[Federal Register: July 31, 1998 (Volume 63, Number 147)] [Rules and Regulations] [Page 41053-41102] From the Federal Register Online via GPO Access [wais.access.gpo.gov] [DOCID:fr31jy98-27] [[pp. 41053-41102]] Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 1999 Rates [[Continued from page 41052]] [[Page 41053]] Carroll, OH Stark, OH 1350 Casper, WY.................................... 0.9170 0.9424 Natrona, WY 1360 Cedar Rapids, IA.............................. 0.8833 0.9185 Linn, IA 1400 Champaign-Urbana, IL.......................... 0.8789 0.9154 Champaign, IL 1440 Charleston-North Charleston, SC............... 0.9134 0.9399 Berkeley, SC Charleston, SC Dorchester, SC 1480 Charleston, WV................................ 0.9009 0.9310 Kanawha, WV Putnam, WV 1520 \1\ Charlotte-Gastonia-Rock Hill, NC-SC....... 0.9562 0.9698 Cabarrus, NC Gaston, NC Lincoln, NC Mecklenburg, NC Rowan, NC Stanly, NC Union, NC York, SC 1540 Charlottesville, VA........................... 1.0294 1.0200 Albemarle, VA Charlottesville City, VA Fluvanna, VA Greene, VA 1560 Chattanooga, TN-GA............................ 0.9093 0.9370 Catoosa, GA Dade, GA Walker, GA Hamilton, TN Marion, TN 1580 \2\ Cheyenne, WY.............................. 0.8787 0.9153 Laramie, WY 1600 \1\ Chicago, IL............................... 1.0469 1.0319 Cook, IL DeKalb, IL DuPage, IL Grundy, IL Kane, IL Kendall, IL Lake, IL McHenry, IL Will, IL 1620 Chico-Paradise, CA............................ 1.0167 1.0114 Butte, CA 1640 \2\ Cincinnati, OH-KY-IN...................... 0.9615 0.9735 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............... 0.8231 0.8752 Christian, KY Montgomery, TN 1680 \1\ Cleveland-Lorain-Elyria, OH............... 0.9907 0.9936 Ashtabula, OH Cuyahoga, OH Geauga, OH Lake, OH Lorain, OH Medina, OH 1720 Colorado Springs, CO.......................... 0.9410 0.9592 El Paso, CO 1740 Columbia, MO.................................. 0.8961 0.9276 Boone, MO 1760 Columbia, SC.................................. 0.9310 0.9522 Lexington, SC Richland, SC 1800 Columbus, GA-AL............................... Russell, AL....................................... 0.8529 0.8968 Chattahoochee, GA Harris, GA Muscogee, GA 1840 \1\ Columbus, OH.............................. 0.9802 0.9864 Delaware, OH Fairfield, OH Franklin, OH Licking, OH Madison, OH Pickaway, OH 1880 Corpus Christi, TX............................ 0.8549 0.8982 Nueces, TX San Patricio, TX 1900 \2\ Cumberland, MD-WV (Maryland Hospitals).... 0.8574 0.9000 Allegany, MD Mineral, WV 1900 Cumberland, MD-WV (West Virginia Hospital).... 0.8259 0.8772 Allegany, MD Mineral, WV 1920 \1\ Dallas, TX................................ 0.9364 0.9560 Collin, TX Dallas, TX Denton, TX Ellis, TX Henderson, TX Hunt, TX Kaufman, TX Rockwall, TX 1950 Danville, VA.................................. 0.9065 0.9350 Danville City, VA Pittsylvania, VA 1960 DavenportMoline-Rock Island, IA-IL............ 0.8431 0.8897 Scott, IA Henry, IL Rock Island, IL 2000 Dayton-Springfield, OH........................ 0.9584 0.9713 Clark, OH Greene, OH Miami, OH Montgomery, OH 2020 Daytona Beach, FL............................. 0.9153 0.9412 Flagler, FL Volusia, FL 2030 Decatur, AL................................... 0.8251 0.8766 Lawrence, AL Morgan, AL 2040 Decatur, IL................................... 0.8052 0.8621 Macon, IL 2080 \1\ Denver, CO................................ 1.0059 1.0040 Adams, CO Arapahoe, CO Denver, CO Douglas, CO Jefferson, CO 2120 Des Moines, IA................................ 0.8494 0.8942 Dallas, IA Polk, IA Warren, IA 2160 \1\ Detroit, MI............................... 1.0567 1.0385 Lapeer, MI Macomb, MI Monroe, MI Oakland, MI St. Clair, MI Wayne, MI 2180 Dothan, AL.................................... 0.7909 0.8516 Dale, AL Houston, AL 2190 Dover, DE..................................... 0.9383 0.9573 Kent, DE 2200 Dubuque, IA................................... 0.8240 0.8758 Dubuque, IA 2240 Duluth-Superior, MN-WI........................ 