<prompt> Translate the following text to Swahilia 1395wwd3E, requires that, as part of the methodology for determining hospital payments, the Secretary annually make adjustments for area differences in hospital wage levels by a factor reflecting the relative wage level for hospitals in a particular geographic area compared to a national average.  <response>: Kama sehemu ya utaratibu wa kuamua malipo ya hospitali, Katibu wa Serikali lazima kila mwaka afanye marekebisho kwa tofauti za eneo katika viwango vya mshahara wa hospitali kwa sababu inayoonyesha kiwango cha mshahara wa jamaa kwa hospitali katika eneo fulani la kijiografia ikilinganishwa na wastani wa kitaifa. 