Questions & corrections
Methodist Hospitals of Dallas · HC ER Level IV 99284
$774.60
Source file dated 2026-03-23 · both
Source note: OPPS APC; APC Pricing (APC Code: 5024 / Adjusted APC Price: 419.16), and; Pricing Extension - MHS HB XR PRC 90 DEGREE - Medicare OPPS Outlier; Note: No outlier payment added to this line. Paid as 165% of $419.16 as defined in the pricing extension.; Estimated Allowed Amount: 691.62
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