1.0031 1.0021 St. Louis, MN Douglas, WI 2281 Dutchess County, NY........................... 0.9904 0.9934 Dutchess, NY 2290 \2\ Eau Claire, WI............................ 0.8729 0.9111 Chippewa, WI Eau Claire, WI 2320 El Paso, TX................................... 0.9235 0.9470 El Paso, TX 2330 Elkhart-Goshen, IN............................ 0.9388 0.9577 Elkhart, IN 2335 \2\ Elmira, NY................................ 0.8605 0.9022 Chemung, NY 2340 Enid, OK...................................... 0.7969 0.8560 Garfield, OK 2360 Erie, PA...................................... 0.9290 0.9508 Erie, PA 2400 Eugene-Springfield, OR........................ 1.1217 1.0818 Lane, OR 2440 Evansville-Henderson, IN-KY................... 0.8547 0.8981 [[Page 41054]] Posey, IN Vanderburgh, IN Warrick, IN Henderson, KY 2520 Fargo-Moorhead, ND-MN......................... 0.9537 0.9681 Clay, MN Cass, ND 2560 Fayetteville, NC.............................. 0.8407 0.8880 Cumberland, NC 2580 Fayetteville-Springdale-Rogers, AR............ 0.8632 0.9042 Benton, AR Washington, AR 2620 Flagstaff, AZ-UT.............................. 0.9543 0.9685 Coconino, AZ Kane, UT 2640 Flint, MI..................................... 1.1054 1.0710 Genesee, MI 2650 Florence, AL.................................. 0.7692 0.8355 Colbert, AL Lauderdale, AL 2655 Florence, SC.................................. 0.8520 0.8961 Florence, SC 2670 Fort Collins-Loveland, CO..................... 1.0319 1.0217 Larimer, CO 2680 \1\ Ft. Lauderdale, FL........................ 0.9867 0.9909 Broward, FL 2700 Fort Myers-Cape Coral, FL..................... 0.8936 0.9259 Lee, FL 2710 Fort Pierce-Port St. Lucie, FL................ 1.0263 1.0179 Martin, FL St. Lucie, FL 2720 Fort Smith, AR-OK............................. 0.7639 0.8316 Crawford, AR Sebastian, AR Sequoyah, OK 2750 \2\ Fort Walton Beach, FL..................... 0.8896 0.9230 Okaloosa, FL 2760 Fort Wayne, IN................................ 0.9066 0.9351 Adams, IN Allen, IN De Kalb, IN Huntington, IN Wells, IN Whitley, IN 2800 \1\ Forth Worth-Arlington, TX................. 0.9729 0.9814 Hood, TX Johnson, TX Parker, TX Tarrant, TX 2840 Fresno, CA.................................... 1.0409 1.0278 Fresno, CA Madera, CA 2880 Gadsden, AL................................... 0.8799 0.9161 Etowah, AL 2900 Gainesville, FL............................... 0.9482 0.9642 Alachua, FL 2920 Galveston-Texas City, TX...................... 1.0848 1.0573 Galveston, TX 2960 Gary, IN...................................... 0.9482 0.9642 Lake, IN Porter, IN 2975 \2\ Glens Falls, NY........................... 0.8605 0.9022 Warren, NY Washington, NY 2980 Goldsboro, NC................................. 0.8548 0.8981 Wayne, NC 2985 Grand Forks, ND-MN............................ 0.8918 0.9246 Polk, MN Grand Forks, ND 2995 Grand Junction, CO............................ 0.9099 0.9374 Mesa, CO 3000 \1\ Grand Rapids-Muskegon-Holland, MI......... 0.9992 0.9995 Allegan, MI Kent, MI Muskegon, MI Ottawa, MI 3040 Great Falls, MT............................... 0.9304 0.9518 Cascade, MT 3060 Greeley, CO................................... 0.9477 0.9639 Weld, CO 3080 Green Bay, WI................................. 0.9268 0.9493 Brown, WI 3120 \1\ Greensboro-Winston-Salem-High Point, NC... 0.9567 0.9701 Alamance, NC Davidson, NC Davie, NC Forsyth, NC Guilford, NC Randolph, NC Stokes, NC Yadkin, NC 3150 Greenville, NC................................ 0.9454 0.9623 Pitt, NC 3160 Greenville-Spartanburg-Anderson, SC........... 0.9242 0.9475 Anderson, SC Cherokee, SC Greenville, SC Pickens, SC Spartanburg, SC 3180 Hagerstown, MD................................ 1.0204 1.0139 Washington, MD 3200 Hamilton-Middletown, OH....................... 0.9253 0.9482 Butler, OH 3240 Harrisburg-Lebanon-Carlisle, PA............... 1.0082 1.0056 Cumberland, PA Dauphin, PA Lebanon, PA Perry, PA 3283 \1\, \2\ Hartford, CT......................... 1.2100 1.1394 Hartford, CT Litchfield, CT Middlesex, CT Tolland, CT 