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Definitions At 180.20, we proposed to add definitions for three new data elements, the median allowed amount, the tenth (10th) percentile allowed amount, and the ninetieth (90th) percentile allowed amount. We stated in the proposed rule that these data elements would be defined as follows: Median allowed amount is defined as the median of the total allowed amounts the hospital has historically received from a third party payer for an item or service for a time period no longer than the 12 months prior to posting the machine-readable file

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Cultural adaptability plays an important role in achieving this balance by fostering harmony between cultural heritage and ecosystems