[Federal Register: May 9, 2002 (Volume 67, Number 90)] [Proposed Rules] [Page 31603-31652] From the Federal Register Online via GPO Access [wais.access.gpo.gov] [DOCID:fr09my02-31] [[pp. 31603-31652]] Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2003 Rates [[Continued from page 31602]] [[Page 31601]] Little Rock-North Little Rock, AR................. 20.7992 19.9953 Longview-Marshall, TX............................. 19.7471 19.4279 Los Angeles-Long Beach, CA........................ 27.6569 26.7968 Louisville, KY-IN................................. 21.8834 21.1577 Lubbock, TX....................................... 17.7930 18.8697 Lynchburg, VA..................................... 21.4112 20.3454 Macon, GA......................................... 21.2905 20.2752 Madison, WI....................................... 23.4267 22.9567 Mansfield, OH..................................... 20.6712 19.6802 Mayaguez, PR...................................... 11.3157 10.6879 McAllen-Edinburg-Mission, TX...................... 19.3599 18.9086 Medford-Ashland, OR............................... 24.3865 23.3354 Melbourne-Titusville-Palm Bay, FL................. 24.7923 22.7180 Memphis, TN-AR-MS................................. 20.3251 19.7569 Merced, CA........................................ 22.8511 21.9541 Miami, FL......................................... 22.6833 22.2549 Middlesex-Somerset-Hunterdon, NJ.................. 26.3374 25.3182 Milwaukee-Waukesha, WI............................ 22.7676 22.0856 Minneapolis-St. Paul, MN-WI....................... 25.2239 24.5477 Missoula, MT...................................... 21.2713 20.8023 Mobile, AL........................................ 18.8082 18.2018 Modesto, CA....................................... 24.3874 23.6713 Monmouth-Ocean, NJ................................ 25.9158 24.8978 Monroe, LA........................................ 18.8342 18.4736 Montgomery, AL.................................... 17.8451 16.9642 Muncie, IN........................................ 21.0399 22.2998 Myrtle Beach, SC.................................. 21.0194 19.6847 Naples, FL........................................ 22.5429 21.7594 Nashville, TN..................................... 21.7439 21.3869 Nassau-Suffolk, NY................................ 30.9070 30.5534 New Haven-Bridgeport-Stamford-Waterbury-Danbury, 28.6474 27.5560 CT............................................... New London-Norwich, CT............................ 27.2742 26.4332 New Orleans, LA................................... 20.8098 20.4020 New York, NY...................................... 32.3513 32.1379 Newark, NJ........................................ 26.4531 26.0261 Newburgh, NY-PA................................... 26.2921 24.9278 Norfolk-Virginia Beach-Newport News, VA-NC........ 19.6667 19.0225 Oakland, CA....................................... 35.0027 33.9458 Ocala, FL......................................... 21.9054 21.0412 Odessa-Midland, TX................................ 21.2320 21.2696 Oklahoma City, OK................................. 20.6894 19.7355 Olympia, WA....................................... 25.4588 24.6677 Omaha, NE-IA...................................... 23.1988 21.8834 Orange County, CA................................. 26.6831 25.4624 Orlando, FL....................................... 21.9294 21.4758 Owensboro, KY..................................... 19.0457 18.4790 Panama City, FL................................... 20.5244 20.1345 Parkersburg-Marietta, WV-OH....................... 18.8778 18.3560 Pensacola, FL..................................... 19.9673 18.7468 Peoria-Pekin, IL.................................. 20.3592 19.5705 Philadelphia, PA-NJ............................... 24.5469 24.2416 Phoenix-Mesa, AZ.................................. 21.9868 21.5339 Pine Bluff, AR.................................... 18.0874 17.5370 Pittsburgh, PA.................................... 21.6212 21.3813 Pittsfield, MA.................................... 23.4852 22.9215 Pocatello, ID..................................... 19.6333 20.1279 Ponce, PR......................................... 12.0062 11.5028 Portland, ME...................................... 22.8379 21.6951 Portland-Vancouver, OR-WA......................... 24.7759 24.4428 Providence-Warwick, RI............................ 24.2778 24.0071 Provo-Orem, UT.................................... 23.4308 22.3948 Pueblo, CO........................................ 20.3670 19.5929 Punta Gorda, FL................................... 17.3909 18.1956 Racine, WI........................................ 21.6444 20.8817 Raleigh-Durham-Chapel Hill, NC.................... 23.1852 22.0116 Rapid City, SD.................................... 20.5485 19.8947 Reading, PA....................................... 21.4029 20.8900 Redding, CA....................................... 25.8663 25.3801 Reno, NV.......................................... 24.5213 23.5887 Richland-Kennewick-Pasco, WA...................... 26.6936 25.3323 Richmond-Petersburg, VA........................... 22.3862 21.6142 Riverside-San Bernardino, CA...................... 25.8718 24.9920 Roanoke, VA....................................... 20.0117 19.2433 Rochester, MN..................................... 28.1983 26.1811 Rochester, NY..................................... 21.0003 20.5991 Rockford, IL...................................... 21.7440 20.5098 Rocky Mount, NC................................... 21.4359 20.3593 Sacramento, CA.................................... 26.7257 26.3878 Saginaw-Bay City-Midland, MI...................... 22.3260 21.5138 St. Cloud, MN..................................... 22.4364 22.0902 \1\ St. Joseph, MO................................ ......... 19.7467 St. Louis, MO-IL.................................. 20.4806 20.0376 Salem, OR......................................... 24.0818 22.8500 Salinas, CA....................................... 33.9674 32.7871 Salt Lake City-Ogden, UT.......................... 23.0757 22.1425 San Angelo, TX.................................... 18.2955 18.0306 San Antonio, TX................................... 19.8888 19.2241 San Diego, CA..................................... 25.8535 25.5476 San Francisco, CA................................. 32.8557 31.7475 San Jose, CA...................................... 32.5657 31.2857 San Juan-Bayamon, PR.............................. 10.8224 10.5408 San Luis Obispo-Atascadero-Paso Robles, CA........ 26.1821 24.6268 Santa Barbara-Santa Maria-Lompoc, CA.............. 24.3466 23.8325 Santa Cruz-Watsonville, CA........................ 31.3417 31.0243 Santa Fe, NM...................................... 24.8842 23.5075 Santa Rosa, CA.................................... 30.3046 28.9555 Sarasota-Bradenton, FL............................ 21.4760 21.7771 Savannah, GA...................................... 22.9060 22.0969 Scranton-Wilkes Barre-Hazleton, PA................ 19.5725 19.0594 Seattle-Bellevue-Everett, WA...................... 26.6067 25.2916 Sharon, PA........................................ 18.2710 17.7451 Sheboygan, WI..................................... 20.1510 19.0711 Sherman-Denison, TX............................... 21.4636 20.3959 Shreveport-Bossier City, LA....................... 20.2644 19.8410 Sioux City, IA-NE................................. 21.0135 19.6404 Sioux Falls, SD................................... 20.9214 20.1349 South Bend, IN.................................... 22.7694 22.2819 Spokane, WA....................................... 25.2044 23.9682 Springfield, IL................................... 19.9008 19.3840 Springfield, MO................................... 19.5680 19.0448 Springfield, MA................................... 25.4001 24.2504 State College, PA................................. 20.7690 20.2726 Steubenville-Weirton, OH-WV....................... 20.4503 19.4333 Stockton-Lodi, CA................................. 24.0178 23.7561 Sumter, SC........................................ 18.8535 18.0764 Syracuse, NY...................................... 21.8886 21.3766 Tacoma, WA........................................ 25.4131 25.5054 Tallahassee, FL................................... 19.6007 19.0869 Tampa-St. Petersburg-Clearwater, FL............... 20.9878 20.1427 Terre Haute, IN................................... 19.9743 19.0303 Texarkana, AR-Texarkana, TX....................... 18.7416 18.5107 Toledo, OH........................................ 22.6790 21.9714 Topeka, KS........................................ 20.5859 20.0981 Trenton, NJ....................................... 24.6268 23.3224 Tucson, AZ........................................ 20.6783 19.9418 Tulsa, OK......................................... 19.3121 19.1851 Tuscaloosa, AL.................................... 18.9045 18.2544 Tyler, TX......................................... 22.1901 21.3538 Utica-Rome, NY.................................... 19.6508 18.9705 Vallejo-Fairfield-Napa, CA........................ 30.9785 29.7068 Ventura, CA....................................... 25.7748 24.7503 Victoria, TX...................................... 20.2675 18.8655 Vineland-Millville-Bridgeton, NJ.................. 23.6746 23.2888 Visalia-Tulare-Porterville, CA.................... 21.6029 21.2747 Waco, TX.......................................... 20.2402 18.4397 Washington, DC-MD-VA-WV........................... 24.9537 24.2243 Waterloo-Cedar Falls, IA.......................... 18.7281 18.3305 Wausau, WI........................................ 22.7239 21.6241 West Palm Beach-Boca Raton, FL.................... 22.8320 21.9092 Wheeling, OH-WV................................... 17.8084 17.4900 Wichita, KS....................................... 22.0087 21.3928 Wichita Falls, TX................................. 18.4488 17.5804 Williamsport, PA.................................. 19.8310 18.8540 Wilmington-Newark, DE-MD.......................... 25.9552 24.8359 Wilmington, NC.................................... 21.7789 21.1031 Yakima, WA........................................ 24.5502 23.1867 Yolo, CA.......................................... 21.9147 21.8929 [[Page 31602]] York, PA.......................................... 21.0167 20.7492 Youngstown-Warren, OH............................. 21.8109 21.2943 Yuba City, CA..................................... 23.7087 23.3825 Yuma, AZ.......................................... 19.9517 20.2223 ------------------------------------------------------------------------ \1\ The MSA is empty for FY 2003. The hospital(s) in the MSA received rural status under Section 401 of the Balanced Budget Refinement Act of 1999 (P.L. 106-113). The MSA is assigned the statewide rural wage index (see Table 4B). Table 3B.--FY 2003 and 3-Year* Average Hourly Wage for Rural Areas [*Based on the sum of the salaries and hours computed for Federal FYs 2001, 2002, and 2003] ------------------------------------------------------------------------ FY 2003 3-Year average average Nonurban area hourly hourly wage wage ------------------------------------------------------------------------ Alabama........................................... 17.9036 16.8484 Alaska............................................ 28.3370 27.2338 Arizona........................................... 19.5067 19.0116 Arkansas.......................................... 17.6380 16.8439 California........................................ 22.8280 21.9650 Colorado.......................................... 20.9354 20.0304 Connecticut....................................... 28.7896 27.0512 Delaware.......................................... 20.9850 20.7345 Florida........................................... 20.4812 19.8506 Georgia........................................... 18.9804 18.5484 Hawaii............................................ 23.7802 24.2085 Idaho............................................. 20.2336 19.5324 Illinois.......................................... 19.0881 18.2692 Indiana........................................... 20.2273 19.4705 Iowa.............................................. 19.3039 18.3140 Kansas............................................ 18.3139 17.4523 Kentucky.......................................... 18.5767 17.8667 Louisiana......................................... 17.5606 17.0801 Maine............................................. 20.1286 19.5633 Maryland.......................................... 20.3626 19.6588 Massachusetts..................................... 25.8847 25.2714 Michigan.......................................... 20.5663 20.0744 Minnesota......................................... 21.2683 20.2498 Mississippi....................................... 17.8117 16.9666 Missouri.......................................... 18.6096 17.6847 Montana........................................... 19.7008 19.3096 Nebraska.......................................... 19.0466 18.2894 Nevada............................................ 21.8882 21.2045 New Hampshire..................................... 22.7236 21.9972 New Jersey \1\.................................... ......... ......... New Mexico........................................ 19.8780 19.2303 New York.......................................... 19.8523 19.1400 North Carolina.................................... 20.0381 19.1521 North Dakota...................................... 18.0060 17.4398 Ohio.............................................. 19.9481 19.3896 Oklahoma.......................................... 17.6227 16.9222 Oregon............................................ 23.9321 22.8031 Pennsylvania...................................... 