C$112","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$112","v":0},{"$f":"$J$318-$H$318","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$112","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$113","v":98},{"$f":"'Sec. G CR Data ADJ'!$C$113","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$113","v":0},{"$f":"$J$319-$H$319","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$113","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$114","v":99},{"$f":"'Sec. G CR Data ADJ'!$C$114","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$114","v":0},{"$f":"$J$320-$H$320","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$114","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$115","v":100},{"$f":"'Sec. G CR Data ADJ'!$C$115","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$115","v":0},{"$f":"$J$321-$H$321","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$115","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$116","v":101},{"$f":"'Sec. G CR Data ADJ'!$C$116","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$116","v":0},{"$f":"$J$322-$H$322","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$116","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$117","v":102},{"$f":"'Sec. G CR Data ADJ'!$C$117","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$117","v":0},{"$f":"$J$323-$H$323","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$117","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$118","v":103},{"$f":"'Sec. G CR Data ADJ'!$C$118","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$118","v":0},{"$f":"$J$324-$H$324","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$118","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$119","v":104},{"$f":"'Sec. G CR Data ADJ'!$C$119","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$119","v":0},{"$f":"$J$325-$H$325","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$119","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$120","v":105},{"$f":"'Sec. G CR Data ADJ'!$C$120","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$120","v":0},{"$f":"$J$326-$H$326","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$120","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$121","v":106},{"$f":"'Sec. G CR Data ADJ'!$C$121","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$121","v":0},{"$f":"$J$327-$H$327","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$121","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$122","v":107},{"$f":"'Sec. G CR Data ADJ'!$C$122","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$122","v":0},{"$f":"$J$328-$H$328","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$122","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$123","v":108},{"$f":"'Sec. G CR Data ADJ'!$C$123","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$123","v":0},{"$f":"$J$329-$H$329","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$123","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$124","v":109},{"$f":"'Sec. G CR Data ADJ'!$C$124","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$124","v":0},{"$f":"$J$330-$H$330","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$124","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$125","v":110},{"$f":"'Sec. G CR Data ADJ'!$C$125","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$125","v":0},{"$f":"$J$331-$H$331","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$125","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$126","v":111},{"$f":"'Sec. G CR Data ADJ'!$C$126","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$126","v":0},{"$f":"$J$332-$H$332","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$126","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$127","v":112},{"$f":"'Sec. G CR Data ADJ'!$C$127","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$127","v":0},{"$f":"$J$333-$H$333","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$127","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$128","v":113},{"$f":"'Sec. G CR Data ADJ'!$C$128","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$128","v":0},{"$f":"$J$334-$H$334","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$128","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$129","v":114},{"$f":"'Sec. G CR Data ADJ'!$C$129","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$129","v":0},{"$f":"$J$335-$H$335","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$129","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$130","v":115},{"$f":"'Sec. G CR Data ADJ'!$C$130","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$130","v":0},{"$f":"$J$336-$H$336","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$130","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$131","v":116},{"$f":"'Sec. G CR Data ADJ'!$C$131","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$131","v":0},{"$f":"$J$337-$H$337","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$131","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$132","v":117},{"$f":"'Sec. G CR Data ADJ'!$C$132","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$132","v":0},{"$f":"$J$338-$H$338","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$132","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$133","v":118},{"$f":"'Sec. G CR Data ADJ'!$C$133","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$133","v":0},{"$f":"$J$339-$H$339","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$133","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$134","v":119},{"$f":"'Sec. G CR Data ADJ'!$C$134","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$134","v":0},{"$f":"$J$340-$H$340","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$134","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$135","v":120},{"$f":"'Sec. G CR Data ADJ'!$C$135","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$135","v":0},{"$f":"$J$341-$H$341","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$135","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$136","v":121},{"$f":"'Sec. G CR Data ADJ'!$C$136","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$136","v":0},{"$f":"$J$342-$H$342","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$136","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$137","v":122},{"$f":"'Sec. G CR Data ADJ'!$C$137","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$137","v":0},{"$f":"$J$343-$H$343","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$137","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$138","v":123},{"$f":"'Sec. G CR Data ADJ'!$C$138","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$138","v":0},{"$f":"$J$344-$H$344","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$138","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$139","v":124},{"$f":"'Sec. G CR Data ADJ'!$C$139","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$139","v":0},{"$f":"$J$345-$H$345","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$139","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$140","v":125},{"$f":"'Sec. G CR Data ADJ'!$C$140","v":""},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$6","v":"Intern & Resident Costs Removed on Cost Report *"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$140","v":0},{"$f":"$J$346-$H$346","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$140","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$11","v":1},{"$f":"'Sec. G CR Data ADJ'!$C$11","v":"ADULTS & PEDIATRICS"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$11","v":0},{"$f":"$J$347-$H$347","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$11","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$12","v":2},{"$f":"'Sec. G CR Data ADJ'!$C$12","v":"INTENSIVE CARE UNIT"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$12","v":0},{"$f":"$J$348-$H$348","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$12","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$13","v":3},{"$f":"'Sec. G CR Data ADJ'!$C$13","v":"CORONARY CARE UNIT"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$13","v":0},{"$f":"$J$349-$H$349","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$13","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$14","v":4},{"$f":"'Sec. G CR Data ADJ'!$C$14","v":"BURN INTENSIVE CARE UNIT"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$14","v":0},{"$f":"$J$350-$H$350","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$14","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$15","v":5},{"$f":"'Sec. G CR Data ADJ'!$C$15","v":"SURGICAL INTENSIVE CARE UNIT"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$15","v":0},{"$f":"$J$351-$H$351","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$15","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$16","v":6},{"$f":"'Sec. G CR Data ADJ'!$C$16","v":"OTHER SPECIAL CARE UNIT"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$16","v":0},{"$f":"$J$352-$H$352","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$16","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$17","v":7},{"$f":"'Sec. G CR Data ADJ'!$C$17","v":"SUBPROVIDER I"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$17","v":0},{"$f":"$J$353-$H$353","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$17","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$18","v":8},{"$f":"'Sec. G CR Data ADJ'!$C$18","v":"SUBPROVIDER II"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$18","v":0},{"$f":"$J$354-$H$354","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$18","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$19","v":9},{"$f":"'Sec. G CR Data ADJ'!$C$19","v":"OTHER SUBPROVIDER"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$19","v":0},{"$f":"$J$355-$H$355","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$19","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$20","v":10},{"$f":"'Sec. G CR Data ADJ'!$C$20","v":"NURSERY"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$20","v":0},{"$f":"$J$356-$H$356","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$20","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$21","v":11},{"$f":"'Sec. G CR Data ADJ'!$C$21","v":0},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$21","v":0},{"$f":"$J$357-$H$357","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$21","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$22","v":12},{"$f":"'Sec. G CR Data ADJ'!$C$22","v":0},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$22","v":0},{"$f":"$J$358-$H$358","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$22","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$23","v":13},{"$f":"'Sec. G CR Data ADJ'!$C$23","v":0},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$23","v":0},{"$f":"$J$359-$H$359","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$23","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$24","v":14},{"$f":"'Sec. G CR Data ADJ'!$C$24","v":0},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$24","v":0},{"$f":"$J$360-$H$360","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$24","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$25","v":15},{"$f":"'Sec. G CR Data ADJ'!$C$25","v":0},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$25","v":0},{"$f":"$J$361-$H$361","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$25","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$26","v":16},{"$f":"'Sec. G CR Data ADJ'!$C$26","v":0},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$26","v":0},{"$f":"$J$362-$H$362","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$26","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$27","v":17},{"$f":"'Sec. G CR Data ADJ'!$C$27","v":0},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$27","v":0},{"$f":"$J$363-$H$363","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$27","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$32","v":20},{"$f":"'Sec. G CR Data ADJ'!$C$32","v":"Observation (Non-Distinct)"},"4.00",{"$f":"'Sec. G CR Data ADJ'!$E$31","v":"Hospital Observation Days - Cost Report W/S S-3, Pt. I, Line 28, Col. 8"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$E$32","v":3539},{"$f":"$J$364-$H$364","v":0},{"$f":"'Sec. G CR Data ADJ'!$E$32","v":3539}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$32","v":20},{"$f":"'Sec. G CR Data ADJ'!$C$32","v":"Observation (Non-Distinct)"},"5.00",{"$f":"'Sec. G CR Data ADJ'!$F$31","v":"Subprovider I Observation Days - Cost Report W/S S-3, Pt. I, Line 28.01, Col. 8"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$32","v":0},{"$f":"$J$365-$H$365","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$32","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$32","v":20},{"$f":"'Sec. G CR Data ADJ'!$C$32","v":"Observation (Non-Distinct)"},"6.00",{"$f":"'Sec. G CR Data ADJ'!$G$31","v":"Subprovider II Observation Days - Cost Report W/S S-3, Pt. I, Line 28.02, Col. 8"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$G$32","v":0},{"$f":"$J$366-$H$366","v":0},{"$f":"'Sec. G CR Data ADJ'!$G$32","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$36","v":21},{"$f":"'Sec. G CR Data ADJ'!$C$36","v":"OPERATING ROOM"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$36","v":0},{"$f":"$J$367-$H$367","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$36","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$37","v":22},{"$f":"'Sec. G CR Data ADJ'!$C$37","v":"RECOVERY ROOM"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$37","v":0},{"$f":"$J$368-$H$368","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$37","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$38","v":23},{"$f":"'Sec. G CR Data ADJ'!$C$38","v":"DELIVERY ROOM & LABOR ROOM"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$38","v":0},{"$f":"$J$369-$H$369","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$38","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$39","v":24},{"$f":"'Sec. G CR Data ADJ'!$C$39","v":"ANESTHESIOLOGY"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$39","v":0},{"$f":"$J$370-$H$370","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$39","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$40","v":25},{"$f":"'Sec. G CR Data ADJ'!$C$40","v":"RADIOLOGY-DIAGNOSTIC"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$40","v":0},{"$f":"$J$371-$H$371","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$40","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$41","v":26},{"$f":"'Sec. G CR Data ADJ'!$C$41","v":"RADIOLOGY-THERAPEUTIC"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$41","v":0},{"$f":"$J$372-$H$372","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$41","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$42","v":27},{"$f":"'Sec. G CR Data ADJ'!$C$42","v":"NUCLEAR MEDICINE"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$42","v":0},{"$f":"$J$373-$H$373","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$42","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$43","v":28},{"$f":"'Sec. G CR Data ADJ'!$C$43","v":"CT SCAN"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$43","v":0},{"$f":"$J$374-$H$374","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$43","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$44","v":29},{"$f":"'Sec. G CR Data ADJ'!$C$44","v":"MRI"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$44","v":0},{"$f":"$J$375-$H$375","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$44","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$45","v":30},{"$f":"'Sec. G CR Data ADJ'!$C$45","v":"CARDIAC CATHETERIZATION"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$45","v":0},{"$f":"$J$376-$H$376","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$45","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$46","v":31},{"$f":"'Sec. G CR Data ADJ'!$C$46","v":"LABORATORY"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$46","v":0},{"$f":"$J$377-$H$377","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$46","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$47","v":32},{"$f":"'Sec. G CR Data ADJ'!$C$47","v":"RESPIRATORY THERAPY"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$47","v":0},{"$f":"$J$378-$H$378","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$47","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$48","v":33},{"$f":"'Sec. G CR Data ADJ'!$C$48","v":"PHYSICAL THERAPY"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$48","v":0},{"$f":"$J$379-$H$379","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$48","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$49","v":34},{"$f":"'Sec. G CR Data ADJ'!$C$49","v":"SPEECH PATHOLOGY"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$49","v":0},{"$f":"$J$380-$H$380","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$49","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$50","v":35},{"$f":"'Sec. G CR Data ADJ'!$C$50","v":"ELECTROCARDIOLOGY"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$50","v":0},{"$f":"$J$381-$H$381","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$50","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$51","v":36},{"$f":"'Sec. G CR Data ADJ'!$C$51","v":"ELECTROENCEPHALOGRAPHY"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$51","v":0},{"$f":"$J$382-$H$382","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$51","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$52","v":37},{"$f":"'Sec. G CR Data ADJ'!$C$52","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$52","v":0},{"$f":"$J$383-$H$383","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$52","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$53","v":38},{"$f":"'Sec. G CR Data ADJ'!$C$53","v":"IMPL. DEV. CHARGED TO PATIENTS"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$53","v":0},{"$f":"$J$384-$H$384","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$53","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$54","v":39},{"$f":"'Sec. G CR Data ADJ'!$C$54","v":"DRUGS CHARGED TO PATIENTS"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$54","v":0},{"$f":"$J$385-$H$385","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$54","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$55","v":40},{"$f":"'Sec. G CR Data ADJ'!$C$55","v":"RENAL DIALYSIS"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$55","v":0},{"$f":"$J$386-$H$386","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$55","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$56","v":41},{"$f":"'Sec. G CR Data ADJ'!$C$56","v":"CARDIOVASCULAR MEDICINE"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$56","v":0},{"$f":"$J$387-$H$387","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$56","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$57","v":42},{"$f":"'Sec. G CR Data ADJ'!$C$57","v":"CLINIC"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$57","v":0},{"$f":"$J$388-$H$388","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$57","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$58","v":43},{"$f":"'Sec. G CR Data ADJ'!$C$58","v":"NUTRITION"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$58","v":0},{"$f":"$J$389-$H$389","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$58","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$59","v":44},{"$f":"'Sec. G CR Data ADJ'!$C$59","v":"WOUND CARE CENTER"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$59","v":0},{"$f":"$J$390-$H$390","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$59","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$60","v":45},{"$f":"'Sec. G CR Data ADJ'!$C$60","v":"EMERGENCY"},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$60","v":0},{"$f":"$J$391-$H$391","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$60","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$61","v":46},{"$f":"'Sec. G CR Data ADJ'!$C$61","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$61","v":0},{"$f":"$J$392-$H$392","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$61","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$62","v":47},{"$f":"'Sec. G CR Data ADJ'!$C$62","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$62","v":0},{"$f":"$J$393-$H$393","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$62","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$63","v":48},{"$f":"'Sec. G CR Data ADJ'!$C$63","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$63","v":0},{"$f":"$J$394-$H$394","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$63","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$64","v":49},{"$f":"'Sec. G CR Data ADJ'!$C$64","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$64","v":0},{"$f":"$J$395-$H$395","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$64","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$65","v":50},{"$f":"'Sec. G CR Data ADJ'!$C$65","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$65","v":0},{"$f":"$J$396-$H$396","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$65","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$66","v":51},{"$f":"'Sec. G CR Data ADJ'!$C$66","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$66","v":0},{"$f":"$J$397-$H$397","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$66","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$67","v":52},{"$f":"'Sec. G CR Data ADJ'!$C$67","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$67","v":0},{"$f":"$J$398-$H$398","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$67","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$68","v":53},{"$f":"'Sec. G CR Data ADJ'!$C$68","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$68","v":0},{"$f":"$J$399-$H$399","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$68","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$69","v":54},{"$f":"'Sec. G CR Data ADJ'!$C$69","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$69","v":0},{"$f":"$J$400-$H$400","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$69","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$70","v":55},{"$f":"'Sec. G CR Data ADJ'!$C$70","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$70","v":0},{"$f":"$J$401-$H$401","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$70","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$71","v":56},{"$f":"'Sec. G CR Data ADJ'!$C$71","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$71","v":0},{"$f":"$J$402-$H$402","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$71","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$72","v":57},{"$f":"'Sec. G CR Data ADJ'!$C$72","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$72","v":0},{"$f":"$J$403-$H$403","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$72","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$73","v":58},{"$f":"'Sec. G CR Data ADJ'!$C$73","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$73","v":0},{"$f":"$J$404-$H$404","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$73","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$74","v":59},{"$f":"'Sec. G CR Data ADJ'!$C$74","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$74","v":0},{"$f":"$J$405-$H$405","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$74","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$75","v":60},{"$f":"'Sec. G CR Data ADJ'!$C$75","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$75","v":0},{"$f":"$J$406-$H$406","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$75","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$76","v":61},{"$f":"'Sec. G CR Data ADJ'!$C$76","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$76","v":0},{"$f":"$J$407-$H$407","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$76","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$77","v":62},{"$f":"'Sec. G CR Data ADJ'!$C$77","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$77","v":0},{"$f":"$J$408-$H$408","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$77","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$78","v":63},{"$f":"'Sec. G CR Data ADJ'!$C$78","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$78","v":0},{"$f":"$J$409-$H$409","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$78","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$79","v":64},{"$f":"'Sec. G CR Data ADJ'!$C$79","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$79","v":0},{"$f":"$J$410-$H$410","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$79","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$80","v":65},{"$f":"'Sec. G CR Data ADJ'!$C$80","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$80","v":0},{"$f":"$J$411-$H$411","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$80","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$81","v":66},{"$f":"'Sec. G CR Data ADJ'!$C$81","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$81","v":0},{"$f":"$J$412-$H$412","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$81","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$82","v":67},{"$f":"'Sec. G CR Data ADJ'!$C$82","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$82","v":0},{"$f":"$J$413-$H$413","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$82","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$83","v":68},{"$f":"'Sec. G CR Data ADJ'!$C$83","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$83","v":0},{"$f":"$J$414-$H$414","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$83","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$84","v":69},{"$f":"'Sec. G CR Data ADJ'!$C$84","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$84","v":0},{"$f":"$J$415-$H$415","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$84","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$85","v":70},{"$f":"'Sec. G CR Data ADJ'!$C$85","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$85","v":0},{"$f":"$J$416-$H$416","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$85","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$86","v":71},{"$f":"'Sec. G CR Data ADJ'!$C$86","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$86","v":0},{"$f":"$J$417-$H$417","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$86","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$87","v":72},{"$f":"'Sec. G CR Data ADJ'!$C$87","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$87","v":0},{"$f":"$J$418-$H$418","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$87","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$88","v":73},{"$f":"'Sec. G CR Data ADJ'!$C$88","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$88","v":0},{"$f":"$J$419-$H$419","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$88","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$89","v":74},{"$f":"'Sec. G CR Data ADJ'!$C$89","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$89","v":0},{"$f":"$J$420-$H$420","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$89","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$90","v":75},{"$f":"'Sec. G CR Data ADJ'!$C$90","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$90","v":0},{"$f":"$J$421-$H$421","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$90","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$91","v":76},{"$f":"'Sec. G CR Data ADJ'!$C$91","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$91","v":0},{"$f":"$J$422-$H$422","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$91","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$92","v":77},{"$f":"'Sec. G CR Data ADJ'!$C$92","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$92","v":0},{"$f":"$J$423-$H$423","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$92","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$93","v":78},{"$f":"'Sec. G CR Data ADJ'!$C$93","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$93","v":0},{"$f":"$J$424-$H$424","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$93","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$94","v":79},{"$f":"'Sec. G CR Data ADJ'!$C$94","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$94","v":0},{"$f":"$J$425-$H$425","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$94","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$95","v":80},{"$f":"'Sec. G CR Data ADJ'!$C$95","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$95","v":0},{"$f":"$J$426-$H$426","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$95","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$96","v":81},{"$f":"'Sec. G CR Data ADJ'!$C$96","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$96","v":0},{"$f":"$J$427-$H$427","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$96","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$97","v":82},{"$f":"'Sec. G CR Data ADJ'!$C$97","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$97","v":0},{"$f":"$J$428-$H$428","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$97","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$98","v":83},{"$f":"'Sec. G CR Data ADJ'!$C$98","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$98","v":0},{"$f":"$J$429-$H$429","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$98","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$99","v":84},{"$f":"'Sec. G CR Data ADJ'!$C$99","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$99","v":0},{"$f":"$J$430-$H$430","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$99","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$100","v":85},{"$f":"'Sec. G CR Data ADJ'!$C$100","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$100","v":0},{"$f":"$J$431-$H$431","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$100","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$101","v":86},{"$f":"'Sec. G CR Data ADJ'!$C$101","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$101","v":0},{"$f":"$J$432-$H$432","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$101","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$102","v":87},{"$f":"'Sec. G CR Data ADJ'!$C$102","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$102","v":0},{"$f":"$J$433-$H$433","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$102","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$103","v":88},{"$f":"'Sec. G CR Data ADJ'!$C$103","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$103","v":0},{"$f":"$J$434-$H$434","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$103","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$104","v":89},{"$f":"'Sec. G CR Data ADJ'!$C$104","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$104","v":0},{"$f":"$J$435-$H$435","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$104","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$105","v":90},{"$f":"'Sec. G CR Data ADJ'!$C$105","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$105","v":0},{"$f":"$J$436-$H$436","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$105","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$106","v":91},{"$f":"'Sec. G CR Data ADJ'!$C$106","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$106","v":0},{"$f":"$J$437-$H$437","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$106","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$107","v":92},{"$f":"'Sec. G CR Data ADJ'!$C$107","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$107","v":0},{"$f":"$J$438-$H$438","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$107","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$108","v":93},{"$f":"'Sec. G CR Data ADJ'!$C$108","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$108","v":0},{"$f":"$J$439-$H$439","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$108","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$109","v":94},{"$f":"'Sec. G CR Data ADJ'!$C$109","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$109","v":0},{"$f":"$J$440-$H$440","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$109","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$110","v":95},{"$f":"'Sec. G CR Data ADJ'!$C$110","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$110","v":0},{"$f":"$J$441-$H$441","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$110","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$111","v":96},{"$f":"'Sec. G CR Data ADJ'!$C$111","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$111","v":0},{"$f":"$J$442-$H$442","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$111","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$112","v":97},{"$f":"'Sec. G CR Data ADJ'!$C$112","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$112","v":0},{"$f":"$J$443-$H$443","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$112","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$113","v":98},{"$f":"'Sec. G CR Data ADJ'!$C$113","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$113","v":0},{"$f":"$J$444-$H$444","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$113","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$114","v":99},{"$f":"'Sec. G CR Data ADJ'!$C$114","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$114","v":0},{"$f":"$J$445-$H$445","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$114","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$115","v":100},{"$f":"'Sec. G CR Data ADJ'!$C$115","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$115","v":0},{"$f":"$J$446-$H$446","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$115","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$116","v":101},{"$f":"'Sec. G CR Data ADJ'!$C$116","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$116","v":0},{"$f":"$J$447-$H$447","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$116","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$117","v":102},{"$f":"'Sec. G CR Data ADJ'!$C$117","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$117","v":0},{"$f":"$J$448-$H$448","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$117","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$118","v":103},{"$f":"'Sec. G CR Data ADJ'!$C$118","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$118","v":0},{"$f":"$J$449-$H$449","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$118","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$119","v":104},{"$f":"'Sec. G CR Data ADJ'!$C$119","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$119","v":0},{"$f":"$J$450-$H$450","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$119","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$120","v":105},{"$f":"'Sec. G CR Data ADJ'!$C$120","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$120","v":0},{"$f":"$J$451-$H$451","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$120","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$121","v":106},{"$f":"'Sec. G CR Data ADJ'!$C$121","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$121","v":0},{"$f":"$J$452-$H$452","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$121","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$122","v":107},{"$f":"'Sec. G CR Data ADJ'!$C$122","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$122","v":0},{"$f":"$J$453-$H$453","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$122","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$123","v":108},{"$f":"'Sec. G CR Data ADJ'!$C$123","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$123","v":0},{"$f":"$J$454-$H$454","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$123","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$124","v":109},{"$f":"'Sec. G CR Data ADJ'!$C$124","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$124","v":0},{"$f":"$J$455-$H$455","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$124","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$125","v":110},{"$f":"'Sec. G CR Data ADJ'!$C$125","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$125","v":0},{"$f":"$J$456-$H$456","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$125","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$126","v":111},{"$f":"'Sec. G CR Data ADJ'!$C$126","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$126","v":0},{"$f":"$J$457-$H$457","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$126","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$127","v":112},{"$f":"'Sec. G CR Data ADJ'!$C$127","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$127","v":0},{"$f":"$J$458-$H$458","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$127","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$128","v":113},{"$f":"'Sec. G CR Data ADJ'!$C$128","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$128","v":0},{"$f":"$J$459-$H$459","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$128","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$129","v":114},{"$f":"'Sec. G CR Data ADJ'!$C$129","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$129","v":0},{"$f":"$J$460-$H$460","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$129","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$130","v":115},{"$f":"'Sec. G CR Data ADJ'!$C$130","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$130","v":0},{"$f":"$J$461-$H$461","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$130","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$131","v":116},{"$f":"'Sec. G CR Data ADJ'!$C$131","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$131","v":0},{"$f":"$J$462-$H$462","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$131","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$132","v":117},{"$f":"'Sec. G CR Data ADJ'!$C$132","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$132","v":0},{"$f":"$J$463-$H$463","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$132","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$133","v":118},{"$f":"'Sec. G CR Data ADJ'!$C$133","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$133","v":0},{"$f":"$J$464-$H$464","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$133","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$134","v":119},{"$f":"'Sec. G CR Data ADJ'!$C$134","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$134","v":0},{"$f":"$J$465-$H$465","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$134","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$135","v":120},{"$f":"'Sec. G CR Data ADJ'!$C$135","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$135","v":0},{"$f":"$J$466-$H$466","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$135","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$136","v":121},{"$f":"'Sec. G CR Data ADJ'!$C$136","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$136","v":0},{"$f":"$J$467-$H$467","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$136","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$137","v":122},{"$f":"'Sec. G CR Data ADJ'!$C$137","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$137","v":0},{"$f":"$J$468-$H$468","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$137","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$138","v":123},{"$f":"'Sec. G CR Data ADJ'!$C$138","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$138","v":0},{"$f":"$J$469-$H$469","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$138","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$139","v":124},{"$f":"'Sec. G CR Data ADJ'!$C$139","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$139","v":0},{"$f":"$J$470-$H$470","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$139","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$140","v":125},{"$f":"'Sec. G CR Data ADJ'!$C$140","v":""},"5.00",{"$f":"'Sec. G CR Data'!$F$6","v":"RCE and Therapy Add-Back (If Applicable)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$F$140","v":0},{"$f":"$J$471-$H$471","v":0},{"$f":"'Sec. G CR Data ADJ'!$F$140","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$11","v":1},{"$f":"'Sec. G CR Data ADJ'!$C$11","v":"ADULTS & PEDIATRICS"},"6.00",{"$f":"'Sec. G CR Data'!$G$8","v":"Swing-Bed Carve Out - Cost Report Worksheet D-1, Part I, Line 26"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$G$11","v":0},{"$f":"$J$472-$H$472","v":0},{"$f":"'Sec. G CR Data ADJ'!$G$11","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$11","v":1},{"$f":"'Sec. G CR Data ADJ'!$C$11","v":"ADULTS & PEDIATRICS"},{"$f":"IF(FRAMethod=\"Cost\",\"9.00\",\"8.00\")","v":"8.00"},{"$f":"'Sec. G CR Data'!$J$8","v":"Days - Cost Report W/S D-1, Pt. I, Line 2 for Adults & Peds; W/S D-1, Pt. 2, Lines 42-47 for others"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$11","v":26144},{"$f":"$J$473-$H$473","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$11","v":26144}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$12","v":2},{"$f":"'Sec. G CR Data ADJ'!$C$12","v":"INTENSIVE CARE UNIT"},"8.00",{"$f":"'Sec. G CR Data'!$J$8","v":"Days - Cost Report W/S D-1, Pt. I, Line 2 for Adults & Peds; W/S D-1, Pt. 2, Lines 42-47 for others"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$12","v":2134},{"$f":"$J$474-$H$474","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$12","v":2134}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$13","v":3},{"$f":"'Sec. G CR Data ADJ'!$C$13","v":"CORONARY CARE UNIT"},"8.00",{"$f":"'Sec. G CR Data'!$J$8","v":"Days - Cost Report W/S D-1, Pt. I, Line 2 for Adults & Peds; W/S D-1, Pt. 2, Lines 42-47 for others"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$13","v":0},{"$f":"$J$475-$H$475","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$13","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$14","v":4},{"$f":"'Sec. G CR Data ADJ'!$C$14","v":"BURN INTENSIVE CARE UNIT"},"8.00",{"$f":"'Sec. G CR Data'!$J$8","v":"Days - Cost Report W/S D-1, Pt. I, Line 2 for Adults & Peds; W/S D-1, Pt. 2, Lines 42-47 for others"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$14","v":0},{"$f":"$J$476-$H$476","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$14","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$15","v":5},{"$f":"'Sec. G CR Data ADJ'!$C$15","v":"SURGICAL INTENSIVE CARE UNIT"},"8.00",{"$f":"'Sec. G CR Data'!$J$8","v":"Days - Cost Report W/S D-1, Pt. I, Line 2 for Adults & Peds; W/S D-1, Pt. 2, Lines 42-47 for others"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$15","v":0},{"$f":"$J$477-$H$477","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$15","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$16","v":6},{"$f":"'Sec. G CR Data ADJ'!$C$16","v":"OTHER SPECIAL CARE UNIT"},"8.00",{"$f":"'Sec. G CR Data'!$J$8","v":"Days - Cost Report W/S D-1, Pt. I, Line 2 for Adults & Peds; W/S D-1, Pt. 2, Lines 42-47 for others"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$16","v":0},{"$f":"$J$478-$H$478","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$16","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$17","v":7},{"$f":"'Sec. G CR Data ADJ'!$C$17","v":"SUBPROVIDER I"},"8.00",{"$f":"'Sec. G CR Data'!$J$8","v":"Days - Cost Report W/S D-1, Pt. I, Line 2 for Adults & Peds; W/S D-1, Pt. 2, Lines 42-47 for others"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$17","v":0},{"$f":"$J$479-$H$479","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$17","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$18","v":8},{"$f":"'Sec. G CR Data ADJ'!$C$18","v":"SUBPROVIDER II"},"8.00",{"$f":"'Sec. G CR Data'!$J$8","v":"Days - Cost Report W/S D-1, Pt. I, Line 2 for Adults & Peds; W/S D-1, Pt. 2, Lines 42-47 for others"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$18","v":0},{"$f":"$J$480-$H$480","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$18","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$19","v":9},{"$f":"'Sec. G CR Data ADJ'!$C$19","v":"OTHER SUBPROVIDER"},"8.00",{"$f":"'Sec. G CR Data'!$J$8","v":"Days - Cost Report W/S D-1, Pt. I, Line 2 for Adults & Peds; W/S D-1, Pt. 2, Lines 42-47 for others"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$19","v":0},{"$f":"$J$481-$H$481","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$19","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$20","v":10},{"$f":"'Sec. G CR Data ADJ'!$C$20","v":"NURSERY"},"8.00",{"$f":"'Sec. G CR Data'!$J$8","v":"Days - Cost Report W/S D-1, Pt. I, Line 2 for Adults & Peds; W/S D-1, Pt. 2, Lines 42-47 for others"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$20","v":2349},{"$f":"$J$482-$H$482","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$20","v":2349}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$21","v":11},{"$f":"'Sec. G CR Data ADJ'!$C$21","v":0},"8.00",{"$f":"'Sec. G CR Data'!$J$8","v":"Days - Cost Report W/S D-1, Pt. I, Line 2 for Adults & Peds; W/S D-1, Pt. 2, Lines 42-47 for others"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$21","v":0},{"$f":"$J$483-$H$483","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$21","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$22","v":12},{"$f":"'Sec. G CR Data ADJ'!$C$22","v":0},"8.00",{"$f":"'Sec. G CR Data'!$J$8","v":"Days - Cost Report W/S D-1, Pt. I, Line 2 for Adults & Peds; W/S D-1, Pt. 2, Lines 42-47 for others"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$22","v":0},{"$f":"$J$484-$H$484","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$22","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$23","v":13},{"$f":"'Sec. G CR Data ADJ'!$C$23","v":0},"8.00",{"$f":"'Sec. G CR Data'!$J$8","v":"Days - Cost Report W/S D-1, Pt. I, Line 2 for Adults & Peds; W/S D-1, Pt. 2, Lines 42-47 for others"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$23","v":0},{"$f":"$J$485-$H$485","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$23","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$24","v":14},{"$f":"'Sec. G CR Data ADJ'!$C$24","v":0},"8.00",{"$f":"'Sec. G CR Data'!$J$8","v":"Days - Cost Report W/S D-1, Pt. I, Line 2 for Adults & Peds; W/S D-1, Pt. 2, Lines 42-47 for others"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$24","v":0},{"$f":"$J$486-$H$486","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$24","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$25","v":15},{"$f":"'Sec. G CR Data ADJ'!$C$25","v":0},"8.00",{"$f":"'Sec. G CR Data'!$J$8","v":"Days - Cost Report W/S D-1, Pt. I, Line 2 for Adults & Peds; W/S D-1, Pt. 2, Lines 42-47 for others"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$25","v":0},{"$f":"$J$487-$H$487","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$25","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$26","v":16},{"$f":"'Sec. G CR Data ADJ'!$C$26","v":0},"8.00",{"$f":"'Sec. G CR Data'!$J$8","v":"Days - Cost Report W/S D-1, Pt. I, Line 2 for Adults & Peds; W/S D-1, Pt. 2, Lines 42-47 for others"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$26","v":0},{"$f":"$J$488-$H$488","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$26","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$27","v":17},{"$f":"'Sec. G CR Data ADJ'!$C$27","v":0},"8.00",{"$f":"'Sec. G CR Data'!$J$8","v":"Days - Cost Report W/S D-1, Pt. I, Line 2 for Adults & Peds; W/S D-1, Pt. 2, Lines 42-47 for others"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$27","v":0},{"$f":"$J$489-$H$489","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$27","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$11","v":1},{"$f":"'Sec. G CR Data ADJ'!$C$11","v":"ADULTS & PEDIATRICS"},{"$f":"IF(FRAMethod=\"Cost\",\"10.00\",\"9.00\")","v":"9.00"},{"$f":"'Sec. G CR Data'!$K$8","v":"Inpatient Routine Charges - Cost Report Worksheet C, Pt. I,  Col. 6 (Informational only unless used in Section L charges allocation)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$11","v":34554230},{"$f":"$J$490-$H$490","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$11","v":34554230}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$12","v":2},{"$f":"'Sec. G CR Data ADJ'!$C$12","v":"INTENSIVE CARE UNIT"},"9.00",{"$f":"'Sec. G CR Data'!$K$8","v":"Inpatient Routine Charges - Cost Report Worksheet C, Pt. I,  Col. 6 (Informational only unless used in Section L charges allocation)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$12","v":6389924},{"$f":"$J$491-$H$491","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$12","v":6389924}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$13","v":3},{"$f":"'Sec. G CR Data ADJ'!$C$13","v":"CORONARY CARE UNIT"},"9.00",{"$f":"'Sec. G CR Data'!$K$8","v":"Inpatient Routine Charges - Cost Report Worksheet C, Pt. I,  Col. 6 (Informational only unless used in Section L charges allocation)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$13","v":0},{"$f":"$J$492-$H$492","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$13","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$14","v":4},{"$f":"'Sec. G CR Data ADJ'!$C$14","v":"BURN INTENSIVE CARE UNIT"},"9.00",{"$f":"'Sec. G CR Data'!$K$8","v":"Inpatient Routine Charges - Cost Report Worksheet C, Pt. I,  Col. 6 (Informational only unless used in Section L charges allocation)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$14","v":0},{"$f":"$J$493-$H$493","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$14","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$15","v":5},{"$f":"'Sec. G CR Data ADJ'!$C$15","v":"SURGICAL INTENSIVE CARE UNIT"},"9.00",{"$f":"'Sec. G CR Data'!$K$8","v":"Inpatient Routine Charges - Cost Report Worksheet C, Pt. I,  Col. 6 (Informational only unless used in Section L charges allocation)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$15","v":0},{"$f":"$J$494-$H$494","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$15","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$16","v":6},{"$f":"'Sec. G CR Data ADJ'!$C$16","v":"OTHER SPECIAL CARE UNIT"},"9.00",{"$f":"'Sec. G CR Data'!$K$8","v":"Inpatient Routine Charges - Cost Report Worksheet C, Pt. I,  Col. 6 (Informational only unless used in Section L charges allocation)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$16","v":0},{"$f":"$J$495-$H$495","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$16","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$17","v":7},{"$f":"'Sec. G CR Data ADJ'!$C$17","v":"SUBPROVIDER I"},"9.00",{"$f":"'Sec. G CR Data'!$K$8","v":"Inpatient Routine Charges - Cost Report Worksheet C, Pt. I,  Col. 6 (Informational only unless used in Section L charges allocation)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$17","v":0},{"$f":"$J$496-$H$496","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$17","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$18","v":8},{"$f":"'Sec. G CR Data ADJ'!$C$18","v":"SUBPROVIDER II"},"9.00",{"$f":"'Sec. G CR Data'!$K$8","v":"Inpatient Routine Charges - Cost Report Worksheet C, Pt. I,  Col. 6 (Informational only unless used in Section L charges allocation)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$18","v":0},{"$f":"$J$497-$H$497","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$18","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$19","v":9},{"$f":"'Sec. G CR Data ADJ'!$C$19","v":"OTHER SUBPROVIDER"},"9.00",{"$f":"'Sec. G CR Data'!$K$8","v":"Inpatient Routine Charges - Cost Report Worksheet C, Pt. I,  Col. 6 (Informational only unless used in Section L charges allocation)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$19","v":0},{"$f":"$J$498-$H$498","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$19","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$20","v":10},{"$f":"'Sec. G CR Data ADJ'!$C$20","v":"NURSERY"},"9.00",{"$f":"'Sec. G CR Data'!$K$8","v":"Inpatient Routine Charges - Cost Report Worksheet C, Pt. I,  Col. 6 (Informational only unless used in Section L charges allocation)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$20","v":2885197},{"$f":"$J$499-$H$499","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$20","v":2885197}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$21","v":11},{"$f":"'Sec. G CR Data ADJ'!$C$21","v":0},"9.00",{"$f":"'Sec. G CR Data'!$K$8","v":"Inpatient Routine Charges - Cost Report Worksheet C, Pt. I,  Col. 6 (Informational only unless used in Section L charges allocation)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$21","v":0},{"$f":"$J$500-$H$500","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$21","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$22","v":12},{"$f":"'Sec. G CR Data ADJ'!$C$22","v":0},"9.00",{"$f":"'Sec. G CR Data'!$K$8","v":"Inpatient Routine Charges - Cost Report Worksheet C, Pt. I,  Col. 6 (Informational only unless used in Section L charges allocation)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$22","v":0},{"$f":"$J$501-$H$501","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$22","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$23","v":13},{"$f":"'Sec. G CR Data ADJ'!$C$23","v":0},"9.00",{"$f":"'Sec. G CR Data'!$K$8","v":"Inpatient Routine Charges - Cost Report Worksheet C, Pt. I,  Col. 6 (Informational only unless used in Section L charges allocation)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$23","v":0},{"$f":"$J$502-$H$502","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$23","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$24","v":14},{"$f":"'Sec. G CR Data ADJ'!$C$24","v":0},"9.00",{"$f":"'Sec. G CR Data'!$K$8","v":"Inpatient Routine Charges - Cost Report Worksheet C, Pt. I,  Col. 6 (Informational only unless used in Section L charges allocation)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$24","v":0},{"$f":"$J$503-$H$503","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$24","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$25","v":15},{"$f":"'Sec. G CR Data ADJ'!$C$25","v":0},"9.00",{"$f":"'Sec. G CR Data'!$K$8","v":"Inpatient Routine Charges - Cost Report Worksheet C, Pt. I,  Col. 6 (Informational only unless used in Section L charges allocation)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$25","v":0},{"$f":"$J$504-$H$504","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$25","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$26","v":16},{"$f":"'Sec. G CR Data ADJ'!$C$26","v":0},"9.00",{"$f":"'Sec. G CR Data'!$K$8","v":"Inpatient Routine Charges - Cost Report Worksheet C, Pt. I,  Col. 6 (Informational only unless used in Section L charges allocation)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$26","v":0},{"$f":"$J$505-$H$505","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$26","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$27","v":17},{"$f":"'Sec. G CR Data ADJ'!$C$27","v":0},"9.00",{"$f":"'Sec. G CR Data'!$K$8","v":"Inpatient Routine Charges - Cost Report Worksheet C, Pt. I,  Col. 6 (Informational only unless used in Section L charges allocation)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$27","v":0},{"$f":"$J$506-$H$506","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$27","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$32","v":20},{"$f":"'Sec. G CR Data ADJ'!$C$32","v":"Observation (Non-Distinct)"},{"$f":"IF(FRAMethod=\"Cost\",\"9.00\",\"8.00\")","v":"8.00"},{"$f":"'Sec. G CR Data'!$J$31","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!J48","v":5768112},{"$f":"J507-H507","v":0},{"$f":"'Sec. G CR Data ADJ'!J48","v":5768112}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$51","v":36},{"$f":"'Sec. G CR Data ADJ'!$C$51","v":"ELECTROENCEPHALOGRAPHY"},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$51","v":64217},{"$f":"$J$508-$H$508","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$51","v":64217}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$52","v":37},{"$f":"'Sec. G CR Data ADJ'!$C$52","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$52","v":9909609},{"$f":"$J$509-$H$509","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$52","v":9909609}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$53","v":38},{"$f":"'Sec. G CR Data ADJ'!$C$53","v":"IMPL. DEV. CHARGED TO PATIENTS"},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$53","v":4862557},{"$f":"$J$510-$H$510","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$53","v":4862557}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$54","v":39},{"$f":"'Sec. G CR Data ADJ'!$C$54","v":"DRUGS CHARGED TO PATIENTS"},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$54","v":17650550},{"$f":"$J$511-$H$511","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$54","v":17650550}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$55","v":40},{"$f":"'Sec. G CR Data ADJ'!$C$55","v":"RENAL DIALYSIS"},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$55","v":577510},{"$f":"$J$512-$H$512","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$55","v":577510}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$56","v":41},{"$f":"'Sec. G CR Data ADJ'!$C$56","v":"CARDIOVASCULAR MEDICINE"},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$56","v":4577555},{"$f":"$J$513-$H$513","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$56","v":4577555}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$57","v":42},{"$f":"'Sec. G CR Data ADJ'!$C$57","v":"CLINIC"},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$57","v":0},{"$f":"$J$514-$H$514","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$57","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$58","v":43},{"$f":"'Sec. G CR Data ADJ'!$C$58","v":"NUTRITION"},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$58","v":0},{"$f":"$J$515-$H$515","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$58","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$59","v":44},{"$f":"'Sec. G CR Data ADJ'!$C$59","v":"WOUND CARE CENTER"},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$59","v":54288},{"$f":"$J$516-$H$516","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$59","v":54288}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$60","v":45},{"$f":"'Sec. G CR Data ADJ'!$C$60","v":"EMERGENCY"},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$60","v":9422922},{"$f":"$J$517-$H$517","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$60","v":9422922}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$61","v":46},{"$f":"'Sec. G CR Data ADJ'!$C$61","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$61","v":0},{"$f":"$J$518-$H$518","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$61","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$62","v":47},{"$f":"'Sec. G CR Data ADJ'!$C$62","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$62","v":0},{"$f":"$J$519-$H$519","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$62","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$63","v":48},{"$f":"'Sec. G CR Data ADJ'!$C$63","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$63","v":0},{"$f":"$J$520-$H$520","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$63","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$64","v":49},{"$f":"'Sec. G CR Data ADJ'!$C$64","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$64","v":0},{"$f":"$J$521-$H$521","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$64","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$65","v":50},{"$f":"'Sec. G CR Data ADJ'!$C$65","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$65","v":0},{"$f":"$J$522-$H$522","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$65","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$66","v":51},{"$f":"'Sec. G CR Data ADJ'!$C$66","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$66","v":0},{"$f":"$J$523-$H$523","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$66","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$67","v":52},{"$f":"'Sec. G CR Data ADJ'!$C$67","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$67","v":0},{"$f":"$J$524-$H$524","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$67","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$68","v":53},{"$f":"'Sec. G CR Data ADJ'!$C$68","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$68","v":0},{"$f":"$J$525-$H$525","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$68","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$69","v":54},{"$f":"'Sec. G CR Data ADJ'!$C$69","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$69","v":0},{"$f":"$J$526-$H$526","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$69","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$70","v":55},{"$f":"'Sec. G CR Data ADJ'!$C$70","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$70","v":0},{"$f":"$J$527-$H$527","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$70","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$71","v":56},{"$f":"'Sec. G CR Data ADJ'!$C$71","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$71","v":0},{"$f":"$J$528-$H$528","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$71","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$72","v":57},{"$f":"'Sec. G CR Data ADJ'!$C$72","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$72","v":0},{"$f":"$J$529-$H$529","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$72","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$73","v":58},{"$f":"'Sec. G CR Data ADJ'!$C$73","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$73","v":0},{"$f":"$J$530-$H$530","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$73","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$74","v":59},{"$f":"'Sec. G CR Data ADJ'!$C$74","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$74","v":0},{"$f":"$J$531-$H$531","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$74","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$75","v":60},{"$f":"'Sec. G CR Data ADJ'!$C$75","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$75","v":0},{"$f":"$J$532-$H$532","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$75","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$76","v":61},{"$f":"'Sec. G CR Data ADJ'!$C$76","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$76","v":0},{"$f":"$J$533-$H$533","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$76","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$77","v":62},{"$f":"'Sec. G CR Data ADJ'!$C$77","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$77","v":0},{"$f":"$J$534-$H$534","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$77","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$78","v":63},{"$f":"'Sec. G CR Data ADJ'!$C$78","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$78","v":0},{"$f":"$J$535-$H$535","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$78","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$79","v":64},{"$f":"'Sec. G CR Data ADJ'!$C$79","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$79","v":0},{"$f":"$J$536-$H$536","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$79","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$80","v":65},{"$f":"'Sec. G CR Data ADJ'!$C$80","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$80","v":0},{"$f":"$J$537-$H$537","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$80","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$81","v":66},{"$f":"'Sec. G CR Data ADJ'!$C$81","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$81","v":0},{"$f":"$J$538-$H$538","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$81","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$82","v":67},{"$f":"'Sec. G CR Data ADJ'!$C$82","v":""},{"$f":"IF(FRAMethod=\"Cost\",\"9.00\",\"8.00\")","v":"8.00"},{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$82","v":0},{"$f":"$J$539-$H$539","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$82","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$83","v":68},{"$f":"'Sec. G CR Data ADJ'!$C$83","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$83","v":0},{"$f":"$J$540-$H$540","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$83","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$84","v":69},{"$f":"'Sec. G CR Data ADJ'!$C$84","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$84","v":0},{"$f":"$J$541-$H$541","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$84","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$85","v":70},{"$f":"'Sec. G CR Data ADJ'!$C$85","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$85","v":0},{"$f":"$J$542-$H$542","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$85","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$86","v":71},{"$f":"'Sec. G CR Data ADJ'!$C$86","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$86","v":0},{"$f":"$J$543-$H$543","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$86","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$87","v":72},{"$f":"'Sec. G CR Data ADJ'!$C$87","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$87","v":0},{"$f":"$J$544-$H$544","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$87","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$88","v":73},{"$f":"'Sec. G CR Data ADJ'!$C$88","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$88","v":0},{"$f":"$J$545-$H$545","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$88","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$89","v":74},{"$f":"'Sec. G CR Data ADJ'!$C$89","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$89","v":0},{"$f":"$J$546-$H$546","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$89","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$90","v":75},{"$f":"'Sec. G CR Data ADJ'!$C$90","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$90","v":0},{"$f":"$J$547-$H$547","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$90","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$91","v":76},{"$f":"'Sec. G CR Data ADJ'!$C$91","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$91","v":0},{"$f":"$J$548-$H$548","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$91","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$92","v":77},{"$f":"'Sec. G CR Data ADJ'!$C$92","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$92","v":0},{"$f":"$J$549-$H$549","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$92","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$93","v":78},{"$f":"'Sec. G CR Data ADJ'!$C$93","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$93","v":0},{"$f":"$J$550-$H$550","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$93","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$94","v":79},{"$f":"'Sec. G CR Data ADJ'!$C$94","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$94","v":0},{"$f":"$J$551-$H$551","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$94","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$95","v":80},{"$f":"'Sec. G CR Data ADJ'!$C$95","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$95","v":0},{"$f":"$J$552-$H$552","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$95","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$96","v":81},{"$f":"'Sec. G CR Data ADJ'!$C$96","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$96","v":0},{"$f":"$J$553-$H$553","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$96","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$97","v":82},{"$f":"'Sec. G CR Data ADJ'!$C$97","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$97","v":0},{"$f":"$J$554-$H$554","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$97","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$98","v":83},{"$f":"'Sec. G CR Data ADJ'!$C$98","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$98","v":0},{"$f":"$J$555-$H$555","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$98","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$99","v":84},{"$f":"'Sec. G CR Data ADJ'!$C$99","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$99","v":0},{"$f":"$J$556-$H$556","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$99","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$100","v":85},{"$f":"'Sec. G CR Data ADJ'!$C$100","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$100","v":0},{"$f":"$J$557-$H$557","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$100","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$101","v":86},{"$f":"'Sec. G CR Data ADJ'!$C$101","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$101","v":0},{"$f":"$J$558-$H$558","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$101","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$102","v":87},{"$f":"'Sec. G CR Data ADJ'!$C$102","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$102","v":0},{"$f":"$J$559-$H$559","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$102","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$103","v":88},{"$f":"'Sec. G CR Data ADJ'!$C$103","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$103","v":0},{"$f":"$J$560-$H$560","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$103","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$104","v":89},{"$f":"'Sec. G CR Data ADJ'!$C$104","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$104","v":0},{"$f":"$J$561-$H$561","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$104","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$105","v":90},{"$f":"'Sec. G CR Data ADJ'!$C$105","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$105","v":0},{"$f":"$J$562-$H$562","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$105","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$106","v":91},{"$f":"'Sec. G CR Data ADJ'!$C$106","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$106","v":0},{"$f":"$J$563-$H$563","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$106","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$107","v":92},{"$f":"'Sec. G CR Data ADJ'!$C$107","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$107","v":0},{"$f":"$J$564-$H$564","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$107","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$108","v":93},{"$f":"'Sec. G CR Data ADJ'!$C$108","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$108","v":0},{"$f":"$J$565-$H$565","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$108","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$109","v":94},{"$f":"'Sec. G CR Data ADJ'!$C$109","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$109","v":0},{"$f":"$J$566-$H$566","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$109","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$110","v":95},{"$f":"'Sec. G CR Data ADJ'!$C$110","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$110","v":0},{"$f":"$J$567-$H$567","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$110","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$111","v":96},{"$f":"'Sec. G CR Data ADJ'!$C$111","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$111","v":0},{"$f":"$J$568-$H$568","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$111","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$112","v":97},{"$f":"'Sec. G CR Data ADJ'!$C$112","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$112","v":0},{"$f":"$J$569-$H$569","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$112","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$113","v":98},{"$f":"'Sec. G CR Data ADJ'!$C$113","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$113","v":0},{"$f":"$J$570-$H$570","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$113","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$114","v":99},{"$f":"'Sec. G CR Data ADJ'!$C$114","v":""},{"$f":"IF(FRAMethod=\"Cost\",\"9.00\",\"8.00\")","v":"8.00"},{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$114","v":0},{"$f":"$J$571-$H$571","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$114","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$115","v":100},{"$f":"'Sec. G CR Data ADJ'!$C$115","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$115","v":0},{"$f":"$J$572-$H$572","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$115","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$116","v":101},{"$f":"'Sec. G CR Data ADJ'!$C$116","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$116","v":0},{"$f":"$J$573-$H$573","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$116","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$117","v":102},{"$f":"'Sec. G CR Data ADJ'!$C$117","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$117","v":0},{"$f":"$J$574-$H$574","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$117","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$118","v":103},{"$f":"'Sec. G CR Data ADJ'!$C$118","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$118","v":0},{"$f":"$J$575-$H$575","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$118","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$119","v":104},{"$f":"'Sec. G CR Data ADJ'!$C$119","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$119","v":0},{"$f":"$J$576-$H$576","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$119","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$120","v":105},{"$f":"'Sec. G CR Data ADJ'!$C$120","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$120","v":0},{"$f":"$J$577-$H$577","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$120","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$121","v":106},{"$f":"'Sec. G CR Data ADJ'!$C$121","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$121","v":0},{"$f":"$J$578-$H$578","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$121","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$122","v":107},{"$f":"'Sec. G CR Data ADJ'!$C$122","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$122","v":0},{"$f":"$J$579-$H$579","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$122","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$123","v":108},{"$f":"'Sec. G CR Data ADJ'!$C$123","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$123","v":0},{"$f":"$J$580-$H$580","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$123","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$124","v":109},{"$f":"'Sec. G CR Data ADJ'!$C$124","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$124","v":0},{"$f":"$J$581-$H$581","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$124","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$125","v":110},{"$f":"'Sec. G CR Data ADJ'!$C$125","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$125","v":0},{"$f":"$J$582-$H$582","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$125","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$126","v":111},{"$f":"'Sec. G CR Data ADJ'!$C$126","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$126","v":0},{"$f":"$J$583-$H$583","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$126","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$127","v":112},{"$f":"'Sec. G CR Data ADJ'!$C$127","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$127","v":0},{"$f":"$J$584-$H$584","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$127","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$128","v":113},{"$f":"'Sec. G CR Data ADJ'!$C$128","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$128","v":0},{"$f":"$J$585-$H$585","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$128","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$129","v":114},{"$f":"'Sec. G CR Data ADJ'!$C$129","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$129","v":0},{"$f":"$J$586-$H$586","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$129","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$130","v":115},{"$f":"'Sec. G CR Data ADJ'!$C$130","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$130","v":0},{"$f":"$J$587-$H$587","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$130","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$131","v":116},{"$f":"'Sec. G CR Data ADJ'!$C$131","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$131","v":0},{"$f":"$J$588-$H$588","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$131","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$132","v":117},{"$f":"'Sec. G CR Data ADJ'!$C$132","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$132","v":0},{"$f":"$J$589-$H$589","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$132","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$133","v":118},{"$f":"'Sec. G CR Data ADJ'!$C$133","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$133","v":0},{"$f":"$J$590-$H$590","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$133","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$134","v":119},{"$f":"'Sec. G CR Data ADJ'!$C$134","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$134","v":0},{"$f":"$J$591-$H$591","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$134","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$135","v":120},{"$f":"'Sec. G CR Data ADJ'!$C$135","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$135","v":0},{"$f":"$J$592-$H$592","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$135","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$136","v":121},{"$f":"'Sec. G CR Data ADJ'!$C$136","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$136","v":0},{"$f":"$J$593-$H$593","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$136","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$137","v":122},{"$f":"'Sec. G CR Data ADJ'!$C$137","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$137","v":0},{"$f":"$J$594-$H$594","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$137","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$138","v":123},{"$f":"'Sec. G CR Data ADJ'!$C$138","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$138","v":0},{"$f":"$J$595-$H$595","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$138","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$139","v":124},{"$f":"'Sec. G CR Data ADJ'!$C$139","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$139","v":0},{"$f":"$J$596-$H$596","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$139","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$140","v":125},{"$f":"'Sec. G CR Data ADJ'!$C$140","v":""},"8.00",{"$f":"'Sec. G CR Data'!$J$34","v":"Inpatient Charges - Cost Report Worksheet C, Pt. I,  Col. 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$J$140","v":0},{"$f":"$J$597-$H$597","v":0},{"$f":"'Sec. G CR Data ADJ'!$J$140","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$32","v":20},{"$f":"'Sec. G CR Data ADJ'!$C$32","v":"Observation (Non-Distinct)"},{"$f":"IF(FRAMethod=\"Cost\",\"10.00\",\"9.00\")","v":"9.00"},{"$f":"'Sec. G CR Data'!$K$31","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$32","v":3046875},{"$f":"$J$598-$H$598","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$32","v":3046875}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$36","v":21},{"$f":"'Sec. G CR Data ADJ'!$C$36","v":"OPERATING ROOM"},"9.00",{"$f":"'Sec. G CR Data'!$K$31","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$36","v":42879969},{"$f":"$J$599-$H$599","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$36","v":42879969}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$37","v":22},{"$f":"'Sec. G CR Data ADJ'!$C$37","v":"RECOVERY ROOM"},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$37","v":3268195},{"$f":"$J$600-$H$600","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$37","v":3268195}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$38","v":23},{"$f":"'Sec. G CR Data ADJ'!$C$38","v":"DELIVERY ROOM & LABOR ROOM"},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$38","v":1063720},{"$f":"$J$601-$H$601","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$38","v":1063720}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$39","v":24},{"$f":"'Sec. G CR Data ADJ'!$C$39","v":"ANESTHESIOLOGY"},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$39","v":12604451},{"$f":"$J$602-$H$602","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$39","v":12604451}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$40","v":25},{"$f":"'Sec. G CR Data ADJ'!$C$40","v":"RADIOLOGY-DIAGNOSTIC"},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$40","v":16163806},{"$f":"$J$603-$H$603","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$40","v":16163806}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$41","v":26},{"$f":"'Sec. G CR Data ADJ'!$C$41","v":"RADIOLOGY-THERAPEUTIC"},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$41","v":15613470},{"$f":"$J$604-$H$604","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$41","v":15613470}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$42","v":27},{"$f":"'Sec. G CR Data ADJ'!$C$42","v":"NUCLEAR MEDICINE"},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$42","v":6321580},{"$f":"$J$605-$H$605","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$42","v":6321580}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$43","v":28},{"$f":"'Sec. G CR Data ADJ'!$C$43","v":"CT SCAN"},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$43","v":23929140},{"$f":"$J$606-$H$606","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$43","v":23929140}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$44","v":29},{"$f":"'Sec. G CR Data ADJ'!$C$44","v":"MRI"},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$44","v":3653805},{"$f":"$J$607-$H$607","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$44","v":3653805}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$45","v":30},{"$f":"'Sec. G CR Data ADJ'!$C$45","v":"CARDIAC CATHETERIZATION"},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$45","v":15138806},{"$f":"$J$608-$H$608","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$45","v":15138806}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$46","v":31},{"$f":"'Sec. G CR Data ADJ'!$C$46","v":"LABORATORY"},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$46","v":37581326},{"$f":"$J$609-$H$609","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$46","v":37581326}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$47","v":32},{"$f":"'Sec. G CR Data ADJ'!$C$47","v":"RESPIRATORY THERAPY"},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$47","v":4732353},{"$f":"$J$610-$H$610","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$47","v":4732353}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$48","v":33},{"$f":"'Sec. G CR Data ADJ'!$C$48","v":"PHYSICAL THERAPY"},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$48","v":3681975},{"$f":"$J$611-$H$611","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$48","v":3681975}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$49","v":34},{"$f":"'Sec. G CR Data ADJ'!$C$49","v":"SPEECH PATHOLOGY"},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$49","v":490738},{"$f":"$J$612-$H$612","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$49","v":490738}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$50","v":35},{"$f":"'Sec. G CR Data ADJ'!$C$50","v":"ELECTROCARDIOLOGY"},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$50","v":5484732},{"$f":"$J$613-$H$613","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$50","v":5484732}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$51","v":36},{"$f":"'Sec. G CR Data ADJ'!$C$51","v":"ELECTROENCEPHALOGRAPHY"},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$51","v":68964},{"$f":"$J$614-$H$614","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$51","v":68964}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$52","v":37},{"$f":"'Sec. G CR Data ADJ'!$C$52","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$52","v":10219998},{"$f":"$J$615-$H$615","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$52","v":10219998}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$53","v":38},{"$f":"'Sec. G CR Data ADJ'!$C$53","v":"IMPL. DEV. CHARGED TO PATIENTS"},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$53","v":4361953},{"$f":"$J$616-$H$616","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$53","v":4361953}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$54","v":39},{"$f":"'Sec. G CR Data ADJ'!$C$54","v":"DRUGS CHARGED TO PATIENTS"},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$54","v":29903523},{"$f":"$J$617-$H$617","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$54","v":29903523}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$55","v":40},{"$f":"'Sec. G CR Data ADJ'!$C$55","v":"RENAL DIALYSIS"},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$55","v":84710},{"$f":"$J$618-$H$618","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$55","v":84710}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$56","v":41},{"$f":"'Sec. G CR Data ADJ'!$C$56","v":"CARDIOVASCULAR MEDICINE"},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$56","v":9044632},{"$f":"$J$619-$H$619","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$56","v":9044632}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$57","v":42},{"$f":"'Sec. G CR Data ADJ'!$C$57","v":"CLINIC"},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$57","v":106951},{"$f":"$J$620-$H$620","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$57","v":106951}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$58","v":43},{"$f":"'Sec. G CR Data ADJ'!$C$58","v":"NUTRITION"},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$58","v":26424},{"$f":"$J$621-$H$621","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$58","v":26424}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$59","v":44},{"$f":"'Sec. G CR Data ADJ'!$C$59","v":"WOUND CARE CENTER"},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$59","v":3280621},{"$f":"$J$622-$H$622","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$59","v":3280621}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$60","v":45},{"$f":"'Sec. G CR Data ADJ'!$C$60","v":"EMERGENCY"},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$60","v":57889882},{"$f":"$J$623-$H$623","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$60","v":57889882}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$61","v":46},{"$f":"'Sec. G CR Data ADJ'!$C$61","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$61","v":0},{"$f":"$J$624-$H$624","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$61","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$62","v":47},{"$f":"'Sec. G CR Data ADJ'!$C$62","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$62","v":0},{"$f":"$J$625-$H$625","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$62","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$63","v":48},{"$f":"'Sec. G CR Data ADJ'!$C$63","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$63","v":0},{"$f":"$J$626-$H$626","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$63","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$64","v":49},{"$f":"'Sec. G CR Data ADJ'!$C$64","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$64","v":0},{"$f":"$J$627-$H$627","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$64","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$65","v":50},{"$f":"'Sec. G CR Data ADJ'!$C$65","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$65","v":0},{"$f":"$J$628-$H$628","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$65","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$66","v":51},{"$f":"'Sec. G CR Data ADJ'!$C$66","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$66","v":0},{"$f":"$J$629-$H$629","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$66","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$67","v":52},{"$f":"'Sec. G CR Data ADJ'!$C$67","v":""},{"$f":"IF(FRAMethod=\"Cost\",\"10.00\",\"9.00\")","v":"9.00"},{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$67","v":0},{"$f":"$J$630-$H$630","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$67","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$68","v":53},{"$f":"'Sec. G CR Data ADJ'!$C$68","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$68","v":0},{"$f":"$J$631-$H$631","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$68","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$69","v":54},{"$f":"'Sec. G CR Data ADJ'!$C$69","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$69","v":0},{"$f":"$J$632-$H$632","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$69","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$70","v":55},{"$f":"'Sec. G CR Data ADJ'!$C$70","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$70","v":0},{"$f":"$J$633-$H$633","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$70","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$71","v":56},{"$f":"'Sec. G CR Data ADJ'!$C$71","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$71","v":0},{"$f":"$J$634-$H$634","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$71","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$72","v":57},{"$f":"'Sec. G CR Data ADJ'!$C$72","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$72","v":0},{"$f":"$J$635-$H$635","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$72","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$73","v":58},{"$f":"'Sec. G CR Data ADJ'!$C$73","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$73","v":0},{"$f":"$J$636-$H$636","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$73","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$74","v":59},{"$f":"'Sec. G CR Data ADJ'!$C$74","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$74","v":0},{"$f":"$J$637-$H$637","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$74","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$75","v":60},{"$f":"'Sec. G CR Data ADJ'!$C$75","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$75","v":0},{"$f":"$J$638-$H$638","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$75","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$76","v":61},{"$f":"'Sec. G CR Data ADJ'!$C$76","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$76","v":0},{"$f":"$J$639-$H$639","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$76","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$77","v":62},{"$f":"'Sec. G CR Data ADJ'!$C$77","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$77","v":0},{"$f":"$J$640-$H$640","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$77","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$78","v":63},{"$f":"'Sec. G CR Data ADJ'!$C$78","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$78","v":0},{"$f":"$J$641-$H$641","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$78","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$79","v":64},{"$f":"'Sec. G CR Data ADJ'!$C$79","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$79","v":0},{"$f":"$J$642-$H$642","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$79","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$80","v":65},{"$f":"'Sec. G CR Data ADJ'!$C$80","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$80","v":0},{"$f":"$J$643-$H$643","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$80","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$81","v":66},{"$f":"'Sec. G CR Data ADJ'!$C$81","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$81","v":0},{"$f":"$J$644-$H$644","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$81","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$82","v":67},{"$f":"'Sec. G CR Data ADJ'!$C$82","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$82","v":0},{"$f":"$J$645-$H$645","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$82","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$83","v":68},{"$f":"'Sec. G CR Data ADJ'!$C$83","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$83","v":0},{"$f":"$J$646-$H$646","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$83","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$84","v":69},{"$f":"'Sec. G CR Data ADJ'!$C$84","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$84","v":0},{"$f":"$J$647-$H$647","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$84","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$85","v":70},{"$f":"'Sec. G CR Data ADJ'!$C$85","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$85","v":0},{"$f":"$J$648-$H$648","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$85","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$86","v":71},{"$f":"'Sec. G CR Data ADJ'!$C$86","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$86","v":0},{"$f":"$J$649-$H$649","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$86","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$87","v":72},{"$f":"'Sec. G CR Data ADJ'!$C$87","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$87","v":0},{"$f":"$J$650-$H$650","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$87","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$88","v":73},{"$f":"'Sec. G CR Data ADJ'!$C$88","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$88","v":0},{"$f":"$J$651-$H$651","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$88","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$89","v":74},{"$f":"'Sec. G CR Data ADJ'!$C$89","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$89","v":0},{"$f":"$J$652-$H$652","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$89","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$90","v":75},{"$f":"'Sec. G CR Data ADJ'!$C$90","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$90","v":0},{"$f":"$J$653-$H$653","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$90","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$91","v":76},{"$f":"'Sec. G CR Data ADJ'!$C$91","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$91","v":0},{"$f":"$J$654-$H$654","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$91","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$92","v":77},{"$f":"'Sec. G CR Data ADJ'!$C$92","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$92","v":0},{"$f":"$J$655-$H$655","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$92","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$93","v":78},{"$f":"'Sec. G CR Data ADJ'!$C$93","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$93","v":0},{"$f":"$J$656-$H$656","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$93","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$94","v":79},{"$f":"'Sec. G CR Data ADJ'!$C$94","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$94","v":0},{"$f":"$J$657-$H$657","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$94","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$95","v":80},{"$f":"'Sec. G CR Data ADJ'!$C$95","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$95","v":0},{"$f":"$J$658-$H$658","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$95","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$96","v":81},{"$f":"'Sec. G CR Data ADJ'!$C$96","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$96","v":0},{"$f":"$J$659-$H$659","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$96","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$97","v":82},{"$f":"'Sec. G CR Data ADJ'!$C$97","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$97","v":0},{"$f":"$J$660-$H$660","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$97","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$98","v":83},{"$f":"'Sec. G CR Data ADJ'!$C$98","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$98","v":0},{"$f":"$J$661-$H$661","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$98","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$99","v":84},{"$f":"'Sec. G CR Data ADJ'!$C$99","v":""},{"$f":"IF(FRAMethod=\"Cost\",\"10.00\",\"9.00\")","v":"9.00"},{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$99","v":0},{"$f":"$J$662-$H$662","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$99","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$100","v":85},{"$f":"'Sec. G CR Data ADJ'!$C$100","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$100","v":0},{"$f":"$J$663-$H$663","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$100","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$101","v":86},{"$f":"'Sec. G CR Data ADJ'!$C$101","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$101","v":0},{"$f":"$J$664-$H$664","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$101","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$102","v":87},{"$f":"'Sec. G CR Data ADJ'!$C$102","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$102","v":0},{"$f":"$J$665-$H$665","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$102","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$103","v":88},{"$f":"'Sec. G CR Data ADJ'!$C$103","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$103","v":0},{"$f":"$J$666-$H$666","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$103","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$104","v":89},{"$f":"'Sec. G CR Data ADJ'!$C$104","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$104","v":0},{"$f":"$J$667-$H$667","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$104","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$105","v":90},{"$f":"'Sec. G CR Data ADJ'!$C$105","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$105","v":0},{"$f":"$J$668-$H$668","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$105","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$106","v":91},{"$f":"'Sec. G CR Data ADJ'!$C$106","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$106","v":0},{"$f":"$J$669-$H$669","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$106","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$107","v":92},{"$f":"'Sec. G CR Data ADJ'!$C$107","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$107","v":0},{"$f":"$J$670-$H$670","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$107","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$108","v":93},{"$f":"'Sec. G CR Data ADJ'!$C$108","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$108","v":0},{"$f":"$J$671-$H$671","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$108","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$109","v":94},{"$f":"'Sec. G CR Data ADJ'!$C$109","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$109","v":0},{"$f":"$J$672-$H$672","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$109","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$110","v":95},{"$f":"'Sec. G CR Data ADJ'!$C$110","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$110","v":0},{"$f":"$J$673-$H$673","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$110","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$111","v":96},{"$f":"'Sec. G CR Data ADJ'!$C$111","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$111","v":0},{"$f":"$J$674-$H$674","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$111","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$112","v":97},{"$f":"'Sec. G CR Data ADJ'!$C$112","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$112","v":0},{"$f":"$J$675-$H$675","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$112","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$113","v":98},{"$f":"'Sec. G CR Data ADJ'!$C$113","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$113","v":0},{"$f":"$J$676-$H$676","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$113","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$114","v":99},{"$f":"'Sec. G CR Data ADJ'!$C$114","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$114","v":0},{"$f":"$J$677-$H$677","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$114","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$115","v":100},{"$f":"'Sec. G CR Data ADJ'!$C$115","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$115","v":0},{"$f":"$J$678-$H$678","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$115","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$116","v":101},{"$f":"'Sec. G CR Data ADJ'!$C$116","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$116","v":0},{"$f":"$J$679-$H$679","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$116","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$117","v":102},{"$f":"'Sec. G CR Data ADJ'!$C$117","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$117","v":0},{"$f":"$J$680-$H$680","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$117","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$118","v":103},{"$f":"'Sec. G CR Data ADJ'!$C$118","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$118","v":0},{"$f":"$J$681-$H$681","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$118","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$119","v":104},{"$f":"'Sec. G CR Data ADJ'!$C$119","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$119","v":0},{"$f":"$J$682-$H$682","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$119","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$120","v":105},{"$f":"'Sec. G CR Data ADJ'!$C$120","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$120","v":0},{"$f":"$J$683-$H$683","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$120","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$121","v":106},{"$f":"'Sec. G CR Data ADJ'!$C$121","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$121","v":0},{"$f":"$J$684-$H$684","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$121","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$122","v":107},{"$f":"'Sec. G CR Data ADJ'!$C$122","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$122","v":0},{"$f":"$J$685-$H$685","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$122","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$123","v":108},{"$f":"'Sec. G CR Data ADJ'!$C$123","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$123","v":0},{"$f":"$J$686-$H$686","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$123","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$124","v":109},{"$f":"'Sec. G CR Data ADJ'!$C$124","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$124","v":0},{"$f":"$J$687-$H$687","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$124","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$125","v":110},{"$f":"'Sec. G CR Data ADJ'!$C$125","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$125","v":0},{"$f":"$J$688-$H$688","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$125","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$126","v":111},{"$f":"'Sec. G CR Data ADJ'!$C$126","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$126","v":0},{"$f":"$J$689-$H$689","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$126","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$127","v":112},{"$f":"'Sec. G CR Data ADJ'!$C$127","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$127","v":0},{"$f":"$J$690-$H$690","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$127","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$128","v":113},{"$f":"'Sec. G CR Data ADJ'!$C$128","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$128","v":0},{"$f":"$J$691-$H$691","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$128","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$129","v":114},{"$f":"'Sec. G CR Data ADJ'!$C$129","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$129","v":0},{"$f":"$J$692-$H$692","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$129","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$130","v":115},{"$f":"'Sec. G CR Data ADJ'!$C$130","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$130","v":0},{"$f":"$J$693-$H$693","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$130","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$131","v":116},{"$f":"'Sec. G CR Data ADJ'!$C$131","v":""},{"$f":"IF(FRAMethod=\"Cost\",\"10.00\",\"9.00\")","v":"9.00"},{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$131","v":0},{"$f":"$J$694-$H$694","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$131","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$132","v":117},{"$f":"'Sec. G CR Data ADJ'!$C$132","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$132","v":0},{"$f":"$J$695-$H$695","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$132","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$133","v":118},{"$f":"'Sec. G CR Data ADJ'!$C$133","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$133","v":0},{"$f":"$J$696-$H$696","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$133","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$134","v":119},{"$f":"'Sec. G CR Data ADJ'!$C$134","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$134","v":0},{"$f":"$J$697-$H$697","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$134","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$135","v":120},{"$f":"'Sec. G CR Data ADJ'!$C$135","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$135","v":0},{"$f":"$J$698-$H$698","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$135","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$136","v":121},{"$f":"'Sec. G CR Data ADJ'!$C$136","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$136","v":0},{"$f":"$J$699-$H$699","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$136","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$137","v":122},{"$f":"'Sec. G CR Data ADJ'!$C$137","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$137","v":0},{"$f":"$J$700-$H$700","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$137","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$138","v":123},{"$f":"'Sec. G CR Data ADJ'!$C$138","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$138","v":0},{"$f":"$J$701-$H$701","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$138","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$139","v":124},{"$f":"'Sec. G CR Data ADJ'!$C$139","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$139","v":0},{"$f":"$J$702-$H$702","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$139","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$140","v":125},{"$f":"'Sec. G CR Data ADJ'!$C$140","v":""},"9.00",{"$f":"'Sec. G CR Data'!$K$34","v":"Outpatient Charges - Cost Report Worksheet C, Pt. I, Col. 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!$K$140","v":0},{"$f":"$J$703-$H$703","v":0},{"$f":"'Sec. G CR Data ADJ'!$K$140","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$145","v":129},{"$f":"'Sec. G CR Data ADJ'!$C$145","v":"NF, SNF, and Swing Bed Cost for Medicaid (Sum of applicable Cost Report Worksheet D-3, Title 19, Column 3, Line 200 and Worksheet D, Part V, Title 19, Column 5-7, Line 200)"},{"$f":"IF(FRAMethod=\"Cost\",\"8.00\",\"7.00\")","v":"7.00"},"Sum of ancillary cost for Medicaid NF, SNF, and Swing Bed.","Adjust to cost report.",{"$f":"'Sec. G CR Data'!$I$145","v":0},{"$f":"$J$704-$H$704","v":0},{"$f":"'Sec. G CR Data ADJ'!$I$145","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$146","v":130},{"$f":"'Sec. G CR Data ADJ'!$C$146","v":"NF, SNF, and Swing Bed Cost for Medicare (Sum of applicable Cost Report Worksheet D-3, Title 18, Column 3, Line 200 and Worksheet D, Part V, Title 18, Column 5-7, Line 200)"},{"$f":"IF(FRAMethod=\"Cost\",\"8.00\",\"7.00\")","v":"7.00"},"Sum of ancillary cost for Medicare NF, SNF, and Swing Bed.","Adjust to cost report.",{"$f":"'Sec. G CR Data'!$I$146","v":873498},{"$f":"$J$705-$H$705","v":0},{"$f":"'Sec. G CR Data ADJ'!$I$146","v":873498}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$147","v":131},{"$f":"'Sec. G CR Data ADJ'!$C$147","v":"NF, SNF, and Swing Bed Cost for Other Payors (Hospital must calculate. Submit support for calculation of cost.)"},{"$f":"IF(FRAMethod=\"Cost\",\"8.00\",\"7.00\")","v":"7.00"},"Sum of ancillary cost for Other NF, SNF, and Swing Bed.","Adjust to cost report.",{"$f":"'Sec. G CR Data'!$I$147","v":0},{"$f":"$J$706-$H$706","v":0},{"$f":"'Sec. G CR Data ADJ'!$I$147","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A$148","v":131.01},{"$f":"'Sec. G CR Data ADJ'!$C$148","v":"Other Cost Adjustments (support must be submitted)"},{"$f":"IF(FRAMethod=\"Cost\",\"8.00\",\"7.00\")","v":"7.00"},"Sum of Other Cost Adjustments","Adjust to cost report.",{"$f":"'Sec. G CR Data'!$I$148","v":0},{"$f":"$J$707-$H$707","v":0},{"$f":"'Sec. G CR Data ADJ'!$I$148","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A11","v":1},{"$f":"'Sec. G CR Data ADJ'!$C11","v":"ADULTS & PEDIATRICS"},{"$f":"IF(FRAMethod=\"Cost\",\"11.00\",\"10.00\")","v":"10.00"},{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$8","v":"Title XIX Days - Cost Report W/S S-3, Pt. I, Column 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U11","v":1618},{"$f":"J708-H708","v":0},{"$f":"'Sec. G CR Data ADJ'!U11","v":1618}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A12","v":2},{"$f":"'Sec. G CR Data ADJ'!$C12","v":"INTENSIVE CARE UNIT"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$8","v":"Title XIX Days - Cost Report W/S S-3, Pt. I, Column 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U12","v":249},{"$f":"J709-H709","v":0},{"$f":"'Sec. G CR Data ADJ'!U12","v":249}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A13","v":3},{"$f":"'Sec. G CR Data ADJ'!$C13","v":"CORONARY CARE UNIT"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$8","v":"Title XIX Days - Cost Report W/S S-3, Pt. I, Column 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U13","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U13","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A14","v":4},{"$f":"'Sec. G CR Data ADJ'!$C14","v":"BURN INTENSIVE CARE UNIT"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$8","v":"Title XIX Days - Cost Report W/S S-3, Pt. I, Column 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U14","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U14","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A15","v":5},{"$f":"'Sec. G CR Data ADJ'!$C15","v":"SURGICAL INTENSIVE CARE UNIT"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$8","v":"Title XIX Days - Cost Report W/S S-3, Pt. I, Column 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U15","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U15","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A16","v":6},{"$f":"'Sec. G CR Data ADJ'!$C16","v":"OTHER SPECIAL CARE UNIT"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$8","v":"Title XIX Days - Cost Report W/S S-3, Pt. I, Column 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U16","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U16","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A17","v":7},{"$f":"'Sec. G CR Data ADJ'!$C17","v":"SUBPROVIDER I"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$8","v":"Title XIX Days - Cost Report W/S S-3, Pt. I, Column 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U17","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U17","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A18","v":8},{"$f":"'Sec. G CR Data ADJ'!$C18","v":"SUBPROVIDER II"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$8","v":"Title XIX Days - Cost Report W/S S-3, Pt. I, Column 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U18","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U18","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A19","v":9},{"$f":"'Sec. G CR Data ADJ'!$C19","v":"OTHER SUBPROVIDER"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$8","v":"Title XIX Days - Cost Report W/S S-3, Pt. I, Column 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U19","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U19","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A20","v":10},{"$f":"'Sec. G CR Data ADJ'!$C20","v":"NURSERY"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$8","v":"Title XIX Days - Cost Report W/S S-3, Pt. I, Column 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U20","v":99},0,{"$f":"'Sec. G CR Data ADJ'!U20","v":99}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A21","v":11},{"$f":"'Sec. G CR Data ADJ'!$C21","v":0},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$8","v":"Title XIX Days - Cost Report W/S S-3, Pt. I, Column 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U21","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U21","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A22","v":12},{"$f":"'Sec. G CR Data ADJ'!$C22","v":0},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$8","v":"Title XIX Days - Cost Report W/S S-3, Pt. I, Column 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U22","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U22","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A23","v":13},{"$f":"'Sec. G CR Data ADJ'!$C23","v":0},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$8","v":"Title XIX Days - Cost Report W/S S-3, Pt. I, Column 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U23","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U23","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A24","v":14},{"$f":"'Sec. G CR Data ADJ'!$C24","v":0},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$8","v":"Title XIX Days - Cost Report W/S S-3, Pt. I, Column 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U24","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U24","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A25","v":15},{"$f":"'Sec. G CR Data ADJ'!$C25","v":0},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$8","v":"Title XIX Days - Cost Report W/S S-3, Pt. I, Column 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U25","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U25","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A26","v":16},{"$f":"'Sec. G CR Data ADJ'!$C26","v":0},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$8","v":"Title XIX Days - Cost Report W/S S-3, Pt. I, Column 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U26","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U26","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A27","v":17},{"$f":"'Sec. G CR Data ADJ'!$C27","v":0},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$8","v":"Title XIX Days - Cost Report W/S S-3, Pt. I, Column 7"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U27","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U27","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A11","v":1},{"$f":"'Sec. G CR Data ADJ'!$C11","v":"ADULTS & PEDIATRICS"},{"$f":"IF(FRAMethod=\"Cost\",\"12.00\",\"11.00\")","v":"11.00"},{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$8","v":"Title XIX Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V11","v":2064065},0,{"$f":"'Sec. G CR Data ADJ'!V11","v":2064065}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A12","v":2},{"$f":"'Sec. G CR Data ADJ'!$C12","v":"INTENSIVE CARE UNIT"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$8","v":"Title XIX Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V12","v":535050},{"$f":"J726-H726","v":0},{"$f":"'Sec. G CR Data ADJ'!V12","v":535050}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A13","v":3},{"$f":"'Sec. G CR Data ADJ'!$C13","v":"CORONARY CARE UNIT"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$8","v":"Title XIX Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V13","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V13","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A14","v":4},{"$f":"'Sec. G CR Data ADJ'!$C14","v":"BURN INTENSIVE CARE UNIT"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$8","v":"Title XIX Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V14","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V14","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A15","v":5},{"$f":"'Sec. G CR Data ADJ'!$C15","v":"SURGICAL INTENSIVE CARE UNIT"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$8","v":"Title XIX Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V15","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V15","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A16","v":6},{"$f":"'Sec. G CR Data ADJ'!$C16","v":"OTHER SPECIAL CARE UNIT"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$8","v":"Title XIX Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V16","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V16","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A17","v":7},{"$f":"'Sec. G CR Data ADJ'!$C17","v":"SUBPROVIDER I"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$8","v":"Title XIX Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V17","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V17","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A18","v":8},{"$f":"'Sec. G CR Data ADJ'!$C18","v":"SUBPROVIDER II"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$8","v":"Title XIX Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V18","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V18","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A19","v":9},{"$f":"'Sec. G CR Data ADJ'!$C19","v":"OTHER SUBPROVIDER"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$8","v":"Title XIX Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V19","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V19","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A20","v":10},{"$f":"'Sec. G CR Data ADJ'!$C20","v":"NURSERY"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$8","v":"Title XIX Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V20","v":56510},0,{"$f":"'Sec. G CR Data ADJ'!V20","v":56510}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A21","v":11},{"$f":"'Sec. G CR Data ADJ'!$C21","v":0},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$8","v":"Title XIX Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V21","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V21","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A22","v":12},{"$f":"'Sec. G CR Data ADJ'!$C22","v":0},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$8","v":"Title XIX Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V22","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V22","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A23","v":13},{"$f":"'Sec. G CR Data ADJ'!$C23","v":0},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$8","v":"Title XIX Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V23","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V23","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A24","v":14},{"$f":"'Sec. G CR Data ADJ'!$C24","v":0},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$8","v":"Title XIX Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V24","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V24","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A25","v":15},{"$f":"'Sec. G CR Data ADJ'!$C25","v":0},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$8","v":"Title XIX Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V25","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V25","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A26","v":16},{"$f":"'Sec. G CR Data ADJ'!$C26","v":0},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$8","v":"Title XIX Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V26","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V26","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A27","v":17},{"$f":"'Sec. G CR Data ADJ'!$C27","v":0},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$8","v":"Title XIX Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V27","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V27","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A32","v":20},{"$f":"'Sec. G CR Data ADJ'!$C32","v":"Observation (Non-Distinct)"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U32","v":8108},{"$f":"J742-H742","v":0},{"$f":"'Sec. G CR Data ADJ'!U32","v":8108}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A36","v":21},{"$f":"'Sec. G CR Data ADJ'!$C36","v":"OPERATING ROOM"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U36","v":1410319},{"$f":"J743-H743","v":0},{"$f":"'Sec. G CR Data ADJ'!U36","v":1410319}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A37","v":22},{"$f":"'Sec. G CR Data ADJ'!$C37","v":"RECOVERY ROOM"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U37","v":105997},{"$f":"J744-H744","v":0},{"$f":"'Sec. G CR Data ADJ'!U37","v":105997}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A38","v":23},{"$f":"'Sec. G CR Data ADJ'!$C38","v":"DELIVERY ROOM & LABOR ROOM"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U38","v":186461},0,{"$f":"'Sec. G CR Data ADJ'!U38","v":186461}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A39","v":24},{"$f":"'Sec. G CR Data ADJ'!$C39","v":"ANESTHESIOLOGY"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U39","v":331460},0,{"$f":"'Sec. G CR Data ADJ'!U39","v":331460}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A40","v":25},{"$f":"'Sec. G CR Data ADJ'!$C40","v":"RADIOLOGY-DIAGNOSTIC"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U40","v":228569},0,{"$f":"'Sec. G CR Data ADJ'!U40","v":228569}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A41","v":26},{"$f":"'Sec. G CR Data ADJ'!$C41","v":"RADIOLOGY-THERAPEUTIC"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U41","v":32760},0,{"$f":"'Sec. G CR Data ADJ'!U41","v":32760}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A42","v":27},{"$f":"'Sec. G CR Data ADJ'!$C42","v":"NUCLEAR MEDICINE"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U42","v":73830},0,{"$f":"'Sec. G CR Data ADJ'!U42","v":73830}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A43","v":28},{"$f":"'Sec. G CR Data ADJ'!$C43","v":"CT SCAN"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U43","v":567897},0,{"$f":"'Sec. G CR Data ADJ'!U43","v":567897}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A44","v":29},{"$f":"'Sec. G CR Data ADJ'!$C44","v":"MRI"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U44","v":72860},0,{"$f":"'Sec. G CR Data ADJ'!U44","v":72860}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A45","v":30},{"$f":"'Sec. G CR Data ADJ'!$C45","v":"CARDIAC CATHETERIZATION"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U45","v":267341},0,{"$f":"'Sec. G CR Data ADJ'!U45","v":267341}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A46","v":31},{"$f":"'Sec. G CR Data ADJ'!$C46","v":"LABORATORY"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U46","v":1866461},0,{"$f":"'Sec. G CR Data ADJ'!U46","v":1866461}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A47","v":32},{"$f":"'Sec. G CR Data ADJ'!$C47","v":"RESPIRATORY THERAPY"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U47","v":450552},0,{"$f":"'Sec. G CR Data ADJ'!U47","v":450552}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A48","v":33},{"$f":"'Sec. G CR Data ADJ'!$C48","v":"PHYSICAL THERAPY"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U48","v":93063},0,{"$f":"'Sec. G CR Data ADJ'!U48","v":93063}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A49","v":34},{"$f":"'Sec. G CR Data ADJ'!$C49","v":"SPEECH PATHOLOGY"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U49","v":5475},0,{"$f":"'Sec. G CR Data ADJ'!U49","v":5475}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A50","v":35},{"$f":"'Sec. G CR Data ADJ'!$C50","v":"ELECTROCARDIOLOGY"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U50","v":171531},0,{"$f":"'Sec. G CR Data ADJ'!U50","v":171531}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A51","v":36},{"$f":"'Sec. G CR Data ADJ'!$C51","v":"ELECTROENCEPHALOGRAPHY"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U51","v":5942},0,{"$f":"'Sec. G CR Data ADJ'!U51","v":5942}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A52","v":37},{"$f":"'Sec. G CR Data ADJ'!$C52","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U52","v":486304},0,{"$f":"'Sec. G CR Data ADJ'!U52","v":486304}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A53","v":38},{"$f":"'Sec. G CR Data ADJ'!$C53","v":"IMPL. DEV. CHARGED TO PATIENTS"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U53","v":250120},0,{"$f":"'Sec. G CR Data ADJ'!U53","v":250120}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A54","v":39},{"$f":"'Sec. G CR Data ADJ'!$C54","v":"DRUGS CHARGED TO PATIENTS"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U54","v":1290241},0,{"$f":"'Sec. G CR Data ADJ'!U54","v":1290241}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A55","v":40},{"$f":"'Sec. G CR Data ADJ'!$C55","v":"RENAL DIALYSIS"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U55","v":43650},0,{"$f":"'Sec. G CR Data ADJ'!U55","v":43650}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A56","v":41},{"$f":"'Sec. G CR Data ADJ'!$C56","v":"CARDIOVASCULAR MEDICINE"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U56","v":191767},0,{"$f":"'Sec. G CR Data ADJ'!U56","v":191767}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A57","v":42},{"$f":"'Sec. G CR Data ADJ'!$C57","v":"CLINIC"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U57","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U57","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A58","v":43},{"$f":"'Sec. G CR Data ADJ'!$C58","v":"NUTRITION"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U58","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U58","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A59","v":44},{"$f":"'Sec. G CR Data ADJ'!$C59","v":"WOUND CARE CENTER"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U59","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U59","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A60","v":45},{"$f":"'Sec. G CR Data ADJ'!$C60","v":"EMERGENCY"},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U60","v":739550},0,{"$f":"'Sec. G CR Data ADJ'!U60","v":739550}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A61","v":46},{"$f":"'Sec. G CR Data ADJ'!$C61","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U61","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U61","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A62","v":47},{"$f":"'Sec. G CR Data ADJ'!$C62","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U62","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U62","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A63","v":48},{"$f":"'Sec. G CR Data ADJ'!$C63","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U63","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U63","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A64","v":49},{"$f":"'Sec. G CR Data ADJ'!$C64","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U64","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U64","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A65","v":50},{"$f":"'Sec. G CR Data ADJ'!$C65","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U65","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U65","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A66","v":51},{"$f":"'Sec. G CR Data ADJ'!$C66","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U66","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U66","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A67","v":52},{"$f":"'Sec. G CR Data ADJ'!$C67","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U67","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U67","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A68","v":53},{"$f":"'Sec. G CR Data ADJ'!$C68","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U68","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U68","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A69","v":54},{"$f":"'Sec. G CR Data ADJ'!$C69","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U69","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U69","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A70","v":55},{"$f":"'Sec. G CR Data ADJ'!$C70","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U70","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U70","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A71","v":56},{"$f":"'Sec. G CR Data ADJ'!$C71","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U71","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U71","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A72","v":57},{"$f":"'Sec. G CR Data ADJ'!$C72","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U72","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U72","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A73","v":58},{"$f":"'Sec. G CR Data ADJ'!$C73","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U73","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U73","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A74","v":59},{"$f":"'Sec. G CR Data ADJ'!$C74","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U74","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U74","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A75","v":60},{"$f":"'Sec. G CR Data ADJ'!$C75","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U75","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U75","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A76","v":61},{"$f":"'Sec. G CR Data ADJ'!$C76","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U76","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U76","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A77","v":62},{"$f":"'Sec. G CR Data ADJ'!$C77","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U77","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U77","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A78","v":63},{"$f":"'Sec. G CR Data ADJ'!$C78","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U78","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U78","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A79","v":64},{"$f":"'Sec. G CR Data ADJ'!$C79","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U79","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U79","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A80","v":65},{"$f":"'Sec. G CR Data ADJ'!$C80","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U80","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U80","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A81","v":66},{"$f":"'Sec. G CR Data ADJ'!$C81","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U81","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U81","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A82","v":67},{"$f":"'Sec. G CR Data ADJ'!$C82","v":""},{"$f":"IF(FRAMethod=\"Cost\",\"11.00\",\"10.00\")","v":"10.00"},{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U82","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U82","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A83","v":68},{"$f":"'Sec. G CR Data ADJ'!$C83","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U83","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U83","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A84","v":69},{"$f":"'Sec. G CR Data ADJ'!$C84","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U84","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U84","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A85","v":70},{"$f":"'Sec. G CR Data ADJ'!$C85","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U85","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U85","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A86","v":71},{"$f":"'Sec. G CR Data ADJ'!$C86","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U86","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U86","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A87","v":72},{"$f":"'Sec. G CR Data ADJ'!$C87","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U87","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U87","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A88","v":73},{"$f":"'Sec. G CR Data ADJ'!$C88","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U88","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U88","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A89","v":74},{"$f":"'Sec. G CR Data ADJ'!$C89","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U89","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U89","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A90","v":75},{"$f":"'Sec. G CR Data ADJ'!$C90","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U90","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U90","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A91","v":76},{"$f":"'Sec. G CR Data ADJ'!$C91","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U91","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U91","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A92","v":77},{"$f":"'Sec. G CR Data ADJ'!$C92","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U92","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U92","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A93","v":78},{"$f":"'Sec. G CR Data ADJ'!$C93","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U93","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U93","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A94","v":79},{"$f":"'Sec. G CR Data ADJ'!$C94","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U94","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U94","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A95","v":80},{"$f":"'Sec. G CR Data ADJ'!$C95","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U95","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U95","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A96","v":81},{"$f":"'Sec. G CR Data ADJ'!$C96","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U96","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U96","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A97","v":82},{"$f":"'Sec. G CR Data ADJ'!$C97","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U97","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U97","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A98","v":83},{"$f":"'Sec. G CR Data ADJ'!$C98","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U98","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U98","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A99","v":84},{"$f":"'Sec. G CR Data ADJ'!$C99","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U99","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U99","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A100","v":85},{"$f":"'Sec. G CR Data ADJ'!$C100","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U100","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U100","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A101","v":86},{"$f":"'Sec. G CR Data ADJ'!$C101","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U101","v":0},{"$f":"J808-H808","v":0},{"$f":"'Sec. G CR Data ADJ'!U101","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A102","v":87},{"$f":"'Sec. G CR Data ADJ'!$C102","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U102","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U102","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A103","v":88},{"$f":"'Sec. G CR Data ADJ'!$C103","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U103","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U103","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A104","v":89},{"$f":"'Sec. G CR Data ADJ'!$C104","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U104","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U104","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A105","v":90},{"$f":"'Sec. G CR Data ADJ'!$C105","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U105","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U105","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A106","v":91},{"$f":"'Sec. G CR Data ADJ'!$C106","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U106","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U106","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A107","v":92},{"$f":"'Sec. G CR Data ADJ'!$C107","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U107","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U107","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A108","v":93},{"$f":"'Sec. G CR Data ADJ'!$C108","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U108","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U108","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A109","v":94},{"$f":"'Sec. G CR Data ADJ'!$C109","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U109","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U109","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A110","v":95},{"$f":"'Sec. G CR Data ADJ'!$C110","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U110","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U110","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A111","v":96},{"$f":"'Sec. G CR Data ADJ'!$C111","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U111","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U111","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A112","v":97},{"$f":"'Sec. G CR Data ADJ'!$C112","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U112","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U112","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A113","v":98},{"$f":"'Sec. G CR Data ADJ'!$C113","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U113","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U113","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A114","v":99},{"$f":"'Sec. G CR Data ADJ'!$C114","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U114","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U114","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A115","v":100},{"$f":"'Sec. G CR Data ADJ'!$C115","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U115","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U115","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A116","v":101},{"$f":"'Sec. G CR Data ADJ'!$C116","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U116","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U116","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A117","v":102},{"$f":"'Sec. G CR Data ADJ'!$C117","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U117","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U117","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A118","v":103},{"$f":"'Sec. G CR Data ADJ'!$C118","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U118","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U118","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A119","v":104},{"$f":"'Sec. G CR Data ADJ'!$C119","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U119","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U119","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A120","v":105},{"$f":"'Sec. G CR Data ADJ'!$C120","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U120","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U120","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A121","v":106},{"$f":"'Sec. G CR Data ADJ'!$C121","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U121","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U121","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A122","v":107},{"$f":"'Sec. G CR Data ADJ'!$C122","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U122","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U122","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A123","v":108},{"$f":"'Sec. G CR Data ADJ'!$C123","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U123","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U123","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A124","v":109},{"$f":"'Sec. G CR Data ADJ'!$C124","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U124","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U124","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A125","v":110},{"$f":"'Sec. G CR Data ADJ'!$C125","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U125","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U125","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A126","v":111},{"$f":"'Sec. G CR Data ADJ'!$C126","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U126","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U126","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A127","v":112},{"$f":"'Sec. G CR Data ADJ'!$C127","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U127","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U127","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A128","v":113},{"$f":"'Sec. G CR Data ADJ'!$C128","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U128","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U128","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A129","v":114},{"$f":"'Sec. G CR Data ADJ'!$C129","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U129","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U129","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A130","v":115},{"$f":"'Sec. G CR Data ADJ'!$C130","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U130","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U130","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A131","v":116},{"$f":"'Sec. G CR Data ADJ'!$C131","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U131","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U131","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A132","v":117},{"$f":"'Sec. G CR Data ADJ'!$C132","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U132","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U132","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A133","v":118},{"$f":"'Sec. G CR Data ADJ'!$C133","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U133","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U133","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A134","v":119},{"$f":"'Sec. G CR Data ADJ'!$C134","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U134","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U134","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A135","v":120},{"$f":"'Sec. G CR Data ADJ'!$C135","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U135","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U135","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A136","v":121},{"$f":"'Sec. G CR Data ADJ'!$C136","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U136","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U136","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A137","v":122},{"$f":"'Sec. G CR Data ADJ'!$C137","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U137","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U137","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A138","v":123},{"$f":"'Sec. G CR Data ADJ'!$C138","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U138","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U138","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A139","v":124},{"$f":"'Sec. G CR Data ADJ'!$C139","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U139","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U139","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A140","v":125},{"$f":"'Sec. G CR Data ADJ'!$C140","v":""},"10.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$U$31","v":"Title XIX Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!U140","v":0},0,{"$f":"'Sec. G CR Data ADJ'!U140","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A32","v":20},{"$f":"'Sec. G CR Data ADJ'!$C32","v":"Observation (Non-Distinct)"},{"$f":"IF(FRAMethod=\"Cost\",\"12.00\",\"11.00\")","v":"11.00"},{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V32","v":400191},0,{"$f":"'Sec. G CR Data ADJ'!V32","v":400191}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A36","v":21},{"$f":"'Sec. G CR Data ADJ'!$C36","v":"OPERATING ROOM"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V36","v":1367969},{"$f":"J849-H849","v":0},{"$f":"'Sec. G CR Data ADJ'!V36","v":1367969}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A37","v":22},{"$f":"'Sec. G CR Data ADJ'!$C37","v":"RECOVERY ROOM"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V37","v":196666},{"$f":"J850-H850","v":0},{"$f":"'Sec. G CR Data ADJ'!V37","v":196666}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A38","v":23},{"$f":"'Sec. G CR Data ADJ'!$C38","v":"DELIVERY ROOM & LABOR ROOM"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V38","v":30827},0,{"$f":"'Sec. G CR Data ADJ'!V38","v":30827}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A39","v":24},{"$f":"'Sec. G CR Data ADJ'!$C39","v":"ANESTHESIOLOGY"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V39","v":438041},0,{"$f":"'Sec. G CR Data ADJ'!V39","v":438041}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A40","v":25},{"$f":"'Sec. G CR Data ADJ'!$C40","v":"RADIOLOGY-DIAGNOSTIC"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V40","v":1053300},0,{"$f":"'Sec. G CR Data ADJ'!V40","v":1053300}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A41","v":26},{"$f":"'Sec. G CR Data ADJ'!$C41","v":"RADIOLOGY-THERAPEUTIC"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V41","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V41","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A42","v":27},{"$f":"'Sec. G CR Data ADJ'!$C42","v":"NUCLEAR MEDICINE"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V42","v":136348},0,{"$f":"'Sec. G CR Data ADJ'!V42","v":136348}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A43","v":28},{"$f":"'Sec. G CR Data ADJ'!$C43","v":"CT SCAN"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V43","v":821376},0,{"$f":"'Sec. G CR Data ADJ'!V43","v":821376}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A44","v":29},{"$f":"'Sec. G CR Data ADJ'!$C44","v":"MRI"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V44","v":69030},0,{"$f":"'Sec. G CR Data ADJ'!V44","v":69030}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A45","v":30},{"$f":"'Sec. G CR Data ADJ'!$C45","v":"CARDIAC CATHETERIZATION"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V45","v":372736},0,{"$f":"'Sec. G CR Data ADJ'!V45","v":372736}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A46","v":31},{"$f":"'Sec. G CR Data ADJ'!$C46","v":"LABORATORY"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V46","v":98123},0,{"$f":"'Sec. G CR Data ADJ'!V46","v":98123}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A47","v":32},{"$f":"'Sec. G CR Data ADJ'!$C47","v":"RESPIRATORY THERAPY"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V47","v":129775},0,{"$f":"'Sec. G CR Data ADJ'!V47","v":129775}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A48","v":33},{"$f":"'Sec. G CR Data ADJ'!$C48","v":"PHYSICAL THERAPY"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V48","v":11554},0,{"$f":"'Sec. G CR Data ADJ'!V48","v":11554}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A49","v":34},{"$f":"'Sec. G CR Data ADJ'!$C49","v":"SPEECH PATHOLOGY"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V49","v":1046},0,{"$f":"'Sec. G CR Data ADJ'!V49","v":1046}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A50","v":35},{"$f":"'Sec. G CR Data ADJ'!$C50","v":"ELECTROCARDIOLOGY"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V50","v":234921},0,{"$f":"'Sec. G CR Data ADJ'!V50","v":234921}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A51","v":36},{"$f":"'Sec. G CR Data ADJ'!$C51","v":"ELECTROENCEPHALOGRAPHY"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V51","v":1615},0,{"$f":"'Sec. G CR Data ADJ'!V51","v":1615}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A52","v":37},{"$f":"'Sec. G CR Data ADJ'!$C52","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V52","v":297782},0,{"$f":"'Sec. G CR Data ADJ'!V52","v":297782}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A53","v":38},{"$f":"'Sec. G CR Data ADJ'!$C53","v":"IMPL. DEV. CHARGED TO PATIENTS"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V53","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V53","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A54","v":39},{"$f":"'Sec. G CR Data ADJ'!$C54","v":"DRUGS CHARGED TO PATIENTS"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V54","v":514455},0,{"$f":"'Sec. G CR Data ADJ'!V54","v":514455}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A55","v":40},{"$f":"'Sec. G CR Data ADJ'!$C55","v":"RENAL DIALYSIS"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V55","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V55","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A56","v":41},{"$f":"'Sec. G CR Data ADJ'!$C56","v":"CARDIOVASCULAR MEDICINE"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V56","v":85678},0,{"$f":"'Sec. G CR Data ADJ'!V56","v":85678}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A57","v":42},{"$f":"'Sec. G CR Data ADJ'!$C57","v":"CLINIC"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V57","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V57","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A58","v":43},{"$f":"'Sec. G CR Data ADJ'!$C58","v":"NUTRITION"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V58","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V58","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A59","v":44},{"$f":"'Sec. G CR Data ADJ'!$C59","v":"WOUND CARE CENTER"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V59","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V59","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A60","v":45},{"$f":"'Sec. G CR Data ADJ'!$C60","v":"EMERGENCY"},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V60","v":3155766},0,{"$f":"'Sec. G CR Data ADJ'!V60","v":3155766}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A61","v":46},{"$f":"'Sec. G CR Data ADJ'!$C61","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V61","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V61","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A62","v":47},{"$f":"'Sec. G CR Data ADJ'!$C62","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V62","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V62","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A63","v":48},{"$f":"'Sec. G CR Data ADJ'!$C63","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V63","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V63","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A64","v":49},{"$f":"'Sec. G CR Data ADJ'!$C64","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V64","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V64","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A65","v":50},{"$f":"'Sec. G CR Data ADJ'!$C65","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V65","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V65","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A66","v":51},{"$f":"'Sec. G CR Data ADJ'!$C66","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V66","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V66","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A67","v":52},{"$f":"'Sec. G CR Data ADJ'!$C67","v":""},{"$f":"IF(FRAMethod=\"Cost\",\"12.00\",\"11.00\")","v":"11.00"},{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V67","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V67","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A68","v":53},{"$f":"'Sec. G CR Data ADJ'!$C68","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V68","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V68","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A69","v":54},{"$f":"'Sec. G CR Data ADJ'!$C69","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V69","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V69","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A70","v":55},{"$f":"'Sec. G CR Data ADJ'!$C70","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V70","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V70","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A71","v":56},{"$f":"'Sec. G CR Data ADJ'!$C71","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V71","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V71","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A72","v":57},{"$f":"'Sec. G CR Data ADJ'!$C72","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V72","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V72","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A73","v":58},{"$f":"'Sec. G CR Data ADJ'!$C73","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V73","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V73","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A74","v":59},{"$f":"'Sec. G CR Data ADJ'!