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Methodist Hospitals of Dallas · CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC
$7,873.58
Source file dated 2026-03-21 · inpatient
Source note: Re-evaluated: HLB.63630420; Using historical claim(s); Scope: All Financial Classes; Cases: 24; Inpatient DRG; FSC: XR MC DRG WEIGHTS, Value: 0.96, and; Pricing Extension - HB XR PRC MOLINA MEDICARE IP PPS FY20; Note: Base payment: $6,907.49; Percentage applied: 105.00%; Total: $7,252.86; Estimated Allowed Amount: 7252.86
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