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Hospital Classifications

Please use the dropdown menus below to find reimbursement methodologies for:

  • Sole Community Hospitals
  • Critical Access Hospitals (Inpatient and Outpatient Cost-to-Charge Ratios)

Sole Community Hospitals (SCH)

On January 1, 2014, TRICARE began a multiyear transition to a new method for reimbursing sole community hospitals (SCHs) for inpatient services. This change allows TRICARE to comply with federal law by aligning its reimbursements more closely with Medicare's. TRICARE is committed to successfully implementing a responsible payment method that supports the health and readiness of our military. The following links provide helpful information concerning this new reimbursement methodology:

Critical Access Hospitals (CAH)

CAH Inpatient and Outpatient Cost-to-Charge Ratios

The following Facility-based CCRs are provided by Fiscal Year:

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Statewide CAH Median Cost-to-Charge Ratios

The following State Average CCRs are provided by Fiscal Year:

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DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

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