LTCH by HC111124011737

VIEWS: 16 PAGES: 83

									Example of LTCH_PPS Claim Payment                                                       Need to input those fields shown in blue.
Provider Name:
Provider Number:                                      332006                                                                                       6/2/2009
CBSA                                                  35644
Transition Blend Percentage:                           100% Federal Effective 07/01/2007
from claim                                                                        from PSF (42 screen)

Provider no.                                                332006                      CBSA                       35644
discharge date                                            10/6/2009                     Rural/Urban (R or U)                   U
Covered Charges                                          $52,132.32                     Large Urban? (Y or N)                  N
Covered Days                                                      15                    CMI ADJ CPD                         0.00
DRG                                                              189                    CTC Ratio                          0.746
DRG weight - LTCH                                            0.9707                     Fiscal Begin Date               07/01/08
DRG weight - IPPS                                            1.3455                     Federal Transition                     5
DRG GLOS - LTCH                                                 23.9                    No. of Beds                          225 (used in IPPS calculation)
DRG GLOS - IPPS                                                  4.7                    Medicaid Ratio                    0.2202 (used in IPPS calculation)
Actual LOS                                                        15                    SSI                               0.1185 (used in IPPS calculation)
Maximum days used in Short Stay Outlier Calculation               25
Determine 5/6 of GLOS - LTCH                                   19.9                     Intern/Bed Ratio                   0.0000 (used in IPPS calculation)
Short Stay Outlier Eligibility?                       ELIGIBLE                          Capital IME Ratio                  0.0000 (used in IPPS calculation)
                                                                                        IPPS Wage Index                    1.3190 (used in IPPS calculation)
                                                                                        CHECK STATE WAGE INDEX
                       Federal Portion
LTCH PPS Standard Federal rate                            39,896.65    FR 8/27/09 pg. 44022
x DRG Weight                                                 0.9707    FR 8/27/09 pg. 44183-44192
=DRG Rate                                                 38,727.68
x Labor Percentage                                         0.757790    FR 8/27/09 pg. 44024
= Labor Portion                                           29,347.45
x LTCH Wage Index                                            1.3005    FR 8/27/09 pg. 44192-44213
= Wage Adj'd Labor Portion                                38,166.36
=+Non-labor Portion                                        9,380.23
=Adjusted Payment Rate                                    47,546.59


High-Cost Outlier
Covered Charges                                           $52,132.32
x Ratio of Cost to Charge                                     0.746 specific to provider
= estimated cost                                          38,890.71

 National threshold (Fixed Loss Amount)                   18,425.00 FR 8/27/09 pg. 44028
 + Adjusted Payment Amount                                35,809.20 ***
 = Outlier Threshold                                      54,234.20
 Charge Threshold                                         72,700.00
 Excess Cost                                                    -
 x Marginal Cost Factor                                        0.80 FR 8/27/09 pg. 44028
 = Outlier Amount                                     $         -
x Fed. Transition Blend %                                    1.0000 specific to provider
Budget Neutrality Factor                                     1.0000 C.R. 5652
Total Outlier Payment                                 $         -

Adjusted Federal Payment
Adjusted Federal Payment                                  35,809.20
x Fed Transition Blend %                                       1.00
Budget Neutrality Factor                                     1.0000 C.R. 5652
Total Federal Payment                                 $   35,809.20


Facility Specific Payment
Cost per discharge                                                -    <specific to each provider
x Transition Blend percentage                                 -
= Facility Specific Payment                                     -
Budget Neutrality Factor                                     1.0000 C.R. 5652
Total Facility Specific Payment                                 -
x Actual LOS to ALOS ratio                                  0.62762
Hosp Spec Pymt                                                  -   (FISS screen page 14)

Total Payment                                         $   35,809.20
                        Short-StayOutliers


I. 100% of Cost of case
Covered Charges                                          52,132.32
 x Facility cost-to-charge ratio                             0.746
= Cost of Case                                           38,890.71
% of Cost                                                     1.20
= Criteria I                                                          46,668.85 I.

II. 120% of specific LTC-DRG per diem
Federal adjusted payment rate
(from calculation above)                                 47,546.59
/ GLOS for DRG                                             23.9000
= Per Diem                                                1,989.40
x Actual Length of Stay                                         15
x%                                                            1.20
=Criteria II                                                          35,809.20 II

III. Full LTC-DRG Payment                                             47,546.59 III

IV. Blend of Criteria II and 100% of specific IPPS    as of 12-29-07, IPPS cap comparison not done per
      DRG per diem                                    The Medicare, Medicaid & SCHIP Extension Act of 2007

   LTC DRG @ 120% Per Diem (From Criteria II)            35,809.20
   Blend % = LOS/< 5/6(GLOS) of LTCH DRG or 25 days          0.7538
   LTCH portion                                          26,992.97

  IPPS DRG                                               10,788.50 (See attached IPPS claim calc)
  GLOS - IPPS                                                 4.70
  Covered LOS                                                   15
 IPPS DRG adj for length of stay                         10,788.50
 Blend %                                                    0.2462
 IPPS portion                                             2,656.13

Capped @ full IPPS comparable amt                        29,649.10    29,649.10 IV

Short Stay Outlier Payment                                            35,809.20 <Adjusted Fed Payt
(The least of I, II, III or IV)                                                 Pricer
x Transition Blend percentage                                            1.0000
                                    Claim Calculation Illustration (with New Technology and Outliers)

         Provider:       332006
                     Assumptions Used
                        Effective Date 7/1/2006            Stnd Amt CBSA       35644
                     Covered Charges 52,132.32           Large Urban?            N
                      IPPS DRG Wght     1.3455           Wage Index CBSA       35644
                     DSH capped @ 12%?          N

Federal Operating Payment                                                  Federal Capital Payment
Labor                                                  3,593.52            Federal Base Rate
x IPPS Wage Index                                        1.3190            x Geo Adj Factor
= Net Labor                                            4,739.85            x Large Urban Add-on
+ Non-Labor                                            1,629.62            = Federal Rate
= Net Federal Operating Rate                           6,369.47            x DRG Weight
x DRG Weight                                             1.3455            = Federal Capital Payment
= Federal Operating Payment                            8,570.13            DSA Capital Payment
DSA Operating Payment                                                       2.7183 ^ (0.2025 * C) - 1 =
SSI %                                                   11.85%             Capital DSA Factor
+ Medicaid %                                            22.02%             Capital DSA Payment
= DSH Qualifying Ratio = "C"                            33.87%             IME Capital Payment
Operating DSA Rate                                       0.1716            FTE/Avg. Daily Census
x Federal Operating Payment                            8,570.13            2.7183^(0.2822 x FTE's/AvgDailyCensus) - 1 =
= Operating DSA Payment                                1,470.63            Capital IME Factor
IME Operating Payment                                                      Capital IME Payment
Intern to Bed Ratio                                         -              Capital Outlier
1.3500 x ((1 + Ratio) ^ .405 - 1)                      0.000000            Capital Outlier Payment
x Federal Operating Payment                            8,570.13            Total Capital Payment
= Operating IME Payment                                     -              Federal Capital Payment
Operating Outlier                                                          + Capital DSA Payment
Outlier from Outlier Calculation                            -              + Capital IME Payment
Total Operating Payment                                                    + Capital Outlier Payment
Federal Operating Payment                             8,570.13             = Total Capital Payment
+ DSA Operating Payment                               1,470.63
+ IME Operating Payment                                    -
+ Outlier                                                  -
+ New Technology Add-on                                    -
= Total Operating Payment                            10,040.76

                                                    Total Payment Based on Assumptions Above
                                                    Operating Payment                      10,040.76
                                                    + Total Capital Payment                   747.74
                                                    = Total Payment                        10,788.50
                                                                            Less Outlier         -
                                                                            Net            10,788.50
Outliers)




                     429.26
                     1.2088
                     1.0000
                     518.89
                     1.3455
                     698.17


                       0.071
                      49.57

                         -
TE's/AvgDailyCensus) - 1 =
                             0
                        -

                        -

                     698.17
                      49.57
                        -
                        -
                     747.74
                                          DRG weights


      FY 2010 DRG WEIGHTS
                                     IPPS                                        LTCH
      DRG #        Relative Weight     Geometric Mean          Relative Weight