3285 \2\ Hattiesburg, MS........................... 0.7327 0.8082 Forrest, MS Lamar, MS 3290 Hickory-Morganton-Lenoir, NC.................. 0.8668 0.9067 Alexander, NC Burke, NC Caldwell, NC Catawba, NC 3320 Honolulu, HI.................................. 1.1535 1.1027 Honolulu, HI 3350 Houma, LA..................................... 0.8215 0.8740 Lafourche, LA Terrebonne, LA 3360 \1\ Houston, TX............................... 0.9904 0.9934 Chambers, TX Fort Bend, TX Harris, TX Liberty, TX Montgomery, TX Waller, TX 3400 Huntington-Ashland, WV-KY-OH.................. 0.9668 0.9771 Boyd, KY Carter, KY Greenup, KY Lawrence, OH Cabell, WV Wayne, WV 3440 Huntsville, AL................................ 0.8403 0.8877 Limestone, AL Madison, AL 3480 \1\ Indianapolis, IN.......................... 0.9852 0.9898 Boone, IN Hamilton, IN Hancock, IN Hendricks, IN Johnson, IN Madison, IN Marion, IN Morgan, IN Shelby, IN 3500 Iowa City, IA................................. 0.9502 0.9656 Johnson, IA 3520 Jackson, MI................................... 0.9244 0.9476 Jackson, MI 3560 Jackson, MS................................... 0.8310 0.8809 Hinds, MS Madison, MS Rankin, MS 3580 Jackson, TN................................... 0.8578 0.9003 Madison, TN Chester, TN 3600 \1\ Jacksonville, FL.......................... 0.8919 0.9246 Clay, FL Duval, FL Nassau, FL St. Johns, FL 3605 \2\ Jacksonville, NC.......................... 0.8130 0.8678 Onslow, NC 3610 \2\ Jamestown, NY............................. 0.8605 0.9022 Chautauqua, NY 3620 Janesville-Beloit, WI......................... 0.9071 0.9354 Rock, WI 3640 Jersey City, NJ............................... 1.1623 1.1085 Hudson, NJ [[Page 41055]] 3660 Johnson City-Kingsport-Bristol, TN-VA......... 0.8792 0.9156 Carter, TN Hawkins, TN Sullivan, TN Unicoi, TN Washington, TN Bristol City, VA Scott, VA Washington, VA 3680 \2\ Johnstown, PA............................. 0.8683 0.9078 Cambria, PA Somerset, PA 3700 Jonesboro, AR................................. 0.7595 0.8283 Craighead, AR 3710 Joplin, MO.................................... 0.7890 0.8502 Jasper, MO Newton, MO 3720 Kalamazoo-Battlecreek, MI..................... 1.1355 1.0909 Calhoun, MI Kalamazoo, MI Van Buren, MI 3740 Kankakee, IL.................................. 0.9438 0.9612 Kankakee, IL 3760 \1\ Kansas City, KS-MO........................ 0.9666 0.9770 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................................... 0.9149 0.9409 Kenosha, WI 3810 Killeen-Temple, TX............................ 1.0131 1.0090 Bell, TX Coryell, TX- 3840 Knoxville, TN................................. 0.8937 0.9259 Anderson, TN Blount, TN Knox, TN Loudon, TN Sevier, TN Union, TN 3850 Kokomo, IN.................................... 0.9295 0.9512 Howard, IN Tipton, IN 3870 La Crosse, WI-MN.............................. 0.8933 0.9256 Houston, MN La Crosse, WI 3880 Lafayette, LA................................. 0.8311 0.8810 Acadia, LA Lafayette, LA St. Landry, LA St. Martin, LA 3920 Lafayette, IN................................. 0.8928 0.9253 Clinton, IN Tippecanoe, IN 3960 Lake Charles, LA.............................. 0.7690 0.8354 Calcasieu, LA 3980 Lakeland-Winter Haven, FL..................... 0.8896 0.9230 Polk, FL 4000 Lancaster, PA................................. 0.9581 0.9711 Lancaster, PA 4040 Lansing-East Lansing, MI...................... 1.0112 1.0077 Clinton, MI Eaton, MI Ingham, MI 4080 \2\ Laredo, TX................................ 0.7441 0.8168 Webb, TX 4100 Las Cruces, NM................................ 0.8989 0.9296 Dona Ana, NM 4120 \1\ Las Vegas, NV-AZ.......................... 1.1438 1.0964 Mohave, AZ Clark, NV Nye, NV 4150 Lawrence, KS.................................. 0.8674 0.9072 Douglas, KS 4200 Lawton, OK.................................... 0.8716 0.9102 Comanche, OK 4243 Lewiston-Auburn, ME........................... 0.9169 0.9423 Androscoggin, ME 4280 Lexington, KY................................. 0.8525 0.8965 Bourbon, KY