19.6030 19.1490 Puerto Rico....................................... 10.1187 10.0248 Rhode Island \1\.................................. ......... ......... South Carolina.................................... 19.7928 19.0083 South Dakota...................................... 18.1545 17.3648 Tennessee......................................... 18.1050 17.6144 Texas............................................. 17.8263 17.1186 Utah.............................................. 21.6749 20.5059 Vermont........................................... 21.6208 20.9793 Virginia.......................................... 19.5315 18.5749 Washington........................................ 23.6253 23.0484 West Virginia..................................... 18.5169 18.1434 Wisconsin......................................... 21.2222 20.2660 Wyoming........................................... 20.4416 19.7159 ------------------------------------------------------------------------ \1\ All counties within the State are classified as urban. Table 4A.--Wage Index and Capital Geographic Adjustment Factor (GAF) for Urban Areas ------------------------------------------------------------------------ Wage Urban area (constituent counties) index GAF ------------------------------------------------------------------------ 0040 Abilene, TX................................... 0.9268 0.9493 Taylor, TX 0060 Aguadilla, PR................................. 0.4634 0.5905 Aguada, PR Aguadilla, PR Moca, PR 0080 Akron, OH..................................... 0.9685 0.9783 Portage, OH Summit, OH 0120 Albany, GA.................................... 1.0835 1.0565 Dougherty, GA Lee, GA 0160 \2\ Albany-Schenectady-Troy, NY............... 0.8633 0.9042 Albany, NY Montgomery, NY Rensselaer, NY Saratoga, NY Schenectady, NY Schoharie, NY 0200 Albuquerque, NM............................... 0.9372 0.9566 Bernalillo, NM Sandoval, NM Valencia, NM 0220 Alexandria, LA................................ 0.7929 0.8531 Rapides, LA 0240 Allentown-Bethlehem-Easton, PA................ 0.9833 0.9885 Carbon, PA Lehigh, PA Northampton, PA 0280 Altoona, PA................................... 0.9300 0.9515 Blair, PA 0320 Amarillo, TX -Potter, TX...................... 0.9051 0.9340 Randall, TX 0380 Anchorage, AK................................. 1.2610 1.1721 Anchorage, AK 0440 Ann Arbor, MI................................. 1.1217 1.0818 Lenawee, MI Livingston, MI Washtenaw, MI 0450 Anniston, AL.................................. 0.8126 0.8675 Calhoun, AL 0460 \2\ Appleton-Oshkosh-Neenah, WI............... 0.9229 0.9465 Calumet, WI Outagamie, WI Winnebago, WI 0470 \2\ Arecibo, PR............................... 0.4400 0.5699 Arecibo, PR Camuy, PR Hatillo, PR 0480 Asheville, NC................................. 0.9682 0.9781 Buncombe, NC Madison, NC 0500 Athens, GA.................................... 1.0308 1.0210 Clarke, GA Madison, GA Oconee, GA 0520 \1\ Atlanta, GA............................... 1.0091 1.0062 Barrow, GA Bartow, GA Carroll, GA Cherokee, GA Clayton, GA Cobb, GA Coweta, GA DeKalb, GA Douglas, GA Fayette, GA Forsyth, GA Fulton, GA Gwinnett, GA Henry, GA Newton, GA Paulding, GA Pickens, GA Rockdale, GA Spalding, GA Walton, GA 0560 Atlantic-Cape May, NJ......................... 1.1058 1.0713 Atlantic, NJ Cape May, NJ 0580 Auburn-Opelika, AL............................ 0.8306 0.8806 Lee, AL 0600 Augusta-Aiken, GA-SC.......................... 1.0364 1.0248 Columbia, GA McDuffie, GA Richmond, GA Aiken, SC Edgefield, SC 0640 \1\ Austin-San Marcos, TX..................... 0.9529 0.9675 Bastrop, TX Caldwell, TX Hays, TX Travis, TX Williamson, TX 0680 Bakersfield, CA............................... 1.0186 1.0127 Kern, CA 0720 \1\ Baltimore, MD............................. 0.9757 0.9833 Anne Arundel, MD Baltimore, MD [[Page 31603]] Baltimore City, MD Carroll, MD Harford, MD Howard, MD Queen Anne's, MD 0733 Bangor, ME.................................... 0.9791 0.9856 Penobscot, ME 0743 Barnstable-Yarmouth, MA....................... 1.3127 1.2048 Barnstable, MA 0760 Baton Rouge, LA............................... 0.8388 0.8866 Ascension, LA East Baton Rouge, LA Livingston, LA West Baton Rouge, LA 0840 Beaumont-Port Arthur, TX...................... 0.8389 0.8867 Hardin, TX Jefferson, TX Orange, TX 0860 Bellingham, WA................................ 1.2407 1.1592 Whatcom, WA 0870 Benton Harbor, MI............................. 0.9072 0.9355 Berrien, MI 0875 \1\ Bergen-Passaic, NJ........................ 1.2100 1.1394 Bergen, NJ Passaic, NJ 0880 Billings, MT.................................. 0.9114 0.9384 Yellowstone, MT 0920 Biloxi-Gulfport-Pascagoula, MS................ 0.8830 0.9183 Hancock, MS Harrison, MS Jackson, MS 0960 \2\ Binghamton, NY............................ 0.8633 0.9042 Broome, NY Tioga, NY 1000 Birmingham, AL................................ 0.9301 0.9516 Blount, AL Jefferson, AL St. Clair, AL Shelby, AL 1010 Bismarck, ND.................................. 0.7881 0.8495 Burleigh, ND Morton, ND 1020 Bloomington, IN............................... 0.8997 0.9302 Monroe, IN 1040 Bloomington-Normal, IL........................ 0.9202 0.9446 McLean, IL 1080 Boise City, ID................................ 0.9403 0.9587 Ada, ID Canyon, ID 1123 \1\ Boston-Worcester-Lawrence-Lowell-Brockton, 1.1304 1.0876 MA-NH.............................................. Bristol, MA Essex, MA Middlesex, MA Norfolk, MA Plymouth, MA Suffolk, MA Worcester, MA Hillsborough, NH Merrimack, NH Rockingham, NH Strafford, NH 1125 Boulder-Longmont, CO.......................... 0.9688 0.9785 Boulder, CO 1145 Brazoria, TX.................................. 0.8617 0.9031 Brazoria, TX 1150 Bremerton, WA................................. 1.1056 1.0712 Kitsap, WA 1240 Brownsville-Harlingen-San Benito, TX.......... 0.8992 0.9298 Cameron, TX 1260 Bryan-College Station, TX..................... 0.8410 0.8882 Brazos, TX 1280 \1\ Buffalo-Niagara Falls, NY................. 0.9464 0.9630 Erie, NY Niagara, NY 1303 Burlington, VT................................ 1.0176 1.0120 Chittenden, VT Franklin, VT Grand Isle, VT 1310 Caguas, PR.................................... 0.4453 0.5746 Caguas, PR Cayey, PR Cidra, PR Gurabo, PR San Lorenzo, PR 1320 Canton-Massillon, OH.......................... 0.9026 0.9322 Carroll, OH Stark, OH 1350 Casper, WY.................................... 0.9788 0.9854 Natrona, WY 1360 Cedar Rapids, IA.............................. 0.9149 0.9409 Linn, IA 1400 Champaign-Urbana, IL.......................... 0.9983 0.9988 Champaign, IL 1440 \2\ Charleston-North Charleston, SC........... 0.8607 0.9024 Berkeley, SC Charleston, SC Dorchester, SC 1480 Charleston, WV................................ 0.8765 0.9137 Kanawha, WV Putnam, WV 1520 \1\ Charlotte-Gastonia-Rock Hill, NC-SC....... 0.9839 0.9889 Cabarrus, NC Gaston, NC Lincoln, NC Mecklenburg, NC Rowan, NC Stanly, NC Union, NC York, SC 1540 Charlottesville, VA........................... 1.0583 1.0396 Albemarle, VA Charlottesville City, VA Fluvanna, VA Greene, VA 1560 Chattanooga, TN-GA............................ 0.9069 0.9353 Catoosa, GA Dade, GA Walker, GA Hamilton, TN Marion, TN 1580 \2\ Cheyenne, WY.............................. 0.8890 0.9226 Laramie, WY 1600 \1\ Chicago, IL............................... 1.1088 1.0733 Cook, IL DeKalb, IL DuPage, IL Grundy, IL Kane, IL Kendall, IL Lake, IL McHenry, IL Will, IL 1620 \2\ Chico-Paradise, CA........................ 0.9934 0.9955 Butte, CA 1640 \1\ Cincinnati, OH-KY-IN...................... 0.9354 0.9553 Dearborn, IN Ohio, IN Boone, KY Campbell, KY Gallatin, KY Grant, KY Kenton, KY Pendleton, KY Brown, OH Clermont, OH Hamilton, OH Warren, OH 1660 Clarksville-Hopkinsville, TN-KY............... 0.8386 0.8864 Christian, KY Montgomery, TN 1680 \1\ Cleveland-Lorain-Elyria, OH............... 0.9295 0.9512 Ashtabula, OH Cuyahoga, OH Geauga, OH Lake, OH Lorain, OH Medina, OH 1720 Colorado Springs, CO.......................... 0.9968 0.9978 El Paso, CO 1740 Columbia, MO.................................. 0.8737 0.9117 Boone, MO 1760 Columbia, SC.................................. 0.8990 0.9297 Lexington, SC Richland, SC 1800 Columbus, GA-AL............................... 0.8450 0.8911 Russell, AL Chattahoochee, GA Harris, GA Muscogee, GA 1840 \1\ Columbus, OH.............................. 0.9705 0.9797 Delaware, OH Fairfield, OH [[Page 31604]] Franklin, OH Licking, OH Madison, OH Pickaway, OH 1880 Corpus Christi, TX............................ 0.8154 0.8696 Nueces, TX San Patricio, TX 1890 Corvallis, OR................................. 1.1569 1.1050 Benton, OR 1900 \2\ Cumberland, MD-WV (MD Hospitals).......... 0.8855 0.9201 Allegany, MD Mineral, WV 1900 \2\ Cumberland, MD-WV (WV Hospitals).......... 0.8053 0.8622 Allegany, MD Mineral, WV 1920 \1\ Dallas, TX................................ 0.9831 0.9884 Collin, TX Dallas, TX Denton, TX Ellis, TX Henderson, TX Hunt, TX Kaufman, TX Rockwall, TX 1950 Danville, VA.................................. 0.8785 0.9151 Danville City, VA Pittsylvania, VA 1960 Davenport-Moline-Rock Island, IA-IL........... 0.8872 0.9213 Scott, IA Henry, IL Rock Island, IL 2000 Dayton-Springfield, OH........................ 0.9378 0.9570 Clark, OH Greene, OH Miami, OH Montgomery, OH 2020 Daytona Beach, FL............................. 0.9133 0.9398 Flagler, FL Volusia, FL 2030 Decatur, AL................................... 0.9066 0.9351 Lawrence, AL Morgan, AL 2040 \2\ Decatur, IL............................... 0.8301 0.8803 Macon, IL 2080 \1\ Denver, CO................................ 1.0401 1.0273 Adams, CO Arapahoe, CO Denver, CO Douglas, CO Jefferson, CO 2120 Des Moines, IA................................ 0.8908 0.9239 Dallas, IA Polk, IA Warren, IA 2160 \1\ Detroit, MI............................... 1.0506 1.0344 Lapeer, MI Macomb, MI Monroe, MI Oakland, MI St. Clair, MI Wayne, MI 2180 Dothan, AL.................................... 0.8028 0.8603 Dale, AL Houston, AL 2190 Dover, DE..................................... 0.9452 0.9621 Kent, DE 2200 Dubuque, IA................................... 0.8801 0.9163 Dubuque, IA 2240 Duluth-Superior, MN-WI........................ 1.0462 1.0314 St. Louis, MN Douglas, WI 2281 Dutchess County, NY........................... 1.0793 1.0536 Dutchess, NY 2290 \2\ Eau Claire, WI............................ 0.9229 0.9465 Chippewa, WI Eau Claire, WI 2320 El Paso, TX................................... 0.9137 0.9401 El Paso, TX 2330 Elkhart-Goshen, IN............................ 0.9851 0.9898 Elkhart, IN 2335 \2\ Elmira, NY................................ 0.8633 0.9042 Chemung, NY 2340 Enid, OK...................................... 0.8387 0.8865 Garfield, OK 2360 Erie, PA...................................... 0.9016 0.9315 Erie, PA 2400 Eugene-Springfield, OR........................ 1.1077 1.0726 Lane, OR 2440 \2\ Evansville-Henderson, IN-KY (IN Hospitals) 0.8796 0.9159 Posey, IN Vanderburgh, IN Warrick, IN Henderson, KY 2440 Evansville-Henderson, IN-KY (KY Hospitals).... 0.8254 0.8769 Posey, IN Vanderburgh, IN Warrick, IN Henderson, KY 2520 Fargo-Moorhead, ND-MN......................... 0.9783 0.9851 Clay, MN Cass, ND 2560 Fayetteville, NC.............................. 0.9055 0.9343 Cumberland, NC 2580 Fayetteville-Springdale-Rogers, AR............ 0.8182 0.8716 Benton, AR Washington, AR 2620 Flagstaff, AZ-UT.............................. 1.0791 1.0535 Coconino, AZ Kane, UT 2640 Flint, MI..................................... 1.1233 1.0829 Genesee, MI 2650 Florence, AL.................................. 0.7960 0.8554 Colbert, AL Lauderdale, AL 2655 Florence, SC.................................. 0.8869 0.9211 Florence, SC 2670 Fort Collins-Loveland, CO..................... 0.9923 0.9947 Larimer, CO 2680 \1\ Ft. Lauderdale, FL........................ 1.0792 1.0536 Broward, FL 2700 Fort Myers-Cape Coral, FL..................... 0.9456 0.9624 Lee, FL 2710 Fort Pierce-Port St. Lucie, FL................ 0.9959 0.9972 Martin, FL St. Lucie, FL 2720 Fort Smith, AR-OK............................. 0.7811 0.8444 Crawford, AR Sebastian, AR Sequoyah, OK 2750 Fort Walton Beach, FL......................... 0.9651 0.9760 Okaloosa, FL 2760 Fort Wayne, IN................................ 0.9499 0.9654 Adams, IN Allen, IN De Kalb, IN Huntington, IN Wells, IN Whitley, IN 2800 \1\ Forth Worth-Arlington, TX................. 0.9620 0.9738 Hood, TX Johnson, TX Parker, TX Tarrant, TX 2840 Fresno, CA.................................... 1.0340 1.0232 Fresno, CA Madera, CA 2880 Gadsden, AL................................... 0.8684 0.9079 Etowah, AL 2900 Gainesville, FL............................... 0.9730 0.9814 Alachua, FL 2920 Galveston-Texas City, TX...................... 0.9603 0.9726 Galveston, TX 2960 Gary, IN...................................... 0.9676 0.9777 Lake, IN Porter, IN 2975 \2\ Glens Falls, NY........................... 0.8633 0.9042 Warren, NY Washington, NY 2980 Goldsboro, NC................................. 0.8982 0.9291 Wayne, NC 2985 Grand Forks, ND-MN............................ 0.9338 0.9542 Polk, MN Grand Forks, ND 2995 Grand Junction, CO............................ 0.9824 0.9879 Mesa, CO 3000 \1\ Grand Rapids-Muskegon-Holland, MI......... 0.9664 0.9769 Allegan, MI Kent, MI Muskegon, MI Ottawa, MI [[Page 31605]] 3040 Great Falls, MT............................... 0.9057 0.9344 Cascade, MT 3060 Greeley, CO................................... 0.9219 0.9458 Weld, CO 3080 Green Bay, WI................................. 0.9599 0.9724 Brown, WI 3120 \1\ Greensboro-Winston-Salem-High Point, NC... 0.9270 0.9494 Alamance, NC Davidson, NC Davie, NC Forsyth, NC- Guilford, NC Randolph, NC Stokes, NC Yadkin, NC 3150 Greenville, NC................................ 0.9257 0.9485 Pitt, NC 3160 Greenville-Spartanburg-Anderson, SC........... 0.9177 0.9429 Anderson, SC Cherokee, SC Greenville, SC Pickens, SC Spartanburg, SC 3180 