001            1              24.8548                   31.5               0.0000
002            2               11.754                   16.4               0.0000
003            3              18.2667                   31.6               4.5834
004            4              11.1941                   22.9               3.1040
005            5              10.1358                   14.9               0.0000
006            6               4.7569                    8.3               0.0000
007            7               9.4543                   15.6               0.0000
008            8               5.0615                   10.4               0.0000
009            9               6.5419                   17.7               1.6608
010           10               4.2752                    8.9               0.0000
011           11               4.7341                   12.7               1.6608
012           12               3.0306                    8.8               1.1636
013           13               1.8643                    5.7               1.1636
020           20               8.4392                   14.8               1.6608
021           21               6.2068                   12.2               0.6392
022           22               4.3765                    7.4               0.6392
023           23               4.9401                    8.5               0.7552
024           24               3.2566                    5.7               0.7552
025           25               4.8236                    9.4               1.6608
026           26               2.9421                    6.1               0.4766
027           27               2.0902                    3.1               0.4766
028           28                5.109                   10.2               1.0933
029           29               2.7768                    4.8               0.7552
030           30               1.6019                    2.7               0.7552
031           31               4.5341                    9.0               1.6608
032           32               1.9186                    3.7               0.6392
033           33               1.3331                    2.2               0.6392
034           34                  3.19                   4.4               1.6608
035           35               2.0165                    2.0               1.6608
036           36               1.5744                    1.3               1.6608
037           37                2.919                    5.7               1.6608
038           38               1.4783                    2.4               1.6608
039           39               1.0033                    1.4               1.6608
040           40               3.9518                    9.4               1.4187
041           41               2.1249                    5.2               0.9739
042           42               1.6448                    2.4               0.6392
052           52               1.4836                    4.5               1.0309
053           53               0.8382                    3.1               0.4766
054           54               1.5637                    5.0               0.9120
055           55               1.0613                    3.6               0.7390
056           56               1.6952                    5.7               0.7871
057           57               0.9028                    3.9               0.5845
058           58               1.5512                    5.8               0.7552
059           59               0.9581                    4.2               0.5813
060           60               0.7083                    3.2               0.4766
061           61               2.9168                    6.5               0.8439
062           62                1.929                    5.0               0.6614
063           63               1.5187                    3.6               0.4766
064           64               1.8258                    5.3               0.8839
065           65                1.158                    4.1               0.5549
066           66               0.8223                    2.9               0.4766
067           67               1.3335                    4.3               0.6392
068           68               0.8593                    2.7               0.4766
                                             Page 5
                     DRG weights
069    69   0.7289                 2.4   0.4766
070    70   1.7919                 5.7   0.8439
071    71   1.1027                 4.1   0.6614
072    72   0.7616                 2.6   0.4766
073    73   1.2939                 4.5   0.9626
074    74    0.838                 3.3   0.5916
075    75    1.667                 5.7   0.7552
076    76   0.8336                 3.3   0.7552
077    77   1.6245                 5.3   1.0933
078    78   0.9822                 3.6   0.4766
079    79   0.7359                 2.7   0.4536
080    80   1.1461                 3.7   0.6392
081    81   0.7113                 2.7   0.4766
082    82    2.013                 3.7   1.0933
083    83   1.3031                 3.6   0.7552
084    84   0.8532                 2.2   0.7552
085    85   2.0572                 5.3   0.8570
086    86   1.2098                 3.8   0.6217
087    87   0.7815                 2.4   0.6217
088    88   1.4741                 4.2   0.6392
089    89   0.9298                 2.9   0.4766
090    90   0.6818                 1.9   0.4766
091    91   1.5465                 4.5   0.8424
092    92   0.9167                 3.4   0.6400
093    93   0.6691                 2.4   0.4766
094    94   3.4161                 9.0   1.0229
095    95   2.2416                 6.4   0.8058
096    96   1.7927                 4.7   0.6392
097    97   3.0233                 9.1   0.8945
098    98   1.7985                 6.3   0.7561
099    99   1.2084                 4.6   0.7561
100   100   1.4778                 4.5   0.9450
101   101   0.7577                 2.8   0.6297
102   102   0.9772                 3.2   0.6392
103   103   0.6355                 2.4   0.4766
113   113   1.7702                 4.0   1.1636
114   114   0.8825                 2.0   0.9756
115   115   1.1589                 3.2   0.4766
116   116   1.1418                 2.7   0.6392
117   117   0.6914                 1.6   0.6392
121   121   1.0006                 4.4   0.7552
122   122   0.6713                 3.4   0.6392
123   123   0.7153                 2.3   0.6392
124   124   1.1843                 4.1   0.7552
125   125   0.6627                 2.6   0.6392
129   129   2.0661                 3.6   1.1636
130   130   1.2054                 2.4   0.9756
131   131   2.0146                 3.9   1.0933
132   132   1.1355                 2.1   1.0933
133   133   1.5884                 3.7   1.0933
134   134   0.8166                 1.7   1.0933
135   135    1.852                 4.3   1.6608
136   136   0.9015                 1.7   1.0933
137   137   1.4004                 4.0   1.0933
138   138   0.7458                 1.9   1.0933
139   139    0.808                 1.4   0.4766
146   146   2.1291                 6.7   1.1636
147   147   1.2345                 4.0   0.9756
                       Page 6
                      DRG weights
148   148    0.6995               2.3   0.9756
149   149    0.6293               2.2   0.4766
150   150    1.3363               4.0   0.7298
151   151    0.6194               2.3   0.6312
152   152    0.9396               3.6   0.7298
153   153    0.6084               2.7   0.6312
154   154    1.3872               4.5   0.9197
155   155    0.8823               3.4   0.6209
156   156    0.6201               2.4   0.6209
157   157    1.4763               4.8   1.0933
158   158    0.9235               3.5   0.7552
159   159    0.5949               2.3   0.6392
163   163    4.9549              11.7   2.4859
164   164    2.5164               6.3   1.6608
165   165    1.7662               4.0   1.0759
166   166    3.7227               9.8   2.4805
167   167    2.0068               6.0   1.9175
168   168    1.3026               3.4   1.0933
175   175    1.6121               5.9   0.7868
176   176    1.0685               4.3   0.5673
177   177    2.0483               7.1   0.8920
178   178     1.486               5.8   0.7253
179   179    1.0088               4.3   0.5766
180   180    1.7263               5.9   0.7830
181   181    1.2062               4.3   0.6242
182   182    0.8159               3.0   0.6242
183   183    1.4432               5.2   0.6392
184   184    0.9483               3.7   0.4766
185   185    0.6665               2.6   0.4766
186   186    1.5917               5.5   0.7925
187   187     1.062               3.9   0.6618
188   188    0.7612               2.9   0.6392
189   189    1.3455               4.7   0.9707
190   190    1.2076               4.7   0.7228
191   191    0.9622               4.0   0.6086
192   192    0.7175               3.2   0.4782
193   193    1.4378               5.3   0.7654
194   194    0.9976               4.3   0.5977
195   195    0.7095               3.3   0.5038
196   196    1.5396               5.6   0.7417
197   197    1.0647               4.2   0.5648
198   198    0.8137               3.2   0.4766
199   199    1.8266               6.4   0.7829
200   200    0.9745               3.7   0.6045
201   201    0.7144               2.9   0.4766
202   202    0.8374               3.5   0.6467
203   203    0.6055               2.7   0.4766
204   204    0.6472               2.1   0.8262
205   205    1.2566               4.0   0.8527
206   206    0.7294               2.6   0.6627
207   207     5.178              12.8   2.0288
208   208    2.2358               5.1   1.1475
215   215   12.8304               7.0   1.0759
216   216   10.1967              15.5   1.0933
217   217    6.5932              10.1   1.0759
218   218    5.2809               7.6   1.0759
219   219    7.9336              11.1   1.0933
220   220    5.1767               7.3   1.0759
                        Page 7
                     DRG weights
221   221   4.3926               5.7   1.0759
222   222   8.4829               9.8   1.6608
223   223   6.2229               3.8   1.0933
224   224   7.5477               7.8   1.6608
225   225   5.8321               3.9   1.0933
226   226   6.5457               5.7   1.6608
227   227   5.0519               1.8   1.6608
228   228   7.5401              11.8   1.4677
229   229   4.8428               7.5   1.0759
230   230   3.7989               5.0   1.0759
231   231   7.6784              10.8   1.0933
232   232   5.5589               8.3   1.0759
233   233    6.924              12.0   1.0933
234   234   4.6212               8.1   1.0759
235   235   5.6898               9.5   1.0933
236   236   3.6128               6.0   1.0759
237   237   5.0355               7.3   1.0933
238   238   2.9366               3.0   1.0759
239   239   4.7275              12.2   1.5489
240   240   2.5377               7.9   1.1037
241   241   1.4922               5.3   0.7552
242   242   3.5878               6.3   1.6608
243   243   2.5737               3.6   1.0933
244   244   1.9888               2.1   1.0933
245   245   4.0534               2.2   1.6608
246   246   3.0955               3.5   1.4677
247   247   1.9121               1.7   1.0759
248   248   2.8419               4.3   1.4677
249   249    1.684               2.0   1.0759
250   250   2.7546               5.0   1.6608
251   251   1.6455               2.0   1.6608
252   252   2.9443               5.3   1.4677
253   253   2.2817               4.2   1.0759
254   254   1.5713               1.9   1.0759
255   255   2.5388               7.4   1.2906
256   256   1.5518               5.6   0.9007
257   257   0.9529               3.4   0.6392
258   258   2.8006               5.0   0.6392
259   259   1.7191               2.0   0.6392
260   260   3.2956               7.4   1.6608
261   261   1.4677               2.9   0.6392
262   262   1.0412               1.9   0.6392
263   263   1.6163               3.3   0.4497
264   264   2.5087               5.6   1.0418
265   265   2.2407               2.3   0.6392
280   280   1.8313               5.4   0.7487
281   281    1.162               3.6   0.5579
282   282   0.8177               2.3   0.5579
283   283   1.6717               3.3   0.9575
284   284   0.8024               1.9   0.6392
285   285   0.5602               1.5   0.6392
286   286   1.9634               5.0   1.0933
287   287   1.0321               2.4   1.0933
288   288   3.0888               9.2   0.9920
289   289   1.8496               6.6   0.8048
290   290   1.2313               4.5   0.7552
291   291   1.4609               5.0   0.7390
292   292    0.974               3.9   0.5980
                       Page 8
                     DRG weights
293   293    0.694               2.9   0.5294
294   294   1.0104               4.6   0.6392
295   295   0.6504               3.6   0.6392
296   296   1.1665               1.9   0.9575
297   297   0.6704               1.4   0.6392
298   298   0.4469               1.1   0.6392
299   299   1.4045               5.0   0.7874
300   300   0.9378               4.0   0.5919
301   301   0.6522               2.9   0.4497
302   302   0.9999               3.1   0.7104
303   303   0.5681               2.0   0.4330
304   304   1.0242               3.7   1.0933
305   305   0.5959               2.2   0.4536
306   306   1.3076               4.1   0.7982
307   307   0.7624               2.6   0.7500
308   308   1.2188               4.0   0.7349
309   309   0.8207               3.0   0.5777
310   310    0.571               2.1   0.4766
311   311   0.5128               1.9   0.6392
312   312   0.7215               2.5   0.4661
313   313   0.5404               1.7   0.4766
314   314   1.7589               5.0   0.8918
315   315   0.9598               3.4   0.6180
316   316   0.6211               2.2   0.5117
326   326   5.6845              12.9   1.6608
327   327   2.7062               7.2   0.7552
328   328    1.395               3.0   0.7552
329   329   5.1396              12.7   2.2203
330   330   2.4981               7.9   1.6608
331   331   1.5952               4.9   0.7552
332   332   4.7762              12.1   1.6999
333   333    2.415               7.3   1.2902
334   334   1.6208               4.5   1.2902
335   335   4.1422              11.5   1.6608
336   336   2.2458               7.3   1.6608
337   337   1.4441               4.2   1.6608
338   338   3.0677               8.6   1.0933
339   339   1.7979               5.7   0.7081
340   340   1.2197               3.4   0.5434
341   341   2.2109               5.1   0.9458
342   342   1.3112               3.1   0.7081
343   343    0.936               1.7   0.5434
344   344   3.0345               9.1   1.0933
345   345   1.6179               5.9   1.0933
346   346   1.1755               4.3   1.0933
347   347   2.2657               6.4   1.0933
348   348   1.3237               4.2   0.7552
349   349   0.7665               2.3   0.7552
350   350   2.2798               5.7   0.4766
351   351   1.2628               3.4   0.4766
352   352    0.821               1.9   0.4766
353   353   2.5349               6.4   1.0933
354   354   1.4337               3.9   1.0933
355   355   0.9878               2.3   1.0933
356   356   3.9597               9.5   1.6999
357   357    2.116               5.9   1.2902
358   358   1.3008               3.3   1.2902
368   368   1.6584               5.0   0.9890
                       Page 9
                     DRG weights
369   369    1.048                3.8   0.9890
370   370   0.7501                2.7   0.4766
371   371   1.9214                6.7   0.9458
372   372   1.2865                5.4   0.7081
373   373   0.8619                4.1   0.5434
374   374   2.0149                6.4   1.0220
375   375   1.2631                4.5   0.6836
376   376   0.8883                3.0   0.4766
377   377   1.6149                4.9   0.9713
378   378   0.9873                3.6   0.5877
379   379   0.7179                2.7   0.5877
380   380   1.7333                5.5   1.0933
381   381   1.0853                3.9   0.7552
382   382   0.7785                2.9   0.7552
383   383   1.2399                4.4   0.7552
384   384   0.8146                3.1   0.6392
385   385   1.7089                6.1   1.2583
386   386   1.0423                4.3   0.6392
387   387   0.7871                3.4   0.4766
388   388    1.506                5.3   1.0107
389   389   0.9268                3.9   0.7201
390   390   0.6341                2.9   0.6392
391   391   1.0958                3.9   0.8782
392   392   0.6921                2.8   0.6273
393   393   1.5632                4.9   1.0940
394   394   0.9572                3.7   0.7549
395   395   0.6666                2.6   0.6000
405   405   5.5911               12.5   1.6608
406   406   2.6729                6.7   1.6608
407   407   1.8068                4.1   1.6608
408   408   4.0844               11.3   0.7552
409   409   2.3103                7.5   0.7552
410   410   1.6134                5.2   0.7552
411   411   3.9655               10.3   0.6392
412   412   2.3982                7.3   0.6392
413   413   1.6222                4.5   0.6392
414   414   3.6023                9.6   1.6608
415   415   1.9824                6.2   0.6392
416   416   1.2904                3.9   0.6392
417   417    2.405                6.4   1.6608
418   418   1.6354                4.3   0.6392
419   419   1.1334                2.4   0.6392
420   420   4.1182               10.2   1.6608
421   421   1.6987                4.9   0.7552
422   422   1.1791                3.2   0.7552
423   423   4.2255               11.2   1.0933
424   424   2.2105                6.9   0.7552
425   425   1.4477                3.9   0.7552
432   432   1.6369                5.1   0.6883
433   433   0.9076                3.6   0.6392
434   434   0.6489                2.7   0.6392
435   435   1.7293                5.7   0.7643
436   436   1.1831                4.3   0.6392
437   437    0.878                3.0   0.4766
438   438   1.6993                5.5   1.0684
439   439    0.996                4.0   0.8237
440   440   0.6865                3.0   0.4766
441   441    1.729                5.2   0.8154
                       Page 10
                       DRG weights
442   442    0.9407                 3.7   0.6446
443   443    0.6631                 2.8   0.4766
444   444    1.5055                 4.9   0.8346
445   445    1.0386                 3.7   0.5926
446   446    0.7239                 2.5   0.4766
453   453   10.0108                11.2   1.6608
454   454    6.9533                 5.8   1.6608
455   455    5.0197                 3.3   1.6608
456   456    8.7412                11.2   1.6608
457   457    5.9617                 6.1   1.6608
458   458    4.8966                 3.8   1.6608
459   459    6.1506                 7.5   1.6608
460   460    3.7097                 3.5   1.6608
461   461    4.5614                 6.5   1.6608
462   462    3.2056                 3.8   1.6608
463   463    5.3025                12.2   1.4511
464   464    2.8384                 7.3   1.1279
465   465    1.7896                 4.4   0.9286
466   466    4.6698                 7.4   1.6608
467   467    3.1207                 4.5   1.6608
468   468    2.5167                 3.4   1.6608
469   469    3.3282                 6.6   1.6608
470   470    2.0613                 3.5   1.6608
471   471    4.6182                 7.2   1.0933
472   472    2.7547                 2.8   0.7552
473   473    2.0033                 1.5   0.7552
474   474     3.504                 9.7   1.3506
475   475     1.923                 6.2   1.0702
476   476     1.065                 3.5   0.7552
477   477    3.1343                 8.7   1.3553
478   478    2.1321                 4.7   1.3040
479   479    1.5121                 1.9   0.6392
480   480    2.8752                 7.6   1.6608
481   481    1.8373                 5.2   1.6608
482   482    1.5071                 4.3   1.6608
483   483    2.3024                 3.2   1.6608
484   484    1.8358                 2.0   1.6608
485   485    3.0871                 9.3   1.6608
486   486    2.0558                 6.4   1.6608
487   487    1.4338                 4.5   1.0933
488   488    1.6774                 3.9   1.0933
489   489     1.183                 2.5   1.0933
490   490    1.7718                 3.0   1.0933
491   491    0.9522                 1.7   1.0933
492   492       2.85                6.8   1.6608
493   493    1.7806                 4.2   0.7552
494   494    1.2619                 2.7   0.7552
495   495    2.8743                 7.4   1.2956
496   496    1.6254                 4.2   1.0692
497   497    1.0344                 2.0   0.6392
498   498    1.9228                 5.4   1.6608
499   499    0.8975                 2.2   0.7552
500   500    3.0244                 8.1   1.3940
501   501    1.5169                 4.6   1.0254
502   502    0.9834                 2.3   1.0254
503   503    2.1835                 6.7   1.0933
504   504    1.5082                 5.1   1.0376
505   505    1.0282                 2.5   1.0376
                         Page 11
                     DRG weights
506   506   1.1381                2.5   1.0933
507   507   1.8188                3.5   1.6608
508   508   1.2568                1.7   1.6608
509   509   1.2065                2.2   1.0376
510   510   2.1482                5.0   1.0933
511   511   1.3747                3.2   0.7552
512   512   1.0033                1.8   0.7552
513   513   1.2327                3.5   1.0933
514   514   0.7712                2.0   1.0933
515   515   3.0414                7.8   1.1914
516   516   1.8355                4.5   1.0933
517   517    1.364                2.2   0.6392
533   533   1.5632                5.0   1.6608
534   534   0.7386                3.2   0.4766
535   535   1.2914                4.5   0.6392
536   536   0.7127                3.3   0.4766
537   537   0.8831                3.7   1.0933
538   538   0.5863                2.5   1.0933
539   539   2.2839                7.9   1.0283
540   540   1.3839                5.7   0.8004
541   541   0.9422                4.1   0.6962
542   542    1.954                6.6   0.7953
543   543   1.1211                4.6   0.6149
544   544   0.7717                3.6   0.4766
545   545   2.2783                6.3   0.8053
546   546   1.0758                4.3   0.5615
547   547   0.7475                3.0   0.4766
548   548   1.9281                6.7   0.8577
549   549   1.1758                5.0   0.7354
550   550   0.7082                3.3   0.5233
551   551   1.5442                5.4   0.8996
552   552   0.7937                3.3   0.5894
553   553   1.1057                4.5   0.6392
554   554   0.6478                2.9   0.4674
555   555   0.9698                3.4   0.7552
556   556   0.6027                2.5   0.4766
557   557   1.4685                5.4   0.8769
558   558   0.8387                3.6   0.7061
559   559   1.7514                5.2   0.8153
560   560   0.9852                3.7   0.6780
561   561   0.5959                2.1   0.5327
562   562   1.3793                4.8   0.7552
563   563   0.6927                3.1   0.7552
564   564   1.5068                5.3   0.8934
565   565    0.907                3.9   0.6839
566   566   0.6498                2.8   0.5185
573   573   3.5286               10.0   1.3740
574   574    1.909                6.8   1.0133
575   575    1.126                4.5   0.8023
576   576   3.3598                8.2   1.2370
577   577   1.7235                4.1   0.9539
578   578   0.9925                2.4   0.4766
579   579   2.8556                8.0   1.3281
580   580   1.3997                3.6   0.9368
581   581   0.8589                1.8   0.7552
582   582   1.0226                2.1   0.7552
583   583   0.7889                1.5   0.7552
584   584   1.4877                3.6   0.7552
                       Page 12
                      DRG weights
585   585   0.8593                 1.7   0.7552
592   592   1.8499                 6.6   0.9291
593   593   1.0807                 4.9   0.6876
594   594   0.7523                 3.7   0.5712
595   595   1.7691                 6.0   0.6821
596   596   0.8285                 3.7   0.4965
597   597   1.6302                 5.6   0.7552
598   598    1.065                 4.2   0.6392
599   599   0.6102                 2.6   0.6392
600   600   0.9801                 4.2   0.6392
601   601   0.5941                 3.0   0.4766
602   602      1.43                5.5   0.7077
603   603   0.8178                 3.8   0.5157
604   604   1.1719                 4.1   0.8435
605   605   0.6824                 2.7   0.5798
606   606   1.1964                 4.3   1.1918
607   607   0.6403                 2.8   0.5715
614   614   2.6525                 5.0   1.0434
615   615   1.3859                 2.6   1.0434
616   616   4.8537                13.2   1.5849
617   617   2.0316                 6.9   1.1006
618   618   1.2713                 5.0   1.1006
619   619   3.5839                 5.0   1.6608
620   620   1.8258                 2.6   0.7552
621   621      1.45                1.7   0.7552
622   622   4.2285                11.3   1.2575
623   623   2.0271                 6.9   0.9963
624   624   1.1304                 4.5   0.9963
625   625    2.238                 4.7   1.3071
626   626   1.1339                 2.0   1.0434
627   627   0.7545                 1.3   1.0434
628   628   3.3978                 7.4   1.3071
629   629   2.3003                 6.8   1.0434
630   630   1.4359                 3.5   1.0434
637   637   1.3303                 4.4   0.8786
638   638   0.8263                 3.3   0.6952
639   639   0.5547                 2.4   0.4056
640   640   1.0896                 3.7   0.8153
641   641   0.6843                 3.0   0.6443
642   642   1.0463                 3.6   1.0933
643   643   1.6325                 5.8   0.7552
644   644   1.0453                 4.2   0.6392
645   645   0.7187                 3.0   0.4766
652   652   2.9736                 6.5   0.0000
653   653   5.8189                13.3   0.7552
654   654   2.8942                 8.3   0.7552
655   655    1.918                 5.0   0.7552
656   656   3.2592                 7.7   0.7552
657   657   1.8523                 4.8   0.7552
658   658   1.3668                 3.0   0.7552
659   659   3.2812                 7.8   1.6608
660   660   1.8136                 4.4   0.7552
661   661   1.2817                 2.4   0.7552
662   662   2.7753                 7.4   1.6608
663   663   1.3713                 3.4   0.6392
664   664   1.0193                 1.5   0.6392
665   665   2.8052                 9.0   0.7552
666   666   1.5506                 4.1   0.7552
                        Page 13
                     DRG weights
667   667   0.7615                1.8   0.4766
668   668   2.2481                6.1   0.7552
669   669   1.1938                3.0   0.7552
670   670   0.7573                1.8   0.7552
671   671   1.4698                4.0   1.0933
672   672   0.7699                1.9   1.0933
673   673   2.9192                5.7   1.3257
674   674   2.0576                4.5   0.9676
675   675   1.3129                1.5   0.6392
682   682   1.6422                5.1   0.9030
683   683   1.0523                4.2   0.7180
684   684   0.6746                2.9   0.5141
685   685   0.8994                2.5   0.6392
686   686   1.5362                5.5   0.7953
687   687    1.026                3.9   0.7552
688   688   0.6852                2.3   0.7552
689   689   1.2122                4.8   0.6733
690   690   0.7708                3.5   0.5296
691   691   1.4711                3.1   1.0933
692   692   1.1044                1.9   0.4766
693   693   1.1496                3.5   0.7552
694   694   0.6539                2.0   0.4766
695   695   1.2396                4.2   0.7552
696   696   0.6453                2.6   0.4766
697   697    0.814                2.5   0.6392
698   698   1.4877                5.0   0.8760
699   699   0.9518                3.7   0.7211
700   700   0.6533                2.6   0.6392
707   707   1.6691                3.2   0.7552
708   708   1.2024                1.7   0.7552
709   709    1.835                3.6   1.6608
710   710   1.3227                1.3   1.6608
711   711   1.7128                5.0   1.0933
712   712   0.7666                1.9   1.0933
713   713   1.1285                2.9   1.6608
714   714   0.6364                1.6   0.7552
715   715    1.746                4.1   1.6608
716   716   1.0053                1.3   1.6608
717   717   1.6782                4.8   1.6608
718   718   0.7921                2.0   1.6608
722   722   1.4962                5.4   0.6392
723   723   0.9732                3.9   0.6392
724   724   0.6288                2.1   0.6392
725   725   1.0685                3.9   0.4766
726   726   0.6979                2.8   0.4766
727   727   1.3162                5.0   0.7689
728   728   0.7331                3.3   0.4964
729   729   0.9642                3.7   0.8669
730   730   0.5786                2.3   0.4766
734   734   2.5091                5.6   1.6608
735   735    1.137                2.5   1.6608
736   736    4.349               11.4   0.9345
737   737   1.9651                5.8   0.7552
738   738   1.1766                3.3   0.7552
739   739   3.0553                7.7   1.3071
740   740   1.5028                4.1   0.7552
741   741   1.0568                2.4   0.7552
742   742   1.3481                3.3   0.7552
                       Page 14
                      DRG weights
743   743   0.8787                 1.9   0.7552
744   744   1.4699                 4.1   0.7552
745   745   0.7721                 2.0   0.7552
746   746   1.2251                 2.9   0.6392
747   747   0.8471                 1.6   0.6392
748   748   0.8784                 1.5   0.7552
749   749   2.4378                 6.6   0.7552
750   750   1.0159                 2.3   0.7552
754   754   1.8829                 6.2   0.9345
755   755   1.1184                 4.1   0.7552
756   756   0.5883                 2.2   0.7552
757   757   1.7189                 6.5   0.8737
758   758    1.098                 4.8   0.7902
759   759   0.7719                 3.6   0.6392
760   760   0.7992                 3.0   0.7552
761   761   0.4952                 1.9   0.7552
765   765   1.1083                 4.0   1.0434
766   766   0.7526                 2.9   1.0434
767   767   0.8389                 2.5   1.0434
768   768   1.7754                 0.0   1.0434
769   769      1.89                3.9   1.0434
770   770   0.5367                 1.5   1.0434
774   774   0.6873                 2.6   1.0434
775   775   0.4971                 2.1   1.0434
776   776   0.6808                 2.6   1.6608
777   777   0.7786                 1.9   1.0434
778   778   0.4229                 1.9   0.6392
779   779   0.4386                 1.6   0.6392
780   780   0.2023                 1.2   0.6392
781   781   0.6357                 2.7   0.7552
782   782   0.4504                 1.7   0.7552
789   789   1.4583                 0.0   0.7552
790   790    4.809                 0.0   0.7552
791   791   3.2844                 0.0   0.7552
792   792   1.9817                 0.0   0.7552
793   793   3.3738                 0.0   0.7552
794   794   1.1941                 0.0   0.7552
795   795   0.1617                 0.0   0.7552
799   799   5.1087                10.5   1.0933
800   800   2.5315                 5.7   1.0933
801   801   1.5865                 3.2   1.0933
802   802   3.4788                 8.8   1.6608
803   803    1.768                 4.9   0.6392
804   804   1.0388                 2.4   0.6392
808   808   2.0487                 6.3   0.6904
809   809   1.1725                 4.1   0.6904
810   810   0.8689                 3.1   0.5548
811   811   1.2431                 3.9   0.8250
812   812   0.7751                 2.8   0.5548
813   813   1.3846                 3.7   0.8179
814   814   1.5144                 5.1   1.0933
815   815   0.9596                 3.6   0.6392
816   816   0.6953                 2.7   0.4766
820   820   5.3673                12.8   1.6608
821   821   2.2672                 5.2   0.7552
822   822   1.1632                 2.4   0.7552
823   823    3.901                11.5   1.6608
824   824    2.152                 6.3   1.6608
                        Page 15
                     DRG weights
825   825   1.2003                2.9   1.6608
826   826   4.5104               11.7   1.6608
827   827   2.0111                5.2   1.6608
828   828   1.2384                2.8   1.6608
829   829   2.6088                6.4   1.0933
830   830   0.9784                2.3   1.0933
834   834   4.3709                9.3   1.0933
835   835   2.4817                5.9   0.7552
836   836   1.2595                3.2   0.7552
837   837   6.3616               18.1   0.6392
838   838   3.0949                8.5   0.6392
839   839   1.2496                4.8   0.6392
840   840   2.7258                7.7   0.9776
841   841   1.5071                5.0   0.8884
842   842   0.9803                3.2   0.6392
843   843   1.6852                5.9   0.8219
844   844   1.1997                4.5   0.8219
845   845   0.8043                3.1   0.8219
846   846   2.1717                6.0   1.5248
847   847   0.9451                2.7   1.1207
848   848   0.8235                2.5   1.1207
849   849   1.2837                4.4   0.8004
853   853   5.4946               12.5   1.7562
854   854    2.729                8.8   1.2120
855   855    1.704                5.5   1.0933
856   856   4.9249               11.4   1.3718
857   857   2.0439                6.3   1.0359
858   858   1.3521                4.4   0.7552
862   862   1.9008                6.0   0.9496
863   863   0.9702                4.1   0.6778
864   864   0.8153                3.1   0.6392
865   865   1.3601                4.4   0.7641
866   866   0.6736                2.8   0.7552
867   867   2.3705                6.9   1.1325
868   868    1.068                4.2   0.6705
869   869   0.7419                3.3   0.4766
870   870   5.8007               12.9   2.1306
871   871   1.8437                5.4   0.8650
872   872   1.1155                4.6   0.6409
876   876   2.5892                8.0   1.6608
880   880   0.6191                2.4   0.4766
881   881   0.6048                3.1   0.4766
882   882   0.6676                3.1   0.6392
883   883   1.1188                4.9   0.4766
884   884   0.9452                4.2   0.5382
885   885   0.8899                5.5   0.4049
886   886   0.7895                3.7   0.3976
887   887   0.8336                3.1   0.4766
894   894   0.4021                2.1   0.6392
895   895   0.9742                8.2   0.4766
896   896   1.4155                4.9   0.7552
897   897   0.6288                3.2   0.4766
901   901   4.0545               10.0   1.3120
902   902    1.785                5.7   1.1853
903   903   1.0137                3.3   0.7552
904   904   2.8601                7.3   1.4057
905   905   1.0901                3.4   0.7552
906   906   0.9991                2.1   0.7552
                       Page 16
                       DRG weights
907   907    3.8072                 8.1   1.6734
908   908    1.8736                 4.7   1.1627
909   909    1.1135                 2.6   1.0933
913   913    1.3473                 4.2   0.8202
914   914    0.6789                 2.6   0.5688
915   915    1.2545                 3.3   0.4766
916   916    0.4513                 1.7   0.4766
917   917    1.4449                 3.7   1.0933
918   918    0.5839                 2.0   0.4766
919   919    1.5883                 4.4   1.1109
920   920    0.9405                 3.2   0.7889
921   921    0.6121                 2.3   0.6069
922   922    1.3114                 3.8   1.6608
923   923    0.6556                 2.3   1.6608
927   927   13.7351                24.4   1.0933
928   928    5.3052                11.7   1.0933
929   929    2.0086                 5.0   0.8231
933   933    2.3081                 2.4   0.7552
934   934    1.3403                 4.2   0.8231
935   935    1.2507                 3.5   0.9214
939   939    2.8593                 7.2   1.4017
940   940    1.6821                 3.5   0.9985
941   941    1.1298                 2.0   0.7552
945   945    1.2388                 8.2   0.6439
946   946    1.1159                 6.7   0.4164
947   947    1.0922                 3.8   0.7667
948   948    0.6689                 2.8   0.4992
949   949    0.9758                 2.7   0.6836
950   950    0.5459                 2.5   0.4421
951   951    0.7239                 2.1   1.5107
955   955    5.6781                 8.9   0.4766
956   956    3.4364                 7.3   1.6608
957   957    6.2993                10.5   1.6608
958   958    3.6544                 7.3   1.0933
959   959        2.2                4.5   1.0933
963   963    2.7687                 6.2   1.0933
964   964    1.5026                 4.6   0.4766
965   965    0.9781                 3.1   0.4766
969   969    5.5074                13.2   1.6608
970   970    2.5627                 6.1   1.6608
974   974     2.481                 7.1   1.0349
975   975    1.3597                 5.2   0.7605
976   976    0.8967                 3.7   0.4766
977   977    1.0538                 3.7   0.5768
981   981    5.0389                11.3   2.3236
982   982    2.8954                 7.0   1.3447
983   983    1.8072                 3.4   1.0933
984   984    3.3443                11.7   1.6608
985   985    1.9481                 6.2   1.6608
986   986    1.1079                 2.9   0.6392
987   987     3.402                 9.4   1.7366
988   988    1.7836                 5.4   1.0874
989   989    1.0358                 2.6   1.0874
998   998          0                0.0   0.0000
999   999          0                0.0   0.0000




