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For each Medicare patient discharge: For qualifying low-volume hospitals with 500 or fewer total discharges, the payment adjustment is 0.25 For qualifying low-volume hospitals with more than 500 but less than 3,800 total discharges, we calculate a low-volume hospital payment adjustment as 0.25 − [0.25/3,300] × (number of total discharges − 500) = (95/330) − (number of total discharges/13,200) For FY 2026, to qualify for the 0.25 payment adjustment, a hospital must have less than 200 total discharges and be located more than 25 road miles from the nearest IPPS hospital, consistent with 42 CFR 412.101(b)(2)(i)

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This cleans bacteria from the injection site and reduces infection risk