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. 1990 Winter;12(2):87–101.

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

Original Current Hospital relative value



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
1

Means and standard deviations are case weighted. Quartiles for each method were determined empirically with case weighting.

2

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.