                         Page 17
                                      DRG weights



LTCH                   IPPS ALOS
  Geometric Mean      + 1 STD DEV

                0.0             0.0
                0.0             0.0
               65.2            54.3
               45.3            37.8
                0.0             0.0
                0.0             0.0
                0.0             0.0
                0.0             0.0
               37.7            31.4
                0.0             0.0
               37.7            31.4
               24.1            20.1
               24.1            20.1
               37.7            31.4
               21.6            18.0
               21.6            18.0
               24.0            20.0
               24.0            20.0
               37.7            31.4
               19.2            16.0
               19.2            16.0
               26.6            22.2
               24.0            20.0
               24.0            20.0
               37.7            31.4
               21.6            18.0
               21.6            18.0
               37.7            31.4
               37.7            31.4
               37.7            31.4
               37.7            31.4
               37.7            31.4
               37.7            31.4
               35.4            29.5
               30.4            25.3
               21.6            18.0
               33.9            28.3
               19.2            16.0
               23.0            19.2
               23.0            19.2
               25.8            21.5
               24.0            20.0
               24.0            20.0
               21.5            17.9
               19.2            16.0
               25.4            21.2
               24.1            20.1
               19.2            16.0
               24.6            20.5
               23.6            19.7
               19.2            16.0
               21.6            18.0
               19.2            16.0
                                        Page 18
              DRG weights
19.2   16.0
25.4   21.2
24.1   20.1
19.2   16.0
26.8   22.3
23.8   19.8
24.0   20.0
24.0   20.0
26.6   22.2
19.2   16.0
18.9   15.8
21.6   18.0
19.2   16.0
26.6   22.2
24.0   20.0
24.0   20.0
24.6   20.5
23.8   19.8
23.8   19.8
21.6   18.0
19.2   16.0
19.2   16.0
23.8   19.8
22.8   19.0
19.2   16.0
27.7   23.1
27.1   22.6
21.6   18.0
22.1   18.4
21.6   18.0
21.6   18.0
25.9   21.6
23.8   19.8
21.6   18.0
19.2   16.0
24.1   20.1
25.5   21.3
19.2   16.0
21.6   18.0
21.6   18.0
24.0   20.0
21.6   18.0
21.6   18.0
24.0   20.0
21.6   18.0
24.1   20.1
25.5   21.3
26.6   22.2
26.6   22.2
26.6   22.2
26.6   22.2
37.7   31.4
26.6   22.2
26.6   22.2
26.6   22.2
19.2   16.0
24.1   20.1
25.5   21.3
                Page 19
              DRG weights
25.5   21.3
19.2   16.0
21.3   17.8
20.5   17.1
21.3   17.8
20.5   17.1
23.9   19.9
20.6   17.2
20.6   17.2
26.6   22.2
24.0   20.0
21.6   18.0
40.7   33.9
37.7   31.4
29.5   24.6
42.5   35.4
38.6   32.2
26.6   22.2
23.5   19.6
20.4   17.0
23.4   19.5
21.7   18.1
18.7   15.6
19.8   16.5
19.0   15.8
19.0   15.8
21.6   18.0
19.2   16.0
19.2   16.0
21.8   18.2
21.6   18.0
24.0   20.0
23.9   19.9
20.4   17.0
18.9   15.8
16.3   13.6
21.2   17.7
19.5   16.3
16.9   14.1
21.7   18.1
17.7   14.8
19.2   16.0
20.7   17.3
18.5   15.4
19.2   16.0
20.6   17.2
19.2   16.0
22.9   19.1
22.5   18.8
20.8   17.3
33.8   28.2
22.9   19.1
29.5   24.6
26.6   22.2
29.5   24.6
29.5   24.6
26.6   22.2
29.5   24.6
                Page 20
              DRG weights
29.5   24.6
37.7   31.4
26.6   22.2
37.7   31.4
26.6   22.2
37.7   31.4
37.7   31.4
31.6   26.3
29.5   24.6
29.5   24.6
26.6   22.2
29.5   24.6
26.6   22.2
29.5   24.6
26.6   22.2
29.5   24.6
26.6   22.2
29.5   24.6
39.1   32.6
34.3   28.6
24.0   20.0
37.7   31.4
26.6   22.2
26.6   22.2
37.7   31.4
31.6   26.3
29.5   24.6
31.6   26.3
29.5   24.6
37.7   31.4
37.7   31.4
31.6   26.3
29.5   24.6
29.5   24.6
34.3   28.6
28.1   23.4
21.6   18.0
21.6   18.0
21.6   18.0
37.7   31.4
21.6   18.0
21.6   18.0
19.2   16.0
30.9   25.8
21.6   18.0
22.3   18.6
19.7   16.4
19.7   16.4
19.6   16.3
21.6   18.0
21.6   18.0
26.6   22.2
26.6   22.2
26.2   21.8
26.8   22.3
24.0   20.0
21.5   17.9
20.1   16.8
                Page 21
              DRG weights
18.8   15.7
21.6   18.0
21.6   18.0
19.6   16.3
21.6   18.0
21.6   18.0
23.6   19.7
22.3   18.6
19.2   16.0
22.8   19.0
17.3   14.4
26.6   22.2
18.9   15.8
21.7   18.1
25.6   21.3
22.8   19.0
20.6   17.2
19.2   16.0
21.6   18.0
19.1   15.9
19.2   16.0
23.5   19.6
21.3   17.8
18.5   15.4
37.7   31.4
24.0   20.0
24.0   20.0
39.6   33.0
37.7   31.4
24.0   20.0
37.1   30.9
33.5   27.9
33.5   27.9
37.7   31.4
37.7   31.4
37.7   31.4
26.6   22.2
22.5   18.8
19.1   15.9
24.5   20.4
22.5   18.8
19.1   15.9
26.6   22.2
26.6   22.2
26.6   22.2
26.6   22.2
24.0   20.0
24.0   20.0
19.2   16.0
19.2   16.0
19.2   16.0
26.6   22.2
26.6   22.2
26.6   22.2
37.1   30.9
33.5   27.9
33.5   27.9
26.3   21.9
                Page 22
              DRG weights
26.3   21.9
19.2   16.0
24.5   20.4
22.5   18.8
19.1   15.9
25.0   20.8
21.9   18.3
19.2   16.0
24.3   20.3
20.1   16.8
20.1   16.8
26.6   22.2
24.0   20.0
24.0   20.0
24.0   20.0
21.6   18.0
26.8   22.3
21.6   18.0
19.2   16.0
23.9   19.9
21.1   17.6
21.6   18.0
23.4   19.5
21.1   17.6
27.1   22.6
23.0   19.2
19.8   16.5
37.7   31.4
37.7   31.4
37.7   31.4
24.0   20.0
24.0   20.0
24.0   20.0
21.6   18.0
21.6   18.0
21.6   18.0
37.7   31.4
21.6   18.0
21.6   18.0
37.7   31.4
21.6   18.0
21.6   18.0
37.7   31.4
24.0   20.0
24.0   20.0
26.6   22.2
24.0   20.0
24.0   20.0
19.9   16.6
21.6   18.0
21.6   18.0
21.2   17.7
21.6   18.0
19.2   16.0
24.5   20.4
20.7   17.3
19.2   16.0
22.0   18.3
                Page 23
              DRG weights
22.1   18.4
19.2   16.0
22.6   18.8
21.0   17.5
19.2   16.0
37.7   31.4
37.7   31.4
37.7   31.4
37.7   31.4
37.7   31.4
37.7   31.4
37.7   31.4
37.7   31.4
37.7   31.4
37.7   31.4
38.7   32.3
36.3   30.3
32.7   27.3
37.7   31.4
37.7   31.4
37.7   31.4
37.7   31.4
37.7   31.4
26.6   22.2
24.0   20.0
24.0   20.0
35.8   29.8
32.4   27.0
24.0   20.0
35.4   29.5
39.1   32.6
21.6   18.0
37.7   31.4
37.7   31.4
37.7   31.4
37.7   31.4
37.7   31.4
37.7   31.4
37.7   31.4
26.6   22.2
26.6   22.2
26.6   22.2
26.6   22.2
26.6   22.2
37.7   31.4
24.0   20.0
24.0   20.0
37.8   31.5
34.0   28.3
21.6   18.0
37.7   31.4
24.0   20.0
36.8   30.7
32.8   27.3
32.8   27.3
26.6   22.2
31.2   26.0
31.2   26.0
                Page 24
              DRG weights
26.6   22.2
37.7   31.4
37.7   31.4
31.2   26.0
26.6   22.2
24.0   20.0
24.0   20.0
26.6   22.2
26.6   22.2
30.1   25.1
26.6   22.2
21.6   18.0
37.7   31.4
19.2   16.0
21.6   18.0
19.2   16.0
26.6   22.2
26.6   22.2
30.0   25.0
28.7   23.9
26.7   22.3
23.6   19.7
21.6   18.0
19.2   16.0
21.8   18.2
21.2   17.7
19.2   16.0
26.9   22.4
25.6   21.3
23.5   19.6
27.3   22.8
23.0   19.2
21.6   18.0
20.0   16.7
24.0   20.0
19.2   16.0
24.5   20.4
23.2   19.3
25.8   21.5
25.4   21.2
22.1   18.4
24.0   20.0
24.0   20.0
24.6   20.5
24.1   20.1
21.4   17.8
37.9   31.6
35.1   29.3
28.7   23.9
32.3   26.9
31.7   26.4
19.2   16.0
35.9   29.9
32.0   26.7
24.0   20.0
24.0   20.0
24.0   20.0
24.0   20.0
                Page 25
              DRG weights
24.0   20.0
26.7   22.3
25.5   21.3
22.2   18.5
22.9   19.1
19.9   16.6
24.0   20.0
21.6   18.0
21.6   18.0
21.6   18.0
19.2   16.0
22.6   18.8
19.3   16.1
25.6   21.3
21.0   17.5
27.0   22.5
21.6   18.0
32.0   26.7
32.0   26.7
38.4   32.0
31.3   26.1
31.3   26.1
37.7   31.4
24.0   20.0
24.0   20.0
33.7   28.1
30.9   25.8
30.9   25.8
33.6   28.0
32.0   26.7
32.0   26.7
33.6   28.0
32.0   26.7
32.0   26.7
25.9   21.6
24.3   20.3
18.0   15.0
22.3   18.6
21.2   17.7
26.6   22.2
24.0   20.0
21.6   18.0
19.2   16.0
 0.0    0.0
24.0   20.0
24.0   20.0
24.0   20.0
24.0   20.0
24.0   20.0
24.0   20.0
37.7   31.4
24.0   20.0
24.0   20.0
37.7   31.4
21.6   18.0
21.6   18.0
24.0   20.0
24.0   20.0
                Page 26
              DRG weights
19.2   16.0
24.0   20.0
24.0   20.0
24.0   20.0
26.6   22.2
26.6   22.2
32.1   26.8
29.0   24.2
21.6   18.0
23.4   19.5
22.1   18.4
17.7   14.8
21.6   18.0
23.5   19.6
24.0   20.0
24.0   20.0
22.6   18.8
19.9   16.6
26.6   22.2
19.2   16.0
24.0   20.0
19.2   16.0
24.0   20.0
19.2   16.0
21.6   18.0
23.4   19.5
22.4   18.7
21.6   18.0
24.0   20.0
24.0   20.0
37.7   31.4
37.7   31.4
26.6   22.2
26.6   22.2
37.7   31.4
24.0   20.0
37.7   31.4
37.7   31.4
37.7   31.4
37.7   31.4
21.6   18.0
21.6   18.0
21.6   18.0
19.2   16.0
19.2   16.0
24.0   20.0
20.9   17.4
24.0   20.0
19.2   16.0
37.7   31.4
37.7   31.4
22.3   18.6
24.0   20.0
24.0   20.0
33.6   28.0
24.0   20.0
24.0   20.0
24.0   20.0
                Page 27
              DRG weights
24.0   20.0
24.0   20.0
24.0   20.0
21.6   18.0
21.6   18.0
24.0   20.0
24.0   20.0
24.0   20.0
22.3   18.6
24.0   20.0
24.0   20.0
24.2   20.2
21.3   17.8
21.6   18.0
24.0   20.0
24.0   20.0
32.0   26.7
32.0   26.7
32.0   26.7
32.0   26.7
32.0   26.7
32.0   26.7
32.0   26.7
32.0   26.7
37.7   31.4
32.0   26.7
21.6   18.0
21.6   18.0
21.6   18.0
24.0   20.0
24.0   20.0
24.0   20.0
24.0   20.0
24.0   20.0
24.0   20.0
24.0   20.0
24.0   20.0
24.0   20.0
26.6   22.2
26.6   22.2
26.6   22.2
37.7   31.4
21.6   18.0
21.6   18.0
19.7   16.4
19.7   16.4
19.7   16.4
22.1   18.4
19.7   16.4
22.1   18.4
26.6   22.2
21.6   18.0
19.2   16.0
37.7   31.4
24.0   20.0
24.0   20.0
37.7   31.4
37.7   31.4
                Page 28
              DRG weights
37.7   31.4
37.7   31.4
37.7   31.4
37.7   31.4
26.6   22.2
26.6   22.2
26.6   22.2
24.0   20.0
24.0   20.0
21.6   18.0
21.6   18.0
21.6   18.0
23.8   19.8
22.1   18.4
21.6   18.0
22.9   19.1
22.9   19.1
22.9   19.1
30.4   25.3
25.1   20.9
25.1   20.9
22.4   18.7
38.1   31.8
34.8   29.0
26.6   22.2
35.0   29.2
31.0   25.8
24.0   20.0
25.3   21.1
23.2   19.3
21.6   18.0
23.5   19.6
24.0   20.0
23.9   19.9
21.8   18.2
19.2   16.0
32.2   26.8
23.5   19.6
21.7   18.1
37.7   31.4
19.2   16.0
19.2   16.0
21.6   18.0
19.2   16.0
28.0   23.3
23.0   19.2
22.5   18.8
19.2   16.0
21.6   18.0
19.2   16.0
24.0   20.0
19.2   16.0
34.1   28.4
33.2   27.7
24.0   20.0
39.2   32.7
24.0   20.0
24.0   20.0
                Page 29
              DRG weights
37.9   31.6
33.4   27.8
26.6   22.2
24.3   20.3
21.6   18.0
19.2   16.0
19.2   16.0
26.6   22.2
19.2   16.0
26.8   22.3
25.1   20.9
20.2   16.8
37.7   31.4
37.7   31.4
26.6   22.2
26.6   22.2
26.6   22.2
24.0   20.0
26.6   22.2
25.3   21.1
34.4   28.7
32.1   26.8
24.0   20.0
21.9   18.3
18.7   15.6
23.0   19.2
19.9   16.6
22.2   18.5
17.1   14.3
32.0   26.7
19.2   16.0
37.7   31.4
37.7   31.4
26.6   22.2
26.6   22.2
26.6   22.2
19.2   16.0
19.2   16.0
37.7   31.4
37.7   31.4
22.6   18.8
20.2   16.8
19.2   16.0
18.8   15.7
42.9   35.8
34.8   29.0
26.6   22.2
37.7   31.4
37.7   31.4
21.6   18.0
37.6   31.3
31.7   26.4
31.7   26.4
 0.0    0.0
 0.0    0.0




                Page 30
Table 4A & 4B.--Wage Index and Capital Geographic Adjustment Factor (GAF) for Urban and Rural
Areas by CBSA

 CBSA                          Urban Area                              Wage
 Code                      (Constituent Counties)                      Index
    1   ALABAMA                                                       0.7389
    2   ALASKA                                                        1.1636
    3   ARIZONA                                                       0.8801
    4   ARKANSAS                                                      0.7559
    5   CALIFORNIA                                                    1.1745
    6   COLORADO                                                      0.9642
    7   CONNECTICUT                                                   1.2236
    8   DELAWARE                                                      0.9998
   10   FLORIDA                                                       0.8594
   11   GEORGIA                                                       0.7819
   12   HAWAII                                                        1.1282
   13   IDAHO                                                         0.7643
   14   ILLINOIS                                                      0.8322
   15   INDIANA                                                       0.8513
        2
   16     IOWA                                                        0.8564
   17   KANSAS                                                        0.8183
   18   KENTUCKY                                                      0.7961
   19   LOUISIANA                                                     0.7824
   20   MAINE                                                         0.8555
   21   MARYLAND                                                      0.9246
        1
   22     MASSACHUSETTS                                               1.0358
   23   MICHIGAN                                                      0.8797
        2
   24     MINNESOTA                                                   0.9266
   25   MISSISSIPPI                                                   0.7717
   26   MISSOURI                                                      0.8164
   27   MONTANA                                                       0.8296
   28   NEBRASKA                                                      0.8662
   29   NEVADA                                                        1.0026
   30   NEW HAMPSHIRE                                                 1.0525
        1
   31     NEW JERSEY                                                  1.1341
   32   NEW MEXICO                                                    0.8964
   33   NEW YORK                                                      0.8474
   34   NORTH CAROLINA                                                0.8593
   35   NORTH DAKOTA                                                  0.7968
   36   OHIO                                                          0.8515
   37   OKLAHOMA                                                      0.7807
        2
   38     OREGON                                                      1.0235
   39   PENNSYLVANIA                                                  0.8363
        1
   40     PUERTO RICO                                                 0.0000
        1
   41     RHODE ISLAND                                                0.0000
   42   SOUTH CAROLINA                                                0.8389
   43   SOUTH DAKOTA                                                  0.8360
   44   TENNESSEE                                                     0.7890
   45   TEXAS                                                         0.7944
   46   UTAH                                                          0.8442
   47   VERMONT                                                 0.9590
   49   VIRGINIA                                                0.8101
   50   WASHINGTON                                              1.0119
   51   WEST VIRGINIA                                           0.7470
   52   WISCONSIN                                               0.9226
        2
   53     WYOMING                                               0.9390
10180   Abilene, TX                                          0.8336
10380   Aguadilla-Isabela-San Sebastián, PR                  0.3364
        2
10420     Akron, OH                                          0.8839
10500   Albany, GA                                           0.8931
10580   Albany-Schenectady-Troy, NY                          0.8805
10740   Albuquerque, NM                                      0.9554
10780   Alexandria, LA                                       0.8152
        2
10900     Allentown-Bethlehem-Easton, PA-NJ (NJ Hospitals)   1.1341
        2
10900     Allentown-Bethlehem-Easton, PA-NJ (PA Hospitals)   0.9811
11020   Altoona, PA                                          0.8821
11100   Amarillo, TX                                         0.8594
11180   Ames, IA                                             0.9533
        3
11260     Anchorage, AK                                      1.192
11300   Anderson, IN                                         0.9116
11340   Anderson, SC                                         0.913
        3
11460     Ann Arbor, MI                                      1.0243
11500   Anniston-Oxford, AL                                  0.7603
        2
11540     Appleton, WI                                       0.9245
11700   Asheville, NC                                        0.9082
12020   Athens-Clarke County, GA                             0.9205
        1
12060     Atlanta-Sandy Springs-Marietta, GA                 0.9581      1
12100   Atlantic City, NJ                                    1.1341
12220   Auburn-Opelika, AL                                   0.8432
12260   Augusta-Richmond County, GA-SC (GA)                  0.9445
12260   Augusta-Richmond County, GA-SC (SC)                  0.944
        1
12420     Austin-Round Rock, TX                              0.9515      1
        2
12540       Bakersfield, CA                                  1.1745
        1
12580     Baltimore-Towson, MD                               1.0148      1
12620   Bangor, ME                                           1.0025
12700   Barnstable Town, MA                                  1.258
12940   Baton Rouge, LA                                      0.8239
12980   Battle Creek, MI                                     1.0074
        3
13020     Bay City, MI                                       0.9446
13140    Beaumont-Port Arthur, TX                   0.8325
13380    Bellingham, WA                             1.1279
13460    Bend, OR                                   1.1268
         1
13644      Bethesda-Gaithersburg-Frederick, MD      1.0789   1
13740    Billings, MT                               0.9021
13780    Binghamton, NY                             0.8965
         1
13820      Birmingham-Hoover, AL                    0.8512   1
         2, 3
13900       Bismarck, ND                            0.7968
13980    Blacksburg-Christiansburg-Radford, VA      0.8349
14020    Bloomington, IN                            0.9311
14060    Bloomington-Normal, IL                     0.9475
14260    Boise City-Nampa, ID                       0.9324
         1
14484      Boston-Quincy, MA                        1.2293   1
14500    Boulder, CO                                1.0244
14540    Bowling Green, KY                          0.8499
14600    Bradenton-Sarasota-Venice, FL              0.949
14740    Bremerton-Silverdale, WA                   1.0642
14860    Bridgeport-Stamford-Norwalk, CT            1.2592
15180    Brownsville-Harlingen, TX                  0.9301
15260    Brunswick, GA                              0.9338
         1
15380      Buffalo-Niagara Falls, NY                 0.98    1
         2
15500        Burlington, NC                         0.8647
         2
15540        Burlington-South Burlington, VT        1.0456
         1
15764        Cambridge-Newton-Framingham, MA        1.1286   1
         1, 2
15804      Camden, NJ                               1.1341   1
15940    Canton-Massillon, OH                       0.8661
15980    Cape Coral-Fort Myers, FL                  0.9047
 16020   Cape Girardeau-Jackson, MO-IL (IL)          0.894
 16020   Cape Girardeau-Jackson, MO-IL (MO)          0.894
16180    Carson City, NV                            1.0315
         2,3
16220     Casper, WY                                0.939
         2,3
16300       Cedar Rapids, IA                        0.8908
16580    Champaign-Urbana, IL                       1.0003
16620    Charleston, WV                             0.8297
16700    Charleston-North Charleston, SC            0.9212
         1
16740      Charlotte-Gastonia-Concord, NC-SC (NC)   0.932
         1
16740    Charlotte-Gastonia-Concord, NC-SC (SC)     0.9315
16820    Charlottesville, VA                        0.9245
16860   Chattanooga, TN-GA (GA)                    0.8856
16860   Chattanooga, TN-GA (TN)                    0.8844   1
        2,3
16940       Cheyenne, WY                           0.939
        1
16974       Chicago-Naperville-Joliet, IL          1.0385   1
        2
17020       Chico, CA                              1.1745
        1
17140       Cincinnati-Middletown, OH-KY-IN (IN)   0.9397
        1
17140       Cincinnati-Middletown, OH-KY-IN (KY)   0.9399
        1
17140     Cincinnati-Middletown, OH-KY-IN (OH)     0.9395
17300   Clarksville, TN-KY (KY)                    0.8143
17300   Clarksville, TN-KY (TN)                    0.8131   1
17420   Cleveland, TN                              0.789
        1
17460     Cleveland-Elyria-Mentor, OH              0.8934
17660   Coeur d'Alene, ID                          0.9061
17780   College Station-Bryan, TX                  0.9133
17820   Colorado Springs, CO                       0.9642
17860   Columbia, MO                               0.8571
17900   Columbia, SC                               0.885
17980   Columbus, GA-AL (AL)                       0.8781
17980   Columbus, GA-AL (GA)                       0.8781   1
18020   Columbus, IN                               0.9546
        1
18140     Columbus, OH                             1.0105
18580   Corpus Christi, TX                         0.8661
18700   Corvallis, OR                              1.0836
        2
19060     Cumberland, MD-WV (MD Hospitals)         0.9246   1
19060   Cumberland, MD-WV (WV Hospitals)           0.8062
        1
19124     Dallas-Plano-Irving, TX                  0.9731
19140   Dalton, GA                                 0.8526
19180   Danville, IL                               0.8737
19260   Danville, VA                               0.8298
19340   Davenport-Moline-Rock Island, IA-IL (IL)   0.8471
19340   Davenport-Moline-Rock Island, IA-IL (IA)   0.8564
19380   Dayton, OH                                 0.922
19460   Decatur, AL                                0.7694
        2
19500     Decatur, IL                              0.8322   1
19660   Deltona-Daytona Beach-Ormond Beach, FL     0.8869
        1
19740     Denver-Aurora, CO                        1.0563   1
19780   Des Moines-West Des Moines, IA             0.9521
        1,3
19804       Detroit-Livonia-Dearborn, MI           0.9788
20020   Dothan, AL                                            0.7499
20100   Dover, DE                                             1.0011
20220   Dubuque, IA                                           0.8626
20260   Duluth, MN-WI (MN)                                    1.0641
20260   Duluth, MN-WI (WI)                                    1.0639
20500   Durham, NC                                            0.959    1
20740   Eau Claire, WI                                        0.9496
        1, 2
20764        Edison, NJ                                       1.1341
        2
20940     El Centro, CA                                       1.1745
21060   Elizabethtown, KY                                     0.8289
21140   Elkhart-Goshen, IN                                    0.9463
        2
21300     Elmira, NY                                          0.8474
21340   El Paso, TX                                           0.8641
21500   Erie, PA                                              0.8748
        3
21660     Eugene-Springfield, OR                              1.0974
        2
21780     Evansville, IN-KY (IN Hospitals)                    0.8513
21780   Evansville, IN-KY (KY Hospitals)                      0.8456
21820   Fairbanks, AK                                         1.1636
21940   Fajardo, PR                                           0.3786
        3
22020     Fargo, ND-MN (MN Hospitals)                         0.9266
        2,3
22020         Fargo, ND-MN (ND Hospitals)                     0.8325
        2
22140     Farmington, NM                                      0.8964
22180   Fayetteville, NC                                      0.9458
22220   Fayetteville-Springdale-Rogers, AR-MO (AR)            0.8787
22220   Fayetteville-Springdale-Rogers, AR-MO (MO)            0.8787
22380   Flagstaff, AZ                                         1.245
22420   Flint, MI                                             1.1087
22500   Florence, SC                                          0.8389
22520   Florence-Muscle Shoals, AL                            0.7932
22540   Fond du Lac, WI                                       0.9797   1
22660   Fort Collins-Loveland, CO                             0.9818
        1
22744     Fort Lauderdale-Pompano Beach-Deerfield Beach, FL   1.0378
22900   Fort Smith, AR-OK (AR)                                0.7994
22900   Fort Smith, AR-OK (OK)                                0.7994
        2
23020     Fort Walton Beach-Crestview-Destin, FL              0.8653   1
23060   Fort Wayne, IN                                        0.895
        1
23104     Fort Worth-Arlington, TX                            0.9434
        2
23420       Fresno, CA                                        1.1745
23460   Gadsden, AL                                     0.835
23540   Gainesville, FL                                 0.9196
23580   Gainesville, GA                                 0.9422
23844   Gary, IN                                        0.9196
24020   Glens Falls, NY                                 0.8748
24140   Goldsboro, NC                                   0.9241
        3
24220     Grand Forks, ND-MN (ND Hospitals)             0.9266
        2,3
24220         Grand Forks, ND-MN (MN Hospitals)         0.8055
        3
24300   Grand Junction, CO                              0.9923
24340   Grand Rapids-Wyoming, MI                        0.9294
24500   Great Falls, MT                                 0.8364