$C74","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V74","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V74","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A75","v":60},{"$f":"'Sec. G CR Data ADJ'!$C75","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V75","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V75","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A76","v":61},{"$f":"'Sec. G CR Data ADJ'!$C76","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V76","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V76","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A77","v":62},{"$f":"'Sec. G CR Data ADJ'!$C77","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V77","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V77","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A78","v":63},{"$f":"'Sec. G CR Data ADJ'!$C78","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V78","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V78","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A79","v":64},{"$f":"'Sec. G CR Data ADJ'!$C79","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V79","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V79","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A80","v":65},{"$f":"'Sec. G CR Data ADJ'!$C80","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V80","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V80","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A81","v":66},{"$f":"'Sec. G CR Data ADJ'!$C81","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V81","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V81","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A82","v":67},{"$f":"'Sec. G CR Data ADJ'!$C82","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V82","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V82","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A83","v":68},{"$f":"'Sec. G CR Data ADJ'!$C83","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V83","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V83","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A84","v":69},{"$f":"'Sec. G CR Data ADJ'!$C84","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V84","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V84","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A85","v":70},{"$f":"'Sec. G CR Data ADJ'!$C85","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V85","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V85","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A86","v":71},{"$f":"'Sec. G CR Data ADJ'!$C86","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V86","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V86","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A87","v":72},{"$f":"'Sec. G CR Data ADJ'!$C87","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V87","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V87","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A88","v":73},{"$f":"'Sec. G CR Data ADJ'!$C88","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V88","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V88","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A89","v":74},{"$f":"'Sec. G CR Data ADJ'!$C89","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V89","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V89","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A90","v":75},{"$f":"'Sec. G CR Data ADJ'!$C90","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V90","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V90","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A91","v":76},{"$f":"'Sec. G CR Data ADJ'!$C91","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V91","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V91","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A92","v":77},{"$f":"'Sec. G CR Data ADJ'!$C92","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V92","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V92","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A93","v":78},{"$f":"'Sec. G CR Data ADJ'!$C93","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V93","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V93","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A94","v":79},{"$f":"'Sec. G CR Data ADJ'!$C94","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V94","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V94","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A95","v":80},{"$f":"'Sec. G CR Data ADJ'!$C95","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V95","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V95","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A96","v":81},{"$f":"'Sec. G CR Data ADJ'!$C96","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V96","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V96","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A97","v":82},{"$f":"'Sec. G CR Data ADJ'!$C97","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V97","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V97","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A98","v":83},{"$f":"'Sec. G CR Data ADJ'!$C98","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V98","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V98","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A99","v":84},{"$f":"'Sec. G CR Data ADJ'!$C99","v":""},{"$f":"IF(FRAMethod=\"Cost\",\"12.00\",\"11.00\")","v":"11.00"},{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V99","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V99","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A100","v":85},{"$f":"'Sec. G CR Data ADJ'!$C100","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V100","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V100","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A101","v":86},{"$f":"'Sec. G CR Data ADJ'!$C101","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V101","v":0},{"$f":"J914-H914","v":0},{"$f":"'Sec. G CR Data ADJ'!V101","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A102","v":87},{"$f":"'Sec. G CR Data ADJ'!$C102","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V102","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V102","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A103","v":88},{"$f":"'Sec. G CR Data ADJ'!$C103","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V103","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V103","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A104","v":89},{"$f":"'Sec. G CR Data ADJ'!$C104","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V104","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V104","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A105","v":90},{"$f":"'Sec. G CR Data ADJ'!$C105","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V105","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V105","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A106","v":91},{"$f":"'Sec. G CR Data ADJ'!$C106","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V106","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V106","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A107","v":92},{"$f":"'Sec. G CR Data ADJ'!$C107","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V107","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V107","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A108","v":93},{"$f":"'Sec. G CR Data ADJ'!$C108","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V108","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V108","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A109","v":94},{"$f":"'Sec. G CR Data ADJ'!$C109","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V109","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V109","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A110","v":95},{"$f":"'Sec. G CR Data ADJ'!$C110","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V110","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V110","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A111","v":96},{"$f":"'Sec. G CR Data ADJ'!$C111","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V111","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V111","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A112","v":97},{"$f":"'Sec. G CR Data ADJ'!$C112","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V112","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V112","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A113","v":98},{"$f":"'Sec. G CR Data ADJ'!$C113","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V113","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V113","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A114","v":99},{"$f":"'Sec. G CR Data ADJ'!$C114","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V114","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V114","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A115","v":100},{"$f":"'Sec. G CR Data ADJ'!$C115","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V115","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V115","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A116","v":101},{"$f":"'Sec. G CR Data ADJ'!$C116","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V116","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V116","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A117","v":102},{"$f":"'Sec. G CR Data ADJ'!$C117","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V117","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V117","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A118","v":103},{"$f":"'Sec. G CR Data ADJ'!$C118","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V118","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V118","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A119","v":104},{"$f":"'Sec. G CR Data ADJ'!$C119","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V119","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V119","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A120","v":105},{"$f":"'Sec. G CR Data ADJ'!$C120","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V120","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V120","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A121","v":106},{"$f":"'Sec. G CR Data ADJ'!$C121","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V121","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V121","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A122","v":107},{"$f":"'Sec. G CR Data ADJ'!$C122","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V122","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V122","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A123","v":108},{"$f":"'Sec. G CR Data ADJ'!$C123","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V123","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V123","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A124","v":109},{"$f":"'Sec. G CR Data ADJ'!$C124","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V124","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V124","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A125","v":110},{"$f":"'Sec. G CR Data ADJ'!$C125","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V125","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V125","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A126","v":111},{"$f":"'Sec. G CR Data ADJ'!$C126","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V126","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V126","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A127","v":112},{"$f":"'Sec. G CR Data ADJ'!$C127","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V127","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V127","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A128","v":113},{"$f":"'Sec. G CR Data ADJ'!$C128","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V128","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V128","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A129","v":114},{"$f":"'Sec. G CR Data ADJ'!$C129","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V129","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V129","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A130","v":115},{"$f":"'Sec. G CR Data ADJ'!$C130","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V130","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V130","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A131","v":116},{"$f":"'Sec. G CR Data ADJ'!$C131","v":""},{"$f":"IF(FRAMethod=\"Cost\",\"12.00\",\"11.00\")","v":"11.00"},{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V131","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V131","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A132","v":117},{"$f":"'Sec. G CR Data ADJ'!$C132","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V132","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V132","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A133","v":118},{"$f":"'Sec. G CR Data ADJ'!$C133","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V133","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V133","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A134","v":119},{"$f":"'Sec. G CR Data ADJ'!$C134","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V134","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V134","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A135","v":120},{"$f":"'Sec. G CR Data ADJ'!$C135","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V135","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V135","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A136","v":121},{"$f":"'Sec. G CR Data ADJ'!$C136","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V136","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V136","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A137","v":122},{"$f":"'Sec. G CR Data ADJ'!$C137","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V137","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V137","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A138","v":123},{"$f":"'Sec. G CR Data ADJ'!$C138","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V138","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V138","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A139","v":124},{"$f":"'Sec. G CR Data ADJ'!$C139","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V139","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V139","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A140","v":125},{"$f":"'Sec. G CR Data ADJ'!$C140","v":""},"11.00",{"$f":"\"Title XIX \"&'Sec. G CR Data ADJ'!$V$31","v":"Title XIX Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!V140","v":0},0,{"$f":"'Sec. G CR Data ADJ'!V140","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A11","v":1},{"$f":"'Sec. G CR Data ADJ'!$C11","v":"ADULTS & PEDIATRICS"},{"$f":"IF(FRAMethod=\"Cost\",\"13.00\",\"12.00\")","v":"12.00"},{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$8","v":"Title XVIII Days - Cost Report W/S S-3, Pt. I, Column 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X11","v":7933},{"$f":"J954-H954","v":0},{"$f":"'Sec. G CR Data ADJ'!X11","v":7933}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A12","v":2},{"$f":"'Sec. G CR Data ADJ'!$C12","v":"INTENSIVE CARE UNIT"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$8","v":"Title XVIII Days - Cost Report W/S S-3, Pt. I, Column 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X12","v":1360},{"$f":"J955-H955","v":0},{"$f":"'Sec. G CR Data ADJ'!X12","v":1360}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A13","v":3},{"$f":"'Sec. G CR Data ADJ'!$C13","v":"CORONARY CARE UNIT"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$8","v":"Title XVIII Days - Cost Report W/S S-3, Pt. I, Column 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X13","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X13","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A14","v":4},{"$f":"'Sec. G CR Data ADJ'!$C14","v":"BURN INTENSIVE CARE UNIT"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$8","v":"Title XVIII Days - Cost Report W/S S-3, Pt. I, Column 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X14","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X14","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A15","v":5},{"$f":"'Sec. G CR Data ADJ'!$C15","v":"SURGICAL INTENSIVE CARE UNIT"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$8","v":"Title XVIII Days - Cost Report W/S S-3, Pt. I, Column 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X15","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X15","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A16","v":6},{"$f":"'Sec. G CR Data ADJ'!$C16","v":"OTHER SPECIAL CARE UNIT"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$8","v":"Title XVIII Days - Cost Report W/S S-3, Pt. I, Column 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X16","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X16","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A17","v":7},{"$f":"'Sec. G CR Data ADJ'!$C17","v":"SUBPROVIDER I"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$8","v":"Title XVIII Days - Cost Report W/S S-3, Pt. I, Column 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X17","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X17","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A18","v":8},{"$f":"'Sec. G CR Data ADJ'!$C18","v":"SUBPROVIDER II"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$8","v":"Title XVIII Days - Cost Report W/S S-3, Pt. I, Column 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X18","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X18","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A19","v":9},{"$f":"'Sec. G CR Data ADJ'!$C19","v":"OTHER SUBPROVIDER"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$8","v":"Title XVIII Days - Cost Report W/S S-3, Pt. I, Column 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X19","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X19","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A20","v":10},{"$f":"'Sec. G CR Data ADJ'!$C20","v":"NURSERY"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$8","v":"Title XVIII Days - Cost Report W/S S-3, Pt. I, Column 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X20","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X20","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A21","v":11},{"$f":"'Sec. G CR Data ADJ'!$C21","v":0},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$8","v":"Title XVIII Days - Cost Report W/S S-3, Pt. I, Column 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X21","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X21","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A22","v":12},{"$f":"'Sec. G CR Data ADJ'!$C22","v":0},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$8","v":"Title XVIII Days - Cost Report W/S S-3, Pt. I, Column 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X22","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X22","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A23","v":13},{"$f":"'Sec. G CR Data ADJ'!$C23","v":0},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$8","v":"Title XVIII Days - Cost Report W/S S-3, Pt. I, Column 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X23","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X23","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A24","v":14},{"$f":"'Sec. G CR Data ADJ'!$C24","v":0},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$8","v":"Title XVIII Days - Cost Report W/S S-3, Pt. I, Column 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X24","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X24","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A25","v":15},{"$f":"'Sec. G CR Data ADJ'!$C25","v":0},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$8","v":"Title XVIII Days - Cost Report W/S S-3, Pt. I, Column 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X25","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X25","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A26","v":16},{"$f":"'Sec. G CR Data ADJ'!$C26","v":0},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$8","v":"Title XVIII Days - Cost Report W/S S-3, Pt. I, Column 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X26","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X26","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A27","v":17},{"$f":"'Sec. G CR Data ADJ'!$C27","v":0},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$8","v":"Title XVIII Days - Cost Report W/S S-3, Pt. I, Column 6"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X27","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X27","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A11","v":1},{"$f":"'Sec. G CR Data ADJ'!$C11","v":"ADULTS & PEDIATRICS"},{"$f":"IF(FRAMethod=\"Cost\",\"14.00\",\"13.00\")","v":"13.00"},{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$8","v":"Title XVIII Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y11","v":10871100},0,{"$f":"'Sec. G CR Data ADJ'!Y11","v":10871100}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A12","v":2},{"$f":"'Sec. G CR Data ADJ'!$C12","v":"INTENSIVE CARE UNIT"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$8","v":"Title XVIII Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y12","v":2932080},0,{"$f":"'Sec. G CR Data ADJ'!Y12","v":2932080}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A13","v":3},{"$f":"'Sec. G CR Data ADJ'!$C13","v":"CORONARY CARE UNIT"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$8","v":"Title XVIII Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y13","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y13","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A14","v":4},{"$f":"'Sec. G CR Data ADJ'!$C14","v":"BURN INTENSIVE CARE UNIT"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$8","v":"Title XVIII Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y14","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y14","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A15","v":5},{"$f":"'Sec. G CR Data ADJ'!$C15","v":"SURGICAL INTENSIVE CARE UNIT"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$8","v":"Title XVIII Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y15","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y15","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A16","v":6},{"$f":"'Sec. G CR Data ADJ'!$C16","v":"OTHER SPECIAL CARE UNIT"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$8","v":"Title XVIII Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y16","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y16","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A17","v":7},{"$f":"'Sec. G CR Data ADJ'!$C17","v":"SUBPROVIDER I"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$8","v":"Title XVIII Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y17","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y17","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A18","v":8},{"$f":"'Sec. G CR Data ADJ'!$C18","v":"SUBPROVIDER II"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$8","v":"Title XVIII Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y18","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y18","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A19","v":9},{"$f":"'Sec. G CR Data ADJ'!$C19","v":"OTHER SUBPROVIDER"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$8","v":"Title XVIII Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y19","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y19","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A20","v":10},{"$f":"'Sec. G CR Data ADJ'!$C20","v":"NURSERY"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$8","v":"Title XVIII Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y20","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y20","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A21","v":11},{"$f":"'Sec. G CR Data ADJ'!$C21","v":0},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$8","v":"Title XVIII Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y21","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y21","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A22","v":12},{"$f":"'Sec. G CR Data ADJ'!$C22","v":0},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$8","v":"Title XVIII Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y22","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y22","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A23","v":13},{"$f":"'Sec. G CR Data ADJ'!$C23","v":0},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$8","v":"Title XVIII Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y23","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y23","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A24","v":14},{"$f":"'Sec. G CR Data ADJ'!$C24","v":0},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$8","v":"Title XVIII Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y24","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y24","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A25","v":15},{"$f":"'Sec. G CR Data ADJ'!$C25","v":0},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$8","v":"Title XVIII Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y25","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y25","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A26","v":16},{"$f":"'Sec. G CR Data ADJ'!$C26","v":0},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$8","v":"Title XVIII Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y26","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y26","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A27","v":17},{"$f":"'Sec. G CR Data ADJ'!$C27","v":0},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$8","v":"Title XVIII Inpatient Routine Charges - Cost Report W/S D-3, Col. 2 (Informational only)"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y27","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y27","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A32","v":20},{"$f":"'Sec. G CR Data ADJ'!$C32","v":"Observation (Non-Distinct)"},{"$f":"IF(FRAMethod=\"Cost\",\"13.00\",\"12.00\")","v":"12.00"},{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X32","v":467959},0,{"$f":"'Sec. G CR Data ADJ'!X32","v":467959}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A36","v":21},{"$f":"'Sec. G CR Data ADJ'!$C36","v":"OPERATING ROOM"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X36","v":7092590},0,{"$f":"'Sec. G CR Data ADJ'!X36","v":7092590}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A37","v":22},{"$f":"'Sec. G CR Data ADJ'!$C37","v":"RECOVERY ROOM"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X37","v":471754},0,{"$f":"'Sec. G CR Data ADJ'!X37","v":471754}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A38","v":23},{"$f":"'Sec. G CR Data ADJ'!$C38","v":"DELIVERY ROOM & LABOR ROOM"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X38","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X38","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A39","v":24},{"$f":"'Sec. G CR Data ADJ'!$C39","v":"ANESTHESIOLOGY"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X39","v":1389408},0,{"$f":"'Sec. G CR Data ADJ'!X39","v":1389408}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A40","v":25},{"$f":"'Sec. G CR Data ADJ'!$C40","v":"RADIOLOGY-DIAGNOSTIC"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X40","v":1741776},0,{"$f":"'Sec. G CR Data ADJ'!X40","v":1741776}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A41","v":26},{"$f":"'Sec. G CR Data ADJ'!$C41","v":"RADIOLOGY-THERAPEUTIC"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X41","v":126119},0,{"$f":"'Sec. G CR Data ADJ'!X41","v":126119}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A42","v":27},{"$f":"'Sec. G CR Data ADJ'!$C42","v":"NUCLEAR MEDICINE"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X42","v":564101},0,{"$f":"'Sec. G CR Data ADJ'!X42","v":564101}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A43","v":28},{"$f":"'Sec. G CR Data ADJ'!$C43","v":"CT SCAN"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X43","v":3081258},0,{"$f":"'Sec. G CR Data ADJ'!X43","v":3081258}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A44","v":29},{"$f":"'Sec. G CR Data ADJ'!$C44","v":"MRI"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X44","v":369535},0,{"$f":"'Sec. G CR Data ADJ'!X44","v":369535}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A45","v":30},{"$f":"'Sec. G CR Data ADJ'!$C45","v":"CARDIAC CATHETERIZATION"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X45","v":2542435},0,{"$f":"'Sec. G CR Data ADJ'!X45","v":2542435}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A46","v":31},{"$f":"'Sec. G CR Data ADJ'!$C46","v":"LABORATORY"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X46","v":9297974},0,{"$f":"'Sec. G CR Data ADJ'!X46","v":9297974}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A47","v":32},{"$f":"'Sec. G CR Data ADJ'!$C47","v":"RESPIRATORY THERAPY"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X47","v":2408605},0,{"$f":"'Sec. G CR Data ADJ'!X47","v":2408605}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A48","v":33},{"$f":"'Sec. G CR Data ADJ'!$C48","v":"PHYSICAL THERAPY"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X48","v":740256},0,{"$f":"'Sec. G CR Data ADJ'!X48","v":740256}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A49","v":34},{"$f":"'Sec. G CR Data ADJ'!$C49","v":"SPEECH PATHOLOGY"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X49","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X49","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A50","v":35},{"$f":"'Sec. G CR Data ADJ'!$C50","v":"ELECTROCARDIOLOGY"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X50","v":1401296},0,{"$f":"'Sec. G CR Data ADJ'!X50","v":1401296}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A51","v":36},{"$f":"'Sec. G CR Data ADJ'!$C51","v":"ELECTROENCEPHALOGRAPHY"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X51","v":27143},0,{"$f":"'Sec. G CR Data ADJ'!X51","v":27143}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A52","v":37},{"$f":"'Sec. G CR Data ADJ'!$C52","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X52","v":3158166},0,{"$f":"'Sec. G CR Data ADJ'!X52","v":3158166}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A53","v":38},{"$f":"'Sec. G CR Data ADJ'!$C53","v":"IMPL. DEV. CHARGED TO PATIENTS"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X53","v":2043134},0,{"$f":"'Sec. G CR Data ADJ'!X53","v":2043134}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A54","v":39},{"$f":"'Sec. G CR Data ADJ'!$C54","v":"DRUGS CHARGED TO PATIENTS"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X54","v":6221588},0,{"$f":"'Sec. G CR Data ADJ'!X54","v":6221588}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A55","v":40},{"$f":"'Sec. G CR Data ADJ'!$C55","v":"RENAL DIALYSIS"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X55","v":320269},0,{"$f":"'Sec. G CR Data ADJ'!X55","v":320269}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A56","v":41},{"$f":"'Sec. G CR Data ADJ'!$C56","v":"CARDIOVASCULAR MEDICINE"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X56","v":1951217},0,{"$f":"'Sec. G CR Data ADJ'!X56","v":1951217}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A57","v":42},{"$f":"'Sec. G CR Data ADJ'!$C57","v":"CLINIC"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X57","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X57","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A58","v":43},{"$f":"'Sec. G CR Data ADJ'!$C58","v":"NUTRITION"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X58","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X58","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A59","v":44},{"$f":"'Sec. G CR Data ADJ'!$C59","v":"WOUND CARE CENTER"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X59","v":3174},0,{"$f":"'Sec. G CR Data ADJ'!X59","v":3174}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A60","v":45},{"$f":"'Sec. G CR Data ADJ'!$C60","v":"EMERGENCY"},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X60","v":3680289},0,{"$f":"'Sec. G CR Data ADJ'!X60","v":3680289}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A61","v":46},{"$f":"'Sec. G CR Data ADJ'!$C61","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X61","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X61","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A62","v":47},{"$f":"'Sec. G CR Data ADJ'!$C62","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X62","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X62","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A63","v":48},{"$f":"'Sec. G CR Data ADJ'!$C63","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X63","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X63","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A64","v":49},{"$f":"'Sec. G CR Data ADJ'!$C64","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X64","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X64","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A65","v":50},{"$f":"'Sec. G CR Data ADJ'!$C65","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X65","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X65","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A66","v":51},{"$f":"'Sec. G CR Data ADJ'!$C66","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X66","v":0},{"$f":"J1019-H1019","v":0},{"$f":"'Sec. G CR Data ADJ'!X66","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A67","v":52},{"$f":"'Sec. G CR Data ADJ'!$C67","v":""},{"$f":"IF(FRAMethod=\"Cost\",\"13.00\",\"12.00\")","v":"12.00"},{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X67","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X67","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A68","v":53},{"$f":"'Sec. G CR Data ADJ'!$C68","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X68","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X68","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A69","v":54},{"$f":"'Sec. G CR Data ADJ'!$C69","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X69","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X69","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A70","v":55},{"$f":"'Sec. G CR Data ADJ'!$C70","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X70","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X70","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A71","v":56},{"$f":"'Sec. G CR Data ADJ'!$C71","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X71","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X71","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A72","v":57},{"$f":"'Sec. G CR Data ADJ'!$C72","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X72","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X72","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A73","v":58},{"$f":"'Sec. G CR Data ADJ'!$C73","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X73","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X73","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A74","v":59},{"$f":"'Sec. G CR Data ADJ'!$C74","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X74","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X74","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A75","v":60},{"$f":"'Sec. G CR Data ADJ'!$C75","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X75","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X75","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A76","v":61},{"$f":"'Sec. G CR Data ADJ'!$C76","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X76","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X76","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A77","v":62},{"$f":"'Sec. G CR Data ADJ'!$C77","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X77","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X77","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A78","v":63},{"$f":"'Sec. G CR Data ADJ'!$C78","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X78","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X78","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A79","v":64},{"$f":"'Sec. G CR Data ADJ'!$C79","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X79","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X79","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A80","v":65},{"$f":"'Sec. G CR Data ADJ'!$C80","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X80","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X80","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A81","v":66},{"$f":"'Sec. G CR Data ADJ'!$C81","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X81","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X81","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A82","v":67},{"$f":"'Sec. G CR Data ADJ'!$C82","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X82","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X82","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A83","v":68},{"$f":"'Sec. G CR Data ADJ'!$C83","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X83","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X83","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A84","v":69},{"$f":"'Sec. G CR Data ADJ'!$C84","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X84","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X84","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A85","v":70},{"$f":"'Sec. G CR Data ADJ'!$C85","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X85","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X85","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A86","v":71},{"$f":"'Sec. G CR Data ADJ'!$C86","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X86","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X86","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A87","v":72},{"$f":"'Sec. G CR Data ADJ'!$C87","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X87","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X87","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A88","v":73},{"$f":"'Sec. G CR Data ADJ'!$C88","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X88","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X88","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A89","v":74},{"$f":"'Sec. G CR Data ADJ'!$C89","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X89","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X89","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A90","v":75},{"$f":"'Sec. G CR Data ADJ'!$C90","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X90","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X90","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A91","v":76},{"$f":"'Sec. G CR Data ADJ'!$C91","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X91","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X91","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A92","v":77},{"$f":"'Sec. G CR Data ADJ'!$C92","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X92","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X92","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A93","v":78},{"$f":"'Sec. G CR Data ADJ'!$C93","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X93","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X93","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A94","v":79},{"$f":"'Sec. G CR Data ADJ'!$C94","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X94","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X94","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A95","v":80},{"$f":"'Sec. G CR Data ADJ'!$C95","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X95","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X95","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A96","v":81},{"$f":"'Sec. G CR Data ADJ'!$C96","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X96","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X96","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A97","v":82},{"$f":"'Sec. G CR Data ADJ'!$C97","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X97","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X97","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A98","v":83},{"$f":"'Sec. G CR Data ADJ'!$C98","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X98","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X98","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A99","v":84},{"$f":"'Sec. G CR Data ADJ'!$C99","v":""},{"$f":"IF(FRAMethod=\"Cost\",\"13.00\",\"12.00\")","v":"12.00"},{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X99","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X99","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A100","v":85},{"$f":"'Sec. G CR Data ADJ'!$C100","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X100","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X100","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A101","v":86},{"$f":"'Sec. G CR Data ADJ'!$C101","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X101","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X101","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A102","v":87},{"$f":"'Sec. G CR Data ADJ'!$C102","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X102","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X102","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A103","v":88},{"$f":"'Sec. G CR Data ADJ'!$C103","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X103","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X103","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A104","v":89},{"$f":"'Sec. G CR Data ADJ'!$C104","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X104","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X104","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A105","v":90},{"$f":"'Sec. G CR Data ADJ'!$C105","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X105","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X105","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A106","v":91},{"$f":"'Sec. G CR Data ADJ'!$C106","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X106","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X106","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A107","v":92},{"$f":"'Sec. G CR Data ADJ'!$C107","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X107","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X107","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A108","v":93},{"$f":"'Sec. G CR Data ADJ'!$C108","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X108","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X108","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A109","v":94},{"$f":"'Sec. G CR Data ADJ'!$C109","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X109","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X109","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A110","v":95},{"$f":"'Sec. G CR Data ADJ'!$C110","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X110","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X110","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A111","v":96},{"$f":"'Sec. G CR Data ADJ'!$C111","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X111","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X111","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A112","v":97},{"$f":"'Sec. G CR Data ADJ'!$C112","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X112","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X112","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A113","v":98},{"$f":"'Sec. G CR Data ADJ'!$C113","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X113","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X113","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A114","v":99},{"$f":"'Sec. G CR Data ADJ'!$C114","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X114","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X114","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A115","v":100},{"$f":"'Sec. G CR Data ADJ'!$C115","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X115","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X115","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A116","v":101},{"$f":"'Sec. G CR Data ADJ'!$C116","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X116","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X116","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A117","v":102},{"$f":"'Sec. G CR Data ADJ'!$C117","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X117","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X117","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A118","v":103},{"$f":"'Sec. G CR Data ADJ'!$C118","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X118","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X118","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A119","v":104},{"$f":"'Sec. G CR Data ADJ'!$C119","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X119","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X119","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A120","v":105},{"$f":"'Sec. G CR Data ADJ'!$C120","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X120","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X120","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A121","v":106},{"$f":"'Sec. G CR Data ADJ'!$C121","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X121","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X121","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A122","v":107},{"$f":"'Sec. G CR Data ADJ'!$C122","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X122","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X122","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A123","v":108},{"$f":"'Sec. G CR Data ADJ'!$C123","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X123","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X123","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A124","v":109},{"$f":"'Sec. G CR Data ADJ'!$C124","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X124","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X124","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A125","v":110},{"$f":"'Sec. G CR Data ADJ'!$C125","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X125","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X125","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A126","v":111},{"$f":"'Sec. G CR Data ADJ'!$C126","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X126","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X126","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A127","v":112},{"$f":"'Sec. G CR Data ADJ'!$C127","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X127","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X127","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A128","v":113},{"$f":"'Sec. G CR Data ADJ'!$C128","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X128","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X128","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A129","v":114},{"$f":"'Sec. G CR Data ADJ'!$C129","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X129","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X129","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A130","v":115},{"$f":"'Sec. G CR Data ADJ'!$C130","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X130","v":0},{"$f":"J1083-H1083","v":0},{"$f":"'Sec. G CR Data ADJ'!X130","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A131","v":116},{"$f":"'Sec. G CR Data ADJ'!$C131","v":""},{"$f":"IF(FRAMethod=\"Cost\",\"13.00\",\"12.00\")","v":"12.00"},{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X131","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X131","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A132","v":117},{"$f":"'Sec. G CR Data ADJ'!$C132","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X132","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X132","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A133","v":118},{"$f":"'Sec. G CR Data ADJ'!$C133","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X133","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X133","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A134","v":119},{"$f":"'Sec. G CR Data ADJ'!$C134","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X134","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X134","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A135","v":120},{"$f":"'Sec. G CR Data ADJ'!$C135","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X135","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X135","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A136","v":121},{"$f":"'Sec. G CR Data ADJ'!$C136","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X136","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X136","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A137","v":122},{"$f":"'Sec. G CR Data ADJ'!$C137","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X137","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X137","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A138","v":123},{"$f":"'Sec. G CR Data ADJ'!$C138","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X138","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X138","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A139","v":124},{"$f":"'Sec. G CR Data ADJ'!$C139","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X139","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X139","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A140","v":125},{"$f":"'Sec. G CR Data ADJ'!$C140","v":""},"12.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$X$31","v":"Title XVIII Inpatient Charges - Cost Report W/S D-3, Col. 2"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!X140","v":0},0,{"$f":"'Sec. G CR Data ADJ'!X140","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A32","v":20},{"$f":"'Sec. G CR Data ADJ'!$C32","v":"Observation (Non-Distinct)"},{"$f":"IF(FRAMethod=\"Cost\",\"14.00\",\"13.00\")","v":"13.00"},{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y32","v":2646684},0,{"$f":"'Sec. G CR Data ADJ'!Y32","v":2646684}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A36","v":21},{"$f":"'Sec. G CR Data ADJ'!$C36","v":"OPERATING ROOM"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y36","v":9851750},0,{"$f":"'Sec. G CR Data ADJ'!Y36","v":9851750}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A37","v":22},{"$f":"'Sec. G CR Data ADJ'!$C37","v":"RECOVERY ROOM"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y37","v":1128884},0,{"$f":"'Sec. G CR Data ADJ'!Y37","v":1128884}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A38","v":23},{"$f":"'Sec. G CR Data ADJ'!$C38","v":"DELIVERY ROOM & LABOR ROOM"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y38","v":1058},0,{"$f":"'Sec. G CR Data ADJ'!Y38","v":1058}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A39","v":24},{"$f":"'Sec. G CR Data ADJ'!$C39","v":"ANESTHESIOLOGY"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y39","v":2363612},0,{"$f":"'Sec. G CR Data ADJ'!Y39","v":2363612}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A40","v":25},{"$f":"'Sec. G CR Data ADJ'!$C40","v":"RADIOLOGY-DIAGNOSTIC"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y40","v":4267726},0,{"$f":"'Sec. G CR Data ADJ'!Y40","v":4267726}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A41","v":26},{"$f":"'Sec. G CR Data ADJ'!$C41","v":"RADIOLOGY-THERAPEUTIC"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y41","v":6650662},0,{"$f":"'Sec. G CR Data ADJ'!Y41","v":6650662}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A42","v":27},{"$f":"'Sec. G CR Data ADJ'!$C42","v":"NUCLEAR MEDICINE"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y42","v":1809662},0,{"$f":"'Sec. G CR Data ADJ'!Y42","v":1809662}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A43","v":28},{"$f":"'Sec. G CR Data ADJ'!$C43","v":"CT SCAN"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y43","v":5853302},0,{"$f":"'Sec. G CR Data ADJ'!Y43","v":5853302}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A44","v":29},{"$f":"'Sec. G CR Data ADJ'!$C44","v":"MRI"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y44","v":987285},0,{"$f":"'Sec. G CR Data ADJ'!Y44","v":987285}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A45","v":30},{"$f":"'Sec. G CR Data ADJ'!$C45","v":"CARDIAC CATHETERIZATION"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y45","v":3675635},0,{"$f":"'Sec. G CR Data ADJ'!Y45","v":3675635}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A46","v":31},{"$f":"'Sec. G CR Data ADJ'!$C46","v":"LABORATORY"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y46","v":6293908},0,{"$f":"'Sec. G CR Data ADJ'!Y46","v":6293908}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A47","v":32},{"$f":"'Sec. G CR Data ADJ'!$C47","v":"RESPIRATORY THERAPY"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y47","v":337220},0,{"$f":"'Sec. G CR Data ADJ'!Y47","v":337220}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A48","v":33},{"$f":"'Sec. G CR Data ADJ'!$C48","v":"PHYSICAL THERAPY"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y48","v":60600},0,{"$f":"'Sec. G CR Data ADJ'!Y48","v":60600}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A49","v":34},{"$f":"'Sec. G CR Data ADJ'!$C49","v":"SPEECH PATHOLOGY"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y49","v":52736},0,{"$f":"'Sec. G CR Data ADJ'!Y49","v":52736}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A50","v":35},{"$f":"'Sec. G CR Data ADJ'!$C50","v":"ELECTROCARDIOLOGY"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y50","v":1615381},0,{"$f":"'Sec. G CR Data ADJ'!Y50","v":1615381}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A51","v":36},{"$f":"'Sec. G CR Data ADJ'!$C51","v":"ELECTROENCEPHALOGRAPHY"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y51","v":20297},0,{"$f":"'Sec. G CR Data ADJ'!Y51","v":20297}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A52","v":37},{"$f":"'Sec. G CR Data ADJ'!$C52","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y52","v":2641944},0,{"$f":"'Sec. G CR Data ADJ'!Y52","v":2641944}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A53","v":38},{"$f":"'Sec. G CR Data ADJ'!$C53","v":"IMPL. DEV. CHARGED TO PATIENTS"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y53","v":1939134},0,{"$f":"'Sec. G CR Data ADJ'!Y53","v":1939134}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A54","v":39},{"$f":"'Sec. G CR Data ADJ'!$C54","v":"DRUGS CHARGED TO PATIENTS"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y54","v":9730881},0,{"$f":"'Sec. G CR Data ADJ'!Y54","v":9730881}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A55","v":40},{"$f":"'Sec. G CR Data ADJ'!$C55","v":"RENAL DIALYSIS"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y55","v":48829},0,{"$f":"'Sec. G CR Data ADJ'!Y55","v":48829}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A56","v":41},{"$f":"'Sec. G CR Data ADJ'!$C56","v":"CARDIOVASCULAR MEDICINE"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y56","v":2531541},0,{"$f":"'Sec. G CR Data ADJ'!Y56","v":2531541}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A57","v":42},{"$f":"'Sec. G CR Data ADJ'!$C57","v":"CLINIC"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y57","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y57","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A58","v":43},{"$f":"'Sec. G CR Data ADJ'!$C58","v":"NUTRITION"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y58","v":3724},0,{"$f":"'Sec. G CR Data ADJ'!Y58","v":3724}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A59","v":44},{"$f":"'Sec. G CR Data ADJ'!$C59","v":"WOUND CARE CENTER"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y59","v":782142},0,{"$f":"'Sec. G CR Data ADJ'!Y59","v":782142}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A60","v":45},{"$f":"'Sec. G CR Data ADJ'!$C60","v":"EMERGENCY"},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y60","v":7934388},0,{"$f":"'Sec. G CR Data ADJ'!Y60","v":7934388}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A61","v":46},{"$f":"'Sec. G CR Data ADJ'!$C61","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y61","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y61","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A62","v":47},{"$f":"'Sec. G CR Data ADJ'!$C62","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y62","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y62","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A63","v":48},{"$f":"'Sec. G CR Data ADJ'!$C63","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y63","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y63","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A64","v":49},{"$f":"'Sec. G CR Data ADJ'!$C64","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y64","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y64","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A65","v":50},{"$f":"'Sec. G CR Data ADJ'!$C65","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y65","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y65","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A66","v":51},{"$f":"'Sec. G CR Data ADJ'!$C66","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y66","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y66","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A67","v":52},{"$f":"'Sec. G CR Data ADJ'!$C67","v":""},{"$f":"IF(FRAMethod=\"Cost\",\"14.00\",\"13.00\")","v":"13.00"},{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y67","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y67","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A68","v":53},{"$f":"'Sec. G CR Data ADJ'!$C68","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y68","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y68","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A69","v":54},{"$f":"'Sec. G CR Data ADJ'!$C69","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y69","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y69","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A70","v":55},{"$f":"'Sec. G CR Data ADJ'!$C70","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y70","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y70","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A71","v":56},{"$f":"'Sec. G CR Data ADJ'!$C71","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y71","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y71","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A72","v":57},{"$f":"'Sec. G CR Data ADJ'!$C72","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y72","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y72","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A73","v":58},{"$f":"'Sec. G CR Data ADJ'!$C73","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y73","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y73","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A74","v":59},{"$f":"'Sec. G CR Data ADJ'!$C74","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y74","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y74","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A75","v":60},{"$f":"'Sec. G CR Data ADJ'!$C75","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y75","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y75","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A76","v":61},{"$f":"'Sec. G CR Data ADJ'!$C76","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y76","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y76","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A77","v":62},{"$f":"'Sec. G CR Data ADJ'!$C77","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y77","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y77","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A78","v":63},{"$f":"'Sec. G CR Data ADJ'!$C78","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y78","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y78","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A79","v":64},{"$f":"'Sec. G CR Data ADJ'!$C79","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y79","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y79","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A80","v":65},{"$f":"'Sec. G CR Data ADJ'!$C80","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y80","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y80","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A81","v":66},{"$f":"'Sec. G CR Data ADJ'!$C81","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y81","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y81","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A82","v":67},{"$f":"'Sec. G CR Data ADJ'!$C82","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y82","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y82","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A83","v":68},{"$f":"'Sec. G CR Data ADJ'!$C83","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y83","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y83","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A84","v":69},{"$f":"'Sec. G CR Data ADJ'!$C84","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y84","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y84","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A85","v":70},{"$f":"'Sec. G CR Data ADJ'!$C85","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y85","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y85","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A86","v":71},{"$f":"'Sec. G CR Data ADJ'!$C86","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y86","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y86","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A87","v":72},{"$f":"'Sec. G CR Data ADJ'!$C87","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y87","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y87","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A88","v":73},{"$f":"'Sec. G CR Data ADJ'!$C88","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y88","v":0},{"$f":"J1147-H1147","v":0},{"$f":"'Sec. G CR Data ADJ'!Y88","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A89","v":74},{"$f":"'Sec. G CR Data ADJ'!$C89","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y89","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y89","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A90","v":75},{"$f":"'Sec. G CR Data ADJ'!$C90","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y90","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y90","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A91","v":76},{"$f":"'Sec. G CR Data ADJ'!$C91","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y91","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y91","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A92","v":77},{"$f":"'Sec. G CR Data ADJ'!$C92","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y92","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y92","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A93","v":78},{"$f":"'Sec. G CR Data ADJ'!$C93","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y93","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y93","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A94","v":79},{"$f":"'Sec. G CR Data ADJ'!$C94","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y94","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y94","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A95","v":80},{"$f":"'Sec. G CR Data ADJ'!$C95","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y95","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y95","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A96","v":81},{"$f":"'Sec. G CR Data ADJ'!$C96","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y96","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y96","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A97","v":82},{"$f":"'Sec. G CR Data ADJ'!$C97","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y97","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y97","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A98","v":83},{"$f":"'Sec. G CR Data ADJ'!$C98","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y98","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y98","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A99","v":84},{"$f":"'Sec. G CR Data ADJ'!$C99","v":""},{"$f":"IF(FRAMethod=\"Cost\",\"14.00\",\"13.00\")","v":"13.00"},{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y99","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y99","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A100","v":85},{"$f":"'Sec. G CR Data ADJ'!$C100","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y100","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y100","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A101","v":86},{"$f":"'Sec. G CR Data ADJ'!$C101","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y101","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y101","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A102","v":87},{"$f":"'Sec. G CR Data ADJ'!$C102","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y102","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y102","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A103","v":88},{"$f":"'Sec. G CR Data ADJ'!$C103","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y103","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y103","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A104","v":89},{"$f":"'Sec. G CR Data ADJ'!$C104","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y104","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y104","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A105","v":90},{"$f":"'Sec. G CR Data ADJ'!$C105","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y105","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y105","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A106","v":91},{"$f":"'Sec. G CR Data ADJ'!$C106","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y106","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y106","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A107","v":92},{"$f":"'Sec. G CR Data ADJ'!$C107","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y107","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y107","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A108","v":93},{"$f":"'Sec. G CR Data ADJ'!$C108","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y108","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y108","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A109","v":94},{"$f":"'Sec. G CR Data ADJ'!$C109","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y109","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y109","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A110","v":95},{"$f":"'Sec. G CR Data ADJ'!$C110","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y110","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y110","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A111","v":96},{"$f":"'Sec. G CR Data ADJ'!$C111","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y111","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y111","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A112","v":97},{"$f":"'Sec. G CR Data ADJ'!$C112","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y112","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y112","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A113","v":98},{"$f":"'Sec. G CR Data ADJ'!$C113","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y113","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y113","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A114","v":99},{"$f":"'Sec. G CR Data ADJ'!$C114","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y114","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y114","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A115","v":100},{"$f":"'Sec. G CR Data ADJ'!$C115","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y115","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y115","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A116","v":101},{"$f":"'Sec. G CR Data ADJ'!$C116","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y116","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y116","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A117","v":102},{"$f":"'Sec. G CR Data ADJ'!$C117","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y117","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y117","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A118","v":103},{"$f":"'Sec. G CR Data ADJ'!$C118","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y118","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y118","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A119","v":104},{"$f":"'Sec. G CR Data ADJ'!$C119","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y119","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y119","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A120","v":105},{"$f":"'Sec. G CR Data ADJ'!$C120","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y120","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y120","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A121","v":106},{"$f":"'Sec. G CR Data ADJ'!$C121","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y121","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y121","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A122","v":107},{"$f":"'Sec. G CR Data ADJ'!$C122","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y122","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y122","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A123","v":108},{"$f":"'Sec. G CR Data ADJ'!$C123","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y123","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y123","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A124","v":109},{"$f":"'Sec. G CR Data ADJ'!$C124","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y124","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y124","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A125","v":110},{"$f":"'Sec. G CR Data ADJ'!$C125","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y125","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y125","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A126","v":111},{"$f":"'Sec. G CR Data ADJ'!$C126","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y126","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y126","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A127","v":112},{"$f":"'Sec. G CR Data ADJ'!$C127","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y127","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y127","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A128","v":113},{"$f":"'Sec. G CR Data ADJ'!$C128","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y128","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y128","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A129","v":114},{"$f":"'Sec. G CR Data ADJ'!$C129","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y129","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y129","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A130","v":115},{"$f":"'Sec. G CR Data ADJ'!$C130","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y130","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y130","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A131","v":116},{"$f":"'Sec. G CR Data ADJ'!$C131","v":""},{"$f":"IF(FRAMethod=\"Cost\",\"14.00\",\"13.00\")","v":"13.00"},{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y131","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y131","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A132","v":117},{"$f":"'Sec. G CR Data ADJ'!$C132","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y132","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y132","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A133","v":118},{"$f":"'Sec. G CR Data ADJ'!$C133","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y133","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y133","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A134","v":119},{"$f":"'Sec. G CR Data ADJ'!$C134","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y134","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y134","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A135","v":120},{"$f":"'Sec. G CR Data ADJ'!$C135","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y135","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y135","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A136","v":121},{"$f":"'Sec. G CR Data ADJ'!$C136","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y136","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y136","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A137","v":122},{"$f":"'Sec. G CR Data ADJ'!$C137","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y137","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y137","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A138","v":123},{"$f":"'Sec. G CR Data ADJ'!$C138","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y138","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y138","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A139","v":124},{"$f":"'Sec. G CR Data ADJ'!$C139","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y139","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y139","v":0}]
[null,"G - CR Data",{"$f":"'Sec. G CR Data ADJ'!$A140","v":125},{"$f":"'Sec. G CR Data ADJ'!$C140","v":""},"13.00",{"$f":"\"Title XVIII \"&'Sec. G CR Data ADJ'!$Y$31","v":"Title XVIII Outpatient Charges - Cost Report W/S D, Pt. V, Col. 2-4"},"Adjust to cost report.",{"$f":"'Sec. G CR Data'!Y140","v":0},0,{"$f":"'Sec. G CR Data ADJ'!Y140","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$11","v":1},{"$f":"'Sec. H In-State ADJ'!$C$11","v":"ADULTS & PEDIATRICS"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$11","v":2016},{"$f":"$J$1200-$H$1200","v":0},{"$f":"'Sec. H In-State ADJ'!$H$11","v":2016}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$12","v":2},{"$f":"'Sec. H In-State ADJ'!$C$12","v":"INTENSIVE CARE UNIT"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$12","v":313},{"$f":"$J$1201-$H$1201","v":0},{"$f":"'Sec. H In-State ADJ'!$H$12","v":313}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$13","v":3},{"$f":"'Sec. H In-State ADJ'!$C$13","v":"CORONARY CARE UNIT"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$13","v":0},{"$f":"$J$1202-$H$1202","v":0},{"$f":"'Sec. H In-State ADJ'!$H$13","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$14","v":4},{"$f":"'Sec. H In-State ADJ'!$C$14","v":"BURN INTENSIVE CARE UNIT"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$14","v":0},{"$f":"$J$1203-$H$1203","v":0},{"$f":"'Sec. H In-State ADJ'!$H$14","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$15","v":5},{"$f":"'Sec. H In-State ADJ'!$C$15","v":"SURGICAL INTENSIVE CARE UNIT"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$15","v":0},{"$f":"$J$1204-$H$1204","v":0},{"$f":"'Sec. H In-State ADJ'!$H$15","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$16","v":6},{"$f":"'Sec. H In-State ADJ'!$C$16","v":"OTHER SPECIAL CARE UNIT"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$16","v":0},{"$f":"$J$1205-$H$1205","v":0},{"$f":"'Sec. H In-State ADJ'!$H$16","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$17","v":7},{"$f":"'Sec. H In-State ADJ'!$C$17","v":"SUBPROVIDER I"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$17","v":0},{"$f":"$J$1206-$H$1206","v":0},{"$f":"'Sec. H In-State ADJ'!$H$17","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$18","v":8},{"$f":"'Sec. H In-State ADJ'!$C$18","v":"SUBPROVIDER II"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$18","v":0},{"$f":"$J$1207-$H$1207","v":0},{"$f":"'Sec. H In-State ADJ'!$H$18","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$19","v":9},{"$f":"'Sec. H In-State ADJ'!$C$19","v":"OTHER SUBPROVIDER"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$19","v":0},{"$f":"$J$1208-$H$1208","v":0},{"$f":"'Sec. H In-State ADJ'!$H$19","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$20","v":10},{"$f":"'Sec. H In-State ADJ'!$C$20","v":"NURSERY"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$20","v":131},{"$f":"$J$1209-$H$1209","v":0},{"$f":"'Sec. H In-State ADJ'!$H$20","v":131}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$21","v":11},{"$f":"'Sec. H In-State ADJ'!$C$21","v":0},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$21","v":0},{"$f":"$J$1210-$H$1210","v":0},{"$f":"'Sec. H In-State ADJ'!$H$21","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$22","v":12},{"$f":"'Sec. H In-State ADJ'!$C$22","v":0},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$22","v":0},{"$f":"$J$1211-$H$1211","v":0},{"$f":"'Sec. H In-State ADJ'!$H$22","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$23","v":13},{"$f":"'Sec. H In-State ADJ'!$C$23","v":0},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$23","v":0},{"$f":"$J$1212-$H$1212","v":0},{"$f":"'Sec. H In-State ADJ'!$H$23","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$24","v":14},{"$f":"'Sec. H In-State ADJ'!$C$24","v":0},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$24","v":0},{"$f":"$J$1213-$H$1213","v":0},{"$f":"'Sec. H In-State ADJ'!$H$24","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$25","v":15},{"$f":"'Sec. H In-State ADJ'!$C$25","v":0},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$25","v":0},{"$f":"$J$1214-$H$1214","v":0},{"$f":"'Sec. H In-State ADJ'!$H$25","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$26","v":16},{"$f":"'Sec. H In-State ADJ'!$C$26","v":0},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$26","v":0},{"$f":"$J$1215-$H$1215","v":0},{"$f":"'Sec. H In-State ADJ'!$H$26","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$27","v":17},{"$f":"'Sec. H In-State ADJ'!$C$27","v":0},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$27","v":0},{"$f":"$J$1216-$H$1216","v":0},{"$f":"'Sec. H In-State ADJ'!$H$27","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$34","v":21},{"$f":"'Sec. H In-State ADJ'!$C$34","v":"Routine Charges"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$34","v":3374794},{"$f":"$J$1217-$H$1217","v":0},{"$f":"'Sec. H In-State ADJ'!$H$34","v":3374794}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$38","v":22},{"$f":"'Sec. H In-State ADJ'!$C$38","v":"Observation (Non-Distinct)"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$38","v":11028.8},{"$f":"$J$1218-$H$1218","v":0},{"$f":"'Sec. H In-State ADJ'!$H$38","v":11028.8}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$39","v":23},{"$f":"'Sec. H In-State ADJ'!$C$39","v":"OPERATING ROOM"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$39","v":1581358.5},{"$f":"$J$1219-$H$1219","v":0},{"$f":"'Sec. H In-State ADJ'!$H$39","v":1581358.5}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$40","v":24},{"$f":"'Sec. H In-State ADJ'!$C$40","v":"RECOVERY ROOM"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$40","v":118178.75},{"$f":"$J$1220-$H$1220","v":0},{"$f":"'Sec. H In-State ADJ'!$H$40","v":118178.75}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$41","v":25},{"$f":"'Sec. H In-State ADJ'!$C$41","v":"DELIVERY ROOM & LABOR ROOM"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$41","v":253537.5},{"$f":"$J$1221-$H$1221","v":0},{"$f":"'Sec. H In-State ADJ'!$H$41","v":253537.5}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$42","v":26},{"$f":"'Sec. H In-State ADJ'!$C$42","v":"ANESTHESIOLOGY"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$42","v":385843.95},{"$f":"$J$1222-$H$1222","v":0},{"$f":"'Sec. H In-State ADJ'!$H$42","v":385843.95}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$43","v":27},{"$f":"'Sec. H In-State ADJ'!$C$43","v":"RADIOLOGY-DIAGNOSTIC"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$43","v":351632.77},{"$f":"$J$1223-$H$1223","v":0},{"$f":"'Sec. H In-State ADJ'!$H$43","v":351632.77}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$44","v":28},{"$f":"'Sec. H In-State ADJ'!$C$44","v":"RADIOLOGY-THERAPEUTIC"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$44","v":32759.65},{"$f":"$J$1224-$H$1224","v":0},{"$f":"'Sec. H In-State ADJ'!$H$44","v":32759.65}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$45","v":29},{"$f":"'Sec. H In-State ADJ'!$C$45","v":"NUCLEAR MEDICINE"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$45","v":80669.149999999994},{"$f":"$J$1225-$H$1225","v":0},{"$f":"'Sec. H In-State ADJ'!$H$45","v":80669.149999999994}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$46","v":30},{"$f":"'Sec. H In-State ADJ'!$C$46","v":"CT SCAN"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$46","v":676098.7},{"$f":"$J$1226-$H$1226","v":0},{"$f":"'Sec. H In-State ADJ'!$H$46","v":676098.7}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$47","v":31},{"$f":"'Sec. H In-State ADJ'!$C$47","v":"MRI"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$47","v":77100},{"$f":"$J$1227-$H$1227","v":0},{"$f":"'Sec. H In-State ADJ'!$H$47","v":77100}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$48","v":32},{"$f":"'Sec. H In-State ADJ'!$C$48","v":"CARDIAC CATHETERIZATION"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$48","v":338602.15},{"$f":"$J$1228-$H$1228","v":0},{"$f":"'Sec. H In-State ADJ'!$H$48","v":338602.15}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$49","v":33},{"$f":"'Sec. H In-State ADJ'!$C$49","v":"LABORATORY"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$49","v":2155004.65},{"$f":"$J$1229-$H$1229","v":0},{"$f":"'Sec. H In-State ADJ'!$H$49","v":2155004.65}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$50","v":34},{"$f":"'Sec. H In-State ADJ'!$C$50","v":"RESPIRATORY THERAPY"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$50","v":542754.05000000005},{"$f":"$J$1230-$H$1230","v":0},{"$f":"'Sec. H In-State ADJ'!$H$50","v":542754.05000000005}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$51","v":35},{"$f":"'Sec. H In-State ADJ'!$C$51","v":"PHYSICAL THERAPY"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$51","v":107950.5},{"$f":"$J$1231-$H$1231","v":0},{"$f":"'Sec. H In-State ADJ'!$H$51","v":107950.5}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$52","v":36},{"$f":"'Sec. H In-State ADJ'!$C$52","v":"SPEECH PATHOLOGY"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$52","v":7623.1},{"$f":"$J$1232-$H$1232","v":0},{"$f":"'Sec. H In-State ADJ'!$H$52","v":7623.1}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$53","v":37},{"$f":"'Sec. H In-State ADJ'!$C$53","v":"ELECTROCARDIOLOGY"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$53","v":204978.25},{"$f":"$J$1233-$H$1233","v":0},{"$f":"'Sec. H In-State ADJ'!$H$53","v":204978.25}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$54","v":38},{"$f":"'Sec. H In-State ADJ'!$C$54","v":"ELECTROENCEPHALOGRAPHY"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$54","v":8509.5499999999993},{"$f":"$J$1234-$H$1234","v":0},{"$f":"'Sec. H In-State ADJ'!$H$54","v":8509.5499999999993}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$55","v":39},{"$f":"'Sec. H In-State ADJ'!$C$55","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$55","v":578643.74},{"$f":"$J$1235-$H$1235","v":0},{"$f":"'Sec. H In-State ADJ'!$H$55","v":578643.74}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$56","v":40},{"$f":"'Sec. H In-State ADJ'!$C$56","v":"IMPL. DEV. CHARGED TO PATIENTS"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$56","v":281674.75},{"$f":"$J$1236-$H$1236","v":0},{"$f":"'Sec. H In-State ADJ'!$H$56","v":281674.75}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$57","v":41},{"$f":"'Sec. H In-State ADJ'!$C$57","v":"DRUGS CHARGED TO PATIENTS"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$57","v":1559776.82},{"$f":"$J$1237-$H$1237","v":0},{"$f":"'Sec. H In-State ADJ'!$H$57","v":1559776.82}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$58","v":42},{"$f":"'Sec. H In-State ADJ'!$C$58","v":"RENAL DIALYSIS"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$58","v":75819.600000000006},{"$f":"$J$1238-$H$1238","v":0},{"$f":"'Sec. H In-State ADJ'!$H$58","v":75819.600000000006}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$59","v":43},{"$f":"'Sec. H In-State ADJ'!$C$59","v":"CARDIOVASCULAR MEDICINE"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$59","v":223313.12999999998},{"$f":"$J$1239-$H$1239","v":0},{"$f":"'Sec. H In-State ADJ'!$H$59","v":223313.12999999998}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$60","v":44},{"$f":"'Sec. H In-State ADJ'!$C$60","v":"CLINIC"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$60","v":0},{"$f":"$J$1240-$H$1240","v":0},{"$f":"'Sec. H In-State ADJ'!$H$60","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$61","v":45},{"$f":"'Sec. H In-State ADJ'!$C$61","v":"NUTRITION"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$61","v":0},{"$f":"$J$1241-$H$1241","v":0},{"$f":"'Sec. H In-State ADJ'!$H$61","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$62","v":46},{"$f":"'Sec. H In-State ADJ'!$C$62","v":"WOUND CARE CENTER"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$62","v":11378.65},{"$f":"$J$1242-$H$1242","v":0},{"$f":"'Sec. H In-State ADJ'!$H$62","v":11378.65}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$63","v":47},{"$f":"'Sec. H In-State ADJ'!$C$63","v":"EMERGENCY"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$63","v":875364.85},{"$f":"$J$1243-$H$1243","v":0},{"$f":"'Sec. H In-State ADJ'!$H$63","v":875364.85}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$64","v":48},{"$f":"'Sec. H In-State ADJ'!$C$64","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$64","v":0},{"$f":"$J$1244-$H$1244","v":0},{"$f":"'Sec. H In-State ADJ'!$H$64","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$65","v":49},{"$f":"'Sec. H In-State ADJ'!$C$65","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$65","v":0},{"$f":"$J$1245-$H$1245","v":0},{"$f":"'Sec. H In-State ADJ'!$H$65","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$66","v":50},{"$f":"'Sec. H In-State ADJ'!$C$66","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$66","v":0},{"$f":"$J$1246-$H$1246","v":0},{"$f":"'Sec. H In-State ADJ'!$H$66","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$67","v":51},{"$f":"'Sec. H In-State ADJ'!$C$67","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$67","v":0},{"$f":"$J$1247-$H$1247","v":0},{"$f":"'Sec. H In-State ADJ'!$H$67","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$68","v":52},{"$f":"'Sec. H In-State ADJ'!$C$68","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$68","v":0},{"$f":"$J$1248-$H$1248","v":0},{"$f":"'Sec. H In-State ADJ'!$H$68","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$69","v":53},{"$f":"'Sec. H In-State ADJ'!$C$69","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$69","v":0},{"$f":"$J$1249-$H$1249","v":0},{"$f":"'Sec. H In-State ADJ'!$H$69","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$70","v":54},{"$f":"'Sec. H In-State ADJ'!$C$70","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$70","v":0},{"$f":"$J$1250-$H$1250","v":0},{"$f":"'Sec. H In-State ADJ'!$H$70","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$71","v":55},{"$f":"'Sec. H In-State ADJ'!$C$71","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$71","v":0},{"$f":"$J$1251-$H$1251","v":0},{"$f":"'Sec. H In-State ADJ'!$H$71","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$72","v":56},{"$f":"'Sec. H In-State ADJ'!$C$72","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$72","v":0},{"$f":"$J$1252-$H$1252","v":0},{"$f":"'Sec. H In-State ADJ'!$H$72","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$73","v":57},{"$f":"'Sec. H In-State ADJ'!$C$73","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$73","v":0},{"$f":"$J$1253-$H$1253","v":0},{"$f":"'Sec. H In-State ADJ'!$H$73","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$74","v":58},{"$f":"'Sec. H In-State ADJ'!$C$74","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$74","v":0},{"$f":"$J$1254-$H$1254","v":0},{"$f":"'Sec. H In-State ADJ'!$H$74","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$75","v":59},{"$f":"'Sec. H In-State ADJ'!$C$75","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$75","v":0},{"$f":"$J$1255-$H$1255","v":0},{"$f":"'Sec. H In-State ADJ'!$H$75","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$76","v":60},{"$f":"'Sec. H In-State ADJ'!$C$76","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$76","v":0},{"$f":"$J$1256-$H$1256","v":0},{"$f":"'Sec. H In-State ADJ'!$H$76","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$77","v":61},{"$f":"'Sec. H In-State ADJ'!$C$77","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$77","v":0},{"$f":"$J$1257-$H$1257","v":0},{"$f":"'Sec. H In-State ADJ'!$H$77","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$78","v":62},{"$f":"'Sec. H In-State ADJ'!$C$78","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$78","v":0},{"$f":"$J$1258-$H$1258","v":0},{"$f":"'Sec. H In-State ADJ'!$H$78","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$79","v":63},{"$f":"'Sec. H In-State ADJ'!$C$79","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$79","v":0},{"$f":"$J$1259-$H$1259","v":0},{"$f":"'Sec. H In-State ADJ'!$H$79","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$80","v":64},{"$f":"'Sec. H In-State ADJ'!$C$80","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$80","v":0},{"$f":"$J$1260-$H$1260","v":0},{"$f":"'Sec. H In-State ADJ'!$H$80","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$81","v":65},{"$f":"'Sec. H In-State ADJ'!$C$81","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$81","v":0},{"$f":"$J$1261-$H$1261","v":0},{"$f":"'Sec. H In-State ADJ'!$H$81","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$82","v":66},{"$f":"'Sec. H In-State ADJ'!$C$82","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$82","v":0},{"$f":"$J$1262-$H$1262","v":0},{"$f":"'Sec. H In-State ADJ'!$H$82","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$83","v":67},{"$f":"'Sec. H In-State ADJ'!$C$83","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$83","v":0},{"$f":"$J$1263-$H$1263","v":0},{"$f":"'Sec. H In-State ADJ'!$H$83","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$84","v":68},{"$f":"'Sec. H In-State ADJ'!$C$84","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$84","v":0},{"$f":"$J$1264-$H$1264","v":0},{"$f":"'Sec. H In-State ADJ'!$H$84","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$85","v":69},{"$f":"'Sec. H In-State ADJ'!$C$85","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$85","v":0},{"$f":"$J$1265-$H$1265","v":0},{"$f":"'Sec. H In-State ADJ'!$H$85","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$86","v":70},{"$f":"'Sec. H In-State ADJ'!$C$86","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$86","v":0},{"$f":"$J$1266-$H$1266","v":0},{"$f":"'Sec. H In-State ADJ'!$H$86","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$87","v":71},{"$f":"'Sec. H In-State ADJ'!$C$87","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$87","v":0},{"$f":"$J$1267-$H$1267","v":0},{"$f":"'Sec. H In-State ADJ'!$H$87","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$88","v":72},{"$f":"'Sec. H In-State ADJ'!$C$88","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$88","v":0},{"$f":"$J$1268-$H$1268","v":0},{"$f":"'Sec. H In-State ADJ'!$H$88","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$89","v":73},{"$f":"'Sec. H In-State ADJ'!$C$89","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$89","v":0},{"$f":"$J$1269-$H$1269","v":0},{"$f":"'Sec. H In-State ADJ'!$H$89","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$90","v":74},{"$f":"'Sec. H In-State ADJ'!$C$90","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$90","v":0},{"$f":"$J$1270-$H$1270","v":0},{"$f":"'Sec. H In-State ADJ'!$H$90","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$91","v":75},{"$f":"'Sec. H In-State ADJ'!$C$91","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$91","v":0},{"$f":"$J$1271-$H$1271","v":0},{"$f":"'Sec. H In-State ADJ'!$H$91","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$92","v":76},{"$f":"'Sec. H In-State ADJ'!$C$92","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$92","v":0},{"$f":"$J$1272-$H$1272","v":0},{"$f":"'Sec. H In-State ADJ'!$H$92","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$93","v":77},{"$f":"'Sec. H In-State ADJ'!$C$93","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$93","v":0},{"$f":"$J$1273-$H$1273","v":0},{"$f":"'Sec. H In-State ADJ'!$H$93","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$94","v":78},{"$f":"'Sec. H In-State ADJ'!$C$94","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$94","v":0},{"$f":"$J$1274-$H$1274","v":0},{"$f":"'Sec. H In-State ADJ'!$H$94","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$95","v":79},{"$f":"'Sec. H In-State ADJ'!$C$95","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$95","v":0},{"$f":"$J$1275-$H$1275","v":0},{"$f":"'Sec. H In-State ADJ'!$H$95","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$96","v":80},{"$f":"'Sec. H In-State ADJ'!$C$96","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$96","v":0},{"$f":"$J$1276-$H$1276","v":0},{"$f":"'Sec. H In-State ADJ'!$H$96","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$97","v":81},{"$f":"'Sec. H In-State ADJ'!$C$97","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$97","v":0},{"$f":"$J$1277-$H$1277","v":0},{"$f":"'Sec. H In-State ADJ'!$H$97","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$98","v":82},{"$f":"'Sec. H In-State ADJ'!$C$98","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$98","v":0},{"$f":"$J$1278-$H$1278","v":0},{"$f":"'Sec. H In-State ADJ'!$H$98","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$99","v":83},{"$f":"'Sec. H In-State ADJ'!$C$99","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$99","v":0},{"$f":"$J$1279-$H$1279","v":0},{"$f":"'Sec. H In-State ADJ'!$H$99","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$100","v":84},{"$f":"'Sec. H In-State ADJ'!$C$100","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$100","v":0},{"$f":"$J$1280-$H$1280","v":0},{"$f":"'Sec. H In-State ADJ'!$H$100","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$101","v":85},{"$f":"'Sec. H In-State ADJ'!$C$101","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$101","v":0},{"$f":"$J$1281-$H$1281","v":0},{"$f":"'Sec. H In-State ADJ'!$H$101","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$102","v":86},{"$f":"'Sec. H In-State ADJ'!$C$102","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$102","v":0},{"$f":"$J$1282-$H$1282","v":0},{"$f":"'Sec. H In-State ADJ'!$H$102","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$103","v":87},{"$f":"'Sec. H In-State ADJ'!$C$103","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$103","v":0},{"$f":"$J$1283-$H$1283","v":0},{"$f":"'Sec. H In-State ADJ'!$H$103","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$104","v":88},{"$f":"'Sec. H In-State ADJ'!$C$104","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$104","v":0},{"$f":"$J$1284-$H$1284","v":0},{"$f":"'Sec. H In-State ADJ'!$H$104","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$105","v":89},{"$f":"'Sec. H In-State ADJ'!$C$105","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$105","v":0},{"$f":"$J$1285-$H$1285","v":0},{"$f":"'Sec. H In-State ADJ'!$H$105","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$106","v":90},{"$f":"'Sec. H In-State ADJ'!$C$106","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$106","v":0},{"$f":"$J$1286-$H$1286","v":0},{"$f":"'Sec. H In-State ADJ'!$H$106","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$107","v":91},{"$f":"'Sec. H In-State ADJ'!$C$107","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$107","v":0},{"$f":"$J$1287-$H$1287","v":0},{"$f":"'Sec. H In-State ADJ'!$H$107","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$108","v":92},{"$f":"'Sec. H In-State ADJ'!$C$108","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$108","v":0},{"$f":"$J$1288-$H$1288","v":0},{"$f":"'Sec. H In-State ADJ'!$H$108","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$109","v":93},{"$f":"'Sec. H In-State ADJ'!$C$109","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$109","v":0},{"$f":"$J$1289-$H$1289","v":0},{"$f":"'Sec. H In-State ADJ'!$H$109","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$110","v":94},{"$f":"'Sec. H In-State ADJ'!$C$110","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$110","v":0},{"$f":"$J$1290-$H$1290","v":0},{"$f":"'Sec. H In-State ADJ'!$H$110","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$111","v":95},{"$f":"'Sec. H In-State ADJ'!$C$111","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$111","v":0},{"$f":"$J$1291-$H$1291","v":0},{"$f":"'Sec. H In-State ADJ'!$H$111","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$112","v":96},{"$f":"'Sec. H In-State ADJ'!$C$112","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$112","v":0},{"$f":"$J$1292-$H$1292","v":0},{"$f":"'Sec. H In-State ADJ'!$H$112","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$113","v":97},{"$f":"'Sec. H In-State ADJ'!$C$113","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$113","v":0},{"$f":"$J$1293-$H$1293","v":0},{"$f":"'Sec. H In-State ADJ'!$H$113","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$114","v":98},{"$f":"'Sec. H In-State ADJ'!$C$114","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$114","v":0},{"$f":"$J$1294-$H$1294","v":0},{"$f":"'Sec. H In-State ADJ'!$H$114","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$115","v":99},{"$f":"'Sec. H In-State ADJ'!$C$115","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$115","v":0},{"$f":"$J$1295-$H$1295","v":0},{"$f":"'Sec. H In-State ADJ'!$H$115","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$116","v":100},{"$f":"'Sec. H In-State ADJ'!$C$116","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$116","v":0},{"$f":"$J$1296-$H$1296","v":0},{"$f":"'Sec. H In-State ADJ'!$H$116","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$117","v":101},{"$f":"'Sec. H In-State ADJ'!$C$117","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$117","v":0},{"$f":"$J$1297-$H$1297","v":0},{"$f":"'Sec. H In-State ADJ'!$H$117","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$118","v":102},{"$f":"'Sec. H In-State ADJ'!$C$118","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$118","v":0},{"$f":"$J$1298-$H$1298","v":0},{"$f":"'Sec. H In-State ADJ'!$H$118","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$119","v":103},{"$f":"'Sec. H In-State ADJ'!$C$119","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$119","v":0},{"$f":"$J$1299-$H$1299","v":0},{"$f":"'Sec. H In-State ADJ'!$H$119","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$120","v":104},{"$f":"'Sec. H In-State ADJ'!$C$120","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$120","v":0},{"$f":"$J$1300-$H$1300","v":0},{"$f":"'Sec. H In-State ADJ'!$H$120","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$121","v":105},{"$f":"'Sec. H In-State ADJ'!$C$121","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$121","v":0},{"$f":"$J$1301-$H$1301","v":0},{"$f":"'Sec. H In-State ADJ'!$H$121","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$122","v":106},{"$f":"'Sec. H In-State ADJ'!$C$122","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$122","v":0},{"$f":"$J$1302-$H$1302","v":0},{"$f":"'Sec. H In-State ADJ'!$H$122","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$123","v":107},{"$f":"'Sec. H In-State ADJ'!$C$123","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$123","v":0},{"$f":"$J$1303-$H$1303","v":0},{"$f":"'Sec. H In-State ADJ'!$H$123","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$124","v":108},{"$f":"'Sec. H In-State ADJ'!$C$124","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$124","v":0},{"$f":"$J$1304-$H$1304","v":0},{"$f":"'Sec. H In-State ADJ'!$H$124","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$125","v":109},{"$f":"'Sec. H In-State ADJ'!$C$125","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$125","v":0},{"$f":"$J$1305-$H$1305","v":0},{"$f":"'Sec. H In-State ADJ'!$H$125","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$126","v":110},{"$f":"'Sec. H In-State ADJ'!$C$126","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$126","v":0},{"$f":"$J$1306-$H$1306","v":0},{"$f":"'Sec. H In-State ADJ'!$H$126","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$127","v":111},{"$f":"'Sec. H In-State ADJ'!$C$127","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$127","v":0},{"$f":"$J$1307-$H$1307","v":0},{"$f":"'Sec. H In-State ADJ'!$H$127","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$128","v":112},{"$f":"'Sec. H In-State ADJ'!$C$128","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$128","v":0},{"$f":"$J$1308-$H$1308","v":0},{"$f":"'Sec. H In-State ADJ'!$H$128","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$129","v":113},{"$f":"'Sec. H In-State ADJ'!$C$129","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$129","v":0},{"$f":"$J$1309-$H$1309","v":0},{"$f":"'Sec. H In-State ADJ'!$H$129","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$130","v":114},{"$f":"'Sec. H In-State ADJ'!$C$130","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$130","v":0},{"$f":"$J$1310-$H$1310","v":0},{"$f":"'Sec. H In-State ADJ'!$H$130","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$131","v":115},{"$f":"'Sec. H In-State ADJ'!$C$131","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$131","v":0},{"$f":"$J$1311-$H$1311","v":0},{"$f":"'Sec. H In-State ADJ'!$H$131","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$132","v":116},{"$f":"'Sec. H In-State ADJ'!$C$132","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$132","v":0},{"$f":"$J$1312-$H$1312","v":0},{"$f":"'Sec. H In-State ADJ'!$H$132","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$133","v":117},{"$f":"'Sec. H In-State ADJ'!$C$133","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$133","v":0},{"$f":"$J$1313-$H$1313","v":0},{"$f":"'Sec. H In-State ADJ'!$H$133","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$134","v":118},{"$f":"'Sec. H In-State ADJ'!$C$134","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$134","v":0},{"$f":"$J$1314-$H$1314","v":0},{"$f":"'Sec. H In-State ADJ'!$H$134","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$135","v":119},{"$f":"'Sec. H In-State ADJ'!$C$135","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$135","v":0},{"$f":"$J$1315-$H$1315","v":0},{"$f":"'Sec. H In-State ADJ'!$H$135","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$136","v":120},{"$f":"'Sec. H In-State ADJ'!$C$136","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$136","v":0},{"$f":"$J$1316-$H$1316","v":0},{"$f":"'Sec. H In-State ADJ'!$H$136","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$137","v":121},{"$f":"'Sec. H In-State ADJ'!$C$137","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$137","v":0},{"$f":"$J$1317-$H$1317","v":0},{"$f":"'Sec. H In-State ADJ'!$H$137","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$138","v":122},{"$f":"'Sec. H In-State ADJ'!$C$138","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$138","v":0},{"$f":"$J$1318-$H$1318","v":0},{"$f":"'Sec. H In-State ADJ'!$H$138","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$139","v":123},{"$f":"'Sec. H In-State ADJ'!$C$139","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$139","v":0},{"$f":"$J$1319-$H$1319","v":0},{"$f":"'Sec. H In-State ADJ'!$H$139","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$140","v":124},{"$f":"'Sec. H In-State ADJ'!$C$140","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$140","v":0},{"$f":"$J$1320-$H$1320","v":0},{"$f":"'Sec. H In-State ADJ'!$H$140","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$141","v":125},{"$f":"'Sec. H In-State ADJ'!$C$141","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$141","v":0},{"$f":"$J$1321-$H$1321","v":0},{"$f":"'Sec. H In-State ADJ'!$H$141","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$142","v":126},{"$f":"'Sec. H In-State ADJ'!$C$142","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$142","v":0},{"$f":"$J$1322-$H$1322","v":0},{"$f":"'Sec. H In-State ADJ'!$H$142","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$143","v":127},{"$f":"'Sec. H In-State ADJ'!$C$143","v":""},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$143","v":0},{"$f":"$J$1323-$H$1323","v":0},{"$f":"'Sec. H In-State ADJ'!$H$143","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$151","v":131.01},{"$f":"'Sec. H In-State ADJ'!$B$151","v":"Sampling Cost Adjustment (if applicable)"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to sample extrapolation.",0,{"$f":"$J$1324-$H$1324","v":0},{"$f":"'Sec. H In-State ADJ'!$H$151","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$154","v":132},{"$f":"'Sec. H In-State ADJ'!$B$154","v":"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$154","v":5118268.7699999996},{"$f":"$J$1325-$H$1325","v":0},{"$f":"'Sec. H In-State ADJ'!$H$154","v":5118268.7699999996}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$155","v":133},{"$f":"'Sec. H In-State ADJ'!$B$155","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$155","v":0},{"$f":"$J$1326-$H$1326","v":0},{"$f":"'Sec. H In-State ADJ'!$H$155","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$156","v":134},{"$f":"'Sec. H In-State ADJ'!$B$156","v":"Private Insurance (including primary and third party liability)"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$156","v":152352.53},{"$f":"$J$1327-$H$1327","v":0},{"$f":"'Sec. H In-State ADJ'!$H$156","v":152352.53}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$157","v":135},{"$f":"'Sec. H In-State ADJ'!$B$157","v":"Self-Pay (including Co-Pay and Spend-Down)"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$157","v":0},{"$f":"$J$1328-$H$1328","v":0},{"$f":"'Sec. H In-State ADJ'!$H$157","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$159","v":137},{"$f":"'Sec. H In-State ADJ'!$B$159","v":"Medicaid Cost Settlement Payments (See Note B)"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$159","v":0},{"$f":"$J$1329-$H$1329","v":0},{"$f":"'Sec. H In-State ADJ'!$H$159","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$160","v":138},{"$f":"'Sec. H In-State ADJ'!$B$160","v":"Other Medicaid Payments Reported on Cost Report Year (See Note C)"},"5.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$H$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Inpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$H$160","v":0},{"$f":"$J$1330-$H$1330","v":0},{"$f":"'Sec. H In-State ADJ'!$H$160","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$38","v":22},{"$f":"'Sec. H In-State ADJ'!$C$38","v":"Observation (Non-Distinct)"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$38","v":437605.05},{"$f":"$J$1331-$H$1331","v":0},{"$f":"'Sec. H In-State ADJ'!$J$38","v":437605.05}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$39","v":23},{"$f":"'Sec. H In-State ADJ'!$C$39","v":"OPERATING ROOM"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$39","v":1836958.15},{"$f":"$J$1332-$H$1332","v":0},{"$f":"'Sec. H In-State ADJ'!$J$39","v":1836958.15}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$40","v":24},{"$f":"'Sec. H In-State ADJ'!$C$40","v":"RECOVERY ROOM"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$40","v":213053.84999999998},{"$f":"$J$1333-$H$1333","v":0},{"$f":"'Sec. H In-State ADJ'!$J$40","v":213053.84999999998}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$41","v":25},{"$f":"'Sec. H In-State ADJ'!$C$41","v":"DELIVERY ROOM & LABOR ROOM"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$41","v":36698.649999999994},{"$f":"$J$1334-$H$1334","v":0},{"$f":"'Sec. H In-State ADJ'!$J$41","v":36698.649999999994}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$42","v":26},{"$f":"'Sec. H In-State ADJ'!$C$42","v":"ANESTHESIOLOGY"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$42","v":485072.49999999994},{"$f":"$J$1335-$H$1335","v":0},{"$f":"'Sec. H In-State ADJ'!$J$42","v":485072.49999999994}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$43","v":27},{"$f":"'Sec. H In-State ADJ'!$C$43","v":"RADIOLOGY-DIAGNOSTIC"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$43","v":1038939.3799999999},{"$f":"$J$1336-$H$1336","v":0},{"$f":"'Sec. H In-State ADJ'!$J$43","v":1038939.3799999999}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$44","v":28},{"$f":"'Sec. H In-State ADJ'!$C$44","v":"RADIOLOGY-THERAPEUTIC"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$44","v":421227.35},{"$f":"$J$1337-$H$1337","v":0},{"$f":"'Sec. H In-State ADJ'!$J$44","v":421227.35}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$45","v":29},{"$f":"'Sec. H In-State ADJ'!$C$45","v":"NUCLEAR MEDICINE"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$45","v":164249.44999999998},{"$f":"$J$1338-$H$1338","v":0},{"$f":"'Sec. H In-State ADJ'!$J$45","v":164249.44999999998}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$46","v":30},{"$f":"'Sec. H In-State ADJ'!$C$46","v":"CT SCAN"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$46","v":977780.2},{"$f":"$J$1339-$H$1339","v":0},{"$f":"'Sec. H In-State ADJ'!$J$46","v":977780.2}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$47","v":31},{"$f":"'Sec. H In-State ADJ'!$C$47","v":"MRI"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$47","v":98295},{"$f":"$J$1340-$H$1340","v":0},{"$f":"'Sec. H In-State ADJ'!$J$47","v":98295}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$48","v":32},{"$f":"'Sec. H In-State ADJ'!$C$48","v":"CARDIAC CATHETERIZATION"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$48","v":450640.77},{"$f":"$J$1341-$H$1341","v":0},{"$f":"'Sec. H In-State ADJ'!$J$48","v":450640.77}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$49","v":33},{"$f":"'Sec. H In-State ADJ'!$C$49","v":"LABORATORY"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$49","v":2651862.7099999995},{"$f":"$J$1342-$H$1342","v":0},{"$f":"'Sec. H In-State ADJ'!$J$49","v":2651862.7099999995}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$50","v":34},{"$f":"'Sec. H In-State ADJ'!$C$50","v":"RESPIRATORY THERAPY"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$50","v":137115.84},{"$f":"$J$1343-$H$1343","v":0},{"$f":"'Sec. H In-State ADJ'!$J$50","v":137115.84}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$51","v":35},{"$f":"'Sec. H In-State ADJ'!$C$51","v":"PHYSICAL THERAPY"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$51","v":17298.800000000003},{"$f":"$J$1344-$H$1344","v":0},{"$f":"'Sec. H In-State ADJ'!$J$51","v":17298.800000000003}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$52","v":36},{"$f":"'Sec. H In-State ADJ'!$C$52","v":"SPEECH PATHOLOGY"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$52","v":1046.4000000000001},{"$f":"$J$1345-$H$1345","v":0},{"$f":"'Sec. H In-State ADJ'!$J$52","v":1046.4000000000001}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$53","v":37},{"$f":"'Sec. H In-State ADJ'!$C$53","v":"ELECTROCARDIOLOGY"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$53","v":286309.45},{"$f":"$J$1346-$H$1346","v":0},{"$f":"'Sec. H In-State ADJ'!$J$53","v":286309.45}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$54","v":38},{"$f":"'Sec. H In-State ADJ'!$C$54","v":"ELECTROENCEPHALOGRAPHY"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$54","v":1614.7},{"$f":"$J$1347-$H$1347","v":0},{"$f":"'Sec. H In-State ADJ'!$J$54","v":1614.7}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$55","v":39},{"$f":"'Sec. H In-State ADJ'!$C$55","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$55","v":420851.92},{"$f":"$J$1348-$H$1348","v":0},{"$f":"'Sec. H In-State ADJ'!$J$55","v":420851.92}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$56","v":40},{"$f":"'Sec. H In-State ADJ'!$C$56","v":"IMPL. DEV. CHARGED TO PATIENTS"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$56","v":0},{"$f":"$J$1349-$H$1349","v":0},{"$f":"'Sec. H In-State ADJ'!$J$56","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$57","v":41},{"$f":"'Sec. H In-State ADJ'!$C$57","v":"DRUGS CHARGED TO PATIENTS"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$57","v":1612453.75},{"$f":"$J$1350-$H$1350","v":0},{"$f":"'Sec. H In-State ADJ'!$J$57","v":1612453.75}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$58","v":42},{"$f":"'Sec. H In-State ADJ'!$C$58","v":"RENAL DIALYSIS"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$58","v":0},{"$f":"$J$1351-$H$1351","v":0},{"$f":"'Sec. H In-State ADJ'!$J$58","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$59","v":43},{"$f":"'Sec. H In-State ADJ'!$C$59","v":"CARDIOVASCULAR MEDICINE"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$59","v":272448.96999999997},{"$f":"$J$1352-$H$1352","v":0},{"$f":"'Sec. H In-State ADJ'!$J$59","v":272448.96999999997}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$60","v":44},{"$f":"'Sec. H In-State ADJ'!$C$60","v":"CLINIC"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$60","v":0},{"$f":"$J$1353-$H$1353","v":0},{"$f":"'Sec. H In-State ADJ'!$J$60","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$61","v":45},{"$f":"'Sec. H In-State ADJ'!$C$61","v":"NUTRITION"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$61","v":329.56},{"$f":"$J$1354-$H$1354","v":0},{"$f":"'Sec. H In-State ADJ'!$J$61","v":329.56}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$62","v":46},{"$f":"'Sec. H In-State ADJ'!$C$62","v":"WOUND CARE CENTER"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$62","v":6771.7999999999993},{"$f":"$J$1355-$H$1355","v":0},{"$f":"'Sec. H In-State ADJ'!$J$62","v":6771.7999999999993}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$63","v":47},{"$f":"'Sec. H In-State ADJ'!$C$63","v":"EMERGENCY"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$63","v":4222916.79},{"$f":"$J$1356-$H$1356","v":0},{"$f":"'Sec. H In-State ADJ'!$J$63","v":4222916.79}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$64","v":48},{"$f":"'Sec. H In-State ADJ'!$C$64","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$64","v":0},{"$f":"$J$1357-$H$1357","v":0},{"$f":"'Sec. H In-State ADJ'!$J$64","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$65","v":49},{"$f":"'Sec. H In-State ADJ'!$C$65","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$65","v":0},{"$f":"$J$1358-$H$1358","v":0},{"$f":"'Sec. H In-State ADJ'!$J$65","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$66","v":50},{"$f":"'Sec. H In-State ADJ'!$C$66","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$66","v":0},{"$f":"$J$1359-$H$1359","v":0},{"$f":"'Sec. H In-State ADJ'!$J$66","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$67","v":51},{"$f":"'Sec. H In-State ADJ'!$C$67","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$67","v":0},{"$f":"$J$1360-$H$1360","v":0},{"$f":"'Sec. H In-State ADJ'!$J$67","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$68","v":52},{"$f":"'Sec. H In-State ADJ'!$C$68","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$68","v":0},{"$f":"$J$1361-$H$1361","v":0},{"$f":"'Sec. H In-State ADJ'!$J$68","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$69","v":53},{"$f":"'Sec. H In-State ADJ'!$C$69","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$69","v":0},{"$f":"$J$1362-$H$1362","v":0},{"$f":"'Sec. H In-State ADJ'!$J$69","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$70","v":54},{"$f":"'Sec. H In-State ADJ'!$C$70","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$70","v":0},{"$f":"$J$1363-$H$1363","v":0},{"$f":"'Sec. H In-State ADJ'!$J$70","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$71","v":55},{"$f":"'Sec. H In-State ADJ'!$C$71","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$71","v":0},{"$f":"$J$1364-$H$1364","v":0},{"$f":"'Sec. H In-State ADJ'!$J$71","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$72","v":56},{"$f":"'Sec. H In-State ADJ'!$C$72","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$72","v":0},{"$f":"$J$1365-$H$1365","v":0},{"$f":"'Sec. H In-State ADJ'!$J$72","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$73","v":57},{"$f":"'Sec. H In-State ADJ'!$C$73","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$73","v":0},{"$f":"$J$1366-$H$1366","v":0},{"$f":"'Sec. H In-State ADJ'!$J$73","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$74","v":58},{"$f":"'Sec. H In-State ADJ'!$C$74","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$74","v":0},{"$f":"$J$1367-$H$1367","v":0},{"$f":"'Sec. H In-State ADJ'!$J$74","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$75","v":59},{"$f":"'Sec. H In-State ADJ'!$C$75","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$75","v":0},{"$f":"$J$1368-$H$1368","v":0},{"$f":"'Sec. H In-State ADJ'!$J$75","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$76","v":60},{"$f":"'Sec. H In-State ADJ'!$C$76","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$76","v":0},{"$f":"$J$1369-$H$1369","v":0},{"$f":"'Sec. H In-State ADJ'!$J$76","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$77","v":61},{"$f":"'Sec. H In-State ADJ'!$C$77","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$77","v":0},{"$f":"$J$1370-$H$1370","v":0},{"$f":"'Sec. H In-State ADJ'!$J$77","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$78","v":62},{"$f":"'Sec. H In-State ADJ'!$C$78","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$78","v":0},{"$f":"$J$1371-$H$1371","v":0},{"$f":"'Sec. H In-State ADJ'!$J$78","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$79","v":63},{"$f":"'Sec. H In-State ADJ'!$C$79","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$79","v":0},{"$f":"$J$1372-$H$1372","v":0},{"$f":"'Sec. H In-State ADJ'!$J$79","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$80","v":64},{"$f":"'Sec. H In-State ADJ'!$C$80","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$80","v":0},{"$f":"$J$1373-$H$1373","v":0},{"$f":"'Sec. H In-State ADJ'!$J$80","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$81","v":65},{"$f":"'Sec. H In-State ADJ'!$C$81","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$81","v":0},{"$f":"$J$1374-$H$1374","v":0},{"$f":"'Sec. H In-State ADJ'!$J$81","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$82","v":66},{"$f":"'Sec. H In-State ADJ'!$C$82","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$82","v":0},{"$f":"$J$1375-$H$1375","v":0},{"$f":"'Sec. H In-State ADJ'!$J$82","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$83","v":67},{"$f":"'Sec. H In-State ADJ'!$C$83","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$83","v":0},{"$f":"$J$1376-$H$1376","v":0},{"$f":"'Sec. H In-State ADJ'!$J$83","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$84","v":68},{"$f":"'Sec. H In-State ADJ'!$C$84","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$84","v":0},{"$f":"$J$1377-$H$1377","v":0},{"$f":"'Sec. H In-State ADJ'!$J$84","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$85","v":69},{"$f":"'Sec. H In-State ADJ'!$C$85","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$85","v":0},{"$f":"$J$1378-$H$1378","v":0},{"$f":"'Sec. H In-State ADJ'!$J$85","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$86","v":70},{"$f":"'Sec. H In-State ADJ'!$C$86","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$86","v":0},{"$f":"$J$1379-$H$1379","v":0},{"$f":"'Sec. H In-State ADJ'!$J$86","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$87","v":71},{"$f":"'Sec. H In-State ADJ'!$C$87","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$87","v":0},{"$f":"$J$1380-$H$1380","v":0},{"$f":"'Sec. H In-State ADJ'!$J$87","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$88","v":72},{"$f":"'Sec. H In-State ADJ'!$C$88","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$88","v":0},{"$f":"$J$1381-$H$1381","v":0},{"$f":"'Sec. H In-State ADJ'!$J$88","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$89","v":73},{"$f":"'Sec. H In-State ADJ'!$C$89","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$89","v":0},{"$f":"$J$1382-$H$1382","v":0},{"$f":"'Sec. H In-State ADJ'!$J$89","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$90","v":74},{"$f":"'Sec. H In-State ADJ'!$C$90","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$90","v":0},{"$f":"$J$1383-$H$1383","v":0},{"$f":"'Sec. H In-State ADJ'!$J$90","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$91","v":75},{"$f":"'Sec. H In-State ADJ'!$C$91","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$91","v":0},{"$f":"$J$1384-$H$1384","v":0},{"$f":"'Sec. H In-State ADJ'!$J$91","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$92","v":76},{"$f":"'Sec. H In-State ADJ'!$C$92","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$92","v":0},{"$f":"$J$1385-$H$1385","v":0},{"$f":"'Sec. H In-State ADJ'!$J$92","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$93","v":77},{"$f":"'Sec. H In-State ADJ'!$C$93","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$93","v":0},{"$f":"$J$1386-$H$1386","v":0},{"$f":"'Sec. H In-State ADJ'!$J$93","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$94","v":78},{"$f":"'Sec. H In-State ADJ'!$C$94","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$94","v":0},{"$f":"$J$1387-$H$1387","v":0},{"$f":"'Sec. H In-State ADJ'!$J$94","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$95","v":79},{"$f":"'Sec. H In-State ADJ'!$C$95","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$95","v":0},{"$f":"$J$1388-$H$1388","v":0},{"$f":"'Sec. H In-State ADJ'!$J$95","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$96","v":80},{"$f":"'Sec. H In-State ADJ'!$C$96","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$96","v":0},{"$f":"$J$1389-$H$1389","v":0},{"$f":"'Sec. H In-State ADJ'!$J$96","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$97","v":81},{"$f":"'Sec. H In-State ADJ'!$C$97","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$97","v":0},{"$f":"$J$1390-$H$1390","v":0},{"$f":"'Sec. H In-State ADJ'!$J$97","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$98","v":82},{"$f":"'Sec. H In-State ADJ'!$C$98","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$98","v":0},{"$f":"$J$1391-$H$1391","v":0},{"$f":"'Sec. H In-State ADJ'!$J$98","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$99","v":83},{"$f":"'Sec. H In-State ADJ'!$C$99","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$99","v":0},{"$f":"$J$1392-$H$1392","v":0},{"$f":"'Sec. H In-State ADJ'!$J$99","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$100","v":84},{"$f":"'Sec. H In-State ADJ'!$C$100","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$100","v":0},{"$f":"$J$1393-$H$1393","v":0},{"$f":"'Sec. H In-State ADJ'!$J$100","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$101","v":85},{"$f":"'Sec. H In-State ADJ'!$C$101","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$101","v":0},{"$f":"$J$1394-$H$1394","v":0},{"$f":"'Sec. H In-State ADJ'!$J$101","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$102","v":86},{"$f":"'Sec. H In-State ADJ'!$C$102","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$102","v":0},{"$f":"$J$1395-$H$1395","v":0},{"$f":"'Sec. H In-State ADJ'!$J$102","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$103","v":87},{"$f":"'Sec. H In-State ADJ'!$C$103","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$103","v":0},{"$f":"$J$1396-$H$1396","v":0},{"$f":"'Sec. H In-State ADJ'!$J$103","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$104","v":88},{"$f":"'Sec. H In-State ADJ'!$C$104","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$104","v":0},{"$f":"$J$1397-$H$1397","v":0},{"$f":"'Sec. H In-State ADJ'!$J$104","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$105","v":89},{"$f":"'Sec. H In-State ADJ'!$C$105","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$105","v":0},{"$f":"$J$1398-$H$1398","v":0},{"$f":"'Sec. H In-State ADJ'!$J$105","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$106","v":90},{"$f":"'Sec. H In-State ADJ'!$C$106","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$106","v":0},{"$f":"$J$1399-$H$1399","v":0},{"$f":"'Sec. H In-State ADJ'!$J$106","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$107","v":91},{"$f":"'Sec. H In-State ADJ'!$C$107","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$107","v":0},{"$f":"$J$1400-$H$1400","v":0},{"$f":"'Sec. H In-State ADJ'!$J$107","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$108","v":92},{"$f":"'Sec. H In-State ADJ'!$C$108","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$108","v":0},{"$f":"$J$1401-$H$1401","v":0},{"$f":"'Sec. H In-State ADJ'!$J$108","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$109","v":93},{"$f":"'Sec. H In-State ADJ'!$C$109","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$109","v":0},{"$f":"$J$1402-$H$1402","v":0},{"$f":"'Sec. H In-State ADJ'!$J$109","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$110","v":94},{"$f":"'Sec. H In-State ADJ'!$C$110","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$110","v":0},{"$f":"$J$1403-$H$1403","v":0},{"$f":"'Sec. H In-State ADJ'!$J$110","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$111","v":95},{"$f":"'Sec. H In-State ADJ'!$C$111","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$111","v":0},{"$f":"$J$1404-$H$1404","v":0},{"$f":"'Sec. H In-State ADJ'!$J$111","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$112","v":96},{"$f":"'Sec. H In-State ADJ'!$C$112","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$112","v":0},{"$f":"$J$1405-$H$1405","v":0},{"$f":"'Sec. H In-State ADJ'!$J$112","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$113","v":97},{"$f":"'Sec. H In-State ADJ'!$C$113","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$113","v":0},{"$f":"$J$1406-$H$1406","v":0},{"$f":"'Sec. H In-State ADJ'!$J$113","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$114","v":98},{"$f":"'Sec. H In-State ADJ'!$C$114","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$114","v":0},{"$f":"$J$1407-$H$1407","v":0},{"$f":"'Sec. H In-State ADJ'!$J$114","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$115","v":99},{"$f":"'Sec. H In-State ADJ'!$C$115","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$115","v":0},{"$f":"$J$1408-$H$1408","v":0},{"$f":"'Sec. H In-State ADJ'!$J$115","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$116","v":100},{"$f":"'Sec. H In-State ADJ'!$C$116","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$116","v":0},{"$f":"$J$1409-$H$1409","v":0},{"$f":"'Sec. H In-State ADJ'!$J$116","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$117","v":101},{"$f":"'Sec. H In-State ADJ'!$C$117","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$117","v":0},{"$f":"$J$1410-$H$1410","v":0},{"$f":"'Sec. H In-State ADJ'!$J$117","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$118","v":102},{"$f":"'Sec. H In-State ADJ'!$C$118","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$118","v":0},{"$f":"$J$1411-$H$1411","v":0},{"$f":"'Sec. H In-State ADJ'!$J$118","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$119","v":103},{"$f":"'Sec. H In-State ADJ'!$C$119","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$119","v":0},{"$f":"$J$1412-$H$1412","v":0},{"$f":"'Sec. H In-State ADJ'!$J$119","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$120","v":104},{"$f":"'Sec. H In-State ADJ'!$C$120","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$120","v":0},{"$f":"$J$1413-$H$1413","v":0},{"$f":"'Sec. H In-State ADJ'!$J$120","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$121","v":105},{"$f":"'Sec. H In-State ADJ'!$C$121","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$121","v":0},{"$f":"$J$1414-$H$1414","v":0},{"$f":"'Sec. H In-State ADJ'!$J$121","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$122","v":106},{"$f":"'Sec. H In-State ADJ'!$C$122","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$122","v":0},{"$f":"$J$1415-$H$1415","v":0},{"$f":"'Sec. H In-State ADJ'!$J$122","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$123","v":107},{"$f":"'Sec. H In-State ADJ'!$C$123","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$123","v":0},{"$f":"$J$1416-$H$1416","v":0},{"$f":"'Sec. H In-State ADJ'!$J$123","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$124","v":108},{"$f":"'Sec. H In-State ADJ'!$C$124","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$124","v":0},{"$f":"$J$1417-$H$1417","v":0},{"$f":"'Sec. H In-State ADJ'!$J$124","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$125","v":109},{"$f":"'Sec. H In-State ADJ'!$C$125","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$125","v":0},{"$f":"$J$1418-$H$1418","v":0},{"$f":"'Sec. H In-State ADJ'!$J$125","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$126","v":110},{"$f":"'Sec. H In-State ADJ'!$C$126","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$126","v":0},{"$f":"$J$1419-$H$1419","v":0},{"$f":"'Sec. H In-State ADJ'!$J$126","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$127","v":111},{"$f":"'Sec. H In-State ADJ'!$C$127","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$127","v":0},{"$f":"$J$1420-$H$1420","v":0},{"$f":"'Sec. H In-State ADJ'!$J$127","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$128","v":112},{"$f":"'Sec. H In-State ADJ'!$C$128","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$128","v":0},{"$f":"$J$1421-$H$1421","v":0},{"$f":"'Sec. H In-State ADJ'!$J$128","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$129","v":113},{"$f":"'Sec. H In-State ADJ'!$C$129","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$129","v":0},{"$f":"$J$1422-$H$1422","v":0},{"$f":"'Sec. H In-State ADJ'!$J$129","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$130","v":114},{"$f":"'Sec. H In-State ADJ'!$C$130","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$130","v":0},{"$f":"$J$1423-$H$1423","v":0},{"$f":"'Sec. H In-State ADJ'!$J$130","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$131","v":115},{"$f":"'Sec. H In-State ADJ'!$C$131","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$131","v":0},{"$f":"$J$1424-$H$1424","v":0},{"$f":"'Sec. H In-State ADJ'!$J$131","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$132","v":116},{"$f":"'Sec. H In-State ADJ'!$C$132","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$132","v":0},{"$f":"$J$1425-$H$1425","v":0},{"$f":"'Sec. H In-State ADJ'!$J$132","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$133","v":117},{"$f":"'Sec. H In-State ADJ'!$C$133","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$133","v":0},{"$f":"$J$1426-$H$1426","v":0},{"$f":"'Sec. H In-State ADJ'!$J$133","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$134","v":118},{"$f":"'Sec. H In-State ADJ'!$C$134","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$134","v":0},{"$f":"$J$1427-$H$1427","v":0},{"$f":"'Sec. H In-State ADJ'!$J$134","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$135","v":119},{"$f":"'Sec. H In-State ADJ'!$C$135","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$135","v":0},{"$f":"$J$1428-$H$1428","v":0},{"$f":"'Sec. H In-State ADJ'!$J$135","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$136","v":120},{"$f":"'Sec. H In-State ADJ'!$C$136","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$136","v":0},{"$f":"$J$1429-$H$1429","v":0},{"$f":"'Sec. H In-State ADJ'!$J$136","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$137","v":121},{"$f":"'Sec. H In-State ADJ'!$C$137","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$137","v":0},{"$f":"$J$1430-$H$1430","v":0},{"$f":"'Sec. H In-State ADJ'!$J$137","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$138","v":122},{"$f":"'Sec. H In-State ADJ'!$C$138","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$138","v":0},{"$f":"$J$1431-$H$1431","v":0},{"$f":"'Sec. H In-State ADJ'!$J$138","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$139","v":123},{"$f":"'Sec. H In-State ADJ'!$C$139","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$139","v":0},{"$f":"$J$1432-$H$1432","v":0},{"$f":"'Sec. H In-State ADJ'!$J$139","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$140","v":124},{"$f":"'Sec. H In-State ADJ'!$C$140","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$140","v":0},{"$f":"$J$1433-$H$1433","v":0},{"$f":"'Sec. H In-State ADJ'!$J$140","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$141","v":125},{"$f":"'Sec. H In-State ADJ'!$C$141","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$141","v":0},{"$f":"$J$1434-$H$1434","v":0},{"$f":"'Sec. H In-State ADJ'!$J$141","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$142","v":126},{"$f":"'Sec. H In-State ADJ'!$C$142","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$142","v":0},{"$f":"$J$1435-$H$1435","v":0},{"$f":"'Sec. H In-State ADJ'!$J$142","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$143","v":127},{"$f":"'Sec. H In-State ADJ'!$C$143","v":""},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$143","v":0},{"$f":"$J$1436-$H$1436","v":0},{"$f":"'Sec. H In-State ADJ'!$J$143","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$151","v":131.01},{"$f":"'Sec. H In-State ADJ'!$B$151","v":"Sampling Cost Adjustment (if applicable)"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to sample extrapolation.",0,{"$f":"$J$1437-$H$1437","v":0},{"$f":"'Sec. H In-State ADJ'!$J$151","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$154","v":132},{"$f":"'Sec. H In-State ADJ'!$B$154","v":"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$154","v":2962216.7},{"$f":"$J$1438-$H$1438","v":0},{"$f":"'Sec. H In-State ADJ'!$J$154","v":2962216.7}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$155","v":133},{"$f":"'Sec. H In-State ADJ'!$B$155","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$155","v":0},{"$f":"$J$1439-$H$1439","v":0},{"$f":"'Sec. H In-State ADJ'!$J$155","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$156","v":134},{"$f":"'Sec. H In-State ADJ'!$B$156","v":"Private Insurance (including primary and third party liability)"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$156","v":169118.81},{"$f":"$J$1440-$H$1440","v":0},{"$f":"'Sec. H In-State ADJ'!$J$156","v":169118.81}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$157","v":135},{"$f":"'Sec. H In-State ADJ'!$B$157","v":"Self-Pay (including Co-Pay and Spend-Down)"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$157","v":6875.04},{"$f":"$J$1441-$H$1441","v":0},{"$f":"'Sec. H In-State ADJ'!$J$157","v":6875.04}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$159","v":137},{"$f":"'Sec. H In-State ADJ'!$B$159","v":"Medicaid Cost Settlement Payments (See Note B)"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$159","v":-365561},{"$f":"$J$1442-$H$1442","v":0},{"$f":"'Sec. H In-State ADJ'!$J$159","v":-365561}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$160","v":138},{"$f":"'Sec. H In-State ADJ'!$B$160","v":"Other Medicaid Payments Reported on Cost Report Year (See Note C)"},"6.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$J$6,\" \", 'Sec. H In-State ADJ'!$H$5)","v":"Outpatient In-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$J$160","v":0},{"$f":"$J$1443-$H$1443","v":0},{"$f":"'Sec. H In-State ADJ'!$J$160","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$11","v":1},{"$f":"'Sec. H In-State ADJ'!$C$11","v":"ADULTS & PEDIATRICS"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$11","v":1665},{"$f":"$J$1444-$H$1444","v":0},{"$f":"'Sec. H In-State ADJ'!$L$11","v":1665}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$12","v":2},{"$f":"'Sec. H In-State ADJ'!$C$12","v":"INTENSIVE CARE UNIT"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$12","v":65},{"$f":"$J$1445-$H$1445","v":0},{"$f":"'Sec. H In-State ADJ'!$L$12","v":65}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$13","v":3},{"$f":"'Sec. H In-State ADJ'!$C$13","v":"CORONARY CARE UNIT"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$13","v":0},{"$f":"$J$1446-$H$1446","v":0},{"$f":"'Sec. H In-State ADJ'!$L$13","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$14","v":4},{"$f":"'Sec. H In-State ADJ'!$C$14","v":"BURN INTENSIVE CARE UNIT"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$14","v":0},{"$f":"$J$1447-$H$1447","v":0},{"$f":"'Sec. H In-State ADJ'!$L$14","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$15","v":5},{"$f":"'Sec. H In-State ADJ'!$C$15","v":"SURGICAL INTENSIVE CARE UNIT"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$15","v":0},{"$f":"$J$1448-$H$1448","v":0},{"$f":"'Sec. H In-State ADJ'!$L$15","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$16","v":6},{"$f":"'Sec. H In-State ADJ'!$C$16","v":"OTHER SPECIAL CARE UNIT"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$16","v":0},{"$f":"$J$1449-$H$1449","v":0},{"$f":"'Sec. H In-State ADJ'!$L$16","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$17","v":7},{"$f":"'Sec. H In-State ADJ'!$C$17","v":"SUBPROVIDER I"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$17","v":0},{"$f":"$J$1450-$H$1450","v":0},{"$f":"'Sec. H In-State ADJ'!$L$17","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$18","v":8},{"$f":"'Sec. H In-State ADJ'!$C$18","v":"SUBPROVIDER II"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$18","v":0},{"$f":"$J$1451-$H$1451","v":0},{"$f":"'Sec. H In-State ADJ'!$L$18","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$19","v":9},{"$f":"'Sec. H In-State ADJ'!$C$19","v":"OTHER SUBPROVIDER"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$19","v":0},{"$f":"$J$1452-$H$1452","v":0},{"$f":"'Sec. H In-State ADJ'!$L$19","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$20","v":10},{"$f":"'Sec. H In-State ADJ'!$C$20","v":"NURSERY"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$20","v":1390},{"$f":"$J$1453-$H$1453","v":0},{"$f":"'Sec. H In-State ADJ'!$L$20","v":1390}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$21","v":11},{"$f":"'Sec. H In-State ADJ'!$C$21","v":0},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$21","v":0},{"$f":"$J$1454-$H$1454","v":0},{"$f":"'Sec. H In-State ADJ'!$L$21","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$22","v":12},{"$f":"'Sec. H In-State ADJ'!$C$22","v":0},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$22","v":0},{"$f":"$J$1455-$H$1455","v":0},{"$f":"'Sec. H In-State ADJ'!$L$22","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$23","v":13},{"$f":"'Sec. H In-State ADJ'!$C$23","v":0},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$23","v":0},{"$f":"$J$1456-$H$1456","v":0},{"$f":"'Sec. H In-State ADJ'!$L$23","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$24","v":14},{"$f":"'Sec. H In-State ADJ'!$C$24","v":0},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$24","v":0},{"$f":"$J$1457-$H$1457","v":0},{"$f":"'Sec. H In-State ADJ'!$L$24","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$25","v":15},{"$f":"'Sec. H In-State ADJ'!$C$25","v":0},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$25","v":0},{"$f":"$J$1458-$H$1458","v":0},{"$f":"'Sec. H In-State ADJ'!$L$25","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$26","v":16},{"$f":"'Sec. H In-State ADJ'!$C$26","v":0},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$26","v":0},{"$f":"$J$1459-$H$1459","v":0},{"$f":"'Sec. H In-State ADJ'!$L$26","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$27","v":17},{"$f":"'Sec. H In-State ADJ'!$C$27","v":0},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$27","v":0},{"$f":"$J$1460-$H$1460","v":0},{"$f":"'Sec. H In-State ADJ'!$L$27","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$34","v":21},{"$f":"'Sec. H In-State ADJ'!$C$34","v":"Routine Charges"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$34","v":2759570},{"$f":"$J$1461-$H$1461","v":0},{"$f":"'Sec. H In-State ADJ'!$L$34","v":2759570}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$38","v":22},{"$f":"'Sec. H In-State ADJ'!$C$38","v":"Observation (Non-Distinct)"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$38","v":2059.1},{"$f":"$J$1462-$H$1462","v":0},{"$f":"'Sec. H In-State ADJ'!$L$38","v":2059.1}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$39","v":23},{"$f":"'Sec. H In-State ADJ'!$C$39","v":"OPERATING ROOM"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$39","v":2258148.0999999996},{"$f":"$J$1463-$H$1463","v":0},{"$f":"'Sec. H In-State ADJ'!$L$39","v":2258148.0999999996}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$40","v":24},{"$f":"'Sec. H In-State ADJ'!$C$40","v":"RECOVERY ROOM"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$40","v":232587.55000000063},{"$f":"$J$1464-$H$1464","v":0},{"$f":"'Sec. H In-State ADJ'!$L$40","v":232587.55000000063}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$41","v":25},{"$f":"'Sec. H In-State ADJ'!$C$41","v":"DELIVERY ROOM & LABOR ROOM"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$41","v":2525042.8500000015},{"$f":"$J$1465-$H$1465","v":0},{"$f":"'Sec. H In-State ADJ'!$L$41","v":2525042.8500000015}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$42","v":26},{"$f":"'Sec. H In-State ADJ'!$C$42","v":"ANESTHESIOLOGY"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$42","v":873581.55000000435},{"$f":"$J$1466-$H$1466","v":0},{"$f":"'Sec. H In-State ADJ'!$L$42","v":873581.55000000435}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$43","v":27},{"$f":"'Sec. H In-State ADJ'!$C$43","v":"RADIOLOGY-DIAGNOSTIC"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$43","v":184812.90008998165},{"$f":"$J$1467-$H$1467","v":0},{"$f":"'Sec. H In-State ADJ'!$L$43","v":184812.90008998165}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$44","v":28},{"$f":"'Sec. H In-State ADJ'!$C$44","v":"RADIOLOGY-THERAPEUTIC"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$44","v":15443.6},{"$f":"$J$1468-$H$1468","v":0},{"$f":"'Sec. H In-State ADJ'!$L$44","v":15443.6}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$45","v":29},{"$f":"'Sec. H In-State ADJ'!$C$45","v":"NUCLEAR MEDICINE"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$45","v":17892.149999999998},{"$f":"$J$1469-$H$1469","v":0},{"$f":"'Sec. H In-State ADJ'!$L$45","v":17892.149999999998}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$46","v":30},{"$f":"'Sec. H In-State ADJ'!$C$46","v":"CT SCAN"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$46","v":158034.5},{"$f":"$J$1470-$H$1470","v":0},{"$f":"'Sec. H In-State ADJ'!$L$46","v":158034.5}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$47","v":31},{"$f":"'Sec. H In-State ADJ'!$C$47","v":"MRI"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$47","v":14840},{"$f":"$J$1471-$H$1471","v":0},{"$f":"'Sec. H In-State ADJ'!$L$47","v":14840}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$48","v":32},{"$f":"'Sec. H In-State ADJ'!$C$48","v":"CARDIAC CATHETERIZATION"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$48","v":80382.326693529598},{"$f":"$J$1472-$H$1472","v":0},{"$f":"'Sec. H In-State ADJ'!$L$48","v":80382.326693529598}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$49","v":33},{"$f":"'Sec. H In-State ADJ'!$C$49","v":"LABORATORY"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$49","v":1654330.589999998},{"$f":"$J$1473-$H$1473","v":0},{"$f":"'Sec. H In-State ADJ'!$L$49","v":1654330.589999998}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$50","v":34},{"$f":"'Sec. H In-State ADJ'!$C$50","v":"RESPIRATORY THERAPY"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$50","v":174086.26970864614},{"$f":"$J$1474-$H$1474","v":0},{"$f":"'Sec. H In-State ADJ'!$L$50","v":174086.26970864614}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$51","v":35},{"$f":"'Sec. H In-State ADJ'!$C$51","v":"PHYSICAL THERAPY"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$51","v":95208.73000000001},{"$f":"$J$1475-$H$1475","v":0},{"$f":"'Sec. H In-State ADJ'!$L$51","v":95208.73000000001}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$52","v":36},{"$f":"'Sec. H In-State ADJ'!$C$52","v":"SPEECH PATHOLOGY"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$52","v":0},{"$f":"$J$1476-$H$1476","v":0},{"$f":"'Sec. H In-State ADJ'!$L$52","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$53","v":37},{"$f":"'Sec. H In-State ADJ'!$C$53","v":"ELECTROCARDIOLOGY"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$53","v":64630.3},{"$f":"$J$1477-$H$1477","v":0},{"$f":"'Sec. H In-State ADJ'!$L$53","v":64630.3}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$54","v":38},{"$f":"'Sec. H In-State ADJ'!$C$54","v":"ELECTROENCEPHALOGRAPHY"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$54","v":855.8},{"$f":"$J$1478-$H$1478","v":0},{"$f":"'Sec. H In-State ADJ'!$L$54","v":855.8}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$55","v":39},{"$f":"'Sec. H In-State ADJ'!$C$55","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$55","v":516455.00000000035},{"$f":"$J$1479-$H$1479","v":0},{"$f":"'Sec. H In-State ADJ'!$L$55","v":516455.00000000035}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$56","v":40},{"$f":"'Sec. H In-State ADJ'!$C$56","v":"IMPL. DEV. CHARGED TO PATIENTS"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$56","v":84313.1},{"$f":"$J$1480-$H$1480","v":0},{"$f":"'Sec. H In-State ADJ'!$L$56","v":84313.1}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$57","v":41},{"$f":"'Sec. H In-State ADJ'!$C$57","v":"DRUGS CHARGED TO PATIENTS"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$57","v":1266172.600000001},{"$f":"$J$1481-$H$1481","v":0},{"$f":"'Sec. H In-State ADJ'!$L$57","v":1266172.600000001}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$58","v":42},{"$f":"'Sec. H In-State ADJ'!$C$58","v":"RENAL DIALYSIS"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$58","v":2256.3000000000002},{"$f":"$J$1482-$H$1482","v":0},{"$f":"'Sec. H In-State ADJ'!$L$58","v":2256.3000000000002}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$59","v":43},{"$f":"'Sec. H In-State ADJ'!$C$59","v":"CARDIOVASCULAR MEDICINE"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$59","v":72069.953646312904},{"$f":"$J$1483-$H$1483","v":0},{"$f":"'Sec. H In-State ADJ'!$L$59","v":72069.953646312904}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$60","v":44},{"$f":"'Sec. H In-State ADJ'!$C$60","v":"CLINIC"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$60","v":0},{"$f":"$J$1484-$H$1484","v":0},{"$f":"'Sec. H In-State ADJ'!$L$60","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$61","v":45},{"$f":"'Sec. H In-State ADJ'!$C$61","v":"NUTRITION"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$61","v":0},{"$f":"$J$1485-$H$1485","v":0},{"$f":"'Sec. H In-State ADJ'!$L$61","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$62","v":46},{"$f":"'Sec. H In-State ADJ'!$C$62","v":"WOUND CARE CENTER"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$62","v":3768.2499999999982},{"$f":"$J$1486-$H$1486","v":0},{"$f":"'Sec. H In-State ADJ'!$L$62","v":3768.2499999999982}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$63","v":47},{"$f":"'Sec. H In-State ADJ'!$C$63","v":"EMERGENCY"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$63","v":207610.39999999994},{"$f":"$J$1487-$H$1487","v":0},{"$f":"'Sec. H In-State ADJ'!$L$63","v":207610.39999999994}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$64","v":48},{"$f":"'Sec. H In-State ADJ'!$C$64","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$64","v":0},{"$f":"$J$1488-$H$1488","v":0},{"$f":"'Sec. H In-State ADJ'!$L$64","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$65","v":49},{"$f":"'Sec. H In-State ADJ'!$C$65","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$65","v":0},{"$f":"$J$1489-$H$1489","v":0},{"$f":"'Sec. H In-State ADJ'!$L$65","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$66","v":50},{"$f":"'Sec. H In-State ADJ'!$C$66","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$66","v":0},{"$f":"$J$1490-$H$1490","v":0},{"$f":"'Sec. H In-State ADJ'!$L$66","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$67","v":51},{"$f":"'Sec. H In-State ADJ'!$C$67","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$67","v":0},{"$f":"$J$1491-$H$1491","v":0},{"$f":"'Sec. H In-State ADJ'!$L$67","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$68","v":52},{"$f":"'Sec. H In-State ADJ'!$C$68","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$68","v":0},{"$f":"$J$1492-$H$1492","v":0},{"$f":"'Sec. H In-State ADJ'!$L$68","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$69","v":53},{"$f":"'Sec. H In-State ADJ'!$C$69","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$69","v":0},{"$f":"$J$1493-$H$1493","v":0},{"$f":"'Sec. H In-State ADJ'!$L$69","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$70","v":54},{"$f":"'Sec. H In-State ADJ'!$C$70","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$70","v":0},{"$f":"$J$1494-$H$1494","v":0},{"$f":"'Sec. H In-State ADJ'!$L$70","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$71","v":55},{"$f":"'Sec. H In-State ADJ'!$C$71","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$71","v":0},{"$f":"$J$1495-$H$1495","v":0},{"$f":"'Sec. H In-State ADJ'!$L$71","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$72","v":56},{"$f":"'Sec. H In-State ADJ'!$C$72","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$72","v":0},{"$f":"$J$1496-$H$1496","v":0},{"$f":"'Sec. H In-State ADJ'!$L$72","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$73","v":57},{"$f":"'Sec. H In-State ADJ'!$C$73","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$73","v":0},{"$f":"$J$1497-$H$1497","v":0},{"$f":"'Sec. H In-State ADJ'!$L$73","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$74","v":58},{"$f":"'Sec. H In-State ADJ'!$C$74","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$74","v":0},{"$f":"$J$1498-$H$1498","v":0},{"$f":"'Sec. H In-State ADJ'!$L$74","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$75","v":59},{"$f":"'Sec. H In-State ADJ'!$C$75","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$75","v":0},{"$f":"$J$1499-$H$1499","v":0},{"$f":"'Sec. H In-State ADJ'!$L$75","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$76","v":60},{"$f":"'Sec. H In-State ADJ'!$C$76","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$76","v":0},{"$f":"$J$1500-$H$1500","v":0},{"$f":"'Sec. H In-State ADJ'!$L$76","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$77","v":61},{"$f":"'Sec. H In-State ADJ'!$C$77","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$77","v":0},{"$f":"$J$1501-$H$1501","v":0},{"$f":"'Sec. H In-State ADJ'!$L$77","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$78","v":62},{"$f":"'Sec. H In-State ADJ'!$C$78","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$78","v":0},{"$f":"$J$1502-$H$1502","v":0},{"$f":"'Sec. H In-State ADJ'!$L$78","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$79","v":63},{"$f":"'Sec. H In-State ADJ'!$C$79","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$79","v":0},{"$f":"$J$1503-$H$1503","v":0},{"$f":"'Sec. H In-State ADJ'!$L$79","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$80","v":64},{"$f":"'Sec. H In-State ADJ'!$C$80","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$80","v":0},{"$f":"$J$1504-$H$1504","v":0},{"$f":"'Sec. H In-State ADJ'!$L$80","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$81","v":65},{"$f":"'Sec. H In-State ADJ'!$C$81","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$81","v":0},{"$f":"$J$1505-$H$1505","v":0},{"$f":"'Sec. H In-State ADJ'!$L$81","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$82","v":66},{"$f":"'Sec. H In-State ADJ'!