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. 1990 Winter;12(2):87–101.
TOTCST = total cost
= [Σ(CHG(i)*CCR(i))] + (RCD*RPD) + (SCD*SPD).
CHG(i) = total ancillary charges in department i.
CCR(i) = cost-to-charge ratio for department i.
RCD = number of routine care days.
RPD = routine care per diem.
SCD = number of special care days.
SPD = special care per diem.
TOTCHG = total charges on stay record.
FY84INDX = fiscal year 1984 wage index for the provider's metropolitan statistical area.
COLA = cost of living allowance.
ADJUST1 = 1+IRBEDRT*. 5795 for original method.
ADJUST2 = 1+DSH + (2*((1+IRBEDRT) **0.405-l)) for current method.
IRBEDRT = intern- and resident-to-bed ratio for the provider.
DSH = disproportionate-share hospital payment add on.