24540   Greeley, CO                                     0.9644
        2
24580     Green Bay, WI                                 0.9447
24660   Greensboro-High Point, NC                       0.9151
24780   Greenville, NC                                  0.9346
24860   Greenville, SC                                  0.9733
25020   Guayama, PR                                     0.3533
25060   Gulfport-Biloxi, MS                             0.8723
25180   Hagerstown-Martinsburg, MD-WV (MD)              0.9246
25180   Hagerstown-Martinsburg, MD-WV (WV)              0.9167
        2
25260     Hanford-Corcoran, CA                          1.1745
25420   Harrisburg-Carlisle, PA                         0.9186   1
25500   Harrisonburg, VA                                0.9132
        1, 2
25540        Hartford-West Hartford-East Hartford, CT   1.2236
        2
25620     Hattiesburg, MS                               0.7877
25860   Hickory-Lenoir-Morganton, NC                    0.8937
26100   Holland-Grand Haven, MI                         0.883
26180   Honolulu, HI                                    1.1467
26300   Hot Springs, AR                                 0.9115   1
26380   Houma-Bayou Cane-Thibodaux, LA                  0.8006
        1
26420     Houston-Sugar Land-Baytown, TX                0.9934
26580   Huntington-Ashland, WV-KY-OH (KY)               0.9036
26580   Huntington-Ashland, WV-KY-OH (OH)               0.9031
26580   Huntington-Ashland, WV-KY-OH (WV)               0.9025
26620   Huntsville, AL                                  0.8924   1
        3
26820     Idaho Falls, ID                               0.9418
        1
26900    Indianapolis-Carmel, IN                        0.9593
26980   Iowa City, IA                                   0.9407
27060   Ithaca, NY                                          1.0014
27100   Jackson, MI                                         0.8797
27140   Jackson, MS                                         0.8191   1
27180   Jackson, TN                                         0.8516
        1
27260     Jacksonville, FL                                  0.9102
        2
27340     Jacksonville, NC                                  0.8593
27500   Janesville, WI                                      0.9448
27620   Jefferson City, MO                                  0.8868
        2
27740     Johnson City, TN                                  0.789
27780   Johnstown, PA                                       0.8466
27860   Jonesboro, AR                                       0.7796
27900   Joplin, MO                                          0.8486
28020   Kalamazoo-Portage, MI                               1.0251   1
28100   Kankakee-Bradley, IL                                1.0095
        1
28140     Kansas City, MO-KS (KS)                           0.9555
        1
28140       Kansas City, MO-KS (MO)                         0.9555
        2
28420     Kennewick-Richland-Pasco, WA                      1.0266
28660   Killeen-Temple-Fort Hood, TX                        0.8757
        2
28700     Kingsport-Bristol-Bristol, TN-VA (TN Hospitals)   0.8111
        2
28700     Kingsport-Bristol-Bristol, TN-VA (VA Hospitals)   0.8123
28740   Kingston, NY                                        0.9414
28940   Knoxville, TN                                       0.789
29020   Kokomo, IN                                          0.971
        2
29100     La Crosse, WI-MN (MN)                             0.9945
        2
29100     La Crosse, WI-MN (WI)                             0.9943
29140   Lafayette, IN                                       0.9115
29180   Lafayette, LA                                       0.8569
29340   Lake Charles, LA                                    0.7971
29404   Lake County-Kenosha County, IL-WI (IL)              1.0394
29404   Lake County-Kenosha County, IL-WI (WI)              1.0392
29420   Lake Havasu City-Kingman, AZ (Mohave)                1.059
29460   Lakeland, FL                                        0.8594
29540   Lancaster, PA                                       0.9612
29620   Lansing-East Lansing, MI                            0.9719
29700   Laredo, TX                                          0.8378   1
29740   Las Cruces, NM                                      0.8964
        1
29820     Las Vegas-Paradise, NV                            1.1812
29940   Lawrence, KS                                        0.8532
30020    Lawton, OK                                         0.8153
30140    Lebanon, PA                                        0.8447
30300    Lewiston, ID-WA (ID Hospitals)                     0.9359
         2
30300      Lewiston, ID-WA (WA Hospitals)                   1.0119
30340    Lewiston-Auburn, ME                                0.911
30460    Lexington-Fayette, KY                              0.8842
30620    Lima, OH                                           0.934
30700    Lincoln, NE                                        0.9405
30780    Little Rock-North Little Rock, AR                  0.8683
30860    Logan, UT-ID (ID)                                  0.9014
30860    Logan, UT-ID (UT)                                  0.9014
30980    Longview, TX                                       0.8239   1
31020    Longview, WA                                       1.1065   1
         1,3
31084        Los Angeles-Long Beach-Glendale, CA            1.189
         1
31140        Louisville-Jefferson County, KY-IN (IN)         0.89
         1
31140      Louisville-Jefferson County, KY-IN (KY)          0.8902
31180    Lubbock, TX                                        0.8813
31340    Lynchburg, VA                                      0.8323
31420    Macon, GA                                          1.0175
         2
31460      Madera, CA                                       1.1745
31540    Madison, WI                                        1.1221
         2
31700        Manchester-Nashua, NH                          1.0525
 31740   Manhattan, KS                                      0.8183
 31860   Mankato-North Mankato, MN                          0.9336
31900    Mansfield, OH                                      0.9073
32420    Mayagüez, PR                                       0.3664
32580    McAllen-Edinburg-Mission, TX                       0.8883   1
32780    Medford, OR                                        1.0235
         1
32820      Memphis, TN-MS-AR (AR)                           0.9265
         1
32820        Memphis, TN-MS-AR (MS)                         0.9265
         1
32820      Memphis, TN-MS-AR (TN)                           0.9251   1
32900    Merced, CA                                         1.1853
         1
33124      Miami-Miami Beach-Kendall, FL                    1.0026
33140    Michigan City-La Porte, IN                         0.921    1
33260    Midland, TX                                        0.9348   1
         1
33340      Milwaukee-Waukesha-West Allis, WI                1.0158
         1
33460        Minneapolis-St. Paul-Bloomington, MN-WI (MN)   1.0945
         1
33460        Minneapolis-St. Paul-Bloomington, MN-WI (WI)   1.0943
33540   Missoula, MT                                    0.9066
33660   Mobile, AL                                      0.7735
33700   Modesto, CA                                     1.2337
33740   Monroe, LA                                      0.7925
33780   Monroe County, MI                               0.9962
33860   Montgomery, AL                                  0.8459
34060   Morgantown, WV                                  0.8571
        2
34100     Morristown, TN                                0.789
34580   Mount Vernon-Anacortes, WA                      1.0127
        2
34620     Muncie, IN                                    0.8513
        3
34740     Muskegon-Norton Shores, MI                    0.983
34820   Myrtle Beach-Conway-North Myrtle Beach, SC      0.8668
34900   Napa, CA                                        1.424    1
34940   Naples-Marco Island, FL                         0.9751   1
        1
34980     Nashville-Davidson--Murfreesboro, TN          0.9588   1
        1,3
35004         Nassau-Suffolk, NY                        1.2718
        1
35084       Newark-Union, NJ-PA (NJ)                    1.1341
        1
35084       Newark-Union, NJ-PA (PA)                    1.1235   1
        3
35300       New Haven-Milford, CT                       1.2236   1
        1
35380       New Orleans-Metairie-Kenner, LA             0.901
        1,3
35644         New York-White Plains-Wayne, NY-NJ (NJ)   1.3005
        1,3
35644         New York-White Plains-Wayne, NY-NJ (NY)   1.319
        2
35660     Niles-Benton Harbor, MI                       0.8992   1
35980   Norwich-New London, CT                          1.2236
        1
36084     Oakland-Fremont-Hayward, CA                   1.5857
        2
36100       Ocala, FL                                   0.8647
        2
36140     Ocean City, NJ                                1.1341
36220   Odessa, TX                                      0.9837   1
36260   Ogden-Clearfield, UT                            0.9414
        1
36420     Oklahoma City, OK                             0.8895
36500   Olympia, WA                                     1.1174   1
36540   Omaha-Council Bluffs, NE-IA (IA)                0.9541
36540   Omaha-Council Bluffs, NE-IA (NE)                0.9547
        1
36740     Orlando-Kissimmee, FL                         0.8961
        2
36780     Oshkosh-Neenah, WI                            0.9226
36980   Owensboro, KY                                   0.8493
        2
37100     Oxnard-Thousand Oaks-Ventura, CA              1.2216
37340   Palm Bay-Melbourne-Titusville, FL                       0.9156
37380   Flager County, FL                                       0.9338
        2
37460     Panama City-Lynn Haven, FL                            0.8594
        2
37620       Parkersburg-Marietta-Vienna, WV-OH (OH Hospitals)   0.8515
        2
37620     Parkersburg-Marietta-Vienna, WV-OH (WV Hospitals)     0.7656
37700   Pascagoula, MS                                          0.8284
37764   Essex County, MA                                        1.0882
        2
37860     Pensacola-Ferry Pass-Brent, FL                        0.8594   1
37900   Peoria, IL                                              0.9268   1
        1
37964     Philadelphia, PA                                      1.0708
        1
38060     Phoenix-Mesa-Scottsdale, AZ                           1.0472   1
38220   Pine Bluff, AR                                          0.7767
        1
38300     Pittsburgh, PA                                        0.8592
        2
38340     Pittsfield, MA                                        1.0735
38540   Pocatello, ID                                           0.9085
38660   Ponce, PR                                               0.4216   1
38860   Portland-South Portland-Biddeford, ME                    1.02
        1
38900     Portland-Vancouver-Beaverton, OR-WA (OR)              1.1195
        1
38900    Portland-Vancouver-Beaverton, OR-WA (WA)               1.1205
38940   Port St. Lucie-Fort Pierce, FL                          0.9899
39100   Poughkeepsie-Newburgh-Middletown, NY                    1.1266   1
39140   Prescott, AZ                                            1.0169
        1, 2
39300          Providence-New Bedford-Fall River, RI-MA (MA)    1.0783
        1, 2
39300      Providence-New Bedford-Fall River, RI-MA (RI)        1.0783
39340   Provo-Orem, UT                                          0.9443
        2
39380     Pueblo, CO                                            0.9642
39460   Punta Gorda, FL                                         0.9062
        2
39540     Racine, WI                                            0.9406
39580   Raleigh-Cary, NC                                        0.9535
39660   Rapid City, SD                                          1.0279
39740   Reading, PA                                             0.9212
39820   Redding, CA                                             1.3428   1
39900   Reno-Sparks, NV                                         1.027    1
        1
40060     Richmond, VA                                          0.9369
        1, 2
40140     Riverside-San Bernardino-Ontario, CA                  1.1745
40220   Roanoke, VA                                             0.884    1
40340   Rochester, MN                                           1.0912
        1
40380     Rochester, NY                              0.8814
40420   Rockford, IL                                 1.0142
        2
40484     Rockingham County-Strafford County, NH     1.0525
40580   Rocky Mount, NC                              0.891    1
40660   Rome, GA                                     0.8843
        1
40900     Sacramento--Arden-Arcade--Roseville, CA    1.3594
40980   Saginaw-Saginaw Township North, MI           0.9594
41060   St. Cloud, MN                                1.1685
41100   St. George, UT                               0.9386
41140   St. Joseph, MO-KS (KS)                       1.0229
41140   St. Joseph, MO-KS (MO)                       1.023
41180   St. Louis, MO-IL (IL)                        0.9043
41180   St. Louis, MO-IL (MO)                        0.9043
41420   Salem, OR                                    1.0915
41500   Salinas, CA                                  1.5301
        2
41540     Salisbury, MD                              0.9246
41620   Salt Lake City, UT                           0.945    1
41660   San Angelo, TX                               0.8068   1
        1
41700     San Antonio, TX                            0.8913
        1, 2
41740     San Diego-Carlsbad-San Marcos, CA          1.1745   1
41780   Sandusky, OH                                 0.879
        1
41884     San Francisco-San Mateo-Redwood City, CA   1.5454   1
41900   San Germán-Cabo Rojo, PR                     0.4735   1
        1
41940     San Jose-Sunnyvale-Santa Clara, CA         1.6059
        1
41980       San Juan-Caguas-Guaynabo, PR             0.4355   1
        2
42020       San Luis Obispo-Paso Robles, CA          1.199
        1
42044     Santa Ana-Anaheim-Irvine, CA               1.1745
        2
42060     Santa Barbara-Santa Maria, CA              1.1972
42100   Santa Cruz-Watsonville, CA                   1.6191
42140   Santa Fe, NM                                 1.0574
42220   Santa Rosa-Petaluma, CA                      1.5483
42340   Savannah, GA                                 0.8967   1
        2
42540     Scranton--Wilkes-Barre, PA                 0.8363
        1
42644     Seattle-Bellevue-Everett, WA               1.1384
42680   Sebastian-Vero Beach, FL                     0.9524
        2
43100     Sheboygan, WI                              0.9258
43300   Sherman-Denison, TX                          0.8299
43340   Shreveport-Bossier City, LA                           0.8465
43580   Sioux City, IA-NE-SD (IA)                             0.8937
43580   Sioux City, IA-NE-SD (NE)                             0.8943
43580   Sioux City, IA-NE-SD (SD)                             0.8943
43620   Sioux Falls, SD                                       0.904
43780   South Bend-Mishawaka, IN-MI (IN)                      0.9599
43780   South Bend-Mishawaka, IN-MI (MI)                      0.9601
43900   Spartanburg, SC                                       0.9138
44060   Spokane, WA                                           1.0435
44100   Springfield, IL                                       0.9323
        2
44140     Springfield, MA                                     1.0433
44180   Springfield, MO                                       0.8586
        2
44220     Springfield, OH                                     0.8939
44300   State College, PA                                     0.8951
44700   Stockton, CA                                          1.2245
        2
44940     Sumter, SC                                          0.8452
45060   Syracuse, NY                                          0.9854
45104   Tacoma, WA                                            1.1089   1
45220   Tallahassee, FL                                       0.8594
        1
45300     Tampa-St. Petersburg-Clearwater, FL                 0.9006
45460   Terre Haute, IN                                       0.9078
        2
45500     Texarkana, TX-Texarkana, AR (TX Hospitals)          0.8153
45500   Texarkana, TX-Texarkana, AR (AR Hospitals)            0.8153
45780   Toledo, OH                                            0.9455
45820   Topeka, KS                                            0.918
        2
45940     Trenton-Ewing, NJ                                   1.1341
46060   Tucson, AZ                                            0.9686
46140   Tulsa, OK                                             0.8758
46220   Tuscaloosa, AL                                        0.8942
46340   Tyler, TX                                             0.8449
46540   Utica-Rome, NY                                        0.8695
46660   Valdosta, GA                                          0.8126
46700   Vallejo-Fairfield, CA                                 1.4473
47020   Victoria, TX                                          0.7944   1
        2
47220     Vineland-Millville-Bridgeton, NJ                    1.1341
        1
47260       Virginia Beach-Norfolk-Newport News, VA-NC (NC)   0.893
        1
47260       Virginia Beach-Norfolk-Newport News, VA-NC (VA)   0.893
        2
47300       Visalia-Porterville, CA                           1.1745
47380         Waco, TX                                                                          0.8608   1
47580         Warner Robins, GA                                                                 0.9202   1
              1
47644           Warren-Troy-Farmington Hills, MI                                                0.9858
              1
47894             Washington-Arlington-Alexandria, DC-VA-MD-WV (DC)                              1.07
              1
47894             Washington-Arlington-Alexandria, DC-VA-MD-WV MD)                              1.0718
              1
47894             Washington-Arlington-Alexandria, DC-VA-MD-WV (VA)                              1.07
              1
47894           Washington-Arlington-Alexandria, DC-VA-MD-WV (WV)                               1.0687
              2,3
47940            Waterloo-Cedar Falls, IA                                                       0.8564
48140         Wausau, WI                                                                        0.9644
              2
48260           Weirton-Steubenville, WV-OH (OH Hospitals)                                      0.8515
              2
48260             Weirton-Steubenville, WV-OH (WV Hospitals)                                    0.747    1
              2
48300             Wenatchee, WA                                                                 1.0119
              1
48424             West Palm Beach-Boca Raton-Boynton Beach, FL                                  0.9746
              2
48540             Wheeling, WV-OH (OH Hospitals)                                                0.8515
              2
48540           Wheeling, WV-OH (WV Hospitals)                                                  0.747
48620         Wichita, KS                                                                       0.8962
48660         Wichita Falls, TX                                                                 0.9519
              2
48700           Williamsport, PA                                                                0.8363
48864         Wilmington, DE-MD-NJ (DE Hospitals)                                               1.0742
              2
48864           Wilmington, DE-MD-NJ (MD Hospitals)                                             1.076
              2
48864           Wilmington, DE-MD-NJ (NJ Hospitals)                                             1.1341
48900         Wilmington, NC                                                                    0.9125
49020         Winchester, VA-WV (VA)                                                            0.9742
49020         Winchester, VA-WV (WV)                                                            0.973
49180         Winston-Salem, NC                                                                 0.896
49340         Worcester, MA                                                                     1.1251
              2
49420           Yakima, WA                                                                      1.0119
49500         Yauco, PR                                                                         0.3344
49620         York-Hanover, PA                                                                  0.931
49660         Youngstown-Warren-Boardman, OH-PA (OH)                                            0.8662
49660         Youngstown-Warren-Boardman, OH-PA (PA)                                            0.8665
              2
49700           Yuba City, CA                                                                   1.1745
              2
49740             Yuma, AZ                                                                      0.9284