$C$82","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$82","v":0},{"$f":"$J$1506-$H$1506","v":0},{"$f":"'Sec. H In-State ADJ'!$L$82","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$83","v":67},{"$f":"'Sec. H In-State ADJ'!$C$83","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$83","v":0},{"$f":"$J$1507-$H$1507","v":0},{"$f":"'Sec. H In-State ADJ'!$L$83","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$84","v":68},{"$f":"'Sec. H In-State ADJ'!$C$84","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$84","v":0},{"$f":"$J$1508-$H$1508","v":0},{"$f":"'Sec. H In-State ADJ'!$L$84","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$85","v":69},{"$f":"'Sec. H In-State ADJ'!$C$85","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$85","v":0},{"$f":"$J$1509-$H$1509","v":0},{"$f":"'Sec. H In-State ADJ'!$L$85","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$86","v":70},{"$f":"'Sec. H In-State ADJ'!$C$86","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$86","v":0},{"$f":"$J$1510-$H$1510","v":0},{"$f":"'Sec. H In-State ADJ'!$L$86","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$87","v":71},{"$f":"'Sec. H In-State ADJ'!$C$87","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$87","v":0},{"$f":"$J$1511-$H$1511","v":0},{"$f":"'Sec. H In-State ADJ'!$L$87","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$88","v":72},{"$f":"'Sec. H In-State ADJ'!$C$88","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$88","v":0},{"$f":"$J$1512-$H$1512","v":0},{"$f":"'Sec. H In-State ADJ'!$L$88","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$89","v":73},{"$f":"'Sec. H In-State ADJ'!$C$89","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$89","v":0},{"$f":"$J$1513-$H$1513","v":0},{"$f":"'Sec. H In-State ADJ'!$L$89","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$90","v":74},{"$f":"'Sec. H In-State ADJ'!$C$90","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$90","v":0},{"$f":"$J$1514-$H$1514","v":0},{"$f":"'Sec. H In-State ADJ'!$L$90","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$91","v":75},{"$f":"'Sec. H In-State ADJ'!$C$91","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$91","v":0},{"$f":"$J$1515-$H$1515","v":0},{"$f":"'Sec. H In-State ADJ'!$L$91","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$92","v":76},{"$f":"'Sec. H In-State ADJ'!$C$92","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$92","v":0},{"$f":"$J$1516-$H$1516","v":0},{"$f":"'Sec. H In-State ADJ'!$L$92","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$93","v":77},{"$f":"'Sec. H In-State ADJ'!$C$93","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$93","v":0},{"$f":"$J$1517-$H$1517","v":0},{"$f":"'Sec. H In-State ADJ'!$L$93","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$94","v":78},{"$f":"'Sec. H In-State ADJ'!$C$94","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$94","v":0},{"$f":"$J$1518-$H$1518","v":0},{"$f":"'Sec. H In-State ADJ'!$L$94","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$95","v":79},{"$f":"'Sec. H In-State ADJ'!$C$95","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$95","v":0},{"$f":"$J$1519-$H$1519","v":0},{"$f":"'Sec. H In-State ADJ'!$L$95","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$96","v":80},{"$f":"'Sec. H In-State ADJ'!$C$96","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$96","v":0},{"$f":"$J$1520-$H$1520","v":0},{"$f":"'Sec. H In-State ADJ'!$L$96","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$97","v":81},{"$f":"'Sec. H In-State ADJ'!$C$97","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$97","v":0},{"$f":"$J$1521-$H$1521","v":0},{"$f":"'Sec. H In-State ADJ'!$L$97","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$98","v":82},{"$f":"'Sec. H In-State ADJ'!$C$98","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$98","v":0},{"$f":"$J$1522-$H$1522","v":0},{"$f":"'Sec. H In-State ADJ'!$L$98","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$99","v":83},{"$f":"'Sec. H In-State ADJ'!$C$99","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$99","v":0},{"$f":"$J$1523-$H$1523","v":0},{"$f":"'Sec. H In-State ADJ'!$L$99","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$100","v":84},{"$f":"'Sec. H In-State ADJ'!$C$100","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$100","v":0},{"$f":"$J$1524-$H$1524","v":0},{"$f":"'Sec. H In-State ADJ'!$L$100","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$101","v":85},{"$f":"'Sec. H In-State ADJ'!$C$101","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$101","v":0},{"$f":"$J$1525-$H$1525","v":0},{"$f":"'Sec. H In-State ADJ'!$L$101","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$102","v":86},{"$f":"'Sec. H In-State ADJ'!$C$102","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$102","v":0},{"$f":"$J$1526-$H$1526","v":0},{"$f":"'Sec. H In-State ADJ'!$L$102","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$103","v":87},{"$f":"'Sec. H In-State ADJ'!$C$103","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$103","v":0},{"$f":"$J$1527-$H$1527","v":0},{"$f":"'Sec. H In-State ADJ'!$L$103","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$104","v":88},{"$f":"'Sec. H In-State ADJ'!$C$104","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$104","v":0},{"$f":"$J$1528-$H$1528","v":0},{"$f":"'Sec. H In-State ADJ'!$L$104","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$105","v":89},{"$f":"'Sec. H In-State ADJ'!$C$105","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$105","v":0},{"$f":"$J$1529-$H$1529","v":0},{"$f":"'Sec. H In-State ADJ'!$L$105","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$106","v":90},{"$f":"'Sec. H In-State ADJ'!$C$106","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$106","v":0},{"$f":"$J$1530-$H$1530","v":0},{"$f":"'Sec. H In-State ADJ'!$L$106","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$107","v":91},{"$f":"'Sec. H In-State ADJ'!$C$107","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$107","v":0},{"$f":"$J$1531-$H$1531","v":0},{"$f":"'Sec. H In-State ADJ'!$L$107","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$108","v":92},{"$f":"'Sec. H In-State ADJ'!$C$108","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$108","v":0},{"$f":"$J$1532-$H$1532","v":0},{"$f":"'Sec. H In-State ADJ'!$L$108","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$109","v":93},{"$f":"'Sec. H In-State ADJ'!$C$109","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$109","v":0},{"$f":"$J$1533-$H$1533","v":0},{"$f":"'Sec. H In-State ADJ'!$L$109","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$110","v":94},{"$f":"'Sec. H In-State ADJ'!$C$110","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$110","v":0},{"$f":"$J$1534-$H$1534","v":0},{"$f":"'Sec. H In-State ADJ'!$L$110","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$111","v":95},{"$f":"'Sec. H In-State ADJ'!$C$111","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$111","v":0},{"$f":"$J$1535-$H$1535","v":0},{"$f":"'Sec. H In-State ADJ'!$L$111","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$112","v":96},{"$f":"'Sec. H In-State ADJ'!$C$112","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$112","v":0},{"$f":"$J$1536-$H$1536","v":0},{"$f":"'Sec. H In-State ADJ'!$L$112","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$113","v":97},{"$f":"'Sec. H In-State ADJ'!$C$113","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$113","v":0},{"$f":"$J$1537-$H$1537","v":0},{"$f":"'Sec. H In-State ADJ'!$L$113","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$114","v":98},{"$f":"'Sec. H In-State ADJ'!$C$114","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$114","v":0},{"$f":"$J$1538-$H$1538","v":0},{"$f":"'Sec. H In-State ADJ'!$L$114","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$115","v":99},{"$f":"'Sec. H In-State ADJ'!$C$115","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$115","v":0},{"$f":"$J$1539-$H$1539","v":0},{"$f":"'Sec. H In-State ADJ'!$L$115","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$116","v":100},{"$f":"'Sec. H In-State ADJ'!$C$116","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$116","v":0},{"$f":"$J$1540-$H$1540","v":0},{"$f":"'Sec. H In-State ADJ'!$L$116","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$117","v":101},{"$f":"'Sec. H In-State ADJ'!$C$117","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$117","v":0},{"$f":"$J$1541-$H$1541","v":0},{"$f":"'Sec. H In-State ADJ'!$L$117","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$118","v":102},{"$f":"'Sec. H In-State ADJ'!$C$118","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$118","v":0},{"$f":"$J$1542-$H$1542","v":0},{"$f":"'Sec. H In-State ADJ'!$L$118","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$119","v":103},{"$f":"'Sec. H In-State ADJ'!$C$119","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$119","v":0},{"$f":"$J$1543-$H$1543","v":0},{"$f":"'Sec. H In-State ADJ'!$L$119","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$120","v":104},{"$f":"'Sec. H In-State ADJ'!$C$120","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$120","v":0},{"$f":"$J$1544-$H$1544","v":0},{"$f":"'Sec. H In-State ADJ'!$L$120","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$121","v":105},{"$f":"'Sec. H In-State ADJ'!$C$121","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$121","v":0},{"$f":"$J$1545-$H$1545","v":0},{"$f":"'Sec. H In-State ADJ'!$L$121","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$122","v":106},{"$f":"'Sec. H In-State ADJ'!$C$122","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$122","v":0},{"$f":"$J$1546-$H$1546","v":0},{"$f":"'Sec. H In-State ADJ'!$L$122","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$123","v":107},{"$f":"'Sec. H In-State ADJ'!$C$123","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$123","v":0},{"$f":"$J$1547-$H$1547","v":0},{"$f":"'Sec. H In-State ADJ'!$L$123","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$124","v":108},{"$f":"'Sec. H In-State ADJ'!$C$124","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$124","v":0},{"$f":"$J$1548-$H$1548","v":0},{"$f":"'Sec. H In-State ADJ'!$L$124","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$125","v":109},{"$f":"'Sec. H In-State ADJ'!$C$125","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$125","v":0},{"$f":"$J$1549-$H$1549","v":0},{"$f":"'Sec. H In-State ADJ'!$L$125","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$126","v":110},{"$f":"'Sec. H In-State ADJ'!$C$126","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$126","v":0},{"$f":"$J$1550-$H$1550","v":0},{"$f":"'Sec. H In-State ADJ'!$L$126","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$127","v":111},{"$f":"'Sec. H In-State ADJ'!$C$127","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$127","v":0},{"$f":"$J$1551-$H$1551","v":0},{"$f":"'Sec. H In-State ADJ'!$L$127","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$128","v":112},{"$f":"'Sec. H In-State ADJ'!$C$128","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$128","v":0},{"$f":"$J$1552-$H$1552","v":0},{"$f":"'Sec. H In-State ADJ'!$L$128","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$129","v":113},{"$f":"'Sec. H In-State ADJ'!$C$129","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$129","v":0},{"$f":"$J$1553-$H$1553","v":0},{"$f":"'Sec. H In-State ADJ'!$L$129","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$130","v":114},{"$f":"'Sec. H In-State ADJ'!$C$130","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$130","v":0},{"$f":"$J$1554-$H$1554","v":0},{"$f":"'Sec. H In-State ADJ'!$L$130","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$131","v":115},{"$f":"'Sec. H In-State ADJ'!$C$131","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$131","v":0},{"$f":"$J$1555-$H$1555","v":0},{"$f":"'Sec. H In-State ADJ'!$L$131","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$132","v":116},{"$f":"'Sec. H In-State ADJ'!$C$132","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$132","v":0},{"$f":"$J$1556-$H$1556","v":0},{"$f":"'Sec. H In-State ADJ'!$L$132","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$133","v":117},{"$f":"'Sec. H In-State ADJ'!$C$133","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$133","v":0},{"$f":"$J$1557-$H$1557","v":0},{"$f":"'Sec. H In-State ADJ'!$L$133","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$134","v":118},{"$f":"'Sec. H In-State ADJ'!$C$134","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$134","v":0},{"$f":"$J$1558-$H$1558","v":0},{"$f":"'Sec. H In-State ADJ'!$L$134","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$135","v":119},{"$f":"'Sec. H In-State ADJ'!$C$135","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$135","v":0},{"$f":"$J$1559-$H$1559","v":0},{"$f":"'Sec. H In-State ADJ'!$L$135","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$136","v":120},{"$f":"'Sec. H In-State ADJ'!$C$136","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$136","v":0},{"$f":"$J$1560-$H$1560","v":0},{"$f":"'Sec. H In-State ADJ'!$L$136","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$137","v":121},{"$f":"'Sec. H In-State ADJ'!$C$137","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$137","v":0},{"$f":"$J$1561-$H$1561","v":0},{"$f":"'Sec. H In-State ADJ'!$L$137","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$138","v":122},{"$f":"'Sec. H In-State ADJ'!$C$138","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$138","v":0},{"$f":"$J$1562-$H$1562","v":0},{"$f":"'Sec. H In-State ADJ'!$L$138","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$139","v":123},{"$f":"'Sec. H In-State ADJ'!$C$139","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$139","v":0},{"$f":"$J$1563-$H$1563","v":0},{"$f":"'Sec. H In-State ADJ'!$L$139","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$140","v":124},{"$f":"'Sec. H In-State ADJ'!$C$140","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$140","v":0},{"$f":"$J$1564-$H$1564","v":0},{"$f":"'Sec. H In-State ADJ'!$L$140","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$141","v":125},{"$f":"'Sec. H In-State ADJ'!$C$141","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$141","v":0},{"$f":"$J$1565-$H$1565","v":0},{"$f":"'Sec. H In-State ADJ'!$L$141","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$142","v":126},{"$f":"'Sec. H In-State ADJ'!$C$142","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$142","v":0},{"$f":"$J$1566-$H$1566","v":0},{"$f":"'Sec. H In-State ADJ'!$L$142","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$143","v":127},{"$f":"'Sec. H In-State ADJ'!$C$143","v":""},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$143","v":0},{"$f":"$J$1567-$H$1567","v":0},{"$f":"'Sec. H In-State ADJ'!$L$143","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$151","v":131.01},{"$f":"'Sec. H In-State ADJ'!$B$151","v":"Sampling Cost Adjustment (if applicable)"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to sample extrapolation.",0,{"$f":"$J$1568-$H$1568","v":0},{"$f":"'Sec. H In-State ADJ'!$L$151","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$154","v":132},{"$f":"'Sec. H In-State ADJ'!$B$154","v":"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$154","v":0},{"$f":"$J$1569-$H$1569","v":0},{"$f":"'Sec. H In-State ADJ'!$L$154","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$155","v":133},{"$f":"'Sec. H In-State ADJ'!$B$155","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$155","v":4132536},{"$f":"$J$1570-$H$1570","v":0},{"$f":"'Sec. H In-State ADJ'!$L$155","v":4132536}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$156","v":134},{"$f":"'Sec. H In-State ADJ'!$B$156","v":"Private Insurance (including primary and third party liability)"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$156","v":0},{"$f":"$J$1571-$H$1571","v":0},{"$f":"'Sec. H In-State ADJ'!$L$156","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$157","v":135},{"$f":"'Sec. H In-State ADJ'!$B$157","v":"Self-Pay (including Co-Pay and Spend-Down)"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$157","v":447},{"$f":"$J$1572-$H$1572","v":0},{"$f":"'Sec. H In-State ADJ'!$L$157","v":447}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$159","v":137},{"$f":"'Sec. H In-State ADJ'!$B$159","v":"Medicaid Cost Settlement Payments (See Note B)"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$159","v":0},{"$f":"$J$1573-$H$1573","v":0},{"$f":"'Sec. H In-State ADJ'!$L$159","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$160","v":138},{"$f":"'Sec. H In-State ADJ'!$B$160","v":"Other Medicaid Payments Reported on Cost Report Year (See Note C)"},"7.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$L$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Inpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$L$160","v":0},{"$f":"$J$1574-$H$1574","v":0},{"$f":"'Sec. H In-State ADJ'!$L$160","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$38","v":22},{"$f":"'Sec. H In-State ADJ'!$C$38","v":"Observation (Non-Distinct)"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$38","v":257645.25000000023},{"$f":"$J$1575-$H$1575","v":0},{"$f":"'Sec. H In-State ADJ'!$N$38","v":257645.25000000023}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$39","v":23},{"$f":"'Sec. H In-State ADJ'!$C$39","v":"OPERATING ROOM"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$39","v":6243900.9000000069},{"$f":"$J$1576-$H$1576","v":0},{"$f":"'Sec. H In-State ADJ'!$N$39","v":6243900.9000000069}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$40","v":24},{"$f":"'Sec. H In-State ADJ'!$C$40","v":"RECOVERY ROOM"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$40","v":527993.85000000044},{"$f":"$J$1577-$H$1577","v":0},{"$f":"'Sec. H In-State ADJ'!$N$40","v":527993.85000000044}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$41","v":25},{"$f":"'Sec. H In-State ADJ'!$C$41","v":"DELIVERY ROOM & LABOR ROOM"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$41","v":446199.34999999986},{"$f":"$J$1578-$H$1578","v":0},{"$f":"'Sec. H In-State ADJ'!$N$41","v":446199.34999999986}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$42","v":26},{"$f":"'Sec. H In-State ADJ'!$C$42","v":"ANESTHESIOLOGY"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$42","v":1528884.6999999955},{"$f":"$J$1579-$H$1579","v":0},{"$f":"'Sec. H In-State ADJ'!$N$42","v":1528884.6999999955}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$43","v":27},{"$f":"'Sec. H In-State ADJ'!$C$43","v":"RADIOLOGY-DIAGNOSTIC"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$43","v":1668680.9725626097},{"$f":"$J$1580-$H$1580","v":0},{"$f":"'Sec. H In-State ADJ'!$N$43","v":1668680.9725626097}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$44","v":28},{"$f":"'Sec. H In-State ADJ'!$C$44","v":"RADIOLOGY-THERAPEUTIC"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$44","v":117910.40000000001},{"$f":"$J$1581-$H$1581","v":0},{"$f":"'Sec. H In-State ADJ'!$N$44","v":117910.40000000001}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$45","v":29},{"$f":"'Sec. H In-State ADJ'!$C$45","v":"NUCLEAR MEDICINE"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$45","v":83321.950000000012},{"$f":"$J$1582-$H$1582","v":0},{"$f":"'Sec. H In-State ADJ'!$N$45","v":83321.950000000012}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$46","v":30},{"$f":"'Sec. H In-State ADJ'!$C$46","v":"CT SCAN"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$46","v":1154249.7},{"$f":"$J$1583-$H$1583","v":0},{"$f":"'Sec. H In-State ADJ'!$N$46","v":1154249.7}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$47","v":31},{"$f":"'Sec. H In-State ADJ'!$C$47","v":"MRI"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$47","v":62530},{"$f":"$J$1584-$H$1584","v":0},{"$f":"'Sec. H In-State ADJ'!$N$47","v":62530}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$48","v":32},{"$f":"'Sec. H In-State ADJ'!$C$48","v":"CARDIAC CATHETERIZATION"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$48","v":191781.93796450133},{"$f":"$J$1585-$H$1585","v":0},{"$f":"'Sec. H In-State ADJ'!$N$48","v":191781.93796450133}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$49","v":33},{"$f":"'Sec. H In-State ADJ'!$C$49","v":"LABORATORY"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$49","v":4185956.8199999882},{"$f":"$J$1586-$H$1586","v":0},{"$f":"'Sec. H In-State ADJ'!$N$49","v":4185956.8199999882}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$50","v":34},{"$f":"'Sec. H In-State ADJ'!$C$50","v":"RESPIRATORY THERAPY"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$50","v":157923.44999999861},{"$f":"$J$1587-$H$1587","v":0},{"$f":"'Sec. H In-State ADJ'!$N$50","v":157923.44999999861}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$51","v":35},{"$f":"'Sec. H In-State ADJ'!$C$51","v":"PHYSICAL THERAPY"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$51","v":98296.000000000029},{"$f":"$J$1588-$H$1588","v":0},{"$f":"'Sec. H In-State ADJ'!$N$51","v":98296.000000000029}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$52","v":36},{"$f":"'Sec. H In-State ADJ'!$C$52","v":"SPEECH PATHOLOGY"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$52","v":47876.450000000012},{"$f":"$J$1589-$H$1589","v":0},{"$f":"'Sec. H In-State ADJ'!$N$52","v":47876.450000000012}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$53","v":37},{"$f":"'Sec. H In-State ADJ'!$C$53","v":"ELECTROCARDIOLOGY"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$53","v":298162.55},{"$f":"$J$1590-$H$1590","v":0},{"$f":"'Sec. H In-State ADJ'!$N$53","v":298162.55}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$54","v":38},{"$f":"'Sec. H In-State ADJ'!$C$54","v":"ELECTROENCEPHALOGRAPHY"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$54","v":11738.949999999997},{"$f":"$J$1591-$H$1591","v":0},{"$f":"'Sec. H In-State ADJ'!$N$54","v":11738.949999999997}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$55","v":39},{"$f":"'Sec. H In-State ADJ'!$C$55","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$55","v":525799.00999999885},{"$f":"$J$1592-$H$1592","v":0},{"$f":"'Sec. H In-State ADJ'!$N$55","v":525799.00999999885}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$56","v":40},{"$f":"'Sec. H In-State ADJ'!$C$56","v":"IMPL. DEV. CHARGED TO PATIENTS"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$56","v":29561.170000000002},{"$f":"$J$1593-$H$1593","v":0},{"$f":"'Sec. H In-State ADJ'!$N$56","v":29561.170000000002}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$57","v":41},{"$f":"'Sec. H In-State ADJ'!$C$57","v":"DRUGS CHARGED TO PATIENTS"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$57","v":1279830.5000000007},{"$f":"$J$1594-$H$1594","v":0},{"$f":"'Sec. H In-State ADJ'!$N$57","v":1279830.5000000007}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$58","v":42},{"$f":"'Sec. H In-State ADJ'!$C$58","v":"RENAL DIALYSIS"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$58","v":748.5},{"$f":"$J$1595-$H$1595","v":0},{"$f":"'Sec. H In-State ADJ'!$N$58","v":748.5}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$59","v":43},{"$f":"'Sec. H In-State ADJ'!$C$59","v":"CARDIOVASCULAR MEDICINE"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$59","v":161440.0394728948},{"$f":"$J$1596-$H$1596","v":0},{"$f":"'Sec. H In-State ADJ'!$N$59","v":161440.0394728948}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$60","v":44},{"$f":"'Sec. H In-State ADJ'!$C$60","v":"CLINIC"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$60","v":0},{"$f":"$J$1597-$H$1597","v":0},{"$f":"'Sec. H In-State ADJ'!$N$60","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$61","v":45},{"$f":"'Sec. H In-State ADJ'!$C$61","v":"NUTRITION"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$61","v":0},{"$f":"$J$1598-$H$1598","v":0},{"$f":"'Sec. H In-State ADJ'!$N$61","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$62","v":46},{"$f":"'Sec. H In-State ADJ'!$C$62","v":"WOUND CARE CENTER"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$62","v":47350.2},{"$f":"$J$1599-$H$1599","v":0},{"$f":"'Sec. H In-State ADJ'!$N$62","v":47350.2}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$63","v":47},{"$f":"'Sec. H In-State ADJ'!$C$63","v":"EMERGENCY"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$63","v":8752384.4000001382},{"$f":"$J$1600-$H$1600","v":0},{"$f":"'Sec. H In-State ADJ'!$N$63","v":8752384.4000001382}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$64","v":48},{"$f":"'Sec. H In-State ADJ'!$C$64","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$64","v":0},{"$f":"$J$1601-$H$1601","v":0},{"$f":"'Sec. H In-State ADJ'!$N$64","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$65","v":49},{"$f":"'Sec. H In-State ADJ'!$C$65","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$65","v":0},{"$f":"$J$1602-$H$1602","v":0},{"$f":"'Sec. H In-State ADJ'!$N$65","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$66","v":50},{"$f":"'Sec. H In-State ADJ'!$C$66","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$66","v":0},{"$f":"$J$1603-$H$1603","v":0},{"$f":"'Sec. H In-State ADJ'!$N$66","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$67","v":51},{"$f":"'Sec. H In-State ADJ'!$C$67","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$67","v":0},{"$f":"$J$1604-$H$1604","v":0},{"$f":"'Sec. H In-State ADJ'!$N$67","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$68","v":52},{"$f":"'Sec. H In-State ADJ'!$C$68","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$68","v":0},{"$f":"$J$1605-$H$1605","v":0},{"$f":"'Sec. H In-State ADJ'!$N$68","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$69","v":53},{"$f":"'Sec. H In-State ADJ'!$C$69","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$69","v":0},{"$f":"$J$1606-$H$1606","v":0},{"$f":"'Sec. H In-State ADJ'!$N$69","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$70","v":54},{"$f":"'Sec. H In-State ADJ'!$C$70","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$70","v":0},{"$f":"$J$1607-$H$1607","v":0},{"$f":"'Sec. H In-State ADJ'!$N$70","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$71","v":55},{"$f":"'Sec. H In-State ADJ'!$C$71","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$71","v":0},{"$f":"$J$1608-$H$1608","v":0},{"$f":"'Sec. H In-State ADJ'!$N$71","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$72","v":56},{"$f":"'Sec. H In-State ADJ'!$C$72","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$72","v":0},{"$f":"$J$1609-$H$1609","v":0},{"$f":"'Sec. H In-State ADJ'!$N$72","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$73","v":57},{"$f":"'Sec. H In-State ADJ'!$C$73","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$73","v":0},{"$f":"$J$1610-$H$1610","v":0},{"$f":"'Sec. H In-State ADJ'!$N$73","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$74","v":58},{"$f":"'Sec. H In-State ADJ'!$C$74","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$74","v":0},{"$f":"$J$1611-$H$1611","v":0},{"$f":"'Sec. H In-State ADJ'!$N$74","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$75","v":59},{"$f":"'Sec. H In-State ADJ'!$C$75","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$75","v":0},{"$f":"$J$1612-$H$1612","v":0},{"$f":"'Sec. H In-State ADJ'!$N$75","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$76","v":60},{"$f":"'Sec. H In-State ADJ'!$C$76","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$76","v":0},{"$f":"$J$1613-$H$1613","v":0},{"$f":"'Sec. H In-State ADJ'!$N$76","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$77","v":61},{"$f":"'Sec. H In-State ADJ'!$C$77","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$77","v":0},{"$f":"$J$1614-$H$1614","v":0},{"$f":"'Sec. H In-State ADJ'!$N$77","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$78","v":62},{"$f":"'Sec. H In-State ADJ'!$C$78","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$78","v":0},{"$f":"$J$1615-$H$1615","v":0},{"$f":"'Sec. H In-State ADJ'!$N$78","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$79","v":63},{"$f":"'Sec. H In-State ADJ'!$C$79","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$79","v":0},{"$f":"$J$1616-$H$1616","v":0},{"$f":"'Sec. H In-State ADJ'!$N$79","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$80","v":64},{"$f":"'Sec. H In-State ADJ'!$C$80","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$80","v":0},{"$f":"$J$1617-$H$1617","v":0},{"$f":"'Sec. H In-State ADJ'!$N$80","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$81","v":65},{"$f":"'Sec. H In-State ADJ'!$C$81","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$81","v":0},{"$f":"$J$1618-$H$1618","v":0},{"$f":"'Sec. H In-State ADJ'!$N$81","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$82","v":66},{"$f":"'Sec. H In-State ADJ'!$C$82","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$82","v":0},{"$f":"$J$1619-$H$1619","v":0},{"$f":"'Sec. H In-State ADJ'!$N$82","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$83","v":67},{"$f":"'Sec. H In-State ADJ'!$C$83","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$83","v":0},{"$f":"$J$1620-$H$1620","v":0},{"$f":"'Sec. H In-State ADJ'!$N$83","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$84","v":68},{"$f":"'Sec. H In-State ADJ'!$C$84","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$84","v":0},{"$f":"$J$1621-$H$1621","v":0},{"$f":"'Sec. H In-State ADJ'!$N$84","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$85","v":69},{"$f":"'Sec. H In-State ADJ'!$C$85","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$85","v":0},{"$f":"$J$1622-$H$1622","v":0},{"$f":"'Sec. H In-State ADJ'!$N$85","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$86","v":70},{"$f":"'Sec. H In-State ADJ'!$C$86","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$86","v":0},{"$f":"$J$1623-$H$1623","v":0},{"$f":"'Sec. H In-State ADJ'!$N$86","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$87","v":71},{"$f":"'Sec. H In-State ADJ'!$C$87","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$87","v":0},{"$f":"$J$1624-$H$1624","v":0},{"$f":"'Sec. H In-State ADJ'!$N$87","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$88","v":72},{"$f":"'Sec. H In-State ADJ'!$C$88","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$88","v":0},{"$f":"$J$1625-$H$1625","v":0},{"$f":"'Sec. H In-State ADJ'!$N$88","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$89","v":73},{"$f":"'Sec. H In-State ADJ'!$C$89","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$89","v":0},{"$f":"$J$1626-$H$1626","v":0},{"$f":"'Sec. H In-State ADJ'!$N$89","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$90","v":74},{"$f":"'Sec. H In-State ADJ'!$C$90","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$90","v":0},{"$f":"$J$1627-$H$1627","v":0},{"$f":"'Sec. H In-State ADJ'!$N$90","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$91","v":75},{"$f":"'Sec. H In-State ADJ'!$C$91","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$91","v":0},{"$f":"$J$1628-$H$1628","v":0},{"$f":"'Sec. H In-State ADJ'!$N$91","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$92","v":76},{"$f":"'Sec. H In-State ADJ'!$C$92","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$92","v":0},{"$f":"$J$1629-$H$1629","v":0},{"$f":"'Sec. H In-State ADJ'!$N$92","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$93","v":77},{"$f":"'Sec. H In-State ADJ'!$C$93","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$93","v":0},{"$f":"$J$1630-$H$1630","v":0},{"$f":"'Sec. H In-State ADJ'!$N$93","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$94","v":78},{"$f":"'Sec. H In-State ADJ'!$C$94","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$94","v":0},{"$f":"$J$1631-$H$1631","v":0},{"$f":"'Sec. H In-State ADJ'!$N$94","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$95","v":79},{"$f":"'Sec. H In-State ADJ'!$C$95","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$95","v":0},{"$f":"$J$1632-$H$1632","v":0},{"$f":"'Sec. H In-State ADJ'!$N$95","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$96","v":80},{"$f":"'Sec. H In-State ADJ'!$C$96","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$96","v":0},{"$f":"$J$1633-$H$1633","v":0},{"$f":"'Sec. H In-State ADJ'!$N$96","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$97","v":81},{"$f":"'Sec. H In-State ADJ'!$C$97","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$97","v":0},{"$f":"$J$1634-$H$1634","v":0},{"$f":"'Sec. H In-State ADJ'!$N$97","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$98","v":82},{"$f":"'Sec. H In-State ADJ'!$C$98","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$98","v":0},{"$f":"$J$1635-$H$1635","v":0},{"$f":"'Sec. H In-State ADJ'!$N$98","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$99","v":83},{"$f":"'Sec. H In-State ADJ'!$C$99","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$99","v":0},{"$f":"$J$1636-$H$1636","v":0},{"$f":"'Sec. H In-State ADJ'!$N$99","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$100","v":84},{"$f":"'Sec. H In-State ADJ'!$C$100","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$100","v":0},{"$f":"$J$1637-$H$1637","v":0},{"$f":"'Sec. H In-State ADJ'!$N$100","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$101","v":85},{"$f":"'Sec. H In-State ADJ'!$C$101","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$101","v":0},{"$f":"$J$1638-$H$1638","v":0},{"$f":"'Sec. H In-State ADJ'!$N$101","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$102","v":86},{"$f":"'Sec. H In-State ADJ'!$C$102","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$102","v":0},{"$f":"$J$1639-$H$1639","v":0},{"$f":"'Sec. H In-State ADJ'!$N$102","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$103","v":87},{"$f":"'Sec. H In-State ADJ'!$C$103","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$103","v":0},{"$f":"$J$1640-$H$1640","v":0},{"$f":"'Sec. H In-State ADJ'!$N$103","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$104","v":88},{"$f":"'Sec. H In-State ADJ'!$C$104","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$104","v":0},{"$f":"$J$1641-$H$1641","v":0},{"$f":"'Sec. H In-State ADJ'!$N$104","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$105","v":89},{"$f":"'Sec. H In-State ADJ'!$C$105","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$105","v":0},{"$f":"$J$1642-$H$1642","v":0},{"$f":"'Sec. H In-State ADJ'!$N$105","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$106","v":90},{"$f":"'Sec. H In-State ADJ'!$C$106","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$106","v":0},{"$f":"$J$1643-$H$1643","v":0},{"$f":"'Sec. H In-State ADJ'!$N$106","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$107","v":91},{"$f":"'Sec. H In-State ADJ'!$C$107","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$107","v":0},{"$f":"$J$1644-$H$1644","v":0},{"$f":"'Sec. H In-State ADJ'!$N$107","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$108","v":92},{"$f":"'Sec. H In-State ADJ'!$C$108","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$108","v":0},{"$f":"$J$1645-$H$1645","v":0},{"$f":"'Sec. H In-State ADJ'!$N$108","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$109","v":93},{"$f":"'Sec. H In-State ADJ'!$C$109","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$109","v":0},{"$f":"$J$1646-$H$1646","v":0},{"$f":"'Sec. H In-State ADJ'!$N$109","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$110","v":94},{"$f":"'Sec. H In-State ADJ'!$C$110","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$110","v":0},{"$f":"$J$1647-$H$1647","v":0},{"$f":"'Sec. H In-State ADJ'!$N$110","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$111","v":95},{"$f":"'Sec. H In-State ADJ'!$C$111","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$111","v":0},{"$f":"$J$1648-$H$1648","v":0},{"$f":"'Sec. H In-State ADJ'!$N$111","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$112","v":96},{"$f":"'Sec. H In-State ADJ'!$C$112","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$112","v":0},{"$f":"$J$1649-$H$1649","v":0},{"$f":"'Sec. H In-State ADJ'!$N$112","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$113","v":97},{"$f":"'Sec. H In-State ADJ'!$C$113","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$113","v":0},{"$f":"$J$1650-$H$1650","v":0},{"$f":"'Sec. H In-State ADJ'!$N$113","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$114","v":98},{"$f":"'Sec. H In-State ADJ'!$C$114","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$114","v":0},{"$f":"$J$1651-$H$1651","v":0},{"$f":"'Sec. H In-State ADJ'!$N$114","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$115","v":99},{"$f":"'Sec. H In-State ADJ'!$C$115","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$115","v":0},{"$f":"$J$1652-$H$1652","v":0},{"$f":"'Sec. H In-State ADJ'!$N$115","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$116","v":100},{"$f":"'Sec. H In-State ADJ'!$C$116","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$116","v":0},{"$f":"$J$1653-$H$1653","v":0},{"$f":"'Sec. H In-State ADJ'!$N$116","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$117","v":101},{"$f":"'Sec. H In-State ADJ'!$C$117","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$117","v":0},{"$f":"$J$1654-$H$1654","v":0},{"$f":"'Sec. H In-State ADJ'!$N$117","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$118","v":102},{"$f":"'Sec. H In-State ADJ'!$C$118","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$118","v":0},{"$f":"$J$1655-$H$1655","v":0},{"$f":"'Sec. H In-State ADJ'!$N$118","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$119","v":103},{"$f":"'Sec. H In-State ADJ'!$C$119","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$119","v":0},{"$f":"$J$1656-$H$1656","v":0},{"$f":"'Sec. H In-State ADJ'!$N$119","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$120","v":104},{"$f":"'Sec. H In-State ADJ'!$C$120","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$120","v":0},{"$f":"$J$1657-$H$1657","v":0},{"$f":"'Sec. H In-State ADJ'!$N$120","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$121","v":105},{"$f":"'Sec. H In-State ADJ'!$C$121","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$121","v":0},{"$f":"$J$1658-$H$1658","v":0},{"$f":"'Sec. H In-State ADJ'!$N$121","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$122","v":106},{"$f":"'Sec. H In-State ADJ'!$C$122","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$122","v":0},{"$f":"$J$1659-$H$1659","v":0},{"$f":"'Sec. H In-State ADJ'!$N$122","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$123","v":107},{"$f":"'Sec. H In-State ADJ'!$C$123","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$123","v":0},{"$f":"$J$1660-$H$1660","v":0},{"$f":"'Sec. H In-State ADJ'!$N$123","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$124","v":108},{"$f":"'Sec. H In-State ADJ'!$C$124","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$124","v":0},{"$f":"$J$1661-$H$1661","v":0},{"$f":"'Sec. H In-State ADJ'!$N$124","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$125","v":109},{"$f":"'Sec. H In-State ADJ'!$C$125","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$125","v":0},{"$f":"$J$1662-$H$1662","v":0},{"$f":"'Sec. H In-State ADJ'!$N$125","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$126","v":110},{"$f":"'Sec. H In-State ADJ'!$C$126","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$126","v":0},{"$f":"$J$1663-$H$1663","v":0},{"$f":"'Sec. H In-State ADJ'!$N$126","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$127","v":111},{"$f":"'Sec. H In-State ADJ'!$C$127","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$127","v":0},{"$f":"$J$1664-$H$1664","v":0},{"$f":"'Sec. H In-State ADJ'!$N$127","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$128","v":112},{"$f":"'Sec. H In-State ADJ'!$C$128","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$128","v":0},{"$f":"$J$1665-$H$1665","v":0},{"$f":"'Sec. H In-State ADJ'!$N$128","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$129","v":113},{"$f":"'Sec. H In-State ADJ'!$C$129","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$129","v":0},{"$f":"$J$1666-$H$1666","v":0},{"$f":"'Sec. H In-State ADJ'!$N$129","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$130","v":114},{"$f":"'Sec. H In-State ADJ'!$C$130","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$130","v":0},{"$f":"$J$1667-$H$1667","v":0},{"$f":"'Sec. H In-State ADJ'!$N$130","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$131","v":115},{"$f":"'Sec. H In-State ADJ'!$C$131","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$131","v":0},{"$f":"$J$1668-$H$1668","v":0},{"$f":"'Sec. H In-State ADJ'!$N$131","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$132","v":116},{"$f":"'Sec. H In-State ADJ'!$C$132","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$132","v":0},{"$f":"$J$1669-$H$1669","v":0},{"$f":"'Sec. H In-State ADJ'!$N$132","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$133","v":117},{"$f":"'Sec. H In-State ADJ'!$C$133","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$133","v":0},{"$f":"$J$1670-$H$1670","v":0},{"$f":"'Sec. H In-State ADJ'!$N$133","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$134","v":118},{"$f":"'Sec. H In-State ADJ'!$C$134","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$134","v":0},{"$f":"$J$1671-$H$1671","v":0},{"$f":"'Sec. H In-State ADJ'!$N$134","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$135","v":119},{"$f":"'Sec. H In-State ADJ'!$C$135","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$135","v":0},{"$f":"$J$1672-$H$1672","v":0},{"$f":"'Sec. H In-State ADJ'!$N$135","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$136","v":120},{"$f":"'Sec. H In-State ADJ'!$C$136","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$136","v":0},{"$f":"$J$1673-$H$1673","v":0},{"$f":"'Sec. H In-State ADJ'!$N$136","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$137","v":121},{"$f":"'Sec. H In-State ADJ'!$C$137","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$137","v":0},{"$f":"$J$1674-$H$1674","v":0},{"$f":"'Sec. H In-State ADJ'!$N$137","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$138","v":122},{"$f":"'Sec. H In-State ADJ'!$C$138","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$138","v":0},{"$f":"$J$1675-$H$1675","v":0},{"$f":"'Sec. H In-State ADJ'!$N$138","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$139","v":123},{"$f":"'Sec. H In-State ADJ'!$C$139","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$139","v":0},{"$f":"$J$1676-$H$1676","v":0},{"$f":"'Sec. H In-State ADJ'!$N$139","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$140","v":124},{"$f":"'Sec. H In-State ADJ'!$C$140","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$140","v":0},{"$f":"$J$1677-$H$1677","v":0},{"$f":"'Sec. H In-State ADJ'!$N$140","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$141","v":125},{"$f":"'Sec. H In-State ADJ'!$C$141","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$141","v":0},{"$f":"$J$1678-$H$1678","v":0},{"$f":"'Sec. H In-State ADJ'!$N$141","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$142","v":126},{"$f":"'Sec. H In-State ADJ'!$C$142","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$142","v":0},{"$f":"$J$1679-$H$1679","v":0},{"$f":"'Sec. H In-State ADJ'!$N$142","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$143","v":127},{"$f":"'Sec. H In-State ADJ'!$C$143","v":""},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$143","v":0},{"$f":"$J$1680-$H$1680","v":0},{"$f":"'Sec. H In-State ADJ'!$N$143","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$151","v":131.01},{"$f":"'Sec. H In-State ADJ'!$B$151","v":"Sampling Cost Adjustment (if applicable)"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to sample extrapolation.",0,{"$f":"$J$1681-$H$1681","v":0},{"$f":"'Sec. H In-State ADJ'!$N$151","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$154","v":132},{"$f":"'Sec. H In-State ADJ'!$B$154","v":"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$154","v":0},{"$f":"$J$1682-$H$1682","v":0},{"$f":"'Sec. H In-State ADJ'!$N$154","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$155","v":133},{"$f":"'Sec. H In-State ADJ'!$B$155","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$155","v":4346780.8200003421},{"$f":"$J$1683-$H$1683","v":0},{"$f":"'Sec. H In-State ADJ'!$N$155","v":4346780.8200003421}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$156","v":134},{"$f":"'Sec. H In-State ADJ'!$B$156","v":"Private Insurance (including primary and third party liability)"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$156","v":2553},{"$f":"$J$1684-$H$1684","v":0},{"$f":"'Sec. H In-State ADJ'!$N$156","v":2553}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$157","v":135},{"$f":"'Sec. H In-State ADJ'!$B$157","v":"Self-Pay (including Co-Pay and Spend-Down)"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$157","v":1391},{"$f":"$J$1685-$H$1685","v":0},{"$f":"'Sec. H In-State ADJ'!$N$157","v":1391}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$159","v":137},{"$f":"'Sec. H In-State ADJ'!$B$159","v":"Medicaid Cost Settlement Payments (See Note B)"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$159","v":0},{"$f":"$J$1686-$H$1686","v":0},{"$f":"'Sec. H In-State ADJ'!$N$159","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$160","v":138},{"$f":"'Sec. H In-State ADJ'!$B$160","v":"Other Medicaid Payments Reported on Cost Report Year (See Note C)"},"8.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$N$6,\" \", 'Sec. H In-State ADJ'!$L$5)","v":"Outpatient In-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$N$160","v":0},{"$f":"$J$1687-$H$1687","v":0},{"$f":"'Sec. H In-State ADJ'!$N$160","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$11","v":1},{"$f":"'Sec. H In-State ADJ'!$C$11","v":"ADULTS & PEDIATRICS"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$11","v":2065},{"$f":"$J$1688-$H$1688","v":0},{"$f":"'Sec. H In-State ADJ'!$P$11","v":2065}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$12","v":2},{"$f":"'Sec. H In-State ADJ'!$C$12","v":"INTENSIVE CARE UNIT"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$12","v":317},{"$f":"$J$1689-$H$1689","v":0},{"$f":"'Sec. H In-State ADJ'!$P$12","v":317}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$13","v":3},{"$f":"'Sec. H In-State ADJ'!$C$13","v":"CORONARY CARE UNIT"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$13","v":0},{"$f":"$J$1690-$H$1690","v":0},{"$f":"'Sec. H In-State ADJ'!$P$13","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$14","v":4},{"$f":"'Sec. H In-State ADJ'!$C$14","v":"BURN INTENSIVE CARE UNIT"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$14","v":0},{"$f":"$J$1691-$H$1691","v":0},{"$f":"'Sec. H In-State ADJ'!$P$14","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$15","v":5},{"$f":"'Sec. H In-State ADJ'!$C$15","v":"SURGICAL INTENSIVE CARE UNIT"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$15","v":0},{"$f":"$J$1692-$H$1692","v":0},{"$f":"'Sec. H In-State ADJ'!$P$15","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$16","v":6},{"$f":"'Sec. H In-State ADJ'!$C$16","v":"OTHER SPECIAL CARE UNIT"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$16","v":0},{"$f":"$J$1693-$H$1693","v":0},{"$f":"'Sec. H In-State ADJ'!$P$16","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$17","v":7},{"$f":"'Sec. H In-State ADJ'!$C$17","v":"SUBPROVIDER I"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$17","v":0},{"$f":"$J$1694-$H$1694","v":0},{"$f":"'Sec. H In-State ADJ'!$P$17","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$18","v":8},{"$f":"'Sec. H In-State ADJ'!$C$18","v":"SUBPROVIDER II"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$18","v":0},{"$f":"$J$1695-$H$1695","v":0},{"$f":"'Sec. H In-State ADJ'!$P$18","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$19","v":9},{"$f":"'Sec. H In-State ADJ'!$C$19","v":"OTHER SUBPROVIDER"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$19","v":0},{"$f":"$J$1696-$H$1696","v":0},{"$f":"'Sec. H In-State ADJ'!$P$19","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$20","v":10},{"$f":"'Sec. H In-State ADJ'!$C$20","v":"NURSERY"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$20","v":0},{"$f":"$J$1697-$H$1697","v":0},{"$f":"'Sec. H In-State ADJ'!$P$20","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$21","v":11},{"$f":"'Sec. H In-State ADJ'!$C$21","v":0},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$21","v":0},{"$f":"$J$1698-$H$1698","v":0},{"$f":"'Sec. H In-State ADJ'!$P$21","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$22","v":12},{"$f":"'Sec. H In-State ADJ'!$C$22","v":0},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$22","v":0},{"$f":"$J$1699-$H$1699","v":0},{"$f":"'Sec. H In-State ADJ'!$P$22","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$23","v":13},{"$f":"'Sec. H In-State ADJ'!$C$23","v":0},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$23","v":0},{"$f":"$J$1700-$H$1700","v":0},{"$f":"'Sec. H In-State ADJ'!$P$23","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$24","v":14},{"$f":"'Sec. H In-State ADJ'!$C$24","v":0},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$24","v":0},{"$f":"$J$1701-$H$1701","v":0},{"$f":"'Sec. H In-State ADJ'!$P$24","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$25","v":15},{"$f":"'Sec. H In-State ADJ'!$C$25","v":0},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$25","v":0},{"$f":"$J$1702-$H$1702","v":0},{"$f":"'Sec. H In-State ADJ'!$P$25","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$26","v":16},{"$f":"'Sec. H In-State ADJ'!$C$26","v":0},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$26","v":0},{"$f":"$J$1703-$H$1703","v":0},{"$f":"'Sec. H In-State ADJ'!$P$26","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$27","v":17},{"$f":"'Sec. H In-State ADJ'!$C$27","v":0},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$27","v":0},{"$f":"$J$1704-$H$1704","v":0},{"$f":"'Sec. H In-State ADJ'!$P$27","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$34","v":21},{"$f":"'Sec. H In-State ADJ'!$C$34","v":"Routine Charges"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$34","v":3501140},{"$f":"$J$1705-$H$1705","v":0},{"$f":"'Sec. H In-State ADJ'!$P$34","v":3501140}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$38","v":22},{"$f":"'Sec. H In-State ADJ'!$C$38","v":"Observation (Non-Distinct)"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$38","v":110183.40000000001},{"$f":"$J$1706-$H$1706","v":0},{"$f":"'Sec. H In-State ADJ'!$P$38","v":110183.40000000001}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$39","v":23},{"$f":"'Sec. H In-State ADJ'!$C$39","v":"OPERATING ROOM"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$39","v":1789587.7500000002},{"$f":"$J$1707-$H$1707","v":0},{"$f":"'Sec. H In-State ADJ'!$P$39","v":1789587.7500000002}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$40","v":24},{"$f":"'Sec. H In-State ADJ'!$C$40","v":"RECOVERY ROOM"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$40","v":112101.09999999998},{"$f":"$J$1708-$H$1708","v":0},{"$f":"'Sec. H In-State ADJ'!$P$40","v":112101.09999999998}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$41","v":25},{"$f":"'Sec. H In-State ADJ'!$C$41","v":"DELIVERY ROOM & LABOR ROOM"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$41","v":0},{"$f":"$J$1709-$H$1709","v":0},{"$f":"'Sec. H In-State ADJ'!$P$41","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$42","v":26},{"$f":"'Sec. H In-State ADJ'!$C$42","v":"ANESTHESIOLOGY"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$42","v":349421.75000000035},{"$f":"$J$1710-$H$1710","v":0},{"$f":"'Sec. H In-State ADJ'!$P$42","v":349421.75000000035}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$43","v":27},{"$f":"'Sec. H In-State ADJ'!$C$43","v":"RADIOLOGY-DIAGNOSTIC"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$43","v":435620.1576420801},{"$f":"$J$1711-$H$1711","v":0},{"$f":"'Sec. H In-State ADJ'!$P$43","v":435620.1576420801}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$44","v":28},{"$f":"'Sec. H In-State ADJ'!$C$44","v":"RADIOLOGY-THERAPEUTIC"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$44","v":8663.7000000000007},{"$f":"$J$1712-$H$1712","v":0},{"$f":"'Sec. H In-State ADJ'!$P$44","v":8663.7000000000007}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$45","v":29},{"$f":"'Sec. H In-State ADJ'!$C$45","v":"NUCLEAR MEDICINE"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$45","v":129783.85000000003},{"$f":"$J$1713-$H$1713","v":0},{"$f":"'Sec. H In-State ADJ'!$P$45","v":129783.85000000003}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$46","v":30},{"$f":"'Sec. H In-State ADJ'!$C$46","v":"CT SCAN"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$46","v":773764.7},{"$f":"$J$1714-$H$1714","v":0},{"$f":"'Sec. H In-State ADJ'!$P$46","v":773764.7}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$47","v":31},{"$f":"'Sec. H In-State ADJ'!$C$47","v":"MRI"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$47","v":91900},{"$f":"$J$1715-$H$1715","v":0},{"$f":"'Sec. H In-State ADJ'!$P$47","v":91900}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$48","v":32},{"$f":"'Sec. H In-State ADJ'!$C$48","v":"CARDIAC CATHETERIZATION"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$48","v":429088.23505026969},{"$f":"$J$1716-$H$1716","v":0},{"$f":"'Sec. H In-State ADJ'!$P$48","v":429088.23505026969}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$49","v":33},{"$f":"'Sec. H In-State ADJ'!$C$49","v":"LABORATORY"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$49","v":2479722.3200000003},{"$f":"$J$1717-$H$1717","v":0},{"$f":"'Sec. H In-State ADJ'!$P$49","v":2479722.3200000003}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$50","v":34},{"$f":"'Sec. H In-State ADJ'!$C$50","v":"RESPIRATORY THERAPY"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$50","v":620649.57797330618},{"$f":"$J$1718-$H$1718","v":0},{"$f":"'Sec. H In-State ADJ'!$P$50","v":620649.57797330618}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$51","v":35},{"$f":"'Sec. H In-State ADJ'!$C$51","v":"PHYSICAL THERAPY"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$51","v":145411.79999999976},{"$f":"$J$1719-$H$1719","v":0},{"$f":"'Sec. H In-State ADJ'!$P$51","v":145411.79999999976}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$52","v":36},{"$f":"'Sec. H In-State ADJ'!$C$52","v":"SPEECH PATHOLOGY"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$52","v":0},{"$f":"$J$1720-$H$1720","v":0},{"$f":"'Sec. H In-State ADJ'!$P$52","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$53","v":37},{"$f":"'Sec. H In-State ADJ'!$C$53","v":"ELECTROCARDIOLOGY"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$53","v":329505.09999999998},{"$f":"$J$1721-$H$1721","v":0},{"$f":"'Sec. H In-State ADJ'!$P$53","v":329505.09999999998}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$54","v":38},{"$f":"'Sec. H In-State ADJ'!$C$54","v":"ELECTROENCEPHALOGRAPHY"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$54","v":5306},{"$f":"$J$1722-$H$1722","v":0},{"$f":"'Sec. H In-State ADJ'!$P$54","v":5306}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$55","v":39},{"$f":"'Sec. H In-State ADJ'!$C$55","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$55","v":747702.71999999927},{"$f":"$J$1723-$H$1723","v":0},{"$f":"'Sec. H In-State ADJ'!$P$55","v":747702.71999999927}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$56","v":40},{"$f":"'Sec. H In-State ADJ'!$C$56","v":"IMPL. DEV. CHARGED TO PATIENTS"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$56","v":403570.67999999988},{"$f":"$J$1724-$H$1724","v":0},{"$f":"'Sec. H In-State ADJ'!$P$56","v":403570.67999999988}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$57","v":41},{"$f":"'Sec. H In-State ADJ'!$C$57","v":"DRUGS CHARGED TO PATIENTS"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$57","v":1676742.4099999995},{"$f":"$J$1725-$H$1725","v":0},{"$f":"'Sec. H In-State ADJ'!$P$57","v":1676742.4099999995}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$58","v":42},{"$f":"'Sec. H In-State ADJ'!$C$58","v":"RENAL DIALYSIS"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$58","v":164924.7000000001},{"$f":"$J$1726-$H$1726","v":0},{"$f":"'Sec. H In-State ADJ'!$P$58","v":164924.7000000001}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$59","v":43},{"$f":"'Sec. H In-State ADJ'!$C$59","v":"CARDIOVASCULAR MEDICINE"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$59","v":356365.33007351059},{"$f":"$J$1727-$H$1727","v":0},{"$f":"'Sec. H In-State ADJ'!$P$59","v":356365.33007351059}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$60","v":44},{"$f":"'Sec. H In-State ADJ'!$C$60","v":"CLINIC"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$60","v":0},{"$f":"$J$1728-$H$1728","v":0},{"$f":"'Sec. H In-State ADJ'!$P$60","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$61","v":45},{"$f":"'Sec. H In-State ADJ'!$C$61","v":"NUTRITION"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$61","v":0},{"$f":"$J$1729-$H$1729","v":0},{"$f":"'Sec. H In-State ADJ'!$P$61","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$62","v":46},{"$f":"'Sec. H In-State ADJ'!$C$62","v":"WOUND CARE CENTER"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$62","v":14695.050000000028},{"$f":"$J$1730-$H$1730","v":0},{"$f":"'Sec. H In-State ADJ'!$P$62","v":14695.050000000028}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$63","v":47},{"$f":"'Sec. H In-State ADJ'!$C$63","v":"EMERGENCY"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$63","v":1018883.2500000003},{"$f":"$J$1731-$H$1731","v":0},{"$f":"'Sec. H In-State ADJ'!$P$63","v":1018883.2500000003}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$64","v":48},{"$f":"'Sec. H In-State ADJ'!$C$64","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$64","v":0},{"$f":"$J$1732-$H$1732","v":0},{"$f":"'Sec. H In-State ADJ'!$P$64","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$65","v":49},{"$f":"'Sec. H In-State ADJ'!$C$65","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$65","v":0},{"$f":"$J$1733-$H$1733","v":0},{"$f":"'Sec. H In-State ADJ'!$P$65","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$66","v":50},{"$f":"'Sec. H In-State ADJ'!$C$66","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$66","v":0},{"$f":"$J$1734-$H$1734","v":0},{"$f":"'Sec. H In-State ADJ'!$P$66","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$67","v":51},{"$f":"'Sec. H In-State ADJ'!$C$67","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$67","v":0},{"$f":"$J$1735-$H$1735","v":0},{"$f":"'Sec. H In-State ADJ'!$P$67","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$68","v":52},{"$f":"'Sec. H In-State ADJ'!$C$68","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$68","v":0},{"$f":"$J$1736-$H$1736","v":0},{"$f":"'Sec. H In-State ADJ'!$P$68","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$69","v":53},{"$f":"'Sec. H In-State ADJ'!$C$69","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$69","v":0},{"$f":"$J$1737-$H$1737","v":0},{"$f":"'Sec. H In-State ADJ'!$P$69","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$70","v":54},{"$f":"'Sec. H In-State ADJ'!$C$70","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$70","v":0},{"$f":"$J$1738-$H$1738","v":0},{"$f":"'Sec. H In-State ADJ'!$P$70","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$71","v":55},{"$f":"'Sec. H In-State ADJ'!$C$71","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$71","v":0},{"$f":"$J$1739-$H$1739","v":0},{"$f":"'Sec. H In-State ADJ'!$P$71","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$72","v":56},{"$f":"'Sec. H In-State ADJ'!$C$72","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$72","v":0},{"$f":"$J$1740-$H$1740","v":0},{"$f":"'Sec. H In-State ADJ'!$P$72","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$73","v":57},{"$f":"'Sec. H In-State ADJ'!$C$73","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$73","v":0},{"$f":"$J$1741-$H$1741","v":0},{"$f":"'Sec. H In-State ADJ'!$P$73","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$74","v":58},{"$f":"'Sec. H In-State ADJ'!$C$74","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$74","v":0},{"$f":"$J$1742-$H$1742","v":0},{"$f":"'Sec. H In-State ADJ'!$P$74","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$75","v":59},{"$f":"'Sec. H In-State ADJ'!$C$75","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$75","v":0},{"$f":"$J$1743-$H$1743","v":0},{"$f":"'Sec. H In-State ADJ'!$P$75","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$76","v":60},{"$f":"'Sec. H In-State ADJ'!$C$76","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$76","v":0},{"$f":"$J$1744-$H$1744","v":0},{"$f":"'Sec. H In-State ADJ'!$P$76","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$77","v":61},{"$f":"'Sec. H In-State ADJ'!$C$77","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$77","v":0},{"$f":"$J$1745-$H$1745","v":0},{"$f":"'Sec. H In-State ADJ'!$P$77","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$78","v":62},{"$f":"'Sec. H In-State ADJ'!$C$78","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$78","v":0},{"$f":"$J$1746-$H$1746","v":0},{"$f":"'Sec. H In-State ADJ'!$P$78","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$79","v":63},{"$f":"'Sec. H In-State ADJ'!$C$79","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$79","v":0},{"$f":"$J$1747-$H$1747","v":0},{"$f":"'Sec. H In-State ADJ'!$P$79","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$80","v":64},{"$f":"'Sec. H In-State ADJ'!$C$80","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$80","v":0},{"$f":"$J$1748-$H$1748","v":0},{"$f":"'Sec. H In-State ADJ'!$P$80","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$81","v":65},{"$f":"'Sec. H In-State ADJ'!$C$81","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$81","v":0},{"$f":"$J$1749-$H$1749","v":0},{"$f":"'Sec. H In-State ADJ'!$P$81","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$82","v":66},{"$f":"'Sec. H In-State ADJ'!$C$82","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$82","v":0},{"$f":"$J$1750-$H$1750","v":0},{"$f":"'Sec. H In-State ADJ'!$P$82","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$83","v":67},{"$f":"'Sec. H In-State ADJ'!$C$83","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$83","v":0},{"$f":"$J$1751-$H$1751","v":0},{"$f":"'Sec. H In-State ADJ'!$P$83","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$84","v":68},{"$f":"'Sec. H In-State ADJ'!$C$84","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$84","v":0},{"$f":"$J$1752-$H$1752","v":0},{"$f":"'Sec. H In-State ADJ'!$P$84","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$85","v":69},{"$f":"'Sec. H In-State ADJ'!$C$85","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$85","v":0},{"$f":"$J$1753-$H$1753","v":0},{"$f":"'Sec. H In-State ADJ'!$P$85","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$86","v":70},{"$f":"'Sec. H In-State ADJ'!$C$86","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$86","v":0},{"$f":"$J$1754-$H$1754","v":0},{"$f":"'Sec. H In-State ADJ'!$P$86","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$87","v":71},{"$f":"'Sec. H In-State ADJ'!$C$87","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$87","v":0},{"$f":"$J$1755-$H$1755","v":0},{"$f":"'Sec. H In-State ADJ'!$P$87","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$88","v":72},{"$f":"'Sec. H In-State ADJ'!$C$88","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$88","v":0},{"$f":"$J$1756-$H$1756","v":0},{"$f":"'Sec. H In-State ADJ'!$P$88","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$89","v":73},{"$f":"'Sec. H In-State ADJ'!$C$89","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$89","v":0},{"$f":"$J$1757-$H$1757","v":0},{"$f":"'Sec. H In-State ADJ'!$P$89","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$90","v":74},{"$f":"'Sec. H In-State ADJ'!$C$90","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$90","v":0},{"$f":"$J$1758-$H$1758","v":0},{"$f":"'Sec. H In-State ADJ'!$P$90","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$91","v":75},{"$f":"'Sec. H In-State ADJ'!$C$91","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$91","v":0},{"$f":"$J$1759-$H$1759","v":0},{"$f":"'Sec. H In-State ADJ'!$P$91","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$92","v":76},{"$f":"'Sec. H In-State ADJ'!$C$92","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$92","v":0},{"$f":"$J$1760-$H$1760","v":0},{"$f":"'Sec. H In-State ADJ'!$P$92","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$93","v":77},{"$f":"'Sec. H In-State ADJ'!$C$93","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$93","v":0},{"$f":"$J$1761-$H$1761","v":0},{"$f":"'Sec. H In-State ADJ'!$P$93","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$94","v":78},{"$f":"'Sec. H In-State ADJ'!$C$94","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$94","v":0},{"$f":"$J$1762-$H$1762","v":0},{"$f":"'Sec. H In-State ADJ'!$P$94","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$95","v":79},{"$f":"'Sec. H In-State ADJ'!$C$95","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$95","v":0},{"$f":"$J$1763-$H$1763","v":0},{"$f":"'Sec. H In-State ADJ'!$P$95","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$96","v":80},{"$f":"'Sec. H In-State ADJ'!$C$96","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$96","v":0},{"$f":"$J$1764-$H$1764","v":0},{"$f":"'Sec. H In-State ADJ'!$P$96","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$97","v":81},{"$f":"'Sec. H In-State ADJ'!$C$97","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$97","v":0},{"$f":"$J$1765-$H$1765","v":0},{"$f":"'Sec. H In-State ADJ'!$P$97","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$98","v":82},{"$f":"'Sec. H In-State ADJ'!$C$98","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$98","v":0},{"$f":"$J$1766-$H$1766","v":0},{"$f":"'Sec. H In-State ADJ'!$P$98","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$99","v":83},{"$f":"'Sec. H In-State ADJ'!$C$99","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$99","v":0},{"$f":"$J$1767-$H$1767","v":0},{"$f":"'Sec. H In-State ADJ'!$P$99","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$100","v":84},{"$f":"'Sec. H In-State ADJ'!$C$100","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$100","v":0},{"$f":"$J$1768-$H$1768","v":0},{"$f":"'Sec. H In-State ADJ'!$P$100","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$101","v":85},{"$f":"'Sec. H In-State ADJ'!$C$101","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$101","v":0},{"$f":"$J$1769-$H$1769","v":0},{"$f":"'Sec. H In-State ADJ'!$P$101","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$102","v":86},{"$f":"'Sec. H In-State ADJ'!$C$102","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$102","v":0},{"$f":"$J$1770-$H$1770","v":0},{"$f":"'Sec. H In-State ADJ'!$P$102","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$103","v":87},{"$f":"'Sec. H In-State ADJ'!$C$103","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$103","v":0},{"$f":"$J$1771-$H$1771","v":0},{"$f":"'Sec. H In-State ADJ'!$P$103","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$104","v":88},{"$f":"'Sec. H In-State ADJ'!$C$104","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$104","v":0},{"$f":"$J$1772-$H$1772","v":0},{"$f":"'Sec. H In-State ADJ'!$P$104","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$105","v":89},{"$f":"'Sec. H In-State ADJ'!$C$105","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$105","v":0},{"$f":"$J$1773-$H$1773","v":0},{"$f":"'Sec. H In-State ADJ'!$P$105","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$106","v":90},{"$f":"'Sec. H In-State ADJ'!$C$106","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$106","v":0},{"$f":"$J$1774-$H$1774","v":0},{"$f":"'Sec. H In-State ADJ'!$P$106","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$107","v":91},{"$f":"'Sec. H In-State ADJ'!$C$107","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$107","v":0},{"$f":"$J$1775-$H$1775","v":0},{"$f":"'Sec. H In-State ADJ'!$P$107","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$108","v":92},{"$f":"'Sec. H In-State ADJ'!$C$108","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$108","v":0},{"$f":"$J$1776-$H$1776","v":0},{"$f":"'Sec. H In-State ADJ'!$P$108","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$109","v":93},{"$f":"'Sec. H In-State ADJ'!$C$109","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$109","v":0},{"$f":"$J$1777-$H$1777","v":0},{"$f":"'Sec. H In-State ADJ'!$P$109","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$110","v":94},{"$f":"'Sec. H In-State ADJ'!$C$110","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$110","v":0},{"$f":"$J$1778-$H$1778","v":0},{"$f":"'Sec. H In-State ADJ'!$P$110","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$111","v":95},{"$f":"'Sec. H In-State ADJ'!$C$111","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$111","v":0},{"$f":"$J$1779-$H$1779","v":0},{"$f":"'Sec. H In-State ADJ'!$P$111","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$112","v":96},{"$f":"'Sec. H In-State ADJ'!$C$112","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$112","v":0},{"$f":"$J$1780-$H$1780","v":0},{"$f":"'Sec. H In-State ADJ'!$P$112","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$113","v":97},{"$f":"'Sec. H In-State ADJ'!$C$113","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$113","v":0},{"$f":"$J$1781-$H$1781","v":0},{"$f":"'Sec. H In-State ADJ'!$P$113","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$114","v":98},{"$f":"'Sec. H In-State ADJ'!$C$114","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$114","v":0},{"$f":"$J$1782-$H$1782","v":0},{"$f":"'Sec. H In-State ADJ'!$P$114","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$115","v":99},{"$f":"'Sec. H In-State ADJ'!$C$115","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$115","v":0},{"$f":"$J$1783-$H$1783","v":0},{"$f":"'Sec. H In-State ADJ'!$P$115","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$116","v":100},{"$f":"'Sec. H In-State ADJ'!$C$116","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$116","v":0},{"$f":"$J$1784-$H$1784","v":0},{"$f":"'Sec. H In-State ADJ'!$P$116","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$117","v":101},{"$f":"'Sec. H In-State ADJ'!$C$117","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$117","v":0},{"$f":"$J$1785-$H$1785","v":0},{"$f":"'Sec. H In-State ADJ'!$P$117","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$118","v":102},{"$f":"'Sec. H In-State ADJ'!$C$118","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$118","v":0},{"$f":"$J$1786-$H$1786","v":0},{"$f":"'Sec. H In-State ADJ'!$P$118","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$119","v":103},{"$f":"'Sec. H In-State ADJ'!$C$119","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$119","v":0},{"$f":"$J$1787-$H$1787","v":0},{"$f":"'Sec. H In-State ADJ'!$P$119","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$120","v":104},{"$f":"'Sec. H In-State ADJ'!$C$120","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$120","v":0},{"$f":"$J$1788-$H$1788","v":0},{"$f":"'Sec. H In-State ADJ'!$P$120","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$121","v":105},{"$f":"'Sec. H In-State ADJ'!$C$121","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$121","v":0},{"$f":"$J$1789-$H$1789","v":0},{"$f":"'Sec. H In-State ADJ'!$P$121","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$122","v":106},{"$f":"'Sec. H In-State ADJ'!$C$122","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$122","v":0},{"$f":"$J$1790-$H$1790","v":0},{"$f":"'Sec. H In-State ADJ'!$P$122","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$123","v":107},{"$f":"'Sec. H In-State ADJ'!$C$123","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$123","v":0},{"$f":"$J$1791-$H$1791","v":0},{"$f":"'Sec. H In-State ADJ'!$P$123","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$124","v":108},{"$f":"'Sec. H In-State ADJ'!$C$124","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$124","v":0},{"$f":"$J$1792-$H$1792","v":0},{"$f":"'Sec. H In-State ADJ'!$P$124","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$125","v":109},{"$f":"'Sec. H In-State ADJ'!$C$125","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$125","v":0},{"$f":"$J$1793-$H$1793","v":0},{"$f":"'Sec. H In-State ADJ'!$P$125","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$126","v":110},{"$f":"'Sec. H In-State ADJ'!$C$126","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$126","v":0},{"$f":"$J$1794-$H$1794","v":0},{"$f":"'Sec. H In-State ADJ'!$P$126","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$127","v":111},{"$f":"'Sec. H In-State ADJ'!$C$127","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$127","v":0},{"$f":"$J$1795-$H$1795","v":0},{"$f":"'Sec. H In-State ADJ'!$P$127","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$128","v":112},{"$f":"'Sec. H In-State ADJ'!$C$128","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$128","v":0},{"$f":"$J$1796-$H$1796","v":0},{"$f":"'Sec. H In-State ADJ'!$P$128","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$129","v":113},{"$f":"'Sec. H In-State ADJ'!$C$129","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$129","v":0},{"$f":"$J$1797-$H$1797","v":0},{"$f":"'Sec. H In-State ADJ'!$P$129","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$130","v":114},{"$f":"'Sec. H In-State ADJ'!$C$130","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$130","v":0},{"$f":"$J$1798-$H$1798","v":0},{"$f":"'Sec. H In-State ADJ'!$P$130","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$131","v":115},{"$f":"'Sec. H In-State ADJ'!$C$131","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$131","v":0},{"$f":"$J$1799-$H$1799","v":0},{"$f":"'Sec. H In-State ADJ'!$P$131","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$132","v":116},{"$f":"'Sec. H In-State ADJ'!$C$132","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$132","v":0},{"$f":"$J$1800-$H$1800","v":0},{"$f":"'Sec. H In-State ADJ'!$P$132","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$133","v":117},{"$f":"'Sec. H In-State ADJ'!$C$133","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$133","v":0},{"$f":"$J$1801-$H$1801","v":0},{"$f":"'Sec. H In-State ADJ'!$P$133","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$134","v":118},{"$f":"'Sec. H In-State ADJ'!$C$134","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$134","v":0},{"$f":"$J$1802-$H$1802","v":0},{"$f":"'Sec. H In-State ADJ'!$P$134","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$135","v":119},{"$f":"'Sec. H In-State ADJ'!$C$135","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$135","v":0},{"$f":"$J$1803-$H$1803","v":0},{"$f":"'Sec. H In-State ADJ'!$P$135","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$136","v":120},{"$f":"'Sec. H In-State ADJ'!$C$136","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$136","v":0},{"$f":"$J$1804-$H$1804","v":0},{"$f":"'Sec. H In-State ADJ'!$P$136","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$137","v":121},{"$f":"'Sec. H In-State ADJ'!$C$137","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$137","v":0},{"$f":"$J$1805-$H$1805","v":0},{"$f":"'Sec. H In-State ADJ'!$P$137","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$138","v":122},{"$f":"'Sec. H In-State ADJ'!$C$138","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$138","v":0},{"$f":"$J$1806-$H$1806","v":0},{"$f":"'Sec. H In-State ADJ'!$P$138","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$139","v":123},{"$f":"'Sec. H In-State ADJ'!$C$139","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$139","v":0},{"$f":"$J$1807-$H$1807","v":0},{"$f":"'Sec. H In-State ADJ'!$P$139","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$140","v":124},{"$f":"'Sec. H In-State ADJ'!$C$140","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$140","v":0},{"$f":"$J$1808-$H$1808","v":0},{"$f":"'Sec. H In-State ADJ'!$P$140","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$141","v":125},{"$f":"'Sec. H In-State ADJ'!$C$141","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$141","v":0},{"$f":"$J$1809-$H$1809","v":0},{"$f":"'Sec. H In-State ADJ'!$P$141","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$142","v":126},{"$f":"'Sec. H In-State ADJ'!$C$142","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$142","v":0},{"$f":"$J$1810-$H$1810","v":0},{"$f":"'Sec. H In-State ADJ'!$P$142","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$143","v":127},{"$f":"'Sec. H In-State ADJ'!$C$143","v":""},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$143","v":0},{"$f":"$J$1811-$H$1811","v":0},{"$f":"'Sec. H In-State ADJ'!$P$143","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$151","v":131.01},{"$f":"'Sec. H In-State ADJ'!$B$151","v":"Sampling Cost Adjustment (if applicable)"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to sample extrapolation.",0,{"$f":"$J$1812-$H$1812","v":0},{"$f":"'Sec. H In-State ADJ'!$P$151","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$154","v":132},{"$f":"'Sec. H In-State ADJ'!$B$154","v":"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$154","v":435609.49000000017},{"$f":"$J$1813-$H$1813","v":0},{"$f":"'Sec. H In-State ADJ'!$P$154","v":435609.49000000017}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$155","v":133},{"$f":"'Sec. H In-State ADJ'!$B$155","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$155","v":0},{"$f":"$J$1814-$H$1814","v":0},{"$f":"'Sec. H In-State ADJ'!$P$155","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$156","v":134},{"$f":"'Sec. H In-State ADJ'!$B$156","v":"Private Insurance (including primary and third party liability)"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$156","v":18497.02},{"$f":"$J$1815-$H$1815","v":0},{"$f":"'Sec. H In-State ADJ'!$P$156","v":18497.02}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$157","v":135},{"$f":"'Sec. H In-State ADJ'!$B$157","v":"Self-Pay (including Co-Pay and Spend-Down)"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$157","v":486.88},{"$f":"$J$1816-$H$1816","v":0},{"$f":"'Sec. H In-State ADJ'!$P$157","v":486.88}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$161","v":139},{"$f":"'Sec. H In-State ADJ'!$B$161","v":"Medicare Traditional (non-HMO) Paid Amount (excludes coinsurance/deductibles)"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$161","v":4815147.3600000031},{"$f":"$J$1817-$H$1817","v":0},{"$f":"'Sec. H In-State ADJ'!$P$161","v":4815147.3600000031}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$162","v":140},{"$f":"'Sec. H In-State ADJ'!$B$162","v":"Medicare Managed Care (HMO) Paid Amount (excludes coinsurance/deductibles)"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$162","v":7286.52},{"$f":"$J$1818-$H$1818","v":0},{"$f":"'Sec. H In-State ADJ'!$P$162","v":7286.52}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$163","v":141},{"$f":"'Sec. H In-State ADJ'!$B$163","v":"Medicare Cross-Over Bad Debt Payments"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$P$163","v":35003},{"$f":"$J$1819-$H$1819","v":0},{"$f":"'Sec. H In-State ADJ'!$P$163","v":35003}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$164","v":142},{"$f":"'Sec. H In-State ADJ'!$B$164","v":"Other Medicare Cross-Over Payments (See Note D)"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to include Medicare cost report settlements applicable to cross-overs.",{"$f":"'Sec. H In-State'!$P$164","v":0},{"$f":"$J$1820-$H$1820","v":0},{"$f":"'Sec. H In-State ADJ'!$P$164","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State'!$A$172","v":147},{"$f":"'Sec. H In-State'!$B$172","v":"Total Medicare Days from W/S S-3 of the Cost Report Excluding Swing-Bed (C/R, W/S S-3, Pt. I, Col. 6, Sum of Lns. 2, 3, 4, 14, 16, 17, 18 less lines 5 & 6)"},"9.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$P$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Inpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to cost report.",{"$f":"'Sec. H In-State'!$P$172","v":12387},{"$f":"$J$1821-$H$1821","v":0},{"$f":"'Sec. H In-State ADJ'!$P$172","v":12387}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$38","v":22},{"$f":"'Sec. H In-State ADJ'!$C$38","v":"Observation (Non-Distinct)"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$38","v":768365.94999999937},{"$f":"$J$1822-$H$1822","v":0},{"$f":"'Sec. H In-State ADJ'!$R$38","v":768365.94999999937}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$39","v":23},{"$f":"'Sec. H In-State ADJ'!$C$39","v":"OPERATING ROOM"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$39","v":1881606.4500000009},{"$f":"$J$1823-$H$1823","v":0},{"$f":"'Sec. H In-State ADJ'!$R$39","v":1881606.4500000009}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$40","v":24},{"$f":"'Sec. H In-State ADJ'!$C$40","v":"RECOVERY ROOM"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$40","v":205023.49999999945},{"$f":"$J$1824-$H$1824","v":0},{"$f":"'Sec. H In-State ADJ'!$R$40","v":205023.49999999945}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$41","v":25},{"$f":"'Sec. H In-State ADJ'!$C$41","v":"DELIVERY ROOM & LABOR ROOM"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$41","v":375.20000000000005},{"$f":"$J$1825-$H$1825","v":0},{"$f":"'Sec. H In-State ADJ'!$R$41","v":375.20000000000005}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$42","v":26},{"$f":"'Sec. H In-State ADJ'!$C$42","v":"ANESTHESIOLOGY"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$42","v":435910.65000000125},{"$f":"$J$1826-$H$1826","v":0},{"$f":"'Sec. H In-State ADJ'!$R$42","v":435910.65000000125}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$43","v":27},{"$f":"'Sec. H In-State ADJ'!$C$43","v":"RADIOLOGY-DIAGNOSTIC"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$43","v":1020149.6404479718},{"$f":"$J$1827-$H$1827","v":0},{"$f":"'Sec. H In-State ADJ'!$R$43","v":1020149.6404479718}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$44","v":28},{"$f":"'Sec. H In-State ADJ'!$C$44","v":"RADIOLOGY-THERAPEUTIC"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$44","v":1056998.3999999999},{"$f":"$J$1828-$H$1828","v":0},{"$f":"'Sec. H In-State ADJ'!$R$44","v":1056998.3999999999}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$45","v":29},{"$f":"'Sec. H In-State ADJ'!$C$45","v":"NUCLEAR MEDICINE"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$45","v":274042.10000000003},{"$f":"$J$1829-$H$1829","v":0},{"$f":"'Sec. H In-State ADJ'!$R$45","v":274042.10000000003}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$46","v":30},{"$f":"'Sec. H In-State ADJ'!$C$46","v":"CT SCAN"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$46","v":1446721.0999999999},{"$f":"$J$1830-$H$1830","v":0},{"$f":"'Sec. H In-State ADJ'!$R$46","v":1446721.0999999999}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$47","v":31},{"$f":"'Sec. H In-State ADJ'!$C$47","v":"MRI"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$47","v":164160},{"$f":"$J$1831-$H$1831","v":0},{"$f":"'Sec. H In-State ADJ'!$R$47","v":164160}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$48","v":32},{"$f":"'Sec. H In-State ADJ'!$C$48","v":"CARDIAC CATHETERIZATION"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$48","v":688478.80532554863},{"$f":"$J$1832-$H$1832","v":0},{"$f":"'Sec. H In-State ADJ'!$R$48","v":688478.80532554863}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$49","v":33},{"$f":"'Sec. H In-State ADJ'!$C$49","v":"LABORATORY"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$49","v":2292980.4699999993},{"$f":"$J$1833-$H$1833","v":0},{"$f":"'Sec. H In-State ADJ'!$R$49","v":2292980.4699999993}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$50","v":34},{"$f":"'Sec. H In-State ADJ'!$C$50","v":"RESPIRATORY THERAPY"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$50","v":80152.850000000093},{"$f":"$J$1834-$H$1834","v":0},{"$f":"'Sec. H In-State ADJ'!$R$50","v":80152.850000000093}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$51","v":35},{"$f":"'Sec. H In-State ADJ'!$C$51","v":"PHYSICAL THERAPY"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$51","v":161536.68999999997},{"$f":"$J$1835-$H$1835","v":0},{"$f":"'Sec. H In-State ADJ'!$R$51","v":161536.68999999997}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$52","v":36},{"$f":"'Sec. H In-State ADJ'!$C$52","v":"SPEECH PATHOLOGY"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$52","v":2958.2},{"$f":"$J$1836-$H$1836","v":0},{"$f":"'Sec. H In-State ADJ'!$R$52","v":2958.2}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$53","v":37},{"$f":"'Sec. H In-State ADJ'!$C$53","v":"ELECTROCARDIOLOGY"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$53","v":438569.89999999997},{"$f":"$J$1837-$H$1837","v":0},{"$f":"'Sec. H In-State ADJ'!$R$53","v":438569.89999999997}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$54","v":38},{"$f":"'Sec. H In-State ADJ'!$C$54","v":"ELECTROENCEPHALOGRAPHY"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$54","v":3326.3},{"$f":"$J$1838-$H$1838","v":0},{"$f":"'Sec. H In-State ADJ'!$R$54","v":3326.3}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$55","v":39},{"$f":"'Sec. H In-State ADJ'!$C$55","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$55","v":559202.86000000068},{"$f":"$J$1839-$H$1839","v":0},{"$f":"'Sec. H In-State ADJ'!$R$55","v":559202.86000000068}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$56","v":40},{"$f":"'Sec. H In-State ADJ'!$C$56","v":"IMPL. DEV. CHARGED TO PATIENTS"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$56","v":307940.13999999996},{"$f":"$J$1840-$H$1840","v":0},{"$f":"'Sec. H In-State ADJ'!$R$56","v":307940.13999999996}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$57","v":41},{"$f":"'Sec. H In-State ADJ'!$C$57","v":"DRUGS CHARGED TO PATIENTS"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$57","v":1203615.8799999999},{"$f":"$J$1841-$H$1841","v":0},{"$f":"'Sec. H In-State ADJ'!$R$57","v":1203615.8799999999}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$58","v":42},{"$f":"'Sec. H In-State ADJ'!$C$58","v":"RENAL DIALYSIS"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$58","v":35546.999999999993},{"$f":"$J$1842-$H$1842","v":0},{"$f":"'Sec. H In-State ADJ'!$R$58","v":35546.999999999993}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$59","v":43},{"$f":"'Sec. H In-State ADJ'!$C$59","v":"CARDIOVASCULAR MEDICINE"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$59","v":349473.80422647553},{"$f":"$J$1843-$H$1843","v":0},{"$f":"'Sec. H In-State ADJ'!$R$59","v":349473.80422647553}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$60","v":44},{"$f":"'Sec. H In-State ADJ'!$C$60","v":"CLINIC"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$60","v":0},{"$f":"$J$1844-$H$1844","v":0},{"$f":"'Sec. H In-State ADJ'!$R$60","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$61","v":45},{"$f":"'Sec. H In-State ADJ'!$C$61","v":"NUTRITION"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$61","v":0},{"$f":"$J$1845-$H$1845","v":0},{"$f":"'Sec. H In-State ADJ'!$R$61","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$62","v":46},{"$f":"'Sec. H In-State ADJ'!$C$62","v":"WOUND CARE CENTER"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$62","v":157924.35000000003},{"$f":"$J$1846-$H$1846","v":0},{"$f":"'Sec. H In-State ADJ'!$R$62","v":157924.35000000003}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$63","v":47},{"$f":"'Sec. H In-State ADJ'!$C$63","v":"EMERGENCY"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$63","v":2883958.3499999917},{"$f":"$J$1847-$H$1847","v":0},{"$f":"'Sec. H In-State ADJ'!$R$63","v":2883958.3499999917}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$64","v":48},{"$f":"'Sec. H In-State ADJ'!$C$64","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$64","v":0},{"$f":"$J$1848-$H$1848","v":0},{"$f":"'Sec. H In-State ADJ'!$R$64","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$65","v":49},{"$f":"'Sec. H In-State ADJ'!$C$65","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$65","v":0},{"$f":"$J$1849-$H$1849","v":0},{"$f":"'Sec. H In-State ADJ'!$R$65","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$66","v":50},{"$f":"'Sec. H In-State ADJ'!$C$66","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$66","v":0},{"$f":"$J$1850-$H$1850","v":0},{"$f":"'Sec. H In-State ADJ'!$R$66","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$67","v":51},{"$f":"'Sec. H In-State ADJ'!$C$67","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$67","v":0},{"$f":"$J$1851-$H$1851","v":0},{"$f":"'Sec. H In-State ADJ'!$R$67","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$68","v":52},{"$f":"'Sec. H In-State ADJ'!$C$68","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$68","v":0},{"$f":"$J$1852-$H$1852","v":0},{"$f":"'Sec. H In-State ADJ'!$R$68","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$69","v":53},{"$f":"'Sec. H In-State ADJ'!$C$69","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$69","v":0},{"$f":"$J$1853-$H$1853","v":0},{"$f":"'Sec. H In-State ADJ'!$R$69","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$70","v":54},{"$f":"'Sec. H In-State ADJ'!$C$70","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$70","v":0},{"$f":"$J$1854-$H$1854","v":0},{"$f":"'Sec. H In-State ADJ'!$R$70","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$71","v":55},{"$f":"'Sec. H In-State ADJ'!$C$71","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$71","v":0},{"$f":"$J$1855-$H$1855","v":0},{"$f":"'Sec. H In-State ADJ'!$R$71","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$72","v":56},{"$f":"'Sec. H In-State ADJ'!$C$72","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$72","v":0},{"$f":"$J$1856-$H$1856","v":0},{"$f":"'Sec. H In-State ADJ'!$R$72","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$73","v":57},{"$f":"'Sec. H In-State ADJ'!$C$73","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$73","v":0},{"$f":"$J$1857-$H$1857","v":0},{"$f":"'Sec. H In-State ADJ'!$R$73","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$74","v":58},{"$f":"'Sec. H In-State ADJ'!$C$74","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$74","v":0},{"$f":"$J$1858-$H$1858","v":0},{"$f":"'Sec. H In-State ADJ'!$R$74","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$75","v":59},{"$f":"'Sec. H In-State ADJ'!$C$75","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$75","v":0},{"$f":"$J$1859-$H$1859","v":0},{"$f":"'Sec. H In-State ADJ'!$R$75","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$76","v":60},{"$f":"'Sec. H In-State ADJ'!$C$76","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$76","v":0},{"$f":"$J$1860-$H$1860","v":0},{"$f":"'Sec. H In-State ADJ'!$R$76","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$77","v":61},{"$f":"'Sec. H In-State ADJ'!$C$77","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$77","v":0},{"$f":"$J$1861-$H$1861","v":0},{"$f":"'Sec. H In-State ADJ'!$R$77","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$78","v":62},{"$f":"'Sec. H In-State ADJ'!$C$78","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$78","v":0},{"$f":"$J$1862-$H$1862","v":0},{"$f":"'Sec. H In-State ADJ'!$R$78","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$79","v":63},{"$f":"'Sec. H In-State ADJ'!$C$79","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$79","v":0},{"$f":"$J$1863-$H$1863","v":0},{"$f":"'Sec. H In-State ADJ'!$R$79","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$80","v":64},{"$f":"'Sec. H In-State ADJ'!$C$80","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$80","v":0},{"$f":"$J$1864-$H$1864","v":0},{"$f":"'Sec. H In-State ADJ'!$R$80","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$81","v":65},{"$f":"'Sec. H In-State ADJ'!$C$81","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$81","v":0},{"$f":"$J$1865-$H$1865","v":0},{"$f":"'Sec. H In-State ADJ'!$R$81","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$82","v":66},{"$f":"'Sec. H In-State ADJ'!$C$82","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$82","v":0},{"$f":"$J$1866-$H$1866","v":0},{"$f":"'Sec. H In-State ADJ'!$R$82","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$83","v":67},{"$f":"'Sec. H In-State ADJ'!$C$83","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$83","v":0},{"$f":"$J$1867-$H$1867","v":0},{"$f":"'Sec. H In-State ADJ'!$R$83","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$84","v":68},{"$f":"'Sec. H In-State ADJ'!$C$84","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$84","v":0},{"$f":"$J$1868-$H$1868","v":0},{"$f":"'Sec. H In-State ADJ'!$R$84","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$85","v":69},{"$f":"'Sec. H In-State ADJ'!$C$85","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$85","v":0},{"$f":"$J$1869-$H$1869","v":0},{"$f":"'Sec. H In-State ADJ'!$R$85","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$86","v":70},{"$f":"'Sec. H In-State ADJ'!$C$86","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$86","v":0},{"$f":"$J$1870-$H$1870","v":0},{"$f":"'Sec. H In-State ADJ'!$R$86","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$87","v":71},{"$f":"'Sec. H In-State ADJ'!$C$87","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$87","v":0},{"$f":"$J$1871-$H$1871","v":0},{"$f":"'Sec. H In-State ADJ'!$R$87","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$88","v":72},{"$f":"'Sec. H In-State ADJ'!$C$88","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$88","v":0},{"$f":"$J$1872-$H$1872","v":0},{"$f":"'Sec. H In-State ADJ'!$R$88","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$89","v":73},{"$f":"'Sec. H In-State ADJ'!$C$89","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$89","v":0},{"$f":"$J$1873-$H$1873","v":0},{"$f":"'Sec. H In-State ADJ'!$R$89","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$90","v":74},{"$f":"'Sec. H In-State ADJ'!$C$90","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$90","v":0},{"$f":"$J$1874-$H$1874","v":0},{"$f":"'Sec. H In-State ADJ'!$R$90","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$91","v":75},{"$f":"'Sec. H In-State ADJ'!$C$91","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$91","v":0},{"$f":"$J$1875-$H$1875","v":0},{"$f":"'Sec. H In-State ADJ'!$R$91","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$92","v":76},{"$f":"'Sec. H In-State ADJ'!$C$92","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$92","v":0},{"$f":"$J$1876-$H$1876","v":0},{"$f":"'Sec. H In-State ADJ'!$R$92","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$93","v":77},{"$f":"'Sec. H In-State ADJ'!$C$93","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$93","v":0},{"$f":"$J$1877-$H$1877","v":0},{"$f":"'Sec. H In-State ADJ'!$R$93","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$94","v":78},{"$f":"'Sec. H In-State ADJ'!$C$94","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$94","v":0},{"$f":"$J$1878-$H$1878","v":0},{"$f":"'Sec. H In-State ADJ'!$R$94","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$95","v":79},{"$f":"'Sec. H In-State ADJ'!$C$95","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$95","v":0},{"$f":"$J$1879-$H$1879","v":0},{"$f":"'Sec. H In-State ADJ'!$R$95","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$96","v":80},{"$f":"'Sec. H In-State ADJ'!$C$96","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$96","v":0},{"$f":"$J$1880-$H$1880","v":0},{"$f":"'Sec. H In-State ADJ'!$R$96","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$97","v":81},{"$f":"'Sec. H In-State ADJ'!$C$97","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$97","v":0},{"$f":"$J$1881-$H$1881","v":0},{"$f":"'Sec. H In-State ADJ'!$R$97","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$98","v":82},{"$f":"'Sec. H In-State ADJ'!$C$98","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$98","v":0},{"$f":"$J$1882-$H$1882","v":0},{"$f":"'Sec. H In-State ADJ'!$R$98","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$99","v":83},{"$f":"'Sec. H In-State ADJ'!$C$99","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$99","v":0},{"$f":"$J$1883-$H$1883","v":0},{"$f":"'Sec. H In-State ADJ'!$R$99","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$100","v":84},{"$f":"'Sec. H In-State ADJ'!$C$100","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$100","v":0},{"$f":"$J$1884-$H$1884","v":0},{"$f":"'Sec. H In-State ADJ'!$R$100","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$101","v":85},{"$f":"'Sec. H In-State ADJ'!$C$101","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$101","v":0},{"$f":"$J$1885-$H$1885","v":0},{"$f":"'Sec. H In-State ADJ'!$R$101","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$102","v":86},{"$f":"'Sec. H In-State ADJ'!$C$102","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$102","v":0},{"$f":"$J$1886-$H$1886","v":0},{"$f":"'Sec. H In-State ADJ'!$R$102","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$103","v":87},{"$f":"'Sec. H In-State ADJ'!$C$103","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$103","v":0},{"$f":"$J$1887-$H$1887","v":0},{"$f":"'Sec. H In-State ADJ'!$R$103","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$104","v":88},{"$f":"'Sec. H In-State ADJ'!$C$104","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$104","v":0},{"$f":"$J$1888-$H$1888","v":0},{"$f":"'Sec. H In-State ADJ'!$R$104","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$105","v":89},{"$f":"'Sec. H In-State ADJ'!$C$105","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$105","v":0},{"$f":"$J$1889-$H$1889","v":0},{"$f":"'Sec. H In-State ADJ'!$R$105","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$106","v":90},{"$f":"'Sec. H In-State ADJ'!$C$106","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$106","v":0},{"$f":"$J$1890-$H$1890","v":0},{"$f":"'Sec. H In-State ADJ'!$R$106","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$107","v":91},{"$f":"'Sec. H In-State ADJ'!$C$107","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$107","v":0},{"$f":"$J$1891-$H$1891","v":0},{"$f":"'Sec. H In-State ADJ'!$R$107","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$108","v":92},{"$f":"'Sec. H In-State ADJ'!$C$108","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$108","v":0},{"$f":"$J$1892-$H$1892","v":0},{"$f":"'Sec. H In-State ADJ'!$R$108","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$109","v":93},{"$f":"'Sec. H In-State ADJ'!$C$109","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$109","v":0},{"$f":"$J$1893-$H$1893","v":0},{"$f":"'Sec. H In-State ADJ'!$R$109","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$110","v":94},{"$f":"'Sec. H In-State ADJ'!$C$110","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$110","v":0},{"$f":"$J$1894-$H$1894","v":0},{"$f":"'Sec. H In-State ADJ'!$R$110","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$111","v":95},{"$f":"'Sec. H In-State ADJ'!$C$111","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$111","v":0},{"$f":"$J$1895-$H$1895","v":0},{"$f":"'Sec. H In-State ADJ'!$R$111","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$112","v":96},{"$f":"'Sec. H In-State ADJ'!$C$112","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$112","v":0},{"$f":"$J$1896-$H$1896","v":0},{"$f":"'Sec. H In-State ADJ'!$R$112","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$113","v":97},{"$f":"'Sec. H In-State ADJ'!$C$113","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$113","v":0},{"$f":"$J$1897-$H$1897","v":0},{"$f":"'Sec. H In-State ADJ'!$R$113","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$114","v":98},{"$f":"'Sec. H In-State ADJ'!$C$114","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$114","v":0},{"$f":"$J$1898-$H$1898","v":0},{"$f":"'Sec. H In-State ADJ'!$R$114","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$115","v":99},{"$f":"'Sec. H In-State ADJ'!$C$115","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$115","v":0},{"$f":"$J$1899-$H$1899","v":0},{"$f":"'Sec. H In-State ADJ'!$R$115","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$116","v":100},{"$f":"'Sec. H In-State ADJ'!$C$116","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$116","v":0},{"$f":"$J$1900-$H$1900","v":0},{"$f":"'Sec. H In-State ADJ'!$R$116","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$117","v":101},{"$f":"'Sec. H In-State ADJ'!$C$117","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$117","v":0},{"$f":"$J$1901-$H$1901","v":0},{"$f":"'Sec. H In-State ADJ'!$R$117","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$118","v":102},{"$f":"'Sec. H In-State ADJ'!$C$118","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$118","v":0},{"$f":"$J$1902-$H$1902","v":0},{"$f":"'Sec. H In-State ADJ'!$R$118","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$119","v":103},{"$f":"'Sec. H In-State ADJ'!$C$119","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$119","v":0},{"$f":"$J$1903-$H$1903","v":0},{"$f":"'Sec. H In-State ADJ'!$R$119","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$120","v":104},{"$f":"'Sec. H In-State ADJ'!$C$120","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$120","v":0},{"$f":"$J$1904-$H$1904","v":0},{"$f":"'Sec. H In-State ADJ'!$R$120","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$121","v":105},{"$f":"'Sec. H In-State ADJ'!$C$121","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$121","v":0},{"$f":"$J$1905-$H$1905","v":0},{"$f":"'Sec. H In-State ADJ'!$R$121","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$122","v":106},{"$f":"'Sec. H In-State ADJ'!$C$122","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$122","v":0},{"$f":"$J$1906-$H$1906","v":0},{"$f":"'Sec. H In-State ADJ'!$R$122","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$123","v":107},{"$f":"'Sec. H In-State ADJ'!$C$123","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$123","v":0},{"$f":"$J$1907-$H$1907","v":0},{"$f":"'Sec. H In-State ADJ'!$R$123","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$124","v":108},{"$f":"'Sec. H In-State ADJ'!$C$124","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$124","v":0},{"$f":"$J$1908-$H$1908","v":0},{"$f":"'Sec. H In-State ADJ'!$R$124","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$125","v":109},{"$f":"'Sec. H In-State ADJ'!$C$125","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$125","v":0},{"$f":"$J$1909-$H$1909","v":0},{"$f":"'Sec. H In-State ADJ'!$R$125","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$126","v":110},{"$f":"'Sec. H In-State ADJ'!$C$126","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$126","v":0},{"$f":"$J$1910-$H$1910","v":0},{"$f":"'Sec. H In-State ADJ'!$R$126","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$127","v":111},{"$f":"'Sec. H In-State ADJ'!$C$127","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$127","v":0},{"$f":"$J$1911-$H$1911","v":0},{"$f":"'Sec. H In-State ADJ'!$R$127","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$128","v":112},{"$f":"'Sec. H In-State ADJ'!$C$128","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$128","v":0},{"$f":"$J$1912-$H$1912","v":0},{"$f":"'Sec. H In-State ADJ'!$R$128","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$129","v":113},{"$f":"'Sec. H In-State ADJ'!$C$129","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$129","v":0},{"$f":"$J$1913-$H$1913","v":0},{"$f":"'Sec. H In-State ADJ'!$R$129","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$130","v":114},{"$f":"'Sec. H In-State ADJ'!$C$130","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$130","v":0},{"$f":"$J$1914-$H$1914","v":0},{"$f":"'Sec. H In-State ADJ'!$R$130","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$131","v":115},{"$f":"'Sec. H In-State ADJ'!$C$131","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$131","v":0},{"$f":"$J$1915-$H$1915","v":0},{"$f":"'Sec. H In-State ADJ'!$R$131","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$132","v":116},{"$f":"'Sec. H In-State ADJ'!$C$132","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$132","v":0},{"$f":"$J$1916-$H$1916","v":0},{"$f":"'Sec. H In-State ADJ'!$R$132","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$133","v":117},{"$f":"'Sec. H In-State ADJ'!$C$133","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$133","v":0},{"$f":"$J$1917-$H$1917","v":0},{"$f":"'Sec. H In-State ADJ'!$R$133","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$134","v":118},{"$f":"'Sec. H In-State ADJ'!$C$134","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$134","v":0},{"$f":"$J$1918-$H$1918","v":0},{"$f":"'Sec. H In-State ADJ'!$R$134","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$135","v":119},{"$f":"'Sec. H In-State ADJ'!$C$135","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$135","v":0},{"$f":"$J$1919-$H$1919","v":0},{"$f":"'Sec. H In-State ADJ'!$R$135","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$136","v":120},{"$f":"'Sec. H In-State ADJ'!$C$136","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$136","v":0},{"$f":"$J$1920-$H$1920","v":0},{"$f":"'Sec. H In-State ADJ'!$R$136","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$137","v":121},{"$f":"'Sec. H In-State ADJ'!$C$137","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$137","v":0},{"$f":"$J$1921-$H$1921","v":0},{"$f":"'Sec. H In-State ADJ'!$R$137","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$138","v":122},{"$f":"'Sec. H In-State ADJ'!$C$138","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$138","v":0},{"$f":"$J$1922-$H$1922","v":0},{"$f":"'Sec. H In-State ADJ'!$R$138","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$139","v":123},{"$f":"'Sec. H In-State ADJ'!$C$139","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$139","v":0},{"$f":"$J$1923-$H$1923","v":0},{"$f":"'Sec. H In-State ADJ'!$R$139","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$140","v":124},{"$f":"'Sec. H In-State ADJ'!$C$140","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$140","v":0},{"$f":"$J$1924-$H$1924","v":0},{"$f":"'Sec. H In-State ADJ'!$R$140","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$141","v":125},{"$f":"'Sec. H In-State ADJ'!$C$141","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$141","v":0},{"$f":"$J$1925-$H$1925","v":0},{"$f":"'Sec. H In-State ADJ'!$R$141","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$142","v":126},{"$f":"'Sec. H In-State ADJ'!$C$142","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$142","v":0},{"$f":"$J$1926-$H$1926","v":0},{"$f":"'Sec. H In-State ADJ'!$R$142","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$143","v":127},{"$f":"'Sec. H In-State ADJ'!$C$143","v":""},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$143","v":0},{"$f":"$J$1927-$H$1927","v":0},{"$f":"'Sec. H In-State ADJ'!$R$143","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$151","v":131.01},{"$f":"'Sec. H In-State ADJ'!$B$151","v":"Sampling Cost Adjustment (if applicable)"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to sample extrapolation.",0,{"$f":"$J$1928-$H$1928","v":0},{"$f":"'Sec. H In-State ADJ'!$R$151","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$154","v":132},{"$f":"'Sec. H In-State ADJ'!$B$154","v":"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$154","v":311357.97000000009},{"$f":"$J$1929-$H$1929","v":0},{"$f":"'Sec. H In-State ADJ'!$R$154","v":311357.97000000009}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$155","v":133},{"$f":"'Sec. H In-State ADJ'!$B$155","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$155","v":54.300000000000004},{"$f":"$J$1930-$H$1930","v":0},{"$f":"'Sec. H In-State ADJ'!$R$155","v":54.300000000000004}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$156","v":134},{"$f":"'Sec. H In-State ADJ'!$B$156","v":"Private Insurance (including primary and third party liability)"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$156","v":8844.9999999999964},{"$f":"$J$1931-$H$1931","v":0},{"$f":"'Sec. H In-State ADJ'!$R$156","v":8844.9999999999964}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$157","v":135},{"$f":"'Sec. H In-State ADJ'!$B$157","v":"Self-Pay (including Co-Pay and Spend-Down)"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$157","v":3862.1300000000006},{"$f":"$J$1932-$H$1932","v":0},{"$f":"'Sec. H In-State ADJ'!$R$157","v":3862.1300000000006}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$161","v":139},{"$f":"'Sec. H In-State ADJ'!$B$161","v":"Medicare Traditional (non-HMO) Paid Amount (excludes coinsurance/deductibles)"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$161","v":2444202.0499999751},{"$f":"$J$1933-$H$1933","v":0},{"$f":"'Sec. H In-State ADJ'!$R$161","v":2444202.0499999751}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$162","v":140},{"$f":"'Sec. H In-State ADJ'!$B$162","v":"Medicare Managed Care (HMO) Paid Amount (excludes coinsurance/deductibles)"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$162","v":393},{"$f":"$J$1934-$H$1934","v":0},{"$f":"'Sec. H In-State ADJ'!$R$162","v":393}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$163","v":141},{"$f":"'Sec. H In-State ADJ'!$B$163","v":"Medicare Cross-Over Bad Debt Payments"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$R$163","v":55778},{"$f":"$J$1935-$H$1935","v":0},{"$f":"'Sec. H In-State ADJ'!$R$163","v":55778}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$164","v":142},{"$f":"'Sec. H In-State ADJ'!$B$164","v":"Other Medicare Cross-Over Payments (See Note D)"},"10.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$R$6,\" \", 'Sec. H In-State ADJ'!$P$5)","v":"Outpatient In-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to include Medicare cost report settlements applicable to cross-overs.",{"$f":"'Sec. H In-State'!$R$164","v":0},{"$f":"$J$1936-$H$1936","v":0},{"$f":"'Sec. H In-State ADJ'!$R$164","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$11","v":1},{"$f":"'Sec. H In-State ADJ'!$C$11","v":"ADULTS & PEDIATRICS"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$11","v":1765},{"$f":"$J$1937-$H$1937","v":0},{"$f":"'Sec. H In-State ADJ'!$T$11","v":1765}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$12","v":2},{"$f":"'Sec. H In-State ADJ'!$C$12","v":"INTENSIVE CARE UNIT"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$12","v":160},{"$f":"$J$1938-$H$1938","v":0},{"$f":"'Sec. H In-State ADJ'!$T$12","v":160}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$13","v":3},{"$f":"'Sec. H In-State ADJ'!$C$13","v":"CORONARY CARE UNIT"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$13","v":0},{"$f":"$J$1939-$H$1939","v":0},{"$f":"'Sec. H In-State ADJ'!$T$13","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$14","v":4},{"$f":"'Sec. H In-State ADJ'!$C$14","v":"BURN INTENSIVE CARE UNIT"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$14","v":0},{"$f":"$J$1940-$H$1940","v":0},{"$f":"'Sec. H In-State ADJ'!$T$14","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$15","v":5},{"$f":"'Sec. H In-State ADJ'!$C$15","v":"SURGICAL INTENSIVE CARE UNIT"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$15","v":0},{"$f":"$J$1941-$H$1941","v":0},{"$f":"'Sec. H In-State ADJ'!$T$15","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$16","v":6},{"$f":"'Sec. H In-State ADJ'!$C$16","v":"OTHER SPECIAL CARE UNIT"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$16","v":0},{"$f":"$J$1942-$H$1942","v":0},{"$f":"'Sec. H In-State ADJ'!$T$16","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$17","v":7},{"$f":"'Sec. H In-State ADJ'!$C$17","v":"SUBPROVIDER I"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$17","v":0},{"$f":"$J$1943-$H$1943","v":0},{"$f":"'Sec. H In-State ADJ'!$T$17","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$18","v":8},{"$f":"'Sec. H In-State ADJ'!$C$18","v":"SUBPROVIDER II"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$18","v":0},{"$f":"$J$1944-$H$1944","v":0},{"$f":"'Sec. H In-State ADJ'!$T$18","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$19","v":9},{"$f":"'Sec. H In-State ADJ'!$C$19","v":"OTHER SUBPROVIDER"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$19","v":0},{"$f":"$J$1945-$H$1945","v":0},{"$f":"'Sec. H In-State ADJ'!$T$19","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$20","v":10},{"$f":"'Sec. H In-State ADJ'!$C$20","v":"NURSERY"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$20","v":256},{"$f":"$J$1946-$H$1946","v":0},{"$f":"'Sec. H In-State ADJ'!$T$20","v":256}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$21","v":11},{"$f":"'Sec. H In-State ADJ'!$C$21","v":0},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$21","v":0},{"$f":"$J$1947-$H$1947","v":0},{"$f":"'Sec. H In-State ADJ'!$T$21","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$22","v":12},{"$f":"'Sec. H In-State ADJ'!$C$22","v":0},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$22","v":0},{"$f":"$J$1948-$H$1948","v":0},{"$f":"'Sec. H In-State ADJ'!$T$22","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$23","v":13},{"$f":"'Sec. H In-State ADJ'!$C$23","v":0},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$23","v":0},{"$f":"$J$1949-$H$1949","v":0},{"$f":"'Sec. H In-State ADJ'!$T$23","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$24","v":14},{"$f":"'Sec. H In-State ADJ'!$C$24","v":0},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$24","v":0},{"$f":"$J$1950-$H$1950","v":0},{"$f":"'Sec. H In-State ADJ'!$T$24","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$25","v":15},{"$f":"'Sec. H In-State ADJ'!$C$25","v":0},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$25","v":0},{"$f":"$J$1951-$H$1951","v":0},{"$f":"'Sec. H In-State ADJ'!$T$25","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$26","v":16},{"$f":"'Sec. H In-State ADJ'!$C$26","v":0},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$26","v":0},{"$f":"$J$1952-$H$1952","v":0},{"$f":"'Sec. H In-State ADJ'!$T$26","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$27","v":17},{"$f":"'Sec. H In-State ADJ'!$C$27","v":0},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$27","v":0},{"$f":"$J$1953-$H$1953","v":0},{"$f":"'Sec. H In-State ADJ'!$T$27","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$34","v":21},{"$f":"'Sec. H In-State ADJ'!$C$34","v":"Routine Charges"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$34","v":2801175},{"$f":"$J$1954-$H$1954","v":0},{"$f":"'Sec. H In-State ADJ'!$T$34","v":2801175}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$38","v":22},{"$f":"'Sec. H In-State ADJ'!$C$38","v":"Observation (Non-Distinct)"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$38","v":88347.89999999998},{"$f":"$J$1955-$H$1955","v":0},{"$f":"'Sec. H In-State ADJ'!$T$38","v":88347.89999999998}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$39","v":23},{"$f":"'Sec. H In-State ADJ'!$C$39","v":"OPERATING ROOM"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$39","v":1304675.2},{"$f":"$J$1956-$H$1956","v":0},{"$f":"'Sec. H In-State ADJ'!$T$39","v":1304675.2}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$40","v":24},{"$f":"'Sec. H In-State ADJ'!$C$40","v":"RECOVERY ROOM"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$40","v":98641.299999999857},{"$f":"$J$1957-$H$1957","v":0},{"$f":"'Sec. H In-State ADJ'!$T$40","v":98641.299999999857}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$41","v":25},{"$f":"'Sec. H In-State ADJ'!$C$41","v":"DELIVERY ROOM & LABOR ROOM"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$41","v":646608.69999999995},{"$f":"$J$1958-$H$1958","v":0},{"$f":"'Sec. H In-State ADJ'!$T$41","v":646608.69999999995}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$42","v":26},{"$f":"'Sec. H In-State ADJ'!$C$42","v":"ANESTHESIOLOGY"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$42","v":346983.44999999937},{"$f":"$J$1959-$H$1959","v":0},{"$f":"'Sec. H In-State ADJ'!$T$42","v":346983.44999999937}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$43","v":27},{"$f":"'Sec. H In-State ADJ'!$C$43","v":"RADIOLOGY-DIAGNOSTIC"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$43","v":325065.95167818654},{"$f":"$J$1960-$H$1960","v":0},{"$f":"'Sec. H In-State ADJ'!$T$43","v":325065.95167818654}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$44","v":28},{"$f":"'Sec. H In-State ADJ'!$C$44","v":"RADIOLOGY-THERAPEUTIC"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$44","v":34387.25},{"$f":"$J$1961-$H$1961","v":0},{"$f":"'Sec. H In-State ADJ'!$T$44","v":34387.25}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$45","v":29},{"$f":"'Sec. H In-State ADJ'!$C$45","v":"NUCLEAR MEDICINE"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$45","v":77691.55},{"$f":"$J$1962-$H$1962","v":0},{"$f":"'Sec. H In-State ADJ'!$T$45","v":77691.55}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$46","v":30},{"$f":"'Sec. H In-State ADJ'!$C$46","v":"CT SCAN"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$46","v":460941.00000000006},{"$f":"$J$1963-$H$1963","v":0},{"$f":"'Sec. H In-State ADJ'!$T$46","v":460941.00000000006}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$47","v":31},{"$f":"'Sec. H In-State ADJ'!$C$47","v":"MRI"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$47","v":66110},{"$f":"$J$1964-$H$1964","v":0},{"$f":"'Sec. H In-State ADJ'!$T$47","v":66110}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$48","v":32},{"$f":"'Sec. H In-State ADJ'!$C$48","v":"CARDIAC CATHETERIZATION"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$48","v":422638.39482863061},{"$f":"$J$1965-$H$1965","v":0},{"$f":"'Sec. H In-State ADJ'!$T$48","v":422638.39482863061}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$49","v":33},{"$f":"'Sec. H In-State ADJ'!$C$49","v":"LABORATORY"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$49","v":1725261.0099999993},{"$f":"$J$1966-$H$1966","v":0},{"$f":"'Sec. H In-State ADJ'!$T$49","v":1725261.0099999993}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$50","v":34},{"$f":"'Sec. H In-State ADJ'!$C$50","v":"RESPIRATORY THERAPY"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$50","v":507680.27405204298},{"$f":"$J$1967-$H$1967","v":0},{"$f":"'Sec. H In-State ADJ'!$T$50","v":507680.27405204298}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$51","v":35},{"$f":"'Sec. H In-State ADJ'!$C$51","v":"PHYSICAL THERAPY"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$51","v":129481.25999999998},{"$f":"$J$1968-$H$1968","v":0},{"$f":"'Sec. H In-State ADJ'!$T$51","v":129481.25999999998}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$52","v":36},{"$f":"'Sec. H In-State ADJ'!$C$52","v":"SPEECH PATHOLOGY"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$52","v":0},{"$f":"$J$1969-$H$1969","v":0},{"$f":"'Sec. H In-State ADJ'!$T$52","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$53","v":37},{"$f":"'Sec. H In-State ADJ'!$C$53","v":"ELECTROCARDIOLOGY"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$53","v":250122.85},{"$f":"$J$1970-$H$1970","v":0},{"$f":"'Sec. H In-State ADJ'!$T$53","v":250122.85}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$54","v":38},{"$f":"'Sec. H In-State ADJ'!$C$54","v":"ELECTROENCEPHALOGRAPHY"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$54","v":4989.4500000000007},{"$f":"$J$1971-$H$1971","v":0},{"$f":"'Sec. H In-State ADJ'!$T$54","v":4989.4500000000007}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$55","v":39},{"$f":"'Sec. H In-State ADJ'!$C$55","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$55","v":568444.03000000061},{"$f":"$J$1972-$H$1972","v":0},{"$f":"'Sec. H In-State ADJ'!$T$55","v":568444.03000000061}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$56","v":40},{"$f":"'Sec. H In-State ADJ'!$C$56","v":"IMPL. DEV. CHARGED TO PATIENTS"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$56","v":197449.05},{"$f":"$J$1973-$H$1973","v":0},{"$f":"'Sec. H In-State ADJ'!$T$56","v":197449.05}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$57","v":41},{"$f":"'Sec. H In-State ADJ'!$C$57","v":"DRUGS CHARGED TO PATIENTS"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$57","v":1237510.6500000001},{"$f":"$J$1974-$H$1974","v":0},{"$f":"'Sec. H In-State ADJ'!$T$57","v":1237510.6500000001}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$58","v":42},{"$f":"'Sec. H In-State ADJ'!$C$58","v":"RENAL DIALYSIS"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$58","v":70427.100000000006},{"$f":"$J$1975-$H$1975","v":0},{"$f":"'Sec. H In-State ADJ'!$T$58","v":70427.100000000006}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$59","v":43},{"$f":"'Sec. H In-State ADJ'!$C$59","v":"CARDIOVASCULAR MEDICINE"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$59","v":342106.98016919644},{"$f":"$J$1976-$H$1976","v":0},{"$f":"'Sec. H In-State ADJ'!$T$59","v":342106.98016919644}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$60","v":44},{"$f":"'Sec. H In-State ADJ'!$C$60","v":"CLINIC"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$60","v":0},{"$f":"$J$1977-$H$1977","v":0},{"$f":"'Sec. H In-State ADJ'!$T$60","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$61","v":45},{"$f":"'Sec. H In-State ADJ'!$C$61","v":"NUTRITION"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$61","v":0},{"$f":"$J$1978-$H$1978","v":0},{"$f":"'Sec. H In-State ADJ'!$T$61","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$62","v":46},{"$f":"'Sec. H In-State ADJ'!$C$62","v":"WOUND CARE CENTER"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$62","v":9061.9000000000051},{"$f":"$J$1979-$H$1979","v":0},{"$f":"'Sec. H In-State ADJ'!$T$62","v":9061.9000000000051}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$63","v":47},{"$f":"'Sec. H In-State ADJ'!$C$63","v":"EMERGENCY"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$63","v":652918.20000000019},{"$f":"$J$1980-$H$1980","v":0},{"$f":"'Sec. H In-State ADJ'!$T$63","v":652918.20000000019}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$64","v":48},{"$f":"'Sec. H In-State ADJ'!$C$64","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$64","v":0},{"$f":"$J$1981-$H$1981","v":0},{"$f":"'Sec. H In-State ADJ'!$T$64","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$65","v":49},{"$f":"'Sec. H In-State ADJ'!$C$65","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$65","v":0},{"$f":"$J$1982-$H$1982","v":0},{"$f":"'Sec. H In-State ADJ'!$T$65","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$66","v":50},{"$f":"'Sec. H In-State ADJ'!$C$66","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$66","v":0},{"$f":"$J$1983-$H$1983","v":0},{"$f":"'Sec. H In-State ADJ'!$T$66","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$67","v":51},{"$f":"'Sec. H In-State ADJ'!$C$67","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$67","v":0},{"$f":"$J$1984-$H$1984","v":0},{"$f":"'Sec. H In-State ADJ'!$T$67","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$68","v":52},{"$f":"'Sec. H In-State ADJ'!$C$68","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$68","v":0},{"$f":"$J$1985-$H$1985","v":0},{"$f":"'Sec. H In-State ADJ'!$T$68","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$69","v":53},{"$f":"'Sec. H In-State ADJ'!$C$69","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$69","v":0},{"$f":"$J$1986-$H$1986","v":0},{"$f":"'Sec. H In-State ADJ'!$T$69","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$70","v":54},{"$f":"'Sec. H In-State ADJ'!$C$70","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$70","v":0},{"$f":"$J$1987-$H$1987","v":0},{"$f":"'Sec. H In-State ADJ'!$T$70","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$71","v":55},{"$f":"'Sec. H In-State ADJ'!$C$71","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$71","v":0},{"$f":"$J$1988-$H$1988","v":0},{"$f":"'Sec. H In-State ADJ'!$T$71","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$72","v":56},{"$f":"'Sec. H In-State ADJ'!$C$72","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$72","v":0},{"$f":"$J$1989-$H$1989","v":0},{"$f":"'Sec. H In-State ADJ'!$T$72","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$73","v":57},{"$f":"'Sec. H In-State ADJ'!$C$73","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$73","v":0},{"$f":"$J$1990-$H$1990","v":0},{"$f":"'Sec. H In-State ADJ'!$T$73","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$74","v":58},{"$f":"'Sec. H In-State ADJ'!$C$74","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$74","v":0},{"$f":"$J$1991-$H$1991","v":0},{"$f":"'Sec. H In-State ADJ'!$T$74","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$75","v":59},{"$f":"'Sec. H In-State ADJ'!$C$75","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$75","v":0},{"$f":"$J$1992-$H$1992","v":0},{"$f":"'Sec. H In-State ADJ'!$T$75","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$76","v":60},{"$f":"'Sec. H In-State ADJ'!$C$76","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$76","v":0},{"$f":"$J$1993-$H$1993","v":0},{"$f":"'Sec. H In-State ADJ'!$T$76","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$77","v":61},{"$f":"'Sec. H In-State ADJ'!$C$77","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$77","v":0},{"$f":"$J$1994-$H$1994","v":0},{"$f":"'Sec. H In-State ADJ'!$T$77","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$78","v":62},{"$f":"'Sec. H In-State ADJ'!$C$78","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$78","v":0},{"$f":"$J$1995-$H$1995","v":0},{"$f":"'Sec. H In-State ADJ'!$T$78","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$79","v":63},{"$f":"'Sec. H In-State ADJ'!$C$79","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$79","v":0},{"$f":"$J$1996-$H$1996","v":0},{"$f":"'Sec. H In-State ADJ'!$T$79","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$80","v":64},{"$f":"'Sec. H In-State ADJ'!$C$80","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$80","v":0},{"$f":"$J$1997-$H$1997","v":0},{"$f":"'Sec. H In-State ADJ'!$T$80","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$81","v":65},{"$f":"'Sec. H In-State ADJ'!$C$81","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$81","v":0},{"$f":"$J$1998-$H$1998","v":0},{"$f":"'Sec. H In-State ADJ'!$T$81","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$82","v":66},{"$f":"'Sec. H In-State ADJ'!$C$82","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$82","v":0},{"$f":"$J$1999-$H$1999","v":0},{"$f":"'Sec. H In-State ADJ'!$T$82","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$83","v":67},{"$f":"'Sec. H In-State ADJ'!$C$83","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$83","v":0},{"$f":"$J$2000-$H$2000","v":0},{"$f":"'Sec. H In-State ADJ'!$T$83","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$84","v":68},{"$f":"'Sec. H In-State ADJ'!$C$84","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$84","v":0},{"$f":"$J$2001-$H$2001","v":0},{"$f":"'Sec. H In-State ADJ'!$T$84","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$85","v":69},{"$f":"'Sec. H In-State ADJ'!$C$85","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$85","v":0},{"$f":"$J$2002-$H$2002","v":0},{"$f":"'Sec. H In-State ADJ'!$T$85","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$86","v":70},{"$f":"'Sec. H In-State ADJ'!$C$86","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$86","v":0},{"$f":"$J$2003-$H$2003","v":0},{"$f":"'Sec. H In-State ADJ'!$T$86","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$87","v":71},{"$f":"'Sec. H In-State ADJ'!$C$87","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$87","v":0},{"$f":"$J$2004-$H$2004","v":0},{"$f":"'Sec. H In-State ADJ'!$T$87","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$88","v":72},{"$f":"'Sec. H In-State ADJ'!$C$88","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$88","v":0},{"$f":"$J$2005-$H$2005","v":0},{"$f":"'Sec. H In-State ADJ'!$T$88","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$89","v":73},{"$f":"'Sec. H In-State ADJ'!$C$89","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$89","v":0},{"$f":"$J$2006-$H$2006","v":0},{"$f":"'Sec. H In-State ADJ'!$T$89","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$90","v":74},{"$f":"'Sec. H In-State ADJ'!$C$90","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$90","v":0},{"$f":"$J$2007-$H$2007","v":0},{"$f":"'Sec. H In-State ADJ'!$T$90","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$91","v":75},{"$f":"'Sec. H In-State ADJ'!$C$91","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$91","v":0},{"$f":"$J$2008-$H$2008","v":0},{"$f":"'Sec. H In-State ADJ'!$T$91","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$92","v":76},{"$f":"'Sec. H In-State ADJ'!$C$92","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$92","v":0},{"$f":"$J$2009-$H$2009","v":0},{"$f":"'Sec. H In-State ADJ'!$T$92","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$93","v":77},{"$f":"'Sec. H In-State ADJ'!$C$93","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$93","v":0},{"$f":"$J$2010-$H$2010","v":0},{"$f":"'Sec. H In-State ADJ'!$T$93","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$94","v":78},{"$f":"'Sec. H In-State ADJ'!$C$94","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$94","v":0},{"$f":"$J$2011-$H$2011","v":0},{"$f":"'Sec. H In-State ADJ'!$T$94","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$95","v":79},{"$f":"'Sec. H In-State ADJ'!$C$95","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$95","v":0},{"$f":"$J$2012-$H$2012","v":0},{"$f":"'Sec. H In-State ADJ'!$T$95","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$96","v":80},{"$f":"'Sec. H In-State ADJ'!$C$96","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$96","v":0},{"$f":"$J$2013-$H$2013","v":0},{"$f":"'Sec. H In-State ADJ'!$T$96","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$97","v":81},{"$f":"'Sec. H In-State ADJ'!$C$97","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$97","v":0},{"$f":"$J$2014-$H$2014","v":0},{"$f":"'Sec. H In-State ADJ'!$T$97","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$98","v":82},{"$f":"'Sec. H In-State ADJ'!$C$98","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$98","v":0},{"$f":"$J$2015-$H$2015","v":0},{"$f":"'Sec. H In-State ADJ'!$T$98","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$99","v":83},{"$f":"'Sec. H In-State ADJ'!$C$99","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$99","v":0},{"$f":"$J$2016-$H$2016","v":0},{"$f":"'Sec. H In-State ADJ'!$T$99","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$100","v":84},{"$f":"'Sec. H In-State ADJ'!$C$100","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$100","v":0},{"$f":"$J$2017-$H$2017","v":0},{"$f":"'Sec. H In-State ADJ'!$T$100","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$101","v":85},{"$f":"'Sec. H In-State ADJ'!$C$101","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$101","v":0},{"$f":"$J$2018-$H$2018","v":0},{"$f":"'Sec. H In-State ADJ'!$T$101","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$102","v":86},{"$f":"'Sec. H In-State ADJ'!$C$102","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$102","v":0},{"$f":"$J$2019-$H$2019","v":0},{"$f":"'Sec. H In-State ADJ'!$T$102","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$103","v":87},{"$f":"'Sec. H In-State ADJ'!$C$103","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$103","v":0},{"$f":"$J$2020-$H$2020","v":0},{"$f":"'Sec. H In-State ADJ'!$T$103","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$104","v":88},{"$f":"'Sec. H In-State ADJ'!$C$104","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$104","v":0},{"$f":"$J$2021-$H$2021","v":0},{"$f":"'Sec. H In-State ADJ'!$T$104","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$105","v":89},{"$f":"'Sec. H In-State ADJ'!$C$105","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$105","v":0},{"$f":"$J$2022-$H$2022","v":0},{"$f":"'Sec. H In-State ADJ'!$T$105","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$106","v":90},{"$f":"'Sec. H In-State ADJ'!$C$106","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$106","v":0},{"$f":"$J$2023-$H$2023","v":0},{"$f":"'Sec. H In-State ADJ'!$T$106","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$107","v":91},{"$f":"'Sec. H In-State ADJ'!$C$107","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$107","v":0},{"$f":"$J$2024-$H$2024","v":0},{"$f":"'Sec. H In-State ADJ'!$T$107","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$108","v":92},{"$f":"'Sec. H In-State ADJ'!$C$108","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$108","v":0},{"$f":"$J$2025-$H$2025","v":0},{"$f":"'Sec. H In-State ADJ'!$T$108","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$109","v":93},{"$f":"'Sec. H In-State ADJ'!$C$109","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$109","v":0},{"$f":"$J$2026-$H$2026","v":0},{"$f":"'Sec. H In-State ADJ'!$T$109","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$110","v":94},{"$f":"'Sec. H In-State ADJ'!$C$110","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$110","v":0},{"$f":"$J$2027-$H$2027","v":0},{"$f":"'Sec. H In-State ADJ'!$T$110","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$111","v":95},{"$f":"'Sec. H In-State ADJ'!$C$111","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$111","v":0},{"$f":"$J$2028-$H$2028","v":0},{"$f":"'Sec. H In-State ADJ'!$T$111","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$112","v":96},{"$f":"'Sec. H In-State ADJ'!$C$112","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$112","v":0},{"$f":"$J$2029-$H$2029","v":0},{"$f":"'Sec. H In-State ADJ'!$T$112","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$113","v":97},{"$f":"'Sec. H In-State ADJ'!$C$113","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$113","v":0},{"$f":"$J$2030-$H$2030","v":0},{"$f":"'Sec. H In-State ADJ'!$T$113","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$114","v":98},{"$f":"'Sec. H In-State ADJ'!$C$114","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$114","v":0},{"$f":"$J$2031-$H$2031","v":0},{"$f":"'Sec. H In-State ADJ'!$T$114","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$115","v":99},{"$f":"'Sec. H In-State ADJ'!$C$115","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$115","v":0},{"$f":"$J$2032-$H$2032","v":0},{"$f":"'Sec. H In-State ADJ'!$T$115","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$116","v":100},{"$f":"'Sec. H In-State ADJ'!$C$116","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$116","v":0},{"$f":"$J$2033-$H$2033","v":0},{"$f":"'Sec. H In-State ADJ'!$T$116","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$117","v":101},{"$f":"'Sec. H In-State ADJ'!$C$117","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$117","v":0},{"$f":"$J$2034-$H$2034","v":0},{"$f":"'Sec. H In-State ADJ'!$T$117","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$118","v":102},{"$f":"'Sec. H In-State ADJ'!$C$118","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$118","v":0},{"$f":"$J$2035-$H$2035","v":0},{"$f":"'Sec. H In-State ADJ'!$T$118","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$119","v":103},{"$f":"'Sec. H In-State ADJ'!$C$119","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$119","v":0},{"$f":"$J$2036-$H$2036","v":0},{"$f":"'Sec. H In-State ADJ'!$T$119","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$120","v":104},{"$f":"'Sec. H In-State ADJ'!$C$120","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$120","v":0},{"$f":"$J$2037-$H$2037","v":0},{"$f":"'Sec. H In-State ADJ'!$T$120","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$121","v":105},{"$f":"'Sec. H In-State ADJ'!$C$121","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$121","v":0},{"$f":"$J$2038-$H$2038","v":0},{"$f":"'Sec. H In-State ADJ'!$T$121","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$122","v":106},{"$f":"'Sec. H In-State ADJ'!$C$122","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$122","v":0},{"$f":"$J$2039-$H$2039","v":0},{"$f":"'Sec. H In-State ADJ'!$T$122","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$123","v":107},{"$f":"'Sec. H In-State ADJ'!$C$123","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$123","v":0},{"$f":"$J$2040-$H$2040","v":0},{"$f":"'Sec. H In-State ADJ'!$T$123","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$124","v":108},{"$f":"'Sec. H In-State ADJ'!$C$124","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$124","v":0},{"$f":"$J$2041-$H$2041","v":0},{"$f":"'Sec. H In-State ADJ'!$T$124","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$125","v":109},{"$f":"'Sec. H In-State ADJ'!$C$125","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$125","v":0},{"$f":"$J$2042-$H$2042","v":0},{"$f":"'Sec. H In-State ADJ'!$T$125","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$126","v":110},{"$f":"'Sec. H In-State ADJ'!$C$126","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$126","v":0},{"$f":"$J$2043-$H$2043","v":0},{"$f":"'Sec. H In-State ADJ'!$T$126","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$127","v":111},{"$f":"'Sec. H In-State ADJ'!$C$127","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$127","v":0},{"$f":"$J$2044-$H$2044","v":0},{"$f":"'Sec. H In-State ADJ'!$T$127","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$128","v":112},{"$f":"'Sec. H In-State ADJ'!$C$128","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$128","v":0},{"$f":"$J$2045-$H$2045","v":0},{"$f":"'Sec. H In-State ADJ'!$T$128","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$129","v":113},{"$f":"'Sec. H In-State ADJ'!$C$129","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$129","v":0},{"$f":"$J$2046-$H$2046","v":0},{"$f":"'Sec. H In-State ADJ'!$T$129","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$130","v":114},{"$f":"'Sec. H In-State ADJ'!$C$130","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$130","v":0},{"$f":"$J$2047-$H$2047","v":0},{"$f":"'Sec. H In-State ADJ'!$T$130","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$131","v":115},{"$f":"'Sec. H In-State ADJ'!$C$131","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$131","v":0},{"$f":"$J$2048-$H$2048","v":0},{"$f":"'Sec. H In-State ADJ'!$T$131","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$132","v":116},{"$f":"'Sec. H In-State ADJ'!$C$132","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$132","v":0},{"$f":"$J$2049-$H$2049","v":0},{"$f":"'Sec. H In-State ADJ'!$T$132","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$133","v":117},{"$f":"'Sec. H In-State ADJ'!$C$133","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$133","v":0},{"$f":"$J$2050-$H$2050","v":0},{"$f":"'Sec. H In-State ADJ'!$T$133","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$134","v":118},{"$f":"'Sec. H In-State ADJ'!$C$134","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$134","v":0},{"$f":"$J$2051-$H$2051","v":0},{"$f":"'Sec. H In-State ADJ'!$T$134","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$135","v":119},{"$f":"'Sec. H In-State ADJ'!$C$135","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$135","v":0},{"$f":"$J$2052-$H$2052","v":0},{"$f":"'Sec. H In-State ADJ'!$T$135","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$136","v":120},{"$f":"'Sec. H In-State ADJ'!$C$136","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$136","v":0},{"$f":"$J$2053-$H$2053","v":0},{"$f":"'Sec. H In-State ADJ'!$T$136","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$137","v":121},{"$f":"'Sec. H In-State ADJ'!$C$137","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$137","v":0},{"$f":"$J$2054-$H$2054","v":0},{"$f":"'Sec. H In-State ADJ'!$T$137","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$138","v":122},{"$f":"'Sec. H In-State ADJ'!$C$138","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$138","v":0},{"$f":"$J$2055-$H$2055","v":0},{"$f":"'Sec. H In-State ADJ'!$T$138","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$139","v":123},{"$f":"'Sec. H In-State ADJ'!$C$139","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$139","v":0},{"$f":"$J$2056-$H$2056","v":0},{"$f":"'Sec. H In-State ADJ'!$T$139","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$140","v":124},{"$f":"'Sec. H In-State ADJ'!$C$140","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$140","v":0},{"$f":"$J$2057-$H$2057","v":0},{"$f":"'Sec. H In-State ADJ'!$T$140","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$141","v":125},{"$f":"'Sec. H In-State ADJ'!$C$141","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$141","v":0},{"$f":"$J$2058-$H$2058","v":0},{"$f":"'Sec. H In-State ADJ'!$T$141","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$142","v":126},{"$f":"'Sec. H In-State ADJ'!$C$142","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$142","v":0},{"$f":"$J$2059-$H$2059","v":0},{"$f":"'Sec. H In-State ADJ'!$T$142","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$143","v":127},{"$f":"'Sec. H In-State ADJ'!$C$143","v":""},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$143","v":0},{"$f":"$J$2060-$H$2060","v":0},{"$f":"'Sec. H In-State ADJ'!$T$143","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$151","v":131.01},{"$f":"'Sec. H In-State ADJ'!$B$151","v":"Sampling Cost Adjustment (if applicable)"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to sample extrapolation.",0,{"$f":"$J$2061-$H$2061","v":0},{"$f":"'Sec. H In-State ADJ'!$T$151","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$154","v":132},{"$f":"'Sec. H In-State ADJ'!$B$154","v":"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$154","v":179205.20000000004},{"$f":"$J$2062-$H$2062","v":0},{"$f":"'Sec. H In-State ADJ'!$T$154","v":179205.20000000004}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$155","v":133},{"$f":"'Sec. H In-State ADJ'!$B$155","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$155","v":99746.61000000003},{"$f":"$J$2063-$H$2063","v":0},{"$f":"'Sec. H In-State ADJ'!$T$155","v":99746.61000000003}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$156","v":134},{"$f":"'Sec. H In-State ADJ'!$B$156","v":"Private Insurance (including primary and third party liability)"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$156","v":1603725.3100000003},{"$f":"$J$2064-$H$2064","v":0},{"$f":"'Sec. H In-State ADJ'!$T$156","v":1603725.3100000003}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$157","v":135},{"$f":"'Sec. H In-State ADJ'!$B$157","v":"Self-Pay (including Co-Pay and Spend-Down)"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$157","v":9343.99},{"$f":"$J$2065-$H$2065","v":0},{"$f":"'Sec. H In-State ADJ'!$T$157","v":9343.99}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$161","v":139},{"$f":"'Sec. H In-State ADJ'!$B$161","v":"Medicare Traditional (non-HMO) Paid Amount (excludes coinsurance/deductibles)"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$161","v":586829.01000000013},{"$f":"$J$2066-$H$2066","v":0},{"$f":"'Sec. H In-State ADJ'!$T$161","v":586829.01000000013}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$162","v":140},{"$f":"'Sec. H In-State ADJ'!$B$162","v":"Medicare Managed Care (HMO) Paid Amount (excludes coinsurance/deductibles)"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$162","v":1702594.2000000004},{"$f":"$J$2067-$H$2067","v":0},{"$f":"'Sec. H In-State ADJ'!$T$162","v":1702594.2000000004}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$163","v":141},{"$f":"'Sec. H In-State ADJ'!$B$163","v":"Medicare Cross-Over Bad Debt Payments"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$T$163","v":0},{"$f":"$J$2068-$H$2068","v":0},{"$f":"'Sec. H In-State ADJ'!$T$163","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$164","v":142},{"$f":"'Sec. H In-State ADJ'!$B$164","v":"Other Medicare Cross-Over Payments (See Note D)"},"11.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$T$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Inpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to include Medicare cost report settlements applicable to cross-overs.",{"$f":"'Sec. H In-State'!$T$164","v":0},{"$f":"$J$2069-$H$2069","v":0},{"$f":"'Sec. H In-State ADJ'!$T$164","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$38","v":22},{"$f":"'Sec. H In-State ADJ'!$C$38","v":"Observation (Non-Distinct)"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$38","v":504225.25000000023},{"$f":"$J$2070-$H$2070","v":0},{"$f":"'Sec. H In-State ADJ'!$V$38","v":504225.25000000023}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$39","v":23},{"$f":"'Sec. H In-State ADJ'!$C$39","v":"OPERATING ROOM"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$39","v":2033507.0500000005},{"$f":"$J$2071-$H$2071","v":0},{"$f":"'Sec. H In-State ADJ'!$V$39","v":2033507.0500000005}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$40","v":24},{"$f":"'Sec. H In-State ADJ'!$C$40","v":"RECOVERY ROOM"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$40","v":209686.69999999952},{"$f":"$J$2072-$H$2072","v":0},{"$f":"'Sec. H In-State ADJ'!$V$40","v":209686.69999999952}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$41","v":25},{"$f":"'Sec. H In-State ADJ'!$C$41","v":"DELIVERY ROOM & LABOR ROOM"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$41","v":164457.40000000069},{"$f":"$J$2073-$H$2073","v":0},{"$f":"'Sec. H In-State ADJ'!$V$41","v":164457.40000000069}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$42","v":26},{"$f":"'Sec. H In-State ADJ'!$C$42","v":"ANESTHESIOLOGY"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$42","v":466169.35000000114},{"$f":"$J$2074-$H$2074","v":0},{"$f":"'Sec. H In-State ADJ'!$V$42","v":466169.35000000114}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$43","v":27},{"$f":"'Sec. H In-State ADJ'!$C$43","v":"RADIOLOGY-DIAGNOSTIC"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$43","v":1114531.0732875085},{"$f":"$J$2075-$H$2075","v":0},{"$f":"'Sec. H In-State ADJ'!$V$43","v":1114531.0732875085}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$44","v":28},{"$f":"'Sec. H In-State ADJ'!$C$44","v":"RADIOLOGY-THERAPEUTIC"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$44","v":1185881.9000000001},{"$f":"$J$2076-$H$2076","v":0},{"$f":"'Sec. H In-State ADJ'!$V$44","v":1185881.9000000001}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$45","v":29},{"$f":"'Sec. H In-State ADJ'!$C$45","v":"NUCLEAR MEDICINE"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$45","v":306586.44999999995},{"$f":"$J$2077-$H$2077","v":0},{"$f":"'Sec. H In-State ADJ'!$V$45","v":306586.44999999995}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$46","v":30},{"$f":"'Sec. H In-State ADJ'!$C$46","v":"CT SCAN"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$46","v":1101566},{"$f":"$J$2078-$H$2078","v":0},{"$f":"'Sec. H In-State ADJ'!$V$46","v":1101566}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$47","v":31},{"$f":"'Sec. H In-State ADJ'!$C$47","v":"MRI"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$47","v":134265},{"$f":"$J$2079-$H$2079","v":0},{"$f":"'Sec. H In-State ADJ'!$V$47","v":134265}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$48","v":32},{"$f":"'Sec. H In-State ADJ'!$C$48","v":"CARDIAC CATHETERIZATION"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$48","v":581173.97318582435},{"$f":"$J$2080-$H$2080","v":0},{"$f":"'Sec. H In-State ADJ'!$V$48","v":581173.97318582435}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$49","v":33},{"$f":"'Sec. H In-State ADJ'!$C$49","v":"LABORATORY"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$49","v":1971124.3400000019},{"$f":"$J$2081-$H$2081","v":0},{"$f":"'Sec. H In-State ADJ'!$V$49","v":1971124.3400000019}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$50","v":34},{"$f":"'Sec. H In-State ADJ'!$C$50","v":"RESPIRATORY THERAPY"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$50","v":108792.2},{"$f":"$J$2082-$H$2082","v":0},{"$f":"'Sec. H In-State ADJ'!$V$50","v":108792.2}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$51","v":35},{"$f":"'Sec. H In-State ADJ'!$C$51","v":"PHYSICAL THERAPY"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$51","v":264532.67000000004},{"$f":"$J$2083-$H$2083","v":0},{"$f":"'Sec. H In-State ADJ'!$V$51","v":264532.67000000004}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$52","v":36},{"$f":"'Sec. H In-State ADJ'!$C$52","v":"SPEECH PATHOLOGY"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$52","v":13483.899999999998},{"$f":"$J$2084-$H$2084","v":0},{"$f":"'Sec. H In-State ADJ'!$V$52","v":13483.899999999998}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$53","v":37},{"$f":"'Sec. H In-State ADJ'!$C$53","v":"ELECTROCARDIOLOGY"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$53","v":330368.09999999998},{"$f":"$J$2085-$H$2085","v":0},{"$f":"'Sec. H In-State ADJ'!$V$53","v":330368.09999999998}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$54","v":38},{"$f":"'Sec. H In-State ADJ'!$C$54","v":"ELECTROENCEPHALOGRAPHY"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$54","v":1663.15},{"$f":"$J$2086-$H$2086","v":0},{"$f":"'Sec. H In-State ADJ'!$V$54","v":1663.15}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$55","v":39},{"$f":"'Sec. H In-State ADJ'!$C$55","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$55","v":518437.42000000039},{"$f":"$J$2087-$H$2087","v":0},{"$f":"'Sec. H In-State ADJ'!$V$55","v":518437.42000000039}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$56","v":40},{"$f":"'Sec. H In-State ADJ'!$C$56","v":"IMPL. DEV. CHARGED TO PATIENTS"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$56","v":194792.22000000003},{"$f":"$J$2088-$H$2088","v":0},{"$f":"'Sec. H In-State ADJ'!$V$56","v":194792.22000000003}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$57","v":41},{"$f":"'Sec. H In-State ADJ'!$C$57","v":"DRUGS CHARGED TO PATIENTS"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$57","v":2155949.33},{"$f":"$J$2089-$H$2089","v":0},{"$f":"'Sec. H In-State ADJ'!$V$57","v":2155949.33}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$58","v":42},{"$f":"'Sec. H In-State ADJ'!$C$58","v":"RENAL DIALYSIS"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$58","v":6683.7000000000007},{"$f":"$J$2090-$H$2090","v":0},{"$f":"'Sec. H In-State ADJ'!$V$58","v":6683.7000000000007}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$59","v":43},{"$f":"'Sec. H In-State ADJ'!$C$59","v":"CARDIOVASCULAR MEDICINE"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$59","v":308928.95352666522},{"$f":"$J$2091-$H$2091","v":0},{"$f":"'Sec. H In-State ADJ'!$V$59","v":308928.95352666522}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$60","v":44},{"$f":"'Sec. H In-State ADJ'!$C$60","v":"CLINIC"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$60","v":0},{"$f":"$J$2092-$H$2092","v":0},{"$f":"'Sec. H In-State ADJ'!$V$60","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$61","v":45},{"$f":"'Sec. H In-State ADJ'!$C$61","v":"NUTRITION"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$61","v":0},{"$f":"$J$2093-$H$2093","v":0},{"$f":"'Sec. H In-State ADJ'!$V$61","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$62","v":46},{"$f":"'Sec. H In-State ADJ'!$C$62","v":"WOUND CARE CENTER"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$62","v":143806.24999999991},{"$f":"$J$2094-$H$2094","v":0},{"$f":"'Sec. H In-State ADJ'!$V$62","v":143806.24999999991}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$63","v":47},{"$f":"'Sec. H In-State ADJ'!$C$63","v":"EMERGENCY"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$63","v":2904214.1999999881},{"$f":"$J$2095-$H$2095","v":0},{"$f":"'Sec. H In-State ADJ'!$V$63","v":2904214.1999999881}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$64","v":48},{"$f":"'Sec. H In-State ADJ'!$C$64","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$64","v":0},{"$f":"$J$2096-$H$2096","v":0},{"$f":"'Sec. H In-State ADJ'!$V$64","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$65","v":49},{"$f":"'Sec. H In-State ADJ'!$C$65","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$65","v":0},{"$f":"$J$2097-$H$2097","v":0},{"$f":"'Sec. H In-State ADJ'!$V$65","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$66","v":50},{"$f":"'Sec. H In-State ADJ'!$C$66","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$66","v":0},{"$f":"$J$2098-$H$2098","v":0},{"$f":"'Sec. H In-State ADJ'!$V$66","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$67","v":51},{"$f":"'Sec. H In-State ADJ'!$C$67","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$67","v":0},{"$f":"$J$2099-$H$2099","v":0},{"$f":"'Sec. H In-State ADJ'!$V$67","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$68","v":52},{"$f":"'Sec. H In-State ADJ'!$C$68","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$68","v":0},{"$f":"$J$2100-$H$2100","v":0},{"$f":"'Sec. H In-State ADJ'!$V$68","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$69","v":53},{"$f":"'Sec. H In-State ADJ'!$C$69","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$69","v":0},{"$f":"$J$2101-$H$2101","v":0},{"$f":"'Sec. H In-State ADJ'!$V$69","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$70","v":54},{"$f":"'Sec. H In-State ADJ'!$C$70","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$70","v":0},{"$f":"$J$2102-$H$2102","v":0},{"$f":"'Sec. H In-State ADJ'!