Clark, KY Fayette, KY Jessamine, KY Madison, KY Scott, KY Woodford, KY 4320 Lima, OH...................................... 0.8968 0.9281 Allen, OH Auglaize, OH 4360 Lincoln, NE................................... 0.9323 0.9531 Lancaster, NE 4400 Little Rock-North Little Rock, AR............. 0.8553 0.8985 Faulkner, AR Lonoke, AR Pulaski, AR Saline, AR 4420 Longview-Marshall, TX......................... 0.8717 0.9103 Gregg, TX Harrison, TX Upshur, TX 4480 \1\ Los Angeles-Long Beach, CA................ 1.2070 1.1375 Los Angeles, CA 4520 Louisville, KY-IN............................. 0.9113 0.9384 Clark, IN Floyd, IN Harrison, IN Scott, IN Bullitt, KY Jefferson, KY Oldham, KY 4600 Lubbock, TX................................... 0.8514 0.8957 Lubbock, TX 4640 Lynchburg, VA................................. 0.8919 0.9246 Amherst, VA Bedford, VA Bedford City, VA Campbell, VA Lynchburg City, VA 4680 Macon, GA..................................... 0.8629 0.9040 Bibb, GA Houston, GA Jones, GA Peach, GA Twiggs, GA 4720 Madison, WI................................... 1.0040 1.0027 Dane, WI 4800 Mansfield, OH................................. 0.8552 0.8984 Crawford, OH Richland, OH 4840 Mayaguez, PR.................................. 0.4188 0.5510 Anasco, PR Cabo Rojo, PR Hormigueros, PR Mayaguez, PR Sabana Grande, PR San German, PR 4880 McAllen-Edinburg-Mission, TX.................. 0.8506 0.8951 Hidalgo, TX 4890 Medford-Ashland, OR........................... 1.0042 1.0029 Jackson, OR 4900 Melbourne-Titusville-Palm Bay, FL............. 0.9236 0.9470 Brevard, FL 4920 \1\ Memphis, TN-AR-MS......................... 0.8371 0.8854 Crittenden, AR DeSoto, MS Fayette, TN Shelby, TN Tipton, TN 4940 Merced, CA.................................... 1.0240 1.0164 Merced, CA 5000 \1\ Miami, FL................................. 1.0038 1.0026 Dade, FL 5015 \1\ Middlesex-Somerset-Hunterdon, NJ.......... 1.0785 1.0531 Hunterdon, NJ Middlesex, NJ Somerset, NJ 5080 \1\ Milwaukee-Waukesha, WI.................... 0.9135 0.9399 Milwaukee, WI Ozaukee, WI Washington, WI Waukesha, WI 5120 \1\ Minneapolis-St. Paul, MN-WI............... 1.0877 1.0593 Anoka, MN Carver, MN Chisago, MN Dakota, MN Hennepin, MN Isanti, MN Ramsey, MN Scott, MN Sherburne, MN Washington, MN Wright, MN [[Page 41056]] Pierce, WI St. Croix, WI 5140 Missoula, MT.................................. 0.9208 0.9451 Missoula, MT 5160 Mobile, AL.................................... 0.8395 0.8871 Baldwin, AL Mobile, AL 5170 Modesto, CA................................... 1.0368 1.0251 Stanislaus, CA 5190 \1\ Monmouth-Ocean, NJ........................ 1.1341 1.0900 Monmouth, NJ Ocean, NJ 5200 Monroe, LA.................................... 0.8236 0.8756 Ouachita, LA 5240 Montgomery, AL................................ 0.7877 0.8492 Autauga, AL Elmore, AL Montgomery, AL 5280 Muncie, IN.................................... 0.9434 0.9609 Delaware, IN 5330 Myrtle Beach, SC.............................. 0.8196 0.8726 Horry, SC 5345 Naples, FL.................................... 1.0199 1.0136 Collier, FL 5360 \1\ Nashville, TN............................. 0.9500 0.9655 Cheatham, TN Davidson, TN Dickson, TN Robertson, TN Rutherford TN Sumner, TN Williamson, TN Wilson, TN 5380 \1\ Nassau-Suffolk, NY........................ 1.3579 1.2331 Nassau, NY Suffolk, NY 5483 \1\ New Haven-Bridgeport-Stamford-Waterbury- Danbury, CT........................................ 1.2271 1.1504 Fairfield, CT New Haven, CT 5523 \2\ New London-Norwich, CT.................... 1.2100 1.1394 New London, CT 5560 \1\ New Orleans, LA........................... 0.9330 0.9536 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.............................. 1.4431 1.2855 Bronx, NY Kings, NY New York, NY Putnam, NY Queens, NY Richmond, NY Rockland, NY Westchester, NY 5640 \1\ Newark, NJ................................ 1.0895 1.0605 Essex, NJ Morris, NJ Sussex, NJ Union, NJ Warren, NJ 5660 Newburgh, NY-PA............................... 1.1247 1.0838 Orange, NY Pike, PA 5720 \1\ Norfolk-Virginia Beach-Newport News, VA-NC 0.8214 0.8740 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............................... 