Hagerstown, MD................................ 0.9362 0.9559 Washington, MD 3200 Hamilton-Middletown, OH....................... 0.9484 0.9644 Butler, OH 3240 Harrisburg-Lebanon-Carlisle, PA............... 0.9315 0.9526 Cumberland, PA Dauphin, PA Lebanon, PA Perry, PA 3283 \1\ \2\ Hartford, CT.......................... 1.2520 1.1664 Hartford, CT Litchfield, CT Middlesex, CT Tolland, CT 3285 \2\ Hattiesburg, MS........................... 0.7759 0.8405 Forrest, MS Lamar, MS 3290 Hickory-Morganton-Lenoir, NC.................. 0.8958 0.9274 Alexander, NC Burke, NC Caldwell, NC Catawba, NC 3320 Honolulu, HI.................................. 1.1121 1.0755 Honolulu, HI 3350 Houma, LA..................................... 0.8470 0.8925 Lafourche, LA Terrebonne, LA 3360 \1\ Houston, TX............................... 0.9746 0.9825 Chambers, TX Fort Bend, TX Harris, TX Liberty, TX Montgomery, TX Waller, TX 3400 Huntington-Ashland, WV-KY-OH.................. 0.9744 0.9824 Boyd, KY Carter, KY Greenup, KY Lawrence, OH Cabell, WV Wayne, WV 3440 Huntsville, AL................................ 0.8901 0.9234 Limestone, AL Madison, AL 3480 \1\ Indianapolis, IN.......................... 0.9828 0.9882 Boone, IN Hamilton, IN Hancock, IN Hendricks, IN Johnson, IN Madison, IN Marion, IN Morgan, IN Shelby, IN 3500 Iowa City, IA................................. 1.0025 1.0017 Johnson, IA 3520 Jackson, MI................................... 0.9591 0.9718 Jackson, MI 3560 Jackson, MS................................... 0.8713 0.9100 Hinds, MS Madison, MS Rankin, MS 3580 Jackson, TN................................... 0.9370 0.9564 Madison, TN Chester, TN 3600 \1\ Jacksonville, FL.......................... 0.9341 0.9544 Clay, FL Duval, FL Nassau, FL St. Johns, FL 3605 \2\ Jacksonville, NC.......................... 0.8714 0.9100 Onslow, NC 3610 \2\ Jamestown, NY............................. 0.8633 0.9042 Chautauqua, NY 3620 Janesville-Beloit, WI......................... 0.9696 0.9791 Rock, WI 3640 Jersey City, NJ............................... 1.1200 1.0807 Hudson, NJ 3660 Johnson City-Kingsport-Bristol, TN-VA (TN 0.8384 0.8863 Hospitals)......................................... Carter, TN Hawkins, TN Sullivan, TN Unicoi, TN Washington, TN Bristol City, VA Scott, VA Washington, VA 3660 \2\ Johnson City-Kingsport-Bristol, TN-VA (VA 0.8494 0.8942 Hospitals)......................................... Carter, TN Hawkins, TN Sullivan, TN Unicoi, TN Washington, TN Bristol City, VA Scott, VA Washington, VA 3680 \2\ Johnstown, PA............................. 0.8525 0.8965 Cambria, PA Somerset, PA 3700 Jonesboro, AR................................. 0.7906 0.8514 Craighead, AR 3710 Joplin, MO.................................... 0.8700 0.9090 Jasper, MO Newton, MO 3720 Kalamazoo-Battlecreek, MI..................... 1.0689 1.0467 Calhoun, MI Kalamazoo, MI Van Buren, MI 3740 Kankakee, IL.................................. 0.9591 0.9718 Kankakee, IL 3760 \1\ Kansas City, KS-MO........................ 0.9809 0.9869 Johnson, KS Leavenworth, KS Miami, KS Wyandotte, KS Cass, MO Clay, MO Clinton, MO Jackson, MO Lafayette, MO Platte, MO Ray, MO 3800 Kenosha, WI................................... 0.9741 0.9822 Kenosha, WI 3810 Killeen-Temple, TX............................ 0.8447 0.8909 Bell, TX Coryell, TX 3840 Knoxville, TN................................. 0.9090 0.9368 Anderson, TN Blount, TN Knox, TN Loudon, TN Sevier, TN Union, TN 3850 Kokomo, IN.................................... 0.9031 0.9326 Howard, IN Tipton, IN 3870 \2\ La Crosse, WI-MN (WI Hospitals)........... 0.9229 0.9465 Houston, MN La Crosse, WI 3870 \2\ La Crosse, WI-MN (MN Hospitals)........... 0.9249 0.9479 Houston, MN La Crosse, WI 3880 Lafayette, LA................................. 0.8550 0.8983 Acadia, LA Lafayette, LA St. Landry, LA St. Martin, LA 3920 Lafayette, IN................................. 0.9515 0.9665 Clinton, IN Tippecanoe, IN 3960 Lake Charles, LA.............................. 0.8030 0.8605 Calcasieu, LA 3980 Lakeland-Winter Haven, FL..................... 0.9170 0.9424 Polk, FL [[Page 31606]] 4000 Lancaster, PA................................. 0.9171 0.9425 Lancaster, PA 4040 Lansing-East Lansing, MI...................... 0.9827 0.9881 Clinton, MI Eaton, MI Ingham, MI 4080 Laredo, TX.................................... 0.8504 0.8950 Webb, TX 4100 Las Cruces, NM................................ 0.8888 0.9224 Dona Ana, NM 4120 \1\ Las Vegas, NV-AZ.......................... 1.1018 1.0686 Mohave, AZ Clark, NV Nye, NV 4150 Lawrence, KS.................................. 0.7964 0.8556 Douglas, KS 4200 Lawton, OK.................................... 0.8251 0.8766 Comanche, OK 4243 Lewiston-Auburn, ME........................... 0.9249 0.9479 Androscoggin, ME 4280 Lexington, KY................................. 0.8629 0.9040 Bourbon, KY Clark, KY Fayette, KY Jessamine, KY Madison, KY Scott, KY Woodford, KY 4320 Lima, OH...................................... 0.9515 0.9665 Allen, OH Auglaize, OH 4360 Lincoln, NE................................... 0.9133 0.9398 Lancaster, NE 4400 Little Rock-North Little Rock, AR............. 0.9045 0.9336 Faulkner, AR Lonoke, AR Pulaski, AR Saline, AR 4420 Longview-Marshall, TX......................... 0.8588 0.9010 Gregg, TX Harrison, TX Upshur, TX 4480 \1\ Los Angeles-Long Beach, CA................ 1.2044 1.1358 Los Angeles, CA 4520 \1\ Louisville, KY-IN......................... 0.9517 0.9667 Clark, IN Floyd, IN Harrison, IN Scott, IN Bullitt, KY Jefferson, KY Oldham, KY 4600 Lubbock, TX................................... 0.7809 0.8442 Lubbock, TX 4640 Lynchburg, VA................................. 0.9311 0.9523 Amherst, VA Bedford, VA Bedford City, VA Campbell, VA Lynchburg City, VA 4680 Macon, GA..................................... 0.9296 0.9512 Bibb, GA Houston, GA Jones, GA Peach, GA Twiggs, GA 4720 Madison, WI................................... 1.0188 1.0128 Dane, WI 4800 Mansfield, OH................................. 0.8989 0.9296 Crawford, OH Richland, OH 4840 Mayaguez, PR.................................. 0.4921 0.6153 Anasco, PR Cabo Rojo, PR Hormigueros, PR Mayaguez, PR Sabana Grande, PR San German, PR 4880 McAllen-Edinburg-Mission, TX.................. 0.8419 0.8888 Hidalgo, TX 4890 Medford-Ashland, OR........................... 1.0605 1.0410 Jackson, OR 4900 Melbourne-Titusville-Palm Bay, FL............. 1.0782 1.0529 Brevard, Fl 4920 \1\ Memphis, TN-AR-MS......................... 0.8839 0.9190 Crittenden, AR DeSoto, MS Fayette, TN Shelby, TN Tipton, TN 4940 Merced, CA.................................... 0.9937 0.9957 Merced, CA 5000 \1\ Miami, FL................................. 0.9878 0.9916 Dade, FL 5015 \1\ Middlesex-Somerset-Hunterdon, NJ.......... 1.1454 1.0974 Hunterdon, NJ Middlesex, NJ Somerset, NJ 5080 \1\ Milwaukee-Waukesha, WI.................... 0.9901 0.9932 Milwaukee, WI Ozaukee, WI Washington, WI Waukesha, WI 5120 \1\ Minneapolis-St. Paul, MN-WI............... 1.0969 1.0654 Anoka, MN Carver, MN Chisago, MN Dakota, MN Hennepin, MN Isanti, MN Ramsey, MN Scott, MN Sherburne, MN Washington, MN Wright, MN Pierce, WI St. Croix, WI 5140 Missoula, MT.................................. 0.9250 0.9480 Missoula, MT 5160 Mobile, AL.................................... 0.8181 0.8715 Baldwin, AL Mobile, AL 5170 Modesto, CA................................... 1.0606 1.0411 Stanislaus, CA 5190 \1\ Monmouth-Ocean, NJ........................ 1.1290 1.0866 Monmouth, NJ Ocean, NJ 5200 Monroe, LA.................................... 0.8191 0.8723 Ouachita, LA 5240 \2\ Montgomery, AL............................ 0.7853 0.8475 Autauga, AL Elmore, AL Montgomery, AL 5280 Muncie, IN.................................... 0.9150 0.9410 Delaware, IN 5330 Myrtle Beach, SC.............................. 0.9141 0.9403 Horry, SC 5345 Naples, FL.................................... 0.9803 0.9865 Collier, FL 5360 \1\ Nashville, TN............................. 0.9456 0.9624 Cheatham, TN Davidson, TN Dickson, TN Robertson, TN Rutherford TN Sumner, TN Williamson, TN Wilson, TN 5380 \1\ Nassau-Suffolk, NY........................ 1.3441 1.2245 Nassau, NY Suffolk, NY 5483 \1\ \2\ New Haven-Bridgeport-Stamford- 1.2520 1.1664 Waterbury-Danbury, CT.............................. Fairfield, CT New Haven, CT 5523 \2\ New London-Norwich, CT.................... 1.2520 1.1664 New London, CT 5560 \1\ New Orleans, LA........................... 0.9050 0.9339 Jefferson, LA Orleans, LA Plaquemines, LA St. Bernard, LA St. Charles, LA St. James, LA St. John The Baptist, LA St. Tammany, LA 5600 \1\ New York, NY.............................. 1.4069 1.2634 Bronx, NY Kings, NY New York, NY Putnam, NY Queens, NY Richmond, NY Rockland, NY Westchester, NY [[Page 31607]] 5640 \1\ Newark, NJ................................ 1.1546 1.1035 Essex, NJ Morris, NJ Sussex, NJ Union, NJ Warren, NJ 5660 Newburgh, NY-PA............................... 1.1434 1.0961 Orange, NY Pike, PA 5720 \1\ Norfolk-Virginia Beach-Newport News, VA-NC 0.8553 0.8985 Currituck, NC Chesapeake City, VA Gloucester, VA Hampton City, VA Isle of Wight, VA James City, VA Mathews, VA Newport News City, VA Norfolk City, VA Poquoson City, VA Portsmouth City, VA Suffolk City, VA Virginia Beach City VA Williamsburg City, VA York, VA 5775 \1\ Oakland, CA............................... 1.5324 1.3395 Alameda, CA Contra Costa, CA 5790 Ocala, FL..................................... 0.9526 0.9673 Marion, FL 5800 Odessa-Midland, TX............................ 0.9233 0.9468 Ector, TX Midland, TX 5880 \1\ Oklahoma City, OK......................... 0.8997 0.9302 Canadian, OK Cleveland, OK Logan, OK McClain, OK Oklahoma, OK Pottawatomie, OK 5910 Olympia, WA................................... 1.1071 1.0722 Thurston, WA 5920 Omaha, NE-IA.................................. 1.0089 1.0061 Pottawattamie, IA Cass, NE Douglas, NE Sarpy, NE Washington, NE 5945 \1\ Orange County, CA......................... 1.1726 1.1152 Orange, CA 5960 \1\ Orlando, FL............................... 0.9537 0.9681 Lake, FL Orange, FL Osceola, FL Seminole, FL 5990 Owensboro, KY................................. 0.8283 0.8790 Daviess, KY 6015 Panama City, FL............................... 0.8926 0.9251 Bay, FL 6020 Parkersburg-Marietta, WV-OH (WV Hospitals).... 0.8210 0.8737 Washington, OH Wood, WV 6020 \2\ Parkersburg-Marietta, WV-OH (OH Hospitals) 0.8675 0.9072 Washington, OH Wood, WV 6080 \2\ Pensacola, FL............................. 0.8907 0.9238 Escambia, FL Santa Rosa, FL 6120 Peoria-Pekin, IL.............................. 0.8854 0.9200 Peoria, IL Tazewell, IL Woodford, IL 6160 \1\ Philadelphia, PA-NJ....................... 1.0675 1.0457 Burlington, NJ Camden, NJ Gloucester, NJ Salem, NJ Bucks, PA Chester, PA Delaware, PA Montgomery, PA Philadelphia, PA 6200 \1\ Phoenix-Mesa, AZ.......................... 0.9562 0.9698 Maricopa, AZ Pinal, AZ 6240 Pine Bluff, AR................................ 0.7866 0.8484 Jefferson, AR 6280 \1\ Pittsburgh, PA............................ 0.9403 0.9587 Allegheny, PA Beaver, PA Butler, PA Fayette, PA Washington, PA Westmoreland, PA 6323 \2\ Pittsfield, MA............................ 1.1257 1.0845 Berkshire, MA 6340 Pocatello, ID................................. 0.9013 0.9313 Bannock, ID 6360 Ponce, PR..................................... 0.5221 0.6408 Guayanilla, PR Juana Diaz, PR Penuelas, PR Ponce, PR Villalba, PR Yauco, PR 6403 Portland, ME.................................. 0.9932 0.9953 Cumberland, ME Sagadahoc, ME York, ME 6440 \1\ Portland-Vancouver, OR-WA................. 1.0792 1.0536 Clackamas, OR Columbia, OR Multnomah, OR Washington, OR Yamhill, OR Clark, WA 6483 \1\ Providence-Warwick-Pawtucket, RI.......... 1.0558 1.0379 Bristol, RI Kent, RI Newport, RI Providence, RI Washington, RI 6520 Provo-Orem, UT................................ 1.0190 1.0130 Utah, UT 6560 \2\ Pueblo, CO................................ 0.9104 0.9377 Pueblo, CO 6580 \2\ Punta Gorda, FL........................... 0.8907 0.9238 Charlotte, FL 6600 Racine, WI.................................... 0.9413 0.9594 Racine, WI 6640 \1\ Raleigh-Durham-Chapel Hill, NC............ 1.0083 1.0057 Chatham, NC Durham, NC Franklin, NC Johnston, NC Orange, NC Wake, NC 6660 Rapid City, SD................................ 0.8936 0.9259 Pennington, SD 6680 Reading, PA................................... 0.9308 0.9521 Berks, PA 6690 Redding, CA................................... 1.1249 1.0839 Shasta, CA 6720 Reno, NV...................................... 1.0664 1.0450 Washoe, NV 6740 Richland-Kennewick-Pasco, WA.................. 1.1608 1.1075 Benton, WA Franklin, WA 6760 Richmond-Petersburg, VA....................... 0.9735 0.9818 Charles City County, VA Chesterfield, VA Colonial Heights City, VA Dinwiddie, VA Goochland, VA Hanover, VA Henrico, VA Hopewell City, VA New Kent, VA Petersburg City, VA Powhatan, VA Prince George, VA Richmond City, VA 6780 \1\ Riverside-San Bernardino, CA.............. 1.1251 1.0841 Riverside, CA San Bernardino, CA 6800 Roanoke, VA................................... 0.8703 0.9093 Botetourt, VA Roanoke, VA Roanoke City, VA Salem City, VA 6820 Rochester, MN................................. 1.2263 1.1499 Olmsted, MN 6840 \1\ Rochester, NY............................. 0.9133 0.9398 Genesee, NY Livingston, NY Monroe, NY [[Page 31608]] Ontario, NY Orleans, NY Wayne, NY 6880 Rockford, IL.................................. 0.9456 0.9624 Boone, IL Ogle, IL Winnebago, IL 6895 Rocky Mount, NC............................... 0.9322 0.9531 Edgecombe, NC Nash, NC 6920 \1\ Sacramento, CA............................ 1.1636 1.1093 El Dorado, CA Placer, CA Sacramento, CA 6960 Saginaw-Bay City-Midland, MI.................. 0.9709 0.9800 Bay, MI Midland, MI Saginaw, MI 6980 St. Cloud, MN................................. 0.9858 