$V$70","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$71","v":55},{"$f":"'Sec. H In-State ADJ'!$C$71","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$71","v":0},{"$f":"$J$2103-$H$2103","v":0},{"$f":"'Sec. H In-State ADJ'!$V$71","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$72","v":56},{"$f":"'Sec. H In-State ADJ'!$C$72","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$72","v":0},{"$f":"$J$2104-$H$2104","v":0},{"$f":"'Sec. H In-State ADJ'!$V$72","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$73","v":57},{"$f":"'Sec. H In-State ADJ'!$C$73","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$73","v":0},{"$f":"$J$2105-$H$2105","v":0},{"$f":"'Sec. H In-State ADJ'!$V$73","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$74","v":58},{"$f":"'Sec. H In-State ADJ'!$C$74","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$74","v":0},{"$f":"$J$2106-$H$2106","v":0},{"$f":"'Sec. H In-State ADJ'!$V$74","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$75","v":59},{"$f":"'Sec. H In-State ADJ'!$C$75","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$75","v":0},{"$f":"$J$2107-$H$2107","v":0},{"$f":"'Sec. H In-State ADJ'!$V$75","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$76","v":60},{"$f":"'Sec. H In-State ADJ'!$C$76","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$76","v":0},{"$f":"$J$2108-$H$2108","v":0},{"$f":"'Sec. H In-State ADJ'!$V$76","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$77","v":61},{"$f":"'Sec. H In-State ADJ'!$C$77","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$77","v":0},{"$f":"$J$2109-$H$2109","v":0},{"$f":"'Sec. H In-State ADJ'!$V$77","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$78","v":62},{"$f":"'Sec. H In-State ADJ'!$C$78","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$78","v":0},{"$f":"$J$2110-$H$2110","v":0},{"$f":"'Sec. H In-State ADJ'!$V$78","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$79","v":63},{"$f":"'Sec. H In-State ADJ'!$C$79","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$79","v":0},{"$f":"$J$2111-$H$2111","v":0},{"$f":"'Sec. H In-State ADJ'!$V$79","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$80","v":64},{"$f":"'Sec. H In-State ADJ'!$C$80","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$80","v":0},{"$f":"$J$2112-$H$2112","v":0},{"$f":"'Sec. H In-State ADJ'!$V$80","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$81","v":65},{"$f":"'Sec. H In-State ADJ'!$C$81","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$81","v":0},{"$f":"$J$2113-$H$2113","v":0},{"$f":"'Sec. H In-State ADJ'!$V$81","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$82","v":66},{"$f":"'Sec. H In-State ADJ'!$C$82","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$82","v":0},{"$f":"$J$2114-$H$2114","v":0},{"$f":"'Sec. H In-State ADJ'!$V$82","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$83","v":67},{"$f":"'Sec. H In-State ADJ'!$C$83","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$83","v":0},{"$f":"$J$2115-$H$2115","v":0},{"$f":"'Sec. H In-State ADJ'!$V$83","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$84","v":68},{"$f":"'Sec. H In-State ADJ'!$C$84","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$84","v":0},{"$f":"$J$2116-$H$2116","v":0},{"$f":"'Sec. H In-State ADJ'!$V$84","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$85","v":69},{"$f":"'Sec. H In-State ADJ'!$C$85","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$85","v":0},{"$f":"$J$2117-$H$2117","v":0},{"$f":"'Sec. H In-State ADJ'!$V$85","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$86","v":70},{"$f":"'Sec. H In-State ADJ'!$C$86","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$86","v":0},{"$f":"$J$2118-$H$2118","v":0},{"$f":"'Sec. H In-State ADJ'!$V$86","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$87","v":71},{"$f":"'Sec. H In-State ADJ'!$C$87","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$87","v":0},{"$f":"$J$2119-$H$2119","v":0},{"$f":"'Sec. H In-State ADJ'!$V$87","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$88","v":72},{"$f":"'Sec. H In-State ADJ'!$C$88","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$88","v":0},{"$f":"$J$2120-$H$2120","v":0},{"$f":"'Sec. H In-State ADJ'!$V$88","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$89","v":73},{"$f":"'Sec. H In-State ADJ'!$C$89","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$89","v":0},{"$f":"$J$2121-$H$2121","v":0},{"$f":"'Sec. H In-State ADJ'!$V$89","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$90","v":74},{"$f":"'Sec. H In-State ADJ'!$C$90","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$90","v":0},{"$f":"$J$2122-$H$2122","v":0},{"$f":"'Sec. H In-State ADJ'!$V$90","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$91","v":75},{"$f":"'Sec. H In-State ADJ'!$C$91","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$91","v":0},{"$f":"$J$2123-$H$2123","v":0},{"$f":"'Sec. H In-State ADJ'!$V$91","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$92","v":76},{"$f":"'Sec. H In-State ADJ'!$C$92","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$92","v":0},{"$f":"$J$2124-$H$2124","v":0},{"$f":"'Sec. H In-State ADJ'!$V$92","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$93","v":77},{"$f":"'Sec. H In-State ADJ'!$C$93","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$93","v":0},{"$f":"$J$2125-$H$2125","v":0},{"$f":"'Sec. H In-State ADJ'!$V$93","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$94","v":78},{"$f":"'Sec. H In-State ADJ'!$C$94","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$94","v":0},{"$f":"$J$2126-$H$2126","v":0},{"$f":"'Sec. H In-State ADJ'!$V$94","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$95","v":79},{"$f":"'Sec. H In-State ADJ'!$C$95","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$95","v":0},{"$f":"$J$2127-$H$2127","v":0},{"$f":"'Sec. H In-State ADJ'!$V$95","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$96","v":80},{"$f":"'Sec. H In-State ADJ'!$C$96","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$96","v":0},{"$f":"$J$2128-$H$2128","v":0},{"$f":"'Sec. H In-State ADJ'!$V$96","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$97","v":81},{"$f":"'Sec. H In-State ADJ'!$C$97","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$97","v":0},{"$f":"$J$2129-$H$2129","v":0},{"$f":"'Sec. H In-State ADJ'!$V$97","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$98","v":82},{"$f":"'Sec. H In-State ADJ'!$C$98","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$98","v":0},{"$f":"$J$2130-$H$2130","v":0},{"$f":"'Sec. H In-State ADJ'!$V$98","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$99","v":83},{"$f":"'Sec. H In-State ADJ'!$C$99","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$99","v":0},{"$f":"$J$2131-$H$2131","v":0},{"$f":"'Sec. H In-State ADJ'!$V$99","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$100","v":84},{"$f":"'Sec. H In-State ADJ'!$C$100","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$100","v":0},{"$f":"$J$2132-$H$2132","v":0},{"$f":"'Sec. H In-State ADJ'!$V$100","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$101","v":85},{"$f":"'Sec. H In-State ADJ'!$C$101","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$101","v":0},{"$f":"$J$2133-$H$2133","v":0},{"$f":"'Sec. H In-State ADJ'!$V$101","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$102","v":86},{"$f":"'Sec. H In-State ADJ'!$C$102","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$102","v":0},{"$f":"$J$2134-$H$2134","v":0},{"$f":"'Sec. H In-State ADJ'!$V$102","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$103","v":87},{"$f":"'Sec. H In-State ADJ'!$C$103","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$103","v":0},{"$f":"$J$2135-$H$2135","v":0},{"$f":"'Sec. H In-State ADJ'!$V$103","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$104","v":88},{"$f":"'Sec. H In-State ADJ'!$C$104","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$104","v":0},{"$f":"$J$2136-$H$2136","v":0},{"$f":"'Sec. H In-State ADJ'!$V$104","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$105","v":89},{"$f":"'Sec. H In-State ADJ'!$C$105","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$105","v":0},{"$f":"$J$2137-$H$2137","v":0},{"$f":"'Sec. H In-State ADJ'!$V$105","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$106","v":90},{"$f":"'Sec. H In-State ADJ'!$C$106","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$106","v":0},{"$f":"$J$2138-$H$2138","v":0},{"$f":"'Sec. H In-State ADJ'!$V$106","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$107","v":91},{"$f":"'Sec. H In-State ADJ'!$C$107","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$107","v":0},{"$f":"$J$2139-$H$2139","v":0},{"$f":"'Sec. H In-State ADJ'!$V$107","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$108","v":92},{"$f":"'Sec. H In-State ADJ'!$C$108","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$108","v":0},{"$f":"$J$2140-$H$2140","v":0},{"$f":"'Sec. H In-State ADJ'!$V$108","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$109","v":93},{"$f":"'Sec. H In-State ADJ'!$C$109","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$109","v":0},{"$f":"$J$2141-$H$2141","v":0},{"$f":"'Sec. H In-State ADJ'!$V$109","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$110","v":94},{"$f":"'Sec. H In-State ADJ'!$C$110","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$110","v":0},{"$f":"$J$2142-$H$2142","v":0},{"$f":"'Sec. H In-State ADJ'!$V$110","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$111","v":95},{"$f":"'Sec. H In-State ADJ'!$C$111","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$111","v":0},{"$f":"$J$2143-$H$2143","v":0},{"$f":"'Sec. H In-State ADJ'!$V$111","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$112","v":96},{"$f":"'Sec. H In-State ADJ'!$C$112","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$112","v":0},{"$f":"$J$2144-$H$2144","v":0},{"$f":"'Sec. H In-State ADJ'!$V$112","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$113","v":97},{"$f":"'Sec. H In-State ADJ'!$C$113","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$113","v":0},{"$f":"$J$2145-$H$2145","v":0},{"$f":"'Sec. H In-State ADJ'!$V$113","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$114","v":98},{"$f":"'Sec. H In-State ADJ'!$C$114","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$114","v":0},{"$f":"$J$2146-$H$2146","v":0},{"$f":"'Sec. H In-State ADJ'!$V$114","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$115","v":99},{"$f":"'Sec. H In-State ADJ'!$C$115","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$115","v":0},{"$f":"$J$2147-$H$2147","v":0},{"$f":"'Sec. H In-State ADJ'!$V$115","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$116","v":100},{"$f":"'Sec. H In-State ADJ'!$C$116","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$116","v":0},{"$f":"$J$2148-$H$2148","v":0},{"$f":"'Sec. H In-State ADJ'!$V$116","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$117","v":101},{"$f":"'Sec. H In-State ADJ'!$C$117","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$117","v":0},{"$f":"$J$2149-$H$2149","v":0},{"$f":"'Sec. H In-State ADJ'!$V$117","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$118","v":102},{"$f":"'Sec. H In-State ADJ'!$C$118","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$118","v":0},{"$f":"$J$2150-$H$2150","v":0},{"$f":"'Sec. H In-State ADJ'!$V$118","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$119","v":103},{"$f":"'Sec. H In-State ADJ'!$C$119","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$119","v":0},{"$f":"$J$2151-$H$2151","v":0},{"$f":"'Sec. H In-State ADJ'!$V$119","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$120","v":104},{"$f":"'Sec. H In-State ADJ'!$C$120","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$120","v":0},{"$f":"$J$2152-$H$2152","v":0},{"$f":"'Sec. H In-State ADJ'!$V$120","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$121","v":105},{"$f":"'Sec. H In-State ADJ'!$C$121","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$121","v":0},{"$f":"$J$2153-$H$2153","v":0},{"$f":"'Sec. H In-State ADJ'!$V$121","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$122","v":106},{"$f":"'Sec. H In-State ADJ'!$C$122","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$122","v":0},{"$f":"$J$2154-$H$2154","v":0},{"$f":"'Sec. H In-State ADJ'!$V$122","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$123","v":107},{"$f":"'Sec. H In-State ADJ'!$C$123","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$123","v":0},{"$f":"$J$2155-$H$2155","v":0},{"$f":"'Sec. H In-State ADJ'!$V$123","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$124","v":108},{"$f":"'Sec. H In-State ADJ'!$C$124","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$124","v":0},{"$f":"$J$2156-$H$2156","v":0},{"$f":"'Sec. H In-State ADJ'!$V$124","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$125","v":109},{"$f":"'Sec. H In-State ADJ'!$C$125","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$125","v":0},{"$f":"$J$2157-$H$2157","v":0},{"$f":"'Sec. H In-State ADJ'!$V$125","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$126","v":110},{"$f":"'Sec. H In-State ADJ'!$C$126","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$126","v":0},{"$f":"$J$2158-$H$2158","v":0},{"$f":"'Sec. H In-State ADJ'!$V$126","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$127","v":111},{"$f":"'Sec. H In-State ADJ'!$C$127","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$127","v":0},{"$f":"$J$2159-$H$2159","v":0},{"$f":"'Sec. H In-State ADJ'!$V$127","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$128","v":112},{"$f":"'Sec. H In-State ADJ'!$C$128","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$128","v":0},{"$f":"$J$2160-$H$2160","v":0},{"$f":"'Sec. H In-State ADJ'!$V$128","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$129","v":113},{"$f":"'Sec. H In-State ADJ'!$C$129","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$129","v":0},{"$f":"$J$2161-$H$2161","v":0},{"$f":"'Sec. H In-State ADJ'!$V$129","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$130","v":114},{"$f":"'Sec. H In-State ADJ'!$C$130","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$130","v":0},{"$f":"$J$2162-$H$2162","v":0},{"$f":"'Sec. H In-State ADJ'!$V$130","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$131","v":115},{"$f":"'Sec. H In-State ADJ'!$C$131","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$131","v":0},{"$f":"$J$2163-$H$2163","v":0},{"$f":"'Sec. H In-State ADJ'!$V$131","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$132","v":116},{"$f":"'Sec. H In-State ADJ'!$C$132","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$132","v":0},{"$f":"$J$2164-$H$2164","v":0},{"$f":"'Sec. H In-State ADJ'!$V$132","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$133","v":117},{"$f":"'Sec. H In-State ADJ'!$C$133","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$133","v":0},{"$f":"$J$2165-$H$2165","v":0},{"$f":"'Sec. H In-State ADJ'!$V$133","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$134","v":118},{"$f":"'Sec. H In-State ADJ'!$C$134","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$134","v":0},{"$f":"$J$2166-$H$2166","v":0},{"$f":"'Sec. H In-State ADJ'!$V$134","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$135","v":119},{"$f":"'Sec. H In-State ADJ'!$C$135","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$135","v":0},{"$f":"$J$2167-$H$2167","v":0},{"$f":"'Sec. H In-State ADJ'!$V$135","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$136","v":120},{"$f":"'Sec. H In-State ADJ'!$C$136","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$136","v":0},{"$f":"$J$2168-$H$2168","v":0},{"$f":"'Sec. H In-State ADJ'!$V$136","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$137","v":121},{"$f":"'Sec. H In-State ADJ'!$C$137","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$137","v":0},{"$f":"$J$2169-$H$2169","v":0},{"$f":"'Sec. H In-State ADJ'!$V$137","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$138","v":122},{"$f":"'Sec. H In-State ADJ'!$C$138","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$138","v":0},{"$f":"$J$2170-$H$2170","v":0},{"$f":"'Sec. H In-State ADJ'!$V$138","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$139","v":123},{"$f":"'Sec. H In-State ADJ'!$C$139","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$139","v":0},{"$f":"$J$2171-$H$2171","v":0},{"$f":"'Sec. H In-State ADJ'!$V$139","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$140","v":124},{"$f":"'Sec. H In-State ADJ'!$C$140","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$140","v":0},{"$f":"$J$2172-$H$2172","v":0},{"$f":"'Sec. H In-State ADJ'!$V$140","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$141","v":125},{"$f":"'Sec. H In-State ADJ'!$C$141","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$141","v":0},{"$f":"$J$2173-$H$2173","v":0},{"$f":"'Sec. H In-State ADJ'!$V$141","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$142","v":126},{"$f":"'Sec. H In-State ADJ'!$C$142","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$142","v":0},{"$f":"$J$2174-$H$2174","v":0},{"$f":"'Sec. H In-State ADJ'!$V$142","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$143","v":127},{"$f":"'Sec. H In-State ADJ'!$C$143","v":""},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$143","v":0},{"$f":"$J$2175-$H$2175","v":0},{"$f":"'Sec. H In-State ADJ'!$V$143","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$151","v":131.01},{"$f":"'Sec. H In-State ADJ'!$B$151","v":"Sampling Cost Adjustment (if applicable)"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to sample extrapolation.",0,{"$f":"$J$2176-$H$2176","v":0},{"$f":"'Sec. H In-State ADJ'!$V$151","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$154","v":132},{"$f":"'Sec. H In-State ADJ'!$B$154","v":"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$154","v":192550.03000000006},{"$f":"$J$2177-$H$2177","v":0},{"$f":"'Sec. H In-State ADJ'!$V$154","v":192550.03000000006}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$155","v":133},{"$f":"'Sec. H In-State ADJ'!$B$155","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$155","v":85755.29999999977},{"$f":"$J$2178-$H$2178","v":0},{"$f":"'Sec. H In-State ADJ'!$V$155","v":85755.29999999977}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$156","v":134},{"$f":"'Sec. H In-State ADJ'!$B$156","v":"Private Insurance (including primary and third party liability)"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$156","v":1550592.6099999994},{"$f":"$J$2179-$H$2179","v":0},{"$f":"'Sec. H In-State ADJ'!$V$156","v":1550592.6099999994}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$157","v":135},{"$f":"'Sec. H In-State ADJ'!$B$157","v":"Self-Pay (including Co-Pay and Spend-Down)"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$157","v":22676.549999999996},{"$f":"$J$2180-$H$2180","v":0},{"$f":"'Sec. H In-State ADJ'!$V$157","v":22676.549999999996}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$161","v":139},{"$f":"'Sec. H In-State ADJ'!$B$161","v":"Medicare Traditional (non-HMO) Paid Amount (excludes coinsurance/deductibles)"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$161","v":782601.68000000354},{"$f":"$J$2181-$H$2181","v":0},{"$f":"'Sec. H In-State ADJ'!$V$161","v":782601.68000000354}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$162","v":140},{"$f":"'Sec. H In-State ADJ'!$B$162","v":"Medicare Managed Care (HMO) Paid Amount (excludes coinsurance/deductibles)"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$162","v":1208975.9000000034},{"$f":"$J$2182-$H$2182","v":0},{"$f":"'Sec. H In-State ADJ'!$V$162","v":1208975.9000000034}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$163","v":141},{"$f":"'Sec. H In-State ADJ'!$B$163","v":"Medicare Cross-Over Bad Debt Payments"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$V$163","v":0},{"$f":"$J$2183-$H$2183","v":0},{"$f":"'Sec. H In-State ADJ'!$V$163","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$164","v":142},{"$f":"'Sec. H In-State ADJ'!$B$164","v":"Other Medicare Cross-Over Payments (See Note D)"},"12.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$V$6,\" \", 'Sec. H In-State ADJ'!$T$5)","v":"Outpatient In-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to include Medicare cost report settlements applicable to cross-overs.",{"$f":"'Sec. H In-State'!$V$164","v":0},{"$f":"$J$2184-$H$2184","v":0},{"$f":"'Sec. H In-State ADJ'!$V$164","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$11","v":1},{"$f":"'Sec. H In-State ADJ'!$C$11","v":"ADULTS & PEDIATRICS"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$11","v":0},{"$f":"$J$2185-$H$2185","v":0},{"$f":"'Sec. H In-State ADJ'!$X$11","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$12","v":2},{"$f":"'Sec. H In-State ADJ'!$C$12","v":"INTENSIVE CARE UNIT"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$12","v":0},{"$f":"$J$2186-$H$2186","v":0},{"$f":"'Sec. H In-State ADJ'!$X$12","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$13","v":3},{"$f":"'Sec. H In-State ADJ'!$C$13","v":"CORONARY CARE UNIT"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$13","v":0},{"$f":"$J$2187-$H$2187","v":0},{"$f":"'Sec. H In-State ADJ'!$X$13","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$14","v":4},{"$f":"'Sec. H In-State ADJ'!$C$14","v":"BURN INTENSIVE CARE UNIT"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$14","v":0},{"$f":"$J$2188-$H$2188","v":0},{"$f":"'Sec. H In-State ADJ'!$X$14","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$15","v":5},{"$f":"'Sec. H In-State ADJ'!$C$15","v":"SURGICAL INTENSIVE CARE UNIT"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$15","v":0},{"$f":"$J$2189-$H$2189","v":0},{"$f":"'Sec. H In-State ADJ'!$X$15","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$16","v":6},{"$f":"'Sec. H In-State ADJ'!$C$16","v":"OTHER SPECIAL CARE UNIT"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$16","v":0},{"$f":"$J$2190-$H$2190","v":0},{"$f":"'Sec. H In-State ADJ'!$X$16","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$17","v":7},{"$f":"'Sec. H In-State ADJ'!$C$17","v":"SUBPROVIDER I"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$17","v":0},{"$f":"$J$2191-$H$2191","v":0},{"$f":"'Sec. H In-State ADJ'!$X$17","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$18","v":8},{"$f":"'Sec. H In-State ADJ'!$C$18","v":"SUBPROVIDER II"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$18","v":0},{"$f":"$J$2192-$H$2192","v":0},{"$f":"'Sec. H In-State ADJ'!$X$18","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$19","v":9},{"$f":"'Sec. H In-State ADJ'!$C$19","v":"OTHER SUBPROVIDER"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$19","v":0},{"$f":"$J$2193-$H$2193","v":0},{"$f":"'Sec. H In-State ADJ'!$X$19","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$20","v":10},{"$f":"'Sec. H In-State ADJ'!$C$20","v":"NURSERY"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$20","v":0},{"$f":"$J$2194-$H$2194","v":0},{"$f":"'Sec. H In-State ADJ'!$X$20","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$21","v":11},{"$f":"'Sec. H In-State ADJ'!$C$21","v":0},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$21","v":0},{"$f":"$J$2195-$H$2195","v":0},{"$f":"'Sec. H In-State ADJ'!$X$21","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$22","v":12},{"$f":"'Sec. H In-State ADJ'!$C$22","v":0},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$22","v":0},{"$f":"$J$2196-$H$2196","v":0},{"$f":"'Sec. H In-State ADJ'!$X$22","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$23","v":13},{"$f":"'Sec. H In-State ADJ'!$C$23","v":0},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$23","v":0},{"$f":"$J$2197-$H$2197","v":0},{"$f":"'Sec. H In-State ADJ'!$X$23","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$24","v":14},{"$f":"'Sec. H In-State ADJ'!$C$24","v":0},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$24","v":0},{"$f":"$J$2198-$H$2198","v":0},{"$f":"'Sec. H In-State ADJ'!$X$24","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$25","v":15},{"$f":"'Sec. H In-State ADJ'!$C$25","v":0},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$25","v":0},{"$f":"$J$2199-$H$2199","v":0},{"$f":"'Sec. H In-State ADJ'!$X$25","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$26","v":16},{"$f":"'Sec. H In-State ADJ'!$C$26","v":0},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$26","v":0},{"$f":"$J$2200-$H$2200","v":0},{"$f":"'Sec. H In-State ADJ'!$X$26","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$27","v":17},{"$f":"'Sec. H In-State ADJ'!$C$27","v":0},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$27","v":0},{"$f":"$J$2201-$H$2201","v":0},{"$f":"'Sec. H In-State ADJ'!$X$27","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$34","v":21},{"$f":"'Sec. H In-State ADJ'!$C$34","v":"Routine Charges"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$34","v":0},{"$f":"$J$2202-$H$2202","v":0},{"$f":"'Sec. H In-State ADJ'!$X$34","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$38","v":22},{"$f":"'Sec. H In-State ADJ'!$C$38","v":"Observation (Non-Distinct)"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$38","v":0},{"$f":"$J$2203-$H$2203","v":0},{"$f":"'Sec. H In-State ADJ'!$X$38","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$39","v":23},{"$f":"'Sec. H In-State ADJ'!$C$39","v":"OPERATING ROOM"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$39","v":0},{"$f":"$J$2204-$H$2204","v":0},{"$f":"'Sec. H In-State ADJ'!$X$39","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$40","v":24},{"$f":"'Sec. H In-State ADJ'!$C$40","v":"RECOVERY ROOM"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$40","v":0},{"$f":"$J$2205-$H$2205","v":0},{"$f":"'Sec. H In-State ADJ'!$X$40","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$41","v":25},{"$f":"'Sec. H In-State ADJ'!$C$41","v":"DELIVERY ROOM & LABOR ROOM"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$41","v":0},{"$f":"$J$2206-$H$2206","v":0},{"$f":"'Sec. H In-State ADJ'!$X$41","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$42","v":26},{"$f":"'Sec. H In-State ADJ'!$C$42","v":"ANESTHESIOLOGY"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$42","v":0},{"$f":"$J$2207-$H$2207","v":0},{"$f":"'Sec. H In-State ADJ'!$X$42","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$43","v":27},{"$f":"'Sec. H In-State ADJ'!$C$43","v":"RADIOLOGY-DIAGNOSTIC"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$43","v":0},{"$f":"$J$2208-$H$2208","v":0},{"$f":"'Sec. H In-State ADJ'!$X$43","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$44","v":28},{"$f":"'Sec. H In-State ADJ'!$C$44","v":"RADIOLOGY-THERAPEUTIC"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$44","v":0},{"$f":"$J$2209-$H$2209","v":0},{"$f":"'Sec. H In-State ADJ'!$X$44","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$45","v":29},{"$f":"'Sec. H In-State ADJ'!$C$45","v":"NUCLEAR MEDICINE"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$45","v":0},{"$f":"$J$2210-$H$2210","v":0},{"$f":"'Sec. H In-State ADJ'!$X$45","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$46","v":30},{"$f":"'Sec. H In-State ADJ'!$C$46","v":"CT SCAN"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$46","v":0},{"$f":"$J$2211-$H$2211","v":0},{"$f":"'Sec. H In-State ADJ'!$X$46","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$47","v":31},{"$f":"'Sec. H In-State ADJ'!$C$47","v":"MRI"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$47","v":0},{"$f":"$J$2212-$H$2212","v":0},{"$f":"'Sec. H In-State ADJ'!$X$47","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$48","v":32},{"$f":"'Sec. H In-State ADJ'!$C$48","v":"CARDIAC CATHETERIZATION"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$48","v":0},{"$f":"$J$2213-$H$2213","v":0},{"$f":"'Sec. H In-State ADJ'!$X$48","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$49","v":33},{"$f":"'Sec. H In-State ADJ'!$C$49","v":"LABORATORY"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$49","v":0},{"$f":"$J$2214-$H$2214","v":0},{"$f":"'Sec. H In-State ADJ'!$X$49","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$50","v":34},{"$f":"'Sec. H In-State ADJ'!$C$50","v":"RESPIRATORY THERAPY"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$50","v":0},{"$f":"$J$2215-$H$2215","v":0},{"$f":"'Sec. H In-State ADJ'!$X$50","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$51","v":35},{"$f":"'Sec. H In-State ADJ'!$C$51","v":"PHYSICAL THERAPY"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$51","v":0},{"$f":"$J$2216-$H$2216","v":0},{"$f":"'Sec. H In-State ADJ'!$X$51","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$52","v":36},{"$f":"'Sec. H In-State ADJ'!$C$52","v":"SPEECH PATHOLOGY"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$52","v":0},{"$f":"$J$2217-$H$2217","v":0},{"$f":"'Sec. H In-State ADJ'!$X$52","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$53","v":37},{"$f":"'Sec. H In-State ADJ'!$C$53","v":"ELECTROCARDIOLOGY"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$53","v":0},{"$f":"$J$2218-$H$2218","v":0},{"$f":"'Sec. H In-State ADJ'!$X$53","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$54","v":38},{"$f":"'Sec. H In-State ADJ'!$C$54","v":"ELECTROENCEPHALOGRAPHY"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$54","v":0},{"$f":"$J$2219-$H$2219","v":0},{"$f":"'Sec. H In-State ADJ'!$X$54","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$55","v":39},{"$f":"'Sec. H In-State ADJ'!$C$55","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$55","v":0},{"$f":"$J$2220-$H$2220","v":0},{"$f":"'Sec. H In-State ADJ'!$X$55","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$56","v":40},{"$f":"'Sec. H In-State ADJ'!$C$56","v":"IMPL. DEV. CHARGED TO PATIENTS"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$56","v":0},{"$f":"$J$2221-$H$2221","v":0},{"$f":"'Sec. H In-State ADJ'!$X$56","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$57","v":41},{"$f":"'Sec. H In-State ADJ'!$C$57","v":"DRUGS CHARGED TO PATIENTS"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$57","v":0},{"$f":"$J$2222-$H$2222","v":0},{"$f":"'Sec. H In-State ADJ'!$X$57","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$58","v":42},{"$f":"'Sec. H In-State ADJ'!$C$58","v":"RENAL DIALYSIS"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$58","v":0},{"$f":"$J$2223-$H$2223","v":0},{"$f":"'Sec. H In-State ADJ'!$X$58","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$59","v":43},{"$f":"'Sec. H In-State ADJ'!$C$59","v":"CARDIOVASCULAR MEDICINE"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$59","v":0},{"$f":"$J$2224-$H$2224","v":0},{"$f":"'Sec. H In-State ADJ'!$X$59","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$60","v":44},{"$f":"'Sec. H In-State ADJ'!$C$60","v":"CLINIC"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$60","v":0},{"$f":"$J$2225-$H$2225","v":0},{"$f":"'Sec. H In-State ADJ'!$X$60","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$61","v":45},{"$f":"'Sec. H In-State ADJ'!$C$61","v":"NUTRITION"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$61","v":0},{"$f":"$J$2226-$H$2226","v":0},{"$f":"'Sec. H In-State ADJ'!$X$61","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$62","v":46},{"$f":"'Sec. H In-State ADJ'!$C$62","v":"WOUND CARE CENTER"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$62","v":0},{"$f":"$J$2227-$H$2227","v":0},{"$f":"'Sec. H In-State ADJ'!$X$62","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$63","v":47},{"$f":"'Sec. H In-State ADJ'!$C$63","v":"EMERGENCY"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$63","v":0},{"$f":"$J$2228-$H$2228","v":0},{"$f":"'Sec. H In-State ADJ'!$X$63","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$64","v":48},{"$f":"'Sec. H In-State ADJ'!$C$64","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$64","v":0},{"$f":"$J$2229-$H$2229","v":0},{"$f":"'Sec. H In-State ADJ'!$X$64","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$65","v":49},{"$f":"'Sec. H In-State ADJ'!$C$65","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$65","v":0},{"$f":"$J$2230-$H$2230","v":0},{"$f":"'Sec. H In-State ADJ'!$X$65","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$66","v":50},{"$f":"'Sec. H In-State ADJ'!$C$66","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$66","v":0},{"$f":"$J$2231-$H$2231","v":0},{"$f":"'Sec. H In-State ADJ'!$X$66","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$67","v":51},{"$f":"'Sec. H In-State ADJ'!$C$67","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$67","v":0},{"$f":"$J$2232-$H$2232","v":0},{"$f":"'Sec. H In-State ADJ'!$X$67","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$68","v":52},{"$f":"'Sec. H In-State ADJ'!$C$68","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$68","v":0},{"$f":"$J$2233-$H$2233","v":0},{"$f":"'Sec. H In-State ADJ'!$X$68","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$69","v":53},{"$f":"'Sec. H In-State ADJ'!$C$69","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$69","v":0},{"$f":"$J$2234-$H$2234","v":0},{"$f":"'Sec. H In-State ADJ'!$X$69","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$70","v":54},{"$f":"'Sec. H In-State ADJ'!$C$70","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$70","v":0},{"$f":"$J$2235-$H$2235","v":0},{"$f":"'Sec. H In-State ADJ'!$X$70","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$71","v":55},{"$f":"'Sec. H In-State ADJ'!$C$71","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$71","v":0},{"$f":"$J$2236-$H$2236","v":0},{"$f":"'Sec. H In-State ADJ'!$X$71","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$72","v":56},{"$f":"'Sec. H In-State ADJ'!$C$72","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$72","v":0},{"$f":"$J$2237-$H$2237","v":0},{"$f":"'Sec. H In-State ADJ'!$X$72","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$73","v":57},{"$f":"'Sec. H In-State ADJ'!$C$73","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$73","v":0},{"$f":"$J$2238-$H$2238","v":0},{"$f":"'Sec. H In-State ADJ'!$X$73","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$74","v":58},{"$f":"'Sec. H In-State ADJ'!$C$74","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$74","v":0},{"$f":"$J$2239-$H$2239","v":0},{"$f":"'Sec. H In-State ADJ'!$X$74","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$75","v":59},{"$f":"'Sec. H In-State ADJ'!$C$75","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$75","v":0},{"$f":"$J$2240-$H$2240","v":0},{"$f":"'Sec. H In-State ADJ'!$X$75","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$76","v":60},{"$f":"'Sec. H In-State ADJ'!$C$76","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$76","v":0},{"$f":"$J$2241-$H$2241","v":0},{"$f":"'Sec. H In-State ADJ'!$X$76","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$77","v":61},{"$f":"'Sec. H In-State ADJ'!$C$77","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$77","v":0},{"$f":"$J$2242-$H$2242","v":0},{"$f":"'Sec. H In-State ADJ'!$X$77","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$78","v":62},{"$f":"'Sec. H In-State ADJ'!$C$78","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$78","v":0},{"$f":"$J$2243-$H$2243","v":0},{"$f":"'Sec. H In-State ADJ'!$X$78","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$79","v":63},{"$f":"'Sec. H In-State ADJ'!$C$79","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$79","v":0},{"$f":"$J$2244-$H$2244","v":0},{"$f":"'Sec. H In-State ADJ'!$X$79","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$80","v":64},{"$f":"'Sec. H In-State ADJ'!$C$80","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$80","v":0},{"$f":"$J$2245-$H$2245","v":0},{"$f":"'Sec. H In-State ADJ'!$X$80","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$81","v":65},{"$f":"'Sec. H In-State ADJ'!$C$81","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$81","v":0},{"$f":"$J$2246-$H$2246","v":0},{"$f":"'Sec. H In-State ADJ'!$X$81","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$82","v":66},{"$f":"'Sec. H In-State ADJ'!$C$82","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$82","v":0},{"$f":"$J$2247-$H$2247","v":0},{"$f":"'Sec. H In-State ADJ'!$X$82","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$83","v":67},{"$f":"'Sec. H In-State ADJ'!$C$83","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$83","v":0},{"$f":"$J$2248-$H$2248","v":0},{"$f":"'Sec. H In-State ADJ'!$X$83","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$84","v":68},{"$f":"'Sec. H In-State ADJ'!$C$84","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$84","v":0},{"$f":"$J$2249-$H$2249","v":0},{"$f":"'Sec. H In-State ADJ'!$X$84","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$85","v":69},{"$f":"'Sec. H In-State ADJ'!$C$85","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$85","v":0},{"$f":"$J$2250-$H$2250","v":0},{"$f":"'Sec. H In-State ADJ'!$X$85","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$86","v":70},{"$f":"'Sec. H In-State ADJ'!$C$86","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$86","v":0},{"$f":"$J$2251-$H$2251","v":0},{"$f":"'Sec. H In-State ADJ'!$X$86","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$87","v":71},{"$f":"'Sec. H In-State ADJ'!$C$87","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$87","v":0},{"$f":"$J$2252-$H$2252","v":0},{"$f":"'Sec. H In-State ADJ'!$X$87","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$88","v":72},{"$f":"'Sec. H In-State ADJ'!$C$88","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$88","v":0},{"$f":"$J$2253-$H$2253","v":0},{"$f":"'Sec. H In-State ADJ'!$X$88","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$89","v":73},{"$f":"'Sec. H In-State ADJ'!$C$89","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$89","v":0},{"$f":"$J$2254-$H$2254","v":0},{"$f":"'Sec. H In-State ADJ'!$X$89","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$90","v":74},{"$f":"'Sec. H In-State ADJ'!$C$90","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$90","v":0},{"$f":"$J$2255-$H$2255","v":0},{"$f":"'Sec. H In-State ADJ'!$X$90","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$91","v":75},{"$f":"'Sec. H In-State ADJ'!$C$91","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$91","v":0},{"$f":"$J$2256-$H$2256","v":0},{"$f":"'Sec. H In-State ADJ'!$X$91","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$92","v":76},{"$f":"'Sec. H In-State ADJ'!$C$92","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$92","v":0},{"$f":"$J$2257-$H$2257","v":0},{"$f":"'Sec. H In-State ADJ'!$X$92","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$93","v":77},{"$f":"'Sec. H In-State ADJ'!$C$93","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$93","v":0},{"$f":"$J$2258-$H$2258","v":0},{"$f":"'Sec. H In-State ADJ'!$X$93","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$94","v":78},{"$f":"'Sec. H In-State ADJ'!$C$94","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$94","v":0},{"$f":"$J$2259-$H$2259","v":0},{"$f":"'Sec. H In-State ADJ'!$X$94","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$95","v":79},{"$f":"'Sec. H In-State ADJ'!$C$95","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$95","v":0},{"$f":"$J$2260-$H$2260","v":0},{"$f":"'Sec. H In-State ADJ'!$X$95","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$96","v":80},{"$f":"'Sec. H In-State ADJ'!$C$96","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$96","v":0},{"$f":"$J$2261-$H$2261","v":0},{"$f":"'Sec. H In-State ADJ'!$X$96","v":0}]
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[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$99","v":83},{"$f":"'Sec. H In-State ADJ'!$C$99","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$99","v":0},{"$f":"$J$2264-$H$2264","v":0},{"$f":"'Sec. H In-State ADJ'!$X$99","v":0}]
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[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$103","v":87},{"$f":"'Sec. H In-State ADJ'!$C$103","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$103","v":0},{"$f":"$J$2268-$H$2268","v":0},{"$f":"'Sec. H In-State ADJ'!$X$103","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$104","v":88},{"$f":"'Sec. H In-State ADJ'!$C$104","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$104","v":0},{"$f":"$J$2269-$H$2269","v":0},{"$f":"'Sec. H In-State ADJ'!$X$104","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$105","v":89},{"$f":"'Sec. H In-State ADJ'!$C$105","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$105","v":0},{"$f":"$J$2270-$H$2270","v":0},{"$f":"'Sec. H In-State ADJ'!$X$105","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$106","v":90},{"$f":"'Sec. H In-State ADJ'!$C$106","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$106","v":0},{"$f":"$J$2271-$H$2271","v":0},{"$f":"'Sec. H In-State ADJ'!$X$106","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$107","v":91},{"$f":"'Sec. H In-State ADJ'!$C$107","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$107","v":0},{"$f":"$J$2272-$H$2272","v":0},{"$f":"'Sec. H In-State ADJ'!$X$107","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$108","v":92},{"$f":"'Sec. H In-State ADJ'!$C$108","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$108","v":0},{"$f":"$J$2273-$H$2273","v":0},{"$f":"'Sec. H In-State ADJ'!$X$108","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$109","v":93},{"$f":"'Sec. H In-State ADJ'!$C$109","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$109","v":0},{"$f":"$J$2274-$H$2274","v":0},{"$f":"'Sec. H In-State ADJ'!$X$109","v":0}]
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[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$111","v":95},{"$f":"'Sec. H In-State ADJ'!$C$111","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$111","v":0},{"$f":"$J$2276-$H$2276","v":0},{"$f":"'Sec. H In-State ADJ'!$X$111","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$112","v":96},{"$f":"'Sec. H In-State ADJ'!$C$112","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$112","v":0},{"$f":"$J$2277-$H$2277","v":0},{"$f":"'Sec. H In-State ADJ'!$X$112","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$113","v":97},{"$f":"'Sec. H In-State ADJ'!$C$113","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$113","v":0},{"$f":"$J$2278-$H$2278","v":0},{"$f":"'Sec. H In-State ADJ'!$X$113","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$114","v":98},{"$f":"'Sec. H In-State ADJ'!$C$114","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$114","v":0},{"$f":"$J$2279-$H$2279","v":0},{"$f":"'Sec. H In-State ADJ'!$X$114","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$115","v":99},{"$f":"'Sec. H In-State ADJ'!$C$115","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$115","v":0},{"$f":"$J$2280-$H$2280","v":0},{"$f":"'Sec. H In-State ADJ'!$X$115","v":0}]
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[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$118","v":102},{"$f":"'Sec. H In-State ADJ'!$C$118","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$118","v":0},{"$f":"$J$2283-$H$2283","v":0},{"$f":"'Sec. H In-State ADJ'!$X$118","v":0}]
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[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$139","v":123},{"$f":"'Sec. H In-State ADJ'!$C$139","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$139","v":0},{"$f":"$J$2304-$H$2304","v":0},{"$f":"'Sec. H In-State ADJ'!$X$139","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$140","v":124},{"$f":"'Sec. H In-State ADJ'!$C$140","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$140","v":0},{"$f":"$J$2305-$H$2305","v":0},{"$f":"'Sec. H In-State ADJ'!$X$140","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$141","v":125},{"$f":"'Sec. H In-State ADJ'!$C$141","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$141","v":0},{"$f":"$J$2306-$H$2306","v":0},{"$f":"'Sec. H In-State ADJ'!$X$141","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$142","v":126},{"$f":"'Sec. H In-State ADJ'!$C$142","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$142","v":0},{"$f":"$J$2307-$H$2307","v":0},{"$f":"'Sec. H In-State ADJ'!$X$142","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$143","v":127},{"$f":"'Sec. H In-State ADJ'!$C$143","v":""},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$143","v":0},{"$f":"$J$2308-$H$2308","v":0},{"$f":"'Sec. H In-State ADJ'!$X$143","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$151","v":131.01},{"$f":"'Sec. H In-State ADJ'!$B$151","v":"Sampling Cost Adjustment (if applicable)"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to sample extrapolation.",0,{"$f":"$J$2309-$H$2309","v":0},{"$f":"'Sec. H In-State ADJ'!$X$151","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$154","v":132},{"$f":"'Sec. H In-State ADJ'!$B$154","v":"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$154","v":0},{"$f":"$J$2310-$H$2310","v":0},{"$f":"'Sec. H In-State ADJ'!$X$154","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$155","v":133},{"$f":"'Sec. H In-State ADJ'!$B$155","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$155","v":0},{"$f":"$J$2311-$H$2311","v":0},{"$f":"'Sec. H In-State ADJ'!$X$155","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$156","v":134},{"$f":"'Sec. H In-State ADJ'!$B$156","v":"Private Insurance (including primary and third party liability)"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$156","v":0},{"$f":"$J$2312-$H$2312","v":0},{"$f":"'Sec. H In-State ADJ'!$X$156","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$157","v":135},{"$f":"'Sec. H In-State ADJ'!$B$157","v":"Self-Pay (including Co-Pay and Spend-Down)"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X$157","v":0},{"$f":"$J$2313-$H$2313","v":0},{"$f":"'Sec. H In-State ADJ'!$X$157","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A160","v":138},{"$f":"'Sec. H In-State ADJ'!$B160","v":"Other Medicaid Payments Reported on Cost Report Year (See Note C)"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X160","v":0},{"$f":"$J2314-$H2314","v":0},{"$f":"'Sec. H In-State ADJ'!$X160","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A161","v":139},{"$f":"'Sec. H In-State ADJ'!$B161","v":"Medicare Traditional (non-HMO) Paid Amount (excludes coinsurance/deductibles)"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X161","v":0},{"$f":"$J2315-$H2315","v":0},{"$f":"'Sec. H In-State ADJ'!$X161","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A162","v":140},{"$f":"'Sec. H In-State ADJ'!$B162","v":"Medicare Managed Care (HMO) Paid Amount (excludes coinsurance/deductibles)"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X162","v":0},0,{"$f":"'Sec. H In-State ADJ'!$X162","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A163","v":141},{"$f":"'Sec. H In-State ADJ'!$B163","v":"Medicare Cross-Over Bad Debt Payments"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$X163","v":0},0,{"$f":"'Sec. H In-State ADJ'!$X163","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A164","v":142},{"$f":"'Sec. H In-State ADJ'!$B164","v":"Other Medicare Cross-Over Payments (See Note D)"},"13.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$X$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Inpatient "},"Adjust to include Medicare cost report settlements applicable to cross-overs.",{"$f":"'Sec. H In-State'!$X164","v":0},0,{"$f":"'Sec. H In-State ADJ'!$X164","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$38","v":22},{"$f":"'Sec. H In-State ADJ'!$C$38","v":"Observation (Non-Distinct)"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$38","v":0},{"$f":"$J$2319-$H$2319","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$38","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$39","v":23},{"$f":"'Sec. H In-State ADJ'!$C$39","v":"OPERATING ROOM"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$39","v":0},{"$f":"$J$2320-$H$2320","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$39","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$40","v":24},{"$f":"'Sec. H In-State ADJ'!$C$40","v":"RECOVERY ROOM"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$40","v":0},{"$f":"$J$2321-$H$2321","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$40","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$41","v":25},{"$f":"'Sec. H In-State ADJ'!$C$41","v":"DELIVERY ROOM & LABOR ROOM"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$41","v":0},{"$f":"$J$2322-$H$2322","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$41","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$42","v":26},{"$f":"'Sec. H In-State ADJ'!$C$42","v":"ANESTHESIOLOGY"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$42","v":0},{"$f":"$J$2323-$H$2323","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$42","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$43","v":27},{"$f":"'Sec. H In-State ADJ'!$C$43","v":"RADIOLOGY-DIAGNOSTIC"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$43","v":0},{"$f":"$J$2324-$H$2324","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$43","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$44","v":28},{"$f":"'Sec. H In-State ADJ'!$C$44","v":"RADIOLOGY-THERAPEUTIC"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$44","v":0},{"$f":"$J$2325-$H$2325","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$44","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$45","v":29},{"$f":"'Sec. H In-State ADJ'!$C$45","v":"NUCLEAR MEDICINE"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$45","v":0},{"$f":"$J$2326-$H$2326","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$45","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$46","v":30},{"$f":"'Sec. H In-State ADJ'!$C$46","v":"CT SCAN"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$46","v":0},{"$f":"$J$2327-$H$2327","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$46","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$47","v":31},{"$f":"'Sec. H In-State ADJ'!$C$47","v":"MRI"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$47","v":0},{"$f":"$J$2328-$H$2328","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$47","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$48","v":32},{"$f":"'Sec. H In-State ADJ'!$C$48","v":"CARDIAC CATHETERIZATION"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$48","v":0},{"$f":"$J$2329-$H$2329","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$48","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$49","v":33},{"$f":"'Sec. H In-State ADJ'!$C$49","v":"LABORATORY"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$49","v":0},{"$f":"$J$2330-$H$2330","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$49","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$50","v":34},{"$f":"'Sec. H In-State ADJ'!$C$50","v":"RESPIRATORY THERAPY"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$50","v":0},{"$f":"$J$2331-$H$2331","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$50","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$51","v":35},{"$f":"'Sec. H In-State ADJ'!$C$51","v":"PHYSICAL THERAPY"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$51","v":0},{"$f":"$J$2332-$H$2332","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$51","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$52","v":36},{"$f":"'Sec. H In-State ADJ'!$C$52","v":"SPEECH PATHOLOGY"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$52","v":0},{"$f":"$J$2333-$H$2333","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$52","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$53","v":37},{"$f":"'Sec. H In-State ADJ'!$C$53","v":"ELECTROCARDIOLOGY"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$53","v":0},{"$f":"$J$2334-$H$2334","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$53","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$54","v":38},{"$f":"'Sec. H In-State ADJ'!$C$54","v":"ELECTROENCEPHALOGRAPHY"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$54","v":0},{"$f":"$J$2335-$H$2335","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$54","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$55","v":39},{"$f":"'Sec. H In-State ADJ'!$C$55","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$55","v":0},{"$f":"$J$2336-$H$2336","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$55","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$56","v":40},{"$f":"'Sec. H In-State ADJ'!$C$56","v":"IMPL. DEV. CHARGED TO PATIENTS"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$56","v":0},{"$f":"$J$2337-$H$2337","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$56","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$57","v":41},{"$f":"'Sec. H In-State ADJ'!$C$57","v":"DRUGS CHARGED TO PATIENTS"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$57","v":0},{"$f":"$J$2338-$H$2338","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$57","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$58","v":42},{"$f":"'Sec. H In-State ADJ'!$C$58","v":"RENAL DIALYSIS"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$58","v":0},{"$f":"$J$2339-$H$2339","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$58","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$59","v":43},{"$f":"'Sec. H In-State ADJ'!$C$59","v":"CARDIOVASCULAR MEDICINE"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$59","v":0},{"$f":"$J$2340-$H$2340","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$59","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$60","v":44},{"$f":"'Sec. H In-State ADJ'!$C$60","v":"CLINIC"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$60","v":0},{"$f":"$J$2341-$H$2341","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$60","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$61","v":45},{"$f":"'Sec. H In-State ADJ'!$C$61","v":"NUTRITION"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$61","v":0},{"$f":"$J$2342-$H$2342","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$61","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$62","v":46},{"$f":"'Sec. H In-State ADJ'!$C$62","v":"WOUND CARE CENTER"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$62","v":0},{"$f":"$J$2343-$H$2343","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$62","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$63","v":47},{"$f":"'Sec. H In-State ADJ'!$C$63","v":"EMERGENCY"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$63","v":0},{"$f":"$J$2344-$H$2344","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$63","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$64","v":48},{"$f":"'Sec. H In-State ADJ'!$C$64","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$64","v":0},{"$f":"$J$2345-$H$2345","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$64","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$65","v":49},{"$f":"'Sec. H In-State ADJ'!$C$65","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$65","v":0},{"$f":"$J$2346-$H$2346","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$65","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$66","v":50},{"$f":"'Sec. H In-State ADJ'!$C$66","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$66","v":0},{"$f":"$J$2347-$H$2347","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$66","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$67","v":51},{"$f":"'Sec. H In-State ADJ'!$C$67","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$67","v":0},{"$f":"$J$2348-$H$2348","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$67","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$68","v":52},{"$f":"'Sec. H In-State ADJ'!$C$68","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$68","v":0},{"$f":"$J$2349-$H$2349","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$68","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$69","v":53},{"$f":"'Sec. H In-State ADJ'!$C$69","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$69","v":0},{"$f":"$J$2350-$H$2350","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$69","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$70","v":54},{"$f":"'Sec. H In-State ADJ'!$C$70","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$70","v":0},{"$f":"$J$2351-$H$2351","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$70","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$71","v":55},{"$f":"'Sec. H In-State ADJ'!$C$71","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$71","v":0},{"$f":"$J$2352-$H$2352","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$71","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$72","v":56},{"$f":"'Sec. H In-State ADJ'!$C$72","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$72","v":0},{"$f":"$J$2353-$H$2353","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$72","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$73","v":57},{"$f":"'Sec. H In-State ADJ'!$C$73","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$73","v":0},{"$f":"$J$2354-$H$2354","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$73","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$74","v":58},{"$f":"'Sec. H In-State ADJ'!$C$74","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$74","v":0},{"$f":"$J$2355-$H$2355","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$74","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$75","v":59},{"$f":"'Sec. H In-State ADJ'!$C$75","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$75","v":0},{"$f":"$J$2356-$H$2356","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$75","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$76","v":60},{"$f":"'Sec. H In-State ADJ'!$C$76","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$76","v":0},{"$f":"$J$2357-$H$2357","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$76","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$77","v":61},{"$f":"'Sec. H In-State ADJ'!$C$77","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$77","v":0},{"$f":"$J$2358-$H$2358","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$77","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$78","v":62},{"$f":"'Sec. H In-State ADJ'!$C$78","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$78","v":0},{"$f":"$J$2359-$H$2359","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$78","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$79","v":63},{"$f":"'Sec. H In-State ADJ'!$C$79","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$79","v":0},{"$f":"$J$2360-$H$2360","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$79","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$80","v":64},{"$f":"'Sec. H In-State ADJ'!$C$80","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$80","v":0},{"$f":"$J$2361-$H$2361","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$80","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$81","v":65},{"$f":"'Sec. H In-State ADJ'!$C$81","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$81","v":0},{"$f":"$J$2362-$H$2362","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$81","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$82","v":66},{"$f":"'Sec. H In-State ADJ'!$C$82","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$82","v":0},{"$f":"$J$2363-$H$2363","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$82","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$83","v":67},{"$f":"'Sec. H In-State ADJ'!$C$83","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$83","v":0},{"$f":"$J$2364-$H$2364","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$83","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$84","v":68},{"$f":"'Sec. H In-State ADJ'!$C$84","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$84","v":0},{"$f":"$J$2365-$H$2365","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$84","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$85","v":69},{"$f":"'Sec. H In-State ADJ'!$C$85","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$85","v":0},{"$f":"$J$2366-$H$2366","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$85","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$86","v":70},{"$f":"'Sec. H In-State ADJ'!$C$86","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$86","v":0},{"$f":"$J$2367-$H$2367","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$86","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$87","v":71},{"$f":"'Sec. H In-State ADJ'!$C$87","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$87","v":0},{"$f":"$J$2368-$H$2368","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$87","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$88","v":72},{"$f":"'Sec. H In-State ADJ'!$C$88","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$88","v":0},{"$f":"$J$2369-$H$2369","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$88","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$89","v":73},{"$f":"'Sec. H In-State ADJ'!$C$89","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$89","v":0},{"$f":"$J$2370-$H$2370","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$89","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$90","v":74},{"$f":"'Sec. H In-State ADJ'!$C$90","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$90","v":0},{"$f":"$J$2371-$H$2371","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$90","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$91","v":75},{"$f":"'Sec. H In-State ADJ'!$C$91","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$91","v":0},{"$f":"$J$2372-$H$2372","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$91","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$92","v":76},{"$f":"'Sec. H In-State ADJ'!$C$92","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$92","v":0},{"$f":"$J$2373-$H$2373","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$92","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$93","v":77},{"$f":"'Sec. H In-State ADJ'!$C$93","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$93","v":0},{"$f":"$J$2374-$H$2374","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$93","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$94","v":78},{"$f":"'Sec. H In-State ADJ'!$C$94","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$94","v":0},{"$f":"$J$2375-$H$2375","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$94","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$95","v":79},{"$f":"'Sec. H In-State ADJ'!$C$95","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$95","v":0},{"$f":"$J$2376-$H$2376","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$95","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$96","v":80},{"$f":"'Sec. H In-State ADJ'!$C$96","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$96","v":0},{"$f":"$J$2377-$H$2377","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$96","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$97","v":81},{"$f":"'Sec. H In-State ADJ'!$C$97","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$97","v":0},{"$f":"$J$2378-$H$2378","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$97","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$98","v":82},{"$f":"'Sec. H In-State ADJ'!$C$98","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$98","v":0},{"$f":"$J$2379-$H$2379","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$98","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$99","v":83},{"$f":"'Sec. H In-State ADJ'!$C$99","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$99","v":0},{"$f":"$J$2380-$H$2380","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$99","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$100","v":84},{"$f":"'Sec. H In-State ADJ'!$C$100","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$100","v":0},{"$f":"$J$2381-$H$2381","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$100","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$101","v":85},{"$f":"'Sec. H In-State ADJ'!$C$101","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$101","v":0},{"$f":"$J$2382-$H$2382","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$101","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$102","v":86},{"$f":"'Sec. H In-State ADJ'!$C$102","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$102","v":0},{"$f":"$J$2383-$H$2383","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$102","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$103","v":87},{"$f":"'Sec. H In-State ADJ'!$C$103","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$103","v":0},{"$f":"$J$2384-$H$2384","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$103","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$104","v":88},{"$f":"'Sec. H In-State ADJ'!$C$104","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$104","v":0},{"$f":"$J$2385-$H$2385","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$104","v":0}]
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[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$106","v":90},{"$f":"'Sec. H In-State ADJ'!$C$106","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$106","v":0},{"$f":"$J$2387-$H$2387","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$106","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$107","v":91},{"$f":"'Sec. H In-State ADJ'!$C$107","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$107","v":0},{"$f":"$J$2388-$H$2388","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$107","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$108","v":92},{"$f":"'Sec. H In-State ADJ'!$C$108","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$108","v":0},{"$f":"$J$2389-$H$2389","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$108","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$109","v":93},{"$f":"'Sec. H In-State ADJ'!$C$109","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$109","v":0},{"$f":"$J$2390-$H$2390","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$109","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$110","v":94},{"$f":"'Sec. H In-State ADJ'!$C$110","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$110","v":0},{"$f":"$J$2391-$H$2391","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$110","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$111","v":95},{"$f":"'Sec. H In-State ADJ'!$C$111","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$111","v":0},{"$f":"$J$2392-$H$2392","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$111","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$112","v":96},{"$f":"'Sec. H In-State ADJ'!$C$112","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$112","v":0},{"$f":"$J$2393-$H$2393","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$112","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$113","v":97},{"$f":"'Sec. H In-State ADJ'!$C$113","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$113","v":0},{"$f":"$J$2394-$H$2394","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$113","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$114","v":98},{"$f":"'Sec. H In-State ADJ'!$C$114","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$114","v":0},{"$f":"$J$2395-$H$2395","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$114","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$115","v":99},{"$f":"'Sec. H In-State ADJ'!$C$115","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$115","v":0},{"$f":"$J$2396-$H$2396","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$115","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$116","v":100},{"$f":"'Sec. H In-State ADJ'!$C$116","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$116","v":0},{"$f":"$J$2397-$H$2397","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$116","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$117","v":101},{"$f":"'Sec. H In-State ADJ'!$C$117","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$117","v":0},{"$f":"$J$2398-$H$2398","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$117","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$118","v":102},{"$f":"'Sec. H In-State ADJ'!$C$118","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$118","v":0},{"$f":"$J$2399-$H$2399","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$118","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$119","v":103},{"$f":"'Sec. H In-State ADJ'!$C$119","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$119","v":0},{"$f":"$J$2400-$H$2400","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$119","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$120","v":104},{"$f":"'Sec. H In-State ADJ'!$C$120","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$120","v":0},{"$f":"$J$2401-$H$2401","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$120","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$121","v":105},{"$f":"'Sec. H In-State ADJ'!$C$121","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$121","v":0},{"$f":"$J$2402-$H$2402","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$121","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$122","v":106},{"$f":"'Sec. H In-State ADJ'!$C$122","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$122","v":0},{"$f":"$J$2403-$H$2403","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$122","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$123","v":107},{"$f":"'Sec. H In-State ADJ'!$C$123","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$123","v":0},{"$f":"$J$2404-$H$2404","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$123","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$124","v":108},{"$f":"'Sec. H In-State ADJ'!$C$124","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$124","v":0},{"$f":"$J$2405-$H$2405","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$124","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$125","v":109},{"$f":"'Sec. H In-State ADJ'!$C$125","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$125","v":0},{"$f":"$J$2406-$H$2406","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$125","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$126","v":110},{"$f":"'Sec. H In-State ADJ'!$C$126","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$126","v":0},{"$f":"$J$2407-$H$2407","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$126","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$127","v":111},{"$f":"'Sec. H In-State ADJ'!$C$127","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$127","v":0},{"$f":"$J$2408-$H$2408","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$127","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$128","v":112},{"$f":"'Sec. H In-State ADJ'!$C$128","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$128","v":0},{"$f":"$J$2409-$H$2409","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$128","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$129","v":113},{"$f":"'Sec. H In-State ADJ'!$C$129","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$129","v":0},{"$f":"$J$2410-$H$2410","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$129","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$130","v":114},{"$f":"'Sec. H In-State ADJ'!$C$130","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$130","v":0},{"$f":"$J$2411-$H$2411","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$130","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$131","v":115},{"$f":"'Sec. H In-State ADJ'!$C$131","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$131","v":0},{"$f":"$J$2412-$H$2412","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$131","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$132","v":116},{"$f":"'Sec. H In-State ADJ'!$C$132","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$132","v":0},{"$f":"$J$2413-$H$2413","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$132","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$133","v":117},{"$f":"'Sec. H In-State ADJ'!$C$133","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$133","v":0},{"$f":"$J$2414-$H$2414","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$133","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$134","v":118},{"$f":"'Sec. H In-State ADJ'!$C$134","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$134","v":0},{"$f":"$J$2415-$H$2415","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$134","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$135","v":119},{"$f":"'Sec. H In-State ADJ'!$C$135","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$135","v":0},{"$f":"$J$2416-$H$2416","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$135","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$136","v":120},{"$f":"'Sec. H In-State ADJ'!$C$136","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$136","v":0},{"$f":"$J$2417-$H$2417","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$136","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$137","v":121},{"$f":"'Sec. H In-State ADJ'!$C$137","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$137","v":0},{"$f":"$J$2418-$H$2418","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$137","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$138","v":122},{"$f":"'Sec. H In-State ADJ'!$C$138","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$138","v":0},{"$f":"$J$2419-$H$2419","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$138","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$139","v":123},{"$f":"'Sec. H In-State ADJ'!$C$139","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$139","v":0},{"$f":"$J$2420-$H$2420","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$139","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$140","v":124},{"$f":"'Sec. H In-State ADJ'!$C$140","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$140","v":0},{"$f":"$J$2421-$H$2421","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$140","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$141","v":125},{"$f":"'Sec. H In-State ADJ'!$C$141","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$141","v":0},{"$f":"$J$2422-$H$2422","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$141","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$142","v":126},{"$f":"'Sec. H In-State ADJ'!$C$142","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$142","v":0},{"$f":"$J$2423-$H$2423","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$142","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$143","v":127},{"$f":"'Sec. H In-State ADJ'!$C$143","v":""},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$143","v":0},{"$f":"$J$2424-$H$2424","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$143","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$151","v":131.01},{"$f":"'Sec. H In-State ADJ'!$B$151","v":"Sampling Cost Adjustment (if applicable)"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to sample extrapolation.",0,{"$f":"$J$2425-$H$2425","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$151","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$154","v":132},{"$f":"'Sec. H In-State ADJ'!$B$154","v":"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$154","v":0},{"$f":"$J$2426-$H$2426","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$154","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$155","v":133},{"$f":"'Sec. H In-State ADJ'!$B$155","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$155","v":0},{"$f":"$J$2427-$H$2427","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$155","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$156","v":134},{"$f":"'Sec. H In-State ADJ'!$B$156","v":"Private Insurance (including primary and third party liability)"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$156","v":0},{"$f":"$J$2428-$H$2428","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$156","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$157","v":135},{"$f":"'Sec. H In-State ADJ'!$B$157","v":"Self-Pay (including Co-Pay and Spend-Down)"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z$157","v":0},{"$f":"$J$2429-$H$2429","v":0},{"$f":"'Sec. H In-State ADJ'!$Z$157","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A160","v":138},{"$f":"'Sec. H In-State ADJ'!$B160","v":"Other Medicaid Payments Reported on Cost Report Year (See Note C)"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z160","v":0},{"$f":"$J2430-$H2430","v":0},{"$f":"'Sec. H In-State ADJ'!$Z160","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A161","v":139},{"$f":"'Sec. H In-State ADJ'!$B161","v":"Medicare Traditional (non-HMO) Paid Amount (excludes coinsurance/deductibles)"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z161","v":0},{"$f":"$J2431-$H2431","v":0},{"$f":"'Sec. H In-State ADJ'!$Z161","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A162","v":140},{"$f":"'Sec. H In-State ADJ'!$B162","v":"Medicare Managed Care (HMO) Paid Amount (excludes coinsurance/deductibles)"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z162","v":0},{"$f":"$J2432-$H2432","v":0},{"$f":"'Sec. H In-State ADJ'!$Z162","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A163","v":141},{"$f":"'Sec. H In-State ADJ'!$B163","v":"Medicare Cross-Over Bad Debt Payments"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$Z163","v":0},0,{"$f":"'Sec. H In-State ADJ'!$Z163","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A164","v":142},{"$f":"'Sec. H In-State ADJ'!$B164","v":"Other Medicare Cross-Over Payments (See Note D)"},"14.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$Z$6,\" \", 'Sec. H In-State ADJ'!$X$5)","v":"Outpatient "},"Adjust to include Medicare cost report settlements applicable to cross-overs.",{"$f":"'Sec. H In-State'!$Z164","v":0},{"$f":"$J2434-$H2434","v":0},{"$f":"'Sec. H In-State ADJ'!$Z164","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$11","v":1},{"$f":"'Sec. H In-State ADJ'!$C$11","v":"ADULTS & PEDIATRICS"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$11","v":0},{"$f":"$J$2435-$H$2435","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$11","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$12","v":2},{"$f":"'Sec. H In-State ADJ'!$C$12","v":"INTENSIVE CARE UNIT"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$12","v":0},{"$f":"$J$2436-$H$2436","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$12","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$13","v":3},{"$f":"'Sec. H In-State ADJ'!$C$13","v":"CORONARY CARE UNIT"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$13","v":0},{"$f":"$J$2437-$H$2437","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$13","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$14","v":4},{"$f":"'Sec. H In-State ADJ'!$C$14","v":"BURN INTENSIVE CARE UNIT"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$14","v":0},{"$f":"$J$2438-$H$2438","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$14","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$15","v":5},{"$f":"'Sec. H In-State ADJ'!$C$15","v":"SURGICAL INTENSIVE CARE UNIT"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$15","v":0},{"$f":"$J$2439-$H$2439","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$15","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$16","v":6},{"$f":"'Sec. H In-State ADJ'!$C$16","v":"OTHER SPECIAL CARE UNIT"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$16","v":0},{"$f":"$J$2440-$H$2440","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$16","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$17","v":7},{"$f":"'Sec. H In-State ADJ'!$C$17","v":"SUBPROVIDER I"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$17","v":0},{"$f":"$J$2441-$H$2441","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$17","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$18","v":8},{"$f":"'Sec. H In-State ADJ'!$C$18","v":"SUBPROVIDER II"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$18","v":0},{"$f":"$J$2442-$H$2442","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$18","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$19","v":9},{"$f":"'Sec. H In-State ADJ'!$C$19","v":"OTHER SUBPROVIDER"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$19","v":0},{"$f":"$J$2443-$H$2443","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$19","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$20","v":10},{"$f":"'Sec. H In-State ADJ'!$C$20","v":"NURSERY"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$20","v":0},{"$f":"$J$2444-$H$2444","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$20","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$21","v":11},{"$f":"'Sec. H In-State ADJ'!$C$21","v":0},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$21","v":0},{"$f":"$J$2445-$H$2445","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$21","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$22","v":12},{"$f":"'Sec. H In-State ADJ'!$C$22","v":0},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$22","v":0},{"$f":"$J$2446-$H$2446","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$22","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$23","v":13},{"$f":"'Sec. H In-State ADJ'!$C$23","v":0},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$23","v":0},{"$f":"$J$2447-$H$2447","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$23","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$24","v":14},{"$f":"'Sec. H In-State ADJ'!$C$24","v":0},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$24","v":0},{"$f":"$J$2448-$H$2448","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$24","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$25","v":15},{"$f":"'Sec. H In-State ADJ'!$C$25","v":0},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$25","v":0},{"$f":"$J$2449-$H$2449","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$25","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$26","v":16},{"$f":"'Sec. H In-State ADJ'!$C$26","v":0},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$26","v":0},{"$f":"$J$2450-$H$2450","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$26","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$27","v":17},{"$f":"'Sec. H In-State ADJ'!$C$27","v":0},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$27","v":0},{"$f":"$J$2451-$H$2451","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$27","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$34","v":21},{"$f":"'Sec. H In-State ADJ'!$C$34","v":"Routine Charges"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$34","v":0},{"$f":"$J$2452-$H$2452","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$34","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$38","v":22},{"$f":"'Sec. H In-State ADJ'!$C$38","v":"Observation (Non-Distinct)"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$38","v":0},{"$f":"$J$2453-$H$2453","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$38","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$39","v":23},{"$f":"'Sec. H In-State ADJ'!$C$39","v":"OPERATING ROOM"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$39","v":0},{"$f":"$J$2454-$H$2454","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$39","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$40","v":24},{"$f":"'Sec. H In-State ADJ'!$C$40","v":"RECOVERY ROOM"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$40","v":0},{"$f":"$J$2455-$H$2455","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$40","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$41","v":25},{"$f":"'Sec. H In-State ADJ'!$C$41","v":"DELIVERY ROOM & LABOR ROOM"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$41","v":0},{"$f":"$J$2456-$H$2456","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$41","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$42","v":26},{"$f":"'Sec. H In-State ADJ'!$C$42","v":"ANESTHESIOLOGY"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$42","v":0},{"$f":"$J$2457-$H$2457","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$42","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$43","v":27},{"$f":"'Sec. H In-State ADJ'!$C$43","v":"RADIOLOGY-DIAGNOSTIC"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$43","v":0},{"$f":"$J$2458-$H$2458","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$43","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$44","v":28},{"$f":"'Sec. H In-State ADJ'!$C$44","v":"RADIOLOGY-THERAPEUTIC"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$44","v":0},{"$f":"$J$2459-$H$2459","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$44","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$45","v":29},{"$f":"'Sec. H In-State ADJ'!$C$45","v":"NUCLEAR MEDICINE"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$45","v":0},{"$f":"$J$2460-$H$2460","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$45","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$46","v":30},{"$f":"'Sec. H In-State ADJ'!$C$46","v":"CT SCAN"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$46","v":0},{"$f":"$J$2461-$H$2461","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$46","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$47","v":31},{"$f":"'Sec. H In-State ADJ'!$C$47","v":"MRI"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$47","v":0},{"$f":"$J$2462-$H$2462","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$47","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$48","v":32},{"$f":"'Sec. H In-State ADJ'!$C$48","v":"CARDIAC CATHETERIZATION"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$48","v":0},{"$f":"$J$2463-$H$2463","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$48","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$49","v":33},{"$f":"'Sec. H In-State ADJ'!$C$49","v":"LABORATORY"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$49","v":0},{"$f":"$J$2464-$H$2464","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$49","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$50","v":34},{"$f":"'Sec. H In-State ADJ'!$C$50","v":"RESPIRATORY THERAPY"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$50","v":0},{"$f":"$J$2465-$H$2465","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$50","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$51","v":35},{"$f":"'Sec. H In-State ADJ'!$C$51","v":"PHYSICAL THERAPY"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$51","v":0},{"$f":"$J$2466-$H$2466","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$51","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$52","v":36},{"$f":"'Sec. H In-State ADJ'!$C$52","v":"SPEECH PATHOLOGY"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$52","v":0},{"$f":"$J$2467-$H$2467","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$52","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$53","v":37},{"$f":"'Sec. H In-State ADJ'!$C$53","v":"ELECTROCARDIOLOGY"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$53","v":0},{"$f":"$J$2468-$H$2468","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$53","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$54","v":38},{"$f":"'Sec. H In-State ADJ'!$C$54","v":"ELECTROENCEPHALOGRAPHY"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$54","v":0},{"$f":"$J$2469-$H$2469","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$54","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$55","v":39},{"$f":"'Sec. H In-State ADJ'!$C$55","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$55","v":0},{"$f":"$J$2470-$H$2470","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$55","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$56","v":40},{"$f":"'Sec. H In-State ADJ'!$C$56","v":"IMPL. DEV. CHARGED TO PATIENTS"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$56","v":0},{"$f":"$J$2471-$H$2471","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$56","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$57","v":41},{"$f":"'Sec. H In-State ADJ'!$C$57","v":"DRUGS CHARGED TO PATIENTS"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$57","v":0},{"$f":"$J$2472-$H$2472","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$57","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$58","v":42},{"$f":"'Sec. H In-State ADJ'!$C$58","v":"RENAL DIALYSIS"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$58","v":0},{"$f":"$J$2473-$H$2473","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$58","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$59","v":43},{"$f":"'Sec. H In-State ADJ'!$C$59","v":"CARDIOVASCULAR MEDICINE"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$59","v":0},{"$f":"$J$2474-$H$2474","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$59","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$60","v":44},{"$f":"'Sec. H In-State ADJ'!$C$60","v":"CLINIC"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$60","v":0},{"$f":"$J$2475-$H$2475","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$60","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$61","v":45},{"$f":"'Sec. H In-State ADJ'!$C$61","v":"NUTRITION"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$61","v":0},{"$f":"$J$2476-$H$2476","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$61","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$62","v":46},{"$f":"'Sec. H In-State ADJ'!$C$62","v":"WOUND CARE CENTER"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$62","v":0},{"$f":"$J$2477-$H$2477","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$62","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$63","v":47},{"$f":"'Sec. H In-State ADJ'!$C$63","v":"EMERGENCY"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$63","v":0},{"$f":"$J$2478-$H$2478","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$63","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$64","v":48},{"$f":"'Sec. H In-State ADJ'!$C$64","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$64","v":0},{"$f":"$J$2479-$H$2479","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$64","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$65","v":49},{"$f":"'Sec. H In-State ADJ'!$C$65","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$65","v":0},{"$f":"$J$2480-$H$2480","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$65","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$66","v":50},{"$f":"'Sec. H In-State ADJ'!$C$66","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$66","v":0},{"$f":"$J$2481-$H$2481","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$66","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$67","v":51},{"$f":"'Sec. H In-State ADJ'!$C$67","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$67","v":0},{"$f":"$J$2482-$H$2482","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$67","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$68","v":52},{"$f":"'Sec. H In-State ADJ'!$C$68","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$68","v":0},{"$f":"$J$2483-$H$2483","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$68","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$69","v":53},{"$f":"'Sec. H In-State ADJ'!$C$69","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$69","v":0},{"$f":"$J$2484-$H$2484","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$69","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$70","v":54},{"$f":"'Sec. H In-State ADJ'!$C$70","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$70","v":0},{"$f":"$J$2485-$H$2485","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$70","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$71","v":55},{"$f":"'Sec. H In-State ADJ'!$C$71","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$71","v":0},{"$f":"$J$2486-$H$2486","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$71","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$72","v":56},{"$f":"'Sec. H In-State ADJ'!$C$72","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$72","v":0},{"$f":"$J$2487-$H$2487","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$72","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$73","v":57},{"$f":"'Sec. H In-State ADJ'!$C$73","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$73","v":0},{"$f":"$J$2488-$H$2488","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$73","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$74","v":58},{"$f":"'Sec. H In-State ADJ'!$C$74","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$74","v":0},{"$f":"$J$2489-$H$2489","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$74","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$75","v":59},{"$f":"'Sec. H In-State ADJ'!$C$75","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$75","v":0},{"$f":"$J$2490-$H$2490","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$75","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$76","v":60},{"$f":"'Sec. H In-State ADJ'!$C$76","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$76","v":0},{"$f":"$J$2491-$H$2491","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$76","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$77","v":61},{"$f":"'Sec. H In-State ADJ'!$C$77","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$77","v":0},{"$f":"$J$2492-$H$2492","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$77","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$78","v":62},{"$f":"'Sec. H In-State ADJ'!$C$78","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$78","v":0},{"$f":"$J$2493-$H$2493","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$78","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$79","v":63},{"$f":"'Sec. H In-State ADJ'!$C$79","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$79","v":0},{"$f":"$J$2494-$H$2494","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$79","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$80","v":64},{"$f":"'Sec. H In-State ADJ'!$C$80","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$80","v":0},{"$f":"$J$2495-$H$2495","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$80","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$81","v":65},{"$f":"'Sec. H In-State ADJ'!$C$81","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$81","v":0},{"$f":"$J$2496-$H$2496","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$81","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$82","v":66},{"$f":"'Sec. H In-State ADJ'!$C$82","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$82","v":0},{"$f":"$J$2497-$H$2497","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$82","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$83","v":67},{"$f":"'Sec. H In-State ADJ'!$C$83","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$83","v":0},{"$f":"$J$2498-$H$2498","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$83","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$84","v":68},{"$f":"'Sec. H In-State ADJ'!$C$84","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$84","v":0},{"$f":"$J$2499-$H$2499","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$84","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$85","v":69},{"$f":"'Sec. H In-State ADJ'!$C$85","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$85","v":0},{"$f":"$J$2500-$H$2500","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$85","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$86","v":70},{"$f":"'Sec. H In-State ADJ'!$C$86","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$86","v":0},{"$f":"$J$2501-$H$2501","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$86","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$87","v":71},{"$f":"'Sec. H In-State ADJ'!$C$87","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$87","v":0},{"$f":"$J$2502-$H$2502","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$87","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$88","v":72},{"$f":"'Sec. H In-State ADJ'!$C$88","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$88","v":0},{"$f":"$J$2503-$H$2503","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$88","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$89","v":73},{"$f":"'Sec. H In-State ADJ'!$C$89","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$89","v":0},{"$f":"$J$2504-$H$2504","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$89","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$90","v":74},{"$f":"'Sec. H In-State ADJ'!$C$90","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$90","v":0},{"$f":"$J$2505-$H$2505","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$90","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$91","v":75},{"$f":"'Sec. H In-State ADJ'!$C$91","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$91","v":0},{"$f":"$J$2506-$H$2506","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$91","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$92","v":76},{"$f":"'Sec. H In-State ADJ'!$C$92","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$92","v":0},{"$f":"$J$2507-$H$2507","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$92","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$93","v":77},{"$f":"'Sec. H In-State ADJ'!$C$93","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$93","v":0},{"$f":"$J$2508-$H$2508","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$93","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$94","v":78},{"$f":"'Sec. H In-State ADJ'!$C$94","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$94","v":0},{"$f":"$J$2509-$H$2509","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$94","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$95","v":79},{"$f":"'Sec. H In-State ADJ'!$C$95","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$95","v":0},{"$f":"$J$2510-$H$2510","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$95","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$96","v":80},{"$f":"'Sec. H In-State ADJ'!$C$96","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$96","v":0},{"$f":"$J$2511-$H$2511","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$96","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$97","v":81},{"$f":"'Sec. H In-State ADJ'!$C$97","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$97","v":0},{"$f":"$J$2512-$H$2512","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$97","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$98","v":82},{"$f":"'Sec. H In-State ADJ'!$C$98","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$98","v":0},{"$f":"$J$2513-$H$2513","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$98","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$99","v":83},{"$f":"'Sec. H In-State ADJ'!$C$99","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$99","v":0},{"$f":"$J$2514-$H$2514","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$99","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$100","v":84},{"$f":"'Sec. H In-State ADJ'!$C$100","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$100","v":0},{"$f":"$J$2515-$H$2515","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$100","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$101","v":85},{"$f":"'Sec. H In-State ADJ'!$C$101","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$101","v":0},{"$f":"$J$2516-$H$2516","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$101","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$102","v":86},{"$f":"'Sec. H In-State ADJ'!$C$102","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$102","v":0},{"$f":"$J$2517-$H$2517","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$102","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$103","v":87},{"$f":"'Sec. H In-State ADJ'!$C$103","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$103","v":0},{"$f":"$J$2518-$H$2518","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$103","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$104","v":88},{"$f":"'Sec. H In-State ADJ'!$C$104","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$104","v":0},{"$f":"$J$2519-$H$2519","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$104","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$105","v":89},{"$f":"'Sec. H In-State ADJ'!$C$105","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$105","v":0},{"$f":"$J$2520-$H$2520","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$105","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$106","v":90},{"$f":"'Sec. H In-State ADJ'!$C$106","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$106","v":0},{"$f":"$J$2521-$H$2521","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$106","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$107","v":91},{"$f":"'Sec. H In-State ADJ'!$C$107","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$107","v":0},{"$f":"$J$2522-$H$2522","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$107","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$108","v":92},{"$f":"'Sec. H In-State ADJ'!$C$108","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$108","v":0},{"$f":"$J$2523-$H$2523","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$108","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$109","v":93},{"$f":"'Sec. H In-State ADJ'!$C$109","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$109","v":0},{"$f":"$J$2524-$H$2524","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$109","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$110","v":94},{"$f":"'Sec. H In-State ADJ'!$C$110","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$110","v":0},{"$f":"$J$2525-$H$2525","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$110","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$111","v":95},{"$f":"'Sec. H In-State ADJ'!$C$111","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$111","v":0},{"$f":"$J$2526-$H$2526","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$111","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$112","v":96},{"$f":"'Sec. H In-State ADJ'!$C$112","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$112","v":0},{"$f":"$J$2527-$H$2527","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$112","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$113","v":97},{"$f":"'Sec. H In-State ADJ'!$C$113","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$113","v":0},{"$f":"$J$2528-$H$2528","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$113","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$114","v":98},{"$f":"'Sec. H In-State ADJ'!$C$114","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$114","v":0},{"$f":"$J$2529-$H$2529","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$114","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$115","v":99},{"$f":"'Sec. H In-State ADJ'!$C$115","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$115","v":0},{"$f":"$J$2530-$H$2530","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$115","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$116","v":100},{"$f":"'Sec. H In-State ADJ'!$C$116","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$116","v":0},{"$f":"$J$2531-$H$2531","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$116","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$117","v":101},{"$f":"'Sec. H In-State ADJ'!$C$117","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$117","v":0},{"$f":"$J$2532-$H$2532","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$117","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$118","v":102},{"$f":"'Sec. H In-State ADJ'!$C$118","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$118","v":0},{"$f":"$J$2533-$H$2533","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$118","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$119","v":103},{"$f":"'Sec. H In-State ADJ'!$C$119","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$119","v":0},{"$f":"$J$2534-$H$2534","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$119","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$120","v":104},{"$f":"'Sec. H In-State ADJ'!$C$120","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$120","v":0},{"$f":"$J$2535-$H$2535","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$120","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$121","v":105},{"$f":"'Sec. H In-State ADJ'!$C$121","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$121","v":0},{"$f":"$J$2536-$H$2536","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$121","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$122","v":106},{"$f":"'Sec. H In-State ADJ'!$C$122","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$122","v":0},{"$f":"$J$2537-$H$2537","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$122","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$123","v":107},{"$f":"'Sec. H In-State ADJ'!$C$123","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$123","v":0},{"$f":"$J$2538-$H$2538","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$123","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$124","v":108},{"$f":"'Sec. H In-State ADJ'!$C$124","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$124","v":0},{"$f":"$J$2539-$H$2539","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$124","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$125","v":109},{"$f":"'Sec. H In-State ADJ'!$C$125","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$125","v":0},{"$f":"$J$2540-$H$2540","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$125","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$126","v":110},{"$f":"'Sec. H In-State ADJ'!$C$126","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$126","v":0},{"$f":"$J$2541-$H$2541","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$126","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$127","v":111},{"$f":"'Sec. H In-State ADJ'!$C$127","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$127","v":0},{"$f":"$J$2542-$H$2542","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$127","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$128","v":112},{"$f":"'Sec. H In-State ADJ'!$C$128","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$128","v":0},{"$f":"$J$2543-$H$2543","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$128","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$129","v":113},{"$f":"'Sec. H In-State ADJ'!$C$129","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$129","v":0},{"$f":"$J$2544-$H$2544","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$129","v":0}]
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[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$135","v":119},{"$f":"'Sec. H In-State ADJ'!$C$135","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$135","v":0},{"$f":"$J$2550-$H$2550","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$135","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$136","v":120},{"$f":"'Sec. H In-State ADJ'!$C$136","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$136","v":0},{"$f":"$J$2551-$H$2551","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$136","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$137","v":121},{"$f":"'Sec. H In-State ADJ'!$C$137","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$137","v":0},{"$f":"$J$2552-$H$2552","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$137","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$138","v":122},{"$f":"'Sec. H In-State ADJ'!$C$138","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$138","v":0},{"$f":"$J$2553-$H$2553","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$138","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$139","v":123},{"$f":"'Sec. H In-State ADJ'!$C$139","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$139","v":0},{"$f":"$J$2554-$H$2554","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$139","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$140","v":124},{"$f":"'Sec. H In-State ADJ'!$C$140","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$140","v":0},{"$f":"$J$2555-$H$2555","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$140","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$141","v":125},{"$f":"'Sec. H In-State ADJ'!$C$141","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$141","v":0},{"$f":"$J$2556-$H$2556","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$141","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$142","v":126},{"$f":"'Sec. H In-State ADJ'!$C$142","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$142","v":0},{"$f":"$J$2557-$H$2557","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$142","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$143","v":127},{"$f":"'Sec. H In-State ADJ'!$C$143","v":""},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$143","v":0},{"$f":"$J$2558-$H$2558","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$143","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$151","v":131.01},{"$f":"'Sec. H In-State ADJ'!$B$151","v":"Sampling Cost Adjustment (if applicable)"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to sample extrapolation.",0,{"$f":"$J$2559-$H$2559","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$151","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$154","v":132},{"$f":"'Sec. H In-State ADJ'!$B$154","v":"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$154","v":0},{"$f":"$J$2560-$H$2560","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$154","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$155","v":133},{"$f":"'Sec. H In-State ADJ'!$B$155","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$155","v":0},{"$f":"$J$2561-$H$2561","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$155","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$156","v":134},{"$f":"'Sec. H In-State ADJ'!$B$156","v":"Private Insurance (including primary and third party liability)"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$156","v":0},{"$f":"$J$2562-$H$2562","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$156","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$157","v":135},{"$f":"'Sec. H In-State ADJ'!$B$157","v":"Self-Pay (including Co-Pay and Spend-Down)"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$157","v":0},{"$f":"$J$2563-$H$2563","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$157","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$159","v":137},{"$f":"'Sec. H In-State ADJ'!$B$159","v":"Medicaid Cost Settlement Payments (See Note B)"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$159","v":0},{"$f":"$J$2564-$H$2564","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$159","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$160","v":138},{"$f":"'Sec. H In-State ADJ'!$B$160","v":"Other Medicaid Payments Reported on Cost Report Year (See Note C)"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$160","v":0},{"$f":"$J$2565-$H$2565","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$160","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$161","v":139},{"$f":"'Sec. H In-State ADJ'!$B$161","v":"Medicare Traditional (non-HMO) Paid Amount (excludes coinsurance/deductibles)"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$161","v":0},{"$f":"$J$2566-$H$2566","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$161","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$162","v":140},{"$f":"'Sec. H In-State ADJ'!$B$162","v":"Medicare Managed Care (HMO) Paid Amount (excludes coinsurance/deductibles)"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$162","v":0},{"$f":"$J$2567-$H$2567","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$162","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$163","v":141},{"$f":"'Sec. H In-State ADJ'!$B$163","v":"Medicare Cross-Over Bad Debt Payments"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AB$163","v":0},{"$f":"$J$2568-$H$2568","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$163","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$164","v":142},{"$f":"'Sec. H In-State ADJ'!$B$164","v":"Other Medicare Cross-Over Payments (See Note D)"},"15.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AB$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Inpatient "},"Adjust to include Medicare cost report settlements applicable to cross-overs.",{"$f":"'Sec. H In-State'!$AB$164","v":0},{"$f":"$J$2569-$H$2569","v":0},{"$f":"'Sec. H In-State ADJ'!$AB$164","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$38","v":22},{"$f":"'Sec. H In-State ADJ'!$C$38","v":"Observation (Non-Distinct)"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$38","v":0},{"$f":"$J$2570-$H$2570","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$38","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$39","v":23},{"$f":"'Sec. H In-State ADJ'!$C$39","v":"OPERATING ROOM"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$39","v":0},{"$f":"$J$2571-$H$2571","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$39","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$40","v":24},{"$f":"'Sec. H In-State ADJ'!$C$40","v":"RECOVERY ROOM"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$40","v":0},{"$f":"$J$2572-$H$2572","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$40","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$41","v":25},{"$f":"'Sec. H In-State ADJ'!$C$41","v":"DELIVERY ROOM & LABOR ROOM"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$41","v":0},{"$f":"$J$2573-$H$2573","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$41","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$42","v":26},{"$f":"'Sec. H In-State ADJ'!$C$42","v":"ANESTHESIOLOGY"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$42","v":0},{"$f":"$J$2574-$H$2574","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$42","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$43","v":27},{"$f":"'Sec. H In-State ADJ'!$C$43","v":"RADIOLOGY-DIAGNOSTIC"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$43","v":0},{"$f":"$J$2575-$H$2575","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$43","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$44","v":28},{"$f":"'Sec. H In-State ADJ'!$C$44","v":"RADIOLOGY-THERAPEUTIC"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$44","v":0},{"$f":"$J$2576-$H$2576","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$44","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$45","v":29},{"$f":"'Sec. H In-State ADJ'!$C$45","v":"NUCLEAR MEDICINE"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$45","v":0},{"$f":"$J$2577-$H$2577","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$45","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$46","v":30},{"$f":"'Sec. H In-State ADJ'!$C$46","v":"CT SCAN"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$46","v":0},{"$f":"$J$2578-$H$2578","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$46","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$47","v":31},{"$f":"'Sec. H In-State ADJ'!$C$47","v":"MRI"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$47","v":0},{"$f":"$J$2579-$H$2579","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$47","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$48","v":32},{"$f":"'Sec. H In-State ADJ'!$C$48","v":"CARDIAC CATHETERIZATION"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$48","v":0},{"$f":"$J$2580-$H$2580","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$48","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$49","v":33},{"$f":"'Sec. H In-State ADJ'!$C$49","v":"LABORATORY"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$49","v":0},{"$f":"$J$2581-$H$2581","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$49","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$50","v":34},{"$f":"'Sec. H In-State ADJ'!$C$50","v":"RESPIRATORY THERAPY"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$50","v":0},{"$f":"$J$2582-$H$2582","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$50","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$51","v":35},{"$f":"'Sec. H In-State ADJ'!$C$51","v":"PHYSICAL THERAPY"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$51","v":0},{"$f":"$J$2583-$H$2583","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$51","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$52","v":36},{"$f":"'Sec. H In-State ADJ'!$C$52","v":"SPEECH PATHOLOGY"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$52","v":0},{"$f":"$J$2584-$H$2584","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$52","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$53","v":37},{"$f":"'Sec. H In-State ADJ'!$C$53","v":"ELECTROCARDIOLOGY"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$53","v":0},{"$f":"$J$2585-$H$2585","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$53","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$54","v":38},{"$f":"'Sec. H In-State ADJ'!$C$54","v":"ELECTROENCEPHALOGRAPHY"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$54","v":0},{"$f":"$J$2586-$H$2586","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$54","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$55","v":39},{"$f":"'Sec. H In-State ADJ'!$C$55","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$55","v":0},{"$f":"$J$2587-$H$2587","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$55","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$56","v":40},{"$f":"'Sec. H In-State ADJ'!$C$56","v":"IMPL. DEV. CHARGED TO PATIENTS"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$56","v":0},{"$f":"$J$2588-$H$2588","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$56","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$57","v":41},{"$f":"'Sec. H In-State ADJ'!$C$57","v":"DRUGS CHARGED TO PATIENTS"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$57","v":0},{"$f":"$J$2589-$H$2589","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$57","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$58","v":42},{"$f":"'Sec. H In-State ADJ'!$C$58","v":"RENAL DIALYSIS"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$58","v":0},{"$f":"$J$2590-$H$2590","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$58","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$59","v":43},{"$f":"'Sec. H In-State ADJ'!$C$59","v":"CARDIOVASCULAR MEDICINE"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$59","v":0},{"$f":"$J$2591-$H$2591","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$59","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$60","v":44},{"$f":"'Sec. H In-State ADJ'!$C$60","v":"CLINIC"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$60","v":0},{"$f":"$J$2592-$H$2592","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$60","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$61","v":45},{"$f":"'Sec. H In-State ADJ'!$C$61","v":"NUTRITION"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$61","v":0},{"$f":"$J$2593-$H$2593","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$61","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$62","v":46},{"$f":"'Sec. H In-State ADJ'!$C$62","v":"WOUND CARE CENTER"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$62","v":0},{"$f":"$J$2594-$H$2594","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$62","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$63","v":47},{"$f":"'Sec. H In-State ADJ'!$C$63","v":"EMERGENCY"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$63","v":0},{"$f":"$J$2595-$H$2595","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$63","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$64","v":48},{"$f":"'Sec. H In-State ADJ'!$C$64","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$64","v":0},{"$f":"$J$2596-$H$2596","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$64","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$65","v":49},{"$f":"'Sec. H In-State ADJ'!$C$65","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$65","v":0},{"$f":"$J$2597-$H$2597","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$65","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$66","v":50},{"$f":"'Sec. H In-State ADJ'!$C$66","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$66","v":0},{"$f":"$J$2598-$H$2598","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$66","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$67","v":51},{"$f":"'Sec. H In-State ADJ'!$C$67","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$67","v":0},{"$f":"$J$2599-$H$2599","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$67","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$68","v":52},{"$f":"'Sec. H In-State ADJ'!$C$68","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$68","v":0},{"$f":"$J$2600-$H$2600","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$68","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$69","v":53},{"$f":"'Sec. H In-State ADJ'!$C$69","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$69","v":0},{"$f":"$J$2601-$H$2601","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$69","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$70","v":54},{"$f":"'Sec. H In-State ADJ'!$C$70","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$70","v":0},{"$f":"$J$2602-$H$2602","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$70","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$71","v":55},{"$f":"'Sec. H In-State ADJ'!$C$71","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$71","v":0},{"$f":"$J$2603-$H$2603","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$71","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$72","v":56},{"$f":"'Sec. H In-State ADJ'!$C$72","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$72","v":0},{"$f":"$J$2604-$H$2604","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$72","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$73","v":57},{"$f":"'Sec. H In-State ADJ'!$C$73","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$73","v":0},{"$f":"$J$2605-$H$2605","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$73","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$74","v":58},{"$f":"'Sec. H In-State ADJ'!$C$74","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$74","v":0},{"$f":"$J$2606-$H$2606","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$74","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$75","v":59},{"$f":"'Sec. H In-State ADJ'!$C$75","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$75","v":0},{"$f":"$J$2607-$H$2607","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$75","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$76","v":60},{"$f":"'Sec. H In-State ADJ'!$C$76","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$76","v":0},{"$f":"$J$2608-$H$2608","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$76","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$77","v":61},{"$f":"'Sec. H In-State ADJ'!$C$77","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$77","v":0},{"$f":"$J$2609-$H$2609","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$77","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$78","v":62},{"$f":"'Sec. H In-State ADJ'!$C$78","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$78","v":0},{"$f":"$J$2610-$H$2610","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$78","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$79","v":63},{"$f":"'Sec. H In-State ADJ'!$C$79","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$79","v":0},{"$f":"$J$2611-$H$2611","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$79","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$80","v":64},{"$f":"'Sec. H In-State ADJ'!$C$80","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$80","v":0},{"$f":"$J$2612-$H$2612","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$80","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$81","v":65},{"$f":"'Sec. H In-State ADJ'!$C$81","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$81","v":0},{"$f":"$J$2613-$H$2613","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$81","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$82","v":66},{"$f":"'Sec. H In-State ADJ'!$C$82","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$82","v":0},{"$f":"$J$2614-$H$2614","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$82","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$83","v":67},{"$f":"'Sec. H In-State ADJ'!$C$83","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$83","v":0},{"$f":"$J$2615-$H$2615","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$83","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$84","v":68},{"$f":"'Sec. H In-State ADJ'!$C$84","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$84","v":0},{"$f":"$J$2616-$H$2616","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$84","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$85","v":69},{"$f":"'Sec. H In-State ADJ'!$C$85","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$85","v":0},{"$f":"$J$2617-$H$2617","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$85","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$86","v":70},{"$f":"'Sec. H In-State ADJ'!$C$86","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$86","v":0},{"$f":"$J$2618-$H$2618","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$86","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$87","v":71},{"$f":"'Sec. H In-State ADJ'!$C$87","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$87","v":0},{"$f":"$J$2619-$H$2619","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$87","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$88","v":72},{"$f":"'Sec. H In-State ADJ'!$C$88","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$88","v":0},{"$f":"$J$2620-$H$2620","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$88","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$89","v":73},{"$f":"'Sec. H In-State ADJ'!$C$89","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$89","v":0},{"$f":"$J$2621-$H$2621","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$89","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$90","v":74},{"$f":"'Sec. H In-State ADJ'!$C$90","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$90","v":0},{"$f":"$J$2622-$H$2622","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$90","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$91","v":75},{"$f":"'Sec. H In-State ADJ'!$C$91","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$91","v":0},{"$f":"$J$2623-$H$2623","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$91","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$92","v":76},{"$f":"'Sec. H In-State ADJ'!$C$92","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$92","v":0},{"$f":"$J$2624-$H$2624","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$92","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$93","v":77},{"$f":"'Sec. H In-State ADJ'!$C$93","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$93","v":0},{"$f":"$J$2625-$H$2625","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$93","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$94","v":78},{"$f":"'Sec. H In-State ADJ'!$C$94","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$94","v":0},{"$f":"$J$2626-$H$2626","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$94","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$95","v":79},{"$f":"'Sec. H In-State ADJ'!$C$95","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$95","v":0},{"$f":"$J$2627-$H$2627","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$95","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$96","v":80},{"$f":"'Sec. H In-State ADJ'!$C$96","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$96","v":0},{"$f":"$J$2628-$H$2628","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$96","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$97","v":81},{"$f":"'Sec. H In-State ADJ'!$C$97","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$97","v":0},{"$f":"$J$2629-$H$2629","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$97","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$98","v":82},{"$f":"'Sec. H In-State ADJ'!$C$98","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$98","v":0},{"$f":"$J$2630-$H$2630","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$98","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$99","v":83},{"$f":"'Sec. H In-State ADJ'!$C$99","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$99","v":0},{"$f":"$J$2631-$H$2631","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$99","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$100","v":84},{"$f":"'Sec. H In-State ADJ'!$C$100","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$100","v":0},{"$f":"$J$2632-$H$2632","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$100","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$101","v":85},{"$f":"'Sec. H In-State ADJ'!$C$101","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$101","v":0},{"$f":"$J$2633-$H$2633","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$101","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$102","v":86},{"$f":"'Sec. H In-State ADJ'!$C$102","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$102","v":0},{"$f":"$J$2634-$H$2634","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$102","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$103","v":87},{"$f":"'Sec. H In-State ADJ'!$C$103","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$103","v":0},{"$f":"$J$2635-$H$2635","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$103","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$104","v":88},{"$f":"'Sec. H In-State ADJ'!$C$104","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$104","v":0},{"$f":"$J$2636-$H$2636","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$104","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$105","v":89},{"$f":"'Sec. H In-State ADJ'!$C$105","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$105","v":0},{"$f":"$J$2637-$H$2637","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$105","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$106","v":90},{"$f":"'Sec. H In-State ADJ'!$C$106","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$106","v":0},{"$f":"$J$2638-$H$2638","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$106","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$107","v":91},{"$f":"'Sec. H In-State ADJ'!$C$107","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$107","v":0},{"$f":"$J$2639-$H$2639","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$107","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$108","v":92},{"$f":"'Sec. H In-State ADJ'!$C$108","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$108","v":0},{"$f":"$J$2640-$H$2640","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$108","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$109","v":93},{"$f":"'Sec. H In-State ADJ'!$C$109","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$109","v":0},{"$f":"$J$2641-$H$2641","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$109","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$110","v":94},{"$f":"'Sec. H In-State ADJ'!$C$110","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$110","v":0},{"$f":"$J$2642-$H$2642","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$110","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$111","v":95},{"$f":"'Sec. H In-State ADJ'!$C$111","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$111","v":0},{"$f":"$J$2643-$H$2643","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$111","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$112","v":96},{"$f":"'Sec. H In-State ADJ'!$C$112","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$112","v":0},{"$f":"$J$2644-$H$2644","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$112","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$113","v":97},{"$f":"'Sec. H In-State ADJ'!$C$113","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$113","v":0},{"$f":"$J$2645-$H$2645","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$113","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$114","v":98},{"$f":"'Sec. H In-State ADJ'!$C$114","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$114","v":0},{"$f":"$J$2646-$H$2646","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$114","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$115","v":99},{"$f":"'Sec. H In-State ADJ'!$C$115","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$115","v":0},{"$f":"$J$2647-$H$2647","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$115","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$116","v":100},{"$f":"'Sec. H In-State ADJ'!$C$116","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$116","v":0},{"$f":"$J$2648-$H$2648","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$116","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$117","v":101},{"$f":"'Sec. H In-State ADJ'!$C$117","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$117","v":0},{"$f":"$J$2649-$H$2649","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$117","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$118","v":102},{"$f":"'Sec. H In-State ADJ'!$C$118","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$118","v":0},{"$f":"$J$2650-$H$2650","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$118","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$119","v":103},{"$f":"'Sec. H In-State ADJ'!$C$119","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$119","v":0},{"$f":"$J$2651-$H$2651","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$119","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$120","v":104},{"$f":"'Sec. H In-State ADJ'!$C$120","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$120","v":0},{"$f":"$J$2652-$H$2652","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$120","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$121","v":105},{"$f":"'Sec. H In-State ADJ'!$C$121","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$121","v":0},{"$f":"$J$2653-$H$2653","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$121","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$122","v":106},{"$f":"'Sec. H In-State ADJ'!$C$122","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$122","v":0},{"$f":"$J$2654-$H$2654","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$122","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$123","v":107},{"$f":"'Sec. H In-State ADJ'!$C$123","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$123","v":0},{"$f":"$J$2655-$H$2655","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$123","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$124","v":108},{"$f":"'Sec. H In-State ADJ'!$C$124","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$124","v":0},{"$f":"$J$2656-$H$2656","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$124","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$125","v":109},{"$f":"'Sec. H In-State ADJ'!$C$125","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$125","v":0},{"$f":"$J$2657-$H$2657","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$125","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$126","v":110},{"$f":"'Sec. H In-State ADJ'!$C$126","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$126","v":0},{"$f":"$J$2658-$H$2658","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$126","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$127","v":111},{"$f":"'Sec. H In-State ADJ'!$C$127","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$127","v":0},{"$f":"$J$2659-$H$2659","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$127","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$128","v":112},{"$f":"'Sec. H In-State ADJ'!$C$128","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$128","v":0},{"$f":"$J$2660-$H$2660","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$128","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$129","v":113},{"$f":"'Sec. H In-State ADJ'!$C$129","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$129","v":0},{"$f":"$J$2661-$H$2661","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$129","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$130","v":114},{"$f":"'Sec. H In-State ADJ'!$C$130","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$130","v":0},{"$f":"$J$2662-$H$2662","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$130","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$131","v":115},{"$f":"'Sec. H In-State ADJ'!$C$131","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$131","v":0},{"$f":"$J$2663-$H$2663","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$131","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$132","v":116},{"$f":"'Sec. H In-State ADJ'!$C$132","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$132","v":0},{"$f":"$J$2664-$H$2664","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$132","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$133","v":117},{"$f":"'Sec. H In-State ADJ'!$C$133","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$133","v":0},{"$f":"$J$2665-$H$2665","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$133","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$134","v":118},{"$f":"'Sec. H In-State ADJ'!$C$134","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$134","v":0},{"$f":"$J$2666-$H$2666","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$134","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$135","v":119},{"$f":"'Sec. H In-State ADJ'!$C$135","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$135","v":0},{"$f":"$J$2667-$H$2667","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$135","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$136","v":120},{"$f":"'Sec. H In-State ADJ'!$C$136","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$136","v":0},{"$f":"$J$2668-$H$2668","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$136","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$137","v":121},{"$f":"'Sec. H In-State ADJ'!$C$137","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$137","v":0},{"$f":"$J$2669-$H$2669","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$137","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$138","v":122},{"$f":"'Sec. H In-State ADJ'!$C$138","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$138","v":0},{"$f":"$J$2670-$H$2670","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$138","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$139","v":123},{"$f":"'Sec. H In-State ADJ'!$C$139","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$139","v":0},{"$f":"$J$2671-$H$2671","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$139","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$140","v":124},{"$f":"'Sec. H In-State ADJ'!$C$140","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$140","v":0},{"$f":"$J$2672-$H$2672","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$140","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$141","v":125},{"$f":"'Sec. H In-State ADJ'!$C$141","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$141","v":0},{"$f":"$J$2673-$H$2673","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$141","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$142","v":126},{"$f":"'Sec. H In-State ADJ'!$C$142","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$142","v":0},{"$f":"$J$2674-$H$2674","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$142","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$143","v":127},{"$f":"'Sec. H In-State ADJ'!$C$143","v":""},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$143","v":0},{"$f":"$J$2675-$H$2675","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$143","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$151","v":131.01},{"$f":"'Sec. H In-State ADJ'!$B$151","v":"Sampling Cost Adjustment (if applicable)"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to sample extrapolation.",0,{"$f":"$J$2676-$H$2676","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$151","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$154","v":132},{"$f":"'Sec. H In-State ADJ'!$B$154","v":"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$154","v":0},{"$f":"$J$2677-$H$2677","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$154","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$155","v":133},{"$f":"'Sec. H In-State ADJ'!$B$155","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$155","v":0},{"$f":"$J$2678-$H$2678","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$155","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$156","v":134},{"$f":"'Sec. H In-State ADJ'!$B$156","v":"Private Insurance (including primary and third party liability)"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$156","v":0},{"$f":"$J$2679-$H$2679","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$156","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$157","v":135},{"$f":"'Sec. H In-State ADJ'!$B$157","v":"Self-Pay (including Co-Pay and Spend-Down)"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$157","v":0},{"$f":"$J$2680-$H$2680","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$157","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$159","v":137},{"$f":"'Sec. H In-State ADJ'!$B$159","v":"Medicaid Cost Settlement Payments (See Note B)"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$159","v":0},{"$f":"$J$2681-$H$2681","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$159","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$160","v":138},{"$f":"'Sec. H In-State ADJ'!$B$160","v":"Other Medicaid Payments Reported on Cost Report Year (See Note C)"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$160","v":0},{"$f":"$J$2682-$H$2682","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$160","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$161","v":139},{"$f":"'Sec. H In-State ADJ'!$B$161","v":"Medicare Traditional (non-HMO) Paid Amount (excludes coinsurance/deductibles)"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$161","v":0},{"$f":"$J$2683-$H$2683","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$161","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$162","v":140},{"$f":"'Sec. H In-State ADJ'!$B$162","v":"Medicare Managed Care (HMO) Paid Amount (excludes coinsurance/deductibles)"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$162","v":0},{"$f":"$J$2684-$H$2684","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$162","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$163","v":141},{"$f":"'Sec. H In-State ADJ'!$B$163","v":"Medicare Cross-Over Bad Debt Payments"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AD$163","v":0},{"$f":"$J$2685-$H$2685","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$163","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$164","v":142},{"$f":"'Sec. H In-State ADJ'!$B$164","v":"Other Medicare Cross-Over Payments (See Note D)"},"16.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AD$6,\" \", 'Sec. H In-State ADJ'!$AB$5)","v":"Outpatient "},"Adjust to include Medicare cost report settlements applicable to cross-overs.",{"$f":"'Sec. H In-State'!$AD$164","v":0},{"$f":"$J$2686-$H$2686","v":0},{"$f":"'Sec. H In-State ADJ'!$AD$164","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$11","v":1},{"$f":"'Sec. H In-State ADJ'!$C$11","v":"ADULTS & PEDIATRICS"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$11","v":0},{"$f":"$J$2687-$H$2687","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$11","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$12","v":2},{"$f":"'Sec. H In-State ADJ'!$C$12","v":"INTENSIVE CARE UNIT"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$12","v":0},{"$f":"$J$2688-$H$2688","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$12","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$13","v":3},{"$f":"'Sec. H In-State ADJ'!$C$13","v":"CORONARY CARE UNIT"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$13","v":0},{"$f":"$J$2689-$H$2689","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$13","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$14","v":4},{"$f":"'Sec. H In-State ADJ'!$C$14","v":"BURN INTENSIVE CARE UNIT"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$14","v":0},{"$f":"$J$2690-$H$2690","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$14","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$15","v":5},{"$f":"'Sec. H In-State ADJ'!$C$15","v":"SURGICAL INTENSIVE CARE UNIT"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$15","v":0},{"$f":"$J$2691-$H$2691","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$15","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$16","v":6},{"$f":"'Sec. H In-State ADJ'!$C$16","v":"OTHER SPECIAL CARE UNIT"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$16","v":0},{"$f":"$J$2692-$H$2692","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$16","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$17","v":7},{"$f":"'Sec. H In-State ADJ'!$C$17","v":"SUBPROVIDER I"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$17","v":0},{"$f":"$J$2693-$H$2693","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$17","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$18","v":8},{"$f":"'Sec. H In-State ADJ'!$C$18","v":"SUBPROVIDER II"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$18","v":0},{"$f":"$J$2694-$H$2694","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$18","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$19","v":9},{"$f":"'Sec. H In-State ADJ'!$C$19","v":"OTHER SUBPROVIDER"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$19","v":0},{"$f":"$J$2695-$H$2695","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$19","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$20","v":10},{"$f":"'Sec. H In-State ADJ'!$C$20","v":"NURSERY"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$20","v":0},{"$f":"$J$2696-$H$2696","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$20","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$21","v":11},{"$f":"'Sec. H In-State ADJ'!$C$21","v":0},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$21","v":0},{"$f":"$J$2697-$H$2697","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$21","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$22","v":12},{"$f":"'Sec. H In-State ADJ'!$C$22","v":0},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$22","v":0},{"$f":"$J$2698-$H$2698","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$22","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$23","v":13},{"$f":"'Sec. H In-State ADJ'!$C$23","v":0},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$23","v":0},{"$f":"$J$2699-$H$2699","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$23","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$24","v":14},{"$f":"'Sec. H In-State ADJ'!$C$24","v":0},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$24","v":0},{"$f":"$J$2700-$H$2700","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$24","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$25","v":15},{"$f":"'Sec. H In-State ADJ'!$C$25","v":0},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$25","v":0},{"$f":"$J$2701-$H$2701","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$25","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$26","v":16},{"$f":"'Sec. H In-State ADJ'!$C$26","v":0},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$26","v":0},{"$f":"$J$2702-$H$2702","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$26","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$27","v":17},{"$f":"'Sec. H In-State ADJ'!$C$27","v":0},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$27","v":0},{"$f":"$J$2703-$H$2703","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$27","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$34","v":21},{"$f":"'Sec. H In-State ADJ'!$C$34","v":"Routine Charges"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$34","v":0},{"$f":"$J$2704-$H$2704","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$34","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$38","v":22},{"$f":"'Sec. H In-State ADJ'!$C$38","v":"Observation (Non-Distinct)"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$38","v":0},{"$f":"$J$2705-$H$2705","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$38","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$39","v":23},{"$f":"'Sec. H In-State ADJ'!$C$39","v":"OPERATING ROOM"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$39","v":0},{"$f":"$J$2706-$H$2706","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$39","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$40","v":24},{"$f":"'Sec. H In-State ADJ'!$C$40","v":"RECOVERY ROOM"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$40","v":0},{"$f":"$J$2707-$H$2707","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$40","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$41","v":25},{"$f":"'Sec. H In-State ADJ'!$C$41","v":"DELIVERY ROOM & LABOR ROOM"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$41","v":0},{"$f":"$J$2708-$H$2708","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$41","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$42","v":26},{"$f":"'Sec. H In-State ADJ'!$C$42","v":"ANESTHESIOLOGY"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$42","v":0},{"$f":"$J$2709-$H$2709","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$42","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$43","v":27},{"$f":"'Sec. H In-State ADJ'!$C$43","v":"RADIOLOGY-DIAGNOSTIC"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$43","v":0},{"$f":"$J$2710-$H$2710","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$43","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$44","v":28},{"$f":"'Sec. H In-State ADJ'!$C$44","v":"RADIOLOGY-THERAPEUTIC"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$44","v":0},{"$f":"$J$2711-$H$2711","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$44","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$45","v":29},{"$f":"'Sec. H In-State ADJ'!$C$45","v":"NUCLEAR MEDICINE"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$45","v":0},{"$f":"$J$2712-$H$2712","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$45","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$46","v":30},{"$f":"'Sec. H In-State ADJ'!$C$46","v":"CT SCAN"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$46","v":0},{"$f":"$J$2713-$H$2713","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$46","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$47","v":31},{"$f":"'Sec. H In-State ADJ'!$C$47","v":"MRI"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$47","v":0},{"$f":"$J$2714-$H$2714","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$47","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$48","v":32},{"$f":"'Sec. H In-State ADJ'!$C$48","v":"CARDIAC CATHETERIZATION"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$48","v":0},{"$f":"$J$2715-$H$2715","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$48","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$49","v":33},{"$f":"'Sec. H In-State ADJ'!$C$49","v":"LABORATORY"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$49","v":0},{"$f":"$J$2716-$H$2716","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$49","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$50","v":34},{"$f":"'Sec. H In-State ADJ'!$C$50","v":"RESPIRATORY THERAPY"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$50","v":0},{"$f":"$J$2717-$H$2717","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$50","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$51","v":35},{"$f":"'Sec. H In-State ADJ'!$C$51","v":"PHYSICAL THERAPY"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$51","v":0},{"$f":"$J$2718-$H$2718","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$51","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$52","v":36},{"$f":"'Sec. H In-State ADJ'!$C$52","v":"SPEECH PATHOLOGY"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$52","v":0},{"$f":"$J$2719-$H$2719","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$52","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$53","v":37},{"$f":"'Sec. H In-State ADJ'!$C$53","v":"ELECTROCARDIOLOGY"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$53","v":0},{"$f":"$J$2720-$H$2720","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$53","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$54","v":38},{"$f":"'Sec. H In-State ADJ'!$C$54","v":"ELECTROENCEPHALOGRAPHY"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$54","v":0},{"$f":"$J$2721-$H$2721","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$54","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$55","v":39},{"$f":"'Sec. H In-State ADJ'!$C$55","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$55","v":0},{"$f":"$J$2722-$H$2722","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$55","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$56","v":40},{"$f":"'Sec. H In-State ADJ'!