1.5194 1.3317 Alameda, CA Contra Costa, CA 5790 Ocala, FL..................................... 0.9172 0.9425 Marion, FL 5800 Odessa-Midland, TX............................ 0.8683 0.9078 Ector, TX Midland, TX 5880 \1\ Oklahoma City, OK......................... 0.8727 0.9110 Canadian, OK Cleveland, OK Logan, OK McClain, OK Oklahoma, OK Pottawatomie, OK 5910 Olympia, WA................................... 1.1547 1.1035 Thurston, WA 5920 Omaha, NE-IA.................................. 0.9993 0.9995 Pottawattamie, IA Cass, NE Douglas, NE Sarpy, NE Washington, NE 5945 \1\ Orange County, CA......................... 1.1472 1.0986 Orange, CA 5960 \1\ Orlando, FL............................... 0.9834 0.9886 Lake, FL Orange, FL Osceola, FL Seminole, FL 5990 \2\ Owensboro, KY............................. 0.7861 0.8481 Daviess, KY 6015 \2\ Panama City, FL........................... 0.8896 0.9230 Bay, FL 6020 Parkersburg-Marietta, WV-OH (West Virginia Hospitals)......................................... 0.8034 0.8608 Washington, OH Wood, WV 6020 \2\ Parkersburg-Marietta, WV-OH (Ohio Hospitals)......................................... 0.8537 0.8973 Washington, OH Wood, WV 6080 \2\ Pensacola, FL............................. 0.8896 0.9230 Escambia, FL Santa Rosa, FL 6120 Peoria-Pekin, IL.............................. 0.8081 0.8642 Peoria, IL Tazewell, IL Woodford, IL 6160 \1\ Philadelphia, PA-NJ....................... 1.1382 1.0927 Burlington, NJ Camden, NJ Gloucester, NJ Salem, NJ Bucks, PA Chester, PA Delaware, PA Montgomery, PA Philadelphia, PA 6200 \1\ Phoenix-Mesa, AZ.......................... 0.9611 0.9732 Maricopa, AZ Pinal, AZ 6240 Pine Bluff, AR................................ 0.7929 0.8531 Jefferson, AR 6280 \1\ Pittsburgh, PA............................ 0.9809 0.9869 Allegheny, PA Beaver, PA Butler, PA Fayette, PA Washington, PA Westmoreland, PA 6323 \2\ Pittsfield, MA............................ 1.0857 1.0579 Berkshire, MA 6340 Pocatello, ID................................. 0.8811 0.9170 Bannock, ID 6360 Ponce, PR..................................... 0.4799 0.6049 Guayanilla, PR Juana Diaz, PR Penuelas, PR Ponce, PR Villalba, PR Yauco, PR 6403 Portland, ME.................................. 0.9595 0.9721 Cumberland, ME Sagadahoc, ME York, ME 6440 \1\ Portland-Vancouver, OR-WA................. 1.1202 1.0808 Clackamas, OR Columbia, OR Multnomah, OR Washington, OR Yamhill, OR Clark, WA [[Page 41057]] 6483 \1\ Providence-Warwick-Pawtucket, RI.......... 1.0824 1.0557 Bristol, RI Kent, RI Newport, RI Providence, RI Washington, RI 6520 Provo-Orem, UT................................ 0.9907 0.9936 Utah, UT 6560 Pueblo, CO.................................... 0.8731 0.9113 Pueblo, CO 6580 Punta Gorda, FL............................... 0.9050 0.9339 Charlotte, FL 6600 Racine, WI.................................... 0.9149 0.9409 Racine, WI 6640 \1\ Raleigh-Durham-Chapel Hill, NC............ 0.9833 0.9885 Chatham, NC Durham, NC Franklin, NC Johnston, NC Orange, NC Wake, NC 6660 Rapid City, SD................................ 0.8226 0.8748 Pennington, SD 6680 Reading, PA................................... 0.9254 0.9483 Berks, PA 6690 Redding, CA................................... 1.1883 1.1254 Shasta, CA 6720 Reno, NV...................................... 1.1118 1.0753 Washoe, NV 6740 \2\ Richland-Kennewick-Pasco, WA.............. 1.0512 1.0348 Benton, WA Franklin, WA 6760 Richmond-Petersburg, VA....................... 0.9231 0.9467 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.............. 