0.9903 Benton, MN Stearns, MN 7000 \2\ St. Joseph, MO............................ 0.8099 0.8656 Andrew, MO Buchanan, MO 7040 \1\ St. Louis, MO-IL.......................... 0.8907 0.9238 Clinton, IL Jersey, IL Madison, IL Monroe, IL St. Clair, IL Franklin, MO Jefferson, MO Lincoln, MO St. Charles, MO St. Louis, MO St. Louis City, MO Warren, MO 7080 Salem, OR..................................... 1.0473 1.0322 Marion, OR Polk, OR 7120 Salinas, CA................................... 1.4772 1.3063 Monterey, CA 7160 \1\ Salt Lake City-Ogden, UT.................. 1.0035 1.0024 Davis, UT Salt Lake, UT Weber, UT 7200 San Angelo, TX................................ 0.7956 0.8551 Tom Green, TX 7240 \1\ San Antonio, TX........................... 0.8649 0.9054 Bexar, TX Comal, TX Guadalupe, TX Wilson, TX 7320 \1\ San Diego, CA............................. 1.1247 1.0838 San Diego, CA 7360 \1\ San Francisco, CA......................... 1.4288 1.2768 Marin, CA San Francisco, CA San Mateo, CA 7400 \1\ San Jose, CA.............................. 1.4162 1.2691 Santa Clara, CA 7440 \1\ San Juan-Bayamon, PR...................... 0.4706 0.5968 Aguas Buenas, PR Barceloneta, PR Bayamon, PR Canovanas, PR Carolina, PR Catano, PR Ceiba, PR Comerio, PR Corozal, PR Dorado, PR Fajardo, PR Florida, PR Guaynabo, PR Humacao, PR Juncos, PR Los Piedras, PR Loiza, PR Luguillo, PR Manati, PR Morovis, PR Naguabo, PR Naranjito, PR Rio Grande, PR San Juan, PR Toa Alta, PR Toa Baja, PR Trujillo Alto, PR Vega Alta, PR Vega Baja, PR Yabucoa, PR 7460 San Luis Obispo-Atascadero-Paso Robles, CA.... 1.1386 1.0930 San Luis Obispo, CA 7480 Santa Barbara-Santa Maria-Lompoc, CA.......... 1.0588 1.0399 Santa Barbara, CA 7485 Santa Cruz-Watsonville, CA.................... 1.3630 1.2362 Santa Cruz, CA 7490 Santa Fe, NM.................................. 1.0822 1.0556 Los Alamos, NM Santa Fe, NM 7500 Santa Rosa, CA................................ 1.3179 1.2081 Sonoma, CA 7510 Sarasota-Bradenton, FL........................ 0.9367 0.9562 Manatee, FL Sarasota, FL 7520 Savannah, GA.................................. 0.9961 0.9973 Bryan, GA Chatham, GA Effingham, GA 7560 \2\ Scranton--Wilkes-Barre--Hazleton, PA...... 0.8525 0.8965 Columbia, PA Lackawanna, PA Luzerne, PA Wyoming, PA 7600 \1\ Seattle-Bellevue-Everett, WA.............. 1.1571 1.1051 Island, WA King, WA Snohomish, WA 7610 \2\ Sharon, PA................................ 0.8525 0.8965 Mercer, PA 7620 \2\ Sheboygan, WI............................. 0.9229 0.9465 Sheboygan, WI 7640 Sherman-Denison, TX........................... 0.9334 0.9539 Grayson, TX 7680 Shreveport-Bossier City, LA................... 0.8813 0.9171 Bossier, LA Caddo, LA Webster, LA 7720 Sioux City, IA-NE............................. 0.9138 0.9401 Woodbury, IA Dakota, NE 7760 Sioux Falls, SD............................... 0.9098 0.9373 Lincoln, SD Minnehaha, SD 7800 South Bend, IN................................ 0.9902 0.9933 St. Joseph, IN 7840 Spokane, WA................................... 1.0961 1.0649 Spokane, WA 7880 Springfield, IL............................... 0.8654 0.9057 Menard, IL Sangamon, IL 7920 Springfield, MO............................... 0.8510 0.8954 Christian, MO Greene, MO Webster, MO 8003 \2\ Springfield, MA........................... 1.1257 1.0845 Hampden, MA Hampshire, MA 8050 State College, PA............................. 0.9032 0.9327 Centre, PA 8080 Steubenville-Weirton, OH-WV................... 0.8893 0.9228 Jefferson, OH Brooke, WV Hancock, WV 8120 Stockton-Lodi, CA............................. 1.0630 1.0427 San Joaquin, CA 8140 \2\ Sumter, SC................................ 0.8607 0.9024 Sumter, SC 8160 Syracuse, NY.................................. 0.9519 0.9668 Cayuga, NY Madison, NY Onondaga, NY Oswego, NY 8200 Tacoma, WA.................................... 1.1052 1.0709 Pierce, WA 8240 \2\ Tallahassee, FL........................... 0.8907 0.9238 Gadsden, FL Leon, FL 8280 \1\ Tampa-St. Petersburg-Clearwater, FL....... 0.9238 0.9472 Hernando, FL Hillsborough, FL Pasco, FL Pinellas, FL 8320 \2\ Terre Haute, IN........................... 0.8796 0.9159 [[Page 31609]] Clay, IN Vermillion, IN Vigo, IN 8360 Texarkana,AR-Texarkana, TX.................... 0.8193 0.8724 Miller, AR Bowie, TX 8400 Toledo, OH.................................... 0.9863 0.9906 Fulton, OH Lucas, OH Wood, OH 8440 Topeka, KS.................................... 0.8952 0.9270 Shawnee, KS 8480 Trenton, NJ................................... 1.0710 1.0481 Mercer, NJ 8520 Tucson, AZ.................................... 0.8993 0.9299 Pima, AZ 8560 Tulsa, OK..................................... 0.8398 0.8873 Creek, OK Osage, OK Rogers, OK Tulsa, OK Wagoner, OK 8600 Tuscaloosa, AL................................ 0.8303 0.8804 Tuscaloosa, AL 8640 Tyler, TX..................................... 0.9650 0.9759 Smith, TX 8680 \2\ Utica-Rome, NY............................ 0.8633 0.9042 Herkimer, NY Oneida, NY 8720 Vallejo-Fairfield-Napa, CA.................... 1.3544 1.2309 Napa, CA Solano, CA 8735 Ventura, CA................................... 1.1209 1.0813 Ventura, CA 8750 Victoria, TX.................................. 0.8814 0.9172 Victoria, TX 8760 Vineland-Millville-Bridgeton, NJ.............. 1.0296 1.0202 Cumberland, NJ 8780 \2\ Visalia-Tulare-Porterville, CA............ 0.9934 0.9955 Tulare, CA 8800 Waco, TX...................................... 0.8802 0.9163 McLennan, TX 8840 \1\ Washington, DC-MD-VA-WV................... 1.0852 1.0576 District of Columbia, DC Calvert, MD Charles, MD Frederick, MD Montgomery, MD Prince Georges, MD Alexandria City, VA Arlington, VA Clarke, VA Culpeper, VA Fairfax, VA Fairfax City, VA Falls Church City, VA Fauquier, VA Fredericksburg City, VA King George, VA Loudoun, VA Manassas City, VA Manassas Park City, VA Prince William, VA Spotsylvania, VA Stafford, VA Warren, VA Berkeley, WV Jefferson, WV 8920 Waterloo-Cedar Falls, IA...................... 0.8970 0.9283 Black Hawk, IA 8940 Wausau, WI.................................... 0.9882 0.9919 Marathon, WI 8960 \1\ West Palm Beach-Boca Raton, FL............ 0.9929 0.9951 Palm Beach, FL 9000 \2\ Wheeling, WV-OH (WV Hospitals)............ 0.8053 0.8622 Belmont, OH Marshall, WV Ohio, WV 9000 \2\ Wheeling, WV-OH (OH Hospitals)............ 0.8675 0.9072 Belmont, OH Marshall, WV Ohio, WV 9040 Wichita, KS................................... 0.9571 0.9704 Butler, KS Harvey, KS Sedgwick, KS 9080 Wichita Falls, TX............................. 0.8023 0.8600 Archer, TX Wichita, TX 9140 Williamsport, PA.............................. 0.8624 0.9036 Lycoming, PA 9160 Wilmington-Newark, DE-MD...................... 1.1287 1.0864 New Castle, DE Cecil, MD 9200 Wilmington, NC................................ 0.9471 0.9635 New Hanover, NC Brunswick, NC 9260 Yakima, WA.................................... 1.0676 1.0458 Yakima, WA 9270 \2\ Yolo, CA.................................. 0.9934 0.9955 Yolo, CA 9280 York, PA...................................... 0.9140 0.9403 York, PA 9320 Youngstown-Warren, OH......................... 0.9485 0.9644 Columbiana, OH Mahoning, OH Trumbull, OH 9340 Yuba City, CA................................. 1.0310 1.0211 Sutter, CA Yuba, CA 9360 Yuma, AZ...................................... 0.8677 0.9074 Yuma, AZ ------------------------------------------------------------------------ \1\ Large Urban Area \2\ Hospitals geographically located in the area are assigned the statewide rural wage index for FY 2003. Table 4B.--Wage Index and Capital Geographic Adjustment Factor (GAF) for Rural Areas ------------------------------------------------------------------------ Wage Nonurban area index GAF ------------------------------------------------------------------------ Alabama............................................. 0.7853 0.8475 Alaska.............................................. 1.2323 1.1538 Arizona............................................. 0.8483 0.8935 Arkansas............................................ 0.7670 0.8339 California.......................................... 0.9934 0.9988 Colorado............................................ 0.9104 0.9377 Connecticut......................................... 1.2520 1.1664 Delaware............................................ 0.9126 0.9393 Florida............................................. 0.8907 0.9238 Georgia............................................. 0.8254 0.8769 Hawaii.............................................. 1.0342 1.0233 Idaho............................................... 0.8799 0.9161 Illinois............................................ 0.8301 0.8803 Indiana............................................. 0.8796 0.9159 Iowa................................................ 0.8395 0.8871 Kansas.............................................. 0.7964 0.8556 Kentucky............................................ 0.8079 0.8641 Louisiana........................................... 0.7719 0.8375 Maine............................................... 0.8754 0.9129 Maryland............................................ 0.8855 0.9201 Massachusetts....................................... 1.1257 1.0845 Michigan............................................ 0.8961 0.9276 Minnesota........................................... 0.9249 0.9479 Mississippi......................................... 0.7759 0.8405 Missouri............................................ 0.8099 0.8656 Montana............................................. 0.8567 0.8995 Nebraska............................................ 0.8283 0.8790 Nevada.............................................. 0.9519 0.9668 New Hampshire....................................... 0.9882 0.9919 New Jersey \1\...................................... ........ ........ New Mexico.......................................... 0.8645 0.9051 New York............................................ 0.8633 0.9042 North Carolina...................................... 0.8714 0.9100 North Dakota........................................ 0.7830 0.8458 Ohio................................................ 0.8675 0.9072 Oklahoma............................................ 0.7664 0.8334 Oregon.............................................. 1.0408 1.0278 Pennsylvania........................................ 0.8525 0.8965 Puerto Rico......................................... 0.4400 0.5699 Rhode Island \1\.................................... ........ ........ South Carolina...................................... 0.8607 0.9024 South Dakota........................................ 0.7895 0.8506 Tennessee........................................... 0.7873 0.8489 Texas............................................... 0.7759 0.8405 Utah................................................ 0.9426 0.9603 Vermont............................................. 0.9402 0.9587 Virginia............................................ 0.8494 0.8942 Washington.......................................... 1.0274 1.0187 West Virginia....................................... 0.8053 0.8622 Wisconsin........................................... 0.9229 0.9465 Wyoming............................................. 0.8890 0.9226 - ------------------------------------------------------------------------ \1\ All counties within the State are classified as urban. Table 4C.--Wage Index and Capital Geographic Adjustment Factor (GAF) for Hospitals That Are Reclassified ------------------------------------------------------------------------ Wage Area index GAF ------------------------------------------------------------------------ Abilene, TX......................................... 0.8534 0.8971 Akron, OH........................................... 0.9685 0.9783 Albany, GA.......................................... 1.0658 1.0446 Albuquerque, NM..................................... 0.9372 0.9566 Alexandria, LA...................................... 0.7929 0.8531 [[Page 31610]] Allentown-Bethlehem-Easton, PA...................... 0.9833 0.9885 Altoona, PA......................................... 0.9300 0.9515 Amarillo, TX........................................ 0.8900 0.9233 Anchorage, AK....................................... 1.2610 1.1721 Ann Arbor, MI....................................... 1.1217 1.0818 Anniston, AL........................................ 0.7983 0.8570 Asheville, NC....................................... 0.9448 0.9619 Athens, GA.......................................... 1.0161 1.0110 Atlanta, GA......................................... 0.9985 0.9990 Augusta-Aiken, GA-SC................................ 0.9981 0.9987 Austin-San Marcos, TX............................... 0.9529 0.9675 Barnstable-Yarmouth, MA............................. 1.2894 1.1901 Baton Rouge, LA..................................... 0.8281 0.8788 Bellingham, WA...................................... 1.2139 1.1420 Benton Harbor, MI................................... 0.9072 0.9355 Bergen-Passaic, NJ.................................. 1.2100 1.1394 Billings, MT........................................ 0.9114 0.9384 Biloxi-Gulfport-Pascagoula, MS...................... 0.8417 0.8887 Binghamton, NY...................................... 0.8525 0.8965 Birmingham, AL...................................... 0.9301 0.9516 Bismarck, ND........................................ 0.7881 0.8495 Boston-Worcester-Lawrence-Lowell-Brockton, MA-NH.... 1.1304 1.0876 Burlington, VT...................................... 0.9667 0.9771 Caguas, PR.......................................... 0.4453 0.5746 Casper, WY.......................................... 0.9655 0.9762 Champaign-Urbana, IL................................ 0.9334 0.9539 Charleston-North Charleston, SC..................... 0.8607 0.9024 Charleston, WV...................................... 0.8602 0.9020 Charlotte-Gastonia-Rock Hill, NC-SC................. 0.9839 0.9889 Charlottesville, VA................................. 1.0252 1.0172 Chattanooga, TN-GA.................................. 0.8878 0.9217 Chicago, IL......................................... 1.0953 1.0643 Cincinnati, OH-KY-IN................................ 0.9354 0.9553 Clarksville-Hopkinsville, TN-KY..................... 0.8239 0.8758 Cleveland-Lorain-Elyria, OH......................... 0.9295 0.9512 Columbia, MO........................................ 0.8737 0.9117 Columbia, SC........................................ 0.8990 0.9297 Columbus, GA-AL (GA Hospitals)...................... 