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Methodist Hospitals of Dallas · VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC
$3,433.35
Source file dated 2026-03-21 · inpatient
Source note: Re-evaluated: HLB.57556951; Using historical claim(s); Scope: All Financial Classes; Cases: 79; Inpatient DRG; FSC: XR MC DRG WEIGHTS, Value: 0.67, and; Pricing Extension - HB XR PRC MOLINA MEDICARE IP PPS FY20; Note: Base payment: $4,857.15; Percentage applied: 105.00%; Total: $5,100.01; Estimated Allowed Amount: 5100.01
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