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TRICARE/CHAMPUS Adjusted Standardized Amounts (ASAs) & DRG Weights Summary for CY 2020

December 13, 2019

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, 2020, through December 31, 2020.

The cost share per diem is effective for inpatient days of care occurring on or after January 1, 2020, through December 31, 2020. Cost share per diem for beneficiaries other than dependents of active duty members: $1,035.00.

 Hospital Type  Wage Index <=1 Wage Index >1 
Adjusted Standardized Amount   $6,928.70  $6,928.70
Labor Portion  $4,295.79  $4,732.30
Non Labor Portion   $2,632.91  $2,196.40

CY 2020 TRICARE/CHAMPUS DRG Weights and Threshold Summary

Download the 2020 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, 2020, through December 31, 2020.

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: December 30, 2021
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