0.8254 0.8769 Columbus, GA-AL (AL Hospitals)...................... 0.8041 0.8613 Columbus, OH........................................ 0.9521 0.9669 Corpus Christi, TX.................................. 0.8154 0.8696 Dallas, TX.......................................... 0.9831 0.9884 Danville, VA........................................ 0.8530 0.8968 Davenport-Moline-Rock Island, IA-IL................. 0.8872 0.9213 Dayton-Springfield, OH.............................. 0.9378 0.9570 Denver, CO.......................................... 1.0401 1.0273 Des Moines, IA...................................... 0.8908 0.9239 Detroit, MI......................................... 1.0506 1.0344 Dothan, AL.......................................... 0.8028 0.8603 Dover, DE........................................... 0.9274 0.9497 Duluth-Superior, MN-WI.............................. 1.0462 1.0314 Eau Claire, WI...................................... 0.9229 0.9465 Elkhart-Goshen, IN.................................. 0.9484 0.9643 Erie, PA............................................ 0.8850 0.9197 Eugene-Springfield, OR.............................. 1.1077 1.0726 Fargo-Moorhead, ND-MN............................... 0.9564 0.9699 Fayetteville, NC.................................... 0.9055 0.9343 Flagstaff, AZ-UT.................................... 1.0234 1.0160 Flint, MI........................................... 1.1041 1.0702 Florence, AL........................................ 0.7960 0.8554 Florence, SC........................................ 0.8869 0.9211 Fort Collins-Loveland, CO........................... 0.9923 0.9947 Ft. Lauderdale, FL.................................. 1.0792 1.0536 Fort Pierce-Port St. Lucie, FL...................... 0.9959 0.9972 Fort Smith, AR-OK................................... 0.7681 0.8347 Fort Walton Beach, FL............................... 0.9365 0.9561 Forth Worth-Arlington, TX........................... 0.9620 0.9738 Gadsden, AL......................................... 0.8684 0.9079 Grand Forks, ND-MN.................................. 0.9338 0.9542 Grand Junction, CO.................................. 0.9824 0.9879 Grand Rapids-Muskegon-Holland, MI................... 0.9664 0.9769 Great Falls, MT..................................... 0.9057 0.9344 Greeley, CO......................................... 0.9219 0.9458 Green Bay, WI....................................... 0.9347 0.9548 Greensboro-Winston-Salem-High Point, NC............. 0.9131 0.9396 Greenville, NC...................................... 0.9257 0.9485 Harrisburg-Lebanon-Carlisle, PA..................... 0.9315 0.9526 Hartford, CT........................................ 1.1550 1.1037 Hattiesburg, MS..................................... 0.7759 0.8405 Hickory-Morganton-Lenoir, NC........................ 0.8958 0.9274 Houston, TX......................................... 0.9746 0.9825 Huntington-Ashland, WV-KY-OH........................ 0.9251 0.9481 Huntsville, AL...................................... 0.8901 0.9234 Indianapolis, IN.................................... 0.9828 0.9882 Iowa City, IA....................................... 0.9828 0.9882 Jackson, MS......................................... 0.8587 0.9009 Jackson, TN......................................... 0.9032 0.9327 Jacksonville, FL.................................... 0.9225 0.9463 Johnson City-Kingsport-Bristol, TN-VA (VA Hospitals) 0.8494 0.8942 Johnson City-Kingsport-Bristol, TN-VA (KY Hospitals) 0.8384 0.8863 Jonesboro, AR (AR Hospitals)........................ 0.7906 0.8514 Jonesboro, AR (MO Hospitals)........................ 0.8099 0.8656 Joplin, MO.......................................... 0.8700 0.9090 Kalamazoo-Battlecreek, MI........................... 1.0490 1.0333 Kansas City, KS-MO.................................. 0.9809 0.9869 Knoxville, TN....................................... 0.9090 0.9368 Kokomo, IN.......................................... 0.9031 0.9326 Lafayette, LA....................................... 0.8392 0.8869 Lakeland-Winter Haven, FL........................... 0.9170 0.9424 Las Vegas, NV-AZ.................................... 1.1018 1.0686 Lawton, OK.......................................... 0.8073 0.8636 Lexington, KY....................................... 0.8629 0.9040 Lima, OH............................................ 0.9515 0.9665 Lincoln, NE......................................... 0.9133 0.9398 Little Rock-North Little Rock, AR................... 0.8926 0.9251 Longview-Marshall, TX............................... 0.8588 0.9010 Los Angeles-Long Beach, CA.......................... 1.2044 1.1358 Louisville, KY-IN................................... 0.9382 0.9573 Lubbock, TX......................................... 0.7809 0.8442 Lynchburg, VA....................................... 0.9114 0.9384 Macon, GA........................................... 0.9296 0.9512 Madison, WI......................................... 1.0188 1.0128 Mansfield, OH....................................... 0.8989 0.9296 Medford-Ashland, OR................................. 1.0408 1.0278 Memphis, TN-AR-MS................................... 0.8667 0.9067 Miami, FL........................................... 0.9878 0.9916 Milwaukee-Waukesha, WI.............................. 0.9901 0.9932 Minneapolis-St. Paul, MN-WI......................... 1.0969 1.0654 Missoula, MT........................................ 0.9139 0.9402 Mobile, AL.......................................... 0.8181 0.8715 Modesto, CA......................................... 1.0606 1.0411 Monmouth-Ocean, NJ.................................. 1.1290 1.0866 Monroe, LA.......................................... 0.8191 0.8723 Montgomery, AL...................................... 0.7853 0.8475 Nashville, TN....................................... 0.9283 0.9503 New Haven-Bridgeport-Stamford-Waterbury-............ Danbury, CT........................................ 1.2520 1.1664 New London-Norwich, CT.............................. 1.1683 1.1124 New Orleans, LA..................................... 0.9050 0.9339 New York, NY........................................ 1.3936 1.2552 Newark, NJ.......................................... 1.1546 1.1035 Newburgh, NY-PA..................................... 1.0820 1.0555 Norfolk-Virginia Beach-Newport News, VA-NC.......... 0.8714 0.9100 Oakland, CA......................................... 1.5324 1.3395 Ocala, FL........................................... 0.9343 0.9545 Odessa-Midland, TX.................................. 0.8910 0.9240 Oklahoma City, OK................................... 0.8997 0.9302 Omaha, NE-IA........................................ 1.0089 1.0061 Orange County, CA................................... 1.1726 1.1152 Orlando, FL......................................... 0.9537 0.9681 Peoria-Pekin, IL.................................... 0.8854 0.9200 Philadelphia, PA-NJ................................. 1.0675 1.0457 Phoenix-Mesa, AZ.................................... 0.9562 0.9698 Pine Bluff, AR...................................... 0.7760 0.8406 Pittsburgh, PA...................................... 0.9268 0.9493 Pittsfield, MA...................................... 0.9869 0.9910 Pocatello, ID....................................... 0.9013 0.9313 Portland, ME........................................ 0.9698 0.9792 Portland-Vancouver, OR-WA........................... 1.0792 1.0536 Provo-Orem, UT...................................... 1.0088 1.0060 Raleigh-Durham-Chapel Hill, NC...................... 0.9978 0.9985 Rapid City, SD...................................... 0.8936 0.9259 Reading, PA......................................... 0.9126 0.9393 Redding, CA......................................... 1.1249 1.0839 Reno, NV............................................ 1.0445 1.0303 Richland-Kennewick-Pasco, WA........................ 1.1209 1.0813 Richmond-Petersburg, VA............................. 0.9735 0.9818 [[Page 31611]] Roanoke, VA......................................... 0.8703 0.9093 Rochester, MN....................................... 1.2263 1.1499 Rockford, IL........................................ 0.9456 0.9624 Sacramento, CA...................................... 1.1636 1.1093 Saginaw-Bay City-Midland, MI........................ 0.9709 0.9800 St. Cloud, MN....................................... 0.9858 0.9903 St. Joseph, MO...................................... 0.8300 0.8802 St. Louis, MO-IL.................................... 0.8907 0.9238 Salinas, CA......................................... 1.4772 1.3063 Salt Lake City-Ogden, UT............................ 1.0035 1.0024 San Antonio, TX..................................... 0.8649 0.9054 San Diego, CA....................................... 1.1247 1.0838 Santa Fe, NM........................................ 0.9927 0.9950 Santa Rosa, CA...................................... 1.2891 1.1899 Sarasota-Bradenton, FL.............................. 0.9367 0.9562 Savannah, GA........................................ 0.9841 0.9891 Seattle-Bellevue-Everett, WA........................ 1.1571 1.1051 Sherman-Denison, TX................................. 0.9090 0.9368 Shreveport-Bossier City, LA......................... 0.8813 0.9171 Sioux City, IA-NE................................... 0.8736 0.9116 Sioux Falls, SD..................................... 0.8950 0.9268 South Bend, IN...................................... 0.9902 0.9933 Spokane, WA......................................... 1.0770 1.0521 Springfield, IL..................................... 0.8654 0.9057 Springfield, MO..................................... 0.8236 0.8756 Stockton-Lodi, CA................................... 1.0630 1.0427 Syracuse, NY........................................ 0.9519 0.9668 Tampa-St. Petersburg-Clearwater, FL................. 0.9238 0.9472 Texarkana,AR-Texarkana, TX.......................... 0.8193 0.8724 Toledo, OH.......................................... 0.9863 0.9906 Topeka, KS.......................................... 0.8840 0.9190 Tucson, AZ.......................................... 0.8993 0.9299 Tulsa, OK........................................... 0.8398 0.8873 Tuscaloosa, AL...................................... 0.8303 0.8804 Tyler, TX........................................... 0.9249 0.9479 Vallejo-Fairfield-Napa, CA.......................... 1.3544 1.2309 Victoria, TX........................................ 0.8668 0.9067 Waco, TX............................................ 0.8671 0.9070 Washington, DC-MD-VA-WV............................. 1.0852 1.0576 Waterloo-Cedar Falls, IA............................ 0.8970 0.9283 Wausau, WI.......................................... 0.9710 0.9800 West Palm Beach-Boca Raton, FL...................... 0.9929 0.9951 Wichita, KS......................................... 0.9235 0.9470 Wichita Falls, TX................................... 0.7918 0.8523 Wilmington-Newark, DE-MD............................ 1.0973 1.0657 Wilmington, NC...................................... 0.9336 0.9540 York, PA............................................ 0.9140 0.9403 Youngstown-Warren, OH............................... 0.9485 0.9644 Rural Alabama....................................... 0.7853 0.8475 Rural Florida....................................... 0.8907 0.9238 Rural Illinois (IA Hospitals)....................... 0.8395 0.8871 Rural Illinois (MO Hospitals)....................... 0.8301 0.8803 Rural Kentucky...................................... 0.8079 0.8641 Rural Louisiana..................................... 0.7719 0.8375 Rural Massachusetts................................. 1.0417 1.0284 Rural Michigan...................................... 0.8961 0.9276 Rural Minnesota..................................... 0.9249 0.9479 Rural Mississippi................................... 0.7759 0.8405 Rural Missouri...................................... 0.8099 0.8656 Rural Montana....................................... 0.8567 0.8995 Rural Nebraska...................................... 0.8283 0.8790 Rural Nevada........................................ 0.9097 0.9372 Rural Texas......................................... 0.7759 0.8405 Rural Washington.................................... 1.0274 1.0187 Rural Wyoming....................................... 0.8890 0.9226 ------------------------------------------------------------------------ Table 4F.--Puerto Rico Wage Index and Capital Geographic Adjustment Factor (GAF) ---------------------------------------------------------------------------------------------------------------- Wage index-- GAF-- Area Wage index GAF reclass. reclass. hospitals hospitals ---------------------------------------------------------------------------------------------------------------- Aguadilla, PR............................................... 0.9781 0.9850 ........... ........... \1\ Arecibo, PR............................................. 0.9289 0.9507 ........... ........... Caguas, PR.................................................. 0.9400 0.9585 0.9400 0.9585 Mayaguez, PR................................................ 1.0388 1.0264 ........... ........... Ponce, PR................................................... 1.1021 1.0688 ........... ........... San Juan-Bayamon, PR........................................ 0.9935 0.9955 ........... ........... Rural Puerto Rico........................................... 0.9289 0.9507 ........... ........... ---------------------------------------------------------------------------------------------------------------- \1\ Hospitals geographically located in the area are assigned the Rural Puerto Rico wage index for FY 2003. Table 4G.