1
    Large urban area.
2
 Hospitals geographically located in the area are assigned the statewide rural wage index for FY 2007.
3
 For this area, the wage index and GAF on this table are only effective from October 1, 2006 through
March 31, 2007. See Table 4A-2 for the values that are effective from April 1 through September 30,
r Urban and Rural
CBSA                                 Full Wage
Code              Urban Area Title     Index
    1   ALABAMA                           0.7327
    2   ALASKA                            1.1669
    3   ARIZONA                           0.8790
    4   ARKANSAS                          0.7332
    5   CALIFORNIA                        1.2001
    6   COLORADO                          0.9929
    7   CONNECTICUT                       1.1093
    8   DELAWARE                          0.9910
   10   FLORIDA                           0.8566
   11   GEORGIA                           0.7623
   12   HAWAII                            1.1113
   13   IDAHO                             0.7733
   14   ILLINOIS                          0.8312
   15   INDIANA                           0.8529
   16   IOWA                              0.8624
   17   KANSAS                            0.8167
   18   KENTUCKY                          0.7813
   19   LOUISIANA                         0.7611
   20   MAINE                             0.8579
   21   MARYLAND                          0.9131
   22   MASSACHUSETTS                     1.1700
   23   MICHIGAN                          0.8778
   24   MINNESOTA                         0.9160
   25   MISSISSIPPI                       0.7638
   26   MISSOURI                          0.7671
   27   MONTANA                           0.8399
   28   NEBRASKA                          0.8705
   29   NEVADA                            0.9674
   30   NEW HAMPSHIRE                     0.9957
   31   NEW JERSEY                       ----------
   32   NEW MEXICO                        0.8938
   33   NEW YORK                          0.8269
   34   NORTH CAROLINA                    0.8535
   35   NORTH DAKOTA                      0.7813
   36   OHIO                              0.8506
   37   OKLAHOMA                          0.7654
   38   OREGON                            1.0236
   39   PENNSYLVANIA                      0.8306
   40   PUERTO RICO                       ---------
   41   RHODE ISLAND                      ---------
   42   SOUTH CAROLINA                    0.8394
   43   SOUTH DAKOTA                      0.8510
   44   TENNESSEE                         0.7808
   45   TEXAS                             0.7759
   46   UTAH                              0.8363
   47   VERMONT                           0.9763
   49   VIRGINIA                          0.7869
   50   WASHINGTON                        1.0224
   51   WEST VIRGINIA                     0.7396
   52   WISCONSIN                         0.9206
   53   WYOMING                                 0.9535
10180   Abilene, TX                             0.7946
10380   Aguadilla-Isabela-San Sebastián, PR     0.3462
10420   Akron, OH                               0.8850
10500   Albany, GA                              0.8899
10580   Albany-Schenectady-Troy, NY             0.8777
10740   Albuquerque, NM                         0.9399
10780   Alexandria, LA                          0.8012
10900   Allentown-Bethlehem-Easton, PA-NJ       0.9611
11020   Altoona, PA                             0.8863
11100   Amarillo, TX                            0.8689
11180   Ames, IA                                0.9493
11260   Anchorage, AK                           1.2013
11300   Anderson, IN                            0.9052
11340   Anderson, SC                            0.9023
11460   Ann Arbor, MI                           1.0293
11500   Anniston-Oxford, AL                     0.7643
11540   Appleton, WI                            0.9289
11700   Asheville, NC                           0.9057
12020   Athens-Clarke County, GA                0.9492
12060   Atlanta-Sandy Springs-Marietta, GA      0.9591
12100   Atlantic City, NJ                       1.1554
12220   Auburn-Opelika, AL                      0.8138
12260   Augusta-Richmond County, GA-SC          0.9409
12420   Austin-Round Rock, TX                   0.9518
12540   Bakersfield, CA                         1.1232
12580   Baltimore-Towson, MD                    1.0214
12620   Bangor, ME                              1.0154
12700   Barnstable Town, MA                     1.2618
12940   Baton Rouge, LA                         0.8180
12980   Battle Creek, MI                        1.0000
13020   Bay City, MI                            0.9267
13140   Beaumont-Port Arthur, TX                0.8383
13380   Bellingham, WA                          1.1395
13460   Bend, OR                                1.1446
13644   Bethesda-Gaithersburg-Frederick, MD     1.0298
13740   Billings, MT                            0.8781
13780   Binghamton, NY                          0.8780
13820   Birmingham-Hoover, AL                   0.8554
13900   Bismarck, ND                            0.7637
13980   Blacksburg-Christiansburg-Radford, VA   0.8394
14020   Bloomington, IN                         0.9043
14060   Bloomington-Normal, IL                  0.9378
14260   Boise City-Nampa, ID                    0.9318
14484   Boston-Quincy, MA                       1.2186
14500   Boulder, CO                             1.0266
14540   Bowling Green, KY                       0.8469
14600   Bradenton-Sarasota-Venice, FL           0.9735
14740   Bremerton-Silverdale, WA                1.0755
14860   Bridgeport-Stamford-Norwalk, CT         1.2792
15180   Brownsville-Harlingen, TX               0.9020
15260   Brunswick, GA                            0.9178
15380   Buffalo-Niagara Falls, NY                0.9740
15500   Burlington, NC                           0.8749
15540   Burlington-South Burlington, VT          1.0106
15764   Cambridge-Newton-Framingham, MA          1.1278
15804   Camden, NJ                               1.0374
15940   Canton-Massillon, OH                     0.8813
15980   Cape Coral-Fort Myers, FL                0.9076
16020   Cape Girardeau-Jackson, MO-IL            0.9047
16180   Carson City, NV                          1.0531
16220   Casper, WY                               0.9520
16300   Cedar Rapids, IA                         0.8984
16580   Champaign-Urbana, IL                     1.0108
16620   Charleston, WV                           0.8141
16700   Charleston-North Charleston, SC          0.9279
16740   Charlotte-Gastonia-Concord, NC-SC        0.9474
16820   Charlottesville, VA                      0.9372
16860   Chattanooga, TN-GA                       0.8831
16940   Cheyenne, WY                             0.9344
16974   Chicago-Naperville-Joliet, IL            1.0471
17020   Chico, CA                                1.1198
17140   Cincinnati-Middletown, OH-KY-IN          0.9483
17300   Clarksville, TN-KY                       0.7980
17420   Cleveland, TN                            0.7564
17460   Cleveland-Elyria-Mentor, OH              0.8914
17660   Coeur d'Alene, ID                        0.9235
17780   College Station-Bryan, TX                0.9498
17820   Colorado Springs, CO                     0.9821
17860   Columbia, MO                             0.8618
17900   Columbia, SC                             0.8789
17980   Columbus, GA-AL                          0.8724
18020   Columbus, IN                             0.9536
18140   Columbus, OH                             1.0101
18580   Corpus Christi, TX                       0.8693
18700   Corvallis, OR                            1.1002
19060   Cumberland, MD-WV                        0.8045
19124   Dallas-Plano-Irving, TX                  0.9853
19140   Dalton, GA                               0.8666
19180   Danville, IL                             0.8738
19260   Danville, VA                             0.8323
19340   Davenport-Moline-Rock Island, IA-IL      0.8284
19380   Dayton, OH                               0.9211
19460   Decatur, AL                              0.7799
19500   Decatur, IL                              0.7995
19660   Deltona-Daytona Beach-Ormond Beach, FL   0.8865
19740   Denver-Aurora, CO                        1.0731
19780   Des Moines-West Des Moines,IA            0.9649
19804   Detroit-Livonia-Dearborn, MI             0.9729
20020   Dothan, AL                               0.7406
20100   Dover, DE                                0.9931
20220   Dubuque, IA                              0.8869
20260   Duluth, MN-WI                            1.0448
20500   Durham, NC                               0.9618
20740   Eau Claire, WI                           0.9567
20764   Edison, NJ                               1.1061
20940   El Centro, CA                            0.8766
21060   Elizabethtown, KY                        0.8388
21140   Elkhart-Goshen, IN                       0.9489
21300   Elmira, NY                               0.8341
21340   El Paso, TX                              0.8541
21500   Erie, PA                                 0.8779
21660   Eugene-Springfield, OR                   1.1034
21780   Evansville, IN-KY                        0.8522
21820   Fairbanks, AK                            1.1114
21940   Fajardo, PR                              0.3790
22020   Fargo, ND-MN                             0.8172
22140   Farmington, NM                           0.7889
22180   Fayetteville, NC                         0.9358
22220   Fayetteville-Springdale-Rogers, AR-MO    0.8775
22380   Flagstaff, AZ                            1.2475
22420   Flint, MI                                1.1234
22500   Florence, SC                             0.8114
22520   Florence-Muscle Shoals, AL               0.7998
22540   Fond du Lac, WI                          0.9660
22660   Fort Collins-Loveland, CO                1.0175
22744   Ft Lauderdale-Pompano Beach-Deerfield    1.0383
22900   Fort Smith, AR-OK                        0.7861
23020   Fort Walton Beach-Crestview-Destin, FL   0.8758
23060   Fort Wayne, IN                           0.9012
23104   Fort Worth-Arlington, TX                 0.9499
23420   Fresno, CA                               1.1267
23460   Gadsden, AL                              0.8266
23540   Gainesville, FL                          0.8978
23580   Gainesville, GA                          0.9123
23844   Gary, IN                                 0.9288
24020   Glens Falls, NY                          0.8456
24140   Goldsboro, NC                            0.9056
24220   Grand Forks, ND-MN                       0.7775
24300   Grand Junction, CO                       0.9721
24340   Grand Rapids-Wyoming, MI                 0.9178
24500   Great Falls, MT                          0.8354
24540   Greeley, CO                              0.9578
24580   Green Bay, WI                            0.9621
24660   Greensboro-High Point, NC                0.9062
24780   Greenville, NC                           0.9401
24860   Greenville, SC                           0.9980
25020   Guayama, PR                              0.3537
25060   Gulfport-Biloxi, MS                      0.8783
25180   Hagerstown-Martinsburg, MD-WV            0.8965
25260   Hanford-Corcoran, CA                     1.1010
25420   Harrisburg-Carlisle, PA                  0.9286
25500   Harrisonburg, VA                         0.9025
25540   Hartford-West Hartford-East Hartford, C   1.1194
25620   Hattiesburg, MS                           0.7664
25860   Hickory-Lenoir-Morganton, NC              0.9000
25980   Hinesville-Fort Stewart, GA               0.9028
26100   Holland-Grand Haven, MI                   0.8696
26180   Honolulu, HI                              1.1662
26300   Hot Springs, AR                           0.9004
26380   Houma-Bayou Cane-Thibodaux, LA            0.7875
26420   Houston-Sugar Land-Baytown, TX            0.9841
26580   Huntington-Ashland, WV-KY-OH              0.9097
26620   Huntsville, AL                            0.9064
26820   Idaho Falls, ID                           0.9436
26900   Indianapolis-Carmel, IN                   0.9742
26980   Iowa City, IA                             0.9548
27060   Ithaca, NY                                1.0112
27100   Jackson, MI                               0.8720
27140   Jackson, MS                               0.8186
27180   Jackson, TN                               0.8581
27260   Jacksonville, FL                          0.9105
27340   Jacksonville, NC                          0.8026
27500   Janesville, WI                            0.9201
27620   Jefferson City, MO                        0.8709
27740   Johnson City, TN                          0.7722
27780   Johnstown, PA                             0.8233
27860   Jonesboro, AR                             0.7722
27900   Joplin, MO                                0.8285
28020   Kalamazoo-Portage, MI                     1.0264
28100   Kankakee-Bradley, IL                      1.0174
28140   Kansas City, MO-KS                        0.9679
28420   Kennewick-Richland-Pasco, WA              1.0448
28660   Killeen-Temple-Fort Hood, TX              0.8702
28700   Kingsport-Bristol-Bristol, TN-VA          0.7999
28740   Kingston, NY                              0.9367
28940   Knoxville, TN                             0.7881
29020   Kokomo, IN                                0.9862
29100   La Crosse, WI-MN                          0.9915
29140   Lafayette, IN                             0.9181
29180   Lafayette, LA                             0.8516
29340   Lake Charles, LA                          0.7985
29404   Lake County-Kenosha County, IL-WI         1.0475
29420   Lake Havasu City-Kingman, AZ              1.0567
29460   Lakeland, FL                              0.8390
29540   Lancaster, PA                             0.9204
29620   Lansing-East Lansing, MI                  0.9770
29700   Laredo, TX                                0.8078
29740   Las Cruces, NM                            0.8939
29820   Las Vegas-Paradise, NV                    1.2130
29940   Lawrence, KS                              0.8580
30020   Lawton, OK                                0.7847
30140   Lebanon, PA                               0.8119
30300   Lewiston, ID-WA                           0.9570
30340   Lewiston-Auburn, ME                       0.9085
30460   Lexington-Fayette, KY                     0.8889
30620   Lima, OH                                  0.9379
30700   Lincoln, NE                               0.9563
30780   Little Rock-North Little Rock, AR         0.8559
30860   Logan, UT-ID                              0.8993
30980   Longview, TX                              0.8049
31020   Longview, WA                              1.0707
31084   Los Angeles-Long Beach-Santa Ana, CA      1.2039
31140   Louisville-Jefferson County, KY-IN        0.8964
31180   Lubbock, TX                               0.8751
31340   Lynchburg, VA                             0.8521
31420   Macon, GA                                 0.9826
31460   Madera, CA                                0.7958
31540   Madison, WI                               1.1234
31700   Manchester-Nashua, NH                     1.0171
31740   Mahattan, KS                              0.7878
31860   Mankato-North Mankato, MN                 0.9177
31900   Mansfield, OH                             0.9100
32420   Mayagüez, PR                              0.3704
32580   McAllen-Edinburg-Mission, TX              0.8852
32780   Medford, OR                               1.0070
32820   Memphis, TN-MS-AR                         0.9268
32900   Merced, CA                                1.2123
33124   Miami-Miami Beach-Kendall, FL             0.9954
33140   Michigan City-La Porte, IN                0.9311
33260   Midland, TX                               0.9546
33340   Milwaukee-Waukesha-West Allis, WI         1.0151
33460   Minneapolis-St. Paul-Bloomington, MN-WI   1.1095
33540   Missoula, MT                              0.9206
33660   Mobile, AL                                0.7785
33700   Modesto, CA                               1.2502
33740   Monroe, LA                                0.7752
33780   Monroe, MI                                0.8885
33860   Montgomery, AL                            0.8304
34060   Morgantown, WV                            0.8459
34100   Morristown, TN                            0.7201
34580   Mount Vernon-Anacortes, WA                1.0452
34620   Muncie, IN                                0.8386
34740   Muskegon-Norton Shores, MI                0.9823
34820   Myrtle Beach-Conway-North Myrtle Beach,   0.8730
34900   Napa, CA                                  1.4453
34940   Naples-Marco Island, FL                   0.9662
34980   Nashville-Davidson--Murfreesboro, TN      0.9689
35004   Nassau-Suffolk, NY                        1.2477
35084   Newark-Union, NJ-PA                       1.1419
35300   New Haven-Milford, CT                     1.1545
35380   New Orleans-Metairie-Kenner, LA           0.9092
35644   New York-White Plains-Wayne, NY-NJ        1.3005
35660   Niles-Benton Harbor, MI                   0.8903
35980   Norwich-New London, CT                    1.1399
36084   Oakland-Fremont-Hayward, CA               1.6404
36100   Ocala, FL                                 0.8556
36140   Ocean City, NJ                            1.0160
36220   Odessa, TX                                0.9862
36260   Ogden-Clearfield, UT                      0.9361
36420   Oklahoma City, OK                         0.8900
36500   Olympia, WA                               1.1531
36540   Omaha-Council Bluffs, NE-IA               0.9608
36740   Orlando-Kissimmee, FL                     0.8951
36780   Oshkosh-Neenah, WI                        0.9152
36980   Owensboro, KY                             0.8357
37100   Oxnard-Thousand Oaks-Ventura, CA          1.2301
37340   Palm Bay-Melbourne-Titusville, FL         0.9060
37380   Palm Coast, FL                            0.9603
37460   Panama City-Lynn Haven, FL                0.8324
37620   Parkersburg-Marietta-Vienna, WV-OH        0.7716
37700   Pascagoula, MS                            0.8433
37764   Peabody, MA                               1.0871
37860   Pensacola-Ferry Pass-Brent, FL            0.8312
37900   Peoria, IL                                0.9155
37964   Philadelphia, PA                          1.0739
38060   Phoenix-Mesa-Scottsdale, AZ               1.0630
38220   Pine Bluff, AR                            0.7281
38300   Pittsburgh, PA                            0.8625
38340   Pittsfield, MA                            1.0658
38540   Pocatello, ID                             0.9239
38660   Ponce, PR                                 0.4220
38860   Portland-South Portland-Biddeford, ME     1.0187
38900   Portland-Vancouver-Beaverton, OR-WA       1.1498
38940   Port St. Lucie-Fort Pierce, FL            0.9896
39100   Poughkeepsie-Newburgh-Middletown, NY      1.1216
39140   Prescott, AZ                              1.0121
39300   Providence-New Bedford-Fall River, RI-M   1.0782
39340   Provo-Orem, UT                            0.9548
39380   Pueblo, CO                                0.8570
39460   Punta Gorda, FL                           0.8774
39540   Racine, WI                                0.9373
39580   Raleigh-Cary, NC                          0.9663
39660   Rapid City, SD                            1.0046
39740   Reading, PA                               0.9263
39820   Redding, CA                               1.4039
39900   Reno-Sparks, NV                           1.0285
40060   Richmond, VA                              0.9521
40140   Riverside-San Bernardino-Ontario, CA      1.1285
40220   Roanoke, VA                               0.8671
40340   Rochester, MN                             1.1136
40380   Rochester, NY                             0.8724
40420   Rockford, IL                              1.0152
40484   Rockingham County, NH                     1.0125
40580   Rocky Mount, NC                           0.8845
40660   Rome, GA                                  0.8915
40900   Sacramento--Arden-Arcade--Roseville, CA   1.4073
40980   Saginaw-Saginaw Township North, MI        0.9122
41060   St. Cloud, MN                             1.1107
41100   St. George, UT                            0.9236
41140   St. Joseph, MO-KS                         1.0189
41180   St. Louis, MO-IL                          0.9102
41420   Salem, OR                                 1.0974
41500   Salinas, CA                               1.5207
41540   Salisbury, MD                             0.9110
41620   Salt Lake City, UT                        0.9378
41660   San Angelo, TX                            0.7914
41700   San Antonio, TX                           0.8857
41740   San Diego-Carlsbad-San Marcos, CA         1.1752
41780   Sandusky, OH                              0.8888
41884   San Francisco-San Mateo-Redwood City,CA   1.5874
41900   San Germán-Cabo Rojo, PR                  0.4740
41940   San Jose-Sunnyvale-Santa Clara, CA        1.6404
41980   San Juan-Caguas-Guaynabo, PR              0.4363
42020   San Luis Obispo-Paso Robles, CA           1.2550
42044   Santa Ana-Anaheim-Irvine, CA              1.1972
42060   Santa Barbara-Santa Maria, CA             1.2213
42100   Santa Cruz-Watsonville, CA                1.6735
42140   Santa Fe, NM                              1.0694
42220   Santa Rosa-Petaluma, CA                   1.5891
42340   Savannah, GA                              0.9043
42540   Scranton--Wilkes-Barre, PA                0.8375
42644   Seattle-Bellevue-Everett, WA              1.1577
42680   Sebastian-Vero Beach,FL                   0.9362
43100   Sheboygan, WI                             0.9166
43300   Sherman-Denison, TX                       0.8064
43340   Shreveport-Bossier City, LA               0.8383
43580   Sioux City, IA-NE-SD                      0.9094
43620   Sioux Falls, SD                           0.8983
43780   South Bend-Mishawaka, IN-MI               0.9690
43900   Spartanburg, SC                           0.9341
44060   Spokane, WA                               1.0444
44100   Springfield, IL                           0.9545
44140   Springfield, MA                           1.0373
44180   Springfield, MO                           0.8453
44220   Springfield, OH                           0.9195
44300   State College, PA                         0.9096
44700   Stockton, CA                              1.2331
44940   Sumter, SC                                0.8152
45060   Syracuse, NY                              0.9785
45104   Tacoma, WA                                1.1195
45220   Tallahassee, FL                           0.8406
45300   Tampa-St. Petersburg-Clearwater, FL       0.8982
45460   Terre Haute, IN                           0.9061
45500   Texarkana, TX-Texarkana, AR               0.8113
45780   Toledo, OH                                0.9541
45820   Topeka, KS                                0.9026
45940   Trenton-Ewing, NJ                         1.0552
46060   Tucson, AZ                                0.9505
46140   Tulsa, OK                                 0.8662
46220   Tuscaloosa, AL                            0.8698
46340   Tyler, TX                                 0.8312
46540   U a-Rome, NY                              0.8460
46660   Valdosta, GA                              0.7944
46700   Vallejo-Fairfield, CA                     1.4934
47020   Victoria, TX                              0.8054
47220   Vineland-Millville-Bridgeton, NJ          1.0207
47260   Virginia Beach-Norfolk-Newport News, VA   0.8960
47300   Visalia-Porterville, CA                   1.0221
47380   Waco, TX                                  0.8377
47580   Warner Robins, GA                         0.8754
47644   Warren-Troy-Farmington-Hills, MI          0.9806
47894   Washington-Arlington-Alexandria DC-VA     1.0882
47940   Waterloo-Cedar Falls, IA                  0.8518
48140   Wausau, WI                                0.9440
48260   Weirton-Steubenville, WV-OH               0.7368
48300   Wenatchee, WA                             0.9719
48424   West Palm Beach-Boca Raton-Boynton FL     0.9879
48540   Wheeling, WV-OH                           0.6869
48620   Wichita, KS                               0.9018
48660   Wichita Falls, TX                         0.9197
48700   Williamsport, PA                          0.7877
48864   Wilmington, DE-MD-NJ                      1.0555
48900   Wilmington, NC                            0.8986
49020   Winchester, VA-WV                         0.9777
49180   Winston-Salem, NC                         0.8953
49340   Worcester, MA                             1.1089
49420   Yakima, WA                                0.9949
49500   Yauco, PR                                 0.3348
49620   York-Hanover, PA                          0.9299
49660   Youngstown-Warren-Boardman, OH-PA         0.8679
49700   Yuba City, CA                             1.1265
49740   Yuma, AZ                                  0.9143
Table 11.— MS LTC-DRGs, Relative Weights, Geometric Average Length of Stay, and Short-Stay Outlier (SSO) Thres
                                  from October 1, 2009 through September 30, 2010 under the LTCH PPS

