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Methodist Hospitals of Dallas · VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC
$5,372.03
Source file dated 2026-03-21 · inpatient
Source note: Re-evaluated: HLB.58654271; Using historical claim(s); Scope: All Financial Classes; Cases: 354; DRG Case Rate; Pricing Extension - MHS HB XR PRC BCBS PPO MMMC DRG OR PER DIEM; ADDON 2026; Note: Multiple pricing methods applied. LOS Start: Statement From Date (3/13/2026); Default terms applied per WV BCBS DRG extension. ; Estimated Allowed Amount: 11637.33
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