--Pre-Reclassified Wage Index for Urban Areas ------------------------------------------------------------------------ Wage Urban area (constituent counties) index ------------------------------------------------------------------------ 0040 Abilene, TX............................................. 0.9268 Taylor, TX 0060 Aguadilla, PR........................................... 0.4634 Aguada, PR Aguadilla, PR Moca, PR 0080 Akron, OH............................................... 0.9685 Portage, OH Summit, OH 0120 Albany, GA.............................................. 1.0835 Dougherty, GA Lee, GA 0160 Albany-Schenectady-Troy, NY............................. 0.8633 Albany, NY Montgomery, NY Rensselaer, NY Saratoga, NY Schenectady, NY Schoharie, NY 0200 Albuquerque, NM......................................... 0.9279 Bernalillo, NM Sandoval, NM Valencia, NM 0220 Alexandria, LA.......................................... 0.7903 Rapides, LA 0240 Allentown-Bethlehem-Easton, PA.......................... 0.9833 Carbon, PA Lehigh, PA Northampton, PA 0280 Altoona, PA............................................. 0.9300 Blair, PA 0320 Amarillo, TX............................................ 0.9051 - Potter, TX Randall, TX 0380 Anchorage, AK........................................... 1.2477 Anchorage, AK 0440 Ann Arbor, MI........................................... 1.1217 Lenawee, MI Livingston, MI Washtenaw, MI 0450 Anniston, AL............................................ 0.8126 Calhoun, AL [[Page 31612]] 0460 Appleton-Oshkosh-Neenah, WI............................. 0.9229 Calumet, WI Outagamie, WI Winnebago, WI 0470 Arecibo, PR............................................. 0.4400 Arecibo, PR Camuy, PR Hatillo, PR 0480 Asheville, NC........................................... 0.9682 Buncombe, NC Madison, NC 0500 Athens, GA.............................................. 1.0308 Clarke, GA Madison, GA Oconee, GA 0520 Atlanta, GA............................................. 1.0091 Barrow, GA Bartow, GA Carroll, GA Cherokee, GA Clayton, GA Cobb, GA Coweta, GA DeKalb, GA Douglas, GA Fayette, GA Forsyth, GA Fulton, GA Gwinnett, GA Henry, GA Newton, GA Paulding, GA Pickens, GA Rockdale, GA Spalding, GA Walton, GA 0560 Atlantic-Cape May, NJ................................... 1.1058 Atlantic, NJ Cape May, NJ 0580 Auburn-Opelika, AL...................................... 0.8306 Lee, AL 0600 Augusta-Aiken, GA-SC.................................... 1.0364 Columbia, GA McDuffie, GA Richmond, GA Aiken, SC Edgefield, SC 0640 Austin-San Marcos, TX................................... 0.9529 Bastrop, TX Caldwell, TX Hays, TX Travis, TX Williamson, TX 0680 Bakersfield, CA......................................... 1.0186 Kern, CA 0720 Baltimore, MD........................................... 0.9757 Anne Arundel, MD Baltimore, MD Baltimore City, MD Carroll, MD Harford, MD Howard, MD Queen Anne's, MD 0733 Bangor, ME.............................................. 0.9791 Penobscot, ME 0743 Barnstable-Yarmouth, MA................................. 1.3127 Barnstable, MA 0760 Baton Rouge, LA......................................... 0.8388 Ascension, LA East Baton Rouge, LA Livingston, LA West Baton Rouge, LA 0840 Beaumont-Port Arthur, TX................................ 0.8389 Hardin, TX Jefferson, TX Orange, TX 0860 Bellingham, WA.......................................... 1.2407 Whatcom, WA 0870 Benton Harbor, MI....................................... 0.8992 Berrien, MI 0875 Bergen-Passaic, NJ...................................... 1.2100 Bergen, NJ Passaic, NJ 0880 Billings, MT............................................ 0.9114 Yellowstone, MT 0920 Biloxi-Gulfport-Pascagoula, MS.......................... 0.8830 Hancock, MS Harrison, MS Jackson, MS 0960 Binghamton, NY.......................................... 0.8633 Broome, NY Tioga, NY 1000 Birmingham, AL.......................................... 0.9301 Blount, AL Jefferson, AL St. Clair, AL Shelby, AL 1010 Bismarck, ND............................................ 0.7848 Burleigh, ND Morton, ND 1020 Bloomington, IN......................................... 0.8997 Monroe, IN 1040 Bloomington-Normal, IL.................................. 0.9202 McLean, IL 1080 Boise City, ID.......................................... 0.9403 Ada, ID Canyon, ID 1123 Boston-Worcester-Lawrence-Lowell-Brockton, MA-NH (NH Hospitals)........................................ 1.1304 Bristol, MA Essex, MA Middlesex, MA Norfolk, MA Plymouth, MA Suffolk, MA Worcester, MA Hillsborough, NH Merrimack, NH Rockingham, NH Strafford, NH 1125 Boulder-Longmont, CO.................................... 0.9688 Boulder, CO 1145 Brazoria, TX........................................... 0.8617 Brazoria, TX 1150 Bremerton, WA........................................... 1.1056 Kitsap, WA 1240 Brownsville-Harlingen-San Benito, TX.................... 0.8992 Cameron, TX 1260 Bryan-College Station, TX............................... 0.8410 Brazos, TX 1280 Buffalo-Niagara Falls, NY............................... 0.9464 Erie, NY Niagara, NY 1303 Burlington, VT.......................................... 1.0176 Chittenden, VT Franklin, VT Grand Isle, VT 1310 Caguas, PR.............................................. 0.4415 Caguas, PR Cayey, PR Cidra, PR Gurabo, PR San Lorenzo, PR 1320 Canton-Massillon, OH.................................... 0.9026 Carroll, OH Stark, OH 1350 Casper, WY.............................................. 0.9788 Natrona, WY 1360 Cedar Rapids, IA........................................ 0.9149 Linn, IA 1400 Champaign-Urbana, IL.................................... 0.9983 Champaign, IL 1440 Charleston-North Charleston, SC.............................................. 0.8607 Berkeley, SC Charleston, SC Dorchester, SC 1480 Charleston, WV.......................................... 0.8765 Kanawha, WV Putnam, WV 1520 Charlotte-Gastonia-Rock Hill, NC-SC..................... 0.9839 Cabarrus, NC Gaston, NC Lincoln, NC Mecklenburg, NC Rowan, NC Stanly, NC Union, NC York, SC 1540 Charlottesville, VA..................................... 1.0583 Albemarle, VA Charlottesville City, VA Fluvanna, VA Greene, VA 1560 Chattanooga, TN-GA...................................... 0.9069 Catoosa, GA Dade, GA Walker, GA Hamilton, TN Marion, TN 1580 Cheyenne, WY............................................ 0.8890 Laramie, WY 1600 Chicago, IL............................................. 1.1088 Cook, IL DeKalb, IL DuPage, IL Grundy, IL Kane, IL Kendall, IL Lake, IL McHenry, IL Will, IL 1620 Chico-Paradise, CA...................................... 0.9934 Butte, CA 1640 Cincinnati, OH-KY-IN.................................... 0.9323 Dearborn, IN Ohio, IN Boone, KY Campbell, KY Gallatin, KY Grant, KY Kenton, KY Pendleton, KY Brown, OH Clermont, OH [[Page 31613]] Hamilton, OH Warren, OH 1660 Clarksville-Hopkinsville, TN-KY......................... 0.8386 Christian, KY Montgomery, TN 1680 Cleveland-Lorain-Elyria, OH............................. 0.9295 Ashtabula, OH Cuyahoga, OH Geauga, OH Lake, OH Lorain, OH Medina, OH 1720 Colorado Springs, CO.................................... 0.9968 El Paso, CO 1740 Columbia, MO............................................ 0.8737 Boone, MO 1760 Columbia, SC............................................ 0.8990 Lexington, SC Richland, SC 1800 Columbus, GA-AL......................................... 0.8450 Russell, AL Chattahoochee, GA Harris, GA Muscogee, GA 1840 Columbus, OH............................................ 0.9705 Delaware, OH Fairfield, OH Franklin, OH Licking, OH Madison, OH Pickaway, OH 1880 Corpus Christi, TX...................................... 0.8154 Nueces, TX San Patricio, TX 1890 Corvallis, OR........................................... 1.1569 Benton, OR 1900 Cumberland, MD-WV (WV Hospital)......................... 0.8053 Allegany, MD Mineral, WV 1920 Dallas, TX.............................................. 0.9831 Collin, TX Dallas, TX Denton, TX Ellis, TX Henderson, TX Hunt, TX Kaufman, TX Rockwall, TX 1950 Danville, VA............................................ 0.8785 Danville City, VA Pittsylvania, VA 1960 Davenport-Moline-Rock Island, IA-IL............................................... 0.8872 Scott, IA Henry, IL Rock Island, IL 2000 Dayton-Springfield, OH.................................. 0.9378 Clark, OH Greene, OH Miami, OH Montgomery, OH 2020 Daytona Beach, FL....................................... 0.9133 Flagler, FL Volusia, FL 2030 Decatur, AL............................................. 0.9066 Lawrence, AL Morgan, AL 2040 Decatur, IL............................................. 0.8301 Macon, IL 2080 Denver, CO.............................................. 1.0401 Adams, CO Arapahoe, CO Denver, CO Douglas, CO Jefferson, CO 2120 Des Moines, IA.......................................... 0.8867 Dallas, IA Polk, IA Warren, IA 2160 Detroit, MI............................................. 1.0506 Lapeer, MI Macomb, MI Monroe, MI Oakland, MI St. Clair, MI Wayne, MI 2180 Dothan, AL.............................................. 0.7990 Dale, AL Houston, AL 2190 Dover, DE............................................... 0.9452 Kent, DE 2200 Dubuque, IA............................................. 0.8801 Dubuque, IA 2240 Duluth-Superior, MN-WI.................................. 1.0462 St. Louis, MN Douglas, WI 2281 Dutchess County, NY..................................... 1.0793 Dutchess, NY 2290 Eau Claire, WI.......................................... 0.9229 Chippewa, WI Eau Claire, WI 2320 El Paso, TX............................................. 0.9137 El Paso, TX 2330 Elkhart-Goshen, IN...................................... 0.9851 Elkhart, IN 2335 Elmira, NY.............................................. 0.8633 Chemung, NY 2340 Enid, OK................................................ 0.8387 Garfield, OK 2360 Erie, PA................................................ 0.9016 Erie, PA 2400 Eugene-Springfield, OR.................................. 1.1077 Lane, OR 2440 Evansville-Henderson, IN-KY (IN Hospitals)........................................ 0.8796 Posey, IN Vanderburgh, IN Warrick, IN Henderson, KY 2520 Fargo-Moorhead, ND-MN................................... 0.9783 Clay, MN Cass, ND 2560 Fayetteville, NC........................................ 0.8980 Cumberland, NC 2580 Fayetteville-Springdale-Rogers, AR...................... 0.8182 Benton, AR Washington, AR 2620 Flagstaff, AZ-UT........................................ 1.0791 Coconino, AZ Kane, UT 2640 Flint, MI............................................... 1.1233 Genesee, MI 2650 Florence, AL............................................ 0.7927 Colbert, AL Lauderdale, AL 2655 Florence, SC............................................ 0.8869 Florence, SC 2670 Fort Collins-Loveland, CO............................... 0.9923 Larimer, CO 2680 Ft. Lauderdale, FL...................................... 1.0368 Broward, FL 2700 Fort Myers-Cape Coral, FL............................... 0.9456 Lee, FL 2710 Fort Pierce-Port St. Lucie, FL.......................... 0.9802 Martin, FL St. Lucie, FL 2720 Fort Smith, AR-OK....................................... 0.7811 Crawford, AR Sebastian, AR Sequoyah, OK 2750 Fort Walton Beach, FL................................... 0.9651 Okaloosa, FL 2760 Fort Wayne, IN.......................................... 0.9499 Adams, IN Allen, IN De Kalb, IN Huntington, IN Wells, IN Whitley, IN 2800 Forth Worth-Arlington, TX............................... 0.9620 Hood, TX Johnson, TX Parker, TX Tarrant, TX 2840 Fresno, CA.............................................. 1.0340 Fresno, CA Madera, CA 2880 Gadsden, AL............................................. 0.8580 Etowah, AL 2900 Gainesville, FL......................................... 0.9730 Alachua, FL 2920 Galveston-Texas City, TX................................ 0.9603 Galveston, TX 2960 Gary, IN................................................ 0.9676 Lake, IN Porter, IN 2975 Glens Falls, NY......................................... 0.8633 Warren, NY Washington, NY 2980 Goldsboro, NC........................................... 0.8982 Wayne, NC 2985 Grand Forks, ND-MN...................................... 0.8988 Polk, MN Grand Forks, ND 2995 Grand Junction, CO...................................... 0.9615 Mesa, CO 3000 Grand Rapids- Muskegon-Holland, MI........................................ 0.9645 Allegan, MI Kent, MI Muskegon, MI Ottawa, MI 3040 Great Falls, MT......................................... 0.9042 Cascade, MT 3060 Greeley, CO............................................. 0.9104 Weld, CO 3080 Green Bay, WI........................................... 0.9599 Brown, WI 3120 Greensboro-Winston-Salem-High Point, NC................. 0.9270 Alamance, NC Davidson, NC Davie, NC Forsyth, NC Guilford, NC Randolph, NC [[Page 31614]] Stokes, NC Yadkin, NC 3150 Greenville, NC.......................................... 0.9177 Pitt, NC 3160 Greenville-Spartanburg-Anderson, SC..................... 0.9177 Anderson, SC Cherokee, SC Greenville, SC Pickens, SC Spartanburg, SC 3180 Hagerstown, MD.......................................... 0.9362 Washington, MD 3200 Hamilton-Middletown, OH................................. 0.9484 Butler, OH 