MS-LTC-
  DRG          Base
(Version     MS-LTC-
  27.0)        DRG                         MS-LTC-DRG Description (Version 27.0)
        1   001        Heart transplant or implant of heart assist system w MCC
        2   001        Heart transplant or implant of heart assist system w/o MCC
        3   003        ECMO or trach w MV 96+ hrs or PDX exc face, mouth & neck w maj O.R.
        4   004        Trach w MV 96+ hrs or PDX exc face, mouth & neck w/o maj O.R.
        5   005        Liver transplant w MCC or intestinal transplant
        6   005        Liver transplant w/o MCC
        7   007        Lung transplant
        8   008        Simultaneous pancreas/kidney transplant
        9   009        Bone marrow transplant
       10   010        Pancreas transplant
       11   011        Tracheostomy for face,mouth & neck diagnoses w MCC
       12   011        Tracheostomy for face,mouth & neck diagnoses w CC
       13   011        Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC
       20   020        Intracranial vascular procedures w PDX hemorrhage w MCC
       21   020        Intracranial vascular procedures w PDX hemorrhage w CC
       22   020        Intracranial vascular procedures w PDX hemorrhage w/o CC/MCC
       23   023        Craniotomy w major device implant or acute complex CNS PDX w MCC
       24   023        Craniotomy w major device implant or acute complex CNS PDX w/o MCC
       25   025        Craniotomy & endovascular intracranial procedures w MCC
       26   025        Craniotomy & endovascular intracranial procedures w CC
       27   025        Craniotomy & endovascular intracranial procedures w/o CC/MCC
       28   028        Spinal procedures w MCC
       29   028        Spinal procedures w CC
       30   028        Spinal procedures w/o CC/MCC
       31   031        Ventricular shunt procedures w MCC
       32   031        Ventricular shunt procedures w CC
       33   031        Ventricular shunt procedures w/o CC/MCC
       34   034        Carotid artery stent procedure w MCC
       35   034        Carotid artery stent procedurew CC
       36   034        Carotid artery stent procedure w/o CC/MCC
       37   037        Extracranial procedures w MCC
       38   037        Extracranial procedures w CC
       39   037        Extracranial procedures w/o CC/MCC
       40   040        Periph & cranial nerve & other nerv syst proc w MCC
       41   040        Periph & cranial nerve & other nerv syst proc w CC
       42   040        Periph & cranial nerve & other nerv syst proc w/o CC/MCC
       52   052        Spinal disorders & injuries w CC/MCC
       53   052        Spinal disorders & injuries w/o CC/MCC
       54   054        Nervous system neoplasms w MCC
       55   054        Nervous system neoplasms w/o MCC
       56   056        Degenerative nervous system disorders w MCC
       57   056        Degenerative nervous system disorders w/o MCC
       58   058        Multiple sclerosis & cerebellar ataxia w MCC
       59   058        Multiple sclerosis & cerebellar ataxia w CC
       60   058        Multiple sclerosis & cerebellar ataxia w/o CC/MCC
 61   061   Acute ischemic stroke w use of thrombolytic agent w MCC
 62   061   Acute ischemic stroke w use of thrombolytic agent w CC
 63   061   Acute ischemic stroke w use of thrombolytic agent w/o CC/MCC
 64   064   Intracranial hemorrhage or cerebral infarction w MCC
 65   064   Intracranial hemorrhage or cerebral infarction w CC
 66   064   Intracranial hemorrhage or cerebral infarction w/o CC/MCC
 67   067   Nonspecific cva & precerebral occlusion w/o infarct w MCC
 68   067   Nonspecific cva & precerebral occlusion w/o infarct w/o MCC
 69   069   Transient ischemia
 70   070   Nonspecific cerebrovascular disorders w MCC
 71   070   Nonspecific cerebrovascular disorders w CC
 72   070   Nonspecific cerebrovascular disorders w/o CC/MCC
 73   073   Cranial & peripheral nerve disorders w MCC
 74   073   Cranial & peripheral nerve disorders w/o MCC
 75   075   Viral meningitis w CC/MCC
 76   075   Viral meningitis w/o CC/MCC
 77   077   Hypertensive encephalopathy w MCC
 78   077   Hypertensive encephalopathy w CC
 79   077   Hypertensive encephalopathy w/o CC/MCC
 80   080   Nontraumatic stupor & coma w MCC
 81   080   Nontraumatic stupor & coma w/o MCC
 82   082   Traumatic stupor & coma, coma >1 hr w MCC
 83   082   Traumatic stupor & coma, coma >1 hr w CC
 84   082   Traumatic stupor & coma, coma >1 hr w/o CC/MCC
 85   085   Traumatic stupor & coma, coma <1 hr w MCC
 86   085   Traumatic stupor & coma, coma <1 hr w CC
 87   085   Traumatic stupor & coma, coma <1 hr w/o CC/MCC
 88   088   Concussion w MCC
 89   088   Concussion w CC
 90   088   Concussion w/o CC/MCC
 91   091   Other disorders of nervous system w MCC
 92   091   Other disorders of nervous system w CC
 93   091   Other disorders of nervous system w/o CC/MCC
 94   094   Bacterial & tuberculous infections of nervous system w MCC
 95   094   Bacterial & tuberculous infections of nervous system w CC
 96   094   Bacterial & tuberculous infections of nervous system w/o CC/MCC
 97   097   Non-bacterial infect of nervous sys exc viral meningitis w MCC
 98   097   Non-bacterial infect of nervous sys exc viral meningitis w CC
 99   097   Non-bacterial infect of nervous sys exc viral meningitis w/o CC/MCC
100   100   Seizures w MCC
101   100   Seizures w/o MCC
102   102   Headaches w MCC
103   102   Headaches w/o MCC
113   113   Orbital procedures w CC/MCC
114   113   Orbital procedures w/o CC/MCC
115   115   Extraocular procedures except orbit
116   116   Intraocular procedures w CC/MCC
117   116   Intraocular procedures w/o CC/MCC
121   121   Acute major eye infections w CC/MCC
122   121   Acute major eye infections w/o CC/MCC
123   123   Neurological eye disorders
124   124   Other disorders of the eye w MCC
125   124   Other disorders of the eye w/o MCC
129   129   Major head & neck procedures w CC/MCC or major device
130   129   Major head & neck procedures w/o CC/MCC
131   131   Cranial/facial procedures w CC/MCC
132   131   Cranial/facial procedures w/o CC/MCC
133   133   Other ear, nose, mouth & throat O.R. procedures w CC/MCC
134   133   Other ear, nose, mouth & throat O.R. procedures w/o CC/MCC
135   135   Sinus & mastoid procedures w CC/MCC
136   135   Sinus & mastoid procedures w/o CC/MCC
137   137   Mouth procedures w CC/MCC
138   137   Mouth procedures w/o CC/MCC
139   139   Salivary gland procedures
146   146   Ear, nose, mouth & throat malignancy w MCC
147   146   Ear, nose, mouth & throat malignancy w CC
148   146   Ear, nose, mouth & throat malignancy w/o CC/MCC
149   149   Dysequilibrium
150   150   Epistaxis w MCC
151   150   Epistaxis w/o MCC
152   152   Otitis media & URI w MCC
153   152   Otitis media & URI w/o MCC
154   154   Nasal trauma & deformity w MCC
155   154   Nasal trauma & deformity w CC
156   154   Nasal trauma & deformity w/o CC/MCC
157   157   Dental & Oral Diseases w MCC
158   157   Dental & Oral Diseases w CC
159   157   Dental & Oral Diseases w/o CC/MCC
163   163   Major chest procedures w MCC
164   163   Major chest procedures w CC
165   163   Major chest procedures w/o CC/MCC
166   166   Other resp system O.R. procedures w MCC
167   166   Other resp system O.R. procedures w CC
168   166   Other resp system O.R. procedures w/o CC/MCC
175   175   Pulmonary embolism w MCC
176   175   Pulmonary embolism w/o MCC
177   177   Respiratory infections & inflammations w MCC
178   177   Respiratory infections & inflammations w CC
179   177   Respiratory infections & inflammations w/o CC/MCC
180   180   Respiratory neoplasms w MCC
181   180   Respiratory neoplasms w CC
182   180   Respiratory neoplasms w/o CC/MCC
183   183   Major chest trauma w MCC
184   183   Major chest trauma w CC
185   183   Major chest trauma w/o CC/MCC
186   186   Pleural effusion w MCC
187   186   Pleural effusion w CC
188   186   Pleural effusion w/o CC/MCC
189   189   Pulmonary edema & respiratory failure
190   190   Chronic obstructive pulmonary disease w MCC
191   190   Chronic obstructive pulmonary disease w CC
192   190   Chronic obstructive pulmonary disease w/o CC/MCC
193   193   Simple pneumonia & pleurisy w MCC
194   193   Simple pneumonia & pleurisy w CC
195   193   Simple pneumonia & pleurisy w/o CC/MCC
196   196   Interstitial lung disease w MCC
197   196   Interstitial lung disease w CC
198   196   Interstitial lung disease w/o CC/MCC
199   199   Pneumothorax w MCC
200   199   Pneumothorax w CC
201   199   Pneumothorax w/o CC/MCC
202   202   Bronchitis & asthma w CC/MCC
203   202   Bronchitis & asthma w/o CC/MCC
204   204   Respiratory signs & symptoms
205   205   Other respiratory system diagnoses w MCC
206   205   Other respiratory system diagnoses w/o MCC
207   207   Respiratory system diagnosis w ventilator support 96+ hours
208   208   Respiratory system diagnosis w ventilator support <96 hours
215   215   Other heart assist system implant
216   216   Cardiac valve & oth maj cardiothoracic proc w card cath w MCC
217   216   Cardiac valve & oth maj cardiothoracic proc w card cath w CC
218   216   Cardiac valve & oth maj cardiothoracic proc w card cath w/o CC/MCC
219   219   Cardiac valve & oth maj cardiothoracic proc w/o card cath w MCC
220   219   Cardiac valve & oth maj cardiothoracic proc w/o card cath w CC
221   219   Cardiac valve & oth maj cardiothoracic proc w/o card cath w/o CC/MCC
222   222   Cardiac defib implant w cardiac cath w AMI/HF/shock w MCC
223   222   Cardiac defib implant w cardiac cath w AMI/HF/shock w/o MCC
224   224   Cardiac defib implant w cardiac cath w/o AMI/HF/shock w MCC
225   224   Cardiac defib implant w cardiac cath w/o AMI/HF/shock w/o MCC
226   226   Cardiac defibrillator implant w/o cardiac cath w MCC
227   226   Cardiac defibrillator implant w/o cardiac cath w/o MCC
228   228   Other cardiothoracic procedures w MCC
229   228   Other cardiothoracic procedures w CC
230   228   Other cardiothoracic procedures w/o CC/MCC
231   231   Coronary bypass w PTCA w MCC
232   231   Coronary bypass w PTCA w/o MCC
233   233   Coronary bypass w cardiac cath w MCC
234   233   Coronary bypass w cardiac cath w/o MCC
235   235   Coronary bypass w/o cardiac cath w MCC
236   235   Coronary bypass w/o cardiac cath w/o MCC
237   237   Major cardiovascular procedures w MCC
238   237   Major cardiovascular procedures w/o MCC
239   239   Amputation for circ sys disorders exc upper limb & toe w MCC
240   239   Amputation for circ sys disorders exc upper limb & toe w CC
241   239   Amputation for circ sys disorders exc upper limb & toe w/o CC/MCC
242   242   Permanent cardiac pacemaker implant w MCC
243   242   Permanent cardiac pacemaker implant w CC
244   242   Permanent cardiac pacemaker implant w/o CC/MCC
245   245   AICD generator procedures
246   246   Percutaneous cardiovascular proc w drug-eluting stent w MCC
247   246   Percutaneous cardiovascular proc w drug-eluting stent w/o MCC
248   248   Percutaneous cardiovasc proc w non-drug-eluting stent w MCC
249   248   Percutaneous cardiovasc proc w non-drug-eluting stent w/o MCC
250   250   Perc cardiovasc proc w/o coronary artery stent or AMI w MCC
251   250   Perc cardiovasc proc w/o coronary artery stent or AMI w/o MCC
252   252   Other vascular procedures w MCC
253   252   Other vascular procedures w CC
254   252   Other vascular procedures w/o CC/MCC
255   255   Upper limb & toe amputation for circ system disorders w MCC
256   255   Upper limb & toe amputation for circ system disorders w CC
257   255   Upper limb & toe amputation for circ system disorders w/o CC/MCC
258   258   Cardiac pacemaker device replacement w MCC
259   258   Cardiac pacemaker device replacement w/o MCC
260   260   Cardiac pacemaker revision except device replacement w MCC
261   260   Cardiac pacemaker revision except device replacement w CC
262   260   Cardiac pacemaker revision except device replacement w/o CC/MCC
263   263   Vein ligation & stripping
264   264   Other circulatory system O.R. procedures
265   265   AICD lead procedures
280   280   Circulatory disorders w AMI, discharged alive w MCC
281   280   Circulatory disorders w AMI, discharged alive w CC
282   280   Circulatory disorders w AMI, discharged alive w/o CC/MCC
283   283   Circulatory disorders w AMI, expired w MCC
284   283   Circulatory disorders w AMI, expired w CC
285   283   Circulatory disorders w AMI, expired w/o CC/MCC
286   286   Circulatory disorders except AMI, w card cath w MCC
287   286   Circulatory disorders except AMI, w card cath w/o MCC
288   288   Acute & subacute endocarditis w MCC
289   288   Acute & subacute endocarditis w CC
290   288   Acute & subacute endocarditis w/o CC/MCC
291   291   Heart failure & shock w MCC
292   291   Heart failure & shock w CC
293   291   Heart failure & shock w/o CC/MCC
294   294   Deep vein thrombophlebitis w CC/MCC
295   294   Deep vein thrombophlebitis w/o CC/MCC
296   296   Cardiac arrest, unexplained w MCC
297   296   Cardiac arrest, unexplained w CC
298   296   Cardiac arrest, unexplained w/o CC/MCC
299   299   Peripheral vascular disorders w MCC
300   299   Peripheral vascular disorders w CC
301   299   Peripheral vascular disorders w/o CC/MCC
302   302   Atherosclerosis w MCC
303   302   Atherosclerosis w/o MCC
304   304   Hypertension w MCC
305   304   Hypertension w/o MCC
306   306   Cardiac congenital & valvular disorders w MCC
307   306   Cardiac congenital & valvular disorders w/o MCC
308   308   Cardiac arrhythmia & conduction disorders w MCC
309   308   Cardiac arrhythmia & conduction disorders w CC
310   308   Cardiac arrhythmia & conduction disorders w/o CC/MCC
311   311   Angina pectoris
312   312   Syncope & collapse
313   313   Chest pain
314   314   Other circulatory system diagnoses w MCC
315   314   Other circulatory system diagnoses w CC
316   314   Other circulatory system diagnoses w/o CC/MCC
326   326   Stomach, esophageal & duodenal proc w MCC
327   326   Stomach, esophageal & duodenal proc w CC
328   326   Stomach, esophageal & duodenal proc w/o CC/MCC
329   329   Major small & large bowel procedures w MCC
330   329   Major small & large bowel procedures w CC
331   329   Major small & large bowel procedures w/o CC/MCC
332   332   Rectal resection w MCC
333   332   Rectal resection w CC
334   332   Rectal resection w/o CC/MCC
335   335   Peritoneal adhesiolysis w MCC
336   335   Peritoneal adhesiolysis w CC
337   335   Peritoneal adhesiolysis w/o CC/MCC
338   338   Appendectomy w complicated principal diag w MCC
339   338   Appendectomy w complicated principal diag w CC
340   338   Appendectomy w complicated principal diag w/o CC/MCC
341   341   Appendectomy w/o complicated principal diag w MCC
342   341   Appendectomy w/o complicated principal diag w CC
343   341   Appendectomy w/o complicated principal diag w/o CC/MCC
344   344   Minor small & large bowel procedures w MCC
345   344   Minor small & large bowel procedures w CC
346   344   Minor small & large bowel procedures w/o CC/MCC
347   347   Anal & stomal procedures w MCC
348   347   Anal & stomal procedures w CC
349   347   Anal & stomal procedures w/o CC/MCC
350   350   Inguinal & femoral hernia procedures w MCC
351   350   Inguinal & femoral hernia procedures w CC
352   350   Inguinal & femoral hernia procedures w/o CC/MCC
353   353   Hernia procedures except inguinal & femoral w MCC
354   353   Hernia procedures except inguinal & femoral w CC
355   353   Hernia procedures except inguinal & femoral w/o CC/MCC
356   356   Other digestive system O.R. procedures w MCC
357   356   Other digestive system O.R. procedures w CC
358   356   Other digestive system O.R. procedures w/o CC/MCC
368   368   Major esophageal disorders w MCC
369   368   Major esophageal disorders w CC
370   368   Major esophageal disorders w/o CC/MCC
371   371   Major gastrointestinal disorders & peritoneal infections w MCC
372   371   Major gastrointestinal disorders & peritoneal infections w CC
373   371   Major gastrointestinal disorders & peritoneal infections w/o CC/MCC
374   374   Digestive malignancy w MCC
375   374   Digestive malignancy w CC
376   374   Digestive malignancy w/o CC/MCC
377   377   G.I. hemorrhage w MCC
378   377   G.I. hemorrhage w CC
379   377   G.I. hemorrhage w/o CC/MCC
380   380   Complicated peptic ulcer w MCC
381   380   Complicated peptic ulcer w CC
382   380   Complicated peptic ulcer w/o CC/MCC
383   383   Uncomplicated peptic ulcer w MCC
384   383   Uncomplicated peptic ulcer w/o MCC
385   385   Inflammatory bowel disease w MCC
386   385   Inflammatory bowel disease w CC
387   385   Inflammatory bowel disease w/o CC/MCC
388   388   G.I. obstruction w MCC
389   388   G.I. obstruction w CC
390   388   G.I. obstruction w/o CC/MCC
391   391   Esophagitis, gastroent & misc digest disorders w MCC
392   391   Esophagitis, gastroent & misc digest disorders w/o MCC
393   393   Other digestive system diagnoses w MCC
394   393   Other digestive system diagnoses w CC
395   393   Other digestive system diagnoses w/o CC/MCC
405   405   Pancreas, liver & shunt procedures w MCC
406   405   Pancreas, liver & shunt procedures w CC
407   405   Pancreas, liver & shunt procedures w/o CC/MCC
408   408   Biliary tract proc except only cholecyst w or w/o c.d.e. w MCC
409   408   Biliary tract proc except only cholecyst w or w/o c.d.e. w CC
410   408   Biliary tract proc except only cholecyst w or w/o c.d.e. w/o CC/MCC
411   411   Cholecystectomy w c.d.e. w MCC
412   411   Cholecystectomy w c.d.e. w CC
413   411   Cholecystectomy w c.d.e. w/o CC/MCC
414   414   Cholecystectomy except by laparoscope w/o c.d.e. w MCC
415   414   Cholecystectomy except by laparoscope w/o c.d.e. w CC
416   414   Cholecystectomy except by laparoscope w/o c.d.e. w/o CC/MCC
417   417   Laparoscopic cholecystectomy w/o c.d.e. w MCC
418   417   Laparoscopic cholecystectomy w/o c.d.e. w CC
419   417   Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC
420   420   Hepatobiliary diagnostic procedures w MCC
421   420   Hepatobiliary diagnostic procedures w CC
422   420   Hepatobiliary diagnostic procedures w/o CC/MCC
423   423   Other hepatobiliary or pancreas O.R. procedures w MCC
424   423   Other hepatobiliary or pancreas O.R. procedures w CC
425   423   Other hepatobiliary or pancreas O.R. procedures w/o CC/MCC
432   432   Cirrhosis & alcoholic hepatitis w MCC
433   432   Cirrhosis & alcoholic hepatitis w CC
434   432   Cirrhosis & alcoholic hepatitis w/o CC/MCC
435   435   Malignancy of hepatobiliary system or pancreas w MCC
436   435   Malignancy of hepatobiliary system or pancreas w CC
437   435   Malignancy of hepatobiliary system or pancreas w/o CC/MCC
438   438   Disorders of pancreas except malignancy w MCC
439   438   Disorders of pancreas except malignancy w CC
440   438   Disorders of pancreas except malignancy w/o CC/MCC
441   441   Disorders of liver except malig,cirr,alc hepa w MCC
442   441   Disorders of liver except malig,cirr,alc hepa w CC
443   441   Disorders of liver except malig,cirr,alc hepa w/o CC/MCC
444   444   Disorders of the biliary tract w MCC
445   444   Disorders of the biliary tract w CC
446   444   Disorders of the biliary tract w/o CC/MCC
453   453   Combined anterior/posterior spinal fusion w MCC
454   453   Combined anterior/posterior spinal fusion w CC
455   453   Combined anterior/posterior spinal fusion w/o CC/MCC
456   456   Spinal fusion exc cerv w spinal curv, malig or 9+ fusions w MCC
457   456   Spinal fusion exc cerv w spinal curv, malig or 9+ fusions w CC
458   456   Spinal fusion exc cerv w spinal curv, malig or 9+ fusions w/o CC/MCC
459   459   Spinal fusion except cervical w MCC
460   459   Spinal fusion except cervical w/o MCC
461   461   Bilateral or multiple major joint procs of lower extremity w MCC
462   461   Bilateral or multiple major joint procs of lower extremity w/o MCC
463   463   Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w MCC
464   463   Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w CC
465   463   Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w/o CC/MCC
466   466   Revision of hip or knee replacement w MCC
467   466   Revision of hip or knee replacement w CC
468   466   Revision of hip or knee replacement w/o CC/MCC
469   469   Major joint replacement or reattachment of lower extremity w MCC
470   469   Major joint replacement or reattachment of lower extremity w/o MCC
471   471   Cervical spinal fusion w MCC
472   471   Cervical spinal fusion w CC
473   471   Cervical spinal fusion w/o CC/MCC
474   474   Amputation for musculoskeletal sys & conn tissue dis w MCC
475   474   Amputation for musculoskeletal sys & conn tissue dis w CC
476   474   Amputation for musculoskeletal sys & conn tissue dis w/o CC/MCC
477   477   Biopsies of musculoskeletal system & connective tissue w MCC
478   477   Biopsies of musculoskeletal system & connective tissue w CC
479   477   Biopsies of musculoskeletal system & connective tissue w/o CC/MCC
480   480   Hip & femur procedures except major joint w MCC
481   480   Hip & femur procedures except major joint w CC
482   480   Hip & femur procedures except major joint w/o CC/MCC
483   483   Major joint & limb reattachment proc of upper extremity w CC/MCC