$C$56","v":"IMPL. DEV. CHARGED TO PATIENTS"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$56","v":0},{"$f":"$J$2723-$H$2723","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$56","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$57","v":41},{"$f":"'Sec. H In-State ADJ'!$C$57","v":"DRUGS CHARGED TO PATIENTS"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$57","v":0},{"$f":"$J$2724-$H$2724","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$57","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$58","v":42},{"$f":"'Sec. H In-State ADJ'!$C$58","v":"RENAL DIALYSIS"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$58","v":0},{"$f":"$J$2725-$H$2725","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$58","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$59","v":43},{"$f":"'Sec. H In-State ADJ'!$C$59","v":"CARDIOVASCULAR MEDICINE"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$59","v":0},{"$f":"$J$2726-$H$2726","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$59","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$60","v":44},{"$f":"'Sec. H In-State ADJ'!$C$60","v":"CLINIC"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$60","v":0},{"$f":"$J$2727-$H$2727","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$60","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$61","v":45},{"$f":"'Sec. H In-State ADJ'!$C$61","v":"NUTRITION"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$61","v":0},{"$f":"$J$2728-$H$2728","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$61","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$62","v":46},{"$f":"'Sec. H In-State ADJ'!$C$62","v":"WOUND CARE CENTER"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$62","v":0},{"$f":"$J$2729-$H$2729","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$62","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$63","v":47},{"$f":"'Sec. H In-State ADJ'!$C$63","v":"EMERGENCY"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$63","v":0},{"$f":"$J$2730-$H$2730","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$63","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$64","v":48},{"$f":"'Sec. H In-State ADJ'!$C$64","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$64","v":0},{"$f":"$J$2731-$H$2731","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$64","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$65","v":49},{"$f":"'Sec. H In-State ADJ'!$C$65","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$65","v":0},{"$f":"$J$2732-$H$2732","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$65","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$66","v":50},{"$f":"'Sec. H In-State ADJ'!$C$66","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$66","v":0},{"$f":"$J$2733-$H$2733","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$66","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$67","v":51},{"$f":"'Sec. H In-State ADJ'!$C$67","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$67","v":0},{"$f":"$J$2734-$H$2734","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$67","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$68","v":52},{"$f":"'Sec. H In-State ADJ'!$C$68","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$68","v":0},{"$f":"$J$2735-$H$2735","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$68","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$69","v":53},{"$f":"'Sec. H In-State ADJ'!$C$69","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$69","v":0},{"$f":"$J$2736-$H$2736","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$69","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$70","v":54},{"$f":"'Sec. H In-State ADJ'!$C$70","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$70","v":0},{"$f":"$J$2737-$H$2737","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$70","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$71","v":55},{"$f":"'Sec. H In-State ADJ'!$C$71","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$71","v":0},{"$f":"$J$2738-$H$2738","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$71","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$72","v":56},{"$f":"'Sec. H In-State ADJ'!$C$72","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$72","v":0},{"$f":"$J$2739-$H$2739","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$72","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$73","v":57},{"$f":"'Sec. H In-State ADJ'!$C$73","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$73","v":0},{"$f":"$J$2740-$H$2740","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$73","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$74","v":58},{"$f":"'Sec. H In-State ADJ'!$C$74","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$74","v":0},{"$f":"$J$2741-$H$2741","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$74","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$75","v":59},{"$f":"'Sec. H In-State ADJ'!$C$75","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$75","v":0},{"$f":"$J$2742-$H$2742","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$75","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$76","v":60},{"$f":"'Sec. H In-State ADJ'!$C$76","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$76","v":0},{"$f":"$J$2743-$H$2743","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$76","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$77","v":61},{"$f":"'Sec. H In-State ADJ'!$C$77","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$77","v":0},{"$f":"$J$2744-$H$2744","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$77","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$78","v":62},{"$f":"'Sec. H In-State ADJ'!$C$78","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$78","v":0},{"$f":"$J$2745-$H$2745","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$78","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$79","v":63},{"$f":"'Sec. H In-State ADJ'!$C$79","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$79","v":0},{"$f":"$J$2746-$H$2746","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$79","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$80","v":64},{"$f":"'Sec. H In-State ADJ'!$C$80","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$80","v":0},{"$f":"$J$2747-$H$2747","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$80","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$81","v":65},{"$f":"'Sec. H In-State ADJ'!$C$81","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$81","v":0},{"$f":"$J$2748-$H$2748","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$81","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$82","v":66},{"$f":"'Sec. H In-State ADJ'!$C$82","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$82","v":0},{"$f":"$J$2749-$H$2749","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$82","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$83","v":67},{"$f":"'Sec. H In-State ADJ'!$C$83","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$83","v":0},{"$f":"$J$2750-$H$2750","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$83","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$84","v":68},{"$f":"'Sec. H In-State ADJ'!$C$84","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$84","v":0},{"$f":"$J$2751-$H$2751","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$84","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$85","v":69},{"$f":"'Sec. H In-State ADJ'!$C$85","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$85","v":0},{"$f":"$J$2752-$H$2752","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$85","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$86","v":70},{"$f":"'Sec. H In-State ADJ'!$C$86","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$86","v":0},{"$f":"$J$2753-$H$2753","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$86","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$87","v":71},{"$f":"'Sec. H In-State ADJ'!$C$87","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$87","v":0},{"$f":"$J$2754-$H$2754","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$87","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$88","v":72},{"$f":"'Sec. H In-State ADJ'!$C$88","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$88","v":0},{"$f":"$J$2755-$H$2755","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$88","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$89","v":73},{"$f":"'Sec. H In-State ADJ'!$C$89","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$89","v":0},{"$f":"$J$2756-$H$2756","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$89","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$90","v":74},{"$f":"'Sec. H In-State ADJ'!$C$90","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$90","v":0},{"$f":"$J$2757-$H$2757","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$90","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$91","v":75},{"$f":"'Sec. H In-State ADJ'!$C$91","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$91","v":0},{"$f":"$J$2758-$H$2758","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$91","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$92","v":76},{"$f":"'Sec. H In-State ADJ'!$C$92","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$92","v":0},{"$f":"$J$2759-$H$2759","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$92","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$93","v":77},{"$f":"'Sec. H In-State ADJ'!$C$93","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$93","v":0},{"$f":"$J$2760-$H$2760","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$93","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$94","v":78},{"$f":"'Sec. H In-State ADJ'!$C$94","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$94","v":0},{"$f":"$J$2761-$H$2761","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$94","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$95","v":79},{"$f":"'Sec. H In-State ADJ'!$C$95","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$95","v":0},{"$f":"$J$2762-$H$2762","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$95","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$96","v":80},{"$f":"'Sec. H In-State ADJ'!$C$96","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$96","v":0},{"$f":"$J$2763-$H$2763","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$96","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$97","v":81},{"$f":"'Sec. H In-State ADJ'!$C$97","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$97","v":0},{"$f":"$J$2764-$H$2764","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$97","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$98","v":82},{"$f":"'Sec. H In-State ADJ'!$C$98","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$98","v":0},{"$f":"$J$2765-$H$2765","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$98","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$99","v":83},{"$f":"'Sec. H In-State ADJ'!$C$99","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$99","v":0},{"$f":"$J$2766-$H$2766","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$99","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$100","v":84},{"$f":"'Sec. H In-State ADJ'!$C$100","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$100","v":0},{"$f":"$J$2767-$H$2767","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$100","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$101","v":85},{"$f":"'Sec. H In-State ADJ'!$C$101","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$101","v":0},{"$f":"$J$2768-$H$2768","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$101","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$102","v":86},{"$f":"'Sec. H In-State ADJ'!$C$102","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$102","v":0},{"$f":"$J$2769-$H$2769","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$102","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$103","v":87},{"$f":"'Sec. H In-State ADJ'!$C$103","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$103","v":0},{"$f":"$J$2770-$H$2770","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$103","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$104","v":88},{"$f":"'Sec. H In-State ADJ'!$C$104","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$104","v":0},{"$f":"$J$2771-$H$2771","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$104","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$105","v":89},{"$f":"'Sec. H In-State ADJ'!$C$105","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$105","v":0},{"$f":"$J$2772-$H$2772","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$105","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$106","v":90},{"$f":"'Sec. H In-State ADJ'!$C$106","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$106","v":0},{"$f":"$J$2773-$H$2773","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$106","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$107","v":91},{"$f":"'Sec. H In-State ADJ'!$C$107","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$107","v":0},{"$f":"$J$2774-$H$2774","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$107","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$108","v":92},{"$f":"'Sec. H In-State ADJ'!$C$108","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$108","v":0},{"$f":"$J$2775-$H$2775","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$108","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$109","v":93},{"$f":"'Sec. H In-State ADJ'!$C$109","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$109","v":0},{"$f":"$J$2776-$H$2776","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$109","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$110","v":94},{"$f":"'Sec. H In-State ADJ'!$C$110","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$110","v":0},{"$f":"$J$2777-$H$2777","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$110","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$111","v":95},{"$f":"'Sec. H In-State ADJ'!$C$111","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$111","v":0},{"$f":"$J$2778-$H$2778","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$111","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$112","v":96},{"$f":"'Sec. H In-State ADJ'!$C$112","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$112","v":0},{"$f":"$J$2779-$H$2779","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$112","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$113","v":97},{"$f":"'Sec. H In-State ADJ'!$C$113","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$113","v":0},{"$f":"$J$2780-$H$2780","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$113","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$114","v":98},{"$f":"'Sec. H In-State ADJ'!$C$114","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$114","v":0},{"$f":"$J$2781-$H$2781","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$114","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$115","v":99},{"$f":"'Sec. H In-State ADJ'!$C$115","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$115","v":0},{"$f":"$J$2782-$H$2782","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$115","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$116","v":100},{"$f":"'Sec. H In-State ADJ'!$C$116","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$116","v":0},{"$f":"$J$2783-$H$2783","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$116","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$117","v":101},{"$f":"'Sec. H In-State ADJ'!$C$117","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$117","v":0},{"$f":"$J$2784-$H$2784","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$117","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$118","v":102},{"$f":"'Sec. H In-State ADJ'!$C$118","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$118","v":0},{"$f":"$J$2785-$H$2785","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$118","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$119","v":103},{"$f":"'Sec. H In-State ADJ'!$C$119","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$119","v":0},{"$f":"$J$2786-$H$2786","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$119","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$120","v":104},{"$f":"'Sec. H In-State ADJ'!$C$120","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$120","v":0},{"$f":"$J$2787-$H$2787","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$120","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$121","v":105},{"$f":"'Sec. H In-State ADJ'!$C$121","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$121","v":0},{"$f":"$J$2788-$H$2788","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$121","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$122","v":106},{"$f":"'Sec. H In-State ADJ'!$C$122","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$122","v":0},{"$f":"$J$2789-$H$2789","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$122","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$123","v":107},{"$f":"'Sec. H In-State ADJ'!$C$123","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$123","v":0},{"$f":"$J$2790-$H$2790","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$123","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$124","v":108},{"$f":"'Sec. H In-State ADJ'!$C$124","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$124","v":0},{"$f":"$J$2791-$H$2791","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$124","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$125","v":109},{"$f":"'Sec. H In-State ADJ'!$C$125","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$125","v":0},{"$f":"$J$2792-$H$2792","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$125","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$126","v":110},{"$f":"'Sec. H In-State ADJ'!$C$126","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$126","v":0},{"$f":"$J$2793-$H$2793","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$126","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$127","v":111},{"$f":"'Sec. H In-State ADJ'!$C$127","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$127","v":0},{"$f":"$J$2794-$H$2794","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$127","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$128","v":112},{"$f":"'Sec. H In-State ADJ'!$C$128","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$128","v":0},{"$f":"$J$2795-$H$2795","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$128","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$129","v":113},{"$f":"'Sec. H In-State ADJ'!$C$129","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$129","v":0},{"$f":"$J$2796-$H$2796","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$129","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$130","v":114},{"$f":"'Sec. H In-State ADJ'!$C$130","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$130","v":0},{"$f":"$J$2797-$H$2797","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$130","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$131","v":115},{"$f":"'Sec. H In-State ADJ'!$C$131","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$131","v":0},{"$f":"$J$2798-$H$2798","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$131","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$132","v":116},{"$f":"'Sec. H In-State ADJ'!$C$132","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$132","v":0},{"$f":"$J$2799-$H$2799","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$132","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$133","v":117},{"$f":"'Sec. H In-State ADJ'!$C$133","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$133","v":0},{"$f":"$J$2800-$H$2800","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$133","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$134","v":118},{"$f":"'Sec. H In-State ADJ'!$C$134","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$134","v":0},{"$f":"$J$2801-$H$2801","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$134","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$135","v":119},{"$f":"'Sec. H In-State ADJ'!$C$135","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$135","v":0},{"$f":"$J$2802-$H$2802","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$135","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$136","v":120},{"$f":"'Sec. H In-State ADJ'!$C$136","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$136","v":0},{"$f":"$J$2803-$H$2803","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$136","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$137","v":121},{"$f":"'Sec. H In-State ADJ'!$C$137","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$137","v":0},{"$f":"$J$2804-$H$2804","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$137","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$138","v":122},{"$f":"'Sec. H In-State ADJ'!$C$138","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$138","v":0},{"$f":"$J$2805-$H$2805","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$138","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$139","v":123},{"$f":"'Sec. H In-State ADJ'!$C$139","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$139","v":0},{"$f":"$J$2806-$H$2806","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$139","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$140","v":124},{"$f":"'Sec. H In-State ADJ'!$C$140","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$140","v":0},{"$f":"$J$2807-$H$2807","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$140","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$141","v":125},{"$f":"'Sec. H In-State ADJ'!$C$141","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$141","v":0},{"$f":"$J$2808-$H$2808","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$141","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$142","v":126},{"$f":"'Sec. H In-State ADJ'!$C$142","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$142","v":0},{"$f":"$J$2809-$H$2809","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$142","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$143","v":127},{"$f":"'Sec. H In-State ADJ'!$C$143","v":""},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$143","v":0},{"$f":"$J$2810-$H$2810","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$143","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$151","v":131.01},{"$f":"'Sec. H In-State ADJ'!$B$151","v":"Sampling Cost Adjustment (if applicable)"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to sample extrapolation.",0,{"$f":"$J$2811-$H$2811","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$151","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$154","v":132},{"$f":"'Sec. H In-State ADJ'!$B$154","v":"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$154","v":0},{"$f":"$J$2812-$H$2812","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$154","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$155","v":133},{"$f":"'Sec. H In-State ADJ'!$B$155","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$155","v":0},{"$f":"$J$2813-$H$2813","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$155","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$156","v":134},{"$f":"'Sec. H In-State ADJ'!$B$156","v":"Private Insurance (including primary and third party liability)"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$156","v":0},{"$f":"$J$2814-$H$2814","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$156","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$157","v":135},{"$f":"'Sec. H In-State ADJ'!$B$157","v":"Self-Pay (including Co-Pay and Spend-Down)"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$157","v":0},{"$f":"$J$2815-$H$2815","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$157","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$160","v":138},{"$f":"'Sec. H In-State ADJ'!$B$160","v":"Other Medicaid Payments Reported on Cost Report Year (See Note C)"},"17.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AF$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AF$160","v":0},{"$f":"$J$2816-$H$2816","v":0},{"$f":"'Sec. H In-State ADJ'!$AF$160","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$38","v":22},{"$f":"'Sec. H In-State ADJ'!$C$38","v":"Observation (Non-Distinct)"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$38","v":0},{"$f":"$J$2817-$H$2817","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$38","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$39","v":23},{"$f":"'Sec. H In-State ADJ'!$C$39","v":"OPERATING ROOM"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$39","v":0},{"$f":"$J$2818-$H$2818","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$39","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$40","v":24},{"$f":"'Sec. H In-State ADJ'!$C$40","v":"RECOVERY ROOM"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$40","v":0},{"$f":"$J$2819-$H$2819","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$40","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$41","v":25},{"$f":"'Sec. H In-State ADJ'!$C$41","v":"DELIVERY ROOM & LABOR ROOM"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$41","v":0},{"$f":"$J$2820-$H$2820","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$41","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$42","v":26},{"$f":"'Sec. H In-State ADJ'!$C$42","v":"ANESTHESIOLOGY"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$42","v":0},{"$f":"$J$2821-$H$2821","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$42","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$43","v":27},{"$f":"'Sec. H In-State ADJ'!$C$43","v":"RADIOLOGY-DIAGNOSTIC"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$43","v":0},{"$f":"$J$2822-$H$2822","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$43","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$44","v":28},{"$f":"'Sec. H In-State ADJ'!$C$44","v":"RADIOLOGY-THERAPEUTIC"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$44","v":0},{"$f":"$J$2823-$H$2823","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$44","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$45","v":29},{"$f":"'Sec. H In-State ADJ'!$C$45","v":"NUCLEAR MEDICINE"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$45","v":0},{"$f":"$J$2824-$H$2824","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$45","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$46","v":30},{"$f":"'Sec. H In-State ADJ'!$C$46","v":"CT SCAN"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$46","v":0},{"$f":"$J$2825-$H$2825","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$46","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$47","v":31},{"$f":"'Sec. H In-State ADJ'!$C$47","v":"MRI"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$47","v":0},{"$f":"$J$2826-$H$2826","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$47","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$48","v":32},{"$f":"'Sec. H In-State ADJ'!$C$48","v":"CARDIAC CATHETERIZATION"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$48","v":0},{"$f":"$J$2827-$H$2827","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$48","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$49","v":33},{"$f":"'Sec. H In-State ADJ'!$C$49","v":"LABORATORY"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$49","v":0},{"$f":"$J$2828-$H$2828","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$49","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$50","v":34},{"$f":"'Sec. H In-State ADJ'!$C$50","v":"RESPIRATORY THERAPY"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$50","v":0},{"$f":"$J$2829-$H$2829","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$50","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$51","v":35},{"$f":"'Sec. H In-State ADJ'!$C$51","v":"PHYSICAL THERAPY"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$51","v":0},{"$f":"$J$2830-$H$2830","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$51","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$52","v":36},{"$f":"'Sec. H In-State ADJ'!$C$52","v":"SPEECH PATHOLOGY"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$52","v":0},{"$f":"$J$2831-$H$2831","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$52","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$53","v":37},{"$f":"'Sec. H In-State ADJ'!$C$53","v":"ELECTROCARDIOLOGY"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$53","v":0},{"$f":"$J$2832-$H$2832","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$53","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$54","v":38},{"$f":"'Sec. H In-State ADJ'!$C$54","v":"ELECTROENCEPHALOGRAPHY"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$54","v":0},{"$f":"$J$2833-$H$2833","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$54","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$55","v":39},{"$f":"'Sec. H In-State ADJ'!$C$55","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$55","v":0},{"$f":"$J$2834-$H$2834","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$55","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$56","v":40},{"$f":"'Sec. H In-State ADJ'!$C$56","v":"IMPL. DEV. CHARGED TO PATIENTS"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$56","v":0},{"$f":"$J$2835-$H$2835","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$56","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$57","v":41},{"$f":"'Sec. H In-State ADJ'!$C$57","v":"DRUGS CHARGED TO PATIENTS"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$57","v":0},{"$f":"$J$2836-$H$2836","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$57","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$58","v":42},{"$f":"'Sec. H In-State ADJ'!$C$58","v":"RENAL DIALYSIS"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$58","v":0},{"$f":"$J$2837-$H$2837","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$58","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$59","v":43},{"$f":"'Sec. H In-State ADJ'!$C$59","v":"CARDIOVASCULAR MEDICINE"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$59","v":0},{"$f":"$J$2838-$H$2838","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$59","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$60","v":44},{"$f":"'Sec. H In-State ADJ'!$C$60","v":"CLINIC"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$60","v":0},{"$f":"$J$2839-$H$2839","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$60","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$61","v":45},{"$f":"'Sec. H In-State ADJ'!$C$61","v":"NUTRITION"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$61","v":0},{"$f":"$J$2840-$H$2840","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$61","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$62","v":46},{"$f":"'Sec. H In-State ADJ'!$C$62","v":"WOUND CARE CENTER"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$62","v":0},{"$f":"$J$2841-$H$2841","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$62","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$63","v":47},{"$f":"'Sec. H In-State ADJ'!$C$63","v":"EMERGENCY"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$63","v":0},{"$f":"$J$2842-$H$2842","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$63","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$64","v":48},{"$f":"'Sec. H In-State ADJ'!$C$64","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$64","v":0},{"$f":"$J$2843-$H$2843","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$64","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$65","v":49},{"$f":"'Sec. H In-State ADJ'!$C$65","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$65","v":0},{"$f":"$J$2844-$H$2844","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$65","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$66","v":50},{"$f":"'Sec. H In-State ADJ'!$C$66","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$66","v":0},{"$f":"$J$2845-$H$2845","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$66","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$67","v":51},{"$f":"'Sec. H In-State ADJ'!$C$67","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$67","v":0},{"$f":"$J$2846-$H$2846","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$67","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$68","v":52},{"$f":"'Sec. H In-State ADJ'!$C$68","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$68","v":0},{"$f":"$J$2847-$H$2847","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$68","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$69","v":53},{"$f":"'Sec. H In-State ADJ'!$C$69","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$69","v":0},{"$f":"$J$2848-$H$2848","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$69","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$70","v":54},{"$f":"'Sec. H In-State ADJ'!$C$70","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$70","v":0},{"$f":"$J$2849-$H$2849","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$70","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$71","v":55},{"$f":"'Sec. H In-State ADJ'!$C$71","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$71","v":0},{"$f":"$J$2850-$H$2850","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$71","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$72","v":56},{"$f":"'Sec. H In-State ADJ'!$C$72","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$72","v":0},{"$f":"$J$2851-$H$2851","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$72","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$73","v":57},{"$f":"'Sec. H In-State ADJ'!$C$73","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$73","v":0},{"$f":"$J$2852-$H$2852","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$73","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$74","v":58},{"$f":"'Sec. H In-State ADJ'!$C$74","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$74","v":0},{"$f":"$J$2853-$H$2853","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$74","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$75","v":59},{"$f":"'Sec. H In-State ADJ'!$C$75","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$75","v":0},{"$f":"$J$2854-$H$2854","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$75","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$76","v":60},{"$f":"'Sec. H In-State ADJ'!$C$76","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$76","v":0},{"$f":"$J$2855-$H$2855","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$76","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$77","v":61},{"$f":"'Sec. H In-State ADJ'!$C$77","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$77","v":0},{"$f":"$J$2856-$H$2856","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$77","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$78","v":62},{"$f":"'Sec. H In-State ADJ'!$C$78","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$78","v":0},{"$f":"$J$2857-$H$2857","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$78","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$79","v":63},{"$f":"'Sec. H In-State ADJ'!$C$79","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$79","v":0},{"$f":"$J$2858-$H$2858","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$79","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$80","v":64},{"$f":"'Sec. H In-State ADJ'!$C$80","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$80","v":0},{"$f":"$J$2859-$H$2859","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$80","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$81","v":65},{"$f":"'Sec. H In-State ADJ'!$C$81","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$81","v":0},{"$f":"$J$2860-$H$2860","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$81","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$82","v":66},{"$f":"'Sec. H In-State ADJ'!$C$82","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$82","v":0},{"$f":"$J$2861-$H$2861","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$82","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$83","v":67},{"$f":"'Sec. H In-State ADJ'!$C$83","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$83","v":0},{"$f":"$J$2862-$H$2862","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$83","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$84","v":68},{"$f":"'Sec. H In-State ADJ'!$C$84","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$84","v":0},{"$f":"$J$2863-$H$2863","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$84","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$85","v":69},{"$f":"'Sec. H In-State ADJ'!$C$85","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$85","v":0},{"$f":"$J$2864-$H$2864","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$85","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$86","v":70},{"$f":"'Sec. H In-State ADJ'!$C$86","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$86","v":0},{"$f":"$J$2865-$H$2865","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$86","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$87","v":71},{"$f":"'Sec. H In-State ADJ'!$C$87","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$87","v":0},{"$f":"$J$2866-$H$2866","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$87","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$88","v":72},{"$f":"'Sec. H In-State ADJ'!$C$88","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$88","v":0},{"$f":"$J$2867-$H$2867","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$88","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$89","v":73},{"$f":"'Sec. H In-State ADJ'!$C$89","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$89","v":0},{"$f":"$J$2868-$H$2868","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$89","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$90","v":74},{"$f":"'Sec. H In-State ADJ'!$C$90","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$90","v":0},{"$f":"$J$2869-$H$2869","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$90","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$91","v":75},{"$f":"'Sec. H In-State ADJ'!$C$91","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$91","v":0},{"$f":"$J$2870-$H$2870","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$91","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$92","v":76},{"$f":"'Sec. H In-State ADJ'!$C$92","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$92","v":0},{"$f":"$J$2871-$H$2871","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$92","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$93","v":77},{"$f":"'Sec. H In-State ADJ'!$C$93","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$93","v":0},{"$f":"$J$2872-$H$2872","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$93","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$94","v":78},{"$f":"'Sec. H In-State ADJ'!$C$94","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$94","v":0},{"$f":"$J$2873-$H$2873","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$94","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$95","v":79},{"$f":"'Sec. H In-State ADJ'!$C$95","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$95","v":0},{"$f":"$J$2874-$H$2874","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$95","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$96","v":80},{"$f":"'Sec. H In-State ADJ'!$C$96","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$96","v":0},{"$f":"$J$2875-$H$2875","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$96","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$97","v":81},{"$f":"'Sec. H In-State ADJ'!$C$97","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$97","v":0},{"$f":"$J$2876-$H$2876","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$97","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$98","v":82},{"$f":"'Sec. H In-State ADJ'!$C$98","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$98","v":0},{"$f":"$J$2877-$H$2877","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$98","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$99","v":83},{"$f":"'Sec. H In-State ADJ'!$C$99","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$99","v":0},{"$f":"$J$2878-$H$2878","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$99","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$100","v":84},{"$f":"'Sec. H In-State ADJ'!$C$100","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$100","v":0},{"$f":"$J$2879-$H$2879","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$100","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$101","v":85},{"$f":"'Sec. H In-State ADJ'!$C$101","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$101","v":0},{"$f":"$J$2880-$H$2880","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$101","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$102","v":86},{"$f":"'Sec. H In-State ADJ'!$C$102","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$102","v":0},{"$f":"$J$2881-$H$2881","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$102","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$103","v":87},{"$f":"'Sec. H In-State ADJ'!$C$103","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$103","v":0},{"$f":"$J$2882-$H$2882","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$103","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$104","v":88},{"$f":"'Sec. H In-State ADJ'!$C$104","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$104","v":0},{"$f":"$J$2883-$H$2883","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$104","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$105","v":89},{"$f":"'Sec. H In-State ADJ'!$C$105","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$105","v":0},{"$f":"$J$2884-$H$2884","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$105","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$106","v":90},{"$f":"'Sec. H In-State ADJ'!$C$106","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$106","v":0},{"$f":"$J$2885-$H$2885","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$106","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$107","v":91},{"$f":"'Sec. H In-State ADJ'!$C$107","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$107","v":0},{"$f":"$J$2886-$H$2886","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$107","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$108","v":92},{"$f":"'Sec. H In-State ADJ'!$C$108","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$108","v":0},{"$f":"$J$2887-$H$2887","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$108","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$109","v":93},{"$f":"'Sec. H In-State ADJ'!$C$109","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$109","v":0},{"$f":"$J$2888-$H$2888","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$109","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$110","v":94},{"$f":"'Sec. H In-State ADJ'!$C$110","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$110","v":0},{"$f":"$J$2889-$H$2889","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$110","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$111","v":95},{"$f":"'Sec. H In-State ADJ'!$C$111","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$111","v":0},{"$f":"$J$2890-$H$2890","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$111","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$112","v":96},{"$f":"'Sec. H In-State ADJ'!$C$112","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$112","v":0},{"$f":"$J$2891-$H$2891","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$112","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$113","v":97},{"$f":"'Sec. H In-State ADJ'!$C$113","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$113","v":0},{"$f":"$J$2892-$H$2892","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$113","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$114","v":98},{"$f":"'Sec. H In-State ADJ'!$C$114","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$114","v":0},{"$f":"$J$2893-$H$2893","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$114","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$115","v":99},{"$f":"'Sec. H In-State ADJ'!$C$115","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$115","v":0},{"$f":"$J$2894-$H$2894","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$115","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$116","v":100},{"$f":"'Sec. H In-State ADJ'!$C$116","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$116","v":0},{"$f":"$J$2895-$H$2895","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$116","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$117","v":101},{"$f":"'Sec. H In-State ADJ'!$C$117","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$117","v":0},{"$f":"$J$2896-$H$2896","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$117","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$118","v":102},{"$f":"'Sec. H In-State ADJ'!$C$118","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$118","v":0},{"$f":"$J$2897-$H$2897","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$118","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$119","v":103},{"$f":"'Sec. H In-State ADJ'!$C$119","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$119","v":0},{"$f":"$J$2898-$H$2898","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$119","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$120","v":104},{"$f":"'Sec. H In-State ADJ'!$C$120","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$120","v":0},{"$f":"$J$2899-$H$2899","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$120","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$121","v":105},{"$f":"'Sec. H In-State ADJ'!$C$121","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$121","v":0},{"$f":"$J$2900-$H$2900","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$121","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$122","v":106},{"$f":"'Sec. H In-State ADJ'!$C$122","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$122","v":0},{"$f":"$J$2901-$H$2901","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$122","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$123","v":107},{"$f":"'Sec. H In-State ADJ'!$C$123","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$123","v":0},{"$f":"$J$2902-$H$2902","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$123","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$124","v":108},{"$f":"'Sec. H In-State ADJ'!$C$124","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$124","v":0},{"$f":"$J$2903-$H$2903","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$124","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$125","v":109},{"$f":"'Sec. H In-State ADJ'!$C$125","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$125","v":0},{"$f":"$J$2904-$H$2904","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$125","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$126","v":110},{"$f":"'Sec. H In-State ADJ'!$C$126","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$126","v":0},{"$f":"$J$2905-$H$2905","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$126","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$127","v":111},{"$f":"'Sec. H In-State ADJ'!$C$127","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$127","v":0},{"$f":"$J$2906-$H$2906","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$127","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$128","v":112},{"$f":"'Sec. H In-State ADJ'!$C$128","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$128","v":0},{"$f":"$J$2907-$H$2907","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$128","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$129","v":113},{"$f":"'Sec. H In-State ADJ'!$C$129","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$129","v":0},{"$f":"$J$2908-$H$2908","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$129","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$130","v":114},{"$f":"'Sec. H In-State ADJ'!$C$130","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$130","v":0},{"$f":"$J$2909-$H$2909","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$130","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$131","v":115},{"$f":"'Sec. H In-State ADJ'!$C$131","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$131","v":0},{"$f":"$J$2910-$H$2910","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$131","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$132","v":116},{"$f":"'Sec. H In-State ADJ'!$C$132","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$132","v":0},{"$f":"$J$2911-$H$2911","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$132","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$133","v":117},{"$f":"'Sec. H In-State ADJ'!$C$133","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$133","v":0},{"$f":"$J$2912-$H$2912","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$133","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$134","v":118},{"$f":"'Sec. H In-State ADJ'!$C$134","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$134","v":0},{"$f":"$J$2913-$H$2913","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$134","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$135","v":119},{"$f":"'Sec. H In-State ADJ'!$C$135","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$135","v":0},{"$f":"$J$2914-$H$2914","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$135","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$136","v":120},{"$f":"'Sec. H In-State ADJ'!$C$136","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$136","v":0},{"$f":"$J$2915-$H$2915","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$136","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$137","v":121},{"$f":"'Sec. H In-State ADJ'!$C$137","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$137","v":0},{"$f":"$J$2916-$H$2916","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$137","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$138","v":122},{"$f":"'Sec. H In-State ADJ'!$C$138","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$138","v":0},{"$f":"$J$2917-$H$2917","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$138","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$139","v":123},{"$f":"'Sec. H In-State ADJ'!$C$139","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$139","v":0},{"$f":"$J$2918-$H$2918","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$139","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$140","v":124},{"$f":"'Sec. H In-State ADJ'!$C$140","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$140","v":0},{"$f":"$J$2919-$H$2919","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$140","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$141","v":125},{"$f":"'Sec. H In-State ADJ'!$C$141","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$141","v":0},{"$f":"$J$2920-$H$2920","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$141","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$142","v":126},{"$f":"'Sec. H In-State ADJ'!$C$142","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$142","v":0},{"$f":"$J$2921-$H$2921","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$142","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$143","v":127},{"$f":"'Sec. H In-State ADJ'!$C$143","v":""},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$143","v":0},{"$f":"$J$2922-$H$2922","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$143","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$151","v":131.01},{"$f":"'Sec. H In-State ADJ'!$B$151","v":"Sampling Cost Adjustment (if applicable)"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to sample extrapolation.",0,{"$f":"$J$2923-$H$2923","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$151","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$154","v":132},{"$f":"'Sec. H In-State ADJ'!$B$154","v":"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$154","v":0},{"$f":"$J$2924-$H$2924","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$154","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$155","v":133},{"$f":"'Sec. H In-State ADJ'!$B$155","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$155","v":0},{"$f":"$J$2925-$H$2925","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$155","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$156","v":134},{"$f":"'Sec. H In-State ADJ'!$B$156","v":"Private Insurance (including primary and third party liability)"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$156","v":0},{"$f":"$J$2926-$H$2926","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$156","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$157","v":135},{"$f":"'Sec. H In-State ADJ'!$B$157","v":"Self-Pay (including Co-Pay and Spend-Down)"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$157","v":0},{"$f":"$J$2927-$H$2927","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$157","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$160","v":138},{"$f":"'Sec. H In-State ADJ'!$B$160","v":"Other Medicaid Payments Reported on Cost Report Year (See Note C)"},"18.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AH$6,\" \", 'Sec. H In-State ADJ'!$AF$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AH$160","v":0},{"$f":"$J$2928-$H$2928","v":0},{"$f":"'Sec. H In-State ADJ'!$AH$160","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$11","v":1},{"$f":"'Sec. H In-State ADJ'!$C$11","v":"ADULTS & PEDIATRICS"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$11","v":0},{"$f":"$J$2929-$H$2929","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$11","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$12","v":2},{"$f":"'Sec. H In-State ADJ'!$C$12","v":"INTENSIVE CARE UNIT"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$12","v":0},{"$f":"$J$2930-$H$2930","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$12","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$13","v":3},{"$f":"'Sec. H In-State ADJ'!$C$13","v":"CORONARY CARE UNIT"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$13","v":0},{"$f":"$J$2931-$H$2931","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$13","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$14","v":4},{"$f":"'Sec. H In-State ADJ'!$C$14","v":"BURN INTENSIVE CARE UNIT"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$14","v":0},{"$f":"$J$2932-$H$2932","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$14","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$15","v":5},{"$f":"'Sec. H In-State ADJ'!$C$15","v":"SURGICAL INTENSIVE CARE UNIT"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$15","v":0},{"$f":"$J$2933-$H$2933","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$15","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$16","v":6},{"$f":"'Sec. H In-State ADJ'!$C$16","v":"OTHER SPECIAL CARE UNIT"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$16","v":0},{"$f":"$J$2934-$H$2934","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$16","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$17","v":7},{"$f":"'Sec. H In-State ADJ'!$C$17","v":"SUBPROVIDER I"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$17","v":0},{"$f":"$J$2935-$H$2935","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$17","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$18","v":8},{"$f":"'Sec. H In-State ADJ'!$C$18","v":"SUBPROVIDER II"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$18","v":0},{"$f":"$J$2936-$H$2936","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$18","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$19","v":9},{"$f":"'Sec. H In-State ADJ'!$C$19","v":"OTHER SUBPROVIDER"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$19","v":0},{"$f":"$J$2937-$H$2937","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$19","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$20","v":10},{"$f":"'Sec. H In-State ADJ'!$C$20","v":"NURSERY"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$20","v":0},{"$f":"$J$2938-$H$2938","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$20","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$21","v":11},{"$f":"'Sec. H In-State ADJ'!$C$21","v":0},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$21","v":0},{"$f":"$J$2939-$H$2939","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$21","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$22","v":12},{"$f":"'Sec. H In-State ADJ'!$C$22","v":0},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$22","v":0},{"$f":"$J$2940-$H$2940","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$22","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$23","v":13},{"$f":"'Sec. H In-State ADJ'!$C$23","v":0},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$23","v":0},{"$f":"$J$2941-$H$2941","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$23","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$24","v":14},{"$f":"'Sec. H In-State ADJ'!$C$24","v":0},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$24","v":0},{"$f":"$J$2942-$H$2942","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$24","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$25","v":15},{"$f":"'Sec. H In-State ADJ'!$C$25","v":0},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$25","v":0},{"$f":"$J$2943-$H$2943","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$25","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$26","v":16},{"$f":"'Sec. H In-State ADJ'!$C$26","v":0},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$26","v":0},{"$f":"$J$2944-$H$2944","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$26","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$27","v":17},{"$f":"'Sec. H In-State ADJ'!$C$27","v":0},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$27","v":0},{"$f":"$J$2945-$H$2945","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$27","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$34","v":21},{"$f":"'Sec. H In-State ADJ'!$C$34","v":"Routine Charges"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$34","v":0},{"$f":"$J$2946-$H$2946","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$34","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$38","v":22},{"$f":"'Sec. H In-State ADJ'!$C$38","v":"Observation (Non-Distinct)"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$38","v":0},{"$f":"$J$2947-$H$2947","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$38","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$39","v":23},{"$f":"'Sec. H In-State ADJ'!$C$39","v":"OPERATING ROOM"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$39","v":0},{"$f":"$J$2948-$H$2948","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$39","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$40","v":24},{"$f":"'Sec. H In-State ADJ'!$C$40","v":"RECOVERY ROOM"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$40","v":0},{"$f":"$J$2949-$H$2949","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$40","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$41","v":25},{"$f":"'Sec. H In-State ADJ'!$C$41","v":"DELIVERY ROOM & LABOR ROOM"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$41","v":0},{"$f":"$J$2950-$H$2950","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$41","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$42","v":26},{"$f":"'Sec. H In-State ADJ'!$C$42","v":"ANESTHESIOLOGY"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$42","v":0},{"$f":"$J$2951-$H$2951","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$42","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$43","v":27},{"$f":"'Sec. H In-State ADJ'!$C$43","v":"RADIOLOGY-DIAGNOSTIC"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$43","v":0},{"$f":"$J$2952-$H$2952","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$43","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$44","v":28},{"$f":"'Sec. H In-State ADJ'!$C$44","v":"RADIOLOGY-THERAPEUTIC"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$44","v":0},{"$f":"$J$2953-$H$2953","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$44","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$45","v":29},{"$f":"'Sec. H In-State ADJ'!$C$45","v":"NUCLEAR MEDICINE"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$45","v":0},{"$f":"$J$2954-$H$2954","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$45","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$46","v":30},{"$f":"'Sec. H In-State ADJ'!$C$46","v":"CT SCAN"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$46","v":0},{"$f":"$J$2955-$H$2955","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$46","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$47","v":31},{"$f":"'Sec. H In-State ADJ'!$C$47","v":"MRI"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$47","v":0},{"$f":"$J$2956-$H$2956","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$47","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$48","v":32},{"$f":"'Sec. H In-State ADJ'!$C$48","v":"CARDIAC CATHETERIZATION"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$48","v":0},{"$f":"$J$2957-$H$2957","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$48","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$49","v":33},{"$f":"'Sec. H In-State ADJ'!$C$49","v":"LABORATORY"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$49","v":0},{"$f":"$J$2958-$H$2958","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$49","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$50","v":34},{"$f":"'Sec. H In-State ADJ'!$C$50","v":"RESPIRATORY THERAPY"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$50","v":0},{"$f":"$J$2959-$H$2959","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$50","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$51","v":35},{"$f":"'Sec. H In-State ADJ'!$C$51","v":"PHYSICAL THERAPY"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$51","v":0},{"$f":"$J$2960-$H$2960","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$51","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$52","v":36},{"$f":"'Sec. H In-State ADJ'!$C$52","v":"SPEECH PATHOLOGY"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$52","v":0},{"$f":"$J$2961-$H$2961","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$52","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$53","v":37},{"$f":"'Sec. H In-State ADJ'!$C$53","v":"ELECTROCARDIOLOGY"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$53","v":0},{"$f":"$J$2962-$H$2962","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$53","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$54","v":38},{"$f":"'Sec. H In-State ADJ'!$C$54","v":"ELECTROENCEPHALOGRAPHY"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$54","v":0},{"$f":"$J$2963-$H$2963","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$54","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$55","v":39},{"$f":"'Sec. H In-State ADJ'!$C$55","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$55","v":0},{"$f":"$J$2964-$H$2964","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$55","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$56","v":40},{"$f":"'Sec. H In-State ADJ'!$C$56","v":"IMPL. DEV. CHARGED TO PATIENTS"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$56","v":0},{"$f":"$J$2965-$H$2965","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$56","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$57","v":41},{"$f":"'Sec. H In-State ADJ'!$C$57","v":"DRUGS CHARGED TO PATIENTS"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$57","v":0},{"$f":"$J$2966-$H$2966","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$57","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$58","v":42},{"$f":"'Sec. H In-State ADJ'!$C$58","v":"RENAL DIALYSIS"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$58","v":0},{"$f":"$J$2967-$H$2967","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$58","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$59","v":43},{"$f":"'Sec. H In-State ADJ'!$C$59","v":"CARDIOVASCULAR MEDICINE"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$59","v":0},{"$f":"$J$2968-$H$2968","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$59","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$60","v":44},{"$f":"'Sec. H In-State ADJ'!$C$60","v":"CLINIC"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$60","v":0},{"$f":"$J$2969-$H$2969","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$60","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$61","v":45},{"$f":"'Sec. H In-State ADJ'!$C$61","v":"NUTRITION"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$61","v":0},{"$f":"$J$2970-$H$2970","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$61","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$62","v":46},{"$f":"'Sec. H In-State ADJ'!$C$62","v":"WOUND CARE CENTER"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$62","v":0},{"$f":"$J$2971-$H$2971","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$62","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$63","v":47},{"$f":"'Sec. H In-State ADJ'!$C$63","v":"EMERGENCY"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$63","v":0},{"$f":"$J$2972-$H$2972","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$63","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$64","v":48},{"$f":"'Sec. H In-State ADJ'!$C$64","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$64","v":0},{"$f":"$J$2973-$H$2973","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$64","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$65","v":49},{"$f":"'Sec. H In-State ADJ'!$C$65","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$65","v":0},{"$f":"$J$2974-$H$2974","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$65","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$66","v":50},{"$f":"'Sec. H In-State ADJ'!$C$66","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$66","v":0},{"$f":"$J$2975-$H$2975","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$66","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$67","v":51},{"$f":"'Sec. H In-State ADJ'!$C$67","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$67","v":0},{"$f":"$J$2976-$H$2976","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$67","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$68","v":52},{"$f":"'Sec. H In-State ADJ'!$C$68","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$68","v":0},{"$f":"$J$2977-$H$2977","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$68","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$69","v":53},{"$f":"'Sec. H In-State ADJ'!$C$69","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$69","v":0},{"$f":"$J$2978-$H$2978","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$69","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$70","v":54},{"$f":"'Sec. H In-State ADJ'!$C$70","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$70","v":0},{"$f":"$J$2979-$H$2979","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$70","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$71","v":55},{"$f":"'Sec. H In-State ADJ'!$C$71","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$71","v":0},{"$f":"$J$2980-$H$2980","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$71","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$72","v":56},{"$f":"'Sec. H In-State ADJ'!$C$72","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$72","v":0},{"$f":"$J$2981-$H$2981","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$72","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$73","v":57},{"$f":"'Sec. H In-State ADJ'!$C$73","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$73","v":0},{"$f":"$J$2982-$H$2982","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$73","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$74","v":58},{"$f":"'Sec. H In-State ADJ'!$C$74","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$74","v":0},{"$f":"$J$2983-$H$2983","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$74","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$75","v":59},{"$f":"'Sec. H In-State ADJ'!$C$75","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$75","v":0},{"$f":"$J$2984-$H$2984","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$75","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$76","v":60},{"$f":"'Sec. H In-State ADJ'!$C$76","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$76","v":0},{"$f":"$J$2985-$H$2985","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$76","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$77","v":61},{"$f":"'Sec. H In-State ADJ'!$C$77","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$77","v":0},{"$f":"$J$2986-$H$2986","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$77","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$78","v":62},{"$f":"'Sec. H In-State ADJ'!$C$78","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$78","v":0},{"$f":"$J$2987-$H$2987","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$78","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$79","v":63},{"$f":"'Sec. H In-State ADJ'!$C$79","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$79","v":0},{"$f":"$J$2988-$H$2988","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$79","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$80","v":64},{"$f":"'Sec. H In-State ADJ'!$C$80","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$80","v":0},{"$f":"$J$2989-$H$2989","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$80","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$81","v":65},{"$f":"'Sec. H In-State ADJ'!$C$81","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$81","v":0},{"$f":"$J$2990-$H$2990","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$81","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$82","v":66},{"$f":"'Sec. H In-State ADJ'!$C$82","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$82","v":0},{"$f":"$J$2991-$H$2991","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$82","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$83","v":67},{"$f":"'Sec. H In-State ADJ'!$C$83","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$83","v":0},{"$f":"$J$2992-$H$2992","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$83","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$84","v":68},{"$f":"'Sec. H In-State ADJ'!$C$84","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$84","v":0},{"$f":"$J$2993-$H$2993","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$84","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$85","v":69},{"$f":"'Sec. H In-State ADJ'!$C$85","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$85","v":0},{"$f":"$J$2994-$H$2994","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$85","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$86","v":70},{"$f":"'Sec. H In-State ADJ'!$C$86","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$86","v":0},{"$f":"$J$2995-$H$2995","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$86","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$87","v":71},{"$f":"'Sec. H In-State ADJ'!$C$87","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$87","v":0},{"$f":"$J$2996-$H$2996","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$87","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$88","v":72},{"$f":"'Sec. H In-State ADJ'!$C$88","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$88","v":0},{"$f":"$J$2997-$H$2997","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$88","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$89","v":73},{"$f":"'Sec. H In-State ADJ'!$C$89","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$89","v":0},{"$f":"$J$2998-$H$2998","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$89","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$90","v":74},{"$f":"'Sec. H In-State ADJ'!$C$90","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$90","v":0},{"$f":"$J$2999-$H$2999","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$90","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$91","v":75},{"$f":"'Sec. H In-State ADJ'!$C$91","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$91","v":0},{"$f":"$J$3000-$H$3000","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$91","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$92","v":76},{"$f":"'Sec. H In-State ADJ'!$C$92","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$92","v":0},{"$f":"$J$3001-$H$3001","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$92","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$93","v":77},{"$f":"'Sec. H In-State ADJ'!$C$93","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$93","v":0},{"$f":"$J$3002-$H$3002","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$93","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$94","v":78},{"$f":"'Sec. H In-State ADJ'!$C$94","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$94","v":0},{"$f":"$J$3003-$H$3003","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$94","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$95","v":79},{"$f":"'Sec. H In-State ADJ'!$C$95","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$95","v":0},{"$f":"$J$3004-$H$3004","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$95","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$96","v":80},{"$f":"'Sec. H In-State ADJ'!$C$96","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$96","v":0},{"$f":"$J$3005-$H$3005","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$96","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$97","v":81},{"$f":"'Sec. H In-State ADJ'!$C$97","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$97","v":0},{"$f":"$J$3006-$H$3006","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$97","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$98","v":82},{"$f":"'Sec. H In-State ADJ'!$C$98","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$98","v":0},{"$f":"$J$3007-$H$3007","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$98","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$99","v":83},{"$f":"'Sec. H In-State ADJ'!$C$99","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$99","v":0},{"$f":"$J$3008-$H$3008","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$99","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$100","v":84},{"$f":"'Sec. H In-State ADJ'!$C$100","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$100","v":0},{"$f":"$J$3009-$H$3009","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$100","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$101","v":85},{"$f":"'Sec. H In-State ADJ'!$C$101","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$101","v":0},{"$f":"$J$3010-$H$3010","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$101","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$102","v":86},{"$f":"'Sec. H In-State ADJ'!$C$102","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$102","v":0},{"$f":"$J$3011-$H$3011","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$102","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$103","v":87},{"$f":"'Sec. H In-State ADJ'!$C$103","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$103","v":0},{"$f":"$J$3012-$H$3012","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$103","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$104","v":88},{"$f":"'Sec. H In-State ADJ'!$C$104","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$104","v":0},{"$f":"$J$3013-$H$3013","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$104","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$105","v":89},{"$f":"'Sec. H In-State ADJ'!$C$105","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$105","v":0},{"$f":"$J$3014-$H$3014","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$105","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$106","v":90},{"$f":"'Sec. H In-State ADJ'!$C$106","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$106","v":0},{"$f":"$J$3015-$H$3015","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$106","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$107","v":91},{"$f":"'Sec. H In-State ADJ'!$C$107","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$107","v":0},{"$f":"$J$3016-$H$3016","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$107","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$108","v":92},{"$f":"'Sec. H In-State ADJ'!$C$108","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$108","v":0},{"$f":"$J$3017-$H$3017","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$108","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$109","v":93},{"$f":"'Sec. H In-State ADJ'!$C$109","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$109","v":0},{"$f":"$J$3018-$H$3018","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$109","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$110","v":94},{"$f":"'Sec. H In-State ADJ'!$C$110","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$110","v":0},{"$f":"$J$3019-$H$3019","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$110","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$111","v":95},{"$f":"'Sec. H In-State ADJ'!$C$111","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$111","v":0},{"$f":"$J$3020-$H$3020","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$111","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$112","v":96},{"$f":"'Sec. H In-State ADJ'!$C$112","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$112","v":0},{"$f":"$J$3021-$H$3021","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$112","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$113","v":97},{"$f":"'Sec. H In-State ADJ'!$C$113","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$113","v":0},{"$f":"$J$3022-$H$3022","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$113","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$114","v":98},{"$f":"'Sec. H In-State ADJ'!$C$114","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$114","v":0},{"$f":"$J$3023-$H$3023","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$114","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$115","v":99},{"$f":"'Sec. H In-State ADJ'!$C$115","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$115","v":0},{"$f":"$J$3024-$H$3024","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$115","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$116","v":100},{"$f":"'Sec. H In-State ADJ'!$C$116","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$116","v":0},{"$f":"$J$3025-$H$3025","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$116","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$117","v":101},{"$f":"'Sec. H In-State ADJ'!$C$117","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$117","v":0},{"$f":"$J$3026-$H$3026","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$117","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$118","v":102},{"$f":"'Sec. H In-State ADJ'!$C$118","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$118","v":0},{"$f":"$J$3027-$H$3027","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$118","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$119","v":103},{"$f":"'Sec. H In-State ADJ'!$C$119","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$119","v":0},{"$f":"$J$3028-$H$3028","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$119","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$120","v":104},{"$f":"'Sec. H In-State ADJ'!$C$120","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$120","v":0},{"$f":"$J$3029-$H$3029","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$120","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$121","v":105},{"$f":"'Sec. H In-State ADJ'!$C$121","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$121","v":0},{"$f":"$J$3030-$H$3030","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$121","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$122","v":106},{"$f":"'Sec. H In-State ADJ'!$C$122","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$122","v":0},{"$f":"$J$3031-$H$3031","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$122","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$123","v":107},{"$f":"'Sec. H In-State ADJ'!$C$123","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$123","v":0},{"$f":"$J$3032-$H$3032","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$123","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$124","v":108},{"$f":"'Sec. H In-State ADJ'!$C$124","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$124","v":0},{"$f":"$J$3033-$H$3033","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$124","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$125","v":109},{"$f":"'Sec. H In-State ADJ'!$C$125","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$125","v":0},{"$f":"$J$3034-$H$3034","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$125","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$126","v":110},{"$f":"'Sec. H In-State ADJ'!$C$126","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$126","v":0},{"$f":"$J$3035-$H$3035","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$126","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$127","v":111},{"$f":"'Sec. H In-State ADJ'!$C$127","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$127","v":0},{"$f":"$J$3036-$H$3036","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$127","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$128","v":112},{"$f":"'Sec. H In-State ADJ'!$C$128","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$128","v":0},{"$f":"$J$3037-$H$3037","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$128","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$129","v":113},{"$f":"'Sec. H In-State ADJ'!$C$129","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$129","v":0},{"$f":"$J$3038-$H$3038","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$129","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$130","v":114},{"$f":"'Sec. H In-State ADJ'!$C$130","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$130","v":0},{"$f":"$J$3039-$H$3039","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$130","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$131","v":115},{"$f":"'Sec. H In-State ADJ'!$C$131","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$131","v":0},{"$f":"$J$3040-$H$3040","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$131","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$132","v":116},{"$f":"'Sec. H In-State ADJ'!$C$132","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$132","v":0},{"$f":"$J$3041-$H$3041","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$132","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$133","v":117},{"$f":"'Sec. H In-State ADJ'!$C$133","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$133","v":0},{"$f":"$J$3042-$H$3042","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$133","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$134","v":118},{"$f":"'Sec. H In-State ADJ'!$C$134","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$134","v":0},{"$f":"$J$3043-$H$3043","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$134","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$135","v":119},{"$f":"'Sec. H In-State ADJ'!$C$135","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$135","v":0},{"$f":"$J$3044-$H$3044","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$135","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$136","v":120},{"$f":"'Sec. H In-State ADJ'!$C$136","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$136","v":0},{"$f":"$J$3045-$H$3045","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$136","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$137","v":121},{"$f":"'Sec. H In-State ADJ'!$C$137","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$137","v":0},{"$f":"$J$3046-$H$3046","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$137","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$138","v":122},{"$f":"'Sec. H In-State ADJ'!$C$138","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$138","v":0},{"$f":"$J$3047-$H$3047","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$138","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$139","v":123},{"$f":"'Sec. H In-State ADJ'!$C$139","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$139","v":0},{"$f":"$J$3048-$H$3048","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$139","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$140","v":124},{"$f":"'Sec. H In-State ADJ'!$C$140","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$140","v":0},{"$f":"$J$3049-$H$3049","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$140","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$141","v":125},{"$f":"'Sec. H In-State ADJ'!$C$141","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$141","v":0},{"$f":"$J$3050-$H$3050","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$141","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$142","v":126},{"$f":"'Sec. H In-State ADJ'!$C$142","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$142","v":0},{"$f":"$J$3051-$H$3051","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$142","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$143","v":127},{"$f":"'Sec. H In-State ADJ'!$C$143","v":""},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$143","v":0},{"$f":"$J$3052-$H$3052","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$143","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$151","v":131.01},{"$f":"'Sec. H In-State ADJ'!$B$151","v":"Sampling Cost Adjustment (if applicable)"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to sample extrapolation.",0,{"$f":"$J$3053-$H$3053","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$151","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$154","v":132},{"$f":"'Sec. H In-State ADJ'!$B$154","v":"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$154","v":0},{"$f":"$J$3054-$H$3054","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$154","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$155","v":133},{"$f":"'Sec. H In-State ADJ'!$B$155","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$155","v":0},{"$f":"$J$3055-$H$3055","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$155","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$156","v":134},{"$f":"'Sec. H In-State ADJ'!$B$156","v":"Private Insurance (including primary and third party liability)"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$156","v":0},{"$f":"$J$3056-$H$3056","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$156","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$157","v":135},{"$f":"'Sec. H In-State ADJ'!$B$157","v":"Self-Pay (including Co-Pay and Spend-Down)"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$157","v":0},{"$f":"$J$3057-$H$3057","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$157","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$160","v":138},{"$f":"'Sec. H In-State ADJ'!$B$160","v":"Other Medicaid Payments Reported on Cost Report Year (See Note C)"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$160","v":0},{"$f":"$J$3058-$H$3058","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$160","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$165","v":143},{"$f":"'Sec. H In-State ADJ'!$B$165","v":"Payment from Hospital Uninsured During Cost Report Year (Cash Basis)"},"19.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AJ$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Inpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AJ$165","v":0},{"$f":"$J$3059-$H$3059","v":0},{"$f":"'Sec. H In-State ADJ'!$AJ$165","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$38","v":22},{"$f":"'Sec. H In-State ADJ'!$C$38","v":"Observation (Non-Distinct)"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$38","v":0},{"$f":"$J$3060-$H$3060","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$38","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$39","v":23},{"$f":"'Sec. H In-State ADJ'!$C$39","v":"OPERATING ROOM"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$39","v":0},{"$f":"$J$3061-$H$3061","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$39","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$40","v":24},{"$f":"'Sec. H In-State ADJ'!$C$40","v":"RECOVERY ROOM"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$40","v":0},{"$f":"$J$3062-$H$3062","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$40","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$41","v":25},{"$f":"'Sec. H In-State ADJ'!$C$41","v":"DELIVERY ROOM & LABOR ROOM"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$41","v":0},{"$f":"$J$3063-$H$3063","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$41","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$42","v":26},{"$f":"'Sec. H In-State ADJ'!$C$42","v":"ANESTHESIOLOGY"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$42","v":0},{"$f":"$J$3064-$H$3064","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$42","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$43","v":27},{"$f":"'Sec. H In-State ADJ'!$C$43","v":"RADIOLOGY-DIAGNOSTIC"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$43","v":0},{"$f":"$J$3065-$H$3065","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$43","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$44","v":28},{"$f":"'Sec. H In-State ADJ'!$C$44","v":"RADIOLOGY-THERAPEUTIC"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$44","v":0},{"$f":"$J$3066-$H$3066","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$44","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$45","v":29},{"$f":"'Sec. H In-State ADJ'!$C$45","v":"NUCLEAR MEDICINE"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$45","v":0},{"$f":"$J$3067-$H$3067","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$45","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$46","v":30},{"$f":"'Sec. H In-State ADJ'!$C$46","v":"CT SCAN"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$46","v":0},{"$f":"$J$3068-$H$3068","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$46","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$47","v":31},{"$f":"'Sec. H In-State ADJ'!$C$47","v":"MRI"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$47","v":0},{"$f":"$J$3069-$H$3069","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$47","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$48","v":32},{"$f":"'Sec. H In-State ADJ'!$C$48","v":"CARDIAC CATHETERIZATION"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$48","v":0},{"$f":"$J$3070-$H$3070","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$48","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$49","v":33},{"$f":"'Sec. H In-State ADJ'!$C$49","v":"LABORATORY"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$49","v":0},{"$f":"$J$3071-$H$3071","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$49","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$50","v":34},{"$f":"'Sec. H In-State ADJ'!$C$50","v":"RESPIRATORY THERAPY"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$50","v":0},{"$f":"$J$3072-$H$3072","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$50","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$51","v":35},{"$f":"'Sec. H In-State ADJ'!$C$51","v":"PHYSICAL THERAPY"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$51","v":0},{"$f":"$J$3073-$H$3073","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$51","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$52","v":36},{"$f":"'Sec. H In-State ADJ'!$C$52","v":"SPEECH PATHOLOGY"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$52","v":0},{"$f":"$J$3074-$H$3074","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$52","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$53","v":37},{"$f":"'Sec. H In-State ADJ'!$C$53","v":"ELECTROCARDIOLOGY"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$53","v":0},{"$f":"$J$3075-$H$3075","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$53","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$54","v":38},{"$f":"'Sec. H In-State ADJ'!$C$54","v":"ELECTROENCEPHALOGRAPHY"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$54","v":0},{"$f":"$J$3076-$H$3076","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$54","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$55","v":39},{"$f":"'Sec. H In-State ADJ'!$C$55","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$55","v":0},{"$f":"$J$3077-$H$3077","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$55","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$56","v":40},{"$f":"'Sec. H In-State ADJ'!$C$56","v":"IMPL. DEV. CHARGED TO PATIENTS"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$56","v":0},{"$f":"$J$3078-$H$3078","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$56","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$57","v":41},{"$f":"'Sec. H In-State ADJ'!$C$57","v":"DRUGS CHARGED TO PATIENTS"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$57","v":0},{"$f":"$J$3079-$H$3079","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$57","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$58","v":42},{"$f":"'Sec. H In-State ADJ'!$C$58","v":"RENAL DIALYSIS"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$58","v":0},{"$f":"$J$3080-$H$3080","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$58","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$59","v":43},{"$f":"'Sec. H In-State ADJ'!$C$59","v":"CARDIOVASCULAR MEDICINE"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$59","v":0},{"$f":"$J$3081-$H$3081","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$59","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$60","v":44},{"$f":"'Sec. H In-State ADJ'!$C$60","v":"CLINIC"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$60","v":0},{"$f":"$J$3082-$H$3082","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$60","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$61","v":45},{"$f":"'Sec. H In-State ADJ'!$C$61","v":"NUTRITION"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$61","v":0},{"$f":"$J$3083-$H$3083","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$61","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$62","v":46},{"$f":"'Sec. H In-State ADJ'!$C$62","v":"WOUND CARE CENTER"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$62","v":0},{"$f":"$J$3084-$H$3084","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$62","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$63","v":47},{"$f":"'Sec. H In-State ADJ'!$C$63","v":"EMERGENCY"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$63","v":0},{"$f":"$J$3085-$H$3085","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$63","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$64","v":48},{"$f":"'Sec. H In-State ADJ'!$C$64","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$64","v":0},{"$f":"$J$3086-$H$3086","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$64","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$65","v":49},{"$f":"'Sec. H In-State ADJ'!$C$65","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$65","v":0},{"$f":"$J$3087-$H$3087","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$65","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$66","v":50},{"$f":"'Sec. H In-State ADJ'!$C$66","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$66","v":0},{"$f":"$J$3088-$H$3088","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$66","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$67","v":51},{"$f":"'Sec. H In-State ADJ'!$C$67","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$67","v":0},{"$f":"$J$3089-$H$3089","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$67","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$68","v":52},{"$f":"'Sec. H In-State ADJ'!$C$68","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$68","v":0},{"$f":"$J$3090-$H$3090","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$68","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$69","v":53},{"$f":"'Sec. H In-State ADJ'!$C$69","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$69","v":0},{"$f":"$J$3091-$H$3091","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$69","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$70","v":54},{"$f":"'Sec. H In-State ADJ'!$C$70","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$70","v":0},{"$f":"$J$3092-$H$3092","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$70","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$71","v":55},{"$f":"'Sec. H In-State ADJ'!$C$71","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$71","v":0},{"$f":"$J$3093-$H$3093","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$71","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$72","v":56},{"$f":"'Sec. H In-State ADJ'!$C$72","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$72","v":0},{"$f":"$J$3094-$H$3094","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$72","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$73","v":57},{"$f":"'Sec. H In-State ADJ'!$C$73","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$73","v":0},{"$f":"$J$3095-$H$3095","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$73","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$74","v":58},{"$f":"'Sec. H In-State ADJ'!$C$74","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$74","v":0},{"$f":"$J$3096-$H$3096","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$74","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$75","v":59},{"$f":"'Sec. H In-State ADJ'!$C$75","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$75","v":0},{"$f":"$J$3097-$H$3097","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$75","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$76","v":60},{"$f":"'Sec. H In-State ADJ'!$C$76","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$76","v":0},{"$f":"$J$3098-$H$3098","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$76","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$77","v":61},{"$f":"'Sec. H In-State ADJ'!$C$77","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$77","v":0},{"$f":"$J$3099-$H$3099","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$77","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$78","v":62},{"$f":"'Sec. H In-State ADJ'!$C$78","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$78","v":0},{"$f":"$J$3100-$H$3100","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$78","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$79","v":63},{"$f":"'Sec. H In-State ADJ'!$C$79","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$79","v":0},{"$f":"$J$3101-$H$3101","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$79","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$80","v":64},{"$f":"'Sec. H In-State ADJ'!$C$80","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$80","v":0},{"$f":"$J$3102-$H$3102","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$80","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$81","v":65},{"$f":"'Sec. H In-State ADJ'!$C$81","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$81","v":0},{"$f":"$J$3103-$H$3103","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$81","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$82","v":66},{"$f":"'Sec. H In-State ADJ'!$C$82","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$82","v":0},{"$f":"$J$3104-$H$3104","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$82","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$83","v":67},{"$f":"'Sec. H In-State ADJ'!$C$83","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$83","v":0},{"$f":"$J$3105-$H$3105","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$83","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$84","v":68},{"$f":"'Sec. H In-State ADJ'!$C$84","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$84","v":0},{"$f":"$J$3106-$H$3106","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$84","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$85","v":69},{"$f":"'Sec. H In-State ADJ'!$C$85","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$85","v":0},{"$f":"$J$3107-$H$3107","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$85","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$86","v":70},{"$f":"'Sec. H In-State ADJ'!$C$86","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$86","v":0},{"$f":"$J$3108-$H$3108","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$86","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$87","v":71},{"$f":"'Sec. H In-State ADJ'!$C$87","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$87","v":0},{"$f":"$J$3109-$H$3109","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$87","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$88","v":72},{"$f":"'Sec. H In-State ADJ'!$C$88","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$88","v":0},{"$f":"$J$3110-$H$3110","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$88","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$89","v":73},{"$f":"'Sec. H In-State ADJ'!$C$89","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$89","v":0},{"$f":"$J$3111-$H$3111","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$89","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$90","v":74},{"$f":"'Sec. H In-State ADJ'!$C$90","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$90","v":0},{"$f":"$J$3112-$H$3112","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$90","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$91","v":75},{"$f":"'Sec. H In-State ADJ'!$C$91","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$91","v":0},{"$f":"$J$3113-$H$3113","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$91","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$92","v":76},{"$f":"'Sec. H In-State ADJ'!$C$92","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$92","v":0},{"$f":"$J$3114-$H$3114","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$92","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$93","v":77},{"$f":"'Sec. H In-State ADJ'!$C$93","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$93","v":0},{"$f":"$J$3115-$H$3115","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$93","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$94","v":78},{"$f":"'Sec. H In-State ADJ'!$C$94","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$94","v":0},{"$f":"$J$3116-$H$3116","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$94","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$95","v":79},{"$f":"'Sec. H In-State ADJ'!$C$95","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$95","v":0},{"$f":"$J$3117-$H$3117","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$95","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$96","v":80},{"$f":"'Sec. H In-State ADJ'!$C$96","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$96","v":0},{"$f":"$J$3118-$H$3118","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$96","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$97","v":81},{"$f":"'Sec. H In-State ADJ'!$C$97","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$97","v":0},{"$f":"$J$3119-$H$3119","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$97","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$98","v":82},{"$f":"'Sec. H In-State ADJ'!$C$98","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$98","v":0},{"$f":"$J$3120-$H$3120","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$98","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$99","v":83},{"$f":"'Sec. H In-State ADJ'!$C$99","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$99","v":0},{"$f":"$J$3121-$H$3121","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$99","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$100","v":84},{"$f":"'Sec. H In-State ADJ'!$C$100","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$100","v":0},{"$f":"$J$3122-$H$3122","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$100","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$101","v":85},{"$f":"'Sec. H In-State ADJ'!$C$101","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$101","v":0},{"$f":"$J$3123-$H$3123","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$101","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$102","v":86},{"$f":"'Sec. H In-State ADJ'!$C$102","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$102","v":0},{"$f":"$J$3124-$H$3124","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$102","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$103","v":87},{"$f":"'Sec. H In-State ADJ'!$C$103","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$103","v":0},{"$f":"$J$3125-$H$3125","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$103","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$104","v":88},{"$f":"'Sec. H In-State ADJ'!$C$104","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$104","v":0},{"$f":"$J$3126-$H$3126","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$104","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$105","v":89},{"$f":"'Sec. H In-State ADJ'!$C$105","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$105","v":0},{"$f":"$J$3127-$H$3127","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$105","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$106","v":90},{"$f":"'Sec. H In-State ADJ'!$C$106","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$106","v":0},{"$f":"$J$3128-$H$3128","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$106","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$107","v":91},{"$f":"'Sec. H In-State ADJ'!$C$107","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$107","v":0},{"$f":"$J$3129-$H$3129","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$107","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$108","v":92},{"$f":"'Sec. H In-State ADJ'!$C$108","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$108","v":0},{"$f":"$J$3130-$H$3130","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$108","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$109","v":93},{"$f":"'Sec. H In-State ADJ'!$C$109","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$109","v":0},{"$f":"$J$3131-$H$3131","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$109","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$110","v":94},{"$f":"'Sec. H In-State ADJ'!$C$110","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$110","v":0},{"$f":"$J$3132-$H$3132","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$110","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$111","v":95},{"$f":"'Sec. H In-State ADJ'!$C$111","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$111","v":0},{"$f":"$J$3133-$H$3133","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$111","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$112","v":96},{"$f":"'Sec. H In-State ADJ'!$C$112","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$112","v":0},{"$f":"$J$3134-$H$3134","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$112","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$113","v":97},{"$f":"'Sec. H In-State ADJ'!$C$113","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$113","v":0},{"$f":"$J$3135-$H$3135","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$113","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$114","v":98},{"$f":"'Sec. H In-State ADJ'!$C$114","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$114","v":0},{"$f":"$J$3136-$H$3136","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$114","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$115","v":99},{"$f":"'Sec. H In-State ADJ'!$C$115","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$115","v":0},{"$f":"$J$3137-$H$3137","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$115","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$116","v":100},{"$f":"'Sec. H In-State ADJ'!$C$116","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$116","v":0},{"$f":"$J$3138-$H$3138","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$116","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$117","v":101},{"$f":"'Sec. H In-State ADJ'!$C$117","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$117","v":0},{"$f":"$J$3139-$H$3139","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$117","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$118","v":102},{"$f":"'Sec. H In-State ADJ'!$C$118","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$118","v":0},{"$f":"$J$3140-$H$3140","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$118","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$119","v":103},{"$f":"'Sec. H In-State ADJ'!$C$119","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$119","v":0},{"$f":"$J$3141-$H$3141","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$119","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$120","v":104},{"$f":"'Sec. H In-State ADJ'!$C$120","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$120","v":0},{"$f":"$J$3142-$H$3142","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$120","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$121","v":105},{"$f":"'Sec. H In-State ADJ'!$C$121","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$121","v":0},{"$f":"$J$3143-$H$3143","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$121","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$122","v":106},{"$f":"'Sec. H In-State ADJ'!$C$122","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$122","v":0},{"$f":"$J$3144-$H$3144","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$122","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$123","v":107},{"$f":"'Sec. H In-State ADJ'!$C$123","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$123","v":0},{"$f":"$J$3145-$H$3145","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$123","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$124","v":108},{"$f":"'Sec. H In-State ADJ'!$C$124","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$124","v":0},{"$f":"$J$3146-$H$3146","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$124","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$125","v":109},{"$f":"'Sec. H In-State ADJ'!$C$125","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$125","v":0},{"$f":"$J$3147-$H$3147","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$125","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$126","v":110},{"$f":"'Sec. H In-State ADJ'!$C$126","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$126","v":0},{"$f":"$J$3148-$H$3148","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$126","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$127","v":111},{"$f":"'Sec. H In-State ADJ'!$C$127","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$127","v":0},{"$f":"$J$3149-$H$3149","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$127","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$128","v":112},{"$f":"'Sec. H In-State ADJ'!$C$128","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$128","v":0},{"$f":"$J$3150-$H$3150","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$128","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$129","v":113},{"$f":"'Sec. H In-State ADJ'!$C$129","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$129","v":0},{"$f":"$J$3151-$H$3151","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$129","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$130","v":114},{"$f":"'Sec. H In-State ADJ'!$C$130","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$130","v":0},{"$f":"$J$3152-$H$3152","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$130","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$131","v":115},{"$f":"'Sec. H In-State ADJ'!$C$131","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$131","v":0},{"$f":"$J$3153-$H$3153","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$131","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$132","v":116},{"$f":"'Sec. H In-State ADJ'!$C$132","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$132","v":0},{"$f":"$J$3154-$H$3154","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$132","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$133","v":117},{"$f":"'Sec. H In-State ADJ'!$C$133","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$133","v":0},{"$f":"$J$3155-$H$3155","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$133","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$134","v":118},{"$f":"'Sec. H In-State ADJ'!$C$134","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$134","v":0},{"$f":"$J$3156-$H$3156","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$134","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$135","v":119},{"$f":"'Sec. H In-State ADJ'!$C$135","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$135","v":0},{"$f":"$J$3157-$H$3157","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$135","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$136","v":120},{"$f":"'Sec. H In-State ADJ'!$C$136","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$136","v":0},{"$f":"$J$3158-$H$3158","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$136","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$137","v":121},{"$f":"'Sec. H In-State ADJ'!$C$137","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$137","v":0},{"$f":"$J$3159-$H$3159","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$137","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$138","v":122},{"$f":"'Sec. H In-State ADJ'!$C$138","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$138","v":0},{"$f":"$J$3160-$H$3160","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$138","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$139","v":123},{"$f":"'Sec. H In-State ADJ'!$C$139","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$139","v":0},{"$f":"$J$3161-$H$3161","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$139","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$140","v":124},{"$f":"'Sec. H In-State ADJ'!$C$140","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$140","v":0},{"$f":"$J$3162-$H$3162","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$140","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$141","v":125},{"$f":"'Sec. H In-State ADJ'!$C$141","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$141","v":0},{"$f":"$J$3163-$H$3163","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$141","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$142","v":126},{"$f":"'Sec. H In-State ADJ'!$C$142","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$142","v":0},{"$f":"$J$3164-$H$3164","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$142","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$143","v":127},{"$f":"'Sec. H In-State ADJ'!$C$143","v":""},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$143","v":0},{"$f":"$J$3165-$H$3165","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$143","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$151","v":131.01},{"$f":"'Sec. H In-State ADJ'!$B$151","v":"Sampling Cost Adjustment (if applicable)"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to sample extrapolation.",0,{"$f":"$J$3166-$H$3166","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$151","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$154","v":132},{"$f":"'Sec. H In-State ADJ'!$B$154","v":"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$154","v":0},{"$f":"$J$3167-$H$3167","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$154","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$155","v":133},{"$f":"'Sec. H In-State ADJ'!$B$155","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$155","v":0},{"$f":"$J$3168-$H$3168","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$155","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$156","v":134},{"$f":"'Sec. H In-State ADJ'!$B$156","v":"Private Insurance (including primary and third party liability)"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$156","v":0},{"$f":"$J$3169-$H$3169","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$156","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$157","v":135},{"$f":"'Sec. H In-State ADJ'!$B$157","v":"Self-Pay (including Co-Pay and Spend-Down)"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$157","v":0},{"$f":"$J$3170-$H$3170","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$157","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$160","v":138},{"$f":"'Sec. H In-State ADJ'!$B$160","v":"Other Medicaid Payments Reported on Cost Report Year (See Note C)"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$160","v":0},{"$f":"$J$3171-$H$3171","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$160","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$165","v":143},{"$f":"'Sec. H In-State ADJ'!$B$165","v":"Payment from Hospital Uninsured During Cost Report Year (Cash Basis)"},"20.00",{"$f":"CONCATENATE('Sec. H In-State ADJ'!$AL$6,\" \", 'Sec. H In-State ADJ'!$AJ$5)","v":"Outpatient "},"Adjust to paid claims data.",{"$f":"'Sec. H In-State'!$AL$165","v":0},{"$f":"$J$3172-$H$3172","v":0},{"$f":"'Sec. H In-State ADJ'!$AL$165","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$11","v":1},{"$f":"'Sec. H In-State ADJ'!$C$11","v":"ADULTS & PEDIATRICS"},{"$f":"IF(StateOnlyDisplay=\"Yes\",HLOOKUP(State,AdjustmentTab_ColumnNum,3,0),HLOOKUP(State,AdjustmentTab_ColumnNum,2))","v":11},{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$11","v":0},{"$f":"$J3173-$H3173","v":0},{"$f":"'Sec. H In-State ADJ'!$AN$11","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$12","v":2},{"$f":"'Sec. H In-State ADJ'!$C$12","v":"INTENSIVE CARE UNIT"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$12","v":0},{"$f":"$J3174-$H3174","v":0},{"$f":"'Sec. H In-State ADJ'!$AN$12","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$13","v":3},{"$f":"'Sec. H In-State ADJ'!$C$13","v":"CORONARY CARE UNIT"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$13","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$13","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$14","v":4},{"$f":"'Sec. H In-State ADJ'!$C$14","v":"BURN INTENSIVE CARE UNIT"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$14","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$14","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$15","v":5},{"$f":"'Sec. H In-State ADJ'!$C$15","v":"SURGICAL INTENSIVE CARE UNIT"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$15","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$15","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$16","v":6},{"$f":"'Sec. H In-State ADJ'!$C$16","v":"OTHER SPECIAL CARE UNIT"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$16","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$16","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$17","v":7},{"$f":"'Sec. H In-State ADJ'!$C$17","v":"SUBPROVIDER I"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$17","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$17","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$18","v":8},{"$f":"'Sec. H In-State ADJ'!$C$18","v":"SUBPROVIDER II"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$18","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$18","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$19","v":9},{"$f":"'Sec. H In-State ADJ'!$C$19","v":"OTHER SUBPROVIDER"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$19","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$19","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$20","v":10},{"$f":"'Sec. H In-State ADJ'!$C$20","v":"NURSERY"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$20","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$20","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$21","v":11},{"$f":"'Sec. H In-State ADJ'!$C$21","v":0},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$21","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$21","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$22","v":12},{"$f":"'Sec. H In-State ADJ'!$C$22","v":0},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$22","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$22","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$23","v":13},{"$f":"'Sec. H In-State ADJ'!$C$23","v":0},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$23","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$23","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$24","v":14},{"$f":"'Sec. H In-State ADJ'!$C$24","v":0},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$24","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$24","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$25","v":15},{"$f":"'Sec. H In-State ADJ'!$C$25","v":0},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$25","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$25","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$26","v":16},{"$f":"'Sec. H In-State ADJ'!$C$26","v":0},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$26","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$26","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$27","v":17},{"$f":"'Sec. H In-State ADJ'!$C$27","v":0},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$27","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$27","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$34","v":21},{"$f":"'Sec. H In-State ADJ'!$C$34","v":"Routine Charges"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$34","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$34","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$38","v":22},{"$f":"'Sec. H In-State ADJ'!$C$38","v":"Observation (Non-Distinct)"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$38","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$38","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$39","v":23},{"$f":"'Sec. H In-State ADJ'!$C$39","v":"OPERATING ROOM"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$39","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$39","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$40","v":24},{"$f":"'Sec. H In-State ADJ'!$C$40","v":"RECOVERY ROOM"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$40","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$40","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$41","v":25},{"$f":"'Sec. H In-State ADJ'!$C$41","v":"DELIVERY ROOM & LABOR ROOM"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$41","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$41","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$42","v":26},{"$f":"'Sec. H In-State ADJ'!$C$42","v":"ANESTHESIOLOGY"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$42","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$42","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$43","v":27},{"$f":"'Sec. H In-State ADJ'!$C$43","v":"RADIOLOGY-DIAGNOSTIC"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$43","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$43","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$44","v":28},{"$f":"'Sec. H In-State ADJ'!$C$44","v":"RADIOLOGY-THERAPEUTIC"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$44","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$44","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$45","v":29},{"$f":"'Sec. H In-State ADJ'!$C$45","v":"NUCLEAR MEDICINE"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$45","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$45","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$46","v":30},{"$f":"'Sec. H In-State ADJ'!$C$46","v":"CT SCAN"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$46","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$46","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$47","v":31},{"$f":"'Sec. H In-State ADJ'!$C$47","v":"MRI"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$47","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$47","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$48","v":32},{"$f":"'Sec. H In-State ADJ'!$C$48","v":"CARDIAC CATHETERIZATION"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$48","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$48","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$49","v":33},{"$f":"'Sec. H In-State ADJ'!$C$49","v":"LABORATORY"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$49","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$49","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$50","v":34},{"$f":"'Sec. H In-State ADJ'!$C$50","v":"RESPIRATORY THERAPY"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$50","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$50","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$51","v":35},{"$f":"'Sec. H In-State ADJ'!$C$51","v":"PHYSICAL THERAPY"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$51","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$51","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$52","v":36},{"$f":"'Sec. H In-State ADJ'!$C$52","v":"SPEECH PATHOLOGY"},{"$f":"IF(StateOnlyDisplay=\"Yes\",HLOOKUP(State,AdjustmentTab_ColumnNum,3,0),HLOOKUP(State,AdjustmentTab_ColumnNum,2))","v":11},{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$52","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$52","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$53","v":37},{"$f":"'Sec. H In-State ADJ'!$C$53","v":"ELECTROCARDIOLOGY"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$53","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$53","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$54","v":38},{"$f":"'Sec. H In-State ADJ'!$C$54","v":"ELECTROENCEPHALOGRAPHY"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$54","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$54","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$55","v":39},{"$f":"'Sec. H In-State ADJ'!$C$55","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$55","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$55","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$56","v":40},{"$f":"'Sec. H In-State ADJ'!$C$56","v":"IMPL. DEV. CHARGED TO PATIENTS"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$56","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$56","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$57","v":41},{"$f":"'Sec. H In-State ADJ'!$C$57","v":"DRUGS CHARGED TO PATIENTS"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$57","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$57","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$58","v":42},{"$f":"'Sec. H In-State ADJ'!$C$58","v":"RENAL DIALYSIS"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$58","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$58","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$59","v":43},{"$f":"'Sec. H In-State ADJ'!$C$59","v":"CARDIOVASCULAR MEDICINE"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$59","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$59","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$60","v":44},{"$f":"'Sec. H In-State ADJ'!$C$60","v":"CLINIC"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$60","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$60","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$61","v":45},{"$f":"'Sec. H In-State ADJ'!$C$61","v":"NUTRITION"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$61","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$61","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$62","v":46},{"$f":"'Sec. H In-State ADJ'!$C$62","v":"WOUND CARE CENTER"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$62","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$62","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$63","v":47},{"$f":"'Sec. H In-State ADJ'!$C$63","v":"EMERGENCY"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$63","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$63","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$64","v":48},{"$f":"'Sec. H In-State ADJ'!$C$64","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$64","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$64","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$65","v":49},{"$f":"'Sec. H In-State ADJ'!$C$65","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$65","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$65","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$66","v":50},{"$f":"'Sec. H In-State ADJ'!$C$66","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$66","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$66","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$67","v":51},{"$f":"'Sec. H In-State ADJ'!$C$67","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$67","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$67","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$68","v":52},{"$f":"'Sec. H In-State ADJ'!$C$68","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$68","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$68","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$69","v":53},{"$f":"'Sec. H In-State ADJ'!$C$69","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$69","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$69","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$70","v":54},{"$f":"'Sec. H In-State ADJ'!$C$70","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$70","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$70","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$71","v":55},{"$f":"'Sec. H In-State ADJ'!$C$71","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$71","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$71","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$72","v":56},{"$f":"'Sec. H In-State ADJ'!$C$72","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$72","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$72","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$73","v":57},{"$f":"'Sec. H In-State ADJ'!$C$73","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$73","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$73","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$74","v":58},{"$f":"'Sec. H In-State ADJ'!$C$74","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$74","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$74","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$75","v":59},{"$f":"'Sec. H In-State ADJ'!$C$75","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$75","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$75","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$76","v":60},{"$f":"'Sec. H In-State ADJ'!$C$76","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$76","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$76","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$77","v":61},{"$f":"'Sec. H In-State ADJ'!$C$77","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$77","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$77","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$78","v":62},{"$f":"'Sec. H In-State ADJ'!$C$78","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$78","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$78","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$79","v":63},{"$f":"'Sec. H In-State ADJ'!$C$79","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$79","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$79","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$80","v":64},{"$f":"'Sec. H In-State ADJ'!$C$80","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$80","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$80","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$81","v":65},{"$f":"'Sec. H In-State ADJ'!$C$81","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$81","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$81","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$82","v":66},{"$f":"'Sec. H In-State ADJ'!$C$82","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$82","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$82","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$83","v":67},{"$f":"'Sec. H In-State ADJ'!$C$83","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$83","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$83","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$84","v":68},{"$f":"'Sec. H In-State ADJ'!$C$84","v":""},{"$f":"IF(StateOnlyDisplay=\"Yes\",HLOOKUP(State,AdjustmentTab_ColumnNum,3,0),HLOOKUP(State,AdjustmentTab_ColumnNum,2))","v":11},{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$84","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$84","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$85","v":69},{"$f":"'Sec. H In-State ADJ'!$C$85","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$85","v":0},{"$f":"$J3238-$H3238","v":0},{"$f":"'Sec. H In-State ADJ'!$AN$85","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$86","v":70},{"$f":"'Sec. H In-State ADJ'!$C$86","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$86","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$86","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$87","v":71},{"$f":"'Sec. H In-State ADJ'!$C$87","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$87","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$87","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$88","v":72},{"$f":"'Sec. H In-State ADJ'!$C$88","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$88","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$88","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$89","v":73},{"$f":"'Sec. H In-State ADJ'!$C$89","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$89","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$89","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$90","v":74},{"$f":"'Sec. H In-State ADJ'!$C$90","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$90","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$90","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$91","v":75},{"$f":"'Sec. H In-State ADJ'!$C$91","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$91","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$91","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$92","v":76},{"$f":"'Sec. H In-State ADJ'!$C$92","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$92","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$92","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$93","v":77},{"$f":"'Sec. H In-State ADJ'!$C$93","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$93","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$93","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$94","v":78},{"$f":"'Sec. H In-State ADJ'!$C$94","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$94","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$94","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$95","v":79},{"$f":"'Sec. H In-State ADJ'!$C$95","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$95","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$95","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$96","v":80},{"$f":"'Sec. H In-State ADJ'!$C$96","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$96","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$96","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$97","v":81},{"$f":"'Sec. H In-State ADJ'!$C$97","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$97","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$97","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$98","v":82},{"$f":"'Sec. H In-State ADJ'!$C$98","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$98","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$98","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$99","v":83},{"$f":"'Sec. H In-State ADJ'!$C$99","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$99","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$99","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$100","v":84},{"$f":"'Sec. H In-State ADJ'!$C$100","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$100","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$100","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$101","v":85},{"$f":"'Sec. H In-State ADJ'!$C$101","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$101","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$101","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$102","v":86},{"$f":"'Sec. H In-State ADJ'!$C$102","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$102","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$102","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$103","v":87},{"$f":"'Sec. H In-State ADJ'!$C$103","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$103","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$103","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$104","v":88},{"$f":"'Sec. H In-State ADJ'!$C$104","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$104","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$104","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$105","v":89},{"$f":"'Sec. H In-State ADJ'!$C$105","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$105","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$105","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$106","v":90},{"$f":"'Sec. H In-State ADJ'!$C$106","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$106","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$106","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$107","v":91},{"$f":"'Sec. H In-State ADJ'!$C$107","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$107","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$107","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$108","v":92},{"$f":"'Sec. H In-State ADJ'!$C$108","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$108","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$108","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$109","v":93},{"$f":"'Sec. H In-State ADJ'!$C$109","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$109","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$109","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$110","v":94},{"$f":"'Sec. H In-State ADJ'!$C$110","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$110","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$110","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$111","v":95},{"$f":"'Sec. H In-State ADJ'!$C$111","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$111","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$111","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$112","v":96},{"$f":"'Sec. H In-State ADJ'!$C$112","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$112","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$112","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$113","v":97},{"$f":"'Sec. H In-State ADJ'!$C$113","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$113","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$113","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$114","v":98},{"$f":"'Sec. H In-State ADJ'!$C$114","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$114","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$114","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$115","v":99},{"$f":"'Sec. H In-State ADJ'!$C$115","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$115","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$115","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$116","v":100},{"$f":"'Sec. H In-State ADJ'!$C$116","v":""},{"$f":"IF(StateOnlyDisplay=\"Yes\",HLOOKUP(State,AdjustmentTab_ColumnNum,3,0),HLOOKUP(State,AdjustmentTab_ColumnNum,2))","v":11},{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$116","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$116","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$117","v":101},{"$f":"'Sec. H In-State ADJ'!$C$117","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$117","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$117","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$118","v":102},{"$f":"'Sec. H In-State ADJ'!$C$118","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$118","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$118","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$119","v":103},{"$f":"'Sec. H In-State ADJ'!$C$119","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$119","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$119","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$120","v":104},{"$f":"'Sec. H In-State ADJ'!$C$120","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$120","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$120","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$121","v":105},{"$f":"'Sec. H In-State ADJ'!$C$121","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$121","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$121","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$122","v":106},{"$f":"'Sec. H In-State ADJ'!$C$122","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$122","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$122","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$123","v":107},{"$f":"'Sec. H In-State ADJ'!$C$123","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$123","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$123","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$124","v":108},{"$f":"'Sec. H In-State ADJ'!$C$124","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$124","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$124","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$125","v":109},{"$f":"'Sec. H In-State ADJ'!$C$125","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$125","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$125","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$126","v":110},{"$f":"'Sec. H In-State ADJ'!$C$126","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$126","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$126","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$127","v":111},{"$f":"'Sec. H In-State ADJ'!$C$127","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$127","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$127","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$128","v":112},{"$f":"'Sec. H In-State ADJ'!$C$128","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$128","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$128","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$129","v":113},{"$f":"'Sec. H In-State ADJ'!$C$129","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$129","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$129","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$130","v":114},{"$f":"'Sec. H In-State ADJ'!$C$130","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$130","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$130","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$131","v":115},{"$f":"'Sec. H In-State ADJ'!$C$131","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$131","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$131","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$132","v":116},{"$f":"'Sec. H In-State ADJ'!$C$132","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$132","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$132","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$133","v":117},{"$f":"'Sec. H In-State ADJ'!$C$133","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$133","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$133","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$134","v":118},{"$f":"'Sec. H In-State ADJ'!$C$134","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$134","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$134","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$135","v":119},{"$f":"'Sec. H In-State ADJ'!$C$135","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$135","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$135","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$136","v":120},{"$f":"'Sec. H In-State ADJ'!$C$136","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$136","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$136","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$137","v":121},{"$f":"'Sec. H In-State ADJ'!$C$137","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$137","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$137","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$138","v":122},{"$f":"'Sec. H In-State ADJ'!$C$138","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$138","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$138","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$139","v":123},{"$f":"'Sec. H In-State ADJ'!$C$139","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$139","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$139","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$140","v":124},{"$f":"'Sec. H In-State ADJ'!$C$140","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$140","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$140","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$141","v":125},{"$f":"'Sec. H In-State ADJ'!$C$141","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$141","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$141","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$142","v":126},{"$f":"'Sec. H In-State ADJ'!$C$142","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$142","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$142","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$143","v":127},{"$f":"'Sec. H In-State ADJ'!$C$143","v":""},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$143","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AN$143","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$151","v":131.01},{"$f":"'Sec. H In-State ADJ'!$B$151","v":"Sampling Cost Adjustment (if applicable)"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to sample extrapolation.",0,0,{"$f":"'Sec. H In-State ADJ'!$AN$151","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$154","v":132},{"$f":"'Sec. H In-State ADJ'!$B$154","v":"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$154","v":0},{"$f":"$J$3298-$H$3298","v":0},{"$f":"'Sec. H In-State ADJ'!$AN$154","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$155","v":133},{"$f":"'Sec. H In-State ADJ'!$B$155","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$155","v":0},{"$f":"$J$3299-$H$3299","v":0},{"$f":"'Sec. H In-State ADJ'!$AN$155","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$156","v":134},{"$f":"'Sec. H In-State ADJ'!$B$156","v":"Private Insurance (including primary and third party liability)"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$156","v":0},{"$f":"$J$3300-$H$3300","v":0},{"$f":"'Sec. H In-State ADJ'!$AN$156","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$157","v":135},{"$f":"'Sec. H In-State ADJ'!$B$157","v":"Self-Pay (including Co-Pay and Spend-Down)"},{"$f":"IF(StateOnlyDisplay=\"Yes\",HLOOKUP(State,AdjustmentTab_ColumnNum,3,0),HLOOKUP(State,AdjustmentTab_ColumnNum,2))","v":11},{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$157","v":0},{"$f":"$J$3301-$H$3301","v":0},{"$f":"'Sec. H In-State ADJ'!$AN$157","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$159","v":137},{"$f":"'Sec. H In-State ADJ'!$B$159","v":"Medicaid Cost Settlement Payments (See Note B)"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$159","v":0},{"$f":"$J$3302-$H$3302","v":0},{"$f":"'Sec. H In-State ADJ'!$AN$159","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$160","v":138},{"$f":"'Sec. H In-State ADJ'!$B$160","v":"Other Medicaid Payments Reported on Cost Report Year (See Note C)"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$160","v":0},{"$f":"$J$3303-$H$3303","v":0},{"$f":"'Sec. H In-State ADJ'!$AN$160","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$161","v":139},{"$f":"'Sec. H In-State ADJ'!$B$161","v":"Medicare Traditional (non-HMO) Paid Amount (excludes coinsurance/deductibles)"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$161","v":0},{"$f":"$J$3304-$H$3304","v":0},{"$f":"'Sec. H In-State ADJ'!$AN$161","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$162","v":140},{"$f":"'Sec. H In-State ADJ'!$B$162","v":"Medicare Managed Care (HMO) Paid Amount (excludes coinsurance/deductibles)"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$162","v":0},{"$f":"$J$3305-$H$3305","v":0},{"$f":"'Sec. H In-State ADJ'!$AN$162","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$163","v":141},{"$f":"'Sec. H In-State ADJ'!$B$163","v":"Medicare Cross-Over Bad Debt Payments"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$163","v":0},{"$f":"$J$3306-$H$3306","v":0},{"$f":"'Sec. H In-State ADJ'!$AN$163","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$164","v":142},{"$f":"'Sec. H In-State ADJ'!$B$164","v":"Other Medicare Cross-Over Payments (See Note D)"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to include Medicare cost report settlements applicable to cross-overs.",{"$f":"'Sec. H In-State'!$AN$164","v":0},{"$f":"$J$3307-$H$3307","v":0},{"$f":"'Sec. H In-State ADJ'!$AN$164","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$165","v":143},{"$f":"'Sec. H In-State ADJ'!$B$165","v":"Payment from Hospital Uninsured During Cost Report Year (Cash Basis)"},11,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Inpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AN$165","v":0},{"$f":"$J$3308-$H$3308","v":0},{"$f":"'Sec. H In-State ADJ'!$AN$165","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$38","v":22},{"$f":"'Sec. H In-State ADJ'!$C$38","v":"Observation (Non-Distinct)"},{"$f":"IF(StateOnlyDisplay=\"Yes\",HLOOKUP(State,AdjustmentTab_ColumnNum,3,0),HLOOKUP(State,AdjustmentTab_ColumnNum,2))+1","v":12},{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$38","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$38","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$39","v":23},{"$f":"'Sec. H In-State ADJ'!$C$39","v":"OPERATING ROOM"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$39","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$39","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$40","v":24},{"$f":"'Sec. H In-State ADJ'!$C$40","v":"RECOVERY ROOM"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$40","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$40","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$41","v":25},{"$f":"'Sec. H In-State ADJ'!$C$41","v":"DELIVERY ROOM & LABOR ROOM"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$41","v":0},{"$f":"$J3312-$H3312","v":0},{"$f":"'Sec. H In-State ADJ'!$AP$41","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$42","v":26},{"$f":"'Sec. H In-State ADJ'!$C$42","v":"ANESTHESIOLOGY"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$42","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$42","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$43","v":27},{"$f":"'Sec. H In-State ADJ'!$C$43","v":"RADIOLOGY-DIAGNOSTIC"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$43","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$43","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$44","v":28},{"$f":"'Sec. H In-State ADJ'!$C$44","v":"RADIOLOGY-THERAPEUTIC"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$44","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$44","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$45","v":29},{"$f":"'Sec. H In-State ADJ'!$C$45","v":"NUCLEAR MEDICINE"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$45","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$45","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$46","v":30},{"$f":"'Sec. H In-State ADJ'!$C$46","v":"CT SCAN"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$46","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$46","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$47","v":31},{"$f":"'Sec. H In-State ADJ'!