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As such, for qualifying hospitals with fewer than 3,800 total discharges but more than 500 total discharges, the low-volume hospital payment adjustment at 412.101(c)(3)(ii) is calculated using the following formula: Low-Volume Hospital Payment Adjustment = 0.25[0.25/3300] (number of total discharges500) = (95/330)(number of total discharges/13,200) For this purpose, the number of total discharges is determined as total discharges, which includes Medicare and non-Medicare discharges during the fiscal year, based on the hospital's most recently submitted cost report, as explained previously