484   483   Major joint & limb reattachment proc of upper extremity w/o CC/MCC
485   485   Knee procedures w pdx of infection w MCC
486   485   Knee procedures w pdx of infection w CC
487   485   Knee procedures w pdx of infection w/o CC/MCC
488   488   Knee procedures w/o pdx of infection w CC/MCC
489   488   Knee procedures w/o pdx of infection w/o CC/MCC
490   490   Back & neck procedures except spinal fusion w CC/MCC or disc devices
491   490   Back & neck procedures except spinal fusion w/o CC/MCC
492   492   Lower extrem & humer proc except hip,foot,femur w MCC
493   492   Lower extrem & humer proc except hip,foot,femur w CC
494   492   Lower extrem & humer proc except hip,foot,femur w/o CC/MCC
495   495   Local excision & removal int fix devices exc hip & femur w MCC
496   495   Local excision & removal int fix devices exc hip & femur w CC
497   495   Local excision & removal int fix devices exc hip & femur w/o CC/MCC
498   498   Local excision & removal int fix devices of hip & femur w CC/MCC
499   498   Local excision & removal int fix devices of hip & femur w/o CC/MCC
500   500   Soft tissue procedures w MCC
501   500   Soft tissue procedures w CC
502   500   Soft tissue procedures w/o CC/MCC
503   503   Foot procedures w MCC
504   503   Foot procedures w CC
505   503   Foot procedures w/o CC/MCC
506   506   Major thumb or joint procedures
507   507   Major shoulder or elbow joint procedures w CC/MCC
508   507   Major shoulder or elbow joint procedures w/o CC/MCC
509   509   Arthroscopy
510   510   Shoulder,elbow or forearm proc,exc major joint proc w MCC
511   510   Shoulder,elbow or forearm proc,exc major joint proc w CC
512   510   Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC
513   513   Hand or wrist proc, except major thumb or joint proc w CC/MCC
514   513   Hand or wrist proc, except major thumb or joint proc w/o CC/MCC
515   515   Other musculoskelet sys & conn tiss O.R. proc w MCC
516   515   Other musculoskelet sys & conn tiss O.R. proc w CC
517   515   Other musculoskelet sys & conn tiss O.R. proc w/o CC/MCC
533   533   Fractures of femur w MCC
534   533   Fractures of femur w/o MCC
535   535   Fractures of hip & pelvis w MCC
536   535   Fractures of hip & pelvis w/o MCC
537   537   Sprains, strains, & dislocations of hip, pelvis & thigh w CC/MCC
538   537   Sprains, strains, & dislocations of hip, pelvis & thigh w/o CC/MCC
539   539   Osteomyelitis w MCC
540   539   Osteomyelitis w CC
541   539   Osteomyelitis w/o CC/MCC
542   542   Pathological fractures & musculoskelet & conn tiss malig w MCC
543   542   Pathological fractures & musculoskelet & conn tiss malig w CC
544   542   Pathological fractures & musculoskelet & conn tiss malig w/o CC/MCC
545   545   Connective tissue disorders w MCC
546   545   Connective tissue disorders w CC
547   545   Connective tissue disorders w/o CC/MCC
548   548   Septic arthritis w MCC
549   548   Septic arthritis w CC
550   548   Septic arthritis w/o CC/MCC
551   551   Medical back problems w MCC
552   551   Medical back problems w/o MCC
553   553   Bone diseases & arthropathies w MCC
554   553   Bone diseases & arthropathies w/o MCC
555   555   Signs & symptoms of musculoskeletal system & conn tissue w MCC
556   555   Signs & symptoms of musculoskeletal system & conn tissue w/o MCC
557   557   Tendonitis, myositis & bursitis w MCC
558   557   Tendonitis, myositis & bursitis w/o MCC
559   559   Aftercare, musculoskeletal system & connective tissue w MCC
560   559   Aftercare, musculoskeletal system & connective tissue w CC
561   559   Aftercare, musculoskeletal system & connective tissue w/o CC/MCC
562   562   Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC
563   562   Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC
564   564   Other musculoskeletal sys & connective tissue diagnoses w MCC
565   564   Other musculoskeletal sys & connective tissue diagnoses w CC
566   564   Other musculoskeletal sys & connective tissue diagnoses w/o CC/MCC
573   573   Skin graft &/or debrid for skn ulcer or cellulitis w MCC
574   573   Skin graft &/or debrid for skn ulcer or cellulitis w CC
575   573   Skin graft &/or debrid for skn ulcer or cellulitis w/o CC/MCC
576   576   Skin graft &/or debrid exc for skin ulcer or cellulitis w MCC
577   576   Skin graft &/or debrid exc for skin ulcer or cellulitis w CC
578   576   Skin graft &/or debrid exc for skin ulcer or cellulitis w/o CC/MCC
579   579   Other skin, subcut tiss & breast proc w MCC
580   579   Other skin, subcut tiss & breast proc w CC
581   579   Other skin, subcut tiss & breast proc w/o CC/MCC
582   582   Mastectomy for malignancy w CC/MCC
583   582   Mastectomy for malignancy w/o CC/MCC
584   584   Breast biopsy, local excision & other breast procedures w CC/MCC
585   584   Breast biopsy, local excision & other breast procedures w/o CC/MCC
592   592   Skin ulcers w MCC
593   592   Skin ulcers w CC
594   592   Skin ulcers w/o CC/MCC
595   595   Major skin disorders w MCC
596   595   Major skin disorders w/o MCC
597   597   Malignant breast disorders w MCC
598   597   Malignant breast disorders w CC
599   597   Malignant breast disorders w/o CC/MCC
600   600   Non-malignant breast disorders w CC/MCC
601   600   Non-malignant breast disorders w/o CC/MCC
602   602   Cellulitis w MCC
603   602   Cellulitis w/o MCC
604   604   Trauma to the skin, subcut tiss & breast w MCC
605   604   Trauma to the skin, subcut tiss & breast w/o MCC
606   606   Minor skin disorders w MCC
607   606   Minor skin disorders w/o MCC
614   614   Adrenal & pituitary procedures w CC/MCC
615   614   Adrenal & pituitary procedures w/o CC/MCC
616   616   Amputat of lower limb for endocrine,nutrit,& metabol dis w MCC
617   616   Amputat of lower limb for endocrine,nutrit,& metabol dis w CC
618   616   Amputat of lower limb for endocrine,nutrit,& metabol dis w/o CC/MCC
619   619   O.R. procedures for obesity w MCC
620   619   O.R. procedures for obesity w CC
621   619   O.R. procedures for obesity w/o CC/MCC
622   622   Skin grafts & wound debrid for endoc, nutrit & metab dis w MCC
623   622   Skin grafts & wound debrid for endoc, nutrit & metab dis w CC
624   622   Skin grafts & wound debrid for endoc, nutrit & metab dis w/o CC/MCC
625   625   Thyroid, parathyroid & thyroglossal procedures w MCC
626   625   Thyroid, parathyroid & thyroglossal procedures w CC
627   625   Thyroid, parathyroid & thyroglossal procedures w/o CC/MCC
628   628   Other endocrine, nutrit & metab O.R. proc w MCC
629   628   Other endocrine, nutrit & metab O.R. proc w CC
630   628   Other endocrine, nutrit & metab O.R. proc w/o CC/MCC
637   637   Diabetes w MCC
638   637   Diabetes w CC
639   637   Diabetes w/o CC/MCC
640   640   Nutritional & misc metabolic disorders w MCC
641   640   Nutritional & misc metabolic disorders w/o MCC
642   642   Inborn errors of metabolism
643   643   Endocrine disorders w MCC
644   643   Endocrine disorders w CC
645   643   Endocrine disorders w/o CC/MCC
652   652   Kidney transplant
653   653   Major bladder procedures w MCC
654   653   Major bladder procedures w CC
655   653   Major bladder procedures w/o CC/MCC
656   656   Kidney & ureter procedures for neoplasm w MCC
657   656   Kidney & ureter procedures forneoplasm w CC
658   656   Kidney & ureter procedures for neoplasm w/o CC/MCC
659   659   Kidney & ureter procedures for non-neoplasm w MCC
660   659   Kidney & ureter procedures for non-neoplasm w CC
661   659   Kidney & ureter procedures for non-neoplasm w/o CC/MCC
662   662   Minor bladder procedures w MCC
663   662   Minor bladder procedures w CC
664   662   Minor bladder procedures w/o CC/MCC
665   665   Prostatectomy w MCC
666   665   Prostatectomy w CC
667   665   Prostatectomy w/o CC/MCC
668   668   Transurethral procedures w MCC
669   668   Transurethral procedures w CC
670   668   Transurethral procedures w/o CC/MCC
671   671   Urethral procedures w CC/MCC
672   671   Urethral procedures w/o CC/MCC
673   673   Other kidney & urinary tract procedures w MCC
674   673   Other kidney & urinary tract procedures w CC
675   673   Other kidney & urinary tract procedures w/o CC/MCC
682   682   Renal failure w MCC
683   682   Renal failure w CC
684   682   Renal failure w/o CC/MCC
685   685   Admit for renal dialysis
686   686   Kidney & urinary tract neoplasms w MCC
687   686   Kidney & urinary tract neoplasms w CC
688   686   Kidney & urinary tract neoplasms w/o CC/MCC
689   689   Kidney & urinary tract infections w MCC
690   689   Kidney & urinary tract infections w/o MCC
691   691   Urinary stones w esw lithotripsy w CC/MCC
692   691   Urinary stones w esw lithotripsy w/o CC/MCC
693   693   Urinary stones w/o esw lithotripsy w MCC
694   693   Urinary stones w/ot esw lithotripsy w/o MCC
695   695   Kidney & urinary tract signs & symptoms w MCC
696   695   Kidney & urinary tract signs & symptoms w/o MCC
697   697   Urethral stricture
698   698   Other kidney & urinary tract diagnoses w MCC
699   698   Other kidney & urinary tract diagnoses w CC
700   698   Other kidney & urinary tract diagnoses w/o CC/MCC
707   707   Major male pelvic procedures w CC/MCC
708   707   Major male pelvic procedures w/o CC/MCC
709   709   Penis procedures w CC/MCC
710   709   Penis procedures w/o CC/MCC
711   711   Testes procedures w CC/MCC
712   711   Testes procedures w/o CC/MCC
713   713   Transurethral prostatectomy w CC/MCC
714   713   Transurethral prostatectomy w/o CC/MCC
715   715   Other male reproductive system O.R. proc for malignancy w CC/MCC
716   715   Other male reproductive system O.R. proc for malignancy w/o CC/MCC
717   717   Other male reproductive system O.R. proc exc malignancy w CC/MCC
718   717   Other male reproductive system O.R. proc exc malignancy w/o CC/MCC
722   722   Malignancy, male reproductive system w MCC
723   722   Malignancy, male reproductive system w CC
724   722   Malignancy, male reproductive system w/o CC/MCC
725   725   Benign prostatic hypertrophy w MCC
726   725   Benign prostatic hypertrophy w/o MCC
727   727   Inflammation of the male reproductive system w MCC
728   727   Inflammation of the male reproductive system w/o MCC
729   729   Other male reproductive system diagnoses w CC/MCC
730   729   Other male reproductive system diagnoses w/o CC/MCC
734   734   Pelvic evisceration, rad hysterectomy & rad vulvectomy w CC/MCC
735   734   Pelvic evisceration, rad hysterectomy & rad vulvectomy w/o CC/MCC
736   736   Uterine & adnexa proc for ovarian or adnexal malignancy w MCC
737   736   Uterine & adnexa proc for ovarian or adnexal malignancy w CC
738   736   Uterine & adnexa proc for ovarian or adnexal malignancy w/o CC/MCC
739   739   Uterine,adnexa proc for non-ovarian/adnexal malig w MCC
740   739   Uterine,adnexa proc for non-ovarian/adnexal malig w CC
741   739   Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC
742   742   Uterine & adnexa proc for non-malignancy w CC/MCC
743   742   Uterine & adnexa proc for non-malignancy w/o CC/MCC
744   744   D&C, conization, laparascopy & tubal interruption w CC/MCC
745   744   D&C, conization, laparascopy & tubal interruption w/o CC/MCC
746   746   Vagina, cervix & vulva procedures w CC/MCC
747   746   Vagina, cervix & vulva procedures w/o CC/MCC
748   748   Female reproductive system reconstructive procedures
749   749   Other female reproductive system O.R. procedures w CC/MCC
750   749   Other female reproductive system O.R. procedures w/o CC/MCC
754   754   Malignancy, female reproductive system w MCC
755   754   Malignancy, female reproductive system w CC
756   754   Malignancy, female reproductive system w/o CC/MCC
757   757   Infections, female reproductive system w MCC
758   757   Infections, female reproductive system w CC
759   757   Infections, female reproductive system w/o CC/MCC
760   760   Menstrual & other female reproductive system disorders w CC/MCC
761   760   Menstrual & other female reproductive system disorders w/o CC/MCC
765   765   Cesarean section w CC/MCC
766   765   Cesarean section w/o CC/MCC
767   767   Vaginal delivery w sterilization &/or D&C
768   768   Vaginal delivery w O.R. proc except steril &/or D&C
769   769   Postpartum & post abortion diagnoses w O.R. procedure
770   770   Abortion w D&C, aspiration curettage or hysterotomy
774   774   Vaginal delivery w complicating diagnoses
775   775   Vaginal delivery w/o complicating diagnoses
776   776   Postpartum & post abortion diagnoses w/o O.R. procedure
777   777   Ectopic pregnancy
778   778   Threatened abortion
779   779   Abortion w/o D&C
780   780   False labor
781   781   Other antepartum diagnoses w medical complications
782   782   Other antepartum diagnoses w/o medical complications
789   789   Neonates, died or transferred to another acute care facility
790   790   Extreme immaturity or respiratory distress syndrome, neonate
791   791   Prematurity w major problems
792   792   Prematurity w/o major problems
793   793   Full term neonate w major problems
794   794   Neonate w other significant problems
795   795   Normal newborn
799   799   Splenectomy w MCC
800   799   Splenectomy w CC
801   799   Splenectomy w/o CC/MCC
802   802   Other O.R. proc of the blood & blood forming organs w MCC
803   802   Other O.R. proc of the blood & blood forming organs w CC
804   802   Other O.R. proc of the blood & blood forming organs w/o CC/MCC
808   808   Major hematol/immun diag exc sickle cell crisis & coagul w MCC
809   808   Major hematol/immun diag exc sickle cell crisis & coagul w CC
810   808   Major hematol/immun diag exc sickle cell crisis & coagul w/o CC/MCC
811   811   Red blood cell disorders w MCC
812   811   Red blood cell disorders w/o MCC
813   813   Coagulation disorders
814   814   Reticuloendothelial & immunity disorders w MCC
815   814   Reticuloendothelial & immunity disorders w CC
816   814   Reticuloendothelial & immunity disorders w/o CC/MCC
820   820   Lymphoma & leukemia w major O.R. procedure w MCC
821   820   Lymphoma & leukemia w major O.R. procedure w CC
822   820   Lymphoma & leukemia w major O.R. procedure w/o CC/MCC
823   823   Lymphoma & non-acute leukemia w other O.R. proc w MCC
824   823   Lymphoma & non-acute leukemia w other O.R. proc w CC
825   823   Lymphoma & non-acute leukemia w other O.R. proc w/o CC/MCC
826   826   Myeloprolif disord or poorly diff neopl w maj O.R. proc w MCC
827   826   Myeloprolif disord or poorly diff neopl w maj O.R. proc w CC
828   826   Myeloprolif disord or poorly diff neopl w maj O.R. proc w/o CC/MCC
829   829   Myeloprolif disord or poorly diff neopl w other O.R. proc w CC/MCC
830   829   Myeloprolif disord or poorly diff neopl w other O.R. proc w/o CC/MCC
834   834   Acute leukemia w/o major O.R. procedure w MCC
835   834   Acute leukemia w/o major O.R. procedure w CC
836   834   Acute leukemia w/o major O.R. procedure w/o CC/MCC
837   837   Chemo w acute leukemia as sdx or w high dose chemo agent w MCC
838   837   Chemo w acute leukemia as sdx or w high dose chemo agent w CC
839   837   Chemo w acute leukemia as sdx or w high dose chemo agent w/o CC/MCC
840   840   Lymphoma & non-acute leukemia w MCC
841   840   Lymphoma & non-acute leukemia w CC
842   840   Lymphoma & non-acute leukemia w/o CC/MCC
843   843   Other myeloprolif dis or poorly diff neopl diag w MCC
844   843   Other myeloprolif dis or poorly diff neopl diag w CC
845   843   Other myeloprolif dis or poorly diff neopl diag w/o CC/MCC
846   846   Chemotherapy w/o acute leukemia as secondary diagnosis w MCC
847   846   Chemotherapy w/o acute leukemia as secondary diagnosis w CC
848   846   Chemotherapy w/o acute leukemia as secondary diagnosis w/o CC/MCC
849   849   Radiotherapy
853   853   Infectious & parasitic diseases w O.R. procedure w MCC
854   853   Infectious & parasitic diseases w O.R. procedure w CC
855   853   Infectious & parasitic diseases w O.R. procedure w/o CC/MCC
856   856   Postoperative or post-traumatic infections w O.R. proc w MCC
857   856   Postoperative or post-traumatic infections w O.R. proc w CC
858   856   Postoperative or post-traumatic infections w O.R. proc w/o CC/MCC
862   862   Postoperative & post-traumatic infections w MCC
863   862   Postoperative & post-traumatic infections w/o MCC
864   864   Fever of unknown origin
865   865   Viral illness w MCC
866   865   Viral illness w/o MCC
867   867   Other infectious & parasitic diseases diagnoses w MCC
868   867   Other infectious & parasitic diseases diagnoses w CC
869   867   Other infectious & parasitic diseases diagnoses w/o CC/MCC
870   870   Septicemia w MV 96+ hours
871   871   Septicemia w/o MV 96+ hours w MCC
872   871   Septicemia w/o MV 96+ hours w/o MCC
876   876   O.R. procedure w principal diagnoses of mental illness
880   880   Acute adjustment reaction & psychosocial dysfunction
881   881   Depressive neuroses
882   882   Neuroses except depressive
883   883   Disorders of personality & impulse control
884   884   Organic disturbances & mental retardation
885   885   Psychoses
886   886   Behavioral & developmental disorders
887   887   Other mental disorder diagnoses
894   894   Alcohol/drug abuse or dependence, left ama
895   895   Alcohol/drug abuse or dependence w rehabilitation therapy
896   896   Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC
897   896   Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC
901   901   Wound debridements for injuries w MCC
902   901   Wound debridements for injuries w CC
903   901   Wound debridements for injuries w/o CC/MCC
904   904   Skin grafts for injuries w CC/MCC
905   904   Skin grafts for injuries w/o CC/MCC
906   906   Hand procedures for injuries
907   907   Other O.R. procedures for injuries w MCC
908   907   Other O.R. procedures for injuries w CC
909   907   Other O.R. procedures for injuries w/o CC/MCC
913   913   Traumatic injury w MCC
914   913   Traumatic injury w/o MCC
915   915   Allergic reactions w MCC
916   915   Allergic reactions w/o MCC
917   917   Poisoning & toxic effects of drugs w MCC
918   917   Poisoning & toxic effects of drugs w/o MCC
919   919   Complications of treatment w MCC
920   919   Complications of treatment w CC
921   919   Complications of treatment w/o CC/MCC
922   922   Other injury, poisoning & toxic effect diag w MCC
923   922   Other injury, poisoning & toxic effect diag w/o MCC
927   927   Extensive burns or full thickness burns w MV 96+ hrs w skin graft
928   928   Full thickness burn w skin graft or inhal inj w CC/MCC
929   928   Full thickness burn w skin graft or inhal inj w/o CC/MCC
933   933   Extensive burns or full thickness burns w MV 96+ hrs w/o skin graft
934   934   Full thickness burn w/o skin grft or inhal inj
935   935   Non-extensive burns
939   939   O.R. proc w diagnoses of other contact w health services w MCC
940   939   O.R. proc w diagnoses of other contact w health services w CC
941   939   O.R. proc w diagnoses of other contact w health services w/o CC/MCC
945   945   Rehabilitation w CC/MCC
946   945   Rehabilitation w/o CC/MCC
947   947   Signs & symptoms w MCC
948   947   Signs & symptoms w/o MCC
949   949   Aftercare w CC/MCC
950   949   Aftercare w/o CC/MCC
951   951   Other factors influencing health status
     955   955               Craniotomy for multiple significant trauma
     956   956               Limb reattachment, hip & femur proc for multiple significant trauma
     957   957               Other O.R. procedures for multiple significant trauma w MCC
     958   957               Other O.R. procedures for multiple significant trauma w CC
     959   957               Other O.R. procedures for multiple significant trauma w/o CC/MCC
     963   963               Other multiple significant trauma w MCC
     964   963               Other multiple significant trauma w CC
     965   963               Other multiple significant trauma w/o CC/MCC
     969   969               HIV w extensive O.R. procedure w MCC
     970   969               HIV w extensive O.R. procedure w/o MCC
     974   974               HIV w major related condition w MCC
     975   974               HIV w major related condition w CC
     976   974               HIV w major related condition w/o CC/MCC
     977   977               HIV w or w/o other related condition
     981   981               Extensive O.R. procedure unrelated to principal diagnosis w MCC
     982   981               Extensive O.R. procedure unrelated to principal diagnosis w CC
     983   981               Extensive O.R. procedure unrelated to principal diagnosis w/o CC/MCC
     984   984               Prostatic O.R. procedure unrelated to principal diagnosis w MCC
     985   984               Prostatic O.R. procedure unrelated to principal diagnosis w CC
     986   984               Prostatic O.R. procedure unrelated to principal diagnosis w/o CC/MCC
     987   987               Non-extensive O.R. proc unrelated to principal diagnosis w MCC
     988   987               Non-extensive O.R. proc unrelated to principal diagnosis w CC
     989   987               Non-extensive O.R. proc unrelated to principal diagnosis w/o CC/MCC
     998   998               Ungroupable
     999   999               Principal diagnosis invalid as discharge diagnosis


