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Hospital Statement of Cost BHF Page 1 Illinois Department of Public Aid, Bureau of Health Finance, 201 S. Grand Ave. E., Springfield, IL 62763 General Information PRELIMINARY Name of Hospital: Northwestern

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Illinois BHF HCFA Cols D-6 XXXX D-1 D-2 Urodynamics Apportionment EKG Svcs EEG MRI Cellitrifuge D-9 Assignable AllocaTotal Unreimbursed pgs DHS 5A-C tion Nonallowable A-8-2 Hospi OccuNumber 1x2A I-Hospital 15-II 1x3A

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