1.0141 1.0096 Riverside, CA San Bernardino, CA 6800 Roanoke, VA................................... 0.8528 0.8967 Botetourt, VA Roanoke, VA Roanoke City, VA Salem City, VA 6820 Rochester, MN................................. 1.1723 1.1150 Olmsted, MN 6840 \1\ Rochester, NY............................. 0.9677 0.9778 Genesee, NY Livingston, NY Monroe, NY Ontario, NY Orleans, NY Wayne, NY 6880 Rockford, IL.................................. 0.8634 0.9043 Boone, IL Ogle, IL Winnebago, IL 6895 Rocky Mount, NC............................... 0.9031 0.9326 Edgecombe, NC Nash, NC 6920 \1\ Sacramento, CA............................ 1.1864 1.1242 El Dorado, CA Placer, CA Sacramento, CA 6960 Saginaw-Bay City-Midland, MI.................. 0.9507 0.9660 Bay, MI Midland, MI Saginaw, MI 6980 St. Cloud, MN................................. 0.9607 0.9729 Benton, MN Stearns, MN 7000 St. Joseph, MO................................ 0.9910 0.9938 Andrew, MO Buchanan, MO 7040 \1\ St. Louis, MO-IL.......................... 0.9171 0.9425 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 \2\ Salem, OR................................. 0.9933 0.9954 Marion, OR Polk, OR 7120 Salinas, CA................................... 1.5175 1.3306 Monterey, CA 7160 \1\ Salt Lake City-Ogden, UT.................. 0.9400 0.9585 Davis, UT Salt Lake, UT Weber, UT 7200 San Angelo, TX................................ 0.7662 0.8333 Tom Green, TX 7240 \1\ San Antonio, TX........................... 0.8117 0.8669 Bexar, TX Comal, TX Guadalupe, TX Wilson, TX 7320 \1\ San Diego, CA............................. 1.2336 1.1546 San Diego, CA 7360 \1\ San Francisco, CA......................... 1.3507 1.2286 Marin, CA San Francisco, CA San Mateo, CA 7400 \1\ San Jose, CA.............................. 1.3724 1.2421 Santa Clara, CA 7440 \1\ San Juan-Bayamon, PR...................... 0.4633 0.5904 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.... 1.0739 1.0500 San Luis Obispo, CA 7480 Santa Barbara-Santa Maria-Lompoc, CA.......... 1.1218 1.0819 Santa Barbara, CA 7485 Santa Cruz-Watsonville, CA.................... 1.4011 1.2598 Santa Cruz, CA 7490 Santa Fe, NM.................................. 0.9623 0.9740 Los Alamos, NM Santa Fe, NM 7500 Santa Rosa, CA................................ 1.3099 1.2031 Sonoma, CA 7510 Sarasota-Bradenton, FL........................ 0.9553 0.9692 Manatee, FL Sarasota, FL 7520 Savannah, GA.................................. 1.0081 1.0055 Bryan, GA Chatham, GA Effingham, GA 7560 \2\ Scranton--Wilkes-Barre--Hazleton, PA...... 0.8683 0.9078 Columbia, PA Lackawanna, PA Luzerne, PA Wyoming, PA 7600 \1\ Seattle-Bellevue-Everett, WA.............. 1.1560 1.1044 [[Page 41058]] Island, WA King, WA Snohomish, WA 7610 Sharon, PA.................................... 0.8866 0.9209 Mercer, PA 7620 \2\ Sheboygan, WI............................. 0.8729 0.9111 Sheboygan, WI 7640 Sherman-Denison, TX........................... 0.8588 0.9010 Grayson, TX 7680 Shreveport-Bossier City, LA................... 0.9400 0.9585 Bossier, LA Caddo, LA Webster, LA 7720 Sioux City, IA-NE............................. 0.8499 0.8946 Woodbury, IA Dakota, NE 7760 Sioux Falls, SD............................... 0.8931 0.9255 Lincoln, SD Minnehaha, SD 7800 South Bend, IN................................ 0.9880 0.9918 St. Joseph, IN 7840 Spokane, WA................................... 1.0952 1.0643 Spokane, WA 7880 Springfield, IL............................... 0.8739 0.9118 Menard, IL Sangamon, IL 7920 Springfield, MO............................... 0.8088 0.8647 Christian, MO Greene, MO Webster, MO 8003 Springfield, MA............................... 1.0857 1.0579 Hampden, MA Hampshire, MA 8050 State College, PA............................. 0.9469 0.9633 Centre, PA 8080 \2\ Steubenville-Weirton, OH-WV (Ohio Hospitals)......................................... 0.8537 0.8973 Jefferson, OH Brooke, WV Hancock, WV 8080 Steubenville-Weirton, OH-WV (West Virginia Hospitals)......................................... 