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TRICARE Rate Variables and Cost-Share Per Diems

Changes to TRICARE Rate Variables

  FY 2019 October 1, 2018 - December 31, 2019 FY 2018   FY 2017
Children's Cost to Charge Ratio 0.2719  0.2781   0.2760 
Cost to Charge Ratio for all Other Hospitals 0.2514 0.2566    0.2541
Fixed Loss Cost Outlier Threshold $23,812*
(revised 10/30/18)
$24,553
 $21,710 
Indirect Medical Education Adjustment Factor Multiplier 1.02 1.02  1.02
National Operating Standard Cost as a Share of Total Costs 0.925  0.923  0.921
Children’s Hospital and Neonatal Outlier Adjustment Factor 1.11 1.10   1.08

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