HOSPITAL PAYMENT

Hospital Payment

Hospital Payment

Table of Operating Values Used in Calculation

Table of Capital Values Used in Calculation

DRG 498 Relative Weight:

2.9896

DRG 498 Relative Weight:

2.9896

Labor-related

$3,397.52

Federal Capital Rate

$427.03

Non-labor-related

$1,476.97

Large Urban Add on

1.03

San Francisco CBSA Wage Index

1.5419

San Francisco CBSA GAF

1.3452

Cost of Living Adjustment (COLA)

1

Cost of Living Adjustment

1

IME Operating Adjustment Factor

0.0744

IME Operating Adjustment Factor

0.0243

DSH Operating Adjustment Factor

0.1413

DSH Operating Adjustment Factor

0.0631

Labor Related Portion

0.697

Capital Cost to Charge Ratio

0.04

Non-labor Related Portion

0.303

 

 

Operating Cost to Charge Ratio

0.38

Other Factors

Billed Covered Charges

$200,000

Fixed Loss Outlier Threshold

$24,485

The payment rates paid separately for most medical and surgical services, multiplying the prospectively defined low ...