0.8447 0.8909 Jefferson, OH Brooke, WV Hancock, WV 8120 Stockton-Lodi, CA............................. 1.1099 1.0740 San Joaquin, CA 8140 Sumter, SC.................................... 0.8144 0.8688 Sumter, SC 8160 Syracuse, NY.................................. 0.9420 0.9599 Cayuga, NY Madison, NY Onondaga, NY Oswego, NY 8200 \2\ Tacoma, WA................................ 1.0512 1.0348 Pierce, WA 8240 \2\ Tallahassee, FL........................... 0.8896 0.9230 Gadsden, FL Leon, FL 8280 \1\ Tampa-St. Petersburg-Clearwater, FL....... 0.9203 0.9447 Hernando, FL Hillsborough, FL Pasco, FL Pinellas, FL 8320 Terre Haute, IN............................... 0.9010 0.9311 Clay, IN Vermillion, IN Vigo, IN 8360 Texarkana, AR-Texarkana, TX................... 0.8542 0.8977 Miller, AR Bowie, TX 8400 Toledo, OH.................................... 1.0012 1.0008 Fulton, OH Lucas, OH Wood, OH 8440 Topeka, KS.................................... 0.9833 0.9885 Shawnee, KS 8480 Trenton, NJ................................... 1.0532 1.0361 Mercer, NJ 8520 Tucson, AZ.................................... 0.9047 0.9337 Pima, AZ 8560 Tulsa, OK..................................... 0.8481 0.8933 Creek, OK Osage, OK Rogers, OK Tulsa, OK Wagoner, OK 8600 Tuscaloosa, AL................................ 0.7658 0.8330 Tuscaloosa, AL 8640 Tyler, TX..................................... 0.8837 0.9188 Smith, TX 8680 \2\ Utica-Rome, NY............................ 0.8605 0.9022 Herkimer, NY Oneida, NY 8720 Vallejo-Fairfield-Napa, CA.................... 1.2845 1.1870 Napa, CA Solano, CA 8735 Ventura, CA................................... 1.0715 1.0484 Ventura, CA 8750 Victoria, TX.................................. 0.8400 0.8875 Victoria, TX 8760 Vineland-Millville-Bridgeton, NJ.............. 1.0463 1.0315 Cumberland, NJ 8780 Visalia-Tulare-Porterville, CA................ 1.0105 1.0072 Tulare, CA 8800 Waco, TX...................................... 0.8389 0.8867 McLennan, TX 8840 \1\ Washington, DC-MD-VA-WV................... 1.0812 1.0549 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...................... 0.8350 0.8838 Black Hawk, IA 8940 Wausau, WI.................................... 0.9753 0.9830 Marathon, WI 8960 \1\ West Palm Beach-Boca Raton, FL............ 1.0203 1.0139 Palm Beach, FL 9000 \2\ Wheeling, WV-OH (West Virginia Hospitals). 0.7892 0.8503 Belmont, OH Marshall, WV Ohio, WV 9000 \2\ Wheeling, WV-OH (Ohio Hospitals).......... 0.8537 0.8973 Belmont, OH Marshall, WV Ohio, WV 9040 Wichita, KS................................... 0.8917 0.9245 Butler, KS Harvey, KS Sedgwick, KS 9080 Wichita Falls, TX............................. 0.7847 0.8470 Archer, TX Wichita, TX 9140 \2\ Williamsport, PA.......................... 0.8683 0.9078 Lycoming, PA 9160 Wilmington-Newark, DE-MD...................... 1.1894 1.1261 New Castle, DE Cecil, MD 9200 Wilmington, NC................................ 0.9364 0.9560 New Hanover, NC Brunswick, NC 9260 \2\ Yakima, WA................................ 1.0512 1.0348 Yakima, WA 9270 Yolo, CA...................................... 1.0636 1.0431 Yolo, CA 9280 York, PA...................................... 0.9431 0.9607 York, PA 9320 Youngstown-Warren, OH......................... 0.9836 0.9887 Columbiana, OH Mahoning, OH Trumbull, OH 9340 Yuba City, CA................................. 1.0889 1.0601 [[Page 41059]] Sutter, CA Yuba, CA 9360 Yuma, AZ...................................... 1.0080 1.0055 Yuma, AZ ------------------------------------------------------------------------ \1\ Large Urban Area \2\ Hospitals geographically located in the area are assigned the statewide rural wage index for FY 1999. Table 4B.--Wage Index and Capital Geographic Adjustment Factor (GAF) for Rural Areas ------------------------------------------------------------------------ Wage Nonurban area index GAF ------------------------------------------------------------------------ Alabama............................................. 0.7338 0.8090 Alaska.............................................. 1.2456 1.1623 Arizona............................................. 0.8007 0.8588 Arkansas............................................ 0.7265 0.8035 California.......................................... 0.9959 0.9972 Colorado............................................ 