; to (ii) the aggregate amount of standardized hospital payments (as defined in paragraph (4)(H)(ii)(I)) made to the hospital during the data collection period with respect to such applicable prospective period. (B) Total hospital-specific financial impact described (i) In general For purposes of subparagraph (A), the term total hospital-specific financial impact means, with respect to a hospital for an applicable prospective period, the sum, subject to clause (ii), of the financial impacts determined in accordance with paragraph (4)(G) for such hospital and data collection period with respect to each performance category described in paragraph (5). (ii) Performance category contribution upper limit (I) In general In the case that the financial impact for such a performance category, as determined in accordance with paragraph (4)(G) for a hospital and hospital data collection period, exceeds the amount calculated under subclause (II) with respect to such hospital and period, the Secretary shall, in applying clause (i) with respect to such hospital and period, substitute the amount calculated under such subclause for the financial impact that is so determined with respect to such performance category. (II) Calculation of amount The Secretary shall, with respect to a hospital for an applicable prospective period, calculate an amount that is equal to the product of 0.03 and the aggregate amount of standardized hospital payments (as defined in paragraph (4)(G)(ii)(I)) made to the hospital during the data collection period with respect to such applicable prospective period. (C) Budget neutrality of value based outcome adjustment factor across all hospitals The Secretary shall determine a budget neutrality reduction fraction that, when applied in paragraph (4)(B)(ii), will result in a value based outcome adjustment factor determined under subparagraph (A) for an applicable prospective period that reduces the total payments under subsection (d) across all applicable hospitals and all potentially-avoidable outcomes for