Literal question
215A) How much did the following treatment and services from (NAME)'s third-to-last hospitalization cost?
Hospital fees alone without drugs, exams, etc ____
Drugs and other prescription products ____
Lab test not included in hospitalization bill ____
Medical imaging not included in hospitalization bill ____
Transportation ____
Other ____
TOTAL IN $USD. CONVERT TOTAL TO CONGOLESE FRANC AT THE RATE OF $1US EQUALS 900 CONGOLESE FRANCS
FOR EACH ITEM, USE THE CODES CORRESPONDING TO "FREE," "IN KIND," "LESS THAN ONE $," "DON'T KNOW" FROM 215 BASED ON THE SITUATION. IF "NO OBJECT" RECORD 99992 FOR THE ITEM.
CODES FROM 215
FREE 00000
IN KIND 99995
LESS THAN ONE $ 99996
DON'T KNOW 99998