Changes to TRICARE Rate Variables
| |
CY 2026 |
CY 2025 |
CY 2024 |
| Children's Cost to Charge Ratio |
0.2403 |
0.2511 |
0.2690 |
| Cost to Charge Ratio for all Other Hospitals |
0.2251 |
0.2348 |
0.2512 |
| Fixed Loss Cost Outlier Threshold |
$37,852 |
$43,171 |
$39,928
|
| Indirect Medical Education Adjustment Factor Multiplier |
1.02 |
1.02 |
1.02 |
| National Operating Standard Cost as a Share of Total Costs |
0.937 |
0.935 |
0.934 |
| Children’s Hospital and Neonatal Outlier Adjustment Factor |
1.26 |
1.28 |
1.20 |
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Last Updated: January 21, 2026