Questions & corrections
Methodist Hospitals of Dallas · CHRONIC KIDNEY DISEASE,EXTREME
$16,937.48
Source file dated 2026-03-23 · 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: 3,846.40, and; Pricing Extension - MHS HB XR PRC - Lessor of Terms or Total Chgs - All Excl; Note: Terms < 100% of charges minus exclusions. Using value of terms.; Estimated Allowed Amount: 8704.79
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