$C$47","v":"MRI"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$47","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$47","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$48","v":32},{"$f":"'Sec. H In-State ADJ'!$C$48","v":"CARDIAC CATHETERIZATION"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$48","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$48","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$49","v":33},{"$f":"'Sec. H In-State ADJ'!$C$49","v":"LABORATORY"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$49","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$49","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$50","v":34},{"$f":"'Sec. H In-State ADJ'!$C$50","v":"RESPIRATORY THERAPY"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$50","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$50","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$51","v":35},{"$f":"'Sec. H In-State ADJ'!$C$51","v":"PHYSICAL THERAPY"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$51","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$51","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$52","v":36},{"$f":"'Sec. H In-State ADJ'!$C$52","v":"SPEECH PATHOLOGY"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$52","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$52","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$53","v":37},{"$f":"'Sec. H In-State ADJ'!$C$53","v":"ELECTROCARDIOLOGY"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$53","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$53","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$54","v":38},{"$f":"'Sec. H In-State ADJ'!$C$54","v":"ELECTROENCEPHALOGRAPHY"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$54","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$54","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$55","v":39},{"$f":"'Sec. H In-State ADJ'!$C$55","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$55","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$55","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$56","v":40},{"$f":"'Sec. H In-State ADJ'!$C$56","v":"IMPL. DEV. CHARGED TO PATIENTS"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$56","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$56","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$57","v":41},{"$f":"'Sec. H In-State ADJ'!$C$57","v":"DRUGS CHARGED TO PATIENTS"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$57","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$57","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$58","v":42},{"$f":"'Sec. H In-State ADJ'!$C$58","v":"RENAL DIALYSIS"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$58","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$58","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$59","v":43},{"$f":"'Sec. H In-State ADJ'!$C$59","v":"CARDIOVASCULAR MEDICINE"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$59","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$59","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$60","v":44},{"$f":"'Sec. H In-State ADJ'!$C$60","v":"CLINIC"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$60","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$60","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$61","v":45},{"$f":"'Sec. H In-State ADJ'!$C$61","v":"NUTRITION"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$61","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$61","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$62","v":46},{"$f":"'Sec. H In-State ADJ'!$C$62","v":"WOUND CARE CENTER"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$62","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$62","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$63","v":47},{"$f":"'Sec. H In-State ADJ'!$C$63","v":"EMERGENCY"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$63","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$63","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$64","v":48},{"$f":"'Sec. H In-State ADJ'!$C$64","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$64","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$64","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$65","v":49},{"$f":"'Sec. H In-State ADJ'!$C$65","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$65","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$65","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$66","v":50},{"$f":"'Sec. H In-State ADJ'!$C$66","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$66","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$66","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$67","v":51},{"$f":"'Sec. H In-State ADJ'!$C$67","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$67","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$67","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$68","v":52},{"$f":"'Sec. H In-State ADJ'!$C$68","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$68","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$68","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$69","v":53},{"$f":"'Sec. H In-State ADJ'!$C$69","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$69","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$69","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$70","v":54},{"$f":"'Sec. H In-State ADJ'!$C$70","v":""},{"$f":"IF(StateOnlyDisplay=\"Yes\",HLOOKUP(State,AdjustmentTab_ColumnNum,3,0),HLOOKUP(State,AdjustmentTab_ColumnNum,2))+1","v":12},{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$70","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$70","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$71","v":55},{"$f":"'Sec. H In-State ADJ'!$C$71","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$71","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$71","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$72","v":56},{"$f":"'Sec. H In-State ADJ'!$C$72","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$72","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$72","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$73","v":57},{"$f":"'Sec. H In-State ADJ'!$C$73","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$73","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$73","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$74","v":58},{"$f":"'Sec. H In-State ADJ'!$C$74","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$74","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$74","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$75","v":59},{"$f":"'Sec. H In-State ADJ'!$C$75","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$75","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$75","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$76","v":60},{"$f":"'Sec. H In-State ADJ'!$C$76","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$76","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$76","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$77","v":61},{"$f":"'Sec. H In-State ADJ'!$C$77","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$77","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$77","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$78","v":62},{"$f":"'Sec. H In-State ADJ'!$C$78","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$78","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$78","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$79","v":63},{"$f":"'Sec. H In-State ADJ'!$C$79","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$79","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$79","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$80","v":64},{"$f":"'Sec. H In-State ADJ'!$C$80","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$80","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$80","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$81","v":65},{"$f":"'Sec. H In-State ADJ'!$C$81","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$81","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$81","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$82","v":66},{"$f":"'Sec. H In-State ADJ'!$C$82","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$82","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$82","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$83","v":67},{"$f":"'Sec. H In-State ADJ'!$C$83","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$83","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$83","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$84","v":68},{"$f":"'Sec. H In-State ADJ'!$C$84","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$84","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$84","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$85","v":69},{"$f":"'Sec. H In-State ADJ'!$C$85","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$85","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$85","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$86","v":70},{"$f":"'Sec. H In-State ADJ'!$C$86","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$86","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$86","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$87","v":71},{"$f":"'Sec. H In-State ADJ'!$C$87","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$87","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$87","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$88","v":72},{"$f":"'Sec. H In-State ADJ'!$C$88","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$88","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$88","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$89","v":73},{"$f":"'Sec. H In-State ADJ'!$C$89","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$89","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$89","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$90","v":74},{"$f":"'Sec. H In-State ADJ'!$C$90","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$90","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$90","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$91","v":75},{"$f":"'Sec. H In-State ADJ'!$C$91","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$91","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$91","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$92","v":76},{"$f":"'Sec. H In-State ADJ'!$C$92","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$92","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$92","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$93","v":77},{"$f":"'Sec. H In-State ADJ'!$C$93","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$93","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$93","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$94","v":78},{"$f":"'Sec. H In-State ADJ'!$C$94","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$94","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$94","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$95","v":79},{"$f":"'Sec. H In-State ADJ'!$C$95","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$95","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$95","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$96","v":80},{"$f":"'Sec. H In-State ADJ'!$C$96","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$96","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$96","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$97","v":81},{"$f":"'Sec. H In-State ADJ'!$C$97","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$97","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$97","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$98","v":82},{"$f":"'Sec. H In-State ADJ'!$C$98","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$98","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$98","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$99","v":83},{"$f":"'Sec. H In-State ADJ'!$C$99","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$99","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$99","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$100","v":84},{"$f":"'Sec. H In-State ADJ'!$C$100","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$100","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$100","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$101","v":85},{"$f":"'Sec. H In-State ADJ'!$C$101","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$101","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$101","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$102","v":86},{"$f":"'Sec. H In-State ADJ'!$C$102","v":""},{"$f":"IF(StateOnlyDisplay=\"Yes\",HLOOKUP(State,AdjustmentTab_ColumnNum,3,0),HLOOKUP(State,AdjustmentTab_ColumnNum,2))+1","v":12},{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$102","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$102","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$103","v":87},{"$f":"'Sec. H In-State ADJ'!$C$103","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$103","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$103","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$104","v":88},{"$f":"'Sec. H In-State ADJ'!$C$104","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$104","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$104","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$105","v":89},{"$f":"'Sec. H In-State ADJ'!$C$105","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$105","v":0},{"$f":"$J3376-$H3376","v":0},{"$f":"'Sec. H In-State ADJ'!$AP$105","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$106","v":90},{"$f":"'Sec. H In-State ADJ'!$C$106","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$106","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$106","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$107","v":91},{"$f":"'Sec. H In-State ADJ'!$C$107","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$107","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$107","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$108","v":92},{"$f":"'Sec. H In-State ADJ'!$C$108","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$108","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$108","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$109","v":93},{"$f":"'Sec. H In-State ADJ'!$C$109","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$109","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$109","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$110","v":94},{"$f":"'Sec. H In-State ADJ'!$C$110","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$110","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$110","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$111","v":95},{"$f":"'Sec. H In-State ADJ'!$C$111","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$111","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$111","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$112","v":96},{"$f":"'Sec. H In-State ADJ'!$C$112","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$112","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$112","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$113","v":97},{"$f":"'Sec. H In-State ADJ'!$C$113","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$113","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$113","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$114","v":98},{"$f":"'Sec. H In-State ADJ'!$C$114","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$114","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$114","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$115","v":99},{"$f":"'Sec. H In-State ADJ'!$C$115","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$115","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$115","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$116","v":100},{"$f":"'Sec. H In-State ADJ'!$C$116","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$116","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$116","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$117","v":101},{"$f":"'Sec. H In-State ADJ'!$C$117","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$117","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$117","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$118","v":102},{"$f":"'Sec. H In-State ADJ'!$C$118","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$118","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$118","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$119","v":103},{"$f":"'Sec. H In-State ADJ'!$C$119","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$119","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$119","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$120","v":104},{"$f":"'Sec. H In-State ADJ'!$C$120","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$120","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$120","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$121","v":105},{"$f":"'Sec. H In-State ADJ'!$C$121","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$121","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$121","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$122","v":106},{"$f":"'Sec. H In-State ADJ'!$C$122","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$122","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$122","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$123","v":107},{"$f":"'Sec. H In-State ADJ'!$C$123","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$123","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$123","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$124","v":108},{"$f":"'Sec. H In-State ADJ'!$C$124","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$124","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$124","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$125","v":109},{"$f":"'Sec. H In-State ADJ'!$C$125","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$125","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$125","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$126","v":110},{"$f":"'Sec. H In-State ADJ'!$C$126","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$126","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$126","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$127","v":111},{"$f":"'Sec. H In-State ADJ'!$C$127","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$127","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$127","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$128","v":112},{"$f":"'Sec. H In-State ADJ'!$C$128","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$128","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$128","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$129","v":113},{"$f":"'Sec. H In-State ADJ'!$C$129","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$129","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$129","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$130","v":114},{"$f":"'Sec. H In-State ADJ'!$C$130","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$130","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$130","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$131","v":115},{"$f":"'Sec. H In-State ADJ'!$C$131","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$131","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$131","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$132","v":116},{"$f":"'Sec. H In-State ADJ'!$C$132","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$132","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$132","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$133","v":117},{"$f":"'Sec. H In-State ADJ'!$C$133","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$133","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$133","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$134","v":118},{"$f":"'Sec. H In-State ADJ'!$C$134","v":""},{"$f":"IF(StateOnlyDisplay=\"Yes\",HLOOKUP(State,AdjustmentTab_ColumnNum,3,0),HLOOKUP(State,AdjustmentTab_ColumnNum,2))+1","v":12},{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$134","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$134","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$135","v":119},{"$f":"'Sec. H In-State ADJ'!$C$135","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$135","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$135","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$136","v":120},{"$f":"'Sec. H In-State ADJ'!$C$136","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$136","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$136","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$137","v":121},{"$f":"'Sec. H In-State ADJ'!$C$137","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$137","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$137","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$138","v":122},{"$f":"'Sec. H In-State ADJ'!$C$138","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$138","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$138","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$139","v":123},{"$f":"'Sec. H In-State ADJ'!$C$139","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$139","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$139","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$140","v":124},{"$f":"'Sec. H In-State ADJ'!$C$140","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$140","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$140","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$141","v":125},{"$f":"'Sec. H In-State ADJ'!$C$141","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$141","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$141","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$142","v":126},{"$f":"'Sec. H In-State ADJ'!$C$142","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$142","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$142","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$143","v":127},{"$f":"'Sec. H In-State ADJ'!$C$143","v":""},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$143","v":0},0,{"$f":"'Sec. H In-State ADJ'!$AP$143","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$151","v":131.01},{"$f":"'Sec. H In-State ADJ'!$B$151","v":"Sampling Cost Adjustment (if applicable)"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to sample extrapolation.",0,0,{"$f":"'Sec. H In-State ADJ'!$AP$151","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$154","v":132},{"$f":"'Sec. H In-State ADJ'!$B$154","v":"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$154","v":0},{"$f":"$J$3416-$H$3416","v":0},{"$f":"'Sec. H In-State ADJ'!$AP$154","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$155","v":133},{"$f":"'Sec. H In-State ADJ'!$B$155","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$155","v":0},{"$f":"$J$3417-$H$3417","v":0},{"$f":"'Sec. H In-State ADJ'!$AP$155","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$156","v":134},{"$f":"'Sec. H In-State ADJ'!$B$156","v":"Private Insurance (including primary and third party liability)"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$156","v":0},{"$f":"$J$3418-$H$3418","v":0},{"$f":"'Sec. H In-State ADJ'!$AP$156","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$157","v":135},{"$f":"'Sec. H In-State ADJ'!$B$157","v":"Self-Pay (including Co-Pay and Spend-Down)"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$157","v":0},{"$f":"$J$3419-$H$3419","v":0},{"$f":"'Sec. H In-State ADJ'!$AP$157","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$159","v":137},{"$f":"'Sec. H In-State ADJ'!$B$159","v":"Medicaid Cost Settlement Payments (See Note B)"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$159","v":0},{"$f":"$J$3420-$H$3420","v":0},{"$f":"'Sec. H In-State ADJ'!$AP$159","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$160","v":138},{"$f":"'Sec. H In-State ADJ'!$B$160","v":"Other Medicaid Payments Reported on Cost Report Year (See Note C)"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$160","v":0},{"$f":"$J$3421-$H$3421","v":0},{"$f":"'Sec. H In-State ADJ'!$AP$160","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$161","v":139},{"$f":"'Sec. H In-State ADJ'!$B$161","v":"Medicare Traditional (non-HMO) Paid Amount (excludes coinsurance/deductibles)"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$161","v":0},{"$f":"$J$3422-$H$3422","v":0},{"$f":"'Sec. H In-State ADJ'!$AP$161","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$162","v":140},{"$f":"'Sec. H In-State ADJ'!$B$162","v":"Medicare Managed Care (HMO) Paid Amount (excludes coinsurance/deductibles)"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$162","v":0},{"$f":"$J$3423-$H$3423","v":0},{"$f":"'Sec. H In-State ADJ'!$AP$162","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$163","v":141},{"$f":"'Sec. H In-State ADJ'!$B$163","v":"Medicare Cross-Over Bad Debt Payments"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$163","v":0},{"$f":"$J$3424-$H$3424","v":0},{"$f":"'Sec. H In-State ADJ'!$AP$163","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$164","v":142},{"$f":"'Sec. H In-State ADJ'!$B$164","v":"Other Medicare Cross-Over Payments (See Note D)"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to include Medicare cost report settlements applicable to cross-overs.",{"$f":"'Sec. H In-State'!$AP$164","v":0},{"$f":"$J$3425-$H$3425","v":0},{"$f":"'Sec. H In-State ADJ'!$AP$164","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$165","v":143},{"$f":"'Sec. H In-State ADJ'!$B$165","v":"Payment from Hospital Uninsured During Cost Report Year (Cash Basis)"},12,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AN$5)","v":"Outpatient State/Local-Only Indigent Care Program"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AP$165","v":0},{"$f":"$J$3426-$H$3426","v":0},{"$f":"'Sec. H In-State ADJ'!$AP$165","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$11","v":1},{"$f":"'Sec. H In-State ADJ'!$C$11","v":"ADULTS & PEDIATRICS"},{"$f":"IF(StateOnlyDisplay=\"Yes\",HLOOKUP(State,AdjustmentTab_ColumnNum,3,0),HLOOKUP(State,AdjustmentTab_ColumnNum,2))+2","v":13},{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$11","v":1968},{"$f":"$J$3427-$H$3427","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$11","v":1968}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$12","v":2},{"$f":"'Sec. H In-State ADJ'!$C$12","v":"INTENSIVE CARE UNIT"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$12","v":250},{"$f":"$J$3428-$H$3428","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$12","v":250}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$13","v":3},{"$f":"'Sec. H In-State ADJ'!$C$13","v":"CORONARY CARE UNIT"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$13","v":0},{"$f":"$J$3429-$H$3429","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$13","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$14","v":4},{"$f":"'Sec. H In-State ADJ'!$C$14","v":"BURN INTENSIVE CARE UNIT"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$14","v":0},{"$f":"$J$3430-$H$3430","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$14","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$15","v":5},{"$f":"'Sec. H In-State ADJ'!$C$15","v":"SURGICAL INTENSIVE CARE UNIT"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$15","v":0},{"$f":"$J$3431-$H$3431","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$15","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$16","v":6},{"$f":"'Sec. H In-State ADJ'!$C$16","v":"OTHER SPECIAL CARE UNIT"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$16","v":0},{"$f":"$J$3432-$H$3432","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$16","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$17","v":7},{"$f":"'Sec. H In-State ADJ'!$C$17","v":"SUBPROVIDER I"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$17","v":0},{"$f":"$J$3433-$H$3433","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$17","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$18","v":8},{"$f":"'Sec. H In-State ADJ'!$C$18","v":"SUBPROVIDER II"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$18","v":0},{"$f":"$J$3434-$H$3434","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$18","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$19","v":9},{"$f":"'Sec. H In-State ADJ'!$C$19","v":"OTHER SUBPROVIDER"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$19","v":0},{"$f":"$J$3435-$H$3435","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$19","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$20","v":10},{"$f":"'Sec. H In-State ADJ'!$C$20","v":"NURSERY"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$20","v":32},{"$f":"$J$3436-$H$3436","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$20","v":32}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$21","v":11},{"$f":"'Sec. H In-State ADJ'!$C$21","v":0},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$21","v":0},{"$f":"$J$3437-$H$3437","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$21","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$22","v":12},{"$f":"'Sec. H In-State ADJ'!$C$22","v":0},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$22","v":0},{"$f":"$J$3438-$H$3438","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$22","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$23","v":13},{"$f":"'Sec. H In-State ADJ'!$C$23","v":0},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$23","v":0},{"$f":"$J$3439-$H$3439","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$23","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$24","v":14},{"$f":"'Sec. H In-State ADJ'!$C$24","v":0},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$24","v":0},{"$f":"$J$3440-$H$3440","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$24","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$25","v":15},{"$f":"'Sec. H In-State ADJ'!$C$25","v":0},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$25","v":0},{"$f":"$J$3441-$H$3441","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$25","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$26","v":16},{"$f":"'Sec. H In-State ADJ'!$C$26","v":0},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$26","v":0},{"$f":"$J$3442-$H$3442","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$26","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$27","v":17},{"$f":"'Sec. H In-State ADJ'!$C$27","v":0},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$27","v":0},{"$f":"$J$3443-$H$3443","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$27","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$34","v":21},{"$f":"'Sec. H In-State ADJ'!$C$34","v":"Routine Charges"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$34","v":3227285},{"$f":"$J$3444-$H$3444","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$34","v":3227285}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$38","v":22},{"$f":"'Sec. H In-State ADJ'!$C$38","v":"Observation (Non-Distinct)"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$38","v":5163.7000000000007},{"$f":"$J$3445-$H$3445","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$38","v":5163.7000000000007}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$39","v":23},{"$f":"'Sec. H In-State ADJ'!$C$39","v":"OPERATING ROOM"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$39","v":1594263.15},{"$f":"$J$3446-$H$3446","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$39","v":1594263.15}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$40","v":24},{"$f":"'Sec. H In-State ADJ'!$C$40","v":"RECOVERY ROOM"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$40","v":140473.49999999994},{"$f":"$J$3447-$H$3447","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$40","v":140473.49999999994}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$41","v":25},{"$f":"'Sec. H In-State ADJ'!$C$41","v":"DELIVERY ROOM & LABOR ROOM"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$41","v":48950.05},{"$f":"$J$3448-$H$3448","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$41","v":48950.05}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$42","v":26},{"$f":"'Sec. H In-State ADJ'!$C$42","v":"ANESTHESIOLOGY"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$42","v":388496.15000000072},{"$f":"$J$3449-$H$3449","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$42","v":388496.15000000072}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$43","v":27},{"$f":"'Sec. H In-State ADJ'!$C$43","v":"RADIOLOGY-DIAGNOSTIC"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$43","v":396611.57190336077},{"$f":"$J$3450-$H$3450","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$43","v":396611.57190336077}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$44","v":28},{"$f":"'Sec. H In-State ADJ'!$C$44","v":"RADIOLOGY-THERAPEUTIC"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$44","v":4477.3999999999996},{"$f":"$J$3451-$H$3451","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$44","v":4477.3999999999996}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$45","v":29},{"$f":"'Sec. H In-State ADJ'!$C$45","v":"NUCLEAR MEDICINE"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$45","v":145707.85000000003},{"$f":"$J$3452-$H$3452","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$45","v":145707.85000000003}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$46","v":30},{"$f":"'Sec. H In-State ADJ'!$C$46","v":"CT SCAN"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$46","v":1032050.0999999999},{"$f":"$J$3453-$H$3453","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$46","v":1032050.0999999999}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$47","v":31},{"$f":"'Sec. H In-State ADJ'!$C$47","v":"MRI"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$47","v":124520},{"$f":"$J$3454-$H$3454","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$47","v":124520}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$48","v":32},{"$f":"'Sec. H In-State ADJ'!$C$48","v":"CARDIAC CATHETERIZATION"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$48","v":672250.94983813586},{"$f":"$J$3455-$H$3455","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$48","v":672250.94983813586}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$49","v":33},{"$f":"'Sec. H In-State ADJ'!$C$49","v":"LABORATORY"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$49","v":2288821.2099999995},{"$f":"$J$3456-$H$3456","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$49","v":2288821.2099999995}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$50","v":34},{"$f":"'Sec. H In-State ADJ'!$C$50","v":"RESPIRATORY THERAPY"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$50","v":423348.21106477344},{"$f":"$J$3457-$H$3457","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$50","v":423348.21106477344}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$51","v":35},{"$f":"'Sec. H In-State ADJ'!$C$51","v":"PHYSICAL THERAPY"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$51","v":78700.900000000067},{"$f":"$J$3458-$H$3458","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$51","v":78700.900000000067}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$52","v":36},{"$f":"'Sec. H In-State ADJ'!$C$52","v":"SPEECH PATHOLOGY"},{"$f":"IF(StateOnlyDisplay=\"Yes\",HLOOKUP(State,AdjustmentTab_ColumnNum,3,0),HLOOKUP(State,AdjustmentTab_ColumnNum,2))+2","v":13},{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$52","v":0},{"$f":"$J$3459-$H$3459","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$52","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$53","v":37},{"$f":"'Sec. H In-State ADJ'!$C$53","v":"ELECTROCARDIOLOGY"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$53","v":317334.65000000008},{"$f":"$J$3460-$H$3460","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$53","v":317334.65000000008}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$54","v":38},{"$f":"'Sec. H In-State ADJ'!$C$54","v":"ELECTROENCEPHALOGRAPHY"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$54","v":5748.35},{"$f":"$J$3461-$H$3461","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$54","v":5748.35}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$55","v":39},{"$f":"'Sec. H In-State ADJ'!$C$55","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$55","v":556363.53},{"$f":"$J$3462-$H$3462","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$55","v":556363.53}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$56","v":40},{"$f":"'Sec. H In-State ADJ'!$C$56","v":"IMPL. DEV. CHARGED TO PATIENTS"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$56","v":233491.80999999994},{"$f":"$J$3463-$H$3463","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$56","v":233491.80999999994}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$57","v":41},{"$f":"'Sec. H In-State ADJ'!$C$57","v":"DRUGS CHARGED TO PATIENTS"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$57","v":1410270.0599999998},{"$f":"$J$3464-$H$3464","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$57","v":1410270.0599999998}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$58","v":42},{"$f":"'Sec. H In-State ADJ'!$C$58","v":"RENAL DIALYSIS"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$58","v":9606.9000000000015},{"$f":"$J$3465-$H$3465","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$58","v":9606.9000000000015}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$59","v":43},{"$f":"'Sec. H In-State ADJ'!$C$59","v":"CARDIOVASCULAR MEDICINE"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$59","v":528541.41835177969},{"$f":"$J$3466-$H$3466","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$59","v":528541.41835177969}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$60","v":44},{"$f":"'Sec. H In-State ADJ'!$C$60","v":"CLINIC"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$60","v":0},{"$f":"$J$3467-$H$3467","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$60","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$61","v":45},{"$f":"'Sec. H In-State ADJ'!$C$61","v":"NUTRITION"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$61","v":0},{"$f":"$J$3468-$H$3468","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$61","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$62","v":46},{"$f":"'Sec. H In-State ADJ'!$C$62","v":"WOUND CARE CENTER"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$62","v":19108.700000000012},{"$f":"$J$3469-$H$3469","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$62","v":19108.700000000012}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$63","v":47},{"$f":"'Sec. H In-State ADJ'!$C$63","v":"EMERGENCY"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$63","v":1138738.6999999993},{"$f":"$J$3470-$H$3470","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$63","v":1138738.6999999993}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$64","v":48},{"$f":"'Sec. H In-State ADJ'!$C$64","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$64","v":0},{"$f":"$J$3471-$H$3471","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$64","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$65","v":49},{"$f":"'Sec. H In-State ADJ'!$C$65","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$65","v":0},{"$f":"$J$3472-$H$3472","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$65","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$66","v":50},{"$f":"'Sec. H In-State ADJ'!$C$66","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$66","v":0},{"$f":"$J$3473-$H$3473","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$66","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$67","v":51},{"$f":"'Sec. H In-State ADJ'!$C$67","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$67","v":0},{"$f":"$J$3474-$H$3474","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$67","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$68","v":52},{"$f":"'Sec. H In-State ADJ'!$C$68","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$68","v":0},{"$f":"$J$3475-$H$3475","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$68","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$69","v":53},{"$f":"'Sec. H In-State ADJ'!$C$69","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$69","v":0},{"$f":"$J$3476-$H$3476","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$69","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$70","v":54},{"$f":"'Sec. H In-State ADJ'!$C$70","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$70","v":0},{"$f":"$J$3477-$H$3477","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$70","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$71","v":55},{"$f":"'Sec. H In-State ADJ'!$C$71","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$71","v":0},{"$f":"$J$3478-$H$3478","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$71","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$72","v":56},{"$f":"'Sec. H In-State ADJ'!$C$72","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$72","v":0},{"$f":"$J$3479-$H$3479","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$72","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$73","v":57},{"$f":"'Sec. H In-State ADJ'!$C$73","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$73","v":0},{"$f":"$J$3480-$H$3480","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$73","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$74","v":58},{"$f":"'Sec. H In-State ADJ'!$C$74","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$74","v":0},{"$f":"$J$3481-$H$3481","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$74","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$75","v":59},{"$f":"'Sec. H In-State ADJ'!$C$75","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$75","v":0},{"$f":"$J$3482-$H$3482","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$75","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$76","v":60},{"$f":"'Sec. H In-State ADJ'!$C$76","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$76","v":0},{"$f":"$J$3483-$H$3483","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$76","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$77","v":61},{"$f":"'Sec. H In-State ADJ'!$C$77","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$77","v":0},{"$f":"$J$3484-$H$3484","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$77","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$78","v":62},{"$f":"'Sec. H In-State ADJ'!$C$78","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$78","v":0},{"$f":"$J$3485-$H$3485","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$78","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$79","v":63},{"$f":"'Sec. H In-State ADJ'!$C$79","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$79","v":0},{"$f":"$J$3486-$H$3486","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$79","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$80","v":64},{"$f":"'Sec. H In-State ADJ'!$C$80","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$80","v":0},{"$f":"$J$3487-$H$3487","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$80","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$81","v":65},{"$f":"'Sec. H In-State ADJ'!$C$81","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$81","v":0},{"$f":"$J$3488-$H$3488","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$81","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$82","v":66},{"$f":"'Sec. H In-State ADJ'!$C$82","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$82","v":0},{"$f":"$J$3489-$H$3489","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$82","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$83","v":67},{"$f":"'Sec. H In-State ADJ'!$C$83","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$83","v":0},{"$f":"$J$3490-$H$3490","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$83","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$84","v":68},{"$f":"'Sec. H In-State ADJ'!$C$84","v":""},{"$f":"IF(StateOnlyDisplay=\"Yes\",HLOOKUP(State,AdjustmentTab_ColumnNum,3,0),HLOOKUP(State,AdjustmentTab_ColumnNum,2))+2","v":13},{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$84","v":0},{"$f":"$J$3491-$H$3491","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$84","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$85","v":69},{"$f":"'Sec. H In-State ADJ'!$C$85","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$85","v":0},{"$f":"$J$3492-$H$3492","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$85","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$86","v":70},{"$f":"'Sec. H In-State ADJ'!$C$86","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$86","v":0},{"$f":"$J$3493-$H$3493","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$86","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$87","v":71},{"$f":"'Sec. H In-State ADJ'!$C$87","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$87","v":0},{"$f":"$J$3494-$H$3494","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$87","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$88","v":72},{"$f":"'Sec. H In-State ADJ'!$C$88","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$88","v":0},{"$f":"$J$3495-$H$3495","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$88","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$89","v":73},{"$f":"'Sec. H In-State ADJ'!$C$89","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$89","v":0},{"$f":"$J$3496-$H$3496","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$89","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$90","v":74},{"$f":"'Sec. H In-State ADJ'!$C$90","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$90","v":0},{"$f":"$J$3497-$H$3497","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$90","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$91","v":75},{"$f":"'Sec. H In-State ADJ'!$C$91","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$91","v":0},{"$f":"$J$3498-$H$3498","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$91","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$92","v":76},{"$f":"'Sec. H In-State ADJ'!$C$92","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$92","v":0},{"$f":"$J$3499-$H$3499","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$92","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$93","v":77},{"$f":"'Sec. H In-State ADJ'!$C$93","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$93","v":0},{"$f":"$J$3500-$H$3500","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$93","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$94","v":78},{"$f":"'Sec. H In-State ADJ'!$C$94","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$94","v":0},{"$f":"$J$3501-$H$3501","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$94","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$95","v":79},{"$f":"'Sec. H In-State ADJ'!$C$95","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$95","v":0},{"$f":"$J$3502-$H$3502","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$95","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$96","v":80},{"$f":"'Sec. H In-State ADJ'!$C$96","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$96","v":0},{"$f":"$J$3503-$H$3503","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$96","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$97","v":81},{"$f":"'Sec. H In-State ADJ'!$C$97","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$97","v":0},{"$f":"$J$3504-$H$3504","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$97","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$98","v":82},{"$f":"'Sec. H In-State ADJ'!$C$98","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$98","v":0},{"$f":"$J$3505-$H$3505","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$98","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$99","v":83},{"$f":"'Sec. H In-State ADJ'!$C$99","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$99","v":0},{"$f":"$J$3506-$H$3506","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$99","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$100","v":84},{"$f":"'Sec. H In-State ADJ'!$C$100","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$100","v":0},{"$f":"$J$3507-$H$3507","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$100","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$101","v":85},{"$f":"'Sec. H In-State ADJ'!$C$101","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$101","v":0},{"$f":"$J$3508-$H$3508","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$101","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$102","v":86},{"$f":"'Sec. H In-State ADJ'!$C$102","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$102","v":0},{"$f":"$J$3509-$H$3509","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$102","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$103","v":87},{"$f":"'Sec. H In-State ADJ'!$C$103","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$103","v":0},{"$f":"$J$3510-$H$3510","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$103","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$104","v":88},{"$f":"'Sec. H In-State ADJ'!$C$104","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$104","v":0},{"$f":"$J$3511-$H$3511","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$104","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$105","v":89},{"$f":"'Sec. H In-State ADJ'!$C$105","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$105","v":0},{"$f":"$J$3512-$H$3512","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$105","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$106","v":90},{"$f":"'Sec. H In-State ADJ'!$C$106","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$106","v":0},{"$f":"$J$3513-$H$3513","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$106","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$107","v":91},{"$f":"'Sec. H In-State ADJ'!$C$107","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$107","v":0},{"$f":"$J$3514-$H$3514","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$107","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$108","v":92},{"$f":"'Sec. H In-State ADJ'!$C$108","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$108","v":0},{"$f":"$J$3515-$H$3515","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$108","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$109","v":93},{"$f":"'Sec. H In-State ADJ'!$C$109","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$109","v":0},{"$f":"$J$3516-$H$3516","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$109","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$110","v":94},{"$f":"'Sec. H In-State ADJ'!$C$110","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$110","v":0},{"$f":"$J$3517-$H$3517","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$110","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$111","v":95},{"$f":"'Sec. H In-State ADJ'!$C$111","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$111","v":0},{"$f":"$J$3518-$H$3518","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$111","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$112","v":96},{"$f":"'Sec. H In-State ADJ'!$C$112","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$112","v":0},{"$f":"$J$3519-$H$3519","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$112","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$113","v":97},{"$f":"'Sec. H In-State ADJ'!$C$113","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$113","v":0},{"$f":"$J$3520-$H$3520","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$113","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$114","v":98},{"$f":"'Sec. H In-State ADJ'!$C$114","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$114","v":0},{"$f":"$J$3521-$H$3521","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$114","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$115","v":99},{"$f":"'Sec. H In-State ADJ'!$C$115","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$115","v":0},{"$f":"$J$3522-$H$3522","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$115","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$116","v":100},{"$f":"'Sec. H In-State ADJ'!$C$116","v":""},{"$f":"IF(StateOnlyDisplay=\"Yes\",HLOOKUP(State,AdjustmentTab_ColumnNum,3,0),HLOOKUP(State,AdjustmentTab_ColumnNum,2))+2","v":13},{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$116","v":0},{"$f":"$J$3523-$H$3523","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$116","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$117","v":101},{"$f":"'Sec. H In-State ADJ'!$C$117","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$117","v":0},{"$f":"$J$3524-$H$3524","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$117","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$118","v":102},{"$f":"'Sec. H In-State ADJ'!$C$118","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$118","v":0},{"$f":"$J$3525-$H$3525","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$118","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$119","v":103},{"$f":"'Sec. H In-State ADJ'!$C$119","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$119","v":0},{"$f":"$J$3526-$H$3526","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$119","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$120","v":104},{"$f":"'Sec. H In-State ADJ'!$C$120","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$120","v":0},{"$f":"$J$3527-$H$3527","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$120","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$121","v":105},{"$f":"'Sec. H In-State ADJ'!$C$121","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$121","v":0},{"$f":"$J$3528-$H$3528","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$121","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$122","v":106},{"$f":"'Sec. H In-State ADJ'!$C$122","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$122","v":0},{"$f":"$J$3529-$H$3529","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$122","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$123","v":107},{"$f":"'Sec. H In-State ADJ'!$C$123","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$123","v":0},{"$f":"$J$3530-$H$3530","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$123","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$124","v":108},{"$f":"'Sec. H In-State ADJ'!$C$124","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$124","v":0},{"$f":"$J$3531-$H$3531","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$124","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$125","v":109},{"$f":"'Sec. H In-State ADJ'!$C$125","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$125","v":0},{"$f":"$J$3532-$H$3532","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$125","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$126","v":110},{"$f":"'Sec. H In-State ADJ'!$C$126","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$126","v":0},{"$f":"$J$3533-$H$3533","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$126","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$127","v":111},{"$f":"'Sec. H In-State ADJ'!$C$127","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$127","v":0},{"$f":"$J$3534-$H$3534","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$127","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$128","v":112},{"$f":"'Sec. H In-State ADJ'!$C$128","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$128","v":0},{"$f":"$J$3535-$H$3535","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$128","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$129","v":113},{"$f":"'Sec. H In-State ADJ'!$C$129","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$129","v":0},{"$f":"$J$3536-$H$3536","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$129","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$130","v":114},{"$f":"'Sec. H In-State ADJ'!$C$130","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$130","v":0},{"$f":"$J$3537-$H$3537","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$130","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$131","v":115},{"$f":"'Sec. H In-State ADJ'!$C$131","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$131","v":0},{"$f":"$J$3538-$H$3538","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$131","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$132","v":116},{"$f":"'Sec. H In-State ADJ'!$C$132","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$132","v":0},{"$f":"$J$3539-$H$3539","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$132","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$133","v":117},{"$f":"'Sec. H In-State ADJ'!$C$133","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$133","v":0},{"$f":"$J$3540-$H$3540","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$133","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$134","v":118},{"$f":"'Sec. H In-State ADJ'!$C$134","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$134","v":0},{"$f":"$J$3541-$H$3541","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$134","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$135","v":119},{"$f":"'Sec. H In-State ADJ'!$C$135","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$135","v":0},{"$f":"$J$3542-$H$3542","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$135","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$136","v":120},{"$f":"'Sec. H In-State ADJ'!$C$136","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$136","v":0},{"$f":"$J$3543-$H$3543","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$136","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$137","v":121},{"$f":"'Sec. H In-State ADJ'!$C$137","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$137","v":0},{"$f":"$J$3544-$H$3544","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$137","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$138","v":122},{"$f":"'Sec. H In-State ADJ'!$C$138","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$138","v":0},{"$f":"$J$3545-$H$3545","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$138","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$139","v":123},{"$f":"'Sec. H In-State ADJ'!$C$139","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$139","v":0},{"$f":"$J$3546-$H$3546","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$139","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$140","v":124},{"$f":"'Sec. H In-State ADJ'!$C$140","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$140","v":0},{"$f":"$J$3547-$H$3547","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$140","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$141","v":125},{"$f":"'Sec. H In-State ADJ'!$C$141","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$141","v":0},{"$f":"$J$3548-$H$3548","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$141","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$142","v":126},{"$f":"'Sec. H In-State ADJ'!$C$142","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$142","v":0},{"$f":"$J$3549-$H$3549","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$142","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$143","v":127},{"$f":"'Sec. H In-State ADJ'!$C$143","v":""},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$143","v":0},{"$f":"$J$3550-$H$3550","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$143","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$151","v":131.01},{"$f":"'Sec. H In-State ADJ'!$B$151","v":"Sampling Cost Adjustment (if applicable)"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to sample extrapolation.",0,{"$f":"$J$3551-$H$3551","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$151","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$165","v":143},{"$f":"'Sec. H In-State ADJ'!$B$165","v":"Payment from Hospital Uninsured During Cost Report Year (Cash Basis)"},13,{"$f":"CONCATENATE(\"Inpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Inpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AR$165","v":178219},{"$f":"$J$3552-$H$3552","v":0},{"$f":"'Sec. H In-State ADJ'!$AR$165","v":178219}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$38","v":22},{"$f":"'Sec. H In-State ADJ'!$C$38","v":"Observation (Non-Distinct)"},{"$f":"IF(StateOnlyDisplay=\"Yes\",HLOOKUP(State,AdjustmentTab_ColumnNum,3,0),HLOOKUP(State,AdjustmentTab_ColumnNum,2))+3","v":14},{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$38","v":521106.64999999997},{"$f":"$J$3553-$H$3553","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$38","v":521106.64999999997}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$39","v":23},{"$f":"'Sec. H In-State ADJ'!$C$39","v":"OPERATING ROOM"},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$39","v":2053151.1000000006},{"$f":"$J$3554-$H$3554","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$39","v":2053151.1000000006}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$40","v":24},{"$f":"'Sec. H In-State ADJ'!$C$40","v":"RECOVERY ROOM"},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$40","v":214393.39999999979},{"$f":"$J$3555-$H$3555","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$40","v":214393.39999999979}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$41","v":25},{"$f":"'Sec. H In-State ADJ'!$C$41","v":"DELIVERY ROOM & LABOR ROOM"},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$41","v":32091.049999999988},{"$f":"$J$3556-$H$3556","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$41","v":32091.049999999988}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$42","v":26},{"$f":"'Sec. H In-State ADJ'!$C$42","v":"ANESTHESIOLOGY"},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$42","v":497645.20000000083},{"$f":"$J$3557-$H$3557","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$42","v":497645.20000000083}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$43","v":27},{"$f":"'Sec. H In-State ADJ'!$C$43","v":"RADIOLOGY-DIAGNOSTIC"},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$43","v":2514313.9530311609},{"$f":"$J$3558-$H$3558","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$43","v":2514313.9530311609}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$44","v":28},{"$f":"'Sec. H In-State ADJ'!$C$44","v":"RADIOLOGY-THERAPEUTIC"},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$44","v":512255.85000000003},{"$f":"$J$3559-$H$3559","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$44","v":512255.85000000003}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$45","v":29},{"$f":"'Sec. H In-State ADJ'!$C$45","v":"NUCLEAR MEDICINE"},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$45","v":423578.19999999972},{"$f":"$J$3560-$H$3560","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$45","v":423578.19999999972}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$46","v":30},{"$f":"'Sec. H In-State ADJ'!$C$46","v":"CT SCAN"},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$46","v":3861844.7499999972},{"$f":"$J$3561-$H$3561","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$46","v":3861844.7499999972}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$47","v":31},{"$f":"'Sec. H In-State ADJ'!$C$47","v":"MRI"},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$47","v":115656.5},{"$f":"$J$3562-$H$3562","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$47","v":115656.5}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$48","v":32},{"$f":"'Sec. H In-State ADJ'!$C$48","v":"CARDIAC CATHETERIZATION"},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$48","v":756383.56331587059},{"$f":"$J$3563-$H$3563","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$48","v":756383.56331587059}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$49","v":33},{"$f":"'Sec. H In-State ADJ'!$C$49","v":"LABORATORY"},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$49","v":5529879.779999923},{"$f":"$J$3564-$H$3564","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$49","v":5529879.779999923}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$50","v":34},{"$f":"'Sec. H In-State ADJ'!$C$50","v":"RESPIRATORY THERAPY"},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$50","v":179152.84999999884},{"$f":"$J$3565-$H$3565","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$50","v":179152.84999999884}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$51","v":35},{"$f":"'Sec. H In-State ADJ'!$C$51","v":"PHYSICAL THERAPY"},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$51","v":123896.61999999998},{"$f":"$J$3566-$H$3566","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$51","v":123896.61999999998}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$52","v":36},{"$f":"'Sec. H In-State ADJ'!$C$52","v":"SPEECH PATHOLOGY"},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$52","v":189135.56000000006},{"$f":"$J$3567-$H$3567","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$52","v":189135.56000000006}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$53","v":37},{"$f":"'Sec. H In-State ADJ'!$C$53","v":"ELECTROCARDIOLOGY"},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$53","v":923778.1},{"$f":"$J$3568-$H$3568","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$53","v":923778.1}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$54","v":38},{"$f":"'Sec. H In-State ADJ'!$C$54","v":"ELECTROENCEPHALOGRAPHY"},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$54","v":2518.9499999999998},{"$f":"$J$3569-$H$3569","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$54","v":2518.9499999999998}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$55","v":39},{"$f":"'Sec. H In-State ADJ'!$C$55","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$55","v":593194.36000000045},{"$f":"$J$3570-$H$3570","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$55","v":593194.36000000045}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$56","v":40},{"$f":"'Sec. H In-State ADJ'!$C$56","v":"IMPL. DEV. CHARGED TO PATIENTS"},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$56","v":162685.88000000003},{"$f":"$J$3571-$H$3571","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$56","v":162685.88000000003}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$57","v":41},{"$f":"'Sec. H In-State ADJ'!$C$57","v":"DRUGS CHARGED TO PATIENTS"},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$57","v":1814720.1899999995},{"$f":"$J$3572-$H$3572","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$57","v":1814720.1899999995}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$58","v":42},{"$f":"'Sec. H In-State ADJ'!$C$58","v":"RENAL DIALYSIS"},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$58","v":0},{"$f":"$J$3573-$H$3573","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$58","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$59","v":43},{"$f":"'Sec. H In-State ADJ'!$C$59","v":"CARDIOVASCULAR MEDICINE"},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$59","v":311908.08365300368},{"$f":"$J$3574-$H$3574","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$59","v":311908.08365300368}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$60","v":44},{"$f":"'Sec. H In-State ADJ'!$C$60","v":"CLINIC"},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$60","v":0},{"$f":"$J$3575-$H$3575","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$60","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$61","v":45},{"$f":"'Sec. H In-State ADJ'!$C$61","v":"NUTRITION"},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$61","v":0},{"$f":"$J$3576-$H$3576","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$61","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$62","v":46},{"$f":"'Sec. H In-State ADJ'!$C$62","v":"WOUND CARE CENTER"},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$62","v":35264.750000000087},{"$f":"$J$3577-$H$3577","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$62","v":35264.750000000087}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$63","v":47},{"$f":"'Sec. H In-State ADJ'!$C$63","v":"EMERGENCY"},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$63","v":15346602.900000043},{"$f":"$J$3578-$H$3578","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$63","v":15346602.900000043}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$64","v":48},{"$f":"'Sec. H In-State ADJ'!$C$64","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$64","v":0},{"$f":"$J$3579-$H$3579","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$64","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$65","v":49},{"$f":"'Sec. H In-State ADJ'!$C$65","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$65","v":0},{"$f":"$J$3580-$H$3580","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$65","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$66","v":50},{"$f":"'Sec. H In-State ADJ'!$C$66","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$66","v":0},{"$f":"$J$3581-$H$3581","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$66","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$67","v":51},{"$f":"'Sec. H In-State ADJ'!$C$67","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$67","v":0},{"$f":"$J$3582-$H$3582","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$67","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$68","v":52},{"$f":"'Sec. H In-State ADJ'!$C$68","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$68","v":0},{"$f":"$J$3583-$H$3583","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$68","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$69","v":53},{"$f":"'Sec. H In-State ADJ'!$C$69","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$69","v":0},{"$f":"$J$3584-$H$3584","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$69","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$70","v":54},{"$f":"'Sec. H In-State ADJ'!$C$70","v":""},{"$f":"IF(StateOnlyDisplay=\"Yes\",HLOOKUP(State,AdjustmentTab_ColumnNum,3,0),HLOOKUP(State,AdjustmentTab_ColumnNum,2))+3","v":14},{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$70","v":0},{"$f":"$J$3585-$H$3585","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$70","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$71","v":55},{"$f":"'Sec. H In-State ADJ'!$C$71","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$71","v":0},{"$f":"$J$3586-$H$3586","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$71","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$72","v":56},{"$f":"'Sec. H In-State ADJ'!$C$72","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$72","v":0},{"$f":"$J$3587-$H$3587","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$72","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$73","v":57},{"$f":"'Sec. H In-State ADJ'!$C$73","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$73","v":0},{"$f":"$J$3588-$H$3588","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$73","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$74","v":58},{"$f":"'Sec. H In-State ADJ'!$C$74","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$74","v":0},{"$f":"$J$3589-$H$3589","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$74","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$75","v":59},{"$f":"'Sec. H In-State ADJ'!$C$75","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$75","v":0},{"$f":"$J$3590-$H$3590","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$75","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$76","v":60},{"$f":"'Sec. H In-State ADJ'!$C$76","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$76","v":0},{"$f":"$J$3591-$H$3591","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$76","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$77","v":61},{"$f":"'Sec. H In-State ADJ'!$C$77","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$77","v":0},{"$f":"$J$3592-$H$3592","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$77","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$78","v":62},{"$f":"'Sec. H In-State ADJ'!$C$78","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$78","v":0},{"$f":"$J$3593-$H$3593","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$78","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$79","v":63},{"$f":"'Sec. H In-State ADJ'!$C$79","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$79","v":0},{"$f":"$J$3594-$H$3594","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$79","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$80","v":64},{"$f":"'Sec. H In-State ADJ'!$C$80","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$80","v":0},{"$f":"$J$3595-$H$3595","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$80","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$81","v":65},{"$f":"'Sec. H In-State ADJ'!$C$81","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$81","v":0},{"$f":"$J$3596-$H$3596","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$81","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$82","v":66},{"$f":"'Sec. H In-State ADJ'!$C$82","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$82","v":0},{"$f":"$J$3597-$H$3597","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$82","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$83","v":67},{"$f":"'Sec. H In-State ADJ'!$C$83","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$83","v":0},{"$f":"$J$3598-$H$3598","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$83","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$84","v":68},{"$f":"'Sec. H In-State ADJ'!$C$84","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$84","v":0},{"$f":"$J$3599-$H$3599","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$84","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$85","v":69},{"$f":"'Sec. H In-State ADJ'!$C$85","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$85","v":0},{"$f":"$J$3600-$H$3600","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$85","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$86","v":70},{"$f":"'Sec. H In-State ADJ'!$C$86","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$86","v":0},{"$f":"$J$3601-$H$3601","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$86","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$87","v":71},{"$f":"'Sec. H In-State ADJ'!$C$87","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$87","v":0},{"$f":"$J$3602-$H$3602","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$87","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$88","v":72},{"$f":"'Sec. H In-State ADJ'!$C$88","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$88","v":0},{"$f":"$J$3603-$H$3603","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$88","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$89","v":73},{"$f":"'Sec. H In-State ADJ'!$C$89","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$89","v":0},{"$f":"$J$3604-$H$3604","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$89","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$90","v":74},{"$f":"'Sec. H In-State ADJ'!$C$90","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$90","v":0},{"$f":"$J$3605-$H$3605","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$90","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$91","v":75},{"$f":"'Sec. H In-State ADJ'!$C$91","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$91","v":0},{"$f":"$J$3606-$H$3606","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$91","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$92","v":76},{"$f":"'Sec. H In-State ADJ'!$C$92","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$92","v":0},{"$f":"$J$3607-$H$3607","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$92","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$93","v":77},{"$f":"'Sec. H In-State ADJ'!$C$93","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$93","v":0},{"$f":"$J$3608-$H$3608","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$93","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$94","v":78},{"$f":"'Sec. H In-State ADJ'!$C$94","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$94","v":0},{"$f":"$J$3609-$H$3609","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$94","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$95","v":79},{"$f":"'Sec. H In-State ADJ'!$C$95","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$95","v":0},{"$f":"$J$3610-$H$3610","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$95","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$96","v":80},{"$f":"'Sec. H In-State ADJ'!$C$96","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$96","v":0},{"$f":"$J$3611-$H$3611","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$96","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$97","v":81},{"$f":"'Sec. H In-State ADJ'!$C$97","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$97","v":0},{"$f":"$J$3612-$H$3612","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$97","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$98","v":82},{"$f":"'Sec. H In-State ADJ'!$C$98","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$98","v":0},{"$f":"$J$3613-$H$3613","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$98","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$99","v":83},{"$f":"'Sec. H In-State ADJ'!$C$99","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$99","v":0},{"$f":"$J$3614-$H$3614","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$99","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$100","v":84},{"$f":"'Sec. H In-State ADJ'!$C$100","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$100","v":0},{"$f":"$J$3615-$H$3615","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$100","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$101","v":85},{"$f":"'Sec. H In-State ADJ'!$C$101","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$101","v":0},{"$f":"$J$3616-$H$3616","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$101","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$102","v":86},{"$f":"'Sec. H In-State ADJ'!$C$102","v":""},{"$f":"IF(StateOnlyDisplay=\"Yes\",HLOOKUP(State,AdjustmentTab_ColumnNum,3,0),HLOOKUP(State,AdjustmentTab_ColumnNum,2))+3","v":14},{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$102","v":0},{"$f":"$J$3617-$H$3617","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$102","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$103","v":87},{"$f":"'Sec. H In-State ADJ'!$C$103","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$103","v":0},{"$f":"$J$3618-$H$3618","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$103","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$104","v":88},{"$f":"'Sec. H In-State ADJ'!$C$104","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$104","v":0},{"$f":"$J$3619-$H$3619","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$104","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$105","v":89},{"$f":"'Sec. H In-State ADJ'!$C$105","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$105","v":0},{"$f":"$J$3620-$H$3620","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$105","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$106","v":90},{"$f":"'Sec. H In-State ADJ'!$C$106","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$106","v":0},{"$f":"$J$3621-$H$3621","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$106","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$107","v":91},{"$f":"'Sec. H In-State ADJ'!$C$107","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$107","v":0},{"$f":"$J$3622-$H$3622","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$107","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$108","v":92},{"$f":"'Sec. H In-State ADJ'!$C$108","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$108","v":0},{"$f":"$J$3623-$H$3623","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$108","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$109","v":93},{"$f":"'Sec. H In-State ADJ'!$C$109","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$109","v":0},{"$f":"$J$3624-$H$3624","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$109","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$110","v":94},{"$f":"'Sec. H In-State ADJ'!$C$110","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$110","v":0},{"$f":"$J$3625-$H$3625","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$110","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$111","v":95},{"$f":"'Sec. H In-State ADJ'!$C$111","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$111","v":0},{"$f":"$J$3626-$H$3626","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$111","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$112","v":96},{"$f":"'Sec. H In-State ADJ'!$C$112","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$112","v":0},{"$f":"$J$3627-$H$3627","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$112","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$113","v":97},{"$f":"'Sec. H In-State ADJ'!$C$113","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$113","v":0},{"$f":"$J$3628-$H$3628","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$113","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$114","v":98},{"$f":"'Sec. H In-State ADJ'!$C$114","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$114","v":0},{"$f":"$J$3629-$H$3629","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$114","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$115","v":99},{"$f":"'Sec. H In-State ADJ'!$C$115","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$115","v":0},{"$f":"$J$3630-$H$3630","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$115","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$116","v":100},{"$f":"'Sec. H In-State ADJ'!$C$116","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$116","v":0},{"$f":"$J$3631-$H$3631","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$116","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$117","v":101},{"$f":"'Sec. H In-State ADJ'!$C$117","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$117","v":0},{"$f":"$J$3632-$H$3632","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$117","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$118","v":102},{"$f":"'Sec. H In-State ADJ'!$C$118","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$118","v":0},{"$f":"$J$3633-$H$3633","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$118","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$119","v":103},{"$f":"'Sec. H In-State ADJ'!$C$119","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$119","v":0},{"$f":"$J$3634-$H$3634","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$119","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$120","v":104},{"$f":"'Sec. H In-State ADJ'!$C$120","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$120","v":0},{"$f":"$J$3635-$H$3635","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$120","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$121","v":105},{"$f":"'Sec. H In-State ADJ'!$C$121","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$121","v":0},{"$f":"$J$3636-$H$3636","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$121","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$122","v":106},{"$f":"'Sec. H In-State ADJ'!$C$122","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$122","v":0},{"$f":"$J$3637-$H$3637","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$122","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$123","v":107},{"$f":"'Sec. H In-State ADJ'!$C$123","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$123","v":0},{"$f":"$J$3638-$H$3638","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$123","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$124","v":108},{"$f":"'Sec. H In-State ADJ'!$C$124","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$124","v":0},{"$f":"$J$3639-$H$3639","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$124","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$125","v":109},{"$f":"'Sec. H In-State ADJ'!$C$125","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$125","v":0},{"$f":"$J$3640-$H$3640","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$125","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$126","v":110},{"$f":"'Sec. H In-State ADJ'!$C$126","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$126","v":0},{"$f":"$J$3641-$H$3641","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$126","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$127","v":111},{"$f":"'Sec. H In-State ADJ'!$C$127","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$127","v":0},{"$f":"$J$3642-$H$3642","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$127","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$128","v":112},{"$f":"'Sec. H In-State ADJ'!$C$128","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$128","v":0},{"$f":"$J$3643-$H$3643","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$128","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$129","v":113},{"$f":"'Sec. H In-State ADJ'!$C$129","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$129","v":0},{"$f":"$J$3644-$H$3644","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$129","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$130","v":114},{"$f":"'Sec. H In-State ADJ'!$C$130","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$130","v":0},{"$f":"$J$3645-$H$3645","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$130","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$131","v":115},{"$f":"'Sec. H In-State ADJ'!$C$131","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$131","v":0},{"$f":"$J$3646-$H$3646","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$131","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$132","v":116},{"$f":"'Sec. H In-State ADJ'!$C$132","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$132","v":0},{"$f":"$J$3647-$H$3647","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$132","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$133","v":117},{"$f":"'Sec. H In-State ADJ'!$C$133","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$133","v":0},{"$f":"$J$3648-$H$3648","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$133","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$134","v":118},{"$f":"'Sec. H In-State ADJ'!$C$134","v":""},{"$f":"IF(StateOnlyDisplay=\"Yes\",HLOOKUP(State,AdjustmentTab_ColumnNum,3,0),HLOOKUP(State,AdjustmentTab_ColumnNum,2))+3","v":14},{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$134","v":0},{"$f":"$J$3649-$H$3649","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$134","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$135","v":119},{"$f":"'Sec. H In-State ADJ'!$C$135","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$135","v":0},{"$f":"$J$3650-$H$3650","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$135","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$136","v":120},{"$f":"'Sec. H In-State ADJ'!$C$136","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$136","v":0},{"$f":"$J$3651-$H$3651","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$136","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$137","v":121},{"$f":"'Sec. H In-State ADJ'!$C$137","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$137","v":0},{"$f":"$J$3652-$H$3652","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$137","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$138","v":122},{"$f":"'Sec. H In-State ADJ'!$C$138","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$138","v":0},{"$f":"$J$3653-$H$3653","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$138","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$139","v":123},{"$f":"'Sec. H In-State ADJ'!$C$139","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$139","v":0},{"$f":"$J$3654-$H$3654","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$139","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$140","v":124},{"$f":"'Sec. H In-State ADJ'!$C$140","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$140","v":0},{"$f":"$J$3655-$H$3655","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$140","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$141","v":125},{"$f":"'Sec. H In-State ADJ'!$C$141","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$141","v":0},{"$f":"$J$3656-$H$3656","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$141","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$142","v":126},{"$f":"'Sec. H In-State ADJ'!$C$142","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$142","v":0},{"$f":"$J$3657-$H$3657","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$142","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$143","v":127},{"$f":"'Sec. H In-State ADJ'!$C$143","v":""},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$143","v":0},{"$f":"$J$3658-$H$3658","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$143","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$151","v":131.01},{"$f":"'Sec. H In-State ADJ'!$B$151","v":"Sampling Cost Adjustment (if applicable)"},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to sample extrapolation.",0,{"$f":"$J$3659-$H$3659","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$151","v":0}]
[null,"H - In-State",{"$f":"'Sec. H In-State ADJ'!$A$165","v":143},{"$f":"'Sec. H In-State ADJ'!$B$165","v":"Payment from Hospital Uninsured During Cost Report Year (Cash Basis)"},14,{"$f":"CONCATENATE(\"Outpatient \", 'Sec. H In-State ADJ'!$AR$5)","v":"Outpatient Uninsured"},"Adjust to hospital's data.",{"$f":"'Sec. H In-State'!$AT$165","v":572282},{"$f":"$J$3660-$H$3660","v":0},{"$f":"'Sec. H In-State ADJ'!$AT$165","v":572282}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$11","v":1},{"$f":"'Sec. I Out-of-State ADJ'!$C$11","v":"ADULTS & PEDIATRICS"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$11","v":44},{"$f":"$J$3661-$H$3661","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$11","v":44}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$12","v":2},{"$f":"'Sec. I Out-of-State ADJ'!$C$12","v":"INTENSIVE CARE UNIT"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$12","v":14},{"$f":"$J$3662-$H$3662","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$12","v":14}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$13","v":3},{"$f":"'Sec. I Out-of-State ADJ'!$C$13","v":"CORONARY CARE UNIT"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$13","v":0},{"$f":"$J$3663-$H$3663","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$13","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$14","v":4},{"$f":"'Sec. I Out-of-State ADJ'!$C$14","v":"BURN INTENSIVE CARE UNIT"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$14","v":0},{"$f":"$J$3664-$H$3664","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$14","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$15","v":5},{"$f":"'Sec. I Out-of-State ADJ'!$C$15","v":"SURGICAL INTENSIVE CARE UNIT"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$15","v":0},{"$f":"$J$3665-$H$3665","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$15","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$16","v":6},{"$f":"'Sec. I Out-of-State ADJ'!$C$16","v":"OTHER SPECIAL CARE UNIT"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$16","v":0},{"$f":"$J$3666-$H$3666","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$16","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$17","v":7},{"$f":"'Sec. I Out-of-State ADJ'!$C$17","v":"SUBPROVIDER I"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$17","v":0},{"$f":"$J$3667-$H$3667","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$17","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$18","v":8},{"$f":"'Sec. I Out-of-State ADJ'!$C$18","v":"SUBPROVIDER II"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$18","v":0},{"$f":"$J$3668-$H$3668","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$18","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$19","v":9},{"$f":"'Sec. I Out-of-State ADJ'!$C$19","v":"OTHER SUBPROVIDER"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$19","v":0},{"$f":"$J$3669-$H$3669","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$19","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$20","v":10},{"$f":"'Sec. I Out-of-State ADJ'!$C$20","v":"NURSERY"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$20","v":1},{"$f":"$J$3670-$H$3670","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$20","v":1}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$21","v":11},{"$f":"'Sec. I Out-of-State ADJ'!$C$21","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$21","v":0},{"$f":"$J$3671-$H$3671","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$21","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$22","v":12},{"$f":"'Sec. I Out-of-State ADJ'!$C$22","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$22","v":0},{"$f":"$J$3672-$H$3672","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$22","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$23","v":13},{"$f":"'Sec. I Out-of-State ADJ'!$C$23","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$23","v":0},{"$f":"$J$3673-$H$3673","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$23","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$24","v":14},{"$f":"'Sec. I Out-of-State ADJ'!$C$24","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$24","v":0},{"$f":"$J$3674-$H$3674","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$24","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$25","v":15},{"$f":"'Sec. I Out-of-State ADJ'!$C$25","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$25","v":0},{"$f":"$J$3675-$H$3675","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$25","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$26","v":16},{"$f":"'Sec. I Out-of-State ADJ'!$C$26","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$26","v":0},{"$f":"$J$3676-$H$3676","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$26","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$27","v":17},{"$f":"'Sec. I Out-of-State ADJ'!$C$27","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$27","v":0},{"$f":"$J$3677-$H$3677","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$27","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$34","v":21},{"$f":"'Sec. I Out-of-State ADJ'!$C$34","v":"Routine Charges"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$34","v":93275},{"$f":"$J$3678-$H$3678","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$34","v":93275}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$38","v":22},{"$f":"'Sec. I Out-of-State ADJ'!$C$38","v":"Observation (Non-Distinct)"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$38","v":0},{"$f":"$J$3679-$H$3679","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$38","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$39","v":23},{"$f":"'Sec. I Out-of-State ADJ'!$C$39","v":"OPERATING ROOM"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$39","v":77291.5},{"$f":"$J$3680-$H$3680","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$39","v":77291.5}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$40","v":24},{"$f":"'Sec. I Out-of-State ADJ'!$C$40","v":"RECOVERY ROOM"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$40","v":3818.2999999999997},{"$f":"$J$3681-$H$3681","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$40","v":3818.2999999999997}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$41","v":25},{"$f":"'Sec. I Out-of-State ADJ'!$C$41","v":"DELIVERY ROOM & LABOR ROOM"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$41","v":303.60000000000002},{"$f":"$J$3682-$H$3682","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$41","v":303.60000000000002}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$42","v":26},{"$f":"'Sec. I Out-of-State ADJ'!$C$42","v":"ANESTHESIOLOGY"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$42","v":15835.399999999998},{"$f":"$J$3683-$H$3683","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$42","v":15835.399999999998}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$43","v":27},{"$f":"'Sec. I Out-of-State ADJ'!$C$43","v":"RADIOLOGY-DIAGNOSTIC"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$43","v":12932.164918766},{"$f":"$J$3684-$H$3684","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$43","v":12932.164918766}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$44","v":28},{"$f":"'Sec. I Out-of-State ADJ'!$C$44","v":"RADIOLOGY-THERAPEUTIC"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$44","v":0},{"$f":"$J$3685-$H$3685","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$44","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$45","v":29},{"$f":"'Sec. I Out-of-State ADJ'!$C$45","v":"NUCLEAR MEDICINE"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$45","v":0},{"$f":"$J$3686-$H$3686","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$45","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$46","v":30},{"$f":"'Sec. I Out-of-State ADJ'!$C$46","v":"CT SCAN"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$46","v":13508},{"$f":"$J$3687-$H$3687","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$46","v":13508}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$47","v":31},{"$f":"'Sec. I Out-of-State ADJ'!$C$47","v":"MRI"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$47","v":2120},{"$f":"$J$3688-$H$3688","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$47","v":2120}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$48","v":32},{"$f":"'Sec. I Out-of-State ADJ'!$C$48","v":"CARDIAC CATHETERIZATION"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$48","v":14874.0834171272},{"$f":"$J$3689-$H$3689","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$48","v":14874.0834171272}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$49","v":33},{"$f":"'Sec. I Out-of-State ADJ'!$C$49","v":"LABORATORY"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$49","v":75594.849999999991},{"$f":"$J$3690-$H$3690","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$49","v":75594.849999999991}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$50","v":34},{"$f":"'Sec. I Out-of-State ADJ'!$C$50","v":"RESPIRATORY THERAPY"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$50","v":38536.107817054799},{"$f":"$J$3691-$H$3691","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$50","v":38536.107817054799}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$51","v":35},{"$f":"'Sec. I Out-of-State ADJ'!$C$51","v":"PHYSICAL THERAPY"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$51","v":3848.7200000000007},{"$f":"$J$3692-$H$3692","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$51","v":3848.7200000000007}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$52","v":36},{"$f":"'Sec. I Out-of-State ADJ'!$C$52","v":"SPEECH PATHOLOGY"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$52","v":0},{"$f":"$J$3693-$H$3693","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$52","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$53","v":37},{"$f":"'Sec. I Out-of-State ADJ'!$C$53","v":"ELECTROCARDIOLOGY"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$53","v":6790.1},{"$f":"$J$3694-$H$3694","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$53","v":6790.1}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$54","v":38},{"$f":"'Sec. I Out-of-State ADJ'!$C$54","v":"ELECTROENCEPHALOGRAPHY"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$54","v":0},{"$f":"$J$3695-$H$3695","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$54","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$55","v":39},{"$f":"'Sec. I Out-of-State ADJ'!$C$55","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$55","v":29568.100000000002},{"$f":"$J$3696-$H$3696","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$55","v":29568.100000000002}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$56","v":40},{"$f":"'Sec. I Out-of-State ADJ'!$C$56","v":"IMPL. DEV. CHARGED TO PATIENTS"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$56","v":1065.05},{"$f":"$J$3697-$H$3697","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$56","v":1065.05}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$57","v":41},{"$f":"'Sec. I Out-of-State ADJ'!$C$57","v":"DRUGS CHARGED TO PATIENTS"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$57","v":44164.05},{"$f":"$J$3698-$H$3698","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$57","v":44164.05}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$58","v":42},{"$f":"'Sec. I Out-of-State ADJ'!$C$58","v":"RENAL DIALYSIS"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$58","v":1504.2},{"$f":"$J$3699-$H$3699","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$58","v":1504.2}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$59","v":43},{"$f":"'Sec. I Out-of-State ADJ'!$C$59","v":"CARDIOVASCULAR MEDICINE"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$59","v":11351.343872674801},{"$f":"$J$3700-$H$3700","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$59","v":11351.343872674801}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$60","v":44},{"$f":"'Sec. I Out-of-State ADJ'!$C$60","v":"CLINIC"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$60","v":0},{"$f":"$J$3701-$H$3701","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$60","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$61","v":45},{"$f":"'Sec. I Out-of-State ADJ'!$C$61","v":"NUTRITION"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$61","v":0},{"$f":"$J$3702-$H$3702","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$61","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$62","v":46},{"$f":"'Sec. I Out-of-State ADJ'!$C$62","v":"WOUND CARE CENTER"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$62","v":210.05},{"$f":"$J$3703-$H$3703","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$62","v":210.05}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$63","v":47},{"$f":"'Sec. I Out-of-State ADJ'!$C$63","v":"EMERGENCY"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$63","v":21714.5},{"$f":"$J$3704-$H$3704","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$63","v":21714.5}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$64","v":48},{"$f":"'Sec. I Out-of-State ADJ'!$C$64","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$64","v":0},{"$f":"$J$3705-$H$3705","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$64","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$65","v":49},{"$f":"'Sec. I Out-of-State ADJ'!$C$65","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$65","v":0},{"$f":"$J$3706-$H$3706","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$65","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$66","v":50},{"$f":"'Sec. I Out-of-State ADJ'!$C$66","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$66","v":0},{"$f":"$J$3707-$H$3707","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$66","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$67","v":51},{"$f":"'Sec. I Out-of-State ADJ'!$C$67","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$67","v":0},{"$f":"$J$3708-$H$3708","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$67","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$68","v":52},{"$f":"'Sec. I Out-of-State ADJ'!$C$68","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$68","v":0},{"$f":"$J$3709-$H$3709","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$68","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$69","v":53},{"$f":"'Sec. I Out-of-State ADJ'!$C$69","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$69","v":0},{"$f":"$J$3710-$H$3710","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$69","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$70","v":54},{"$f":"'Sec. I Out-of-State ADJ'!$C$70","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$70","v":0},{"$f":"$J$3711-$H$3711","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$70","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$71","v":55},{"$f":"'Sec. I Out-of-State ADJ'!$C$71","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$71","v":0},{"$f":"$J$3712-$H$3712","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$71","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$72","v":56},{"$f":"'Sec. I Out-of-State ADJ'!$C$72","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$72","v":0},{"$f":"$J$3713-$H$3713","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$72","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$73","v":57},{"$f":"'Sec. I Out-of-State ADJ'!$C$73","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$73","v":0},{"$f":"$J$3714-$H$3714","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$73","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$74","v":58},{"$f":"'Sec. I Out-of-State ADJ'!$C$74","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$74","v":0},{"$f":"$J$3715-$H$3715","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$74","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$75","v":59},{"$f":"'Sec. I Out-of-State ADJ'!$C$75","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$75","v":0},{"$f":"$J$3716-$H$3716","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$75","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$76","v":60},{"$f":"'Sec. I Out-of-State ADJ'!$C$76","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$76","v":0},{"$f":"$J$3717-$H$3717","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$76","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$77","v":61},{"$f":"'Sec. I Out-of-State ADJ'!$C$77","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$77","v":0},{"$f":"$J$3718-$H$3718","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$77","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$78","v":62},{"$f":"'Sec. I Out-of-State ADJ'!$C$78","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$78","v":0},{"$f":"$J$3719-$H$3719","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$78","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$79","v":63},{"$f":"'Sec. I Out-of-State ADJ'!$C$79","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$79","v":0},{"$f":"$J$3720-$H$3720","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$79","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$80","v":64},{"$f":"'Sec. I Out-of-State ADJ'!$C$80","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$80","v":0},{"$f":"$J$3721-$H$3721","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$80","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$81","v":65},{"$f":"'Sec. I Out-of-State ADJ'!$C$81","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$81","v":0},{"$f":"$J$3722-$H$3722","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$81","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$82","v":66},{"$f":"'Sec. I Out-of-State ADJ'!$C$82","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$82","v":0},{"$f":"$J$3723-$H$3723","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$82","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$83","v":67},{"$f":"'Sec. I Out-of-State ADJ'!$C$83","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$83","v":0},{"$f":"$J$3724-$H$3724","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$83","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$84","v":68},{"$f":"'Sec. I Out-of-State ADJ'!$C$84","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$84","v":0},{"$f":"$J$3725-$H$3725","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$84","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$85","v":69},{"$f":"'Sec. I Out-of-State ADJ'!$C$85","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$85","v":0},{"$f":"$J$3726-$H$3726","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$85","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$86","v":70},{"$f":"'Sec. I Out-of-State ADJ'!$C$86","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$86","v":0},{"$f":"$J$3727-$H$3727","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$86","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$87","v":71},{"$f":"'Sec. I Out-of-State ADJ'!$C$87","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$87","v":0},{"$f":"$J$3728-$H$3728","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$87","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$88","v":72},{"$f":"'Sec. I Out-of-State ADJ'!$C$88","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$88","v":0},{"$f":"$J$3729-$H$3729","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$88","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$89","v":73},{"$f":"'Sec. I Out-of-State ADJ'!$C$89","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$89","v":0},{"$f":"$J$3730-$H$3730","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$89","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$90","v":74},{"$f":"'Sec. I Out-of-State ADJ'!$C$90","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$90","v":0},{"$f":"$J$3731-$H$3731","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$90","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$91","v":75},{"$f":"'Sec. I Out-of-State ADJ'!$C$91","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$91","v":0},{"$f":"$J$3732-$H$3732","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$91","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$92","v":76},{"$f":"'Sec. I Out-of-State ADJ'!$C$92","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$92","v":0},{"$f":"$J$3733-$H$3733","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$92","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$93","v":77},{"$f":"'Sec. I Out-of-State ADJ'!$C$93","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$93","v":0},{"$f":"$J$3734-$H$3734","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$93","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$94","v":78},{"$f":"'Sec. I Out-of-State ADJ'!$C$94","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$94","v":0},{"$f":"$J$3735-$H$3735","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$94","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$95","v":79},{"$f":"'Sec. I Out-of-State ADJ'!$C$95","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$95","v":0},{"$f":"$J$3736-$H$3736","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$95","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$96","v":80},{"$f":"'Sec. I Out-of-State ADJ'!$C$96","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$96","v":0},{"$f":"$J$3737-$H$3737","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$96","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$97","v":81},{"$f":"'Sec. I Out-of-State ADJ'!$C$97","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$97","v":0},{"$f":"$J$3738-$H$3738","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$97","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$98","v":82},{"$f":"'Sec. I Out-of-State ADJ'!$C$98","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$98","v":0},{"$f":"$J$3739-$H$3739","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$98","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$99","v":83},{"$f":"'Sec. I Out-of-State ADJ'!$C$99","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$99","v":0},{"$f":"$J$3740-$H$3740","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$99","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$100","v":84},{"$f":"'Sec. I Out-of-State ADJ'!$C$100","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$100","v":0},{"$f":"$J$3741-$H$3741","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$100","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$101","v":85},{"$f":"'Sec. I Out-of-State ADJ'!$C$101","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$101","v":0},{"$f":"$J$3742-$H$3742","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$101","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$102","v":86},{"$f":"'Sec. I Out-of-State ADJ'!$C$102","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$102","v":0},{"$f":"$J$3743-$H$3743","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$102","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$103","v":87},{"$f":"'Sec. I Out-of-State ADJ'!$C$103","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$103","v":0},{"$f":"$J$3744-$H$3744","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$103","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$104","v":88},{"$f":"'Sec. I Out-of-State ADJ'!$C$104","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$104","v":0},{"$f":"$J$3745-$H$3745","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$104","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$105","v":89},{"$f":"'Sec. I Out-of-State ADJ'!$C$105","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$105","v":0},{"$f":"$J$3746-$H$3746","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$105","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$106","v":90},{"$f":"'Sec. I Out-of-State ADJ'!$C$106","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$106","v":0},{"$f":"$J$3747-$H$3747","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$106","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$107","v":91},{"$f":"'Sec. I Out-of-State ADJ'!$C$107","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$107","v":0},{"$f":"$J$3748-$H$3748","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$107","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$108","v":92},{"$f":"'Sec. I Out-of-State ADJ'!$C$108","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$108","v":0},{"$f":"$J$3749-$H$3749","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$108","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$109","v":93},{"$f":"'Sec. I Out-of-State ADJ'!$C$109","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$109","v":0},{"$f":"$J$3750-$H$3750","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$109","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$110","v":94},{"$f":"'Sec. I Out-of-State ADJ'!$C$110","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$110","v":0},{"$f":"$J$3751-$H$3751","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$110","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$111","v":95},{"$f":"'Sec. I Out-of-State ADJ'!$C$111","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$111","v":0},{"$f":"$J$3752-$H$3752","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$111","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$112","v":96},{"$f":"'Sec. I Out-of-State ADJ'!$C$112","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$112","v":0},{"$f":"$J$3753-$H$3753","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$112","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$113","v":97},{"$f":"'Sec. I Out-of-State ADJ'!$C$113","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$113","v":0},{"$f":"$J$3754-$H$3754","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$113","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$114","v":98},{"$f":"'Sec. I Out-of-State ADJ'!$C$114","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$114","v":0},{"$f":"$J$3755-$H$3755","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$114","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$115","v":99},{"$f":"'Sec. I Out-of-State ADJ'!$C$115","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$115","v":0},{"$f":"$J$3756-$H$3756","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$115","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$116","v":100},{"$f":"'Sec. I Out-of-State ADJ'!$C$116","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$116","v":0},{"$f":"$J$3757-$H$3757","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$116","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$117","v":101},{"$f":"'Sec. I Out-of-State ADJ'!$C$117","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$117","v":0},{"$f":"$J$3758-$H$3758","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$117","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$118","v":102},{"$f":"'Sec. I Out-of-State ADJ'!$C$118","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$118","v":0},{"$f":"$J$3759-$H$3759","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$118","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$119","v":103},{"$f":"'Sec. I Out-of-State ADJ'!$C$119","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$119","v":0},{"$f":"$J$3760-$H$3760","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$119","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$120","v":104},{"$f":"'Sec. I Out-of-State ADJ'!$C$120","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$120","v":0},{"$f":"$J$3761-$H$3761","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$120","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$121","v":105},{"$f":"'Sec. I Out-of-State ADJ'!$C$121","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$121","v":0},{"$f":"$J$3762-$H$3762","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$121","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$122","v":106},{"$f":"'Sec. I Out-of-State ADJ'!$C$122","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$122","v":0},{"$f":"$J$3763-$H$3763","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$122","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$123","v":107},{"$f":"'Sec. I Out-of-State ADJ'!$C$123","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$123","v":0},{"$f":"$J$3764-$H$3764","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$123","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$124","v":108},{"$f":"'Sec. I Out-of-State ADJ'!$C$124","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$124","v":0},{"$f":"$J$3765-$H$3765","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$124","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$125","v":109},{"$f":"'Sec. I Out-of-State ADJ'!$C$125","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$125","v":0},{"$f":"$J$3766-$H$3766","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$125","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$126","v":110},{"$f":"'Sec. I Out-of-State ADJ'!$C$126","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$126","v":0},{"$f":"$J$3767-$H$3767","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$126","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$127","v":111},{"$f":"'Sec. I Out-of-State ADJ'!$C$127","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$127","v":0},{"$f":"$J$3768-$H$3768","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$127","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$128","v":112},{"$f":"'Sec. I Out-of-State ADJ'!$C$128","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$128","v":0},{"$f":"$J$3769-$H$3769","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$128","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$129","v":113},{"$f":"'Sec. I Out-of-State ADJ'!$C$129","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$129","v":0},{"$f":"$J$3770-$H$3770","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$129","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$130","v":114},{"$f":"'Sec. I Out-of-State ADJ'!$C$130","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$130","v":0},{"$f":"$J$3771-$H$3771","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$130","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$131","v":115},{"$f":"'Sec. I Out-of-State ADJ'!$C$131","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$131","v":0},{"$f":"$J$3772-$H$3772","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$131","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$132","v":116},{"$f":"'Sec. I Out-of-State ADJ'!$C$132","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$132","v":0},{"$f":"$J$3773-$H$3773","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$132","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$133","v":117},{"$f":"'Sec. I Out-of-State ADJ'!$C$133","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$133","v":0},{"$f":"$J$3774-$H$3774","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$133","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$134","v":118},{"$f":"'Sec. I Out-of-State ADJ'!$C$134","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$134","v":0},{"$f":"$J$3775-$H$3775","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$134","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$135","v":119},{"$f":"'Sec. I Out-of-State ADJ'!$C$135","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$135","v":0},{"$f":"$J$3776-$H$3776","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$135","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$136","v":120},{"$f":"'Sec. I Out-of-State ADJ'!$C$136","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$136","v":0},{"$f":"$J$3777-$H$3777","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$136","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$137","v":121},{"$f":"'Sec. I Out-of-State ADJ'!$C$137","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$137","v":0},{"$f":"$J$3778-$H$3778","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$137","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$138","v":122},{"$f":"'Sec. I Out-of-State ADJ'!$C$138","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$138","v":0},{"$f":"$J$3779-$H$3779","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$138","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$139","v":123},{"$f":"'Sec. I Out-of-State ADJ'!$C$139","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$139","v":0},{"$f":"$J$3780-$H$3780","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$139","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$140","v":124},{"$f":"'Sec. I Out-of-State ADJ'!$C$140","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$140","v":0},{"$f":"$J$3781-$H$3781","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$140","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$141","v":125},{"$f":"'Sec. I Out-of-State ADJ'!$C$141","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$141","v":0},{"$f":"$J$3782-$H$3782","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$141","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$142","v":126},{"$f":"'Sec. I Out-of-State ADJ'!$C$142","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$142","v":0},{"$f":"$J$3783-$H$3783","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$142","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$143","v":127},{"$f":"'Sec. I Out-of-State ADJ'!$C$143","v":""},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$143","v":0},{"$f":"$J$3784-$H$3784","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$143","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. H In-State ADJ'!$A$151","v":131.01},{"$f":"'Sec. H In-State ADJ'!$B$151","v":"Sampling Cost Adjustment (if applicable)"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to sample extrapolation.",0,{"$f":"$J$3785-$H$3785","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$151","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$154","v":132},{"$f":"'Sec. I Out-of-State ADJ'!$B$154","v":"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$154","v":71448},{"$f":"$J$3786-$H$3786","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$154","v":71448}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$155","v":133},{"$f":"'Sec. I Out-of-State ADJ'!$B$155","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$155","v":0},{"$f":"$J$3787-$H$3787","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$155","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$156","v":134},{"$f":"'Sec. I Out-of-State ADJ'!$B$156","v":"Private Insurance (including primary and third party liability)"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$156","v":0},{"$f":"$J$3788-$H$3788","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$156","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$157","v":135},{"$f":"'Sec. I Out-of-State ADJ'!$B$157","v":"Self-Pay (including Co-Pay and Spend-Down)"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$157","v":100},{"$f":"$J$3789-$H$3789","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$157","v":100}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$159","v":137},{"$f":"'Sec. I Out-of-State ADJ'!$B$159","v":"Medicaid Cost Settlement Payments (See Note B)"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$159","v":0},{"$f":"$J$3790-$H$3790","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$159","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$160","v":138},{"$f":"'Sec. I Out-of-State ADJ'!$B$160","v":"Other Medicaid Payments Reported on Cost Report Year (See Note C)"},"5.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$H$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Inpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$H$160","v":0},{"$f":"$J$3791-$H$3791","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$H$160","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$38","v":22},{"$f":"'Sec. I Out-of-State ADJ'!$C$38","v":"Observation (Non-Distinct)"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$38","v":7637.9000000000005},{"$f":"$J$3792-$H$3792","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$38","v":7637.9000000000005}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$39","v":23},{"$f":"'Sec. I Out-of-State ADJ'!$C$39","v":"OPERATING ROOM"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$39","v":20725.099999999999},{"$f":"$J$3793-$H$3793","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$39","v":20725.099999999999}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$40","v":24},{"$f":"'Sec. I Out-of-State ADJ'!$C$40","v":"RECOVERY ROOM"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$40","v":3173.1},{"$f":"$J$3794-$H$3794","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$40","v":3173.1}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$41","v":25},{"$f":"'Sec. I Out-of-State ADJ'!$C$41","v":"DELIVERY ROOM & LABOR ROOM"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$41","v":0},{"$f":"$J$3795-$H$3795","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$41","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$42","v":26},{"$f":"'Sec. I Out-of-State ADJ'!$C$42","v":"ANESTHESIOLOGY"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$42","v":7505.3},{"$f":"$J$3796-$H$3796","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$42","v":7505.3}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$43","v":27},{"$f":"'Sec. I Out-of-State ADJ'!$C$43","v":"RADIOLOGY-DIAGNOSTIC"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$43","v":63845.187621202545},{"$f":"$J$3797-$H$3797","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$43","v":63845.187621202545}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$44","v":28},{"$f":"'Sec. I Out-of-State ADJ'!$C$44","v":"RADIOLOGY-THERAPEUTIC"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$44","v":0},{"$f":"$J$3798-$H$3798","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$44","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$45","v":29},{"$f":"'Sec. I Out-of-State ADJ'!$C$45","v":"NUCLEAR MEDICINE"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$45","v":0},{"$f":"$J$3799-$H$3799","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$45","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$46","v":30},{"$f":"'Sec. I Out-of-State ADJ'!$C$46","v":"CT SCAN"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$46","v":51461},{"$f":"$J$3800-$H$3800","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$46","v":51461}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$47","v":31},{"$f":"'Sec. I Out-of-State ADJ'!$C$47","v":"MRI"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$47","v":0},{"$f":"$J$3801-$H$3801","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$47","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$48","v":32},{"$f":"'Sec. I Out-of-State ADJ'!$C$48","v":"CARDIAC CATHETERIZATION"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$48","v":1433.550492478},{"$f":"$J$3802-$H$3802","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$48","v":1433.550492478}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$49","v":33},{"$f":"'Sec. I Out-of-State ADJ'!$C$49","v":"LABORATORY"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$49","v":112489.5},{"$f":"$J$3803-$H$3803","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$49","v":112489.5}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$50","v":34},{"$f":"'Sec. I Out-of-State ADJ'!$C$50","v":"RESPIRATORY THERAPY"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$50","v":4681.2999999999993},{"$f":"$J$3804-$H$3804","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$50","v":4681.2999999999993}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$51","v":35},{"$f":"'Sec. I Out-of-State ADJ'!$C$51","v":"PHYSICAL THERAPY"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$51","v":3018.2},{"$f":"$J$3805-$H$3805","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$51","v":3018.2}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$52","v":36},{"$f":"'Sec. I Out-of-State ADJ'!$C$52","v":"SPEECH PATHOLOGY"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$52","v":384.1},{"$f":"$J$3806-$H$3806","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$52","v":384.1}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$53","v":37},{"$f":"'Sec. I Out-of-State ADJ'!$C$53","v":"ELECTROCARDIOLOGY"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$53","v":18401.2},{"$f":"$J$3807-$H$3807","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$53","v":18401.2}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$54","v":38},{"$f":"'Sec. I Out-of-State ADJ'!$C$54","v":"ELECTROENCEPHALOGRAPHY"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$54","v":0},{"$f":"$J$3808-$H$3808","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$54","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$55","v":39},{"$f":"'Sec. I Out-of-State ADJ'!$C$55","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$55","v":5815.2500000000018},{"$f":"$J$3809-$H$3809","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$55","v":5815.2500000000018}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$56","v":40},{"$f":"'Sec. I Out-of-State ADJ'!$C$56","v":"IMPL. DEV. CHARGED TO PATIENTS"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$56","v":0},{"$f":"$J$3810-$H$3810","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$56","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$57","v":41},{"$f":"'Sec. I Out-of-State ADJ'!$C$57","v":"DRUGS CHARGED TO PATIENTS"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$57","v":24472.050000000003},{"$f":"$J$3811-$H$3811","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$57","v":24472.050000000003}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$58","v":42},{"$f":"'Sec. I Out-of-State ADJ'!$C$58","v":"RENAL DIALYSIS"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$58","v":0},{"$f":"$J$3812-$H$3812","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$58","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$59","v":43},{"$f":"'Sec. I Out-of-State ADJ'!$C$59","v":"CARDIOVASCULAR MEDICINE"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$59","v":2038.2618863194502},{"$f":"$J$3813-$H$3813","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$59","v":2038.2618863194502}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$60","v":44},{"$f":"'Sec. I Out-of-State ADJ'!$C$60","v":"CLINIC"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$60","v":0},{"$f":"$J$3814-$H$3814","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$60","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$61","v":45},{"$f":"'Sec. I Out-of-State ADJ'!$C$61","v":"NUTRITION"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$61","v":0},{"$f":"$J$3815-$H$3815","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$61","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$62","v":46},{"$f":"'Sec. I Out-of-State ADJ'!$C$62","v":"WOUND CARE CENTER"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$62","v":0},{"$f":"$J$3816-$H$3816","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$62","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$63","v":47},{"$f":"'Sec. I Out-of-State ADJ'!$C$63","v":"EMERGENCY"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$63","v":375267.55000000045},{"$f":"$J$3817-$H$3817","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$63","v":375267.55000000045}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$64","v":48},{"$f":"'Sec. I Out-of-State ADJ'!$C$64","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$64","v":0},{"$f":"$J$3818-$H$3818","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$64","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$65","v":49},{"$f":"'Sec. I Out-of-State ADJ'!$C$65","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$65","v":0},{"$f":"$J$3819-$H$3819","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$65","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$66","v":50},{"$f":"'Sec. I Out-of-State ADJ'!$C$66","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$66","v":0},{"$f":"$J$3820-$H$3820","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$66","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$67","v":51},{"$f":"'Sec. I Out-of-State ADJ'!$C$67","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$67","v":0},{"$f":"$J$3821-$H$3821","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$67","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$68","v":52},{"$f":"'Sec. I Out-of-State ADJ'!$C$68","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$68","v":0},{"$f":"$J$3822-$H$3822","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$68","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$69","v":53},{"$f":"'Sec. I Out-of-State ADJ'!$C$69","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$69","v":0},{"$f":"$J$3823-$H$3823","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$69","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$70","v":54},{"$f":"'Sec. I Out-of-State ADJ'!$C$70","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$70","v":0},{"$f":"$J$3824-$H$3824","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$70","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$71","v":55},{"$f":"'Sec. I Out-of-State ADJ'!$C$71","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$71","v":0},{"$f":"$J$3825-$H$3825","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$71","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$72","v":56},{"$f":"'Sec. I Out-of-State ADJ'!$C$72","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$72","v":0},{"$f":"$J$3826-$H$3826","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$72","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$73","v":57},{"$f":"'Sec. I Out-of-State ADJ'!$C$73","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$73","v":0},{"$f":"$J$3827-$H$3827","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$73","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$74","v":58},{"$f":"'Sec. I Out-of-State ADJ'!$C$74","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$74","v":0},{"$f":"$J$3828-$H$3828","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$74","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$75","v":59},{"$f":"'Sec. I Out-of-State ADJ'!$C$75","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$75","v":0},{"$f":"$J$3829-$H$3829","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$75","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$76","v":60},{"$f":"'Sec. I Out-of-State ADJ'!$C$76","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$76","v":0},{"$f":"$J$3830-$H$3830","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$76","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$77","v":61},{"$f":"'Sec. I Out-of-State ADJ'!$C$77","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$77","v":0},{"$f":"$J$3831-$H$3831","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$77","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$78","v":62},{"$f":"'Sec. I Out-of-State ADJ'!$C$78","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$78","v":0},{"$f":"$J$3832-$H$3832","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$78","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$79","v":63},{"$f":"'Sec. I Out-of-State ADJ'!$C$79","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$79","v":0},{"$f":"$J$3833-$H$3833","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$79","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$80","v":64},{"$f":"'Sec. I Out-of-State ADJ'!$C$80","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$80","v":0},{"$f":"$J$3834-$H$3834","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$80","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$81","v":65},{"$f":"'Sec. I Out-of-State ADJ'!$C$81","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$81","v":0},{"$f":"$J$3835-$H$3835","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$81","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$82","v":66},{"$f":"'Sec. I Out-of-State ADJ'!$C$82","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$82","v":0},{"$f":"$J$3836-$H$3836","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$82","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$83","v":67},{"$f":"'Sec. I Out-of-State ADJ'!$C$83","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$83","v":0},{"$f":"$J$3837-$H$3837","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$83","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$84","v":68},{"$f":"'Sec. I Out-of-State ADJ'!$C$84","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$84","v":0},{"$f":"$J$3838-$H$3838","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$84","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$85","v":69},{"$f":"'Sec. I Out-of-State ADJ'!$C$85","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$85","v":0},{"$f":"$J$3839-$H$3839","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$85","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$86","v":70},{"$f":"'Sec. I Out-of-State ADJ'!$C$86","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$86","v":0},{"$f":"$J$3840-$H$3840","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$86","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$87","v":71},{"$f":"'Sec. I Out-of-State ADJ'!$C$87","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$87","v":0},{"$f":"$J$3841-$H$3841","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$87","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$88","v":72},{"$f":"'Sec. I Out-of-State ADJ'!$C$88","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$88","v":0},{"$f":"$J$3842-$H$3842","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$88","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$89","v":73},{"$f":"'Sec. I Out-of-State ADJ'!$C$89","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$89","v":0},{"$f":"$J$3843-$H$3843","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$89","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$90","v":74},{"$f":"'Sec. I Out-of-State ADJ'!$C$90","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$90","v":0},{"$f":"$J$3844-$H$3844","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$90","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$91","v":75},{"$f":"'Sec. I Out-of-State ADJ'!$C$91","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$91","v":0},{"$f":"$J$3845-$H$3845","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$91","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$92","v":76},{"$f":"'Sec. I Out-of-State ADJ'!$C$92","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$92","v":0},{"$f":"$J$3846-$H$3846","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$92","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$93","v":77},{"$f":"'Sec. I Out-of-State ADJ'!$C$93","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$93","v":0},{"$f":"$J$3847-$H$3847","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$93","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$94","v":78},{"$f":"'Sec. I Out-of-State ADJ'!$C$94","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$94","v":0},{"$f":"$J$3848-$H$3848","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$94","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$95","v":79},{"$f":"'Sec. I Out-of-State ADJ'!$C$95","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$95","v":0},{"$f":"$J$3849-$H$3849","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$95","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$96","v":80},{"$f":"'Sec. I Out-of-State ADJ'!$C$96","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$96","v":0},{"$f":"$J$3850-$H$3850","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$96","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$97","v":81},{"$f":"'Sec. I Out-of-State ADJ'!$C$97","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$97","v":0},{"$f":"$J$3851-$H$3851","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$97","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$98","v":82},{"$f":"'Sec. I Out-of-State ADJ'!$C$98","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$98","v":0},{"$f":"$J$3852-$H$3852","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$98","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$99","v":83},{"$f":"'Sec. I Out-of-State ADJ'!$C$99","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$99","v":0},{"$f":"$J$3853-$H$3853","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$99","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$100","v":84},{"$f":"'Sec. I Out-of-State ADJ'!$C$100","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$100","v":0},{"$f":"$J$3854-$H$3854","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$100","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$101","v":85},{"$f":"'Sec. I Out-of-State ADJ'!$C$101","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$101","v":0},{"$f":"$J$3855-$H$3855","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$101","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$102","v":86},{"$f":"'Sec. I Out-of-State ADJ'!$C$102","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$102","v":0},{"$f":"$J$3856-$H$3856","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$102","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$103","v":87},{"$f":"'Sec. I Out-of-State ADJ'!$C$103","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$103","v":0},{"$f":"$J$3857-$H$3857","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$103","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$104","v":88},{"$f":"'Sec. I Out-of-State ADJ'!$C$104","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$104","v":0},{"$f":"$J$3858-$H$3858","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$104","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$105","v":89},{"$f":"'Sec. I Out-of-State ADJ'!$C$105","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$105","v":0},{"$f":"$J$3859-$H$3859","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$105","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$106","v":90},{"$f":"'Sec. I Out-of-State ADJ'!$C$106","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$106","v":0},{"$f":"$J$3860-$H$3860","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$106","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$107","v":91},{"$f":"'Sec. I Out-of-State ADJ'!$C$107","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$107","v":0},{"$f":"$J$3861-$H$3861","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$107","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$108","v":92},{"$f":"'Sec. I Out-of-State ADJ'!$C$108","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$108","v":0},{"$f":"$J$3862-$H$3862","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$108","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$109","v":93},{"$f":"'Sec. I Out-of-State ADJ'!$C$109","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$109","v":0},{"$f":"$J$3863-$H$3863","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$109","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$110","v":94},{"$f":"'Sec. I Out-of-State ADJ'!$C$110","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$110","v":0},{"$f":"$J$3864-$H$3864","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$110","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$111","v":95},{"$f":"'Sec. I Out-of-State ADJ'!$C$111","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$111","v":0},{"$f":"$J$3865-$H$3865","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$111","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$112","v":96},{"$f":"'Sec. I Out-of-State ADJ'!$C$112","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$112","v":0},{"$f":"$J$3866-$H$3866","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$112","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$113","v":97},{"$f":"'Sec. I Out-of-State ADJ'!$C$113","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$113","v":0},{"$f":"$J$3867-$H$3867","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$113","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$114","v":98},{"$f":"'Sec. I Out-of-State ADJ'!$C$114","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$114","v":0},{"$f":"$J$3868-$H$3868","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$114","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$115","v":99},{"$f":"'Sec. I Out-of-State ADJ'!$C$115","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$115","v":0},{"$f":"$J$3869-$H$3869","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$115","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$116","v":100},{"$f":"'Sec. I Out-of-State ADJ'!$C$116","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$116","v":0},{"$f":"$J$3870-$H$3870","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$116","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$117","v":101},{"$f":"'Sec. I Out-of-State ADJ'!$C$117","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$117","v":0},{"$f":"$J$3871-$H$3871","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$117","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$118","v":102},{"$f":"'Sec. I Out-of-State ADJ'!$C$118","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$118","v":0},{"$f":"$J$3872-$H$3872","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$118","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$119","v":103},{"$f":"'Sec. I Out-of-State ADJ'!$C$119","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$119","v":0},{"$f":"$J$3873-$H$3873","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$119","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$120","v":104},{"$f":"'Sec. I Out-of-State ADJ'!$C$120","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$120","v":0},{"$f":"$J$3874-$H$3874","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$120","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$121","v":105},{"$f":"'Sec. I Out-of-State ADJ'!$C$121","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$121","v":0},{"$f":"$J$3875-$H$3875","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$121","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$122","v":106},{"$f":"'Sec. I Out-of-State ADJ'!$C$122","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$122","v":0},{"$f":"$J$3876-$H$3876","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$122","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$123","v":107},{"$f":"'Sec. I Out-of-State ADJ'!$C$123","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$123","v":0},{"$f":"$J$3877-$H$3877","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$123","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$124","v":108},{"$f":"'Sec. I Out-of-State ADJ'!$C$124","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$124","v":0},{"$f":"$J$3878-$H$3878","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$124","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$125","v":109},{"$f":"'Sec. I Out-of-State ADJ'!$C$125","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$125","v":0},{"$f":"$J$3879-$H$3879","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$125","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$126","v":110},{"$f":"'Sec. I Out-of-State ADJ'!$C$126","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$126","v":0},{"$f":"$J$3880-$H$3880","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$126","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$127","v":111},{"$f":"'Sec. I Out-of-State ADJ'!$C$127","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$127","v":0},{"$f":"$J$3881-$H$3881","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$127","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$128","v":112},{"$f":"'Sec. I Out-of-State ADJ'!$C$128","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$128","v":0},{"$f":"$J$3882-$H$3882","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$128","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$129","v":113},{"$f":"'Sec. I Out-of-State ADJ'!$C$129","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$129","v":0},{"$f":"$J$3883-$H$3883","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$129","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$130","v":114},{"$f":"'Sec. I Out-of-State ADJ'!$C$130","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$130","v":0},{"$f":"$J$3884-$H$3884","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$130","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$131","v":115},{"$f":"'Sec. I Out-of-State ADJ'!$C$131","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$131","v":0},{"$f":"$J$3885-$H$3885","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$131","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$132","v":116},{"$f":"'Sec. I Out-of-State ADJ'!$C$132","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$132","v":0},{"$f":"$J$3886-$H$3886","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$132","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$133","v":117},{"$f":"'Sec. I Out-of-State ADJ'!$C$133","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$133","v":0},{"$f":"$J$3887-$H$3887","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$133","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$134","v":118},{"$f":"'Sec. I Out-of-State ADJ'!$C$134","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$134","v":0},{"$f":"$J$3888-$H$3888","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$134","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$135","v":119},{"$f":"'Sec. I Out-of-State ADJ'!$C$135","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$135","v":0},{"$f":"$J$3889-$H$3889","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$135","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$136","v":120},{"$f":"'Sec. I Out-of-State ADJ'!$C$136","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$136","v":0},{"$f":"$J$3890-$H$3890","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$136","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$137","v":121},{"$f":"'Sec. I Out-of-State ADJ'!$C$137","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$137","v":0},{"$f":"$J$3891-$H$3891","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$137","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$138","v":122},{"$f":"'Sec. I Out-of-State ADJ'!$C$138","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$138","v":0},{"$f":"$J$3892-$H$3892","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$138","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$139","v":123},{"$f":"'Sec. I Out-of-State ADJ'!$C$139","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$139","v":0},{"$f":"$J$3893-$H$3893","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$139","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$140","v":124},{"$f":"'Sec. I Out-of-State ADJ'!