For Pancreas Transplant, DRG code is 010. For DRG 010, Medicare pays fixed amount of $21,313.50. Outlier threshold for Medicare is $25,800. (a) John admitted hospital A for pancreas transplant. The charges for John’s treatment was 128,000. Cost to charge ratio for Hospital A was 0.10. How much payment hospital A would get from Medicare?

EBK HEALTH ECONOMICS AND POLICY
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Chapter11: The Market For Pharmaceuticals
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 For Pancreas Transplant, DRG code is 010. For DRG 010, Medicare pays fixed amount
of $21,313.50. Outlier threshold for Medicare is $25,800. 
(a) John admitted hospital A for pancreas transplant. The charges for John’s 
treatment was 128,000. Cost to charge ratio for Hospital A was 0.10. How much 
payment hospital A would get from Medicare?

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