Skip to main content

Military Health System

Important Notice about Pharmacy Operations

Change Healthcare Cyberattack Impact on MHS Pharmacy Operations. Read the statement to learn more. 

Skip subpage navigation

TRICARE/CHAMPUS Adjusted Standardized Amounts (ASAs) & DRG Weights Summary for CY 2023

January 1, 2023

Adjusted Standardized Amounts for All Areas

This table provides the adjusted standardized amounts and the cost share per diem for beneficiaries other than dependents of active duty members. The adjusted standardized amounts are effective for discharges occurring on or after January 1, 2023 through December 31, 2023.

The cost share per diem is effective for inpatient days of care occurring on or after January 1, 2023 through December 31, 2023. Cost share per diem for beneficiaries other than dependents of active duty members: $1,112.00.

 Hospital Type  Wage Index <=1 Wage Index >1 
Adjusted Standardized Amount   $8,106.45  $8,106.45
Labor Portion  $5,026.00  $5,479.96
Non Labor Portion   $3,080.45  $2,626.49

CY 2023 TRICARE/CHAMPUS DRG Weights and Threshold Summary

Download the 2023 Weights

This document also includes the arithmetic and geometric average lengths of stay and outlier thresholds for all CHAMPUS DRGs. These amounts are effective for discharges on or after January 1, 2023 through December 31, 2023.

Notes:

  • * = low volume DRG with fewer than 10 cases. The Medicare weights and LOS are used for these DRGs.
  • # = PM-DRGs with fewer than 10 cases. An average weight over the past 5 years were used for these DRGs.
  • w cc = with Complications and Comorbidities.
  • w/o cc = without Complications or Comorbidities
Last Updated: July 11, 2023
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on X Follow us on YouTube Sign up on GovDelivery