61 Pa. Code § 521.5
(b) The principles for reimbursement require the apportionment of the provider’s allowable costs in accordance with two prescribed methods:
(2) The ‘‘Combination Method’’ shall be used by all hospitals having less than 100 beds, exclusive of bassinets in the nursery, on the first day of the cost reporting period. The prescribed methods of apportionment shall be defined as follows:
(i) Departmental Method. The following provisions shall apply in determining the cost of services applicable to the Medical Assistance Program:
(A) Inpatient routine services. Cost for inpatient routine services shall be determined as follows:
(I) General care units. Average cost per diem for general routine patient care areas.
(II). Special care units. A separate average cost per diem for each intensive care unit, coronary care unit, and other special care inpatient hospital units.
(ii) Combination Method. The following provisions apply in determining the cost of services applicable to the Medical Assistance Program:
(A) Inpatient routine services. Costs for inpatient routine services shall be determined as follows: