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Methodist Hospitals of Dallas · CHRONIC KIDNEY DISEASE,EXTREME
$16,937.48
Source file dated 2026-03-21 · inpatient
Source note: Re-evaluated: HLB.52208211; Using historical claim(s); Scope: All Financial Classes; Cases: 4; Inpatient DRG - SOI 4; Weighted FSC: MHS HB XR MEDICAID DRG WEIGHTS SOI 4 FSC, Weight: 2.2631, Rate: 10,418.39; Estimated Allowed Amount: 23577.86
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