Special Hospitals. The allowable charge for Inpatient services will be the lesser of: (a) the actual charge; or (b) 80% of the prior calendar year's average allowed charge per day (sum of allowed charges divided by sum of Inpatient days) for all Contracting Special Hospitals of the Company. For purposes of this provision, "Special Hospitals" are defined as those Hospitals which are primarily or exclusively engaged in the care and treatment of patients with specified medical conditions, including cardiac, orthopedic, or surgical patients.
Appears in 5 contracts
Samples: Comprehensive Major Medical Group Contract, Comprehensive Major Medical Group Contract, Comprehensive Major Medical Group Contract
