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Lower quantity hospitals and items could not bill separately for hospital based mostly professional psychological well being services; payment for these services is included in the per diems. CHAMPUS Diagnosis Related Group -based fee system. Under the CHAMPUS DRG-based fee system, cost for the operating prices of inpatient hospital companies furnished by hospitals topic to the system is made on the idea of prospectively-determined rates and utilized on a per discharge foundation utilizing DRGs. Payments beneath this system will embody a differentiation for urban and rural hospitals and an adjustment for area wage differences and indirect medical training prices.