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TRICARE Rate Variables and Cost-Share Per Diems

Changes to TRICARE Rate Variables

  CY 2021  CY 2020 (revised 01/14/20)   October 1, 2018 - December 31, 2019
Children's Cost to Charge Ratio 0.2694 0.2774 0.2719 
Cost to Charge Ratio for all Other Hospitals 0.2495 0.2567 0.2514
Fixed Loss Cost Outlier Threshold $26,913
$24,932 
$23,812* (revised 10/30/18)
Indirect Medical Education Adjustment Factor Multiplier 1.02 1.02  1.02
National Operating Standard Cost as a Share of Total Costs 0.926 0.939 0.925
Children’s Hospital and Neonatal Outlier Adjustment Factor 1.18 1.16 1.11 

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