3240 Harrisburg-Lebanon-Carlisle, PA......................... 0.9315 Cumberland, PA Dauphin, PA Lebanon, PA Perry, PA 3283 Hartford, CT............................................ 1.2520 Hartford, CT Litchfield, CT Middlesex, CT Tolland, CT 3285 \2\ Hattiesburg, MS..................................... 0.7746 Forrest, MS Lamar, MS 3290 Hickory-Morganton-Lenoir, NC............................ 0.8958 Alexander, NC Burke, NC Caldwell, NC Catawba, NC 3320 Honolulu, HI............................................ 1.1121 Honolulu, HI 3350 Houma, LA................................................ 0.8470 Lafourche, LA Terrebonne, LA 3360 Houston, TX............................................. 0.9746 Chambers, TX Fort Bend, TX Harris, TX Liberty, TX Montgomery, TX Waller, TX 3400 Huntington-Ashland, WV-KY-OH.................................................... 0.9744 Boyd, KY Carter, KY Greenup, KY Lawrence, OH Cabell, WV Wayne, WV 3440 Huntsville, AL.......................................... 0.8901 Limestone, AL Madison, AL 3480 Indianapolis, IN........................................ 0.9828 Boone, IN Hamilton, IN Hancock, IN Hendricks, IN Johnson, IN Madison, IN Marion, IN Morgan, IN Shelby, IN 3500 Iowa City, IA........................................... 1.0025 Johnson, IA 3520 Jackson, MI............................................. 0.9591 Jackson, MI 3560 Jackson, MS............................................. 0.8713 Hinds, MS Madison, MS Rankin, MS 3580 Jackson, TN............................................. 0.9370 Madison, TN Chester, TN 3600 Jacksonville, FL........................................ 0.9341 Clay, FL Duval, FL Nassau, FL St. Johns, FL 3605 Jacksonville, NC........................................ 0.8714 Onslow, NC 3610 Jamestown, NY........................................... 0.8633 Chautauqua, NY 3620 Janesville-Beloit, WI................................... 0.9696 Rock, WI 3640 Jersey City, NJ......................................... 1.1200 Hudson, NJ 3660 Johnson City- Kingsport-Bristol, TN-VA.................................... 0.8307 Carter, TN Hawkins, TN Sullivan, TN Unicoi, TN Washington, TN Bristol City, VA Scott, VA Washington, VA 3680 Johnstown, PA........................................... 0.8525 Cambria, PA Somerset, PA 3700 Jonesboro, AR........................................... 0.7828 Craighead, AR 3710 Joplin, MO.............................................. 0.8700 Jasper, MO Newton, MO 3720 Kalamazoo-Battlecreek, MI............................... 1.0689 Calhoun, MI Kalamazoo, MI Van Buren, MI 3740 Kankakee, IL............................................ 0.9591 Kankakee, IL 3760 Kansas City, KS-MO...................................... 0.9809 Johnson, KS Leavenworth, KS Miami, KS Wyandotte, KS Cass, MO Clay, MO Clinton, MO Jackson, MO Lafayette, MO Platte, MO Ray, MO 3800 Kenosha, WI............................................. 0.9741 Kenosha, WI 3810 Killeen-Temple, TX...................................... 0.8447 Bell, TX Coryell, TX 3840 Knoxville, TN........................................... 0.9090 Anderson, TN Blount, TN Knox, TN Loudon, TN Sevier, TN Union, TN 3850 Kokomo, IN.............................................. 0.8950 Howard, IN Tipton, IN 3870 La Crosse, WI-MN........................................ 0.9229 Houston, MN La Crosse, WI 3880 Lafayette, LA........................................... 0.8550 Acadia, LA Lafayette, LA St. Landry, LA St. Martin, LA 3920 Lafayette, IN........................................... 0.9515 Clinton, IN Tippecanoe, IN 3960 Lake Charles, LA........................................ 0.8030 Calcasieu, LA 3980 Lakeland-Winter Haven, FL............................... 0.9162 Polk, FL 4000 Lancaster, PA........................................... 0.9171 Lancaster, PA 4040 Lansing-East Lansing, MI................................ 0.9827 Clinton, MI Eaton, MI Ingham, MI 4080 Laredo, TX.............................................. 0.8504 Webb, TX 4100 Las Cruces, NM.......................................... 0.8888 Dona Ana, NM 4120 Las Vegas, NV-AZ........................................ 1.1018 Mohave, AZ Clark, NV Nye, NV 4150 Lawrence, KS............................................ 0.7964 Douglas, KS 4200 Lawton, OK.............................................. 0.8251 Comanche, OK 4243 Lewiston-Auburn, ME..................................... 0.9249 Androscoggin, ME 4280 Lexington, KY........................................... 0.8629 Bourbon, KY Clark, KY Fayette, KY Jessamine, KY Madison, KY Scott, KY Woodford, KY 4320 Lima, OH................................................ 0.9515 Allen, OH Auglaize, OH 4360 Lincoln, NE............................................. 0.8928 Lancaster, NE 4400 Little Rock-North Little Rock, AR............................................. 0.9045 Faulkner, AR Lonoke, AR Pulaski, AR Saline, AR 4420 Longview-Marshall, TX................................... 0.8588 Gregg, TX Harrison, TX Upshur, TX 4480 Los Angeles-Long Beach, CA.............................. 1.2027 Los Angeles, CA 4520 \1\ Louisville, KY-IN................................... 0.9517 Clark, IN Floyd, IN Harrison, IN Scott, IN Bullitt, KY [[Page 31615]] Jefferson, KY Oldham, KY 4600 Lubbock, TX............................................. 0.7752 Lubbock, TX 4640 Lynchburg, VA........................................... 0.9311 Amherst, VA Bedford, VA Bedford City, VA Campbell, VA Lynchburg City, VA 4680 Macon, GA............................................... 0.9259 Bibb, GA Houston, GA Jones, GA Peach, GA Twiggs, GA 4720 Madison, WI............................................. 1.0188 Dane, WI 4800 Mansfield, OH........................................... 0.8989 Crawford, OH Richland, OH 4840 Mayaguez, PR............................................ 0.4921 Anasco, PR Cabo Rojo, PR Hormigueros, PR Mayaguez, PR Sabana Grande, PR San German, PR 4880 McAllen-Edinburg-Mission, TX............................ 0.8419 Hidalgo, TX 4890 Medford-Ashland, OR.................................... 1.0605 Jackson, OR 4900 Melbourne-Titusville-Palm Bay, FL....................... 1.0782 Brevard, Fl 4920 Memphis, TN-AR-MS....................................... 0.8839 Crittenden, AR DeSoto, MS Fayette, TN Shelby, TN Tipton, TN 4940 Merced, CA.............................................. 0.9937 Merced, CA 5000 Miami, FL............................................... 0.9864 Dade, FL 5015 Middlesex-Somerset-Hunterdon, NJ........................ 1.1454 Hunterdon, NJ Middlesex, NJ Somerset, NJ 5080 Milwaukee-Waukesha, WI.................................. 0.9901 Milwaukee, WI Ozaukee, WI Washington, WI Waukesha, WI 5120 Minneapolis-St. Paul, MN-WI............................. 1.0969 Anoka, MN Carver, MN Chisago, MN Dakota, MN Hennepin, MN Isanti, MN Ramsey, MN Scott, MN Sherburne, MN Washington, MN Wright, MN Pierce, WI St. Croix, WI 5140 Missoula, MT............................................ 0.9250 Missoula, MT 5160 Mobile, AL.............................................. 0.8179 Baldwin, AL Mobile, AL 5170 Modesto, CA............................................. 1.0606 Stanislaus, CA 5190 Monmouth-Ocean, NJ...................................... 1.1270 Monmouth, NJ Ocean, NJ 5200 Monroe, LA.............................................. 0.8191 Ouachita, LA 5240 Montgomery, AL.......................................... 0.7786 Autauga, AL Elmore, AL Montgomery, AL 5280 Muncie, IN.............................................. 0.9150 Delaware, IN 5330 Myrtle Beach, SC........................................ 0.9141 Horry, SC 5345 Naples, FL.............................................. 0.9803 Collier, FL 5360 Nashville, TN........................................... 0.9456 Cheatham, TN Davidson, TN Dickson, TN Robertson, TN Rutherford TN Sumner, TN Williamson, TN Wilson, TN 5380 Nassau-Suffolk, NY...................................... 1.3441 Nassau, NY Suffolk, NY 5483 New Haven-Bridgeport-Stamford-Waterbury-Danbury, CT..... 1.2520 Fairfield, CT New Haven, CT 5523 New London-Norwich, CT.................................. 1.2520 New London, CT 5560 New Orleans, LA......................................... 0.9050 Jefferson, LA Orleans, LA Plaquemines, LA St. Bernard, LA St. Charles, LA St. James, LA St. John The Baptist, LA St. Tammany, LA 5600 New York, NY............................................ 1.4069 Bronx, NY Kings, NY New York, NY Putnam, NY Queens, NY Richmond, NY Rockland, NY Westchester, NY 5640 Newark, NJ.............................................. 1.1504 Essex, NJ Morris, NJ Sussex, NJ Union, NJ Warren, NJ 5660 Newburgh, NY-PA......................................... 1.1434 Orange, NY Pike, PA 5720 Norfolk-Virginia Beach-Newport News, VA-NC.............. 0.8553 Currituck, NC Chesapeake City, VA Gloucester, VA Hampton City, VA Isle of Wight, VA James City, VA Mathews, VA Newport News City, VA Norfolk City, VA Poquoson City, VA Portsmouth City, VA Suffolk City, VA Virginia Beach City VA Williamsburg City, VA York, VA 5775 Oakland, CA............................................. 1.5222 Alameda, CA Contra Costa, CA 5790 Ocala, FL............................................... 0.9526 Marion, FL 5800 Odessa-Midland, TX...................................... 0.9233 Ector, TX Midland, TX 5880 Oklahoma City, OK....................................... 0.8997 Canadian, OK Cleveland, OK Logan, OK McClain, OK Oklahoma, OK Pottawatomie, OK 5910 Olympia, WA............................................ 1.1071 Thurston, WA 5920 Omaha, NE-IA............................................ 1.0089 Pottawattamie, IA Cass, NE Douglas, NE Sarpy, NE Washington, NE 5945 Orange County, CA....................................... 1.1604 Orange, CA 5960 Orlando, FL............................................. 0.9537 Lake, FL Orange, FL Osceola, FL Seminole, FL 5990 Owensboro, KY........................................... 0.8283 Daviess, KY 6015 Panama City, FL........................................ 0.8926 Bay, FL 6020 Parkersburg-Marietta, WV-OH............................. 0.8210 Washington, OH Wood, WV 6080 Pensacola, FL........................................... 0.8907 Escambia, FL Santa Rosa, FL 6120 Peoria-Pekin, IL........................................ 0.8854 Peoria, IL Tazewell, IL Woodford, IL 6160 Philadelphia, PA-NJ..................................... 1.0675 Burlington, NJ Camden, NJ Gloucester, NJ Salem, NJ Bucks, PA Chester, PA Delaware, PA [[Page 31616]] Montgomery, PA Philadelphia, PA 6200 Phoenix-Mesa, AZ........................................ 0.9562 Maricopa, AZ Pinal, AZ 6240 Pine Bluff, AR.......................................... 0.7866 Jefferson, AR 6280 Pittsburgh, PA.......................................... 0.9403 Allegheny, PA Beaver, PA Butler, PA Fayette, PA Washington, PA Westmoreland, PA 6323 Pittsfield, MA.......................................... 1.1257 Berkshire, MA 6340 Pocatello, ID........................................... 0.8799 Bannock, ID 6360 Ponce, PR............................................... 0.5221 Guayanilla, PR Juana Diaz, PR Penuelas, PR Ponce, PR Villalba, PR Yauco, PR 6403 Portland, ME............................................ 0.9932 Cumberland, ME Sagadahoc, ME York, ME 6440 Portland-Vancouver, OR-WA....................................................... 1.0774 Clackamas, OR Columbia, OR Multnomah, OR Washington, OR Yamhill, OR Clark, WA 6483 Providence-Warwick-Pawtucket, RI........................ 1.0558 Bristol, RI Kent, RI Newport, RI Providence, RI Washington, RI 6520 Provo-Orem, UT.......................................... 1.0190 Utah, UT 6560 Pueblo, CO.............................................. 0.9104 Pueblo, CO 6580 Punta Gorda, FL......................................... 0.8907 Charlotte, FL 6600 Racine, WI.............................................. 0.9413 Racine, WI 6640 Raleigh-Durham-Chapel Hill, NC.......................... 1.0083 Chatham, NC Durham, NC Franklin, NC Johnston, NC Orange, NC Wake, NC 6660 Rapid City, SD.......................................... 0.8936 Pennington, SD 6680 Reading, PA............................................. 0.9308 Berks, PA 6690 Redding, CA............................................. 1.1249 Shasta, CA 6720 Reno, NV................................................ 1.0664 Washoe, NV 6740 Richland-Kennewick-Pasco, WA............................ 1.1608 Benton, WA Franklin, WA 6760 Richmond-Petersburg, VA................................. 0.9735 Charles City County, VA Chesterfield, VA Colonial Heights City, VA Dinwiddie, VA Goochland, VA Hanover, VA Henrico, VA Hopewell City, VA New Kent, VA Petersburg City, VA Powhatan, VA Prince George, VA Richmond City, VA 6780 Riverside-San Bernardino, CA.............................................. 1.1251 Riverside, CA San Bernardino, CA 6800 Roanoke, VA............................................. 0.8703 Botetourt, VA Roanoke, VA Roanoke City, VA Salem City, VA 6820 Rochester, MN........................................... 1.2263 Olmsted, MN 6840 Rochester, NY........................................... 0.9133 Genesee, NY Livingston, NY Monroe, NY Ontario, NY Orleans, NY Wayne, NY 6880 Rockford, IL............................................ 0.9456 Boone, IL Ogle, IL Winnebago, IL 6895 Rocky Mount, NC......................................... 0.9322 Edgecombe, NC Nash, NC 6920 Sacramento, CA.......................................... 1.1622 El Dorado, CA Placer, CA Sacramento, CA 6960 Saginaw-Bay City-Midland, MI............................................ 0.9709 Bay, MI Midland, MI Saginaw, MI 6980 St. Cloud, MN........................................... 0.9757 Benton, MN Stearns, MN 7000 St. Joseph, MO.......................................... 0.8093 Andrew, MO Buchanan, MO 7040 