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1022 Note: APC information, including Status Indicator, Relative Weight, Payment Rate, Crosswalks, and more, is available to Subscribers with the Hospital/Facility product.
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Note: This calculator gives only an estimate of payment. It is not to be relied upon for exact payment.
CBSA: Unadjusted
Calculations made using reduced update amounts.
Note: The APC payment calculator is available to Subscribers as part of the Hospital/Facility product.
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Beneficiary Copayment Amount $57.32* The National Unadjusted Copayment for this APC is $0.00; therefore, the Copayment is equal to the Minimum Adjusted Copayment, $57.32.
(Adjusted Labor National Payment Rate + Non-Labor National Payment Rate) * Rural Area Adjustment = Medicare Payment ($168.67 + $112.45) * 1 = $281.12
(Wage Index * County Wage Index Adjustment) * Labor National Payment Rate = Adjusted Labor National Payment Rate (1 * 1) * $168.67 = $168.67
National Payment Rate * .60 = Labor National Payment Rate $281.12 * .60 = $168.67
National Unadjusted Payment Rate * Quality Data Adjustment = National Payment Rate $286.56 * 0.981 = $281.12
National Payment Rate * .40 = Non-Labor National Payment Rate $281.12 * .40 = $112.45
National Unadjusted Payment Rate * Quality Data Adjustment = National Payment Rate $286.56 * 0.981 = $281.12
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