Table 4. Means and standard deviations1 of percent differences2 between charge and cost weights, by recalibration method and magnitude of weight and volume of diagnosis-related group (DRG).
Selected DRG weights | Recalibration method | |||||
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Original | Current | Hospital relative value | ||||
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Mean | Standard deviation | Mean | Standard deviation | Mean | Standard deviation | |
By magnitude | ||||||
All cost or charge | −0.96 | 5.05 | −0.76 | 4.79 | −0.52 | 4.22 |
Top 25 percent cost | 1.52 | 5.26 | 1.37 | 4.79 | 1.12 | 4.06 |
Middle 50 percent cost | −1.76 | 3.58 | −1.40 | 3.53 | −0.95 | 3.49 |
Bottom 25 percent cost | −2.27 | 6.28 | −2.03 | 6.06 | −1.49 | 5.37 |
Top 25 percent charge | 1.63 | 5.17 | 1.48 | 4.76 | 1.59 | 3.98 |
Middle 50 percent charge | −1.75 | 3.47 | −1.44 | 3.52 | −1.47 | 3.18 |
Bottom 25 percent charge | −2.44 | 6.34 | −2.04 | 6.07 | −1.49 | 5.37 |
By volume | ||||||
Top 25 percent | −0.65 | 4.82 | −0.05 | 4.80 | 0.60 | 4.66 |
Middle 50 percent | −1.34 | 5.44 | −1.13 | 5.16 | −0.91 | 4.47 |
Bottom 25 percent | −0.55 | 4.55 | −0.74 | 4.08 | −0.82 | 3.34 |
Means and standard deviations are case weighted. Quartiles for each method were determined empirically with case weighting.
Charge weight minus cost weight as a percentage of cost weight.
SOURCE: Health Care Financing Administration, Bureau of Data Management and Strategy: Data from the 1984 Medicare Cost Report File and from the 1984 Medicare 20-Percent Stay File.