TRICARE logo DHA Home About DHA Conferences TRICARE Contacts Feedback Site Map
DRG Home
Fiscal Year 2011 DRG Weights and Rates for TRICARE Providers
[FY 2011 Rates] [FY 2012 Rates] [FY 2013 Rates] [FY 2014 Rates]
 
Table 1 - Adjusted Standardized Amounts for All Areas and Cost Share Per Diem.
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 admissions occurring on or after October 1, 2010, through September 30, 2011.
The cost-share per diem is effective for inpatient days of care occurring on or after October 1, 2010, through September 30, 2011. Cost-share per diem for beneficiaries other than dependents of active duty members: $ 535.00
  Wage Index Less Than or Equal to 1 Wage Index Greater Than 1
Adjusted Standardized Amount $ 5,006.98 $ 5,006.98
Labor Portion $ 3,104.33 $ 3,444.80
Non Labor Portion $ 1,902.65 $ 1,562.18
 
 
Table 2 - FY 2011 TRICARE/CHAMPUS DRG Weights and Threshold Summary
This table provides the final TRICARE/CHAMPUS DRG weights as well as the arithmetic and geometric average lengths of stay and outlier thresholds for all CHAMPUS DRGs. These amounts are effective for admissions on or after October 1, 2010, through September 30, 2011.
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
  • To view DRG Weights click on the range of DRG numbers to see those records or select all to view all records.
    ALL | 1 | 100 | 200 | 300 | 400 | 500 | 600 | 700 | 800 | 900
    Download Excel Spreadsheet