Hospital Type or Location | What Diagnosis Related Group (DRG) base price applies? | What Per Diem Payment Rates Apply? | What percent of allowed charges (POAC) factor applies? |
Military, Veterans Administration, State Psychiatric, Health Maintenance Organization, Children’s, | Exempt | Exempt | Paid 100% of allowed charges |
Chronic Pain Management Program | Exempt, paid per department agreement | Exempt, paid per department agreement | Exempt, Paid per department agreement |
Other Washington Hospital | Weighted median case-mix adjusted average cost per case for Washington DRG hospitals, except major teaching hospitals | Washington statewide average per diem rates | Washington statewide average POAC |