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J Clin Oncol 374(33):3848-3857, 2022

For discharges occurring before October 1, 2019, under 412.88, if the costs of the discharge (determined by applying operating cost-to-charge ratios (CCRs) as described in 412.84(h)) exceed the full DRG payment (including payments for IME and DSH, but excluding outlier payments), CMS made an add-on payment equal to the lesser of: (1) 50% of the costs of the new medical service or technology

Lee SH, Liu L, Wang YT, Sheng M (2002)

Because the final inflated average case-weighted standardized charge per case exceeded the average case-weighted threshold amount in all scenarios, the applicant asserted that the Selux NGP System meets the cost criterion