$C$140","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$140","v":0},{"$f":"$J$3894-$H$3894","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$140","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$141","v":125},{"$f":"'Sec. I Out-of-State ADJ'!$C$141","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$141","v":0},{"$f":"$J$3895-$H$3895","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$141","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$142","v":126},{"$f":"'Sec. I Out-of-State ADJ'!$C$142","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$142","v":0},{"$f":"$J$3896-$H$3896","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$142","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$143","v":127},{"$f":"'Sec. I Out-of-State ADJ'!$C$143","v":""},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$143","v":0},{"$f":"$J$3897-$H$3897","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$143","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. H In-State ADJ'!$A$151","v":131.01},{"$f":"'Sec. H In-State ADJ'!$B$151","v":"Sampling Cost Adjustment (if applicable)"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to sample extrapolation.",0,{"$f":"$J$3898-$H$3898","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$151","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$154","v":132},{"$f":"'Sec. I Out-of-State ADJ'!$B$154","v":"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$154","v":45109},{"$f":"$J$3899-$H$3899","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$154","v":45109}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$155","v":133},{"$f":"'Sec. I Out-of-State ADJ'!$B$155","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$155","v":0},{"$f":"$J$3900-$H$3900","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$155","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$156","v":134},{"$f":"'Sec. I Out-of-State ADJ'!$B$156","v":"Private Insurance (including primary and third party liability)"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$156","v":0},{"$f":"$J$3901-$H$3901","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$156","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$157","v":135},{"$f":"'Sec. I Out-of-State ADJ'!$B$157","v":"Self-Pay (including Co-Pay and Spend-Down)"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$157","v":214},{"$f":"$J$3902-$H$3902","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$157","v":214}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$159","v":137},{"$f":"'Sec. I Out-of-State ADJ'!$B$159","v":"Medicaid Cost Settlement Payments (See Note B)"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$159","v":0},{"$f":"$J$3903-$H$3903","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$159","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$160","v":138},{"$f":"'Sec. I Out-of-State ADJ'!$B$160","v":"Other Medicaid Payments Reported on Cost Report Year (See Note C)"},"6.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$J$6,\" \",'Sec. I Out-of-State ADJ'!Heading_1_ADJ)","v":"Outpatient Out-of-State Medicaid FFS Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$J$160","v":0},{"$f":"$J$3904-$H$3904","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$J$160","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$11","v":1},{"$f":"'Sec. I Out-of-State ADJ'!$C$11","v":"ADULTS & PEDIATRICS"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$11","v":0},{"$f":"$J$3905-$H$3905","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$11","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$12","v":2},{"$f":"'Sec. I Out-of-State ADJ'!$C$12","v":"INTENSIVE CARE UNIT"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$12","v":0},{"$f":"$J$3906-$H$3906","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$12","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$13","v":3},{"$f":"'Sec. I Out-of-State ADJ'!$C$13","v":"CORONARY CARE UNIT"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$13","v":0},{"$f":"$J$3907-$H$3907","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$13","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$14","v":4},{"$f":"'Sec. I Out-of-State ADJ'!$C$14","v":"BURN INTENSIVE CARE UNIT"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$14","v":0},{"$f":"$J$3908-$H$3908","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$14","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$15","v":5},{"$f":"'Sec. I Out-of-State ADJ'!$C$15","v":"SURGICAL INTENSIVE CARE UNIT"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$15","v":0},{"$f":"$J$3909-$H$3909","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$15","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$16","v":6},{"$f":"'Sec. I Out-of-State ADJ'!$C$16","v":"OTHER SPECIAL CARE UNIT"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$16","v":0},{"$f":"$J$3910-$H$3910","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$16","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$17","v":7},{"$f":"'Sec. I Out-of-State ADJ'!$C$17","v":"SUBPROVIDER I"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$17","v":0},{"$f":"$J$3911-$H$3911","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$17","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$18","v":8},{"$f":"'Sec. I Out-of-State ADJ'!$C$18","v":"SUBPROVIDER II"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$18","v":0},{"$f":"$J$3912-$H$3912","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$18","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$19","v":9},{"$f":"'Sec. I Out-of-State ADJ'!$C$19","v":"OTHER SUBPROVIDER"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$19","v":0},{"$f":"$J$3913-$H$3913","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$19","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$20","v":10},{"$f":"'Sec. I Out-of-State ADJ'!$C$20","v":"NURSERY"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$20","v":0},{"$f":"$J$3914-$H$3914","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$20","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$21","v":11},{"$f":"'Sec. I Out-of-State ADJ'!$C$21","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$21","v":0},{"$f":"$J$3915-$H$3915","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$21","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$22","v":12},{"$f":"'Sec. I Out-of-State ADJ'!$C$22","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$22","v":0},{"$f":"$J$3916-$H$3916","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$22","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$23","v":13},{"$f":"'Sec. I Out-of-State ADJ'!$C$23","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$23","v":0},{"$f":"$J$3917-$H$3917","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$23","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$24","v":14},{"$f":"'Sec. I Out-of-State ADJ'!$C$24","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$24","v":0},{"$f":"$J$3918-$H$3918","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$24","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$25","v":15},{"$f":"'Sec. I Out-of-State ADJ'!$C$25","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$25","v":0},{"$f":"$J$3919-$H$3919","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$25","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$26","v":16},{"$f":"'Sec. I Out-of-State ADJ'!$C$26","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$26","v":0},{"$f":"$J$3920-$H$3920","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$26","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$27","v":17},{"$f":"'Sec. I Out-of-State ADJ'!$C$27","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$27","v":0},{"$f":"$J$3921-$H$3921","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$27","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$34","v":21},{"$f":"'Sec. I Out-of-State ADJ'!$C$34","v":"Routine Charges"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$34","v":0},{"$f":"$J$3922-$H$3922","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$34","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$38","v":22},{"$f":"'Sec. I Out-of-State ADJ'!$C$38","v":"Observation (Non-Distinct)"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$38","v":0},{"$f":"$J$3923-$H$3923","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$38","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$39","v":23},{"$f":"'Sec. I Out-of-State ADJ'!$C$39","v":"OPERATING ROOM"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$39","v":0},{"$f":"$J$3924-$H$3924","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$39","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$40","v":24},{"$f":"'Sec. I Out-of-State ADJ'!$C$40","v":"RECOVERY ROOM"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$40","v":0},{"$f":"$J$3925-$H$3925","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$40","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$41","v":25},{"$f":"'Sec. I Out-of-State ADJ'!$C$41","v":"DELIVERY ROOM & LABOR ROOM"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$41","v":0},{"$f":"$J$3926-$H$3926","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$41","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$42","v":26},{"$f":"'Sec. I Out-of-State ADJ'!$C$42","v":"ANESTHESIOLOGY"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$42","v":0},{"$f":"$J$3927-$H$3927","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$42","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$43","v":27},{"$f":"'Sec. I Out-of-State ADJ'!$C$43","v":"RADIOLOGY-DIAGNOSTIC"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$43","v":0},{"$f":"$J$3928-$H$3928","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$43","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$44","v":28},{"$f":"'Sec. I Out-of-State ADJ'!$C$44","v":"RADIOLOGY-THERAPEUTIC"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$44","v":0},{"$f":"$J$3929-$H$3929","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$44","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$45","v":29},{"$f":"'Sec. I Out-of-State ADJ'!$C$45","v":"NUCLEAR MEDICINE"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$45","v":0},{"$f":"$J$3930-$H$3930","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$45","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$46","v":30},{"$f":"'Sec. I Out-of-State ADJ'!$C$46","v":"CT SCAN"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$46","v":0},{"$f":"$J$3931-$H$3931","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$46","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$47","v":31},{"$f":"'Sec. I Out-of-State ADJ'!$C$47","v":"MRI"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$47","v":0},{"$f":"$J$3932-$H$3932","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$47","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$48","v":32},{"$f":"'Sec. I Out-of-State ADJ'!$C$48","v":"CARDIAC CATHETERIZATION"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$48","v":0},{"$f":"$J$3933-$H$3933","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$48","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$49","v":33},{"$f":"'Sec. I Out-of-State ADJ'!$C$49","v":"LABORATORY"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$49","v":0},{"$f":"$J$3934-$H$3934","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$49","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$50","v":34},{"$f":"'Sec. I Out-of-State ADJ'!$C$50","v":"RESPIRATORY THERAPY"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$50","v":0},{"$f":"$J$3935-$H$3935","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$50","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$51","v":35},{"$f":"'Sec. I Out-of-State ADJ'!$C$51","v":"PHYSICAL THERAPY"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$51","v":0},{"$f":"$J$3936-$H$3936","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$51","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$52","v":36},{"$f":"'Sec. I Out-of-State ADJ'!$C$52","v":"SPEECH PATHOLOGY"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$52","v":0},{"$f":"$J$3937-$H$3937","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$52","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$53","v":37},{"$f":"'Sec. I Out-of-State ADJ'!$C$53","v":"ELECTROCARDIOLOGY"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$53","v":0},{"$f":"$J$3938-$H$3938","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$53","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$54","v":38},{"$f":"'Sec. I Out-of-State ADJ'!$C$54","v":"ELECTROENCEPHALOGRAPHY"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$54","v":0},{"$f":"$J$3939-$H$3939","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$54","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$55","v":39},{"$f":"'Sec. I Out-of-State ADJ'!$C$55","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$55","v":0},{"$f":"$J$3940-$H$3940","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$55","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$56","v":40},{"$f":"'Sec. I Out-of-State ADJ'!$C$56","v":"IMPL. DEV. CHARGED TO PATIENTS"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$56","v":0},{"$f":"$J$3941-$H$3941","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$56","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$57","v":41},{"$f":"'Sec. I Out-of-State ADJ'!$C$57","v":"DRUGS CHARGED TO PATIENTS"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$57","v":0},{"$f":"$J$3942-$H$3942","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$57","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$58","v":42},{"$f":"'Sec. I Out-of-State ADJ'!$C$58","v":"RENAL DIALYSIS"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$58","v":0},{"$f":"$J$3943-$H$3943","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$58","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$59","v":43},{"$f":"'Sec. I Out-of-State ADJ'!$C$59","v":"CARDIOVASCULAR MEDICINE"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$59","v":0},{"$f":"$J$3944-$H$3944","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$59","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$60","v":44},{"$f":"'Sec. I Out-of-State ADJ'!$C$60","v":"CLINIC"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$60","v":0},{"$f":"$J$3945-$H$3945","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$60","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$61","v":45},{"$f":"'Sec. I Out-of-State ADJ'!$C$61","v":"NUTRITION"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$61","v":0},{"$f":"$J$3946-$H$3946","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$61","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$62","v":46},{"$f":"'Sec. I Out-of-State ADJ'!$C$62","v":"WOUND CARE CENTER"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$62","v":0},{"$f":"$J$3947-$H$3947","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$62","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$63","v":47},{"$f":"'Sec. I Out-of-State ADJ'!$C$63","v":"EMERGENCY"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$63","v":0},{"$f":"$J$3948-$H$3948","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$63","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$64","v":48},{"$f":"'Sec. I Out-of-State ADJ'!$C$64","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$64","v":0},{"$f":"$J$3949-$H$3949","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$64","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$65","v":49},{"$f":"'Sec. I Out-of-State ADJ'!$C$65","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$65","v":0},{"$f":"$J$3950-$H$3950","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$65","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$66","v":50},{"$f":"'Sec. I Out-of-State ADJ'!$C$66","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$66","v":0},{"$f":"$J$3951-$H$3951","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$66","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$67","v":51},{"$f":"'Sec. I Out-of-State ADJ'!$C$67","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$67","v":0},{"$f":"$J$3952-$H$3952","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$67","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$68","v":52},{"$f":"'Sec. I Out-of-State ADJ'!$C$68","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$68","v":0},{"$f":"$J$3953-$H$3953","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$68","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$69","v":53},{"$f":"'Sec. I Out-of-State ADJ'!$C$69","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$69","v":0},{"$f":"$J$3954-$H$3954","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$69","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$70","v":54},{"$f":"'Sec. I Out-of-State ADJ'!$C$70","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$70","v":0},{"$f":"$J$3955-$H$3955","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$70","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$71","v":55},{"$f":"'Sec. I Out-of-State ADJ'!$C$71","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$71","v":0},{"$f":"$J$3956-$H$3956","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$71","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$72","v":56},{"$f":"'Sec. I Out-of-State ADJ'!$C$72","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$72","v":0},{"$f":"$J$3957-$H$3957","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$72","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$73","v":57},{"$f":"'Sec. I Out-of-State ADJ'!$C$73","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$73","v":0},{"$f":"$J$3958-$H$3958","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$73","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$74","v":58},{"$f":"'Sec. I Out-of-State ADJ'!$C$74","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$74","v":0},{"$f":"$J$3959-$H$3959","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$74","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$75","v":59},{"$f":"'Sec. I Out-of-State ADJ'!$C$75","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$75","v":0},{"$f":"$J$3960-$H$3960","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$75","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$76","v":60},{"$f":"'Sec. I Out-of-State ADJ'!$C$76","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$76","v":0},{"$f":"$J$3961-$H$3961","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$76","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$77","v":61},{"$f":"'Sec. I Out-of-State ADJ'!$C$77","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$77","v":0},{"$f":"$J$3962-$H$3962","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$77","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$78","v":62},{"$f":"'Sec. I Out-of-State ADJ'!$C$78","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$78","v":0},{"$f":"$J$3963-$H$3963","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$78","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$79","v":63},{"$f":"'Sec. I Out-of-State ADJ'!$C$79","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$79","v":0},{"$f":"$J$3964-$H$3964","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$79","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$80","v":64},{"$f":"'Sec. I Out-of-State ADJ'!$C$80","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$80","v":0},{"$f":"$J$3965-$H$3965","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$80","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$81","v":65},{"$f":"'Sec. I Out-of-State ADJ'!$C$81","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$81","v":0},{"$f":"$J$3966-$H$3966","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$81","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$82","v":66},{"$f":"'Sec. I Out-of-State ADJ'!$C$82","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$82","v":0},{"$f":"$J$3967-$H$3967","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$82","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$83","v":67},{"$f":"'Sec. I Out-of-State ADJ'!$C$83","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$83","v":0},{"$f":"$J$3968-$H$3968","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$83","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$84","v":68},{"$f":"'Sec. I Out-of-State ADJ'!$C$84","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$84","v":0},{"$f":"$J$3969-$H$3969","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$84","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$85","v":69},{"$f":"'Sec. I Out-of-State ADJ'!$C$85","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$85","v":0},{"$f":"$J$3970-$H$3970","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$85","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$86","v":70},{"$f":"'Sec. I Out-of-State ADJ'!$C$86","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$86","v":0},{"$f":"$J$3971-$H$3971","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$86","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$87","v":71},{"$f":"'Sec. I Out-of-State ADJ'!$C$87","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$87","v":0},{"$f":"$J$3972-$H$3972","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$87","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$88","v":72},{"$f":"'Sec. I Out-of-State ADJ'!$C$88","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$88","v":0},{"$f":"$J$3973-$H$3973","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$88","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$89","v":73},{"$f":"'Sec. I Out-of-State ADJ'!$C$89","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$89","v":0},{"$f":"$J$3974-$H$3974","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$89","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$90","v":74},{"$f":"'Sec. I Out-of-State ADJ'!$C$90","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$90","v":0},{"$f":"$J$3975-$H$3975","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$90","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$91","v":75},{"$f":"'Sec. I Out-of-State ADJ'!$C$91","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$91","v":0},{"$f":"$J$3976-$H$3976","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$91","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$92","v":76},{"$f":"'Sec. I Out-of-State ADJ'!$C$92","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$92","v":0},{"$f":"$J$3977-$H$3977","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$92","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$93","v":77},{"$f":"'Sec. I Out-of-State ADJ'!$C$93","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$93","v":0},{"$f":"$J$3978-$H$3978","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$93","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$94","v":78},{"$f":"'Sec. I Out-of-State ADJ'!$C$94","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$94","v":0},{"$f":"$J$3979-$H$3979","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$94","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$95","v":79},{"$f":"'Sec. I Out-of-State ADJ'!$C$95","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$95","v":0},{"$f":"$J$3980-$H$3980","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$95","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$96","v":80},{"$f":"'Sec. I Out-of-State ADJ'!$C$96","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$96","v":0},{"$f":"$J$3981-$H$3981","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$96","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$97","v":81},{"$f":"'Sec. I Out-of-State ADJ'!$C$97","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$97","v":0},{"$f":"$J$3982-$H$3982","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$97","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$98","v":82},{"$f":"'Sec. I Out-of-State ADJ'!$C$98","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$98","v":0},{"$f":"$J$3983-$H$3983","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$98","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$99","v":83},{"$f":"'Sec. I Out-of-State ADJ'!$C$99","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$99","v":0},{"$f":"$J$3984-$H$3984","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$99","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$100","v":84},{"$f":"'Sec. I Out-of-State ADJ'!$C$100","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$100","v":0},{"$f":"$J$3985-$H$3985","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$100","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$101","v":85},{"$f":"'Sec. I Out-of-State ADJ'!$C$101","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$101","v":0},{"$f":"$J$3986-$H$3986","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$101","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$102","v":86},{"$f":"'Sec. I Out-of-State ADJ'!$C$102","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$102","v":0},{"$f":"$J$3987-$H$3987","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$102","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$103","v":87},{"$f":"'Sec. I Out-of-State ADJ'!$C$103","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$103","v":0},{"$f":"$J$3988-$H$3988","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$103","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$104","v":88},{"$f":"'Sec. I Out-of-State ADJ'!$C$104","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$104","v":0},{"$f":"$J$3989-$H$3989","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$104","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$105","v":89},{"$f":"'Sec. I Out-of-State ADJ'!$C$105","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$105","v":0},{"$f":"$J$3990-$H$3990","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$105","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$106","v":90},{"$f":"'Sec. I Out-of-State ADJ'!$C$106","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$106","v":0},{"$f":"$J$3991-$H$3991","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$106","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$107","v":91},{"$f":"'Sec. I Out-of-State ADJ'!$C$107","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$107","v":0},{"$f":"$J$3992-$H$3992","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$107","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$108","v":92},{"$f":"'Sec. I Out-of-State ADJ'!$C$108","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$108","v":0},{"$f":"$J$3993-$H$3993","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$108","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$109","v":93},{"$f":"'Sec. I Out-of-State ADJ'!$C$109","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$109","v":0},{"$f":"$J$3994-$H$3994","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$109","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$110","v":94},{"$f":"'Sec. I Out-of-State ADJ'!$C$110","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$110","v":0},{"$f":"$J$3995-$H$3995","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$110","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$111","v":95},{"$f":"'Sec. I Out-of-State ADJ'!$C$111","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$111","v":0},{"$f":"$J$3996-$H$3996","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$111","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$112","v":96},{"$f":"'Sec. I Out-of-State ADJ'!$C$112","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$112","v":0},{"$f":"$J$3997-$H$3997","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$112","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$113","v":97},{"$f":"'Sec. I Out-of-State ADJ'!$C$113","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$113","v":0},{"$f":"$J$3998-$H$3998","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$113","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$114","v":98},{"$f":"'Sec. I Out-of-State ADJ'!$C$114","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$114","v":0},{"$f":"$J$3999-$H$3999","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$114","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$115","v":99},{"$f":"'Sec. I Out-of-State ADJ'!$C$115","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$115","v":0},{"$f":"$J$4000-$H$4000","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$115","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$116","v":100},{"$f":"'Sec. I Out-of-State ADJ'!$C$116","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$116","v":0},{"$f":"$J$4001-$H$4001","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$116","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$117","v":101},{"$f":"'Sec. I Out-of-State ADJ'!$C$117","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$117","v":0},{"$f":"$J$4002-$H$4002","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$117","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$118","v":102},{"$f":"'Sec. I Out-of-State ADJ'!$C$118","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$118","v":0},{"$f":"$J$4003-$H$4003","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$118","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$119","v":103},{"$f":"'Sec. I Out-of-State ADJ'!$C$119","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$119","v":0},{"$f":"$J$4004-$H$4004","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$119","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$120","v":104},{"$f":"'Sec. I Out-of-State ADJ'!$C$120","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$120","v":0},{"$f":"$J$4005-$H$4005","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$120","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$121","v":105},{"$f":"'Sec. I Out-of-State ADJ'!$C$121","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$121","v":0},{"$f":"$J$4006-$H$4006","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$121","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$122","v":106},{"$f":"'Sec. I Out-of-State ADJ'!$C$122","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$122","v":0},{"$f":"$J$4007-$H$4007","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$122","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$123","v":107},{"$f":"'Sec. I Out-of-State ADJ'!$C$123","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$123","v":0},{"$f":"$J$4008-$H$4008","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$123","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$124","v":108},{"$f":"'Sec. I Out-of-State ADJ'!$C$124","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$124","v":0},{"$f":"$J$4009-$H$4009","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$124","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$125","v":109},{"$f":"'Sec. I Out-of-State ADJ'!$C$125","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$125","v":0},{"$f":"$J$4010-$H$4010","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$125","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$126","v":110},{"$f":"'Sec. I Out-of-State ADJ'!$C$126","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$126","v":0},{"$f":"$J$4011-$H$4011","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$126","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$127","v":111},{"$f":"'Sec. I Out-of-State ADJ'!$C$127","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$127","v":0},{"$f":"$J$4012-$H$4012","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$127","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$128","v":112},{"$f":"'Sec. I Out-of-State ADJ'!$C$128","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$128","v":0},{"$f":"$J$4013-$H$4013","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$128","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$129","v":113},{"$f":"'Sec. I Out-of-State ADJ'!$C$129","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$129","v":0},{"$f":"$J$4014-$H$4014","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$129","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$130","v":114},{"$f":"'Sec. I Out-of-State ADJ'!$C$130","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$130","v":0},{"$f":"$J$4015-$H$4015","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$130","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$131","v":115},{"$f":"'Sec. I Out-of-State ADJ'!$C$131","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$131","v":0},{"$f":"$J$4016-$H$4016","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$131","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$132","v":116},{"$f":"'Sec. I Out-of-State ADJ'!$C$132","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$132","v":0},{"$f":"$J$4017-$H$4017","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$132","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$133","v":117},{"$f":"'Sec. I Out-of-State ADJ'!$C$133","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$133","v":0},{"$f":"$J$4018-$H$4018","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$133","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$134","v":118},{"$f":"'Sec. I Out-of-State ADJ'!$C$134","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$134","v":0},{"$f":"$J$4019-$H$4019","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$134","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$135","v":119},{"$f":"'Sec. I Out-of-State ADJ'!$C$135","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$135","v":0},{"$f":"$J$4020-$H$4020","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$135","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$136","v":120},{"$f":"'Sec. I Out-of-State ADJ'!$C$136","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$136","v":0},{"$f":"$J$4021-$H$4021","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$136","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$137","v":121},{"$f":"'Sec. I Out-of-State ADJ'!$C$137","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$137","v":0},{"$f":"$J$4022-$H$4022","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$137","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$138","v":122},{"$f":"'Sec. I Out-of-State ADJ'!$C$138","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$138","v":0},{"$f":"$J$4023-$H$4023","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$138","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$139","v":123},{"$f":"'Sec. I Out-of-State ADJ'!$C$139","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$139","v":0},{"$f":"$J$4024-$H$4024","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$139","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$140","v":124},{"$f":"'Sec. I Out-of-State ADJ'!$C$140","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$140","v":0},{"$f":"$J$4025-$H$4025","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$140","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$141","v":125},{"$f":"'Sec. I Out-of-State ADJ'!$C$141","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$141","v":0},{"$f":"$J$4026-$H$4026","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$141","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$142","v":126},{"$f":"'Sec. I Out-of-State ADJ'!$C$142","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$142","v":0},{"$f":"$J$4027-$H$4027","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$142","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$143","v":127},{"$f":"'Sec. I Out-of-State ADJ'!$C$143","v":""},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$143","v":0},{"$f":"$J$4028-$H$4028","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$143","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. H In-State ADJ'!$A$151","v":131.01},{"$f":"'Sec. H In-State ADJ'!$B$151","v":"Sampling Cost Adjustment (if applicable)"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to sample extrapolation.",0,{"$f":"$J$4029-$H$4029","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$151","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$154","v":132},{"$f":"'Sec. I Out-of-State ADJ'!$B$154","v":"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$154","v":0},{"$f":"$J$4030-$H$4030","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$154","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$155","v":133},{"$f":"'Sec. I Out-of-State ADJ'!$B$155","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$155","v":0},{"$f":"$J$4031-$H$4031","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$155","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$156","v":134},{"$f":"'Sec. I Out-of-State ADJ'!$B$156","v":"Private Insurance (including primary and third party liability)"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$156","v":0},{"$f":"$J$4032-$H$4032","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$156","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$157","v":135},{"$f":"'Sec. I Out-of-State ADJ'!$B$157","v":"Self-Pay (including Co-Pay and Spend-Down)"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$157","v":0},{"$f":"$J$4033-$H$4033","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$157","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$160","v":138},{"$f":"'Sec. I Out-of-State ADJ'!$B$160","v":"Other Medicaid Payments Reported on Cost Report Year (See Note C)"},"7.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$L$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Inpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$L$160","v":0},{"$f":"$J$4034-$H$4034","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$L$160","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$38","v":22},{"$f":"'Sec. I Out-of-State ADJ'!$C$38","v":"Observation (Non-Distinct)"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$38","v":0},{"$f":"$J$4035-$H$4035","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$38","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$39","v":23},{"$f":"'Sec. I Out-of-State ADJ'!$C$39","v":"OPERATING ROOM"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$39","v":0},{"$f":"$J$4036-$H$4036","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$39","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$40","v":24},{"$f":"'Sec. I Out-of-State ADJ'!$C$40","v":"RECOVERY ROOM"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$40","v":0},{"$f":"$J$4037-$H$4037","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$40","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$41","v":25},{"$f":"'Sec. I Out-of-State ADJ'!$C$41","v":"DELIVERY ROOM & LABOR ROOM"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$41","v":0},{"$f":"$J$4038-$H$4038","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$41","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$42","v":26},{"$f":"'Sec. I Out-of-State ADJ'!$C$42","v":"ANESTHESIOLOGY"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$42","v":0},{"$f":"$J$4039-$H$4039","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$42","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$43","v":27},{"$f":"'Sec. I Out-of-State ADJ'!$C$43","v":"RADIOLOGY-DIAGNOSTIC"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$43","v":0},{"$f":"$J$4040-$H$4040","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$43","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$44","v":28},{"$f":"'Sec. I Out-of-State ADJ'!$C$44","v":"RADIOLOGY-THERAPEUTIC"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$44","v":0},{"$f":"$J$4041-$H$4041","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$44","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$45","v":29},{"$f":"'Sec. I Out-of-State ADJ'!$C$45","v":"NUCLEAR MEDICINE"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$45","v":0},{"$f":"$J$4042-$H$4042","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$45","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$46","v":30},{"$f":"'Sec. I Out-of-State ADJ'!$C$46","v":"CT SCAN"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$46","v":0},{"$f":"$J$4043-$H$4043","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$46","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$47","v":31},{"$f":"'Sec. I Out-of-State ADJ'!$C$47","v":"MRI"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$47","v":0},{"$f":"$J$4044-$H$4044","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$47","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$48","v":32},{"$f":"'Sec. I Out-of-State ADJ'!$C$48","v":"CARDIAC CATHETERIZATION"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$48","v":0},{"$f":"$J$4045-$H$4045","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$48","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$49","v":33},{"$f":"'Sec. I Out-of-State ADJ'!$C$49","v":"LABORATORY"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$49","v":0},{"$f":"$J$4046-$H$4046","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$49","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$50","v":34},{"$f":"'Sec. I Out-of-State ADJ'!$C$50","v":"RESPIRATORY THERAPY"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$50","v":0},{"$f":"$J$4047-$H$4047","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$50","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$51","v":35},{"$f":"'Sec. I Out-of-State ADJ'!$C$51","v":"PHYSICAL THERAPY"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$51","v":0},{"$f":"$J$4048-$H$4048","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$51","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$52","v":36},{"$f":"'Sec. I Out-of-State ADJ'!$C$52","v":"SPEECH PATHOLOGY"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$52","v":0},{"$f":"$J$4049-$H$4049","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$52","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$53","v":37},{"$f":"'Sec. I Out-of-State ADJ'!$C$53","v":"ELECTROCARDIOLOGY"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$53","v":0},{"$f":"$J$4050-$H$4050","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$53","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$54","v":38},{"$f":"'Sec. I Out-of-State ADJ'!$C$54","v":"ELECTROENCEPHALOGRAPHY"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$54","v":0},{"$f":"$J$4051-$H$4051","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$54","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$55","v":39},{"$f":"'Sec. I Out-of-State ADJ'!$C$55","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$55","v":0},{"$f":"$J$4052-$H$4052","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$55","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$56","v":40},{"$f":"'Sec. I Out-of-State ADJ'!$C$56","v":"IMPL. DEV. CHARGED TO PATIENTS"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$56","v":0},{"$f":"$J$4053-$H$4053","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$56","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$57","v":41},{"$f":"'Sec. I Out-of-State ADJ'!$C$57","v":"DRUGS CHARGED TO PATIENTS"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$57","v":0},{"$f":"$J$4054-$H$4054","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$57","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$58","v":42},{"$f":"'Sec. I Out-of-State ADJ'!$C$58","v":"RENAL DIALYSIS"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$58","v":0},{"$f":"$J$4055-$H$4055","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$58","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$59","v":43},{"$f":"'Sec. I Out-of-State ADJ'!$C$59","v":"CARDIOVASCULAR MEDICINE"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$59","v":0},{"$f":"$J$4056-$H$4056","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$59","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$60","v":44},{"$f":"'Sec. I Out-of-State ADJ'!$C$60","v":"CLINIC"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$60","v":0},{"$f":"$J$4057-$H$4057","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$60","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$61","v":45},{"$f":"'Sec. I Out-of-State ADJ'!$C$61","v":"NUTRITION"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$61","v":0},{"$f":"$J$4058-$H$4058","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$61","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$62","v":46},{"$f":"'Sec. I Out-of-State ADJ'!$C$62","v":"WOUND CARE CENTER"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$62","v":0},{"$f":"$J$4059-$H$4059","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$62","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$63","v":47},{"$f":"'Sec. I Out-of-State ADJ'!$C$63","v":"EMERGENCY"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$63","v":0},{"$f":"$J$4060-$H$4060","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$63","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$64","v":48},{"$f":"'Sec. I Out-of-State ADJ'!$C$64","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$64","v":0},{"$f":"$J$4061-$H$4061","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$64","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$65","v":49},{"$f":"'Sec. I Out-of-State ADJ'!$C$65","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$65","v":0},{"$f":"$J$4062-$H$4062","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$65","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$66","v":50},{"$f":"'Sec. I Out-of-State ADJ'!$C$66","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$66","v":0},{"$f":"$J$4063-$H$4063","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$66","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$67","v":51},{"$f":"'Sec. I Out-of-State ADJ'!$C$67","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$67","v":0},{"$f":"$J$4064-$H$4064","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$67","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$68","v":52},{"$f":"'Sec. I Out-of-State ADJ'!$C$68","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$68","v":0},{"$f":"$J$4065-$H$4065","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$68","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$69","v":53},{"$f":"'Sec. I Out-of-State ADJ'!$C$69","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$69","v":0},{"$f":"$J$4066-$H$4066","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$69","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$70","v":54},{"$f":"'Sec. I Out-of-State ADJ'!$C$70","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$70","v":0},{"$f":"$J$4067-$H$4067","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$70","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$71","v":55},{"$f":"'Sec. I Out-of-State ADJ'!$C$71","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$71","v":0},{"$f":"$J$4068-$H$4068","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$71","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$72","v":56},{"$f":"'Sec. I Out-of-State ADJ'!$C$72","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$72","v":0},{"$f":"$J$4069-$H$4069","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$72","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$73","v":57},{"$f":"'Sec. I Out-of-State ADJ'!$C$73","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$73","v":0},{"$f":"$J$4070-$H$4070","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$73","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$74","v":58},{"$f":"'Sec. I Out-of-State ADJ'!$C$74","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$74","v":0},{"$f":"$J$4071-$H$4071","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$74","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$75","v":59},{"$f":"'Sec. I Out-of-State ADJ'!$C$75","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$75","v":0},{"$f":"$J$4072-$H$4072","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$75","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$76","v":60},{"$f":"'Sec. I Out-of-State ADJ'!$C$76","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$76","v":0},{"$f":"$J$4073-$H$4073","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$76","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$77","v":61},{"$f":"'Sec. I Out-of-State ADJ'!$C$77","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$77","v":0},{"$f":"$J$4074-$H$4074","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$77","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$78","v":62},{"$f":"'Sec. I Out-of-State ADJ'!$C$78","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$78","v":0},{"$f":"$J$4075-$H$4075","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$78","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$79","v":63},{"$f":"'Sec. I Out-of-State ADJ'!$C$79","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$79","v":0},{"$f":"$J$4076-$H$4076","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$79","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$80","v":64},{"$f":"'Sec. I Out-of-State ADJ'!$C$80","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$80","v":0},{"$f":"$J$4077-$H$4077","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$80","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$81","v":65},{"$f":"'Sec. I Out-of-State ADJ'!$C$81","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$81","v":0},{"$f":"$J$4078-$H$4078","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$81","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$82","v":66},{"$f":"'Sec. I Out-of-State ADJ'!$C$82","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$82","v":0},{"$f":"$J$4079-$H$4079","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$82","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$83","v":67},{"$f":"'Sec. I Out-of-State ADJ'!$C$83","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$83","v":0},{"$f":"$J$4080-$H$4080","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$83","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$84","v":68},{"$f":"'Sec. I Out-of-State ADJ'!$C$84","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$84","v":0},{"$f":"$J$4081-$H$4081","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$84","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$85","v":69},{"$f":"'Sec. I Out-of-State ADJ'!$C$85","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$85","v":0},{"$f":"$J$4082-$H$4082","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$85","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$86","v":70},{"$f":"'Sec. I Out-of-State ADJ'!$C$86","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$86","v":0},{"$f":"$J$4083-$H$4083","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$86","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$87","v":71},{"$f":"'Sec. I Out-of-State ADJ'!$C$87","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$87","v":0},{"$f":"$J$4084-$H$4084","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$87","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$88","v":72},{"$f":"'Sec. I Out-of-State ADJ'!$C$88","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$88","v":0},{"$f":"$J$4085-$H$4085","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$88","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$89","v":73},{"$f":"'Sec. I Out-of-State ADJ'!$C$89","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$89","v":0},{"$f":"$J$4086-$H$4086","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$89","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$90","v":74},{"$f":"'Sec. I Out-of-State ADJ'!$C$90","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$90","v":0},{"$f":"$J$4087-$H$4087","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$90","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$91","v":75},{"$f":"'Sec. I Out-of-State ADJ'!$C$91","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$91","v":0},{"$f":"$J$4088-$H$4088","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$91","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$92","v":76},{"$f":"'Sec. I Out-of-State ADJ'!$C$92","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$92","v":0},{"$f":"$J$4089-$H$4089","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$92","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$93","v":77},{"$f":"'Sec. I Out-of-State ADJ'!$C$93","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$93","v":0},{"$f":"$J$4090-$H$4090","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$93","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$94","v":78},{"$f":"'Sec. I Out-of-State ADJ'!$C$94","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$94","v":0},{"$f":"$J$4091-$H$4091","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$94","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$95","v":79},{"$f":"'Sec. I Out-of-State ADJ'!$C$95","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$95","v":0},{"$f":"$J$4092-$H$4092","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$95","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$96","v":80},{"$f":"'Sec. I Out-of-State ADJ'!$C$96","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$96","v":0},{"$f":"$J$4093-$H$4093","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$96","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$97","v":81},{"$f":"'Sec. I Out-of-State ADJ'!$C$97","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$97","v":0},{"$f":"$J$4094-$H$4094","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$97","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$98","v":82},{"$f":"'Sec. I Out-of-State ADJ'!$C$98","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$98","v":0},{"$f":"$J$4095-$H$4095","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$98","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$99","v":83},{"$f":"'Sec. I Out-of-State ADJ'!$C$99","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$99","v":0},{"$f":"$J$4096-$H$4096","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$99","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$100","v":84},{"$f":"'Sec. I Out-of-State ADJ'!$C$100","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$100","v":0},{"$f":"$J$4097-$H$4097","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$100","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$101","v":85},{"$f":"'Sec. I Out-of-State ADJ'!$C$101","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$101","v":0},{"$f":"$J$4098-$H$4098","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$101","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$102","v":86},{"$f":"'Sec. I Out-of-State ADJ'!$C$102","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$102","v":0},{"$f":"$J$4099-$H$4099","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$102","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$103","v":87},{"$f":"'Sec. I Out-of-State ADJ'!$C$103","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$103","v":0},{"$f":"$J$4100-$H$4100","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$103","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$104","v":88},{"$f":"'Sec. I Out-of-State ADJ'!$C$104","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$104","v":0},{"$f":"$J$4101-$H$4101","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$104","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$105","v":89},{"$f":"'Sec. I Out-of-State ADJ'!$C$105","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$105","v":0},{"$f":"$J$4102-$H$4102","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$105","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$106","v":90},{"$f":"'Sec. I Out-of-State ADJ'!$C$106","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$106","v":0},{"$f":"$J$4103-$H$4103","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$106","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$107","v":91},{"$f":"'Sec. I Out-of-State ADJ'!$C$107","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$107","v":0},{"$f":"$J$4104-$H$4104","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$107","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$108","v":92},{"$f":"'Sec. I Out-of-State ADJ'!$C$108","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$108","v":0},{"$f":"$J$4105-$H$4105","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$108","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$109","v":93},{"$f":"'Sec. I Out-of-State ADJ'!$C$109","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$109","v":0},{"$f":"$J$4106-$H$4106","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$109","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$110","v":94},{"$f":"'Sec. I Out-of-State ADJ'!$C$110","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$110","v":0},{"$f":"$J$4107-$H$4107","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$110","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$111","v":95},{"$f":"'Sec. I Out-of-State ADJ'!$C$111","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$111","v":0},{"$f":"$J$4108-$H$4108","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$111","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$112","v":96},{"$f":"'Sec. I Out-of-State ADJ'!$C$112","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$112","v":0},{"$f":"$J$4109-$H$4109","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$112","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$113","v":97},{"$f":"'Sec. I Out-of-State ADJ'!$C$113","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$113","v":0},{"$f":"$J$4110-$H$4110","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$113","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$114","v":98},{"$f":"'Sec. I Out-of-State ADJ'!$C$114","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$114","v":0},{"$f":"$J$4111-$H$4111","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$114","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$115","v":99},{"$f":"'Sec. I Out-of-State ADJ'!$C$115","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$115","v":0},{"$f":"$J$4112-$H$4112","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$115","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$116","v":100},{"$f":"'Sec. I Out-of-State ADJ'!$C$116","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$116","v":0},{"$f":"$J$4113-$H$4113","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$116","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$117","v":101},{"$f":"'Sec. I Out-of-State ADJ'!$C$117","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$117","v":0},{"$f":"$J$4114-$H$4114","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$117","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$118","v":102},{"$f":"'Sec. I Out-of-State ADJ'!$C$118","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$118","v":0},{"$f":"$J$4115-$H$4115","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$118","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$119","v":103},{"$f":"'Sec. I Out-of-State ADJ'!$C$119","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$119","v":0},{"$f":"$J$4116-$H$4116","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$119","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$120","v":104},{"$f":"'Sec. I Out-of-State ADJ'!$C$120","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$120","v":0},{"$f":"$J$4117-$H$4117","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$120","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$121","v":105},{"$f":"'Sec. I Out-of-State ADJ'!$C$121","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$121","v":0},{"$f":"$J$4118-$H$4118","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$121","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$122","v":106},{"$f":"'Sec. I Out-of-State ADJ'!$C$122","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$122","v":0},{"$f":"$J$4119-$H$4119","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$122","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$123","v":107},{"$f":"'Sec. I Out-of-State ADJ'!$C$123","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$123","v":0},{"$f":"$J$4120-$H$4120","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$123","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$124","v":108},{"$f":"'Sec. I Out-of-State ADJ'!$C$124","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$124","v":0},{"$f":"$J$4121-$H$4121","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$124","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$125","v":109},{"$f":"'Sec. I Out-of-State ADJ'!$C$125","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$125","v":0},{"$f":"$J$4122-$H$4122","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$125","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$126","v":110},{"$f":"'Sec. I Out-of-State ADJ'!$C$126","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$126","v":0},{"$f":"$J$4123-$H$4123","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$126","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$127","v":111},{"$f":"'Sec. I Out-of-State ADJ'!$C$127","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$127","v":0},{"$f":"$J$4124-$H$4124","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$127","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$128","v":112},{"$f":"'Sec. I Out-of-State ADJ'!$C$128","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$128","v":0},{"$f":"$J$4125-$H$4125","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$128","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$129","v":113},{"$f":"'Sec. I Out-of-State ADJ'!$C$129","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$129","v":0},{"$f":"$J$4126-$H$4126","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$129","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$130","v":114},{"$f":"'Sec. I Out-of-State ADJ'!$C$130","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$130","v":0},{"$f":"$J$4127-$H$4127","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$130","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$131","v":115},{"$f":"'Sec. I Out-of-State ADJ'!$C$131","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$131","v":0},{"$f":"$J$4128-$H$4128","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$131","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$132","v":116},{"$f":"'Sec. I Out-of-State ADJ'!$C$132","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$132","v":0},{"$f":"$J$4129-$H$4129","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$132","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$133","v":117},{"$f":"'Sec. I Out-of-State ADJ'!$C$133","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$133","v":0},{"$f":"$J$4130-$H$4130","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$133","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$134","v":118},{"$f":"'Sec. I Out-of-State ADJ'!$C$134","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$134","v":0},{"$f":"$J$4131-$H$4131","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$134","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$135","v":119},{"$f":"'Sec. I Out-of-State ADJ'!$C$135","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$135","v":0},{"$f":"$J$4132-$H$4132","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$135","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$136","v":120},{"$f":"'Sec. I Out-of-State ADJ'!$C$136","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$136","v":0},{"$f":"$J$4133-$H$4133","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$136","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$137","v":121},{"$f":"'Sec. I Out-of-State ADJ'!$C$137","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$137","v":0},{"$f":"$J$4134-$H$4134","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$137","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$138","v":122},{"$f":"'Sec. I Out-of-State ADJ'!$C$138","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$138","v":0},{"$f":"$J$4135-$H$4135","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$138","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$139","v":123},{"$f":"'Sec. I Out-of-State ADJ'!$C$139","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$139","v":0},{"$f":"$J$4136-$H$4136","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$139","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$140","v":124},{"$f":"'Sec. I Out-of-State ADJ'!$C$140","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$140","v":0},{"$f":"$J$4137-$H$4137","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$140","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$141","v":125},{"$f":"'Sec. I Out-of-State ADJ'!$C$141","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$141","v":0},{"$f":"$J$4138-$H$4138","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$141","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$142","v":126},{"$f":"'Sec. I Out-of-State ADJ'!$C$142","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$142","v":0},{"$f":"$J$4139-$H$4139","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$142","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$143","v":127},{"$f":"'Sec. I Out-of-State ADJ'!$C$143","v":""},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$143","v":0},{"$f":"$J$4140-$H$4140","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$143","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. H In-State ADJ'!$A$151","v":131.01},{"$f":"'Sec. H In-State ADJ'!$B$151","v":"Sampling Cost Adjustment (if applicable)"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to sample extrapolation.",0,{"$f":"$J$4141-$H$4141","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$151","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$154","v":132},{"$f":"'Sec. I Out-of-State ADJ'!$B$154","v":"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$154","v":0},{"$f":"$J$4142-$H$4142","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$154","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$155","v":133},{"$f":"'Sec. I Out-of-State ADJ'!$B$155","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$155","v":0},{"$f":"$J$4143-$H$4143","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$155","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$156","v":134},{"$f":"'Sec. I Out-of-State ADJ'!$B$156","v":"Private Insurance (including primary and third party liability)"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$156","v":0},{"$f":"$J$4144-$H$4144","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$156","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$157","v":135},{"$f":"'Sec. I Out-of-State ADJ'!$B$157","v":"Self-Pay (including Co-Pay and Spend-Down)"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$157","v":0},{"$f":"$J$4145-$H$4145","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$157","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$160","v":138},{"$f":"'Sec. I Out-of-State ADJ'!$B$160","v":"Other Medicaid Payments Reported on Cost Report Year (See Note C)"},"8.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$N$6,\" \",'Sec. I Out-of-State ADJ'!Heading_2_ADJ)","v":"Outpatient Out-of-State Medicaid Managed Care Primary"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$N$160","v":0},{"$f":"$J$4146-$H$4146","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$N$160","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$11","v":1},{"$f":"'Sec. I Out-of-State ADJ'!$C$11","v":"ADULTS & PEDIATRICS"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$11","v":54},{"$f":"$J$4147-$H$4147","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$11","v":54}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$12","v":2},{"$f":"'Sec. I Out-of-State ADJ'!$C$12","v":"INTENSIVE CARE UNIT"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$12","v":10},{"$f":"$J$4148-$H$4148","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$12","v":10}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$13","v":3},{"$f":"'Sec. I Out-of-State ADJ'!$C$13","v":"CORONARY CARE UNIT"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$13","v":0},{"$f":"$J$4149-$H$4149","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$13","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$14","v":4},{"$f":"'Sec. I Out-of-State ADJ'!$C$14","v":"BURN INTENSIVE CARE UNIT"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$14","v":0},{"$f":"$J$4150-$H$4150","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$14","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$15","v":5},{"$f":"'Sec. I Out-of-State ADJ'!$C$15","v":"SURGICAL INTENSIVE CARE UNIT"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$15","v":0},{"$f":"$J$4151-$H$4151","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$15","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$16","v":6},{"$f":"'Sec. I Out-of-State ADJ'!$C$16","v":"OTHER SPECIAL CARE UNIT"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$16","v":0},{"$f":"$J$4152-$H$4152","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$16","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$17","v":7},{"$f":"'Sec. I Out-of-State ADJ'!$C$17","v":"SUBPROVIDER I"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$17","v":0},{"$f":"$J$4153-$H$4153","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$17","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$18","v":8},{"$f":"'Sec. I Out-of-State ADJ'!$C$18","v":"SUBPROVIDER II"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$18","v":0},{"$f":"$J$4154-$H$4154","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$18","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$19","v":9},{"$f":"'Sec. I Out-of-State ADJ'!$C$19","v":"OTHER SUBPROVIDER"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$19","v":0},{"$f":"$J$4155-$H$4155","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$19","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$20","v":10},{"$f":"'Sec. I Out-of-State ADJ'!$C$20","v":"NURSERY"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$20","v":0},{"$f":"$J$4156-$H$4156","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$20","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$21","v":11},{"$f":"'Sec. I Out-of-State ADJ'!$C$21","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$21","v":0},{"$f":"$J$4157-$H$4157","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$21","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$22","v":12},{"$f":"'Sec. I Out-of-State ADJ'!$C$22","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$22","v":0},{"$f":"$J$4158-$H$4158","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$22","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$23","v":13},{"$f":"'Sec. I Out-of-State ADJ'!$C$23","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$23","v":0},{"$f":"$J$4159-$H$4159","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$23","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$24","v":14},{"$f":"'Sec. I Out-of-State ADJ'!$C$24","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$24","v":0},{"$f":"$J$4160-$H$4160","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$24","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$25","v":15},{"$f":"'Sec. I Out-of-State ADJ'!$C$25","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$25","v":0},{"$f":"$J$4161-$H$4161","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$25","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$26","v":16},{"$f":"'Sec. I Out-of-State ADJ'!$C$26","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$26","v":0},{"$f":"$J$4162-$H$4162","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$26","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$27","v":17},{"$f":"'Sec. I Out-of-State ADJ'!$C$27","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$27","v":0},{"$f":"$J$4163-$H$4163","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$27","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$34","v":21},{"$f":"'Sec. I Out-of-State ADJ'!$C$34","v":"Routine Charges"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$34","v":103005},{"$f":"$J$4164-$H$4164","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$34","v":103005}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$38","v":22},{"$f":"'Sec. I Out-of-State ADJ'!$C$38","v":"Observation (Non-Distinct)"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$38","v":6090.5},{"$f":"$J$4165-$H$4165","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$38","v":6090.5}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$39","v":23},{"$f":"'Sec. I Out-of-State ADJ'!$C$39","v":"OPERATING ROOM"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$39","v":17002.599999999999},{"$f":"$J$4166-$H$4166","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$39","v":17002.599999999999}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$40","v":24},{"$f":"'Sec. I Out-of-State ADJ'!$C$40","v":"RECOVERY ROOM"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$40","v":0},{"$f":"$J$4167-$H$4167","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$40","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$41","v":25},{"$f":"'Sec. I Out-of-State ADJ'!$C$41","v":"DELIVERY ROOM & LABOR ROOM"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$41","v":0},{"$f":"$J$4168-$H$4168","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$41","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$42","v":26},{"$f":"'Sec. I Out-of-State ADJ'!$C$42","v":"ANESTHESIOLOGY"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$42","v":0},{"$f":"$J$4169-$H$4169","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$42","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$43","v":27},{"$f":"'Sec. I Out-of-State ADJ'!$C$43","v":"RADIOLOGY-DIAGNOSTIC"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$43","v":11120.055485809999},{"$f":"$J$4170-$H$4170","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$43","v":11120.055485809999}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$44","v":28},{"$f":"'Sec. I Out-of-State ADJ'!$C$44","v":"RADIOLOGY-THERAPEUTIC"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$44","v":0},{"$f":"$J$4171-$H$4171","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$44","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$45","v":29},{"$f":"'Sec. I Out-of-State ADJ'!$C$45","v":"NUCLEAR MEDICINE"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$45","v":5830.5},{"$f":"$J$4172-$H$4172","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$45","v":5830.5}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$46","v":30},{"$f":"'Sec. I Out-of-State ADJ'!$C$46","v":"CT SCAN"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$46","v":18377},{"$f":"$J$4173-$H$4173","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$46","v":18377}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$47","v":31},{"$f":"'Sec. I Out-of-State ADJ'!$C$47","v":"MRI"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$47","v":2120},{"$f":"$J$4174-$H$4174","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$47","v":2120}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$48","v":32},{"$f":"'Sec. I Out-of-State ADJ'!$C$48","v":"CARDIAC CATHETERIZATION"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$48","v":21872.730110445998},{"$f":"$J$4175-$H$4175","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$48","v":21872.730110445998}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$49","v":33},{"$f":"'Sec. I Out-of-State ADJ'!$C$49","v":"LABORATORY"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$49","v":63206.950000000004},{"$f":"$J$4176-$H$4176","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$49","v":63206.950000000004}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$50","v":34},{"$f":"'Sec. I Out-of-State ADJ'!$C$50","v":"RESPIRATORY THERAPY"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$50","v":42053.935910938999},{"$f":"$J$4177-$H$4177","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$50","v":42053.935910938999}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$51","v":35},{"$f":"'Sec. I Out-of-State ADJ'!$C$51","v":"PHYSICAL THERAPY"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$51","v":4348.95},{"$f":"$J$4178-$H$4178","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$51","v":4348.95}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$52","v":36},{"$f":"'Sec. I Out-of-State ADJ'!$C$52","v":"SPEECH PATHOLOGY"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$52","v":0},{"$f":"$J$4179-$H$4179","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$52","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$53","v":37},{"$f":"'Sec. I Out-of-State ADJ'!$C$53","v":"ELECTROCARDIOLOGY"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$53","v":8383.5},{"$f":"$J$4180-$H$4180","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$53","v":8383.5}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$54","v":38},{"$f":"'Sec. I Out-of-State ADJ'!$C$54","v":"ELECTROENCEPHALOGRAPHY"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$54","v":0},{"$f":"$J$4181-$H$4181","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$54","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$55","v":39},{"$f":"'Sec. I Out-of-State ADJ'!$C$55","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$55","v":25927.9},{"$f":"$J$4182-$H$4182","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$55","v":25927.9}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$56","v":40},{"$f":"'Sec. I Out-of-State ADJ'!$C$56","v":"IMPL. DEV. CHARGED TO PATIENTS"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$56","v":2396.2999999999997},{"$f":"$J$4183-$H$4183","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$56","v":2396.2999999999997}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$57","v":41},{"$f":"'Sec. I Out-of-State ADJ'!$C$57","v":"DRUGS CHARGED TO PATIENTS"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$57","v":36076.899999999994},{"$f":"$J$4184-$H$4184","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$57","v":36076.899999999994}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$58","v":42},{"$f":"'Sec. I Out-of-State ADJ'!$C$58","v":"RENAL DIALYSIS"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$58","v":0},{"$f":"$J$4185-$H$4185","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$58","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$59","v":43},{"$f":"'Sec. I Out-of-State ADJ'!$C$59","v":"CARDIOVASCULAR MEDICINE"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$59","v":16140.978530484001},{"$f":"$J$4186-$H$4186","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$59","v":16140.978530484001}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$60","v":44},{"$f":"'Sec. I Out-of-State ADJ'!$C$60","v":"CLINIC"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$60","v":0},{"$f":"$J$4187-$H$4187","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$60","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$61","v":45},{"$f":"'Sec. I Out-of-State ADJ'!$C$61","v":"NUTRITION"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$61","v":0},{"$f":"$J$4188-$H$4188","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$61","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$62","v":46},{"$f":"'Sec. I Out-of-State ADJ'!$C$62","v":"WOUND CARE CENTER"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$62","v":318.14999999999998},{"$f":"$J$4189-$H$4189","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$62","v":318.14999999999998}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$63","v":47},{"$f":"'Sec. I Out-of-State ADJ'!$C$63","v":"EMERGENCY"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$63","v":25783.949999999997},{"$f":"$J$4190-$H$4190","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$63","v":25783.949999999997}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$64","v":48},{"$f":"'Sec. I Out-of-State ADJ'!$C$64","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$64","v":0},{"$f":"$J$4191-$H$4191","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$64","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$65","v":49},{"$f":"'Sec. I Out-of-State ADJ'!$C$65","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$65","v":0},{"$f":"$J$4192-$H$4192","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$65","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$66","v":50},{"$f":"'Sec. I Out-of-State ADJ'!$C$66","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$66","v":0},{"$f":"$J$4193-$H$4193","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$66","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$67","v":51},{"$f":"'Sec. I Out-of-State ADJ'!$C$67","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$67","v":0},{"$f":"$J$4194-$H$4194","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$67","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$68","v":52},{"$f":"'Sec. I Out-of-State ADJ'!$C$68","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$68","v":0},{"$f":"$J$4195-$H$4195","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$68","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$69","v":53},{"$f":"'Sec. I Out-of-State ADJ'!$C$69","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$69","v":0},{"$f":"$J$4196-$H$4196","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$69","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$70","v":54},{"$f":"'Sec. I Out-of-State ADJ'!$C$70","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$70","v":0},{"$f":"$J$4197-$H$4197","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$70","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$71","v":55},{"$f":"'Sec. I Out-of-State ADJ'!$C$71","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$71","v":0},{"$f":"$J$4198-$H$4198","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$71","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$72","v":56},{"$f":"'Sec. I Out-of-State ADJ'!$C$72","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$72","v":0},{"$f":"$J$4199-$H$4199","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$72","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$73","v":57},{"$f":"'Sec. I Out-of-State ADJ'!$C$73","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$73","v":0},{"$f":"$J$4200-$H$4200","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$73","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$74","v":58},{"$f":"'Sec. I Out-of-State ADJ'!$C$74","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$74","v":0},{"$f":"$J$4201-$H$4201","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$74","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$75","v":59},{"$f":"'Sec. I Out-of-State ADJ'!$C$75","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$75","v":0},{"$f":"$J$4202-$H$4202","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$75","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$76","v":60},{"$f":"'Sec. I Out-of-State ADJ'!$C$76","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$76","v":0},{"$f":"$J$4203-$H$4203","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$76","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$77","v":61},{"$f":"'Sec. I Out-of-State ADJ'!$C$77","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$77","v":0},{"$f":"$J$4204-$H$4204","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$77","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$78","v":62},{"$f":"'Sec. I Out-of-State ADJ'!$C$78","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$78","v":0},{"$f":"$J$4205-$H$4205","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$78","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$79","v":63},{"$f":"'Sec. I Out-of-State ADJ'!$C$79","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$79","v":0},{"$f":"$J$4206-$H$4206","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$79","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$80","v":64},{"$f":"'Sec. I Out-of-State ADJ'!$C$80","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$80","v":0},{"$f":"$J$4207-$H$4207","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$80","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$81","v":65},{"$f":"'Sec. I Out-of-State ADJ'!$C$81","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$81","v":0},{"$f":"$J$4208-$H$4208","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$81","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$82","v":66},{"$f":"'Sec. I Out-of-State ADJ'!$C$82","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$82","v":0},{"$f":"$J$4209-$H$4209","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$82","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$83","v":67},{"$f":"'Sec. I Out-of-State ADJ'!$C$83","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$83","v":0},{"$f":"$J$4210-$H$4210","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$83","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$84","v":68},{"$f":"'Sec. I Out-of-State ADJ'!$C$84","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$84","v":0},{"$f":"$J$4211-$H$4211","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$84","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$85","v":69},{"$f":"'Sec. I Out-of-State ADJ'!$C$85","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$85","v":0},{"$f":"$J$4212-$H$4212","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$85","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$86","v":70},{"$f":"'Sec. I Out-of-State ADJ'!$C$86","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$86","v":0},{"$f":"$J$4213-$H$4213","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$86","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$87","v":71},{"$f":"'Sec. I Out-of-State ADJ'!$C$87","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$87","v":0},{"$f":"$J$4214-$H$4214","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$87","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$88","v":72},{"$f":"'Sec. I Out-of-State ADJ'!$C$88","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$88","v":0},{"$f":"$J$4215-$H$4215","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$88","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$89","v":73},{"$f":"'Sec. I Out-of-State ADJ'!$C$89","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$89","v":0},{"$f":"$J$4216-$H$4216","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$89","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$90","v":74},{"$f":"'Sec. I Out-of-State ADJ'!$C$90","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$90","v":0},{"$f":"$J$4217-$H$4217","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$90","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$91","v":75},{"$f":"'Sec. I Out-of-State ADJ'!$C$91","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$91","v":0},{"$f":"$J$4218-$H$4218","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$91","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$92","v":76},{"$f":"'Sec. I Out-of-State ADJ'!$C$92","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$92","v":0},{"$f":"$J$4219-$H$4219","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$92","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$93","v":77},{"$f":"'Sec. I Out-of-State ADJ'!$C$93","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$93","v":0},{"$f":"$J$4220-$H$4220","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$93","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$94","v":78},{"$f":"'Sec. I Out-of-State ADJ'!$C$94","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$94","v":0},{"$f":"$J$4221-$H$4221","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$94","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$95","v":79},{"$f":"'Sec. I Out-of-State ADJ'!$C$95","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$95","v":0},{"$f":"$J$4222-$H$4222","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$95","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$96","v":80},{"$f":"'Sec. I Out-of-State ADJ'!$C$96","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$96","v":0},{"$f":"$J$4223-$H$4223","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$96","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$97","v":81},{"$f":"'Sec. I Out-of-State ADJ'!$C$97","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$97","v":0},{"$f":"$J$4224-$H$4224","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$97","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$98","v":82},{"$f":"'Sec. I Out-of-State ADJ'!$C$98","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$98","v":0},{"$f":"$J$4225-$H$4225","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$98","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$99","v":83},{"$f":"'Sec. I Out-of-State ADJ'!$C$99","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$99","v":0},{"$f":"$J$4226-$H$4226","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$99","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$100","v":84},{"$f":"'Sec. I Out-of-State ADJ'!$C$100","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$100","v":0},{"$f":"$J$4227-$H$4227","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$100","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$101","v":85},{"$f":"'Sec. I Out-of-State ADJ'!$C$101","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$101","v":0},{"$f":"$J$4228-$H$4228","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$101","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$102","v":86},{"$f":"'Sec. I Out-of-State ADJ'!$C$102","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$102","v":0},{"$f":"$J$4229-$H$4229","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$102","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$103","v":87},{"$f":"'Sec. I Out-of-State ADJ'!$C$103","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$103","v":0},{"$f":"$J$4230-$H$4230","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$103","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$104","v":88},{"$f":"'Sec. I Out-of-State ADJ'!$C$104","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$104","v":0},{"$f":"$J$4231-$H$4231","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$104","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$105","v":89},{"$f":"'Sec. I Out-of-State ADJ'!$C$105","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$105","v":0},{"$f":"$J$4232-$H$4232","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$105","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$106","v":90},{"$f":"'Sec. I Out-of-State ADJ'!$C$106","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$106","v":0},{"$f":"$J$4233-$H$4233","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$106","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$107","v":91},{"$f":"'Sec. I Out-of-State ADJ'!$C$107","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$107","v":0},{"$f":"$J$4234-$H$4234","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$107","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$108","v":92},{"$f":"'Sec. I Out-of-State ADJ'!$C$108","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$108","v":0},{"$f":"$J$4235-$H$4235","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$108","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$109","v":93},{"$f":"'Sec. I Out-of-State ADJ'!$C$109","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$109","v":0},{"$f":"$J$4236-$H$4236","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$109","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$110","v":94},{"$f":"'Sec. I Out-of-State ADJ'!$C$110","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$110","v":0},{"$f":"$J$4237-$H$4237","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$110","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$111","v":95},{"$f":"'Sec. I Out-of-State ADJ'!$C$111","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$111","v":0},{"$f":"$J$4238-$H$4238","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$111","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$112","v":96},{"$f":"'Sec. I Out-of-State ADJ'!$C$112","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$112","v":0},{"$f":"$J$4239-$H$4239","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$112","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$113","v":97},{"$f":"'Sec. I Out-of-State ADJ'!$C$113","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$113","v":0},{"$f":"$J$4240-$H$4240","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$113","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$114","v":98},{"$f":"'Sec. I Out-of-State ADJ'!$C$114","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$114","v":0},{"$f":"$J$4241-$H$4241","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$114","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$115","v":99},{"$f":"'Sec. I Out-of-State ADJ'!$C$115","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$115","v":0},{"$f":"$J$4242-$H$4242","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$115","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$116","v":100},{"$f":"'Sec. I Out-of-State ADJ'!$C$116","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$116","v":0},{"$f":"$J$4243-$H$4243","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$116","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$117","v":101},{"$f":"'Sec. I Out-of-State ADJ'!$C$117","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$117","v":0},{"$f":"$J$4244-$H$4244","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$117","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$118","v":102},{"$f":"'Sec. I Out-of-State ADJ'!$C$118","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$118","v":0},{"$f":"$J$4245-$H$4245","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$118","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$119","v":103},{"$f":"'Sec. I Out-of-State ADJ'!$C$119","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$119","v":0},{"$f":"$J$4246-$H$4246","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$119","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$120","v":104},{"$f":"'Sec. I Out-of-State ADJ'!$C$120","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$120","v":0},{"$f":"$J$4247-$H$4247","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$120","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$121","v":105},{"$f":"'Sec. I Out-of-State ADJ'!$C$121","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$121","v":0},{"$f":"$J$4248-$H$4248","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$121","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$122","v":106},{"$f":"'Sec. I Out-of-State ADJ'!$C$122","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$122","v":0},{"$f":"$J$4249-$H$4249","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$122","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$123","v":107},{"$f":"'Sec. I Out-of-State ADJ'!$C$123","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$123","v":0},{"$f":"$J$4250-$H$4250","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$123","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$124","v":108},{"$f":"'Sec. I Out-of-State ADJ'!$C$124","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$124","v":0},{"$f":"$J$4251-$H$4251","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$124","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$125","v":109},{"$f":"'Sec. I Out-of-State ADJ'!$C$125","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$125","v":0},{"$f":"$J$4252-$H$4252","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$125","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$126","v":110},{"$f":"'Sec. I Out-of-State ADJ'!$C$126","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$126","v":0},{"$f":"$J$4253-$H$4253","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$126","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$127","v":111},{"$f":"'Sec. I Out-of-State ADJ'!$C$127","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$127","v":0},{"$f":"$J$4254-$H$4254","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$127","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$128","v":112},{"$f":"'Sec. I Out-of-State ADJ'!$C$128","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$128","v":0},{"$f":"$J$4255-$H$4255","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$128","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$129","v":113},{"$f":"'Sec. I Out-of-State ADJ'!$C$129","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$129","v":0},{"$f":"$J$4256-$H$4256","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$129","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$130","v":114},{"$f":"'Sec. I Out-of-State ADJ'!$C$130","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$130","v":0},{"$f":"$J$4257-$H$4257","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$130","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$131","v":115},{"$f":"'Sec. I Out-of-State ADJ'!$C$131","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$131","v":0},{"$f":"$J$4258-$H$4258","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$131","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$132","v":116},{"$f":"'Sec. I Out-of-State ADJ'!$C$132","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$132","v":0},{"$f":"$J$4259-$H$4259","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$132","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$133","v":117},{"$f":"'Sec. I Out-of-State ADJ'!$C$133","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$133","v":0},{"$f":"$J$4260-$H$4260","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$133","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$134","v":118},{"$f":"'Sec. I Out-of-State ADJ'!$C$134","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$134","v":0},{"$f":"$J$4261-$H$4261","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$134","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$135","v":119},{"$f":"'Sec. I Out-of-State ADJ'!$C$135","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$135","v":0},{"$f":"$J$4262-$H$4262","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$135","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$136","v":120},{"$f":"'Sec. I Out-of-State ADJ'!$C$136","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$136","v":0},{"$f":"$J$4263-$H$4263","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$136","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$137","v":121},{"$f":"'Sec. I Out-of-State ADJ'!$C$137","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$137","v":0},{"$f":"$J$4264-$H$4264","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$137","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$138","v":122},{"$f":"'Sec. I Out-of-State ADJ'!$C$138","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$138","v":0},{"$f":"$J$4265-$H$4265","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$138","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$139","v":123},{"$f":"'Sec. I Out-of-State ADJ'!$C$139","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$139","v":0},{"$f":"$J$4266-$H$4266","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$139","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$140","v":124},{"$f":"'Sec. I Out-of-State ADJ'!$C$140","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$140","v":0},{"$f":"$J$4267-$H$4267","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$140","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$141","v":125},{"$f":"'Sec. I Out-of-State ADJ'!$C$141","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$141","v":0},{"$f":"$J$4268-$H$4268","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$141","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$142","v":126},{"$f":"'Sec. I Out-of-State ADJ'!$C$142","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$142","v":0},{"$f":"$J$4269-$H$4269","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$142","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$143","v":127},{"$f":"'Sec. I Out-of-State ADJ'!$C$143","v":""},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$143","v":0},{"$f":"$J$4270-$H$4270","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$143","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. H In-State ADJ'!$A$151","v":131.01},{"$f":"'Sec. H In-State ADJ'!$B$151","v":"Sampling Cost Adjustment (if applicable)"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to sample extrapolation.",0,{"$f":"$J$4271-$H$4271","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$151","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$154","v":132},{"$f":"'Sec. I Out-of-State ADJ'!$B$154","v":"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$154","v":0},{"$f":"$J$4272-$H$4272","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$154","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$155","v":133},{"$f":"'Sec. I Out-of-State ADJ'!$B$155","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$155","v":0},{"$f":"$J$4273-$H$4273","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$155","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$156","v":134},{"$f":"'Sec. I Out-of-State ADJ'!$B$156","v":"Private Insurance (including primary and third party liability)"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$156","v":0},{"$f":"$J$4274-$H$4274","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$156","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$157","v":135},{"$f":"'Sec. I Out-of-State ADJ'!$B$157","v":"Self-Pay (including Co-Pay and Spend-Down)"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$157","v":0},{"$f":"$J$4275-$H$4275","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$157","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$161","v":139},{"$f":"'Sec. I Out-of-State ADJ'!$B$161","v":"Medicare Traditional (non-HMO) Paid Amount (excludes coinsurance/deductibles)"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$161","v":105189},{"$f":"$J$4276-$H$4276","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$161","v":105189}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$162","v":140},{"$f":"'Sec. I Out-of-State ADJ'!$B$162","v":"Medicare Managed Care (HMO) Paid Amount (excludes coinsurance/deductibles)"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$162","v":0},{"$f":"$J$4277-$H$4277","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$162","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$163","v":141},{"$f":"'Sec. I Out-of-State ADJ'!$B$163","v":"Medicare Cross-Over Bad Debt Payments"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$P$163","v":0},{"$f":"$J$4278-$H$4278","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$163","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$164","v":142},{"$f":"'Sec. I Out-of-State ADJ'!$B$164","v":"Other Medicare Cross-Over Payments (See Note D)"},"9.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$P$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Inpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to include Medicare cost report settlements applicable to cross-overs.",{"$f":"'Sec. I Out-of-State'!$P$164","v":0},{"$f":"$J$4279-$H$4279","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$P$164","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$38","v":22},{"$f":"'Sec. I Out-of-State ADJ'!$C$38","v":"Observation (Non-Distinct)"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$38","v":34001.199999999997},{"$f":"$J$4280-$H$4280","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$38","v":34001.199999999997}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$39","v":23},{"$f":"'Sec. I Out-of-State ADJ'!$C$39","v":"OPERATING ROOM"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$39","v":122722.6},{"$f":"$J$4281-$H$4281","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$39","v":122722.6}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$40","v":24},{"$f":"'Sec. I Out-of-State ADJ'!$C$40","v":"RECOVERY ROOM"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$40","v":13189.549999999997},{"$f":"$J$4282-$H$4282","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$40","v":13189.549999999997}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$41","v":25},{"$f":"'Sec. I Out-of-State ADJ'!$C$41","v":"DELIVERY ROOM & LABOR ROOM"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$41","v":0},{"$f":"$J$4283-$H$4283","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$41","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$42","v":26},{"$f":"'Sec. I Out-of-State ADJ'!$C$42","v":"ANESTHESIOLOGY"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$42","v":32084.300000000003},{"$f":"$J$4284-$H$4284","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$42","v":32084.300000000003}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$43","v":27},{"$f":"'Sec. I Out-of-State ADJ'!$C$43","v":"RADIOLOGY-DIAGNOSTIC"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$43","v":88106.825686377575},{"$f":"$J$4285-$H$4285","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$43","v":88106.825686377575}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$44","v":28},{"$f":"'Sec. I Out-of-State ADJ'!$C$44","v":"RADIOLOGY-THERAPEUTIC"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$44","v":71616.849999999991},{"$f":"$J$4286-$H$4286","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$44","v":71616.849999999991}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$45","v":29},{"$f":"'Sec. I Out-of-State ADJ'!$C$45","v":"NUCLEAR MEDICINE"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$45","v":26178.7},{"$f":"$J$4287-$H$4287","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$45","v":26178.7}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$46","v":30},{"$f":"'Sec. I Out-of-State ADJ'!$C$46","v":"CT SCAN"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$46","v":75581.399999999994},{"$f":"$J$4288-$H$4288","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$46","v":75581.399999999994}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$47","v":31},{"$f":"'Sec. I Out-of-State ADJ'!$C$47","v":"MRI"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$47","v":10980},{"$f":"$J$4289-$H$4289","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$47","v":10980}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$48","v":32},{"$f":"'Sec. I Out-of-State ADJ'!$C$48","v":"CARDIAC CATHETERIZATION"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$48","v":15174.819058833202},{"$f":"$J$4290-$H$4290","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$48","v":15174.819058833202}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$49","v":33},{"$f":"'Sec. I Out-of-State ADJ'!$C$49","v":"LABORATORY"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$49","v":98564.05},{"$f":"$J$4291-$H$4291","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$49","v":98564.05}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$50","v":34},{"$f":"'Sec. I Out-of-State ADJ'!$C$50","v":"RESPIRATORY THERAPY"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$50","v":7145.3499999999985},{"$f":"$J$4292-$H$4292","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$50","v":7145.3499999999985}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$51","v":35},{"$f":"'Sec. I Out-of-State ADJ'!$C$51","v":"PHYSICAL THERAPY"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$51","v":8727.7699999999986},{"$f":"$J$4293-$H$4293","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$51","v":8727.7699999999986}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$52","v":36},{"$f":"'Sec. I Out-of-State ADJ'!$C$52","v":"SPEECH PATHOLOGY"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$52","v":655.25},{"$f":"$J$4294-$H$4294","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$52","v":655.25}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$53","v":37},{"$f":"'Sec. I Out-of-State ADJ'!$C$53","v":"ELECTROCARDIOLOGY"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$53","v":23927.25},{"$f":"$J$4295-$H$4295","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$53","v":23927.25}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$54","v":38},{"$f":"'Sec. I Out-of-State ADJ'!$C$54","v":"ELECTROENCEPHALOGRAPHY"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$54","v":0},{"$f":"$J$4296-$H$4296","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$54","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$55","v":39},{"$f":"'Sec. I Out-of-State ADJ'!$C$55","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$55","v":23436.9},{"$f":"$J$4297-$H$4297","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$55","v":23436.9}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$56","v":40},{"$f":"'Sec. I Out-of-State ADJ'!$C$56","v":"IMPL. DEV. CHARGED TO PATIENTS"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$56","v":43055.65},{"$f":"$J$4298-$H$4298","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$56","v":43055.65}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$57","v":41},{"$f":"'Sec. I Out-of-State ADJ'!$C$57","v":"DRUGS CHARGED TO PATIENTS"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$57","v":194847.34999999998},{"$f":"$J$4299-$H$4299","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$57","v":194847.34999999998}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$58","v":42},{"$f":"'Sec. I Out-of-State ADJ'!$C$58","v":"RENAL DIALYSIS"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$58","v":0},{"$f":"$J$4300-$H$4300","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$58","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$59","v":43},{"$f":"'Sec. I Out-of-State ADJ'!$C$59","v":"CARDIOVASCULAR MEDICINE"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$59","v":32508.855254789203},{"$f":"$J$4301-$H$4301","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$59","v":32508.855254789203}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$60","v":44},{"$f":"'Sec. I Out-of-State ADJ'!$C$60","v":"CLINIC"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$60","v":0},{"$f":"$J$4302-$H$4302","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$60","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$61","v":45},{"$f":"'Sec. I Out-of-State ADJ'!$C$61","v":"NUTRITION"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$61","v":0},{"$f":"$J$4303-$H$4303","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$61","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$62","v":46},{"$f":"'Sec. I Out-of-State ADJ'!$C$62","v":"WOUND CARE CENTER"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$62","v":1138.8999999999999},{"$f":"$J$4304-$H$4304","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$62","v":1138.8999999999999}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$63","v":47},{"$f":"'Sec. I Out-of-State ADJ'!$C$63","v":"EMERGENCY"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$63","v":140030.84999999992},{"$f":"$J$4305-$H$4305","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$63","v":140030.84999999992}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$64","v":48},{"$f":"'Sec. I Out-of-State ADJ'!$C$64","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$64","v":0},{"$f":"$J$4306-$H$4306","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$64","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$65","v":49},{"$f":"'Sec. I Out-of-State ADJ'!$C$65","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$65","v":0},{"$f":"$J$4307-$H$4307","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$65","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$66","v":50},{"$f":"'Sec. I Out-of-State ADJ'!$C$66","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$66","v":0},{"$f":"$J$4308-$H$4308","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$66","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$67","v":51},{"$f":"'Sec. I Out-of-State ADJ'!$C$67","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$67","v":0},{"$f":"$J$4309-$H$4309","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$67","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$68","v":52},{"$f":"'Sec. I Out-of-State ADJ'!$C$68","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$68","v":0},{"$f":"$J$4310-$H$4310","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$68","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$69","v":53},{"$f":"'Sec. I Out-of-State ADJ'!$C$69","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$69","v":0},{"$f":"$J$4311-$H$4311","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$69","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$70","v":54},{"$f":"'Sec. I Out-of-State ADJ'!$C$70","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$70","v":0},{"$f":"$J$4312-$H$4312","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$70","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$71","v":55},{"$f":"'Sec. I Out-of-State ADJ'!$C$71","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$71","v":0},{"$f":"$J$4313-$H$4313","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$71","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$72","v":56},{"$f":"'Sec. I Out-of-State ADJ'!$C$72","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$72","v":0},{"$f":"$J$4314-$H$4314","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$72","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$73","v":57},{"$f":"'Sec. I Out-of-State ADJ'!$C$73","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$73","v":0},{"$f":"$J$4315-$H$4315","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$73","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$74","v":58},{"$f":"'Sec. I Out-of-State ADJ'!$C$74","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$74","v":0},{"$f":"$J$4316-$H$4316","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$74","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$75","v":59},{"$f":"'Sec. I Out-of-State ADJ'!$C$75","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$75","v":0},{"$f":"$J$4317-$H$4317","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$75","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$76","v":60},{"$f":"'Sec. I Out-of-State ADJ'!$C$76","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$76","v":0},{"$f":"$J$4318-$H$4318","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$76","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$77","v":61},{"$f":"'Sec. I Out-of-State ADJ'!$C$77","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$77","v":0},{"$f":"$J$4319-$H$4319","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$77","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$78","v":62},{"$f":"'Sec. I Out-of-State ADJ'!$C$78","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$78","v":0},{"$f":"$J$4320-$H$4320","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$78","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$79","v":63},{"$f":"'Sec. I Out-of-State ADJ'!$C$79","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$79","v":0},{"$f":"$J$4321-$H$4321","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$79","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$80","v":64},{"$f":"'Sec. I Out-of-State ADJ'!$C$80","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$80","v":0},{"$f":"$J$4322-$H$4322","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$80","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$81","v":65},{"$f":"'Sec. I Out-of-State ADJ'!$C$81","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$81","v":0},{"$f":"$J$4323-$H$4323","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$81","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$82","v":66},{"$f":"'Sec. I Out-of-State ADJ'!$C$82","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$82","v":0},{"$f":"$J$4324-$H$4324","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$82","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$83","v":67},{"$f":"'Sec. I Out-of-State ADJ'!$C$83","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$83","v":0},{"$f":"$J$4325-$H$4325","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$83","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$84","v":68},{"$f":"'Sec. I Out-of-State ADJ'!$C$84","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$84","v":0},{"$f":"$J$4326-$H$4326","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$84","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$85","v":69},{"$f":"'Sec. I Out-of-State ADJ'!$C$85","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$85","v":0},{"$f":"$J$4327-$H$4327","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$85","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$86","v":70},{"$f":"'Sec. I Out-of-State ADJ'!$C$86","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$86","v":0},{"$f":"$J$4328-$H$4328","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$86","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$87","v":71},{"$f":"'Sec. I Out-of-State ADJ'!$C$87","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$87","v":0},{"$f":"$J$4329-$H$4329","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$87","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$88","v":72},{"$f":"'Sec. I Out-of-State ADJ'!$C$88","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$88","v":0},{"$f":"$J$4330-$H$4330","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$88","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$89","v":73},{"$f":"'Sec. I Out-of-State ADJ'!$C$89","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$89","v":0},{"$f":"$J$4331-$H$4331","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$89","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$90","v":74},{"$f":"'Sec. I Out-of-State ADJ'!$C$90","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$90","v":0},{"$f":"$J$4332-$H$4332","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$90","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$91","v":75},{"$f":"'Sec. I Out-of-State ADJ'!$C$91","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$91","v":0},{"$f":"$J$4333-$H$4333","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$91","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$92","v":76},{"$f":"'Sec. I Out-of-State ADJ'!$C$92","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$92","v":0},{"$f":"$J$4334-$H$4334","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$92","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$93","v":77},{"$f":"'Sec. I Out-of-State ADJ'!$C$93","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$93","v":0},{"$f":"$J$4335-$H$4335","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$93","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$94","v":78},{"$f":"'Sec. I Out-of-State ADJ'!$C$94","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$94","v":0},{"$f":"$J$4336-$H$4336","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$94","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$95","v":79},{"$f":"'Sec. I Out-of-State ADJ'!$C$95","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$95","v":0},{"$f":"$J$4337-$H$4337","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$95","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$96","v":80},{"$f":"'Sec. I Out-of-State ADJ'!$C$96","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$96","v":0},{"$f":"$J$4338-$H$4338","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$96","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$97","v":81},{"$f":"'Sec. I Out-of-State ADJ'!$C$97","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$97","v":0},{"$f":"$J$4339-$H$4339","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$97","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$98","v":82},{"$f":"'Sec. I Out-of-State ADJ'!$C$98","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$98","v":0},{"$f":"$J$4340-$H$4340","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$98","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$99","v":83},{"$f":"'Sec. I Out-of-State ADJ'!$C$99","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$99","v":0},{"$f":"$J$4341-$H$4341","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$99","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$100","v":84},{"$f":"'Sec. I Out-of-State ADJ'!$C$100","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$100","v":0},{"$f":"$J$4342-$H$4342","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$100","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$101","v":85},{"$f":"'Sec. I Out-of-State ADJ'!$C$101","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$101","v":0},{"$f":"$J$4343-$H$4343","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$101","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$102","v":86},{"$f":"'Sec. I Out-of-State ADJ'!$C$102","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$102","v":0},{"$f":"$J$4344-$H$4344","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$102","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$103","v":87},{"$f":"'Sec. I Out-of-State ADJ'!$C$103","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$103","v":0},{"$f":"$J$4345-$H$4345","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$103","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$104","v":88},{"$f":"'Sec. I Out-of-State ADJ'!$C$104","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$104","v":0},{"$f":"$J$4346-$H$4346","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$104","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$105","v":89},{"$f":"'Sec. I Out-of-State ADJ'!$C$105","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$105","v":0},{"$f":"$J$4347-$H$4347","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$105","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$106","v":90},{"$f":"'Sec. I Out-of-State ADJ'!$C$106","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$106","v":0},{"$f":"$J$4348-$H$4348","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$106","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$107","v":91},{"$f":"'Sec. I Out-of-State ADJ'!$C$107","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$107","v":0},{"$f":"$J$4349-$H$4349","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$107","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$108","v":92},{"$f":"'Sec. I Out-of-State ADJ'!$C$108","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$108","v":0},{"$f":"$J$4350-$H$4350","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$108","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$109","v":93},{"$f":"'Sec. I Out-of-State ADJ'!$C$109","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$109","v":0},{"$f":"$J$4351-$H$4351","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$109","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$110","v":94},{"$f":"'Sec. I Out-of-State ADJ'!$C$110","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$110","v":0},{"$f":"$J$4352-$H$4352","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$110","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$111","v":95},{"$f":"'Sec. I Out-of-State ADJ'!$C$111","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$111","v":0},{"$f":"$J$4353-$H$4353","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$111","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$112","v":96},{"$f":"'Sec. I Out-of-State ADJ'!$C$112","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$112","v":0},{"$f":"$J$4354-$H$4354","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$112","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$113","v":97},{"$f":"'Sec. I Out-of-State ADJ'!$C$113","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$113","v":0},{"$f":"$J$4355-$H$4355","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$113","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$114","v":98},{"$f":"'Sec. I Out-of-State ADJ'!$C$114","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$114","v":0},{"$f":"$J$4356-$H$4356","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$114","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$115","v":99},{"$f":"'Sec. I Out-of-State ADJ'!$C$115","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$115","v":0},{"$f":"$J$4357-$H$4357","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$115","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$116","v":100},{"$f":"'Sec. I Out-of-State ADJ'!$C$116","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$116","v":0},{"$f":"$J$4358-$H$4358","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$116","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$117","v":101},{"$f":"'Sec. I Out-of-State ADJ'!$C$117","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$117","v":0},{"$f":"$J$4359-$H$4359","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$117","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$118","v":102},{"$f":"'Sec. I Out-of-State ADJ'!$C$118","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$118","v":0},{"$f":"$J$4360-$H$4360","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$118","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$119","v":103},{"$f":"'Sec. I Out-of-State ADJ'!$C$119","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$119","v":0},{"$f":"$J$4361-$H$4361","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$119","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$120","v":104},{"$f":"'Sec. I Out-of-State ADJ'!$C$120","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$120","v":0},{"$f":"$J$4362-$H$4362","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$120","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$121","v":105},{"$f":"'Sec. I Out-of-State ADJ'!$C$121","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$121","v":0},{"$f":"$J$4363-$H$4363","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$121","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$122","v":106},{"$f":"'Sec. I Out-of-State ADJ'!$C$122","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$122","v":0},{"$f":"$J$4364-$H$4364","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$122","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$123","v":107},{"$f":"'Sec. I Out-of-State ADJ'!$C$123","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$123","v":0},{"$f":"$J$4365-$H$4365","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$123","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$124","v":108},{"$f":"'Sec. I Out-of-State ADJ'!$C$124","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$124","v":0},{"$f":"$J$4366-$H$4366","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$124","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$125","v":109},{"$f":"'Sec. I Out-of-State ADJ'!$C$125","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$125","v":0},{"$f":"$J$4367-$H$4367","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$125","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$126","v":110},{"$f":"'Sec. I Out-of-State ADJ'!$C$126","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$126","v":0},{"$f":"$J$4368-$H$4368","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$126","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$127","v":111},{"$f":"'Sec. I Out-of-State ADJ'!$C$127","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$127","v":0},{"$f":"$J$4369-$H$4369","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$127","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$128","v":112},{"$f":"'Sec. I Out-of-State ADJ'!$C$128","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$128","v":0},{"$f":"$J$4370-$H$4370","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$128","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$129","v":113},{"$f":"'Sec. I Out-of-State ADJ'!$C$129","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$129","v":0},{"$f":"$J$4371-$H$4371","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$129","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$130","v":114},{"$f":"'Sec. I Out-of-State ADJ'!$C$130","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$130","v":0},{"$f":"$J$4372-$H$4372","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$130","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$131","v":115},{"$f":"'Sec. I Out-of-State ADJ'!$C$131","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$131","v":0},{"$f":"$J$4373-$H$4373","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$131","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$132","v":116},{"$f":"'Sec. I Out-of-State ADJ'!$C$132","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$132","v":0},{"$f":"$J$4374-$H$4374","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$132","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$133","v":117},{"$f":"'Sec. I Out-of-State ADJ'!$C$133","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$133","v":0},{"$f":"$J$4375-$H$4375","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$133","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$134","v":118},{"$f":"'Sec. I Out-of-State ADJ'!$C$134","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$134","v":0},{"$f":"$J$4376-$H$4376","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$134","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$135","v":119},{"$f":"'Sec. I Out-of-State ADJ'!$C$135","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$135","v":0},{"$f":"$J$4377-$H$4377","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$135","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$136","v":120},{"$f":"'Sec. I Out-of-State ADJ'!$C$136","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$136","v":0},{"$f":"$J$4378-$H$4378","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$136","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$137","v":121},{"$f":"'Sec. I Out-of-State ADJ'!$C$137","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$137","v":0},{"$f":"$J$4379-$H$4379","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$137","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$138","v":122},{"$f":"'Sec. I Out-of-State ADJ'!$C$138","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$138","v":0},{"$f":"$J$4380-$H$4380","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$138","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$139","v":123},{"$f":"'Sec. I Out-of-State ADJ'!$C$139","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$139","v":0},{"$f":"$J$4381-$H$4381","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$139","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$140","v":124},{"$f":"'Sec. I Out-of-State ADJ'!$C$140","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$140","v":0},{"$f":"$J$4382-$H$4382","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$140","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$141","v":125},{"$f":"'Sec. I Out-of-State ADJ'!$C$141","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$141","v":0},{"$f":"$J$4383-$H$4383","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$141","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$142","v":126},{"$f":"'Sec. I Out-of-State ADJ'!$C$142","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$142","v":0},{"$f":"$J$4384-$H$4384","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$142","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$143","v":127},{"$f":"'Sec. I Out-of-State ADJ'!$C$143","v":""},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$143","v":0},{"$f":"$J$4385-$H$4385","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$143","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. H In-State ADJ'!$A$151","v":131.01},{"$f":"'Sec. H In-State ADJ'!$B$151","v":"Sampling Cost Adjustment (if applicable)"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to sample extrapolation.",0,{"$f":"$J$4386-$H$4386","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$151","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$154","v":132},{"$f":"'Sec. I Out-of-State ADJ'!$B$154","v":"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$154","v":0},{"$f":"$J$4387-$H$4387","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$154","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$155","v":133},{"$f":"'Sec. I Out-of-State ADJ'!$B$155","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$155","v":0},{"$f":"$J$4388-$H$4388","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$155","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$156","v":134},{"$f":"'Sec. I Out-of-State ADJ'!$B$156","v":"Private Insurance (including primary and third party liability)"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$156","v":831},{"$f":"$J$4389-$H$4389","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$156","v":831}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$157","v":135},{"$f":"'Sec. I Out-of-State ADJ'!$B$157","v":"Self-Pay (including Co-Pay and Spend-Down)"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$157","v":140},{"$f":"$J$4390-$H$4390","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$157","v":140}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$161","v":139},{"$f":"'Sec. I Out-of-State ADJ'!$B$161","v":"Medicare Traditional (non-HMO) Paid Amount (excludes coinsurance/deductibles)"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$161","v":181449},{"$f":"$J$4391-$H$4391","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$161","v":181449}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$162","v":140},{"$f":"'Sec. I Out-of-State ADJ'!$B$162","v":"Medicare Managed Care (HMO) Paid Amount (excludes coinsurance/deductibles)"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$162","v":0},{"$f":"$J$4392-$H$4392","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$162","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$163","v":141},{"$f":"'Sec. I Out-of-State ADJ'!$B$163","v":"Medicare Cross-Over Bad Debt Payments"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$R$163","v":0},{"$f":"$J$4393-$H$4393","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$163","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$164","v":142},{"$f":"'Sec. I Out-of-State ADJ'!$B$164","v":"Other Medicare Cross-Over Payments (See Note D)"},"10.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$R$6,\" \",'Sec. I Out-of-State ADJ'!Heading_3_ADJ)","v":"Outpatient Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary)"},"Adjust to include Medicare cost report settlements applicable to cross-overs.",{"$f":"'Sec. I Out-of-State'!$R$164","v":0},{"$f":"$J$4394-$H$4394","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$R$164","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$11","v":1},{"$f":"'Sec. I Out-of-State ADJ'!$C$11","v":"ADULTS & PEDIATRICS"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$11","v":41},{"$f":"$J$4395-$H$4395","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$11","v":41}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$12","v":2},{"$f":"'Sec. I Out-of-State ADJ'!$C$12","v":"INTENSIVE CARE UNIT"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$12","v":2},{"$f":"$J$4396-$H$4396","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$12","v":2}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$13","v":3},{"$f":"'Sec. I Out-of-State ADJ'!$C$13","v":"CORONARY CARE UNIT"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$13","v":0},{"$f":"$J$4397-$H$4397","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$13","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$14","v":4},{"$f":"'Sec. I Out-of-State ADJ'!$C$14","v":"BURN INTENSIVE CARE UNIT"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$14","v":0},{"$f":"$J$4398-$H$4398","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$14","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$15","v":5},{"$f":"'Sec. I Out-of-State ADJ'!$C$15","v":"SURGICAL INTENSIVE CARE UNIT"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$15","v":0},{"$f":"$J$4399-$H$4399","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$15","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$16","v":6},{"$f":"'Sec. I Out-of-State ADJ'!$C$16","v":"OTHER SPECIAL CARE UNIT"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$16","v":0},{"$f":"$J$4400-$H$4400","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$16","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$17","v":7},{"$f":"'Sec. I Out-of-State ADJ'!$C$17","v":"SUBPROVIDER I"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$17","v":0},{"$f":"$J$4401-$H$4401","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$17","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$18","v":8},{"$f":"'Sec. I Out-of-State ADJ'!$C$18","v":"SUBPROVIDER II"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$18","v":0},{"$f":"$J$4402-$H$4402","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$18","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$19","v":9},{"$f":"'Sec. I Out-of-State ADJ'!$C$19","v":"OTHER SUBPROVIDER"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$19","v":0},{"$f":"$J$4403-$H$4403","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$19","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$20","v":10},{"$f":"'Sec. I Out-of-State ADJ'!$C$20","v":"NURSERY"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$20","v":14},{"$f":"$J$4404-$H$4404","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$20","v":14}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$21","v":11},{"$f":"'Sec. I Out-of-State ADJ'!$C$21","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$21","v":0},{"$f":"$J$4405-$H$4405","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$21","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$22","v":12},{"$f":"'Sec. I Out-of-State ADJ'!$C$22","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$22","v":0},{"$f":"$J$4406-$H$4406","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$22","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$23","v":13},{"$f":"'Sec. I Out-of-State ADJ'!$C$23","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$23","v":0},{"$f":"$J$4407-$H$4407","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$23","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$24","v":14},{"$f":"'Sec. I Out-of-State ADJ'!$C$24","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$24","v":0},{"$f":"$J$4408-$H$4408","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$24","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$25","v":15},{"$f":"'Sec. I Out-of-State ADJ'!$C$25","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$25","v":0},{"$f":"$J$4409-$H$4409","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$25","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$26","v":16},{"$f":"'Sec. I Out-of-State ADJ'!$C$26","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$26","v":0},{"$f":"$J$4410-$H$4410","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$26","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$27","v":17},{"$f":"'Sec. I Out-of-State ADJ'!$C$27","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$27","v":0},{"$f":"$J$4411-$H$4411","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$27","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$34","v":21},{"$f":"'Sec. I Out-of-State ADJ'!$C$34","v":"Routine Charges"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$34","v":54945},{"$f":"$J$4412-$H$4412","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$34","v":54945}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$38","v":22},{"$f":"'Sec. I Out-of-State ADJ'!$C$38","v":"Observation (Non-Distinct)"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$38","v":128},{"$f":"$J$4413-$H$4413","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$38","v":128}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$39","v":23},{"$f":"'Sec. I Out-of-State ADJ'!$C$39","v":"OPERATING ROOM"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$39","v":43002.95},{"$f":"$J$4414-$H$4414","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$39","v":43002.95}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$40","v":24},{"$f":"'Sec. I Out-of-State ADJ'!$C$40","v":"RECOVERY ROOM"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$40","v":4795.7},{"$f":"$J$4415-$H$4415","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$40","v":4795.7}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$41","v":25},{"$f":"'Sec. I Out-of-State ADJ'!$C$41","v":"DELIVERY ROOM & LABOR ROOM"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$41","v":23952.799999999999},{"$f":"$J$4416-$H$4416","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$41","v":23952.799999999999}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$42","v":26},{"$f":"'Sec. I Out-of-State ADJ'!$C$42","v":"ANESTHESIOLOGY"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$42","v":13026.45},{"$f":"$J$4417-$H$4417","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$42","v":13026.45}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$43","v":27},{"$f":"'Sec. I Out-of-State ADJ'!$C$43","v":"RADIOLOGY-DIAGNOSTIC"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$43","v":4761.8},{"$f":"$J$4418-$H$4418","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$43","v":4761.8}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$44","v":28},{"$f":"'Sec. I Out-of-State ADJ'!$C$44","v":"RADIOLOGY-THERAPEUTIC"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$44","v":0},{"$f":"$J$4419-$H$4419","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$44","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$45","v":29},{"$f":"'Sec. I Out-of-State ADJ'!$C$45","v":"NUCLEAR MEDICINE"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$45","v":0},{"$f":"$J$4420-$H$4420","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$45","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$46","v":30},{"$f":"'Sec. I Out-of-State ADJ'!$C$46","v":"CT SCAN"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$46","v":5240},{"$f":"$J$4421-$H$4421","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$46","v":5240}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$47","v":31},{"$f":"'Sec. I Out-of-State ADJ'!$C$47","v":"MRI"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$47","v":0},{"$f":"$J$4422-$H$4422","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$47","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$48","v":32},{"$f":"'Sec. I Out-of-State ADJ'!$C$48","v":"CARDIAC CATHETERIZATION"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$48","v":1023.424803862},{"$f":"$J$4423-$H$4423","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$48","v":1023.424803862}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$49","v":33},{"$f":"'Sec. I Out-of-State ADJ'!$C$49","v":"LABORATORY"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$49","v":39738.949999999997},{"$f":"$J$4424-$H$4424","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$49","v":39738.949999999997}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$50","v":34},{"$f":"'Sec. I Out-of-State ADJ'!$C$50","v":"RESPIRATORY THERAPY"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$50","v":1872.1462939830001},{"$f":"$J$4425-$H$4425","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$50","v":1872.1462939830001}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$51","v":35},{"$f":"'Sec. I Out-of-State ADJ'!$C$51","v":"PHYSICAL THERAPY"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$51","v":2741.9},{"$f":"$J$4426-$H$4426","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$51","v":2741.9}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$52","v":36},{"$f":"'Sec. I Out-of-State ADJ'!$C$52","v":"SPEECH PATHOLOGY"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$52","v":0},{"$f":"$J$4427-$H$4427","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$52","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$53","v":37},{"$f":"'Sec. I Out-of-State ADJ'!$C$53","v":"ELECTROCARDIOLOGY"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$53","v":1699.05},{"$f":"$J$4428-$H$4428","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$53","v":1699.05}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$54","v":38},{"$f":"'Sec. I Out-of-State ADJ'!$C$54","v":"ELECTROENCEPHALOGRAPHY"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$54","v":0},{"$f":"$J$4429-$H$4429","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$54","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$55","v":39},{"$f":"'Sec. I Out-of-State ADJ'!$C$55","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$55","v":20470.900000000001},{"$f":"$J$4430-$H$4430","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$55","v":20470.900000000001}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$56","v":40},{"$f":"'Sec. I Out-of-State ADJ'!$C$56","v":"IMPL. DEV. CHARGED TO PATIENTS"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$56","v":52.86},{"$f":"$J$4431-$H$4431","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$56","v":52.86}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$57","v":41},{"$f":"'Sec. I Out-of-State ADJ'!$C$57","v":"DRUGS CHARGED TO PATIENTS"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$57","v":27038.999999999996},{"$f":"$J$4432-$H$4432","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$57","v":27038.999999999996}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$58","v":42},{"$f":"'Sec. I Out-of-State ADJ'!$C$58","v":"RENAL DIALYSIS"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$58","v":0},{"$f":"$J$4433-$H$4433","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$58","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$59","v":43},{"$f":"'Sec. I Out-of-State ADJ'!$C$59","v":"CARDIOVASCULAR MEDICINE"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$59","v":734.02890391799997},{"$f":"$J$4434-$H$4434","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$59","v":734.02890391799997}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$60","v":44},{"$f":"'Sec. I Out-of-State ADJ'!$C$60","v":"CLINIC"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$60","v":0},{"$f":"$J$4435-$H$4435","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$60","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$61","v":45},{"$f":"'Sec. I Out-of-State ADJ'!$C$61","v":"NUTRITION"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$61","v":0},{"$f":"$J$4436-$H$4436","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$61","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$62","v":46},{"$f":"'Sec. I Out-of-State ADJ'!$C$62","v":"WOUND CARE CENTER"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$62","v":108.1},{"$f":"$J$4437-$H$4437","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$62","v":108.1}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$63","v":47},{"$f":"'Sec. I Out-of-State ADJ'!$C$63","v":"EMERGENCY"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$63","v":7773.7},{"$f":"$J$4438-$H$4438","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$63","v":7773.7}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$64","v":48},{"$f":"'Sec. I Out-of-State ADJ'!$C$64","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$64","v":0},{"$f":"$J$4439-$H$4439","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$64","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$65","v":49},{"$f":"'Sec. I Out-of-State ADJ'!$C$65","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$65","v":0},{"$f":"$J$4440-$H$4440","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$65","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$66","v":50},{"$f":"'Sec. I Out-of-State ADJ'!$C$66","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$66","v":0},{"$f":"$J$4441-$H$4441","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$66","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$67","v":51},{"$f":"'Sec. I Out-of-State ADJ'!$C$67","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$67","v":0},{"$f":"$J$4442-$H$4442","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$67","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$68","v":52},{"$f":"'Sec. I Out-of-State ADJ'!$C$68","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$68","v":0},{"$f":"$J$4443-$H$4443","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$68","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$69","v":53},{"$f":"'Sec. I Out-of-State ADJ'!$C$69","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$69","v":0},{"$f":"$J$4444-$H$4444","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$69","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$70","v":54},{"$f":"'Sec. I Out-of-State ADJ'!$C$70","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$70","v":0},{"$f":"$J$4445-$H$4445","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$70","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$71","v":55},{"$f":"'Sec. I Out-of-State ADJ'!$C$71","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$71","v":0},{"$f":"$J$4446-$H$4446","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$71","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$72","v":56},{"$f":"'Sec. I Out-of-State ADJ'!$C$72","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$72","v":0},{"$f":"$J$4447-$H$4447","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$72","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$73","v":57},{"$f":"'Sec. I Out-of-State ADJ'!$C$73","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$73","v":0},{"$f":"$J$4448-$H$4448","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$73","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$74","v":58},{"$f":"'Sec. I Out-of-State ADJ'!$C$74","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$74","v":0},{"$f":"$J$4449-$H$4449","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$74","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$75","v":59},{"$f":"'Sec. I Out-of-State ADJ'!$C$75","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$75","v":0},{"$f":"$J$4450-$H$4450","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$75","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$76","v":60},{"$f":"'Sec. I Out-of-State ADJ'!$C$76","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$76","v":0},{"$f":"$J$4451-$H$4451","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$76","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$77","v":61},{"$f":"'Sec. I Out-of-State ADJ'!$C$77","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$77","v":0},{"$f":"$J$4452-$H$4452","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$77","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$78","v":62},{"$f":"'Sec. I Out-of-State ADJ'!$C$78","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$78","v":0},{"$f":"$J$4453-$H$4453","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$78","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$79","v":63},{"$f":"'Sec. I Out-of-State ADJ'!$C$79","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$79","v":0},{"$f":"$J$4454-$H$4454","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$79","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$80","v":64},{"$f":"'Sec. I Out-of-State ADJ'!$C$80","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$80","v":0},{"$f":"$J$4455-$H$4455","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$80","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$81","v":65},{"$f":"'Sec. I Out-of-State ADJ'!$C$81","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$81","v":0},{"$f":"$J$4456-$H$4456","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$81","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$82","v":66},{"$f":"'Sec. I Out-of-State ADJ'!$C$82","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$82","v":0},{"$f":"$J$4457-$H$4457","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$82","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$83","v":67},{"$f":"'Sec. I Out-of-State ADJ'!