Notes:
           #
            Number of LTCH cases from the March 2009 update of the FY 2008 MedPAR file used in the determination of the RY 2010 MS-LTC-DRG rela
           preamble of the RY 2010 LTCH PPS final rule, LTCH cases that are statistical outliers a
           1
               The SSO Threshold is calculated as 5/6th of the geometric average length of stay of the MS-LTC-DRG (as specified in §412.529(a) in conjunct
 Short-Stay Outlier (SSO) Threshold for Discharges Occurring
010 under the LTCH PPS

                                    Geometric
              FY 2008     RY 2010    Average   Short-Stay
               LTCH       Relative Length of Outlier (SSO)
              Cases#      Weight      Stay     Threshold1
                      0      0.0000        0.0          0.0
                      0      0.0000        0.0          0.0
                    290      4.5834       65.2         54.3
                  1,401      3.1040       45.3         37.8
                      0      0.0000        0.0          0.0
                      0      0.0000        0.0          0.0
                      0      0.0000        0.0          0.0
                      0      0.0000        0.0          0.0
                      0      1.6608       37.7         31.4
                      0      0.0000        0.0          0.0
                      2      1.6608       37.7         31.4
                      0      1.1636       24.1         20.1
                      0      1.1636       24.1         20.1
                      0      1.6608       37.7         31.4
                      0      0.6392       21.6         18.0
                      0      0.6392       21.6         18.0
                      1      0.7552       24.0         20.0
                      0      0.7552       24.0         20.0
                      3      1.6608       37.7         31.4
                      1      0.4766       19.2         16.0
                      0      0.4766       19.2         16.0
                     16      1.0933       26.6         22.2
                     12      0.7552       24.0         20.0
                      1      0.7552       24.0         20.0
                      4      1.6608       37.7         31.4
                      2      0.6392       21.6         18.0
                      1      0.6392       21.6         18.0
                      0      1.6608       37.7         31.4
                      0      1.6608       37.7         31.4
                      0      1.6608       37.7         31.4
                     17      1.6608       37.7         31.4
                      4      1.6608       37.7         31.4
                      0      1.6608       37.7         31.4
                    122      1.4187       35.4         29.5
                     91      0.9739       30.4         25.3
                      6      0.6392       21.6         18.0
                     88      1.0309       33.9         28.3
                      8      0.4766       19.2         16.0
                     38      0.9120       23.0         19.2
                     37      0.7390       23.0         19.2
                  1,136      0.7871       25.8         21.5
                  1,443      0.5845       24.0         20.0
                     14      0.7552       24.0         20.0
                     31      0.5813       21.5         17.9
                      4      0.4766       19.2         16.0
  0   0.8439   25.4   21.2
  0   0.6614   24.1   20.1
  0   0.4766   19.2   16.0
152   0.8839   24.6   20.5
 63   0.5549   23.6   19.7
  8   0.4766   19.2   16.0
  3   0.6392   21.6   18.0
  2   0.4766   19.2   16.0
  7   0.4766   19.2   16.0
140   0.8439   25.4   21.2
 76   0.6614   24.1   20.1
  8   0.4766   19.2   16.0
102   0.9626   26.8   22.3
129   0.5916   23.8   19.8
 19   0.7552   24.0   20.0
  0   0.7552   24.0   20.0
  2   1.0933   26.6   22.2
  1   0.4766   19.2   16.0
  0   0.4536   18.9   15.8
 23   0.6392   21.6   18.0
 11   0.4766   19.2   16.0
 11   1.0933   26.6   22.2
  8   0.7552   24.0   20.0
  2   0.7552   24.0   20.0
 99   0.8570   24.6   20.5
 79   0.6217   23.8   19.8
 18   0.6217   23.8   19.8
  2   0.6392   21.6   18.0
  2   0.4766   19.2   16.0
  1   0.4766   19.2   16.0
230   0.8424   23.8   19.8
101   0.6400   22.8   19.0
 12   0.4766   19.2   16.0
256   1.0229   27.7   23.1
 99   0.8058   27.1   22.6
 16   0.6392   21.6   18.0
 51   0.8945   22.1   18.4
 29   0.7561   21.6   18.0
  3   0.7561   21.6   18.0
 52   0.9450   25.9   21.6
 28   0.6297   23.8   19.8
  5   0.6392   21.6   18.0
  4   0.4766   19.2   16.0
  0   1.1636   24.1   20.1
  0   0.9756   25.5   21.3
  1   0.4766   19.2   16.0
  0   0.6392   21.6   18.0
  0   0.6392   21.6   18.0
  5   0.7552   24.0   20.0
  0   0.6392   21.6   18.0
  0   0.6392   21.6   18.0
  4   0.7552   24.0   20.0
   11   0.6392   21.6   18.0
    0   1.1636   24.1   20.1
    0   0.9756   25.5   21.3
    1   1.0933   26.6   22.2
    0   1.0933   26.6   22.2
    9   1.0933   26.6   22.2
    0   1.0933   26.6   22.2
    3   1.6608   37.7   31.4
    0   1.0933   26.6   22.2
    0   1.0933   26.6   22.2
    0   1.0933   26.6   22.2
    1   0.4766   19.2   16.0
   50   1.1636   24.1   20.1
   29   0.9756   25.5   21.3
    3   0.9756   25.5   21.3
    8   0.4766   19.2   16.0
    0   0.7298   21.3   17.8
    0   0.6312   20.5   17.1
   29   0.7298   21.3   17.8
   30   0.6312   20.5   17.1
   53   0.9197   23.9   19.9
   33   0.6209   20.6   17.2
    9   0.6209   20.6   17.2
   15   1.0933   26.6   22.2
   17   0.7552   24.0   20.0
    6   0.6392   21.6   18.0
   33   2.4859   40.7   33.9
    6   1.6608   37.7   31.4
    0   1.0759   29.5   24.6
1,514   2.4805   42.5   35.4
  295   1.9175   38.6   32.2
    9   1.0933   26.6   22.2
  149   0.7868   23.5   19.6
  112   0.5673   20.4   17.0
3,546   0.8920   23.4   19.5
2,219   0.7253   21.7   18.1
  232   0.5766   18.7   15.6
  126   0.7830   19.8   16.5
   82   0.6242   19.0   15.8
   10   0.6242   19.0   15.8
    3   0.6392   21.6   18.0
    1   0.4766   19.2   16.0
    0   0.4766   19.2   16.0
  167   0.7925   21.8   18.2
   46   0.6618   21.6   18.0
    7   0.6392   24.0   20.0
7,670   0.9707   23.9   19.9
2,220   0.7228   20.4   17.0
1,309   0.6086   18.9   15.8
  431   0.4782   16.3   13.6
2,124   0.7654   21.2   17.7
1,787   0.5977   19.5   16.3
   258   0.5038   16.9   14.1
   105   0.7417   21.7   18.1
    70   0.5648   17.7   14.8
    13   0.4766   19.2   16.0
    57   0.7829   20.7   17.3
    29   0.6045   18.5   15.4
     5   0.4766   19.2   16.0
   125   0.6467   20.6   17.2
    16   0.4766   19.2   16.0
   159   0.8262   22.9   19.1
   397   0.8527   22.5   18.8
   151   0.6627   20.8   17.3
14,440   2.0288   33.8   28.2
 1,647   1.1475   22.9   19.1
     0   1.0759   29.5   24.6
     0   1.0933   26.6   22.2
     0   1.0759   29.5   24.6
     0   1.0759   29.5   24.6
     0   1.0933   26.6   22.2
     0   1.0759   29.5   24.6
     0   1.0759   29.5   24.6
     1   1.6608   37.7   31.4
     0   1.0933   26.6   22.2
     0   1.6608   37.7   31.4
     0   1.0933   26.6   22.2
    11   1.6608   37.7   31.4
     2   1.6608   37.7   31.4
     0   1.4677   31.6   26.3
     0   1.0759   29.5   24.6
     0   1.0759   29.5   24.6
     0   1.0933   26.6   22.2
     0   1.0759   29.5   24.6
     0   1.0933   26.6   22.2
     0   1.0759   29.5   24.6
     0   1.0933   26.6   22.2
     0   1.0759   29.5   24.6
     2   1.0933   26.6   22.2
     0   1.0759   29.5   24.6
   137   1.5489   39.1   32.6
    59   1.1037   34.3   28.6
     3   0.7552   24.0   20.0
     6   1.6608   37.7   31.4
     7   1.0933   26.6   22.2
     3   1.0933   26.6   22.2
     1   1.6608   37.7   31.4
     0   1.4677   31.6   26.3
     0   1.0759   29.5   24.6
     0   1.4677   31.6   26.3
     0   1.0759   29.5   24.6
     4   1.6608   37.7   31.4
     0   1.6608   37.7   31.4
   132   1.4677   31.6   26.3
   57   1.0759   29.5   24.6
    1   1.0759   29.5   24.6
   46   1.2906   34.3   28.6
   29   0.9007   28.1   23.4
    2   0.6392   21.6   18.0
    0   0.6392   21.6   18.0
    1   0.6392   21.6   18.0
    6   1.6608   37.7   31.4
    0   0.6392   21.6   18.0
    0   0.6392   21.6   18.0
    0   0.4497   19.2   16.0
  542   1.0418   30.9   25.8
    0   0.6392   21.6   18.0
  264   0.7487   22.3   18.6
  114   0.5579   19.7   16.4
   24   0.5579   19.7   16.4
   40   0.9575   19.6   16.3
    9   0.6392   21.6   18.0
    2   0.6392   21.6   18.0
   10   1.0933   26.6   22.2
    5   1.0933   26.6   22.2
  638   0.9920   26.2   21.8
  206   0.8048   26.8   22.3
   21   0.7552   24.0   20.0
1,430   0.7390   21.5   17.9
  734   0.5980   20.1   16.8
  153   0.5294   18.8   15.7
    5   0.6392   21.6   18.0
    0   0.6392   21.6   18.0
    0   0.9575   19.6   16.3
    0   0.6392   21.6   18.0
    0   0.6392   21.6   18.0
  672   0.7874   23.6   19.7
  774   0.5919   22.3   18.6
   61   0.4497   19.2   16.0
   30   0.7104   22.8   19.0
   25   0.4330   17.3   14.4
    9   1.0933   26.6   22.2
   27   0.4536   18.9   15.8
   73   0.7982   21.7   18.1
   36   0.7500   25.6   21.3
  115   0.7349   22.8   19.0
   85   0.5777   20.6   17.2
   23   0.4766   19.2   16.0
    4   0.6392   21.6   18.0
   38   0.4661   19.1   15.9
    2   0.4766   19.2   16.0
1,366   0.8918   23.5   19.6
  278   0.6180   21.3   17.8
   45   0.5117   18.5   15.4
   24   1.6608   37.7   31.4
    6   0.7552   24.0   20.0
  0   0.7552   24.0   20.0
 35   2.2203   39.6   33.0
 14   1.6608   37.7   31.4
  1   0.7552   24.0   20.0
  0   1.6999   37.1   30.9
  0   1.2902   33.5   27.9
  0   1.2902   33.5   27.9
  6   1.6608   37.7   31.4
  0   1.6608   37.7   31.4
  0   1.6608   37.7   31.4
  1   1.0933   26.6   22.2
  0   0.7081   22.5   18.8
  0   0.5434   19.1   15.9
  0   0.9458   24.5   20.4
  0   0.7081   22.5   18.8
  0   0.5434   19.1   15.9
  1   1.0933   26.6   22.2
  0   1.0933   26.6   22.2
  0   1.0933   26.6   22.2
  5   1.0933   26.6   22.2
  2   0.7552   24.0   20.0
  0   0.7552   24.0   20.0
  1   0.4766   19.2   16.0
  0   0.4766   19.2   16.0
  0   0.4766   19.2   16.0
  1   1.0933   26.6   22.2
  1   1.0933   26.6   22.2
  0   1.0933   26.6   22.2
118   1.6999   37.1   30.9
 46   1.2902   33.5   27.9
  0   1.2902   33.5   27.9
 34   0.9890   26.3   21.9
 13   0.9890   26.3   21.9
  1   0.4766   19.2   16.0
840   0.9458   24.5   20.4
365   0.7081   22.5   18.8
 37   0.5434   19.1   15.9
109   1.0220   25.0   20.8
 61   0.6836   21.9   18.3
  4   0.4766   19.2   16.0
 76   0.9713   24.3   20.3
 41   0.5877   20.1   16.8
  8   0.5877   20.1   16.8
 16   1.0933   26.6   22.2
 17   0.7552   24.0   20.0
  1   0.7552   24.0   20.0
  8   0.7552   24.0   20.0
  5   0.6392   21.6   18.0
 31   1.2583   26.8   22.3
 19   0.6392   21.6   18.0
  2   0.4766   19.2   16.0
181   1.0107   23.9   19.9
 96   0.7201   21.1   17.6
 14   0.6392   21.6   18.0
369   0.8782   23.4   19.5
239   0.6273   21.1   17.6
840   1.0940   27.1   22.6
446   0.7549   23.0   19.2
 39   0.6000   19.8   16.5
 10   1.6608   37.7   31.4
  4   1.6608   37.7   31.4
  0   1.6608   37.7   31.4
  0   0.7552   24.0   20.0
  0   0.7552   24.0   20.0
  0   0.7552   24.0   20.0
  0   0.6392   21.6   18.0
  0   0.6392   21.6   18.0
  0   0.6392   21.6   18.0
  6   1.6608   37.7   31.4
  0   0.6392   21.6   18.0
  0   0.6392   21.6   18.0
  9   1.6608   37.7   31.4
  2   0.6392   21.6   18.0
  0   0.6392   21.6   18.0
  2   1.6608   37.7   31.4
  0   0.7552   24.0   20.0
  0   0.7552   24.0   20.0
 18   1.0933   26.6   22.2
  4   0.7552   24.0   20.0
  0   0.7552   24.0   20.0
 66   0.6883   19.9   16.6
 22   0.6392   21.6   18.0
  0   0.6392   21.6   18.0
 33   0.7643   21.2   17.7
 22   0.6392   21.6   18.0
  2   0.4766   19.2   16.0
315   1.0684   24.5   20.4
126   0.8237   20.7   17.3
 12   0.4766   19.2   16.0
168   0.8154   22.0   18.3
 69   0.6446   22.1   18.4
  8   0.4766   19.2   16.0
117   0.8346   22.6   18.8
 47   0.5926   21.0   17.5
  9   0.4766   19.2   16.0
  2   1.6608   37.7   31.4
  1   1.6608   37.7   31.4
  0   1.6608   37.7   31.4
  1   1.6608   37.7   31.4
  1   1.6608   37.7   31.4
  0   1.6608   37.7   31.4
  3   1.6608   37.7   31.4
  0   1.6608   37.7   31.4
  0   1.6608   37.7   31.4
  0   1.6608   37.7   31.4
582   1.4511   38.7   32.3
556   1.1279   36.3   30.3
 61   0.9286   32.7   27.3
  5   1.6608   37.7   31.4
  6   1.6608   37.7   31.4
  0   1.6608   37.7   31.4
  1   1.6608   37.7   31.4
  3   1.6608   37.7   31.4
  3   1.0933   26.6   22.2
  2   0.7552   24.0   20.0
  0   0.7552   24.0   20.0
 88   1.3506   35.8   29.8
 70   1.0702   32.4   27.0
  4   0.7552   24.0   20.0
 34   1.3553   35.4   29.5
 27   1.3040   39.1   32.6
  3   0.6392   21.6   18.0
 13   1.6608   37.7   31.4
  8   1.6608   37.7   31.4
  0   1.6608   37.7   31.4
  0   1.6608   37.7   31.4
  0   1.6608   37.7   31.4
  8   1.6608   37.7   31.4
  4   1.6608   37.7   31.4
  1   1.0933   26.6   22.2
  4   1.0933   26.6   22.2
  0   1.0933   26.6   22.2
  4   1.0933   26.6   22.2
  0   1.0933   26.6   22.2
  4   1.6608   37.7   31.4
  9   0.7552   24.0   20.0
  0   0.7552   24.0   20.0
 30   1.2956   37.8   31.5
 39   1.0692   34.0   28.3
  6   0.6392   21.6   18.0
 19   1.6608   37.7   31.4
  1   0.7552   24.0   20.0
106   1.3940   36.8   30.7
 66   1.0254   32.8   27.3
  7   1.0254   32.8   27.3
 24   1.0933   26.6   22.2
 28   1.0376   31.2   26.0
  4   1.0376   31.2   26.0
  0   1.0933   26.6   22.2
  2   1.6608   37.7   31.4
  0   1.6608   37.7   31.4
  0   1.0376   31.2   26.0
  3   1.0933   26.6   22.2
  2   0.7552   24.0   20.0
  0   0.7552   24.0   20.0
  9   1.0933   26.6   22.2
    1   1.0933   26.6   22.2
   45   1.1914   30.1   25.1
   21   1.0933   26.6   22.2
    3   0.6392   21.6   18.0
    0   1.6608   37.7   31.4
    1   0.4766   19.2   16.0
   15   0.6392   21.6   18.0
   11   0.4766   19.2   16.0
    1   1.0933   26.6   22.2
    0   1.0933   26.6   22.2
1,279   1.0283   30.0   25.0
1,264   0.8004   28.7   23.9
  201   0.6962   26.7   22.3
   40   0.7953   23.6   19.7
   34   0.6149   21.6   18.0
    2   0.4766   19.2   16.0
   55   0.8053   21.8   18.2
   31   0.5615   21.2   17.7
    4   0.4766   19.2   16.0
  225   0.8577   26.9   22.4
  173   0.7354   25.6   21.3
   62   0.5233   23.5   19.6
  104   0.8996   27.3   22.8
  128   0.5894   23.0   19.2
   16   0.6392   21.6   18.0
   35   0.4674   20.0   16.7
    7   0.7552   24.0   20.0
   18   0.4766   19.2   16.0
  112   0.8769   24.5   20.4
  126   0.7061   23.2   19.3
1,558   0.8153   25.8   21.5
1,578   0.6780   25.4   21.2
  429   0.5327   22.1   18.4
   22   0.7552   24.0   20.0
    8   0.7552   24.0   20.0
  335   0.8934   24.6   20.5
  266   0.6839   24.1   20.1
   31   0.5185   21.4   17.8
1,842   1.3740   37.9   31.6
1,371   1.0133   35.1   29.3
   97   0.8023   28.7   23.9
   43   1.2370   32.3   26.9
   26   0.9539   31.7   26.4
    6   0.4766   19.2   16.0
  555   1.3281   35.9   29.9
  295   0.9368   32.0   26.7
   23   0.7552   24.0   20.0
    4   0.7552   24.0   20.0
    0   0.7552   24.0   20.0
    3   0.7552   24.0   20.0
    0   0.7552   24.0   20.0
3,621   0.9291   26.7   22.3
2,483   0.6876   25.5   21.3
  222   0.5712   22.2   18.5
   35   0.6821   22.9   19.1
   34   0.4965   19.9   16.6
   10   0.7552   24.0   20.0
    8   0.6392   21.6   18.0
    0   0.6392   21.6   18.0
   18   0.6392   21.6   18.0
    3   0.4766   19.2   16.0
  943   0.7077   22.6   18.8
1,429   0.5157   19.3   16.1
   44   0.8435   25.6   21.3
   45   0.5798   21.0   17.5
   88   1.1918   27.0   22.5
  103   0.5715   21.6   18.0
    0   1.0434   32.0   26.7
    0   1.0434   32.0   26.7
   61   1.5849   38.4   32.0
  151   1.1006   31.3   26.1
    0   1.1006   31.3   26.1
    1   1.6608   37.7   31.4
    2   0.7552   24.0   20.0
    0   0.7552   24.0   20.0
  119   1.2575   33.7   28.1
  342   0.9963   30.9   25.8
   12   0.9963   30.9   25.8
    0   1.3071   33.6   28.0
    0   1.0434   32.0   26.7
    0   1.0434   32.0   26.7
   58   1.3071   33.6   28.0
  122   1.0434   32.0   26.7
    0   1.0434   32.0   26.7
  423   0.8786   25.9   21.6
1,176   0.6952   24.3   20.3
   38   0.4056   18.0   15.0
  670   0.8153   22.3   18.6
  515   0.6443   21.2   17.7
    7   1.0933   26.6   22.2
   19   0.7552   24.0   20.0
   19   0.6392   21.6   18.0
    4   0.4766   19.2   16.0
    0   0.0000    0.0    0.0
    0   0.7552   24.0   20.0
    0   0.7552   24.0   20.0
    0   0.7552   24.0   20.0
    2   0.7552   24.0   20.0
    0   0.7552   24.0   20.0
    0   0.7552   24.0   20.0
    4   1.6608   37.7   31.4
    9   0.7552   24.0   20.0
    0   0.7552   24.0   20.0
    2   1.6608   37.7   31.4
    3   0.6392   21.6   18.0
    0   0.6392   21.6   18.0
    0   0.7552   24.0   20.0
    1   0.7552   24.0   20.0
    1   0.4766   19.2   16.0
    4   0.7552   24.0   20.0
    7   0.7552   24.0   20.0
    0   0.7552   24.0   20.0
    2   1.0933   26.6   22.2
    0   1.0933   26.6   22.2
  151   1.3257   32.1   26.8
   56   0.9676   29.0   24.2
    5   0.6392   21.6   18.0
1,470   0.9030   23.4   19.5
  578   0.7180   22.1   18.4
   35   0.5141   17.7   14.8
   10   0.6392   21.6   18.0
   31   0.7953   23.5   19.6
   19   0.7552   24.0   20.0
    0   0.7552   24.0   20.0
  888   0.6733   22.6   18.8
  702   0.5296   19.9   16.6
    1   1.0933   26.6   22.2
    0   0.4766   19.2   16.0
    5   0.7552   24.0   20.0
    2   0.4766   19.2   16.0
    3   0.7552   24.0   20.0
    2   0.4766   19.2   16.0
    1   0.6392   21.6   18.0
  235   0.8760   23.4   19.5
  145   0.7211   22.4   18.7
   14   0.6392   21.6   18.0
    0   0.7552   24.0   20.0
    0   0.7552   24.0   20.0
    2   1.6608   37.7   31.4
    0   1.6608   37.7   31.4
    8   1.0933   26.6   22.2
    0   1.0933   26.6   22.2
    1   1.6608   37.7   31.4
    0   0.7552   24.0   20.0
    0   1.6608   37.7   31.4
    0   1.6608   37.7   31.4
   12   1.6608   37.7   31.4
    0   1.6608   37.7   31.4
    8   0.6392   21.6   18.0
   10   0.6392   21.6   18.0
    0   0.6392   21.6   18.0
    4   0.4766   19.2   16.0
    1   0.4766   19.2   16.0
   66   0.7689   24.0   20.0
   66   0.4964   20.9   17.4
   72   0.8669   24.0   20.0
 1   0.4766   19.2   16.0
 0   1.6608   37.7   31.4
 0   1.6608   37.7   31.4
 0   0.9345   22.3   18.6
 0   0.7552   24.0   20.0
 0   0.7552   24.0   20.0
 0   1.3071   33.6   28.0
 0   0.7552   24.0   20.0
 0   0.7552   24.0   20.0
 0   0.7552   24.0   20.0
 0   0.7552   24.0   20.0
 0   0.7552   24.0   20.0
 0   0.7552   24.0   20.0
 1   0.6392   21.6   18.0
 1   0.6392   21.6   18.0
 0   0.7552   24.0   20.0
 4   0.7552   24.0   20.0
 0   0.7552   24.0   20.0
25   0.9345   22.3   18.6
17   0.7552   24.0   20.0
 0   0.7552   24.0   20.0
78   0.8737   24.2   20.2
35   0.7902   21.3   17.8
 2   0.6392   21.6   18.0
11   0.7552   24.0   20.0
 0   0.7552   24.0   20.0
 0   1.0434   32.0   26.7
 0   1.0434   32.0   26.7
 0   1.0434   32.0   26.7
 0   1.0434   32.0   26.7
 0   1.0434   32.0   26.7
 0   1.0434   32.0   26.7
 0   1.0434   32.0   26.7
 0   1.0434   32.0   26.7
 1   1.6608   37.7   31.4
 0   1.0434   32.0   26.7
 0   0.6392   21.6   18.0
 0   0.6392   21.6   18.0
 0   0.6392   21.6   18.0
 3   0.7552   24.0   20.0
 0   0.7552   24.0   20.0
 0   0.7552   24.0   20.0
 0   0.7552   24.0   20.0
 0   0.7552   24.0   20.0
 0   0.7552   24.0   20.0
 0   0.7552   24.0   20.0
 0   0.7552   24.0   20.0
 0   0.7552   24.0   20.0
 0   1.0933   26.6   22.2
 1   1.0933   26.6   22.2
 0   1.0933   26.6   22.2
 3   1.6608   37.7   31.4
    3   0.6392   21.6   18.0
    0   0.6392   21.6   18.0
   13   0.6904   19.7   16.4
   16   0.6904   19.7   16.4
    0   0.5548   19.7   16.4
   39   0.8250   22.1   18.4
   38   0.5548   19.7   16.4
   42   0.8179   22.1   18.4
   10   1.0933   26.6   22.2
    9   0.6392   21.6   18.0
    3   0.4766   19.2   16.0
    0   1.6608   37.7   31.4
    1   0.7552   24.0   20.0
    0   0.7552   24.0   20.0
    2   1.6608   37.7   31.4
    2   1.6608   37.7   31.4
    0   1.6608   37.7   31.4
    0   1.6608   37.7   31.4
    1   1.6608   37.7   31.4
    0   1.6608   37.7   31.4
   14   1.0933   26.6   22.2
    0   1.0933   26.6   22.2
   20   1.0933   26.6   22.2
    9   0.7552   24.0   20.0
    0   0.7552   24.0   20.0
    1   0.6392   21.6   18.0
    0   0.6392   21.6   18.0
    0   0.6392   21.6   18.0
   82   0.9776   23.8   19.8
   56   0.8884   22.1   18.4
   10   0.6392   21.6   18.0
   14   0.8219   22.9   19.1
   13   0.8219   22.9   19.1
    0   0.8219   22.9   19.1
   59   1.5248   30.4   25.3
   41   1.1207   25.1   20.9
    1   1.1207   25.1   20.9
  139   0.8004   22.4   18.7
  749   1.7562   38.1   31.8
  180   1.2120   34.8   29.0
   13   1.0933   26.6   22.2
  314   1.3718   35.0   29.2
  173   1.0359   31.0   25.8
   24   0.7552   24.0   20.0
1,450   0.9496   25.3   21.1
1,097   0.6778   23.2   19.3
    6   0.6392   21.6   18.0
   33   0.7641   23.5   19.6
   18   0.7552   24.0   20.0
  374   1.1325   23.9   19.9
   70   0.6705   21.8   18.2
    6   0.4766   19.2   16.0
1,017   2.1306   32.2   26.8
5,381   0.8650   23.5   19.6
1,434   0.6409   21.7   18.1
    3   1.6608   37.7   31.4
    7   0.4766   19.2   16.0
   24   0.4766   19.2   16.0
   11   0.6392   21.6   18.0
    5   0.4766   19.2   16.0
   83   0.5382   28.0   23.3
1,149   0.4049   23.0   19.2
   62   0.3976   22.5   18.8
    0   0.4766   19.2   16.0
    1   0.6392   21.6   18.0
    1   0.4766   19.2   16.0
   15   0.7552   24.0   20.0
   11   0.4766   19.2   16.0
  215   1.3120   34.1   28.4
  150   1.1853   33.2   27.7
   14   0.7552   24.0   20.0
   79   1.4057   39.2   32.7
    4   0.7552   24.0   20.0
    2   0.7552   24.0   20.0
  128   1.6734   37.9   31.6
   79   1.1627   33.4   27.8
    2   1.0933   26.6   22.2
   65   0.8202   24.3   20.3
   64   0.5688   21.6   18.0
    0   0.4766   19.2   16.0
    0   0.4766   19.2   16.0
   15   1.0933   26.6   22.2
    9   0.4766   19.2   16.0
1,395   1.1109   26.8   22.3
  897   0.7889   25.1   20.9
   80   0.6069   20.2   16.8
    2   1.6608   37.7   31.4
    2   1.6608   37.7   31.4
    1   1.0933   26.6   22.2
    9   1.0933   26.6   22.2
    0   0.8231   26.6   22.2
    7   0.7552   24.0   20.0
   36   0.8231   26.6   22.2
   41   0.9214   25.3   21.1
  236   1.4017   34.4   28.7
  105   0.9985   32.1   26.8
   12   0.7552   24.0   20.0
2,069   0.6439   21.9   18.3
  201   0.4164   18.7   15.6
   51   0.7667   23.0   19.2
   56   0.4992   19.9   16.6
3,411   0.6836   22.2   18.5
  263   0.4421   17.1   14.3
   76   1.5107   32.0   26.7
                             0         0.4766             19.2             16.0
                             0         1.6608             37.7             31.4
                             3         1.6608             37.7             31.4
                             2         1.0933             26.6             22.2
                             0         1.0933             26.6             22.2
                            17         1.0933             26.6             22.2
                             6         0.4766             19.2             16.0
                             2         0.4766             19.2             16.0
                            19         1.6608             37.7             31.4
                             3         1.6608             37.7             31.4
                           220         1.0349             22.6             18.8
                            65         0.7605             20.2             16.8
                             8         0.4766             19.2             16.0
                            54         0.5768             18.8             15.7
                         1,143         2.3236             42.9             35.8
                           307         1.3447             34.8             29.0
                            15         1.0933             26.6             22.2
                            13         1.6608             37.7             31.4
                             5         1.6608             37.7             31.4
                             1         0.6392             21.6             18.0
                           431         1.7366             37.6             31.3
                           181         1.0874             31.7             26.4
                             8         1.0874             31.7             26.4
                             0         0.0000              0.0              0.0
                             0         0.0000              0.0              0.0




mination of the RY 2010 MS-LTC-DRG relative weights. As discussed in the


RG (as specified in §412.529(a) in conjunction with §412.503).

								
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