St. Louis, MO-IL........................................ 0.8907 Clinton, IL Jersey, IL Madison, IL Monroe, IL St. Clair, IL Franklin, MO Jefferson, MO Lincoln, MO St. Charles, MO St. Louis, MO St. Louis City, MO Warren, MO 7080 Salem, OR............................................... 1.0473 Marion, OR Polk, OR 7120 Salinas, CA............................................. 1.4772 Monterey, CA 7160 Salt Lake City-Ogden, UT................................ 1.0035 Davis, UT Salt Lake, UT Weber, UT 7200 San Angelo, TX.......................................... 0.7956 Tom Green, TX 7240 San Antonio, TX......................................... 0.8649 Bexar, TX Comal, TX Guadalupe, TX Wilson, TX 7320 San Diego, CA........................................... 1.1243 San Diego, CA 7360 San Francisco, CA....................................... 1.4288 Marin, CA San Francisco, CA San Mateo, CA 7400 San Jose, CA............................................ 1.4162 Santa Clara, CA 7440 San Juan-Bayamon, PR.................................... 0.4706 Aguas Buenas, PR Barceloneta, PR Bayamon, PR Canovanas, PR Carolina, PR Catano, PR Ceiba, PR Comerio, PR Corozal, PR Dorado, PR Fajardo, PR Florida, PR Guaynabo, PR Humacao, PR Juncos, PR Los Piedras, PR Loiza, PR Luguillo, PR Manati, PR Morovis, PR Naguabo, PR Naranjito, PR Rio Grande, PR San Juan, PR Toa Alta, PR Toa Baja, PR Trujillo Alto, PR Vega Alta, PR Vega Baja, PR Yabucoa, PR 7460 San Luis Obispo- Atascadero-Paso Robles, CA.................................. 1.1386 San Luis Obispo, CA 7480 Santa Barbara-Santa Maria-Lompoc, CA.................... 1.0588 Santa Barbara, CA 7485 Santa Cruz-Watsonville, CA.............................. 1.3630 Santa Cruz, CA 7490 Santa Fe, NM............................................ 1.0822 Los Alamos, NM Santa Fe, NM 7500 Santa Rosa, CA......................................... 1.3179 Sonoma, CA 7510 Sarasota-Bradenton, FL.................................. 0.9339 Manatee, FL Sarasota, FL [[Page 31617]] 7520 Savannah, GA............................................ 0.9961 Bryan, GA Chatham, GA Effingham, GA 7560 Scranton--Wilkes-Barre--Hazleton, PA.................... 0.8525 Columbia, PA Lackawanna, PA Luzerne, PA Wyoming, PA 7600 Seattle-Bellevue-Everett, WA............................ 1.1571 Island, WA King, WA Snohomish, WA 7610 Sharon, PA.............................................. 0.8525 Mercer, PA 7620 Sheboygan, WI........................................... 0.9229 Sheboygan, WI 7640 Sherman-Denison, TX..................................... 0.9334 Grayson, TX 7680 Shreveport-Bossier City, LA............................ 0.8813 Bossier, LA Caddo, LA Webster, LA 7720 Sioux City, IA-NE....................................... 0.9138 Woodbury, IA Dakota, NE 7760 Sioux Falls, SD......................................... 0.9098 Lincoln, SD Minnehaha, SD 7800 South Bend, IN.......................................... 0.9902 St. Joseph, IN 7840 Spokane, WA............................................. 1.0961 Spokane, WA 7880 Springfield, IL......................................... 0.8654 Menard, IL Sangamon, IL 7920 Springfield, MO......................................... 0.8510 Christian, MO Greene, MO Webster, MO 8003 Springfield, MA......................................... 1.1257 Hampden, MA Hampshire, MA 8050 State College, PA....................................... 0.9032 Centre, PA 8080 Steubenville-Weirton, OH-WV (WV Hospitals).............. 0.8893 Jefferson, OH Brooke, WV Hancock, WV 8120 Stockton-Lodi, CA....................................... 1.0445 San Joaquin, CA 8140 Sumter, SC.............................................. 0.8607 Sumter, SC 8160 Syracuse, NY............................................ 0.9519 Cayuga, NY Madison, NY Onondaga, NY Oswego, NY 8200 Tacoma, WA.............................................. 1.1052 Pierce, WA 8240 Tallahassee, FL......................................... 0.8907 Gadsden, FL Leon, FL 8280 Tampa-St. Petersburg-Clearwater, FL..................... 0.9127 Hernando, FL Hillsborough, FL Pasco, FL Pinellas, FL 8320 Terre Haute, IN......................................... 0.8796 Clay, IN Vermillion, IN Vigo, IN 8360 Texarkana,AR-Texarkana, TX.............................. 0.8150 Miller, AR Bowie, TX 8400 Toledo, OH.............................................. 0.9863 Fulton, OH Lucas, OH Wood, OH 8440 Topeka, KS.............................................. 0.8952 Shawnee, KS 8480 Trenton, NJ............................................ 1.0710 Mercer, NJ 8520 Tucson, AZ.............................................. 0.8993 Pima, AZ 8560 Tulsa, OK............................................... 0.8398 Creek, OK Osage, OK Rogers, OK Tulsa, OK Wagoner, OK 8600 Tuscaloosa, AL.......................................... 0.8221 Tuscaloosa, AL 8640 Tyler, TX............................................... 0.9650 Smith, TX 8680 Utica-Rome, NY.......................................... 0.8633 Herkimer, NY Oneida, NY 8720 Vallejo-Fairfield-Napa, CA.............................. 1.3472 Napa, CA Solano, CA 8735 Ventura, CA............................................. 1.1209 Ventura, CA 8750 Victoria, TX............................................ 0.8814 Victoria, TX 8760 Vineland-Millville-Bridgeton, NJ........................ 1.0296 Cumberland, NJ 8780 Visalia-Tulare-Porterville, CA.......................... 0.9934 Tulare, CA 8800 Waco, TX................................................ 0.8802 McLennan, TX 8840 Washington, DC-MD- VA-WV....................................................... 1.0852 District of Columbia, DC Calvert, MD Charles, MD Frederick, MD Montgomery, MD Prince Georges, MD Alexandria City, VA Arlington, VA Clarke, VA Culpeper, VA Fairfax, VA Fairfax City, VA Falls Church City, VA Fauquier, VA Fredericksburg City, VA King George, VA Loudoun, VA Manassas City, VA Manassas Park City, VA Prince William, VA Spotsylvania, VA Stafford, VA Warren, VA Berkeley, WV Jefferson, WV 8920 Waterloo-Cedar Falls, IA................................ 0.8395 Black Hawk, IA 8940 Wausau, WI.............................................. 0.9882 Marathon, WI 8960 West Palm Beach- Boca Raton, FL.............................................. 0.9929 Palm Beach, FL 9000 Wheeling, WV-OH......................................... 0.8053 Belmont, OH Marshall, WV Ohio, WV 9040 Wichita, KS............................................. 0.9571 Butler, KS Harvey, KS Sedgwick, KS 9080 Wichita Falls, TX....................................... 0.8023 Archer, TX Wichita, TX 9140 Williamsport, PA........................................ 0.8624 Lycoming, PA 9160 Wilmington-Newark, DE-MD................................ 1.1287 New Castle, DE Cecil, MD 9200 Wilmington, NC.......................................... 0.9471 New Hanover, NC Brunswick, NC 9260 Yakima, WA.............................................. 1.0676 Yakima, WA 9270 Yolo, CA................................................ 0.9934 Yolo, CA 9280 York, PA................................................ 0.9140 York, PA 9320 Youngstown-Warren, OH................................... 0.9485 Columbiana, OH Mahoning, OH Trumbull, OH 9340 Yuba City, CA........................................... 1.0310 Sutter, CA Yuba, CA 9360 Yuma, AZ................................................ 0.8677 Yuma, AZ ------------------------------------------------------------------------ Table 4H.--Pre-Reclassified Wage Index for Rural Areas ------------------------------------------------------------------------ Wage Nonurban area index ------------------------------------------------------------------------ Alabama....................................................... 0.7786 Alaska........................................................ 1.2323 Arizona....................................................... 0.8483 Arkansas...................................................... 0.7670 California.................................................... 0.9934 Colorado...................................................... 0.9104 Connecticut................................................... 1.2520 Delaware...................................................... 0.9126 Florida....................................................... 0.8907 Georgia....................................................... 0.8254 Hawaii........................................................ 1.0342 Idaho......................................................... 0.8799 Illinois...................................................... 0.8301 Indiana....................................................... 0.8796 Iowa.......................................................... 0.8395 Kansas........................................................ 0.7964 [[Page 31618]] Kentucky...................................................... 0.8079 Louisiana..................................................... 0.7637 Maine......................................................... 0.8754 Maryland...................................................... 0.8855 Massachusetts................................................. 1.1257 Michigan...................................................... 0.8944 Minnesota..................................................... 0.9249 Mississippi................................................... 0.7746 Missouri...................................................... 0.8093 Montana....................................................... 0.8567 Nebraska...................................................... 0.8283 Nevada........................................................ 0.9519 New Hampshire................................................. 0.9882 New Jersey \1\................................................ ........ New Mexico.................................................... 0.8645 New York...................................................... 0.8633 North Carolina................................................ 0.8714 North Dakota.................................................. 0.7830 Ohio.......................................................... 0.8675 Oklahoma...................................................... 0.7664 Oregon........................................................ 1.0408 Pennsylvania.................................................. 0.8525 Puerto Rico................................................... 0.4400 Rhode Island \1\.............................................. ........ South Carolina................................................ 0.8607 South Dakota.................................................. 0.7895 Tennessee..................................................... 0.7873 Texas......................................................... 0.7752 Utah.......................................................... 0.9426 Vermont....................................................... 0.9402 Virginia...................................................... 0.8494 Washington.................................................... 1.0274 West Virginia................................................. 0.8053 Wisconsin..................................................... 0.9229 Wyoming....................................................... 0.8890 ------------------------------------------------------------------------ \1\ All counties within the State are classified as urban. -------------------- * MEDICARE DATA HAVE BEEN SUPPLEMENTED BY DATA FROM 19 STATES FOR LOW VOLUME DRGS. ** DRGS 469 AND 470 CONTAIN CASES WHICH COULD NOT BE ASSIGNED TO VALID DRGS. GEOMETRIC MEAN IS USED ONLY TO DETERMINE PAYMENT FOR TRANSFER CASES. ARITHMETIC MEAN IS PRESENTED FOR INFORMATIONAL PURPOSES ONLY. NOTE: RELATIVE WEIGHTS ARE BASED ON MEDICARE PATIENT DATA AND MAY NOT BE APPROPRIATE FOR OTHER PATIENTS. [[Page 31618]] Table 5.--List of Diagnosis Related Groups (DRGS), Relative Weighting Factors, Geometric and Arithmetic Mean Length of Stay ---------------------------------------------------------------------------------------------------------------- Relative Geometric Arithmetic DRG MDC Type DRG Title weights mean LOS mean LOS ---------------------------------------------------------------------------------------------------------------- 1............... 01 SURG CRANIOTOMY AGE >17 W CC.... 3.7174 8.1 11.2 2............... 01 SURG CRANIOTOMY AGE >17 W/O CC.. 1.9613 4.0 5.2 3............... 01 SURG * CRANIOTOMY AGE 0-17...... 1.9441 12.7 12.7 4............... 01 SURG SPINAL PROCEDURES.......... 2.2960 4.5 7.2 5............... 01 SURG EXTRACRANIAL VASCULAR 1.3846 2.1 3.1 PROCEDURES. 6............... 01 SURG CARPAL TUNNEL RELEASE...... .8237 2.1 2.9 7............... 01 SURG PERIPH & CRANIAL NERVE & 2.5718 6.5 9.8 OTHER NERV SYST PROC W CC. 8............... 01 SURG PERIPH & CRANIAL NERVE & 1.4925 1.9 2.8 OTHER NERV SYST PROC W/O CC. 9............... 01 MED SPINAL DISORDERS & INJURIES 1.3592 4.6 6.6 10.............. 01 MED NERVOUS SYSTEM NEOPLASMS W 1.2507 4.9 6.6 CC. 11.............. 01 MED NERVOUS SYSTEM NEOPLASMS W/ .8629 3.0 4.0 O CC. 12.............. 01 MED DEGENERATIVE NERVOUS SYSTEM .8881 4.4 5.9 DISORDERS. 13.............. 01 MED MULTIPLE SCLEROSIS & .7928 4.1 5.0 CEREBELLAR ATAXIA. 14.............. 01 MED INTRACRANIAL HEMORRHAGE & 1.2742 4.8 6.2 STROKE W INFARCT. 15.............. 01 MED NONSPECIFIC CVA & .9844 4.0 5.0 PRECEREBRAL OCCLUSION W/O INFARCT. 16.............. 01 MED NONSPECIFIC CEREBROVASCULAR 1.2389 4.7 6.2 DISORDERS W CC. 17.............. 01 MED NONSPECIFIC CEREBROVASCULAR .6651 2.5 3.1 DISORDERS W/O CC. 18.............. 01 MED CRANIAL & PERIPHERAL NERVE .9712 4.2 5.4 DISORDERS W CC. 19.............. 01 MED CRANIAL & PERIPHERAL NERVE .6939 2.8 3.5 DISORDERS W/O CC. 20.............. 01 MED NERVOUS SYSTEM INFECTION 2.7921 8.0 10.8 EXCEPT VIRAL MENINGITIS. 21.............. 01 MED VIRAL MENINGITIS...........
