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We standardize hospitals’ billed charges to improve comparability by adjusting: Charges to remove differences in hospital wage rates across labor markets For the size and intensity of the hospital’s resident training activities For the number of low-income inpatients treated Note: We reduce charges to costs using national average hospital cost ratios to charges for 19 different hospital departments

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2 Table 2 Clinical Manifestations of Vitamin B12 Deficiency Maternal vitamin B 12 deficiency during pregnancy or while breastfeeding may lead to neural tube defects, developmental delay, failure to thrive, hypotonia, ataxia, and anemia