$C$83","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$83","v":0},{"$f":"$J$4458-$H$4458","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$83","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$84","v":68},{"$f":"'Sec. I Out-of-State ADJ'!$C$84","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$84","v":0},{"$f":"$J$4459-$H$4459","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$84","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$85","v":69},{"$f":"'Sec. I Out-of-State ADJ'!$C$85","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$85","v":0},{"$f":"$J$4460-$H$4460","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$85","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$86","v":70},{"$f":"'Sec. I Out-of-State ADJ'!$C$86","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$86","v":0},{"$f":"$J$4461-$H$4461","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$86","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$87","v":71},{"$f":"'Sec. I Out-of-State ADJ'!$C$87","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$87","v":0},{"$f":"$J$4462-$H$4462","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$87","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$88","v":72},{"$f":"'Sec. I Out-of-State ADJ'!$C$88","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$88","v":0},{"$f":"$J$4463-$H$4463","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$88","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$89","v":73},{"$f":"'Sec. I Out-of-State ADJ'!$C$89","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$89","v":0},{"$f":"$J$4464-$H$4464","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$89","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$90","v":74},{"$f":"'Sec. I Out-of-State ADJ'!$C$90","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$90","v":0},{"$f":"$J$4465-$H$4465","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$90","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$91","v":75},{"$f":"'Sec. I Out-of-State ADJ'!$C$91","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$91","v":0},{"$f":"$J$4466-$H$4466","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$91","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$92","v":76},{"$f":"'Sec. I Out-of-State ADJ'!$C$92","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$92","v":0},{"$f":"$J$4467-$H$4467","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$92","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$93","v":77},{"$f":"'Sec. I Out-of-State ADJ'!$C$93","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$93","v":0},{"$f":"$J$4468-$H$4468","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$93","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$94","v":78},{"$f":"'Sec. I Out-of-State ADJ'!$C$94","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$94","v":0},{"$f":"$J$4469-$H$4469","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$94","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$95","v":79},{"$f":"'Sec. I Out-of-State ADJ'!$C$95","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$95","v":0},{"$f":"$J$4470-$H$4470","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$95","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$96","v":80},{"$f":"'Sec. I Out-of-State ADJ'!$C$96","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$96","v":0},{"$f":"$J$4471-$H$4471","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$96","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$97","v":81},{"$f":"'Sec. I Out-of-State ADJ'!$C$97","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$97","v":0},{"$f":"$J$4472-$H$4472","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$97","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$98","v":82},{"$f":"'Sec. I Out-of-State ADJ'!$C$98","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$98","v":0},{"$f":"$J$4473-$H$4473","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$98","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$99","v":83},{"$f":"'Sec. I Out-of-State ADJ'!$C$99","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$99","v":0},{"$f":"$J$4474-$H$4474","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$99","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$100","v":84},{"$f":"'Sec. I Out-of-State ADJ'!$C$100","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$100","v":0},{"$f":"$J$4475-$H$4475","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$100","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$101","v":85},{"$f":"'Sec. I Out-of-State ADJ'!$C$101","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$101","v":0},{"$f":"$J$4476-$H$4476","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$101","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$102","v":86},{"$f":"'Sec. I Out-of-State ADJ'!$C$102","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$102","v":0},{"$f":"$J$4477-$H$4477","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$102","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$103","v":87},{"$f":"'Sec. I Out-of-State ADJ'!$C$103","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$103","v":0},{"$f":"$J$4478-$H$4478","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$103","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$104","v":88},{"$f":"'Sec. I Out-of-State ADJ'!$C$104","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$104","v":0},{"$f":"$J$4479-$H$4479","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$104","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$105","v":89},{"$f":"'Sec. I Out-of-State ADJ'!$C$105","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$105","v":0},{"$f":"$J$4480-$H$4480","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$105","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$106","v":90},{"$f":"'Sec. I Out-of-State ADJ'!$C$106","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$106","v":0},{"$f":"$J$4481-$H$4481","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$106","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$107","v":91},{"$f":"'Sec. I Out-of-State ADJ'!$C$107","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$107","v":0},{"$f":"$J$4482-$H$4482","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$107","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$108","v":92},{"$f":"'Sec. I Out-of-State ADJ'!$C$108","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$108","v":0},{"$f":"$J$4483-$H$4483","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$108","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$109","v":93},{"$f":"'Sec. I Out-of-State ADJ'!$C$109","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$109","v":0},{"$f":"$J$4484-$H$4484","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$109","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$110","v":94},{"$f":"'Sec. I Out-of-State ADJ'!$C$110","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$110","v":0},{"$f":"$J$4485-$H$4485","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$110","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$111","v":95},{"$f":"'Sec. I Out-of-State ADJ'!$C$111","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$111","v":0},{"$f":"$J$4486-$H$4486","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$111","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$112","v":96},{"$f":"'Sec. I Out-of-State ADJ'!$C$112","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$112","v":0},{"$f":"$J$4487-$H$4487","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$112","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$113","v":97},{"$f":"'Sec. I Out-of-State ADJ'!$C$113","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$113","v":0},{"$f":"$J$4488-$H$4488","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$113","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$114","v":98},{"$f":"'Sec. I Out-of-State ADJ'!$C$114","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$114","v":0},{"$f":"$J$4489-$H$4489","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$114","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$115","v":99},{"$f":"'Sec. I Out-of-State ADJ'!$C$115","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$115","v":0},{"$f":"$J$4490-$H$4490","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$115","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$116","v":100},{"$f":"'Sec. I Out-of-State ADJ'!$C$116","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$116","v":0},{"$f":"$J$4491-$H$4491","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$116","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$117","v":101},{"$f":"'Sec. I Out-of-State ADJ'!$C$117","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$117","v":0},{"$f":"$J$4492-$H$4492","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$117","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$118","v":102},{"$f":"'Sec. I Out-of-State ADJ'!$C$118","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$118","v":0},{"$f":"$J$4493-$H$4493","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$118","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$119","v":103},{"$f":"'Sec. I Out-of-State ADJ'!$C$119","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$119","v":0},{"$f":"$J$4494-$H$4494","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$119","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$120","v":104},{"$f":"'Sec. I Out-of-State ADJ'!$C$120","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$120","v":0},{"$f":"$J$4495-$H$4495","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$120","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$121","v":105},{"$f":"'Sec. I Out-of-State ADJ'!$C$121","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$121","v":0},{"$f":"$J$4496-$H$4496","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$121","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$122","v":106},{"$f":"'Sec. I Out-of-State ADJ'!$C$122","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$122","v":0},{"$f":"$J$4497-$H$4497","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$122","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$123","v":107},{"$f":"'Sec. I Out-of-State ADJ'!$C$123","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$123","v":0},{"$f":"$J$4498-$H$4498","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$123","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$124","v":108},{"$f":"'Sec. I Out-of-State ADJ'!$C$124","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$124","v":0},{"$f":"$J$4499-$H$4499","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$124","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$125","v":109},{"$f":"'Sec. I Out-of-State ADJ'!$C$125","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$125","v":0},{"$f":"$J$4500-$H$4500","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$125","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$126","v":110},{"$f":"'Sec. I Out-of-State ADJ'!$C$126","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$126","v":0},{"$f":"$J$4501-$H$4501","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$126","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$127","v":111},{"$f":"'Sec. I Out-of-State ADJ'!$C$127","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$127","v":0},{"$f":"$J$4502-$H$4502","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$127","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$128","v":112},{"$f":"'Sec. I Out-of-State ADJ'!$C$128","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$128","v":0},{"$f":"$J$4503-$H$4503","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$128","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$129","v":113},{"$f":"'Sec. I Out-of-State ADJ'!$C$129","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$129","v":0},{"$f":"$J$4504-$H$4504","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$129","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$130","v":114},{"$f":"'Sec. I Out-of-State ADJ'!$C$130","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$130","v":0},{"$f":"$J$4505-$H$4505","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$130","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$131","v":115},{"$f":"'Sec. I Out-of-State ADJ'!$C$131","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$131","v":0},{"$f":"$J$4506-$H$4506","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$131","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$132","v":116},{"$f":"'Sec. I Out-of-State ADJ'!$C$132","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$132","v":0},{"$f":"$J$4507-$H$4507","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$132","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$133","v":117},{"$f":"'Sec. I Out-of-State ADJ'!$C$133","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$133","v":0},{"$f":"$J$4508-$H$4508","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$133","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$134","v":118},{"$f":"'Sec. I Out-of-State ADJ'!$C$134","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$134","v":0},{"$f":"$J$4509-$H$4509","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$134","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$135","v":119},{"$f":"'Sec. I Out-of-State ADJ'!$C$135","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$135","v":0},{"$f":"$J$4510-$H$4510","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$135","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$136","v":120},{"$f":"'Sec. I Out-of-State ADJ'!$C$136","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$136","v":0},{"$f":"$J$4511-$H$4511","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$136","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$137","v":121},{"$f":"'Sec. I Out-of-State ADJ'!$C$137","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$137","v":0},{"$f":"$J$4512-$H$4512","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$137","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$138","v":122},{"$f":"'Sec. I Out-of-State ADJ'!$C$138","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$138","v":0},{"$f":"$J$4513-$H$4513","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$138","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$139","v":123},{"$f":"'Sec. I Out-of-State ADJ'!$C$139","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$139","v":0},{"$f":"$J$4514-$H$4514","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$139","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$140","v":124},{"$f":"'Sec. I Out-of-State ADJ'!$C$140","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$140","v":0},{"$f":"$J$4515-$H$4515","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$140","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$141","v":125},{"$f":"'Sec. I Out-of-State ADJ'!$C$141","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$141","v":0},{"$f":"$J$4516-$H$4516","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$141","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$142","v":126},{"$f":"'Sec. I Out-of-State ADJ'!$C$142","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$142","v":0},{"$f":"$J$4517-$H$4517","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$142","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$143","v":127},{"$f":"'Sec. I Out-of-State ADJ'!$C$143","v":""},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$143","v":0},{"$f":"$J$4518-$H$4518","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$143","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. H In-State ADJ'!$A$151","v":131.01},{"$f":"'Sec. H In-State ADJ'!$B$151","v":"Sampling Cost Adjustment (if applicable)"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to sample extrapolation.",0,{"$f":"$J$4519-$H$4519","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$151","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$154","v":132},{"$f":"'Sec. I Out-of-State ADJ'!$B$154","v":"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$154","v":1935},{"$f":"$J$4520-$H$4520","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$154","v":1935}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$155","v":133},{"$f":"'Sec. I Out-of-State ADJ'!$B$155","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$155","v":0},{"$f":"$J$4521-$H$4521","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$155","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$156","v":134},{"$f":"'Sec. I Out-of-State ADJ'!$B$156","v":"Private Insurance (including primary and third party liability)"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$156","v":38441},{"$f":"$J$4522-$H$4522","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$156","v":38441}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$157","v":135},{"$f":"'Sec. I Out-of-State ADJ'!$B$157","v":"Self-Pay (including Co-Pay and Spend-Down)"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$157","v":51},{"$f":"$J$4523-$H$4523","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$157","v":51}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$161","v":139},{"$f":"'Sec. I Out-of-State ADJ'!$B$161","v":"Medicare Traditional (non-HMO) Paid Amount (excludes coinsurance/deductibles)"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$161","v":0},{"$f":"$J$4524-$H$4524","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$161","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$162","v":140},{"$f":"'Sec. I Out-of-State ADJ'!$B$162","v":"Medicare Managed Care (HMO) Paid Amount (excludes coinsurance/deductibles)"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$162","v":27705},{"$f":"$J$4525-$H$4525","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$162","v":27705}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$163","v":141},{"$f":"'Sec. I Out-of-State ADJ'!$B$163","v":"Medicare Cross-Over Bad Debt Payments"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$T$163","v":0},{"$f":"$J$4526-$H$4526","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$163","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$164","v":142},{"$f":"'Sec. I Out-of-State ADJ'!$B$164","v":"Other Medicare Cross-Over Payments (See Note D)"},"11.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$T$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Inpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to include Medicare cost report settlements applicable to cross-overs.",{"$f":"'Sec. I Out-of-State'!$T$164","v":0},{"$f":"$J$4527-$H$4527","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$T$164","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$38","v":22},{"$f":"'Sec. I Out-of-State ADJ'!$C$38","v":"Observation (Non-Distinct)"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$38","v":8226.1},{"$f":"$J$4528-$H$4528","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$38","v":8226.1}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$39","v":23},{"$f":"'Sec. I Out-of-State ADJ'!$C$39","v":"OPERATING ROOM"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$39","v":23826.25},{"$f":"$J$4529-$H$4529","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$39","v":23826.25}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$40","v":24},{"$f":"'Sec. I Out-of-State ADJ'!$C$40","v":"RECOVERY ROOM"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$40","v":5049.8999999999996},{"$f":"$J$4530-$H$4530","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$40","v":5049.8999999999996}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$41","v":25},{"$f":"'Sec. I Out-of-State ADJ'!$C$41","v":"DELIVERY ROOM & LABOR ROOM"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$41","v":4666.7},{"$f":"$J$4531-$H$4531","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$41","v":4666.7}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$42","v":26},{"$f":"'Sec. I Out-of-State ADJ'!$C$42","v":"ANESTHESIOLOGY"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$42","v":10028.349999999999},{"$f":"$J$4532-$H$4532","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$42","v":10028.349999999999}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$43","v":27},{"$f":"'Sec. I Out-of-State ADJ'!$C$43","v":"RADIOLOGY-DIAGNOSTIC"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$43","v":17727.599999999999},{"$f":"$J$4533-$H$4533","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$43","v":17727.599999999999}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$44","v":28},{"$f":"'Sec. I Out-of-State ADJ'!$C$44","v":"RADIOLOGY-THERAPEUTIC"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$44","v":0},{"$f":"$J$4534-$H$4534","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$44","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$45","v":29},{"$f":"'Sec. I Out-of-State ADJ'!$C$45","v":"NUCLEAR MEDICINE"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$45","v":0},{"$f":"$J$4535-$H$4535","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$45","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$46","v":30},{"$f":"'Sec. I Out-of-State ADJ'!$C$46","v":"CT SCAN"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$46","v":36531},{"$f":"$J$4536-$H$4536","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$46","v":36531}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$47","v":31},{"$f":"'Sec. I Out-of-State ADJ'!$C$47","v":"MRI"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$47","v":0},{"$f":"$J$4537-$H$4537","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$47","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$48","v":32},{"$f":"'Sec. I Out-of-State ADJ'!$C$48","v":"CARDIAC CATHETERIZATION"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$48","v":2785.9504806171999},{"$f":"$J$4538-$H$4538","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$48","v":2785.9504806171999}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$49","v":33},{"$f":"'Sec. I Out-of-State ADJ'!$C$49","v":"LABORATORY"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$49","v":35692.549999999996},{"$f":"$J$4539-$H$4539","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$49","v":35692.549999999996}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$50","v":34},{"$f":"'Sec. I Out-of-State ADJ'!$C$50","v":"RESPIRATORY THERAPY"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$50","v":4196.6499999999996},{"$f":"$J$4540-$H$4540","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$50","v":4196.6499999999996}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$51","v":35},{"$f":"'Sec. I Out-of-State ADJ'!$C$51","v":"PHYSICAL THERAPY"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$51","v":0},{"$f":"$J$4541-$H$4541","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$51","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$52","v":36},{"$f":"'Sec. I Out-of-State ADJ'!$C$52","v":"SPEECH PATHOLOGY"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$52","v":0},{"$f":"$J$4542-$H$4542","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$52","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$53","v":37},{"$f":"'Sec. I Out-of-State ADJ'!$C$53","v":"ELECTROCARDIOLOGY"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$53","v":7586.25},{"$f":"$J$4543-$H$4543","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$53","v":7586.25}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$54","v":38},{"$f":"'Sec. I Out-of-State ADJ'!$C$54","v":"ELECTROENCEPHALOGRAPHY"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$54","v":0},{"$f":"$J$4544-$H$4544","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$54","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$55","v":39},{"$f":"'Sec. I Out-of-State ADJ'!$C$55","v":"MEDICAL SUPPLIES CHARGED TO PATIENT"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$55","v":10014.550000000001},{"$f":"$J$4545-$H$4545","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$55","v":10014.550000000001}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$56","v":40},{"$f":"'Sec. I Out-of-State ADJ'!$C$56","v":"IMPL. DEV. CHARGED TO PATIENTS"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$56","v":0},{"$f":"$J$4546-$H$4546","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$56","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$57","v":41},{"$f":"'Sec. I Out-of-State ADJ'!$C$57","v":"DRUGS CHARGED TO PATIENTS"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$57","v":32046.800000000003},{"$f":"$J$4547-$H$4547","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$57","v":32046.800000000003}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$58","v":42},{"$f":"'Sec. I Out-of-State ADJ'!$C$58","v":"RENAL DIALYSIS"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$58","v":0},{"$f":"$J$4548-$H$4548","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$58","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$59","v":43},{"$f":"'Sec. I Out-of-State ADJ'!$C$59","v":"CARDIOVASCULAR MEDICINE"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$59","v":640.24951938279992},{"$f":"$J$4549-$H$4549","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$59","v":640.24951938279992}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$60","v":44},{"$f":"'Sec. I Out-of-State ADJ'!$C$60","v":"CLINIC"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$60","v":0},{"$f":"$J$4550-$H$4550","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$60","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$61","v":45},{"$f":"'Sec. I Out-of-State ADJ'!$C$61","v":"NUTRITION"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$61","v":0},{"$f":"$J$4551-$H$4551","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$61","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$62","v":46},{"$f":"'Sec. I Out-of-State ADJ'!$C$62","v":"WOUND CARE CENTER"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$62","v":0},{"$f":"$J$4552-$H$4552","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$62","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$63","v":47},{"$f":"'Sec. I Out-of-State ADJ'!$C$63","v":"EMERGENCY"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$63","v":81997.049999999988},{"$f":"$J$4553-$H$4553","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$63","v":81997.049999999988}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$64","v":48},{"$f":"'Sec. I Out-of-State ADJ'!$C$64","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$64","v":0},{"$f":"$J$4554-$H$4554","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$64","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$65","v":49},{"$f":"'Sec. I Out-of-State ADJ'!$C$65","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$65","v":0},{"$f":"$J$4555-$H$4555","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$65","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$66","v":50},{"$f":"'Sec. I Out-of-State ADJ'!$C$66","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$66","v":0},{"$f":"$J$4556-$H$4556","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$66","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$67","v":51},{"$f":"'Sec. I Out-of-State ADJ'!$C$67","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$67","v":0},{"$f":"$J$4557-$H$4557","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$67","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$68","v":52},{"$f":"'Sec. I Out-of-State ADJ'!$C$68","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$68","v":0},{"$f":"$J$4558-$H$4558","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$68","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$69","v":53},{"$f":"'Sec. I Out-of-State ADJ'!$C$69","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$69","v":0},{"$f":"$J$4559-$H$4559","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$69","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$70","v":54},{"$f":"'Sec. I Out-of-State ADJ'!$C$70","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$70","v":0},{"$f":"$J$4560-$H$4560","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$70","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$71","v":55},{"$f":"'Sec. I Out-of-State ADJ'!$C$71","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$71","v":0},{"$f":"$J$4561-$H$4561","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$71","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$72","v":56},{"$f":"'Sec. I Out-of-State ADJ'!$C$72","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$72","v":0},{"$f":"$J$4562-$H$4562","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$72","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$73","v":57},{"$f":"'Sec. I Out-of-State ADJ'!$C$73","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$73","v":0},{"$f":"$J$4563-$H$4563","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$73","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$74","v":58},{"$f":"'Sec. I Out-of-State ADJ'!$C$74","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$74","v":0},{"$f":"$J$4564-$H$4564","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$74","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$75","v":59},{"$f":"'Sec. I Out-of-State ADJ'!$C$75","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$75","v":0},{"$f":"$J$4565-$H$4565","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$75","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$76","v":60},{"$f":"'Sec. I Out-of-State ADJ'!$C$76","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$76","v":0},{"$f":"$J$4566-$H$4566","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$76","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$77","v":61},{"$f":"'Sec. I Out-of-State ADJ'!$C$77","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$77","v":0},{"$f":"$J$4567-$H$4567","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$77","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$78","v":62},{"$f":"'Sec. I Out-of-State ADJ'!$C$78","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$78","v":0},{"$f":"$J$4568-$H$4568","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$78","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$79","v":63},{"$f":"'Sec. I Out-of-State ADJ'!$C$79","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$79","v":0},{"$f":"$J$4569-$H$4569","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$79","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$80","v":64},{"$f":"'Sec. I Out-of-State ADJ'!$C$80","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$80","v":0},{"$f":"$J$4570-$H$4570","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$80","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$81","v":65},{"$f":"'Sec. I Out-of-State ADJ'!$C$81","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$81","v":0},{"$f":"$J$4571-$H$4571","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$81","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$82","v":66},{"$f":"'Sec. I Out-of-State ADJ'!$C$82","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$82","v":0},{"$f":"$J$4572-$H$4572","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$82","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$83","v":67},{"$f":"'Sec. I Out-of-State ADJ'!$C$83","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$83","v":0},{"$f":"$J$4573-$H$4573","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$83","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$84","v":68},{"$f":"'Sec. I Out-of-State ADJ'!$C$84","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$84","v":0},{"$f":"$J$4574-$H$4574","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$84","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$85","v":69},{"$f":"'Sec. I Out-of-State ADJ'!$C$85","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$85","v":0},{"$f":"$J$4575-$H$4575","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$85","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$86","v":70},{"$f":"'Sec. I Out-of-State ADJ'!$C$86","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$86","v":0},{"$f":"$J$4576-$H$4576","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$86","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$87","v":71},{"$f":"'Sec. I Out-of-State ADJ'!$C$87","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$87","v":0},{"$f":"$J$4577-$H$4577","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$87","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$88","v":72},{"$f":"'Sec. I Out-of-State ADJ'!$C$88","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$88","v":0},{"$f":"$J$4578-$H$4578","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$88","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$89","v":73},{"$f":"'Sec. I Out-of-State ADJ'!$C$89","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$89","v":0},{"$f":"$J$4579-$H$4579","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$89","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$90","v":74},{"$f":"'Sec. I Out-of-State ADJ'!$C$90","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$90","v":0},{"$f":"$J$4580-$H$4580","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$90","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$91","v":75},{"$f":"'Sec. I Out-of-State ADJ'!$C$91","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$91","v":0},{"$f":"$J$4581-$H$4581","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$91","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$92","v":76},{"$f":"'Sec. I Out-of-State ADJ'!$C$92","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$92","v":0},{"$f":"$J$4582-$H$4582","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$92","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$93","v":77},{"$f":"'Sec. I Out-of-State ADJ'!$C$93","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$93","v":0},{"$f":"$J$4583-$H$4583","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$93","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$94","v":78},{"$f":"'Sec. I Out-of-State ADJ'!$C$94","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$94","v":0},{"$f":"$J$4584-$H$4584","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$94","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$95","v":79},{"$f":"'Sec. I Out-of-State ADJ'!$C$95","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$95","v":0},{"$f":"$J$4585-$H$4585","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$95","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$96","v":80},{"$f":"'Sec. I Out-of-State ADJ'!$C$96","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$96","v":0},{"$f":"$J$4586-$H$4586","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$96","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$97","v":81},{"$f":"'Sec. I Out-of-State ADJ'!$C$97","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$97","v":0},{"$f":"$J$4587-$H$4587","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$97","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$98","v":82},{"$f":"'Sec. I Out-of-State ADJ'!$C$98","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$98","v":0},{"$f":"$J$4588-$H$4588","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$98","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$99","v":83},{"$f":"'Sec. I Out-of-State ADJ'!$C$99","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$99","v":0},{"$f":"$J$4589-$H$4589","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$99","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$100","v":84},{"$f":"'Sec. I Out-of-State ADJ'!$C$100","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$100","v":0},{"$f":"$J$4590-$H$4590","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$100","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$101","v":85},{"$f":"'Sec. I Out-of-State ADJ'!$C$101","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$101","v":0},{"$f":"$J$4591-$H$4591","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$101","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$102","v":86},{"$f":"'Sec. I Out-of-State ADJ'!$C$102","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$102","v":0},{"$f":"$J$4592-$H$4592","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$102","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$103","v":87},{"$f":"'Sec. I Out-of-State ADJ'!$C$103","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$103","v":0},{"$f":"$J$4593-$H$4593","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$103","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$104","v":88},{"$f":"'Sec. I Out-of-State ADJ'!$C$104","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$104","v":0},{"$f":"$J$4594-$H$4594","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$104","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$105","v":89},{"$f":"'Sec. I Out-of-State ADJ'!$C$105","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$105","v":0},{"$f":"$J$4595-$H$4595","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$105","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$106","v":90},{"$f":"'Sec. I Out-of-State ADJ'!$C$106","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$106","v":0},{"$f":"$J$4596-$H$4596","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$106","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$107","v":91},{"$f":"'Sec. I Out-of-State ADJ'!$C$107","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$107","v":0},{"$f":"$J$4597-$H$4597","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$107","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$108","v":92},{"$f":"'Sec. I Out-of-State ADJ'!$C$108","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$108","v":0},{"$f":"$J$4598-$H$4598","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$108","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$109","v":93},{"$f":"'Sec. I Out-of-State ADJ'!$C$109","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$109","v":0},{"$f":"$J$4599-$H$4599","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$109","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$110","v":94},{"$f":"'Sec. I Out-of-State ADJ'!$C$110","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$110","v":0},{"$f":"$J$4600-$H$4600","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$110","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$111","v":95},{"$f":"'Sec. I Out-of-State ADJ'!$C$111","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$111","v":0},{"$f":"$J$4601-$H$4601","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$111","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$112","v":96},{"$f":"'Sec. I Out-of-State ADJ'!$C$112","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$112","v":0},{"$f":"$J$4602-$H$4602","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$112","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$113","v":97},{"$f":"'Sec. I Out-of-State ADJ'!$C$113","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$113","v":0},{"$f":"$J$4603-$H$4603","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$113","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$114","v":98},{"$f":"'Sec. I Out-of-State ADJ'!$C$114","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$114","v":0},{"$f":"$J$4604-$H$4604","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$114","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$115","v":99},{"$f":"'Sec. I Out-of-State ADJ'!$C$115","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$115","v":0},{"$f":"$J$4605-$H$4605","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$115","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$116","v":100},{"$f":"'Sec. I Out-of-State ADJ'!$C$116","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$116","v":0},{"$f":"$J$4606-$H$4606","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$116","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$117","v":101},{"$f":"'Sec. I Out-of-State ADJ'!$C$117","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$117","v":0},{"$f":"$J$4607-$H$4607","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$117","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$118","v":102},{"$f":"'Sec. I Out-of-State ADJ'!$C$118","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$118","v":0},{"$f":"$J$4608-$H$4608","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$118","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$119","v":103},{"$f":"'Sec. I Out-of-State ADJ'!$C$119","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$119","v":0},{"$f":"$J$4609-$H$4609","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$119","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$120","v":104},{"$f":"'Sec. I Out-of-State ADJ'!$C$120","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$120","v":0},{"$f":"$J$4610-$H$4610","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$120","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$121","v":105},{"$f":"'Sec. I Out-of-State ADJ'!$C$121","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$121","v":0},{"$f":"$J$4611-$H$4611","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$121","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$122","v":106},{"$f":"'Sec. I Out-of-State ADJ'!$C$122","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$122","v":0},{"$f":"$J$4612-$H$4612","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$122","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$123","v":107},{"$f":"'Sec. I Out-of-State ADJ'!$C$123","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$123","v":0},{"$f":"$J$4613-$H$4613","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$123","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$124","v":108},{"$f":"'Sec. I Out-of-State ADJ'!$C$124","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$124","v":0},{"$f":"$J$4614-$H$4614","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$124","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$125","v":109},{"$f":"'Sec. I Out-of-State ADJ'!$C$125","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$125","v":0},{"$f":"$J$4615-$H$4615","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$125","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$126","v":110},{"$f":"'Sec. I Out-of-State ADJ'!$C$126","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$126","v":0},{"$f":"$J$4616-$H$4616","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$126","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$127","v":111},{"$f":"'Sec. I Out-of-State ADJ'!$C$127","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$127","v":0},{"$f":"$J$4617-$H$4617","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$127","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$128","v":112},{"$f":"'Sec. I Out-of-State ADJ'!$C$128","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$128","v":0},{"$f":"$J$4618-$H$4618","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$128","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$129","v":113},{"$f":"'Sec. I Out-of-State ADJ'!$C$129","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$129","v":0},{"$f":"$J$4619-$H$4619","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$129","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$130","v":114},{"$f":"'Sec. I Out-of-State ADJ'!$C$130","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$130","v":0},{"$f":"$J$4620-$H$4620","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$130","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$131","v":115},{"$f":"'Sec. I Out-of-State ADJ'!$C$131","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$131","v":0},{"$f":"$J$4621-$H$4621","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$131","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$132","v":116},{"$f":"'Sec. I Out-of-State ADJ'!$C$132","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$132","v":0},{"$f":"$J$4622-$H$4622","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$132","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$133","v":117},{"$f":"'Sec. I Out-of-State ADJ'!$C$133","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$133","v":0},{"$f":"$J$4623-$H$4623","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$133","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$134","v":118},{"$f":"'Sec. I Out-of-State ADJ'!$C$134","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$134","v":0},{"$f":"$J$4624-$H$4624","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$134","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$135","v":119},{"$f":"'Sec. I Out-of-State ADJ'!$C$135","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$135","v":0},{"$f":"$J$4625-$H$4625","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$135","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$136","v":120},{"$f":"'Sec. I Out-of-State ADJ'!$C$136","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$136","v":0},{"$f":"$J$4626-$H$4626","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$136","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$137","v":121},{"$f":"'Sec. I Out-of-State ADJ'!$C$137","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$137","v":0},{"$f":"$J$4627-$H$4627","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$137","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$138","v":122},{"$f":"'Sec. I Out-of-State ADJ'!$C$138","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$138","v":0},{"$f":"$J$4628-$H$4628","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$138","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$139","v":123},{"$f":"'Sec. I Out-of-State ADJ'!$C$139","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$139","v":0},{"$f":"$J$4629-$H$4629","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$139","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$140","v":124},{"$f":"'Sec. I Out-of-State ADJ'!$C$140","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$140","v":0},{"$f":"$J$4630-$H$4630","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$140","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$141","v":125},{"$f":"'Sec. I Out-of-State ADJ'!$C$141","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$141","v":0},{"$f":"$J$4631-$H$4631","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$141","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$142","v":126},{"$f":"'Sec. I Out-of-State ADJ'!$C$142","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$142","v":0},{"$f":"$J$4632-$H$4632","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$142","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$143","v":127},{"$f":"'Sec. I Out-of-State ADJ'!$C$143","v":""},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$143","v":0},{"$f":"$J$4633-$H$4633","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$143","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. H In-State ADJ'!$A$151","v":131.01},{"$f":"'Sec. H In-State ADJ'!$B$151","v":"Sampling Cost Adjustment (if applicable)"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to sample extrapolation.",0,{"$f":"$J$4634-$H$4634","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$151","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$154","v":132},{"$f":"'Sec. I Out-of-State ADJ'!$B$154","v":"Total Medicaid Paid Amount (excludes TPL, Co-Pay and Spend-Down)"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$154","v":535.54000000000008},{"$f":"$J$4635-$H$4635","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$154","v":535.54000000000008}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$155","v":133},{"$f":"'Sec. I Out-of-State ADJ'!$B$155","v":"Total Medicaid Managed Care Paid Amount (excludes TPL, Co-Pay and Spend-Down) (See Note E)"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$155","v":0},{"$f":"$J$4636-$H$4636","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$155","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$156","v":134},{"$f":"'Sec. I Out-of-State ADJ'!$B$156","v":"Private Insurance (including primary and third party liability)"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$156","v":61942.429999999993},{"$f":"$J$4637-$H$4637","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$156","v":61942.429999999993}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$157","v":135},{"$f":"'Sec. I Out-of-State ADJ'!$B$157","v":"Self-Pay (including Co-Pay and Spend-Down)"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$157","v":35.099999999999994},{"$f":"$J$4638-$H$4638","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$157","v":35.099999999999994}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$161","v":139},{"$f":"'Sec. I Out-of-State ADJ'!$B$161","v":"Medicare Traditional (non-HMO) Paid Amount (excludes coinsurance/deductibles)"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$161","v":0},{"$f":"$J$4639-$H$4639","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$161","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$162","v":140},{"$f":"'Sec. I Out-of-State ADJ'!$B$162","v":"Medicare Managed Care (HMO) Paid Amount (excludes coinsurance/deductibles)"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$162","v":12932},{"$f":"$J$4640-$H$4640","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$162","v":12932}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$163","v":141},{"$f":"'Sec. I Out-of-State ADJ'!$B$163","v":"Medicare Cross-Over Bad Debt Payments"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to paid claims data.",{"$f":"'Sec. I Out-of-State'!$V$163","v":0},{"$f":"$J$4641-$H$4641","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$163","v":0}]
[null,"I - Out-of-State",{"$f":"'Sec. I Out-of-State ADJ'!$A$164","v":142},{"$f":"'Sec. I Out-of-State ADJ'!$B$164","v":"Other Medicare Cross-Over Payments (See Note D)"},"12.00",{"$f":"CONCATENATE('Sec. I Out-of-State ADJ'!$V$6,\" \",'Sec. I Out-of-State ADJ'!Heading_4_ADJ)","v":"Outpatient Out-of-State Other Medicaid Eligibles (Not Included Elsewhere)"},"Adjust to include Medicare cost report settlements applicable to cross-overs.",{"$f":"'Sec. I Out-of-State'!$V$164","v":0},{"$f":"$J$4642-$H$4642","v":0},{"$f":"'Sec. I Out-of-State ADJ'!$V$164","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},"3.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$D$5,\" \",'Sec. J & K Organ Acq ADJ'!$D$6)","v":"Total Organ Acquisition Cost"},"Adjust to cost report.",{"$f":"'Sec. J & K Organ Acq'!$D$10","v":0},{"$f":"$J$4643-$H$4643","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$D$10","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},"3.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$D$5,\" \",'Sec. J & K Organ Acq ADJ'!$D$6)","v":"Total Organ Acquisition Cost"},"Adjust to cost report.",{"$f":"'Sec. J & K Organ Acq'!$D$11","v":0},{"$f":"$J$4644-$H$4644","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$D$11","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},"3.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$D$5,\" \",'Sec. J & K Organ Acq ADJ'!$D$6)","v":"Total Organ Acquisition Cost"},"Adjust to cost report.",{"$f":"'Sec. J & K Organ Acq'!$D$12","v":0},{"$f":"$J$4645-$H$4645","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$D$12","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},"3.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$D$5,\" \",'Sec. J & K Organ Acq ADJ'!$D$6)","v":"Total Organ Acquisition Cost"},"Adjust to cost report.",{"$f":"'Sec. J & K Organ Acq'!$D$13","v":0},{"$f":"$J$4646-$H$4646","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$D$13","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},"3.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$D$5,\" \",'Sec. J & K Organ Acq ADJ'!$D$6)","v":"Total Organ Acquisition Cost"},"Adjust to cost report.",{"$f":"'Sec. J & K Organ Acq'!$D$14","v":0},{"$f":"$J$4647-$H$4647","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$D$14","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},"3.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$D$5,\" \",'Sec. J & K Organ Acq ADJ'!$D$6)","v":"Total Organ Acquisition Cost"},"Adjust to cost report.",{"$f":"'Sec. J & K Organ Acq'!$D$15","v":0},{"$f":"$J$4648-$H$4648","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$D$15","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},"3.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$D$5,\" \",'Sec. J & K Organ Acq ADJ'!$D$6)","v":"Total Organ Acquisition Cost"},"Adjust to cost report.",{"$f":"'Sec. J & K Organ Acq'!$D$16","v":0},{"$f":"$J$4649-$H$4649","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$D$16","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},"3.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$D$5,\" \",'Sec. J & K Organ Acq ADJ'!$D$6)","v":"Total Organ Acquisition Cost"},"Adjust to cost report.",{"$f":"'Sec. J & K Organ Acq'!$D$17","v":0},{"$f":"$J$4650-$H$4650","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$D$17","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},"6.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$H$5,\" \",'Sec. J & K Organ Acq ADJ'!$H$6)","v":"Revenue for Medicaid/ Cross-Over / Uninsured Organs Sold "},"Adjust to hospital's data.",{"$f":"'Sec. J & K Organ Acq'!$H$10","v":0},{"$f":"$J$4651-$H$4651","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$H$10","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},"6.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$H$5,\" \",'Sec. J & K Organ Acq ADJ'!$H$6)","v":"Revenue for Medicaid/ Cross-Over / Uninsured Organs Sold "},"Adjust to hospital's data.",{"$f":"'Sec. J & K Organ Acq'!$H$11","v":0},{"$f":"$J$4652-$H$4652","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$H$11","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},"6.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$H$5,\" \",'Sec. J & K Organ Acq ADJ'!$H$6)","v":"Revenue for Medicaid/ Cross-Over / Uninsured Organs Sold "},"Adjust to hospital's data.",{"$f":"'Sec. J & K Organ Acq'!$H$12","v":0},{"$f":"$J$4653-$H$4653","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$H$12","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},"6.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$H$5,\" \",'Sec. J & K Organ Acq ADJ'!$H$6)","v":"Revenue for Medicaid/ Cross-Over / Uninsured Organs Sold "},"Adjust to hospital's data.",{"$f":"'Sec. J & K Organ Acq'!$H$13","v":0},{"$f":"$J$4654-$H$4654","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$H$13","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},"6.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$H$5,\" \",'Sec. J & K Organ Acq ADJ'!$H$6)","v":"Revenue for Medicaid/ Cross-Over / Uninsured Organs Sold "},"Adjust to hospital's data.",{"$f":"'Sec. J & K Organ Acq'!$H$14","v":0},{"$f":"$J$4655-$H$4655","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$H$14","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},"6.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$H$5,\" \",'Sec. J & K Organ Acq ADJ'!$H$6)","v":"Revenue for Medicaid/ Cross-Over / Uninsured Organs Sold "},"Adjust to hospital's data.",{"$f":"'Sec. J & K Organ Acq'!$H$15","v":0},{"$f":"$J$4656-$H$4656","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$H$15","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},"6.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$H$5,\" \",'Sec. J & K Organ Acq ADJ'!$H$6)","v":"Revenue for Medicaid/ Cross-Over / Uninsured Organs Sold "},"Adjust to hospital's data.",{"$f":"'Sec. J & K Organ Acq'!$H$16","v":0},{"$f":"$J$4657-$H$4657","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$H$16","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},"6.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$H$5,\" \",'Sec. J & K Organ Acq ADJ'!$H$6)","v":"Revenue for Medicaid/ Cross-Over / Uninsured Organs Sold "},"Adjust to hospital's data.",{"$f":"'Sec. J & K Organ Acq'!$H$17","v":0},{"$f":"$J$4658-$H$4658","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$H$17","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},"7.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$J$5,\" \",'Sec. J & K Organ Acq ADJ'!$J$6)","v":"Total Useable Organs (Count)"},"Adjust to cost report.",{"$f":"'Sec. J & K Organ Acq'!$J$10","v":0},{"$f":"$J$4659-$H$4659","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$J$10","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},"7.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$J$5,\" \",'Sec. J & K Organ Acq ADJ'!$J$6)","v":"Total Useable Organs (Count)"},"Adjust to cost report.",{"$f":"'Sec. J & K Organ Acq'!$J$11","v":0},{"$f":"$J$4660-$H$4660","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$J$11","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},"7.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$J$5,\" \",'Sec. J & K Organ Acq ADJ'!$J$6)","v":"Total Useable Organs (Count)"},"Adjust to cost report.",{"$f":"'Sec. J & K Organ Acq'!$J$12","v":0},{"$f":"$J$4661-$H$4661","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$J$12","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},"7.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$J$5,\" \",'Sec. J & K Organ Acq ADJ'!$J$6)","v":"Total Useable Organs (Count)"},"Adjust to cost report.",{"$f":"'Sec. J & K Organ Acq'!$J$13","v":0},{"$f":"$J$4662-$H$4662","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$J$13","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},"7.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$J$5,\" \",'Sec. J & K Organ Acq ADJ'!$J$6)","v":"Total Useable Organs (Count)"},"Adjust to cost report.",{"$f":"'Sec. J & K Organ Acq'!$J$14","v":0},{"$f":"$J$4663-$H$4663","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$J$14","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},"7.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$J$5,\" \",'Sec. J & K Organ Acq ADJ'!$J$6)","v":"Total Useable Organs (Count)"},"Adjust to cost report.",{"$f":"'Sec. J & K Organ Acq'!$J$15","v":0},{"$f":"$J$4664-$H$4664","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$J$15","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},"7.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$J$5,\" \",'Sec. J & K Organ Acq ADJ'!$J$6)","v":"Total Useable Organs (Count)"},"Adjust to cost report.",{"$f":"'Sec. J & K Organ Acq'!$J$16","v":0},{"$f":"$J$4665-$H$4665","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$J$16","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},"7.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$J$5,\" \",'Sec. J & K Organ Acq ADJ'!$J$6)","v":"Total Useable Organs (Count)"},"Adjust to cost report.",{"$f":"'Sec. J & K Organ Acq'!$J$17","v":0},{"$f":"$J$4666-$H$4666","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$J$17","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},"8.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$5,\" \",'Sec. J & K Organ Acq ADJ'!$L$6)","v":"In-State Medicaid FFS Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$L$10","v":0},{"$f":"$J$4667-$H$4667","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$L$10","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},"8.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$5,\" \",'Sec. J & K Organ Acq ADJ'!$L$6)","v":"In-State Medicaid FFS Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$L$11","v":0},{"$f":"$J$4668-$H$4668","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$L$11","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},"8.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$5,\" \",'Sec. J & K Organ Acq ADJ'!$L$6)","v":"In-State Medicaid FFS Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$L$12","v":0},{"$f":"$J$4669-$H$4669","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$L$12","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},"8.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$5,\" \",'Sec. J & K Organ Acq ADJ'!$L$6)","v":"In-State Medicaid FFS Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$L$13","v":0},{"$f":"$J$4670-$H$4670","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$L$13","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},"8.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$5,\" \",'Sec. J & K Organ Acq ADJ'!$L$6)","v":"In-State Medicaid FFS Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$L$14","v":0},{"$f":"$J$4671-$H$4671","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$L$14","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},"8.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$5,\" \",'Sec. J & K Organ Acq ADJ'!$L$6)","v":"In-State Medicaid FFS Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$L$15","v":0},{"$f":"$J$4672-$H$4672","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$L$15","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},"8.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$5,\" \",'Sec. J & K Organ Acq ADJ'!$L$6)","v":"In-State Medicaid FFS Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$L$16","v":0},{"$f":"$J$4673-$H$4673","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$L$16","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},"8.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$5,\" \",'Sec. J & K Organ Acq ADJ'!$L$6)","v":"In-State Medicaid FFS Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$L$17","v":0},{"$f":"$J$4674-$H$4674","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$L$17","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},"9.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$5,\" \",'Sec. J & K Organ Acq ADJ'!$N$6)","v":"In-State Medicaid FFS Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$N$10","v":0},{"$f":"$J$4675-$H$4675","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$N$10","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},"9.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$5,\" \",'Sec. J & K Organ Acq ADJ'!$N$6)","v":"In-State Medicaid FFS Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$N$11","v":0},{"$f":"$J$4676-$H$4676","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$N$11","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},"9.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$5,\" \",'Sec. J & K Organ Acq ADJ'!$N$6)","v":"In-State Medicaid FFS Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$N$12","v":0},{"$f":"$J$4677-$H$4677","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$N$12","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},"9.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$5,\" \",'Sec. J & K Organ Acq ADJ'!$N$6)","v":"In-State Medicaid FFS Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$N$13","v":0},{"$f":"$J$4678-$H$4678","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$N$13","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},"9.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$5,\" \",'Sec. J & K Organ Acq ADJ'!$N$6)","v":"In-State Medicaid FFS Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$N$14","v":0},{"$f":"$J$4679-$H$4679","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$N$14","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},"9.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$5,\" \",'Sec. J & K Organ Acq ADJ'!$N$6)","v":"In-State Medicaid FFS Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$N$15","v":0},{"$f":"$J$4680-$H$4680","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$N$15","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},"9.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$5,\" \",'Sec. J & K Organ Acq ADJ'!$N$6)","v":"In-State Medicaid FFS Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$N$16","v":0},{"$f":"$J$4681-$H$4681","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$N$16","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},"9.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$5,\" \",'Sec. J & K Organ Acq ADJ'!$N$6)","v":"In-State Medicaid FFS Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$N$17","v":0},{"$f":"$J$4682-$H$4682","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$N$17","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},"10.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$5,\" \",'Sec. J & K Organ Acq ADJ'!$P$6)","v":"In-State Medicaid Managed Care Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$P$10","v":0},{"$f":"$J$4683-$H$4683","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$P$10","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},"10.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$5,\" \",'Sec. J & K Organ Acq ADJ'!$P$6)","v":"In-State Medicaid Managed Care Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$P$11","v":0},{"$f":"$J$4684-$H$4684","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$P$11","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},"10.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$5,\" \",'Sec. J & K Organ Acq ADJ'!$P$6)","v":"In-State Medicaid Managed Care Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$P$12","v":0},{"$f":"$J$4685-$H$4685","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$P$12","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},"10.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$5,\" \",'Sec. J & K Organ Acq ADJ'!$P$6)","v":"In-State Medicaid Managed Care Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$P$13","v":0},{"$f":"$J$4686-$H$4686","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$P$13","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},"10.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$5,\" \",'Sec. J & K Organ Acq ADJ'!$P$6)","v":"In-State Medicaid Managed Care Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$P$14","v":0},{"$f":"$J$4687-$H$4687","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$P$14","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},"10.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$5,\" \",'Sec. J & K Organ Acq ADJ'!$P$6)","v":"In-State Medicaid Managed Care Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$P$15","v":0},{"$f":"$J$4688-$H$4688","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$P$15","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},"10.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$5,\" \",'Sec. J & K Organ Acq ADJ'!$P$6)","v":"In-State Medicaid Managed Care Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$P$16","v":0},{"$f":"$J$4689-$H$4689","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$P$16","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},"10.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$5,\" \",'Sec. J & K Organ Acq ADJ'!$P$6)","v":"In-State Medicaid Managed Care Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$P$17","v":0},{"$f":"$J$4690-$H$4690","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$P$17","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},"11.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$5,\" \",'Sec. J & K Organ Acq ADJ'!$R$6)","v":"In-State Medicaid Managed Care Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$R$10","v":0},{"$f":"$J$4691-$H$4691","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$R$10","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},"11.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$5,\" \",'Sec. J & K Organ Acq ADJ'!$R$6)","v":"In-State Medicaid Managed Care Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$R$11","v":0},{"$f":"$J$4692-$H$4692","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$R$11","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},"11.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$5,\" \",'Sec. J & K Organ Acq ADJ'!$R$6)","v":"In-State Medicaid Managed Care Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$R$12","v":0},{"$f":"$J$4693-$H$4693","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$R$12","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},"11.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$5,\" \",'Sec. J & K Organ Acq ADJ'!$R$6)","v":"In-State Medicaid Managed Care Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$R$13","v":0},{"$f":"$J$4694-$H$4694","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$R$13","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},"11.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$5,\" \",'Sec. J & K Organ Acq ADJ'!$R$6)","v":"In-State Medicaid Managed Care Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$R$14","v":0},{"$f":"$J$4695-$H$4695","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$R$14","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},"11.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$5,\" \",'Sec. J & K Organ Acq ADJ'!$R$6)","v":"In-State Medicaid Managed Care Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$R$15","v":0},{"$f":"$J$4696-$H$4696","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$R$15","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},"11.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$5,\" \",'Sec. J & K Organ Acq ADJ'!$R$6)","v":"In-State Medicaid Managed Care Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$R$16","v":0},{"$f":"$J$4697-$H$4697","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$R$16","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},"11.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$5,\" \",'Sec. J & K Organ Acq ADJ'!$R$6)","v":"In-State Medicaid Managed Care Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$R$17","v":0},{"$f":"$J$4698-$H$4698","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$R$17","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},"12.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$5,\" \",'Sec. J & K Organ Acq ADJ'!$T$6)","v":"In-State Medicare FFS Cross-Overs (with Medicaid Secondary) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$T$10","v":0},{"$f":"$J$4699-$H$4699","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$T$10","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},"12.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$5,\" \",'Sec. J & K Organ Acq ADJ'!$T$6)","v":"In-State Medicare FFS Cross-Overs (with Medicaid Secondary) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$T$11","v":0},{"$f":"$J$4700-$H$4700","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$T$11","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},"12.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$5,\" \",'Sec. J & K Organ Acq ADJ'!$T$6)","v":"In-State Medicare FFS Cross-Overs (with Medicaid Secondary) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$T$12","v":0},{"$f":"$J$4701-$H$4701","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$T$12","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},"12.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$5,\" \",'Sec. J & K Organ Acq ADJ'!$T$6)","v":"In-State Medicare FFS Cross-Overs (with Medicaid Secondary) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$T$13","v":0},{"$f":"$J$4702-$H$4702","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$T$13","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},"12.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$5,\" \",'Sec. J & K Organ Acq ADJ'!$T$6)","v":"In-State Medicare FFS Cross-Overs (with Medicaid Secondary) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$T$14","v":0},{"$f":"$J$4703-$H$4703","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$T$14","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},"12.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$5,\" \",'Sec. J & K Organ Acq ADJ'!$T$6)","v":"In-State Medicare FFS Cross-Overs (with Medicaid Secondary) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$T$15","v":0},{"$f":"$J$4704-$H$4704","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$T$15","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},"12.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$5,\" \",'Sec. J & K Organ Acq ADJ'!$T$6)","v":"In-State Medicare FFS Cross-Overs (with Medicaid Secondary) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$T$16","v":0},{"$f":"$J$4705-$H$4705","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$T$16","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},"12.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$5,\" \",'Sec. J & K Organ Acq ADJ'!$T$6)","v":"In-State Medicare FFS Cross-Overs (with Medicaid Secondary) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$T$17","v":0},{"$f":"$J$4706-$H$4706","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$T$17","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},"13.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$5,\" \",'Sec. J & K Organ Acq ADJ'!$V$6)","v":"In-State Medicare FFS Cross-Overs (with Medicaid Secondary) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$V$10","v":0},{"$f":"$J$4707-$H$4707","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$V$10","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},"13.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$5,\" \",'Sec. J & K Organ Acq ADJ'!$V$6)","v":"In-State Medicare FFS Cross-Overs (with Medicaid Secondary) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$V$11","v":0},{"$f":"$J$4708-$H$4708","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$V$11","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},"13.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$5,\" \",'Sec. J & K Organ Acq ADJ'!$V$6)","v":"In-State Medicare FFS Cross-Overs (with Medicaid Secondary) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$V$12","v":0},{"$f":"$J$4709-$H$4709","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$V$12","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},"13.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$5,\" \",'Sec. J & K Organ Acq ADJ'!$V$6)","v":"In-State Medicare FFS Cross-Overs (with Medicaid Secondary) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$V$13","v":0},{"$f":"$J$4710-$H$4710","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$V$13","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},"13.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$5,\" \",'Sec. J & K Organ Acq ADJ'!$V$6)","v":"In-State Medicare FFS Cross-Overs (with Medicaid Secondary) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$V$14","v":0},{"$f":"$J$4711-$H$4711","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$V$14","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},"13.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$5,\" \",'Sec. J & K Organ Acq ADJ'!$V$6)","v":"In-State Medicare FFS Cross-Overs (with Medicaid Secondary) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$V$15","v":0},{"$f":"$J$4712-$H$4712","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$V$15","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},"13.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$5,\" \",'Sec. J & K Organ Acq ADJ'!$V$6)","v":"In-State Medicare FFS Cross-Overs (with Medicaid Secondary) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$V$16","v":0},{"$f":"$J$4713-$H$4713","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$V$16","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},"13.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$5,\" \",'Sec. J & K Organ Acq ADJ'!$V$6)","v":"In-State Medicare FFS Cross-Overs (with Medicaid Secondary) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$V$17","v":0},{"$f":"$J$4714-$H$4714","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$V$17","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},"14.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$5,\" \",'Sec. J & K Organ Acq ADJ'!$X$6)","v":"In-State Other Medicaid Eligibles (Not Included Elsewhere) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$X$10","v":0},{"$f":"$J$4715-$H$4715","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$X$10","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},"14.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$5,\" \",'Sec. J & K Organ Acq ADJ'!$X$6)","v":"In-State Other Medicaid Eligibles (Not Included Elsewhere) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$X$11","v":0},{"$f":"$J$4716-$H$4716","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$X$11","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},"14.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$5,\" \",'Sec. J & K Organ Acq ADJ'!$X$6)","v":"In-State Other Medicaid Eligibles (Not Included Elsewhere) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$X$12","v":0},{"$f":"$J$4717-$H$4717","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$X$12","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},"14.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$5,\" \",'Sec. J & K Organ Acq ADJ'!$X$6)","v":"In-State Other Medicaid Eligibles (Not Included Elsewhere) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$X$13","v":0},{"$f":"$J$4718-$H$4718","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$X$13","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},"14.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$5,\" \",'Sec. J & K Organ Acq ADJ'!$X$6)","v":"In-State Other Medicaid Eligibles (Not Included Elsewhere) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$X$14","v":0},{"$f":"$J$4719-$H$4719","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$X$14","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},"14.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$5,\" \",'Sec. J & K Organ Acq ADJ'!$X$6)","v":"In-State Other Medicaid Eligibles (Not Included Elsewhere) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$X$15","v":0},{"$f":"$J$4720-$H$4720","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$X$15","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},"14.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$5,\" \",'Sec. J & K Organ Acq ADJ'!$X$6)","v":"In-State Other Medicaid Eligibles (Not Included Elsewhere) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$X$16","v":0},{"$f":"$J$4721-$H$4721","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$X$16","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},"14.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$5,\" \",'Sec. J & K Organ Acq ADJ'!$X$6)","v":"In-State Other Medicaid Eligibles (Not Included Elsewhere) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$X$17","v":0},{"$f":"$J$4722-$H$4722","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$X$17","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},"15.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$5,\" \",'Sec. J & K Organ Acq ADJ'!$Z$6)","v":"In-State Other Medicaid Eligibles (Not Included Elsewhere) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$Z$10","v":0},{"$f":"$J$4723-$H$4723","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$Z$10","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},"15.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$5,\" \",'Sec. J & K Organ Acq ADJ'!$Z$6)","v":"In-State Other Medicaid Eligibles (Not Included Elsewhere) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$Z$11","v":0},{"$f":"$J$4724-$H$4724","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$Z$11","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},"15.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$5,\" \",'Sec. J & K Organ Acq ADJ'!$Z$6)","v":"In-State Other Medicaid Eligibles (Not Included Elsewhere) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$Z$12","v":0},{"$f":"$J$4725-$H$4725","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$Z$12","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},"15.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$5,\" \",'Sec. J & K Organ Acq ADJ'!$Z$6)","v":"In-State Other Medicaid Eligibles (Not Included Elsewhere) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$Z$13","v":0},{"$f":"$J$4726-$H$4726","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$Z$13","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},"15.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$5,\" \",'Sec. J & K Organ Acq ADJ'!$Z$6)","v":"In-State Other Medicaid Eligibles (Not Included Elsewhere) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$Z$14","v":0},{"$f":"$J$4727-$H$4727","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$Z$14","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},"15.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$5,\" \",'Sec. J & K Organ Acq ADJ'!$Z$6)","v":"In-State Other Medicaid Eligibles (Not Included Elsewhere) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$Z$15","v":0},{"$f":"$J$4728-$H$4728","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$Z$15","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},"15.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$5,\" \",'Sec. J & K Organ Acq ADJ'!$Z$6)","v":"In-State Other Medicaid Eligibles (Not Included Elsewhere) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$Z$16","v":0},{"$f":"$J$4729-$H$4729","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$Z$16","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},"15.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$5,\" \",'Sec. J & K Organ Acq ADJ'!$Z$6)","v":"In-State Other Medicaid Eligibles (Not Included Elsewhere) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$Z$17","v":0},{"$f":"$J$4730-$H$4730","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$Z$17","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},{"$f":"IF(State=\"California DPH\",\"16.00\",\"\")","v":""},{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AB$5,\" \",'Sec. J & K Organ Acq ADJ'!$AB$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AB$10","v":0},{"$f":"$J$4731-$H$4731","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AB$10","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AB$5,\" \",'Sec. J & K Organ Acq ADJ'!$AB$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AB$11","v":0},{"$f":"$J$4732-$H$4732","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AB$11","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AB$5,\" \",'Sec. J & K Organ Acq ADJ'!$AB$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AB$12","v":0},{"$f":"$J$4733-$H$4733","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AB$12","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AB$5,\" \",'Sec. J & K Organ Acq ADJ'!$AB$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AB$13","v":0},{"$f":"$J$4734-$H$4734","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AB$13","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AB$5,\" \",'Sec. J & K Organ Acq ADJ'!$AB$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AB$14","v":0},{"$f":"$J$4735-$H$4735","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AB$14","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AB$5,\" \",'Sec. J & K Organ Acq ADJ'!$AB$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AB$15","v":0},{"$f":"$J$4736-$H$4736","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AB$15","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AB$5,\" \",'Sec. J & K Organ Acq ADJ'!$AB$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AB$16","v":0},{"$f":"$J$4737-$H$4737","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AB$16","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AB$5,\" \",'Sec. J & K Organ Acq ADJ'!$AB$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AB$17","v":0},{"$f":"$J$4738-$H$4738","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AB$17","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},{"$f":"IF(State=\"California DPH\",\"17.00\",\"\")","v":""},{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AB$5,\" \",'Sec. J & K Organ Acq ADJ'!$AD$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AD$10","v":0},{"$f":"$J$4739-$H$4739","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AD$10","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AB$5,\" \",'Sec. J & K Organ Acq ADJ'!$AD$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AD$11","v":0},{"$f":"$J$4740-$H$4740","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AD$11","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AB$5,\" \",'Sec. J & K Organ Acq ADJ'!$AD$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AD$12","v":0},{"$f":"$J$4741-$H$4741","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AD$12","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AB$5,\" \",'Sec. J & K Organ Acq ADJ'!$AD$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AD$13","v":0},{"$f":"$J$4742-$H$4742","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AD$13","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AB$5,\" \",'Sec. J & K Organ Acq ADJ'!$AD$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AD$14","v":0},{"$f":"$J$4743-$H$4743","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AD$14","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AB$5,\" \",'Sec. J & K Organ Acq ADJ'!$AD$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AD$15","v":0},{"$f":"$J$4744-$H$4744","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AD$15","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AB$5,\" \",'Sec. J & K Organ Acq ADJ'!$AD$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AD$16","v":0},{"$f":"$J$4745-$H$4745","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AD$16","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AB$5,\" \",'Sec. J & K Organ Acq ADJ'!$AD$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AD$17","v":0},{"$f":"$J$4746-$H$4746","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AD$17","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},{"$f":"IF(State=\"California DPH\",\"18.00\",IF(State=\"Indiana\",\"16.00\",\"\"))","v":""},{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AF$5,\" \",'Sec. J & K Organ Acq ADJ'!$AF$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AF$10","v":0},{"$f":"$J$4747-$H$4747","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AF$10","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AF$5,\" \",'Sec. J & K Organ Acq ADJ'!$AF$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AF$11","v":0},{"$f":"$J$4748-$H$4748","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AF$11","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AF$5,\" \",'Sec. J & K Organ Acq ADJ'!$AF$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AF$12","v":0},{"$f":"$J$4749-$H$4749","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AF$12","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AF$5,\" \",'Sec. J & K Organ Acq ADJ'!$AF$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AF$13","v":0},{"$f":"$J$4750-$H$4750","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AF$13","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AF$5,\" \",'Sec. J & K Organ Acq ADJ'!$AF$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AF$14","v":0},{"$f":"$J$4751-$H$4751","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AF$14","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AF$5,\" \",'Sec. J & K Organ Acq ADJ'!$AF$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AF$15","v":0},{"$f":"$J$4752-$H$4752","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AF$15","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AF$5,\" \",'Sec. J & K Organ Acq ADJ'!$AF$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AF$16","v":0},{"$f":"$J$4753-$H$4753","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AF$16","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AF$5,\" \",'Sec. J & K Organ Acq ADJ'!$AF$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AF$17","v":0},{"$f":"$J$4754-$H$4754","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AF$17","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},{"$f":"IF(State=\"California DPH\",\"19.00\",IF(State=\"Indiana\",\"17.00\",\"\"))","v":""},{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AF$5,\" \",'Sec. J & K Organ Acq ADJ'!$AH$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AH$10","v":0},{"$f":"$J$4755-$H$4755","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AH$10","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AF$5,\" \",'Sec. J & K Organ Acq ADJ'!$AH$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AH$11","v":0},{"$f":"$J$4756-$H$4756","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AH$11","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AF$5,\" \",'Sec. J & K Organ Acq ADJ'!$AH$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AH$12","v":0},{"$f":"$J$4757-$H$4757","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AH$12","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AF$5,\" \",'Sec. J & K Organ Acq ADJ'!$AH$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AH$13","v":0},{"$f":"$J$4758-$H$4758","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AH$13","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AF$5,\" \",'Sec. J & K Organ Acq ADJ'!$AH$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AH$14","v":0},{"$f":"$J$4759-$H$4759","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AH$14","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AF$5,\" \",'Sec. J & K Organ Acq ADJ'!$AH$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AH$15","v":0},{"$f":"$J$4760-$H$4760","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AH$15","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AF$5,\" \",'Sec. J & K Organ Acq ADJ'!$AH$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AH$16","v":0},{"$f":"$J$4761-$H$4761","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AH$16","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AF$5,\" \",'Sec. J & K Organ Acq ADJ'!$AH$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AH$17","v":0},{"$f":"$J$4762-$H$4762","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AH$17","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},{"$f":"IF(State=\"California DPH\",\"20.00\",IF(State=\"Indiana\",\"18.00\",\"\"))","v":""},{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AJ$5,\" \",'Sec. J & K Organ Acq ADJ'!$AJ$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AJ$10","v":0},{"$f":"$J$4763-$H$4763","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AJ$10","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AJ$5,\" \",'Sec. J & K Organ Acq ADJ'!$AJ$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AJ$11","v":0},{"$f":"$J$4764-$H$4764","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AJ$11","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AJ$5,\" \",'Sec. J & K Organ Acq ADJ'!$AJ$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AJ$12","v":0},{"$f":"$J$4765-$H$4765","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AJ$12","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AJ$5,\" \",'Sec. J & K Organ Acq ADJ'!$AJ$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AJ$13","v":0},{"$f":"$J$4766-$H$4766","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AJ$13","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AJ$5,\" \",'Sec. J & K Organ Acq ADJ'!$AJ$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AJ$14","v":0},{"$f":"$J$4767-$H$4767","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AJ$14","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AJ$5,\" \",'Sec. J & K Organ Acq ADJ'!$AJ$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AJ$15","v":0},{"$f":"$J$4768-$H$4768","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AJ$15","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AJ$5,\" \",'Sec. J & K Organ Acq ADJ'!$AJ$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AJ$16","v":0},{"$f":"$J$4769-$H$4769","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AJ$16","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AJ$5,\" \",'Sec. J & K Organ Acq ADJ'!$AJ$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AJ$17","v":0},{"$f":"$J$4770-$H$4770","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AJ$17","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},{"$f":"IF(State=\"California DPH\",\"21.00\",IF(State=\"Indiana\",\"19.00\",\"\"))","v":""},{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AJ$5,\" \",'Sec. J & K Organ Acq ADJ'!$AL$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AL$10","v":0},{"$f":"$J$4771-$H$4771","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AL$10","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AJ$5,\" \",'Sec. J & K Organ Acq ADJ'!$AL$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AL$11","v":0},{"$f":"$J$4772-$H$4772","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AL$11","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AJ$5,\" \",'Sec. J & K Organ Acq ADJ'!$AL$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AL$12","v":0},{"$f":"$J$4773-$H$4773","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AL$12","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AJ$5,\" \",'Sec. J & K Organ Acq ADJ'!$AL$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AL$13","v":0},{"$f":"$J$4774-$H$4774","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AL$13","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AJ$5,\" \",'Sec. J & K Organ Acq ADJ'!$AL$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AL$14","v":0},{"$f":"$J$4775-$H$4775","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AL$14","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AJ$5,\" \",'Sec. J & K Organ Acq ADJ'!$AL$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AL$15","v":0},{"$f":"$J$4776-$H$4776","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AL$15","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AJ$5,\" \",'Sec. J & K Organ Acq ADJ'!$AL$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AL$16","v":0},{"$f":"$J$4777-$H$4777","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AL$16","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AJ$5,\" \",'Sec. J & K Organ Acq ADJ'!$AL$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AL$17","v":0},{"$f":"$J$4778-$H$4778","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AL$17","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},{"$f":"IF(State=\"California DPH\",\"22.00\",IF(State=\"Indiana\",\"20.00\",\"\"))","v":""},{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AN$5,\" \",'Sec. J & K Organ Acq ADJ'!$AN$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AN$10","v":0},{"$f":"$J$4779-$H$4779","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AN$10","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AN$5,\" \",'Sec. J & K Organ Acq ADJ'!$AN$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AN$11","v":0},{"$f":"$J$4780-$H$4780","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AN$11","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AN$5,\" \",'Sec. J & K Organ Acq ADJ'!$AN$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AN$12","v":0},{"$f":"$J$4781-$H$4781","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AN$12","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AN$5,\" \",'Sec. J & K Organ Acq ADJ'!$AN$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AN$13","v":0},{"$f":"$J$4782-$H$4782","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AN$13","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AN$5,\" \",'Sec. J & K Organ Acq ADJ'!$AN$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AN$14","v":0},{"$f":"$J$4783-$H$4783","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AN$14","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AN$5,\" \",'Sec. J & K Organ Acq ADJ'!$AN$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AN$15","v":0},{"$f":"$J$4784-$H$4784","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AN$15","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AN$5,\" \",'Sec. J & K Organ Acq ADJ'!$AN$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AN$16","v":0},{"$f":"$J$4785-$H$4785","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AN$16","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AN$5,\" \",'Sec. J & K Organ Acq ADJ'!$AN$6)","v":" Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AN$17","v":0},{"$f":"$J$4786-$H$4786","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AN$17","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},{"$f":"IF(State=\"California DPH\",\"23.00\",IF(State=\"Indiana\",\"21.00\",\"\"))","v":""},{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AN$5,\" \",'Sec. J & K Organ Acq ADJ'!$AP$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AP$10","v":0},{"$f":"$J$4787-$H$4787","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AP$10","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AN$5,\" \",'Sec. J & K Organ Acq ADJ'!$AP$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AP$11","v":0},{"$f":"$J$4788-$H$4788","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AP$11","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AN$5,\" \",'Sec. J & K Organ Acq ADJ'!$AP$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AP$12","v":0},{"$f":"$J$4789-$H$4789","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AP$12","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AN$5,\" \",'Sec. J & K Organ Acq ADJ'!$AP$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AP$13","v":0},{"$f":"$J$4790-$H$4790","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AP$13","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AN$5,\" \",'Sec. J & K Organ Acq ADJ'!$AP$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AP$14","v":0},{"$f":"$J$4791-$H$4791","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AP$14","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AN$5,\" \",'Sec. J & K Organ Acq ADJ'!$AP$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AP$15","v":0},{"$f":"$J$4792-$H$4792","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AP$15","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AN$5,\" \",'Sec. J & K Organ Acq ADJ'!$AP$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AP$16","v":0},{"$f":"$J$4793-$H$4793","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AP$16","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},"",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AN$5,\" \",'Sec. J & K Organ Acq ADJ'!$AP$6)","v":" Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AP$17","v":0},{"$f":"$J$4794-$H$4794","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AP$17","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},{"$f":"IF(StateOnlyDisplay=\"Yes\",HLOOKUP(State,AdjustmentTab_ColumnNum,5,0),HLOOKUP(State,AdjustmentTab_ColumnNum,4,0))","v":14},{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AR$5,\" \",'Sec. J & K Organ Acq ADJ'!$AV$6)","v":"State/Local-Only Indigent Care Program Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AR$10","v":0},{"$f":"$J$4795-$H$4795","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AR$10","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},14,{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AR$5,\" \",'Sec. J & K Organ Acq ADJ'!$AV$6)","v":"State/Local-Only Indigent Care Program Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AR$11","v":0},{"$f":"$J$4796-$H$4796","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AR$11","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},14,{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AR$5,\" \",'Sec. J & K Organ Acq ADJ'!$AV$6)","v":"State/Local-Only Indigent Care Program Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AR$12","v":0},{"$f":"$J$4797-$H$4797","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AR$12","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},14,{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AR$5,\" \",'Sec. J & K Organ Acq ADJ'!$AV$6)","v":"State/Local-Only Indigent Care Program Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AR$13","v":0},{"$f":"$J$4798-$H$4798","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AR$13","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},14,{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AR$5,\" \",'Sec. J & K Organ Acq ADJ'!$AV$6)","v":"State/Local-Only Indigent Care Program Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AR$14","v":0},{"$f":"$J$4799-$H$4799","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AR$14","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},14,{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AR$5,\" \",'Sec. J & K Organ Acq ADJ'!$AV$6)","v":"State/Local-Only Indigent Care Program Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AR$15","v":0},{"$f":"$J$4800-$H$4800","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AR$15","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},14,{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AR$5,\" \",'Sec. J & K Organ Acq ADJ'!$AV$6)","v":"State/Local-Only Indigent Care Program Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AR$16","v":0},{"$f":"$J$4801-$H$4801","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AR$16","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},14,{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AR$5,\" \",'Sec. J & K Organ Acq ADJ'!$AV$6)","v":"State/Local-Only Indigent Care Program Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AR$17","v":0},{"$f":"$J$4802-$H$4802","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AR$17","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},{"$f":"IF(StateOnlyDisplay=\"Yes\",HLOOKUP(State,AdjustmentTab_ColumnNum,5,0),HLOOKUP(State,AdjustmentTab_ColumnNum,4,0))+1","v":15},{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AR$5,\" \",'Sec. J & K Organ Acq ADJ'!$AX$6)","v":"State/Local-Only Indigent Care Program Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AT$10","v":0},{"$f":"$J$4803-$H$4803","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AT$10","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},15,{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AR$5,\" \",'Sec. J & K Organ Acq ADJ'!$AX$6)","v":"State/Local-Only Indigent Care Program Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AT$11","v":0},{"$f":"$J$4804-$H$4804","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AT$11","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},15,{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AR$5,\" \",'Sec. J & K Organ Acq ADJ'!$AX$6)","v":"State/Local-Only Indigent Care Program Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AT$12","v":0},{"$f":"$J$4805-$H$4805","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AT$12","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},15,{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AR$5,\" \",'Sec. J & K Organ Acq ADJ'!$AX$6)","v":"State/Local-Only Indigent Care Program Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AT$13","v":0},{"$f":"$J$4806-$H$4806","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AT$13","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},15,{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AR$5,\" \",'Sec. J & K Organ Acq ADJ'!$AX$6)","v":"State/Local-Only Indigent Care Program Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AT$14","v":0},{"$f":"$J$4807-$H$4807","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AT$14","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},15,{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AR$5,\" \",'Sec. J & K Organ Acq ADJ'!$AX$6)","v":"State/Local-Only Indigent Care Program Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AT$15","v":0},{"$f":"$J$4808-$H$4808","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AT$15","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},15,{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AR$5,\" \",'Sec. J & K Organ Acq ADJ'!$AX$6)","v":"State/Local-Only Indigent Care Program Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AT$16","v":0},{"$f":"$J$4809-$H$4809","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AT$16","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},15,{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AR$5,\" \",'Sec. J & K Organ Acq ADJ'!$AX$6)","v":"State/Local-Only Indigent Care Program Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AT$17","v":0},{"$f":"$J$4810-$H$4810","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AT$17","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},{"$f":"IF(StateOnlyDisplay=\"Yes\",HLOOKUP(State,AdjustmentTab_ColumnNum,5,0),HLOOKUP(State,AdjustmentTab_ColumnNum,4,0))+2","v":16},{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AV$5,\" \",'Sec. J & K Organ Acq ADJ'!$AV$6)","v":"Uninsured Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AV$10","v":0},{"$f":"$J$4811-$H$4811","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AV$10","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},16,{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AV$5,\" \",'Sec. J & K Organ Acq ADJ'!$AV$6)","v":"Uninsured Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AV$11","v":0},{"$f":"$J$4812-$H$4812","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AV$11","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},16,{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AV$5,\" \",'Sec. J & K Organ Acq ADJ'!$AV$6)","v":"Uninsured Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AV$12","v":0},{"$f":"$J$4813-$H$4813","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AV$12","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},16,{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AV$5,\" \",'Sec. J & K Organ Acq ADJ'!$AV$6)","v":"Uninsured Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AV$13","v":0},{"$f":"$J$4814-$H$4814","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AV$13","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},16,{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AV$5,\" \",'Sec. J & K Organ Acq ADJ'!$AV$6)","v":"Uninsured Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AV$14","v":0},{"$f":"$J$4815-$H$4815","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AV$14","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},16,{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AV$5,\" \",'Sec. J & K Organ Acq ADJ'!$AV$6)","v":"Uninsured Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AV$15","v":0},{"$f":"$J$4816-$H$4816","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AV$15","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},16,{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AV$5,\" \",'Sec. J & K Organ Acq ADJ'!$AV$6)","v":"Uninsured Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AV$16","v":0},{"$f":"$J$4817-$H$4817","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AV$16","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},16,{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AV$5,\" \",'Sec. J & K Organ Acq ADJ'!$AV$6)","v":"Uninsured Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AV$17","v":0},{"$f":"$J$4818-$H$4818","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AV$17","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},{"$f":"IF(StateOnlyDisplay=\"Yes\",HLOOKUP(State,AdjustmentTab_ColumnNum,5,0),HLOOKUP(State,AdjustmentTab_ColumnNum,4,0))+3","v":17},{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AV$5,\" \",'Sec. J & K Organ Acq ADJ'!$AX$6)","v":"Uninsured Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AX$10","v":0},{"$f":"$J$4819-$H$4819","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AX$10","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},17,{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AV$5,\" \",'Sec. J & K Organ Acq ADJ'!$AX$6)","v":"Uninsured Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AX$11","v":0},{"$f":"$J$4820-$H$4820","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AX$11","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},17,{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AV$5,\" \",'Sec. J & K Organ Acq ADJ'!$AX$6)","v":"Uninsured Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AX$12","v":0},{"$f":"$J$4821-$H$4821","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AX$12","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},17,{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AV$5,\" \",'Sec. J & K Organ Acq ADJ'!$AX$6)","v":"Uninsured Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AX$13","v":0},{"$f":"$J$4822-$H$4822","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AX$13","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},17,{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AV$5,\" \",'Sec. J & K Organ Acq ADJ'!$AX$6)","v":"Uninsured Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AX$14","v":0},{"$f":"$J$4823-$H$4823","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AX$14","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},17,{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AV$5,\" \",'Sec. J & K Organ Acq ADJ'!$AX$6)","v":"Uninsured Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AX$15","v":0},{"$f":"$J$4824-$H$4824","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AX$15","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},17,{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AV$5,\" \",'Sec. J & K Organ Acq ADJ'!$AX$6)","v":"Uninsured Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AX$16","v":0},{"$f":"$J$4825-$H$4825","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AX$16","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},17,{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$AV$5,\" \",'Sec. J & K Organ Acq ADJ'!$AX$6)","v":"Uninsured Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$AX$17","v":0},{"$f":"$J$4826-$H$4826","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$AX$17","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},"4.00","Add-On for I&R and Tax","Adjust to hospital's data.",{"$f":"'Sec. J & K Organ Acq'!$E$10","v":0},{"$f":"$J$4827-$H$4827","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$E$10","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},"4.00","Add-On for I&R and Tax","Adjust to hospital's data.",{"$f":"'Sec. J & K Organ Acq'!$E$11","v":0},{"$f":"$J$4828-$H$4828","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$E$11","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},"4.00","Add-On for I&R and Tax","Adjust to hospital's data.",{"$f":"'Sec. J & K Organ Acq'!$E$12","v":0},{"$f":"$J$4829-$H$4829","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$E$12","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},"4.00","Add-On for I&R and Tax","Adjust to hospital's data.",{"$f":"'Sec. J & K Organ Acq'!$E$13","v":0},{"$f":"$J$4830-$H$4830","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$E$13","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},"4.00","Add-On for I&R and Tax","Adjust to hospital's data.",{"$f":"'Sec. J & K Organ Acq'!$E$14","v":0},{"$f":"$J$4831-$H$4831","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$E$14","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},"4.00","Add-On for I&R and Tax","Adjust to hospital's data.",{"$f":"'Sec. J & K Organ Acq'!$E$15","v":0},{"$f":"$J$4832-$H$4832","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$E$15","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},"4.00","Add-On for I&R and Tax","Adjust to hospital's data.",{"$f":"'Sec. J & K Organ Acq'!$E$16","v":0},{"$f":"$J$4833-$H$4833","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$E$16","v":0}]
[null,"J - Organ Acquisition In-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},"4.00","Add-On for I&R and Tax","Adjust to hospital's data.",{"$f":"'Sec. J & K Organ Acq'!$E$17","v":0},{"$f":"$J$4834-$H$4834","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$E$17","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},"8.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$32,\" \",'Sec. J & K Organ Acq ADJ'!$L$33)","v":"Out-of-State Medicaid FFS Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$L$37","v":0},{"$f":"$J$4835-$H$4835","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$L$37","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},"8.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$32,\" \",'Sec. J & K Organ Acq ADJ'!$L$33)","v":"Out-of-State Medicaid FFS Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$L$38","v":0},{"$f":"$J$4836-$H$4836","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$L$38","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},"8.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$32,\" \",'Sec. J & K Organ Acq ADJ'!$L$33)","v":"Out-of-State Medicaid FFS Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$L$39","v":0},{"$f":"$J$4837-$H$4837","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$L$39","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},"8.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$32,\" \",'Sec. J & K Organ Acq ADJ'!$L$33)","v":"Out-of-State Medicaid FFS Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$L$40","v":0},{"$f":"$J$4838-$H$4838","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$L$40","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},"8.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$32,\" \",'Sec. J & K Organ Acq ADJ'!$L$33)","v":"Out-of-State Medicaid FFS Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$L$41","v":0},{"$f":"$J$4839-$H$4839","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$L$41","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},"8.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$32,\" \",'Sec. J & K Organ Acq ADJ'!$L$33)","v":"Out-of-State Medicaid FFS Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$L$42","v":0},{"$f":"$J$4840-$H$4840","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$L$42","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},"8.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$32,\" \",'Sec. J & K Organ Acq ADJ'!$L$33)","v":"Out-of-State Medicaid FFS Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$L$43","v":0},{"$f":"$J$4841-$H$4841","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$L$43","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},"8.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$32,\" \",'Sec. J & K Organ Acq ADJ'!$L$33)","v":"Out-of-State Medicaid FFS Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$L$44","v":0},{"$f":"$J$4842-$H$4842","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$L$44","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},"9.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$32,\" \",'Sec. J & K Organ Acq ADJ'!$N$33)","v":"Out-of-State Medicaid FFS Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$N$37","v":0},{"$f":"$J$4843-$H$4843","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$N$37","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},"9.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$32,\" \",'Sec. J & K Organ Acq ADJ'!$N$33)","v":"Out-of-State Medicaid FFS Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$N$38","v":0},{"$f":"$J$4844-$H$4844","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$N$38","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},"9.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$32,\" \",'Sec. J & K Organ Acq ADJ'!$N$33)","v":"Out-of-State Medicaid FFS Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$N$39","v":0},{"$f":"$J$4845-$H$4845","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$N$39","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},"9.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$32,\" \",'Sec. J & K Organ Acq ADJ'!$N$33)","v":"Out-of-State Medicaid FFS Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$N$40","v":0},{"$f":"$J$4846-$H$4846","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$N$40","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},"9.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$32,\" \",'Sec. J & K Organ Acq ADJ'!$N$33)","v":"Out-of-State Medicaid FFS Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$N$41","v":0},{"$f":"$J$4847-$H$4847","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$N$41","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},"9.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$32,\" \",'Sec. J & K Organ Acq ADJ'!$N$33)","v":"Out-of-State Medicaid FFS Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$N$42","v":0},{"$f":"$J$4848-$H$4848","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$N$42","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},"9.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$32,\" \",'Sec. J & K Organ Acq ADJ'!$N$33)","v":"Out-of-State Medicaid FFS Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$N$43","v":0},{"$f":"$J$4849-$H$4849","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$N$43","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},"9.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$L$32,\" \",'Sec. J & K Organ Acq ADJ'!$N$33)","v":"Out-of-State Medicaid FFS Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$N$44","v":0},{"$f":"$J$4850-$H$4850","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$N$44","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},"10.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$32,\" \",'Sec. J & K Organ Acq ADJ'!$P$33)","v":"Out-of-State Medicaid Managed Care Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$P$37","v":0},{"$f":"$J$4851-$H$4851","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$P$37","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},"10.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$32,\" \",'Sec. J & K Organ Acq ADJ'!$P$33)","v":"Out-of-State Medicaid Managed Care Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$P$38","v":0},{"$f":"$J$4852-$H$4852","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$P$38","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},"10.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$32,\" \",'Sec. J & K Organ Acq ADJ'!$P$33)","v":"Out-of-State Medicaid Managed Care Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$P$39","v":0},{"$f":"$J$4853-$H$4853","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$P$39","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},"10.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$32,\" \",'Sec. J & K Organ Acq ADJ'!$P$33)","v":"Out-of-State Medicaid Managed Care Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$P$40","v":0},{"$f":"$J$4854-$H$4854","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$P$40","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},"10.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$32,\" \",'Sec. J & K Organ Acq ADJ'!$P$33)","v":"Out-of-State Medicaid Managed Care Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$P$41","v":0},{"$f":"$J$4855-$H$4855","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$P$41","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},"10.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$32,\" \",'Sec. J & K Organ Acq ADJ'!$P$33)","v":"Out-of-State Medicaid Managed Care Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$P$42","v":0},{"$f":"$J$4856-$H$4856","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$P$42","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},"10.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$32,\" \",'Sec. J & K Organ Acq ADJ'!$P$33)","v":"Out-of-State Medicaid Managed Care Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$P$43","v":0},{"$f":"$J$4857-$H$4857","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$P$43","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},"10.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$32,\" \",'Sec. J & K Organ Acq ADJ'!$P$33)","v":"Out-of-State Medicaid Managed Care Primary Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$P$44","v":0},{"$f":"$J$4858-$H$4858","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$P$44","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},"11.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$32,\" \",'Sec. J & K Organ Acq ADJ'!$R$33)","v":"Out-of-State Medicaid Managed Care Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$R$37","v":0},{"$f":"$J$4859-$H$4859","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$R$37","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},"11.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$32,\" \",'Sec. J & K Organ Acq ADJ'!$R$33)","v":"Out-of-State Medicaid Managed Care Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$R$38","v":0},{"$f":"$J$4860-$H$4860","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$R$38","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},"11.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$32,\" \",'Sec. J & K Organ Acq ADJ'!$R$33)","v":"Out-of-State Medicaid Managed Care Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$R$39","v":0},{"$f":"$J$4861-$H$4861","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$R$39","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},"11.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$32,\" \",'Sec. J & K Organ Acq ADJ'!$R$33)","v":"Out-of-State Medicaid Managed Care Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$R$40","v":0},{"$f":"$J$4862-$H$4862","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$R$40","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},"11.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$32,\" \",'Sec. J & K Organ Acq ADJ'!$R$33)","v":"Out-of-State Medicaid Managed Care Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$R$41","v":0},{"$f":"$J$4863-$H$4863","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$R$41","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},"11.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$32,\" \",'Sec. J & K Organ Acq ADJ'!$R$33)","v":"Out-of-State Medicaid Managed Care Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$R$42","v":0},{"$f":"$J$4864-$H$4864","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$R$42","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},"11.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$32,\" \",'Sec. J & K Organ Acq ADJ'!$R$33)","v":"Out-of-State Medicaid Managed Care Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$R$43","v":0},{"$f":"$J$4865-$H$4865","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$R$43","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},"11.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$P$32,\" \",'Sec. J & K Organ Acq ADJ'!$R$33)","v":"Out-of-State Medicaid Managed Care Primary Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$R$44","v":0},{"$f":"$J$4866-$H$4866","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$R$44","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},"12.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$32,\" \",'Sec. J & K Organ Acq ADJ'!$T$33)","v":"Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$T$37","v":0},{"$f":"$J$4867-$H$4867","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$T$37","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},"12.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$32,\" \",'Sec. J & K Organ Acq ADJ'!$T$33)","v":"Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$T$38","v":0},{"$f":"$J$4868-$H$4868","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$T$38","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},"12.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$32,\" \",'Sec. J & K Organ Acq ADJ'!$T$33)","v":"Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$T$39","v":0},{"$f":"$J$4869-$H$4869","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$T$39","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},"12.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$32,\" \",'Sec. J & K Organ Acq ADJ'!$T$33)","v":"Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$T$40","v":0},{"$f":"$J$4870-$H$4870","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$T$40","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},"12.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$32,\" \",'Sec. J & K Organ Acq ADJ'!$T$33)","v":"Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$T$41","v":0},{"$f":"$J$4871-$H$4871","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$T$41","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},"12.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$32,\" \",'Sec. J & K Organ Acq ADJ'!$T$33)","v":"Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$T$42","v":0},{"$f":"$J$4872-$H$4872","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$T$42","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},"12.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$32,\" \",'Sec. J & K Organ Acq ADJ'!$T$33)","v":"Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$T$43","v":0},{"$f":"$J$4873-$H$4873","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$T$43","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},"12.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$32,\" \",'Sec. J & K Organ Acq ADJ'!$T$33)","v":"Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$T$44","v":0},{"$f":"$J$4874-$H$4874","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$T$44","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},"13.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$32,\" \",'Sec. J & K Organ Acq ADJ'!$V$33)","v":"Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$V$37","v":0},{"$f":"$J$4875-$H$4875","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$V$37","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},"13.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$32,\" \",'Sec. J & K Organ Acq ADJ'!$V$33)","v":"Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$V$38","v":0},{"$f":"$J$4876-$H$4876","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$V$38","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},"13.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$32,\" \",'Sec. J & K Organ Acq ADJ'!$V$33)","v":"Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$V$39","v":0},{"$f":"$J$4877-$H$4877","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$V$39","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},"13.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$32,\" \",'Sec. J & K Organ Acq ADJ'!$V$33)","v":"Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$V$40","v":0},{"$f":"$J$4878-$H$4878","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$V$40","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},"13.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$32,\" \",'Sec. J & K Organ Acq ADJ'!$V$33)","v":"Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$V$41","v":0},{"$f":"$J$4879-$H$4879","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$V$41","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},"13.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$32,\" \",'Sec. J & K Organ Acq ADJ'!$V$33)","v":"Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$V$42","v":0},{"$f":"$J$4880-$H$4880","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$V$42","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},"13.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$32,\" \",'Sec. J & K Organ Acq ADJ'!$V$33)","v":"Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$V$43","v":0},{"$f":"$J$4881-$H$4881","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$V$43","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},"13.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$T$32,\" \",'Sec. J & K Organ Acq ADJ'!$V$33)","v":"Out-of-State Medicare FFS Cross-Overs (with Medicaid Secondary) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$V$44","v":0},{"$f":"$J$4882-$H$4882","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$V$44","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},"14.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$32,\" \",'Sec. J & K Organ Acq ADJ'!$X$33)","v":"Out-of-State Other Medicaid Eligibles (Not Included Elsewhere) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$X$37","v":0},{"$f":"$J$4883-$H$4883","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$X$37","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},"14.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$32,\" \",'Sec. J & K Organ Acq ADJ'!$X$33)","v":"Out-of-State Other Medicaid Eligibles (Not Included Elsewhere) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$X$38","v":0},{"$f":"$J$4884-$H$4884","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$X$38","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},"14.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$32,\" \",'Sec. J & K Organ Acq ADJ'!$X$33)","v":"Out-of-State Other Medicaid Eligibles (Not Included Elsewhere) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$X$39","v":0},{"$f":"$J$4885-$H$4885","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$X$39","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},"14.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$32,\" \",'Sec. J & K Organ Acq ADJ'!$X$33)","v":"Out-of-State Other Medicaid Eligibles (Not Included Elsewhere) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$X$40","v":0},{"$f":"$J$4886-$H$4886","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$X$40","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},"14.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$32,\" \",'Sec. J & K Organ Acq ADJ'!$X$33)","v":"Out-of-State Other Medicaid Eligibles (Not Included Elsewhere) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$X$41","v":0},{"$f":"$J$4887-$H$4887","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$X$41","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},"14.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$32,\" \",'Sec. J & K Organ Acq ADJ'!$X$33)","v":"Out-of-State Other Medicaid Eligibles (Not Included Elsewhere) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$X$42","v":0},{"$f":"$J$4888-$H$4888","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$X$42","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},"14.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$32,\" \",'Sec. J & K Organ Acq ADJ'!$X$33)","v":"Out-of-State Other Medicaid Eligibles (Not Included Elsewhere) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$X$43","v":0},{"$f":"$J$4889-$H$4889","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$X$43","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},"14.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$32,\" \",'Sec. J & K Organ Acq ADJ'!$X$33)","v":"Out-of-State Other Medicaid Eligibles (Not Included Elsewhere) Charges"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$X$44","v":0},{"$f":"$J$4890-$H$4890","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$X$44","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$10","v":1},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$10","v":"Lung Acquisition"},"15.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$32,\" \",'Sec. J & K Organ Acq ADJ'!$Z$33)","v":"Out-of-State Other Medicaid Eligibles (Not Included Elsewhere) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$Z$37","v":0},{"$f":"$J$4891-$H$4891","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$Z$37","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$11","v":2},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$11","v":"Kidney Acquisition"},"15.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$32,\" \",'Sec. J & K Organ Acq ADJ'!$Z$33)","v":"Out-of-State Other Medicaid Eligibles (Not Included Elsewhere) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$Z$38","v":0},{"$f":"$J$4892-$H$4892","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$Z$38","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$12","v":3},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$12","v":"Liver Acquisition"},"15.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$32,\" \",'Sec. J & K Organ Acq ADJ'!$Z$33)","v":"Out-of-State Other Medicaid Eligibles (Not Included Elsewhere) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$Z$39","v":0},{"$f":"$J$4893-$H$4893","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$Z$39","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$13","v":4},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$13","v":"Heart Acquisition"},"15.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$32,\" \",'Sec. J & K Organ Acq ADJ'!$Z$33)","v":"Out-of-State Other Medicaid Eligibles (Not Included Elsewhere) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$Z$40","v":0},{"$f":"$J$4894-$H$4894","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$Z$40","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$14","v":5},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$14","v":"Pancreas Acquisition"},"15.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$32,\" \",'Sec. J & K Organ Acq ADJ'!$Z$33)","v":"Out-of-State Other Medicaid Eligibles (Not Included Elsewhere) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$Z$41","v":0},{"$f":"$J$4895-$H$4895","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$Z$41","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$15","v":6},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$15","v":"Intestinal Acquisition"},"15.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$32,\" \",'Sec. J & K Organ Acq ADJ'!$Z$33)","v":"Out-of-State Other Medicaid Eligibles (Not Included Elsewhere) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$Z$42","v":0},{"$f":"$J$4896-$H$4896","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$Z$42","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$16","v":7},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$16","v":"Islet Acquisition"},"15.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$32,\" \",'Sec. J & K Organ Acq ADJ'!$Z$33)","v":"Out-of-State Other Medicaid Eligibles (Not Included Elsewhere) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$Z$43","v":0},{"$f":"$J$4897-$H$4897","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$Z$43","v":0}]
[null,"K - Organ Acquisition Out-of-State",{"$f":"'Sec. J & K Organ Acq ADJ'!$A$17","v":8},{"$f":"'Sec. J & K Organ Acq ADJ'!$C$17","v":""},"15.00",{"$f":"CONCATENATE('Sec. J & K Organ Acq ADJ'!$X$32,\" \",'Sec. J & K Organ Acq ADJ'!$Z$33)","v":"Out-of-State Other Medicaid Eligibles (Not Included Elsewhere) Useable Organs (Count)"},"Adjust to paid claims data.",{"$f":"'Sec. J & K Organ Acq'!$Z$44","v":0},{"$f":"$J$4898-$H$4898","v":0},{"$f":"'Sec. J & K Organ Acq ADJ'!$Z$44","v":0}]
[null,"L - FRA",18,"FRA Allocation Basis","1.00","Allocation Basis Description","Adjust to reasonable basis.",{"$f":"FRA_Basis","v":"Charges Sec. G"},{"$f":"IF(H4899<>J4899,J4899,0)","v":0},{"$f":"FRA_Basis_ADJ","v":"Charges Sec. G"}]
[null,"L - FRA",{"$f":"'Sec. L Tax ADJ'!$B$11","v":1},{"$f":"'Sec. L Tax ADJ'!$C$11","v":"Hospital Gross Provider Tax Assessment (from general ledger)*"},"2.00",{"$f":"'Sec. L Tax ADJ'!$K$10","v":"Dollar Amount"},"Adjust to hospital's data.",{"$f":"FRAGL","v":1852728},{"$f":"$J$4900-$H$4900","v":0},{"$f":"FRAGL_ADJ","v":1852728}]
[null,"L - FRA",{"$f":"'Sec. L Tax ADJ'!$B$13","v":2},{"$f":"'Sec. L Tax ADJ'!$C$13","v":"Hospital Gross Provider Tax Assessment Included in Expense on the Cost Report (W/S A, Col. 2)"},"2.00",{"$f":"'Sec. L Tax ADJ'!$K$10","v":"Dollar Amount"},"Adjust to hospital's data.",{"$f":"FRACRGross","v":0},{"$f":"$J$4901-$H$4901","v":0},{"$f":"FRACRGross_ADJ","v":0}]
[null,"L - FRA",{"$f":"'Sec. L Tax ADJ'!$B$17","v":4},"A-6 Reclassification","2.00",{"$f":"'Sec. L Tax ADJ'!$K$10","v":"Dollar Amount"},"Adjust to hospital's data.",{"$f":"FRAReclass1","v":0},{"$f":"$J$4902-$H$4902","v":0},{"$f":"FRAReclass1_ADJ","v":0}]
[null,"L - FRA",{"$f":"'Sec. L Tax ADJ'!$B$18","v":5},"A-6 Reclassification","2.00",{"$f":"'Sec. L Tax ADJ'!$K$10","v":"Dollar Amount"},"Adjust to hospital's data.",{"$f":"FRAReclass2","v":0},{"$f":"$J$4903-$H$4903","v":0},{"$f":"FRAReclass2_ADJ","v":0}]
[null,"L - FRA",{"$f":"'Sec. L Tax ADJ'!$B$19","v":6},"A-6 Reclassification","2.00",{"$f":"'Sec. L Tax ADJ'!$K$10","v":"Dollar Amount"},"Adjust to hospital's data.",{"$f":"FRAReclass3","v":0},{"$f":"$J$4904-$H$4904","v":0},{"$f":"FRAReclass3_ADJ","v":0}]
[null,"L - FRA",{"$f":"'Sec. L Tax ADJ'!$B$20","v":7},"A-6 Reclassification","2.00",{"$f":"'Sec. L Tax ADJ'!$K$10","v":"Dollar Amount"},"Adjust to hospital's data.",{"$f":"FRAReclass4","v":0},{"$f":"$J$4905-$H$4905","v":0},{"$f":"FRAReclass4_ADJ","v":0}]
[null,"L - FRA",{"$f":"'Sec. L Tax ADJ'!$B$23","v":8},"A-8 Adjustment","2.00",{"$f":"'Sec. L Tax ADJ'!$K$10","v":"Dollar Amount"},"Adjust to hospital's data.",{"$f":"FRAAllow1","v":0},{"$f":"$J$4906-$H$4906","v":0},{"$f":"FRAAllow1_ADJ","v":0}]
[null,"L - FRA",{"$f":"'Sec. L Tax ADJ'!$B$24","v":9},"A-8 Adjustment","2.00",{"$f":"'Sec. L Tax ADJ'!$K$10","v":"Dollar Amount"},"Adjust to hospital's data.",{"$f":"FRAAllow2","v":0},{"$f":"$J$4907-$H$4907","v":0},{"$f":"FRAAllow2_ADJ","v":0}]
[null,"L - FRA",{"$f":"'Sec. L Tax ADJ'!$B$25","v":10},"A-8 Adjustment","2.00",{"$f":"'Sec. L Tax ADJ'!$K$10","v":"Dollar Amount"},"Adjust to hospital's data.",{"$f":"FRAAllow3","v":0},{"$f":"$J$4908-$H$4908","v":0},{"$f":"FRAAllow3_ADJ","v":0}]
[null,"L - FRA",{"$f":"'Sec. L Tax ADJ'!$B$26","v":11},"A-8 Adjustment","2.00",{"$f":"'Sec. L Tax ADJ'!$K$10","v":"Dollar Amount"},"Adjust to hospital's data.",{"$f":"FRAAllow4","v":0},{"$f":"$J$4909-$H$4909","v":0},{"$f":"FRAAllow4_ADJ","v":0}]
[null,"L - FRA",{"$f":"'Sec. L Tax ADJ'!$B$29","v":12},"A-8 Adjustment","2.00",{"$f":"'Sec. L Tax ADJ'!$K$10","v":"Dollar Amount"},"Adjust to hospital's data.",{"$f":"FRANonAllow1","v":0},{"$f":"$J$4910-$H$4910","v":0},{"$f":"FRANonAllow1_ADJ","v":0}]
[null,"L - FRA",{"$f":"'Sec. L Tax ADJ'!$B$30","v":13},"A-8 Adjustment","2.00",{"$f":"'Sec. L Tax ADJ'!$K$10","v":"Dollar Amount"},"Adjust to hospital's data.",{"$f":"FRANonAllow2","v":0},{"$f":"$J$4911-$H$4911","v":0},{"$f":"FRANonAllow2_ADJ","v":0}]
[null,"L - FRA",{"$f":"'Sec. L Tax ADJ'!$B$31","v":14},"A-8 Adjustment","2.00",{"$f":"'Sec. L Tax ADJ'!$K$10","v":"Dollar Amount"},"Adjust to hospital's data.",{"$f":"FRANonAllow3","v":0},{"$f":"$J$4912-$H$4912","v":0},{"$f":"FRANonAllow3_ADJ","v":0}]
[null,"L - FRA",{"$f":"'Sec. L Tax ADJ'!$B$32","v":15},"A-8 Adjustment","2.00",{"$f":"'Sec. L Tax ADJ'!$K$10","v":"Dollar Amount"},"Adjust to hospital's data.",{"$f":"FRANonAllow4","v":0},{"$f":"$J$4913-$H$4913","v":0},{"$f":"FRANonAllow4_ADJ","v":0}]
[null,"L - FRA",2,"Hospital FRA Assessment Expense (from general ledger)*","3.00",{"$f":"'Sec. L Tax'!$M$10","v":"W/S A Cost Center Line"},"Adjust to hospital's data.",{"$f":"FRACC","v":0},{"$f":"IF(H4914<>J4914,J4914,0)","v":0},{"$f":"FRACC_ADJ","v":0}]
[null,"L - FRA",4,"A-6 Reclassification","3.00",{"$f":"'Sec. L Tax'!$M$10","v":"W/S A Cost Center Line"},"Adjust to hospital's data.",{"$f":"FRAReclassLine1","v":0},{"$f":"IF(H4915<>J4915,J4915,0)","v":0},{"$f":"FRAReclassLine1_ADJ","v":0}]
[null,"L - FRA",5,"A-6 Reclassification","3.00",{"$f":"'Sec. L Tax'!$M$10","v":"W/S A Cost Center Line"},"Adjust to hospital's data.",{"$f":"FRAReclassLine2","v":0},0,{"$f":"FRAReclassLine2_ADJ","v":0}]
[null,"L - FRA",6,"A-6 Reclassification","3.00",{"$f":"'Sec. L Tax'!$M$10","v":"W/S A Cost Center Line"},"Adjust to hospital's data.",{"$f":"FRAReclassLine3","v":0},0,{"$f":"FRAReclassLine3_ADJ","v":0}]
[null,"L - FRA",7,"A-6 Reclassification","3.00",{"$f":"'Sec. L Tax'!$M$10","v":"W/S A Cost Center Line"},"Adjust to hospital's data.",{"$f":"FRAReclassLine4","v":0},0,{"$f":"FRAReclassLine4_ADJ","v":0}]
[null,"L - FRA",8,"A-8 Adjustment","3.00",{"$f":"'Sec. L Tax'!$M$10","v":"W/S A Cost Center Line"},"Adjust to hospital's data.",{"$f":"FRAAllowLIne1","v":0},0,{"$f":"FRAAllowLine1_ADJ","v":0}]
[null,"L - FRA",9,"A-8 Adjustment","3.00",{"$f":"'Sec. L Tax'!$M$10","v":"W/S A Cost Center Line"},"Adjust to hospital's data.",{"$f":"FRAAllowLIne2","v":0},0,{"$f":"FRAAllowLine2_ADJ","v":0}]
[null,"L - FRA",10,"A-8 Adjustment","3.00",{"$f":"'Sec. L Tax'!$M$10","v":"W/S A Cost Center Line"},"Adjust to hospital's data.",{"$f":"FRAAllowLIne3","v":0},0,{"$f":"FRAAllowLine3_ADJ","v":0}]
[null,"L - FRA",11,"A-8 Adjustment","3.00",{"$f":"'Sec. L Tax'!$M$10","v":"W/S A Cost Center Line"},"Adjust to hospital's data.",{"$f":"FRAAllowLIne4","v":0},0,{"$f":"FRAAllowLine4_ADJ","v":0}]
[null,"L - FRA",12,"A-8 Adjustment","3.00",{"$f":"'Sec. L Tax'!$M$10","v":"W/S A Cost Center Line"},"Adjust to hospital's data.",{"$f":"FRANonAllowLine1","v":0},0,{"$f":"FRANonAllowLine1_ADJ","v":0}]
[null,"L - FRA",13,"A-8 Adjustment","3.00",{"$f":"'Sec. L Tax'!$M$10","v":"W/S A Cost Center Line"},"Adjust to hospital's data.",{"$f":"FRANonAllowLine2","v":0},0,{"$f":"FRANonAllowLine2_ADJ","v":0}]
[null,"L - FRA",14,"A-8 Adjustment","3.00",{"$f":"'Sec. L Tax'!$M$10","v":"W/S A Cost Center Line"},"Adjust to hospital's data.",{"$f":"FRANonAllowLine3","v":0},0,{"$f":"FRANonAllowLine3_ADJ","v":0}]
[null,"L - FRA",15,"A-8 Adjustment","3.00",{"$f":"'Sec. L Tax'!$M$10","v":"W/S A Cost Center Line"},"Adjust to hospital's data.",{"$f":"FRANonAllowLine4","v":0},0,{"$f":"FRANonAllowLine4_ADJ","v":0}]

{"sheet":"Exam Report Notes","index":25,"n_rows":33,"n_cols":27,"rows_kept":33,"cut":false,"hidden":true,"merged":[[26,1,26,10],[33,1,33,10],[28,1,28,10],[29,1,29,10],[30,1,30,10],[31,1,31,10],[32,1,32,10],[27,1,27,10],[20,1,20,10],[21,1,21,10],[25,1,25,10],[22,1,22,10],[23,1,23,10],[24,1,24,10],[19,1,19,10],[16,1,16,10],[10,1,10,10],[11,1,11,10],[12,1,12,10],[13,1,13,10],[14,1,14,10],[15,1,15,10],[17,1,17,10],[18,1,18,10],[0,0,0,9],[2,2,2,7],[7,1,7,10],[8,1,8,10],[9,1,9,10],[5,0,5,11]]}
["Medicaid DSH Report Notes",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"FYE_Final_1","v":"2017-06-30"}]
[]
["PROVIDER:",null,{"$f":"ProvName_ADJ","v":"WELLSTAR WEST GEORGIA HOSPITAL"},null,null,null,null,null,"Mcaid Number:",{"$f":"IF(OR(LEN(TRIM(McaidNumAdj_ADJ))=0,McaidNumAdj_ADJ=0),McaidNum_ADJ,McaidNumAdj_ADJ)","v":"000002065A"}]
["FROM:",null,{"$f":"FYB_1_ADJ","v":"2016-07-01"},null,"TO:",{"$f":"FYE_1_ADJ","v":"2017-06-30"},null,null,"Mcare Number:",{"$f":"IF(OR(LEN(TRIM(McareNumADJ_ADJ))=0,McareNumADJ_ADJ=0),McareNum_ADJ,McareNumADJ_ADJ)","v":110016}]
[]
["Myers and Stauffer DSH Report Notes",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Standard Notes"]
[]
["Note #","Note for Report",null,null,null,null,null,null,null,null,null,"Amounts",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"No 1011 undocumented alien payment verification."]
[1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Uninsured payment data reported on an accrual basis."]
[2,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Uninsured payment scope limitation (not a full year of cash based payments)."]
[3,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Uninsured payment scope limitation (estimated payments)."]
[4,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Uninsured Charge scope limitation (not a full year, estimated,  or understated UCC for some reason)."]
[5,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Uninsured Charge scope limitation (no patient level detail, uninsured data removed)."]
[6,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"No signed attestation statement."]
[7,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Provider did not submit a survey."]
[8,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Scope Limitation - provider filed too late for field work or expanded testing."]
[9,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Hospital closed."]
[10,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Provider may not have included all Medicaid eligible claims."]
[11,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"OB requirement not met."]
[12]
[13]
[14]
[15]
[16]
[17]
[18]
[19]
[20]
[21]
[22]
[23]
[24]
[25]

{"sheet":"Report Summary","index":26,"n_rows":79,"n_cols":29,"rows_kept":79,"cut":false,"hidden":true,"merged":[[2,3,2,10],[3,3,3,10]]}
["DSH Cost & Payment Summary",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"'UCC Summary'!AJ1","v":"Georgia"},null,null,null,null,null,null,null,null,null,null,"Total Medicaid payments do not include other Medicaid payments paid during the state DSH year (i.e., Direct Medicaid Add-On Payment, GME, etc.) which must be included in the final uncompensated care cost "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Total Medicaid payments do not include other Medicaid payments paid during the state DSH year (i.e., supplemental payments, GME, UPL, etc.) which must be included in the final uncompensated care cost "]
["Hospital Name",null,null,{"$f":"'UCC Summary'!D3:K3","v":"WELLSTAR WEST GEORGIA HOSPITAL"}]
["Hospital Medicaid Number",null,null,{"$f":"'UCC Summary'!D4:K4","v":"000002065A"}]
["Cost Report Period",null,null,"From",null,{"$f":"FYB_1_ADJ","v":"2016-07-01"},null,"To",null,{"$f":"FYE_1_ADJ","v":"2017-06-30"}]
[]
[]
[]
[null,"A","B","C","D","E","F","G","H","I","J","K","L","M","N",null,{"$f":"IF(State=\"Missouri\",\"O\",\"K\")","v":"K"}]
[null,"Regular IP/OP Medicaid FFS Rate Payments","IP/OP Medicaid MCO Payments","Total Medicaid IP/OP Payments         (A+B) 1","Total Cost of Care - Medicaid IP/OP Services","Total Medicaid       Net Cost                      (D-C)","Total IP/OP Indigent Care/Self-Pay Revenues","Total Applicable Section 1011 Payments","Total IP/OP Uninsured Cost of Care","Total Uninsured     Uncompensated Care Cost                     (H-G-F)",{"$f":"IF(State=\"Missouri\",\"Untrended Total Estimated Net Cost*           (E+I)\",\"Total Cost Report Period UCC*       (E+I)\")","v":"Total Cost Report Period UCC*       (E+I)"},"Total Cumulative Trend                 (See Table Below)","Trended Total Estimated Net Cost             (J*K)","Trended Estimated Medicaid Net Cost             (E*K)","Trended Estimated Uninsured Uncompensated Care Cost (UCC)             (I*K)",null,"Out of State (OOS) DSH Payment"]
[]
[null,{"$f":"SUM('UCC Summary'!$AF$66:$AF$67,'UCC Summary'!$AF$72:$AF$73,'UCC Summary'!$AF$75:$AF$76,'UCC Summary'!$AF$84:$AF$85)","v":24752447.029999986},{"$f":"SUM('UCC Summary'!$AF$69:$AF$70)","v":8483707.820000343},{"$f":"B12+C12","v":33236154.850000329},{"$f":"SUM('UCC Summary'!$F$66:$F$67,'UCC Summary'!$F$69:$F$70,'UCC Summary'!$F$72:$F$73,'UCC Summary'!$F$75:$F$76,'UCC Summary'!$F$84:$F$85)","v":36034616},{"$f":"E12-D12","v":2798461.1499996707},{"$f":"SUM('UCC Summary'!$AF$78:$AF$79)","v":750501},{"$f":"NotOnB_IP_1011_1_ADJ+NotOnB_OP_1011_1_ADJ","v":0},{"$f":"SUM('UCC Summary'!$F$78:$F$79)","v":10796996},{"$f":"I12-H12-G12","v":10046495},{"$f":"F12+J12","v":12844956.149999671},{"$f":"IFERROR(VLOOKUP(IF(DAY($J$5)<15,EOMONTH($J$5,-1),EOMONTH($J$5,0)),Trends,6,FALSE),0)","v":1.0302},{"$f":"ROUND(K12*L12,0)","v":13232874},{"$f":"ROUND(F12*L12,0)","v":2882975},{"$f":"ROUND(J12*L12,0)","v":10349899},null,{"$f":"OutofStateDSH_1_ADJ","v":0}]
[]
[]
[]
[]
["* Note 1:   ",{"$f":"IF(State=\"Missouri\",MO_NOTE1,NON_MO_NOTE1)","v":"Total Medicaid payments do not include other Medicaid payments paid during the state DSH year (i.e., supplemental payments, GME, UPL, etc.) which must be included in the final uncompensated care cost "}]
[null,{"$f":"IF(State=\"Missouri\",\"calculation in determining the interim DSH payment. MHD will calculate the Other Medicaid payments for the state fiscal year and include them in the final interim DSH payment calculations.\",\"calculation in determining the DSH UCC.\")","v":"calculation in determining the DSH UCC."}]
[]
[]
[]
[null,"Total Cumulative Trend "]
[null,"Based on Facility Fiscal Year End (FYE) and Adjusted to a Common Fiscal Year End of June 30"]
[null,null,"SFY 2016","SFY 2017 Trend","SFY 2018 Trend","SFY 2019 Trend","Total"]
[null,"Hospital","Trend","Trend","Trend","Trend","Cumulative"]
[null,"FYE",1.4999999999999999E-2,1.4999999999999999E-2,1.4999999999999999E-2,1.4999999999999999E-2,"Trend"]
[]
[null,"Required State DSH Survey Trends"]
[null,"2015-06-30",1.4999999999999999E-2,1.4999999999999999E-2,1.4999999999999999E-2,1.4999999999999999E-2,1.0613999999999999]
[null,"2015-07-31",1.38E-2,1.4999999999999999E-2,1.4999999999999999E-2,1.4999999999999999E-2,1.0601]
[null,"2015-08-31",1.2500000000000001E-2,1.4999999999999999E-2,1.4999999999999999E-2,1.4999999999999999E-2,1.0587]
[null,"2015-09-30",1.1299999999999999E-2,1.4999999999999999E-2,1.4999999999999999E-2,1.4999999999999999E-2,1.0575000000000001]
[null,"2015-10-31",0.01,1.4999999999999999E-2,1.4999999999999999E-2,1.4999999999999999E-2,1.0561]
[null,"2015-11-30",8.8000000000000005E-3,1.4999999999999999E-2,1.4999999999999999E-2,1.4999999999999999E-2,1.0548999999999999]
[null,"2015-12-31",7.4999999999999997E-3,1.4999999999999999E-2,1.4999999999999999E-2,1.4999999999999999E-2,1.0535000000000001]
[null,"2015-01-31",6.3E-3,1.4999999999999999E-2,1.4999999999999999E-2,1.4999999999999999E-2,1.0523]
[null,"2015-02-28",5.0000000000000001E-3,1.4999999999999999E-2,1.4999999999999999E-2,1.4999999999999999E-2,1.0508999999999999]
[null,"2015-03-31",3.8E-3,1.4999999999999999E-2,1.4999999999999999E-2,1.4999999999999999E-2,1.0497000000000001]
[null,"2015-04-30",2.5000000000000001E-3,1.4999999999999999E-2,1.4999999999999999E-2,1.4999999999999999E-2,1.0483]
[null,"2015-05-31",1.2999999999999999E-3,1.4999999999999999E-2,1.4999999999999999E-2,1.4999999999999999E-2,1.0469999999999999]
[]
[null,"Alternate State DSH Survey Trends"]
[null,"2016-06-30",null,1.4999999999999999E-2,1.4999999999999999E-2,1.4999999999999999E-2,1.0457000000000001]
[null,"2016-07-31",null,1.38E-2,1.4999999999999999E-2,1.4999999999999999E-2,1.0444]
[null,"2016-08-31",null,1.2500000000000001E-2,1.4999999999999999E-2,1.4999999999999999E-2,1.0430999999999999]
[null,"2016-09-30",null,1.1299999999999999E-2,1.4999999999999999E-2,1.4999999999999999E-2,1.0419]
[null,"2016-10-31",null,0.01,1.4999999999999999E-2,1.4999999999999999E-2,1.0405]
[null,"2016-11-30",null,8.8000000000000005E-3,1.4999999999999999E-2,1.4999999999999999E-2,1.0392999999999999]
[null,"2016-12-31",null,7.4999999999999997E-3,1.4999999999999999E-2,1.4999999999999999E-2,1.038]
[null,"2016-01-31",null,6.3E-3,1.4999999999999999E-2,1.4999999999999999E-2,1.0367]
[null,"2016-02-28",null,5.0000000000000001E-3,1.4999999999999999E-2,1.4999999999999999E-2,1.0354000000000001]
[null,"2016-03-31",null,3.8E-3,1.4999999999999999E-2,1.4999999999999999E-2,1.0341]
[null,"2016-04-30",null,2.5000000000000001E-3,1.4999999999999999E-2,1.4999999999999999E-2,1.0327999999999999]
[null,"2016-05-31",null,1.2999999999999999E-3,1.4999999999999999E-2,1.4999999999999999E-2,1.0316000000000001]
[]
[null,"2017-06-30",null,null,1.4999999999999999E-2,1.4999999999999999E-2,1.0302]
[null,"2017-07-31",null,null,1.38E-2,1.4999999999999999E-2,1.0289999999999999]
[null,"2017-08-31",null,null,1.2500000000000001E-2,1.4999999999999999E-2,1.0277000000000001]
[null,"2017-09-30",null,null,1.1299999999999999E-2,1.4999999999999999E-2,1.0265]
[null,"2017-10-31",null,null,0.01,1.4999999999999999E-2,1.0251999999999999]
[null,"2017-11-30",null,null,8.8000000000000005E-3,1.4999999999999999E-2,1.0239]
[null,"2017-12-31",null,null,7.4999999999999997E-3,1.4999999999999999E-2,1.0226]
[null,"2017-01-31",null,null,6.3E-3,1.4999999999999999E-2,1.0214000000000001]
[null,"2017-02-28",null,null,5.0000000000000001E-3,1.4999999999999999E-2,1.0201]
[null,"2017-03-31",null,null,3.8E-3,1.4999999999999999E-2,1.0188999999999999]
[null,"2017-04-30",null,null,2.5000000000000001E-3,1.4999999999999999E-2,1.0175000000000001]
[null,"2017-05-31",null,null,1.2999999999999999E-3,1.4999999999999999E-2,1.0163]
[]
[null,"2018-06-30",null,null,null,1.4999999999999999E-2,1.0149999999999999]
[null,"2018-07-31",null,null,null,1.38E-2,1.0138]
[null,"2018-08-31",null,null,null,1.2500000000000001E-2,1.0125]
[null,"2018-09-30",null,null,null,1.1299999999999999E-2,1.0113000000000001]
[null,"2018-10-31",null,null,null,0.01,1.01]
[null,"2018-11-30",null,null,null,8.8000000000000005E-3,1.0087999999999999]
[null,"2018-12-31",null,null,null,7.4999999999999997E-3,1.0075000000000001]
[]
[null,"Note:"]
[null,"If the FYE is prior to the 15th of the month, the prior month's trend will be used (i.e., if FYE is 8/14/15, or before, the 7/31/15 trend of 106.01% will be applied)."]
[null,"If the FYE is after the 15th of the month, that month's trend will be used (i.e., if FYE is 8/15/15, or after, the 8/31/15 trend of 105.87% will be applied)."]