Statutes, codes, and regulations
Washington Administrative Code
Title 296 - Labor and Industries, Department ofChapter 296-23A - Hospitals
Part 2.3 - DIAGNOSIS-RELATED-GROUP PAYMENT METHODS AND POLICIES
Section 296-23A-0440 - How does the department calculate the base price for DRG hospitals, except major teaching hospitals?

Wash. Admin. Code § 296-23A-0440

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Current through Register Vol. 25-01, January 1, 2025
Section 296-23A-0440 - How does the department calculate the base price for DRG hospitals, except major teaching hospitals?

The department calculates the base price for DRG hospitals, except major teaching hospitals by:

(1) Calculating each hospital's case-mix adjusted average cost per case;
(2) Weighting each hospital's case-mix adjusted average cost per case by the number of cases at that hospital;
(3) Determining the median (fiftieth percentile) of the list of case-mix adjusted average costs per case.

Wash. Admin. Code § 296-23A-0440

Statutory Authority: RCW 51.04.020, 51.04.030 and 51.36.080. 97-06-066, § 296-23A-0440, filed 2/28/97, effective 4/1/97.