0.8454 0.8914 Connecticut......................................... 1.2100 1.1394 Delaware............................................ 0.8826 0.9180 Florida............................................. 0.8896 0.9230 Georgia............................................. 0.7905 0.8513 Hawaii.............................................. 1.0933 1.0630 Idaho............................................... 0.8495 0.8943 Illinois............................................ 0.7942 0.8540 Indiana............................................. 0.8398 0.8873 Iowa................................................ 0.7793 0.8430 Kansas.............................................. 0.7330 0.8084 Kentucky............................................ 0.7861 0.8481 Louisiana........................................... 0.7481 0.8198 Maine............................................... 0.8485 0.8936 Maryland............................................ 0.8574 0.9000 Massachusetts....................................... 1.0857 1.0579 Michigan............................................ 0.8903 0.9235 Minnesota........................................... 0.8613 0.9028 Mississippi......................................... 0.7327 0.8082 Missouri............................................ 0.7468 0.8188 Montana............................................. 0.8596 0.9016 Nebraska............................................ 0.7690 0.8354 Nevada.............................................. 0.9276 0.9498 New Hampshire....................................... 1.0262 1.0179 New Jersey \1\...................................... ........ New Mexico.......................................... 0.8136 0.8683 New York............................................ 0.8605 0.9022 North Carolina...................................... 0.8130 0.8678 North Dakota........................................ 0.7514 0.8222 Ohio................................................ 0.8537 0.8973 Oklahoma............................................ 0.7139 0.7939 Oregon.............................................. 0.9933 0.9954 Pennsylvania........................................ 0.8683 0.9078 Puerto Rico......................................... 0.4089 0.5420 Rhode Island \1\.................................... ........ South Carolina...................................... 0.8063 0.8629 South Dakota........................................ 0.7524 0.8230 Tennessee........................................... 0.7508 0.8218 Texas............................................... 0.7441 0.8168 Utah................................................ 0.8878 0.9217 Vermont............................................. 0.9436 0.9610 Virginia............................................ 0.7863 0.8482 Washington.......................................... 1.0512 1.0348 West Virginia....................................... 0.7892 0.8503 Wisconsin........................................... 0.8729 0.9111 Wyoming............................................. 0.8787 0.9153 ------------------------------------------------------------------------ \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......................................... 0.8083 0.8644 Albany, GA.......................................... 0.7905 0.8513 Albuquerque, NM..................................... 0.8632 0.9042 Alexandria, LA...................................... 0.8544 0.8978 Allentown-Bethlehem-Easton, PA...................... 1.0226 1.0154 Amarillo, TX........................................ 0.8509 0.8953 Anchorage, AK....................................... 1.3007 1.1973 Asheville, NC....................................... 0.8960 0.9276 Atlanta, GA......................................... 0.9936 0.9956 Augusta-Aiken, GA-SC................................ 0.9253 0.9482 Baltimore, MD....................................... 0.9663 0.9768 Barnstable-Yarmouth, MA............................. 1.4458 1.2872 Baton Rouge, LA..................................... 0.8891 0.9227 Benton Harbor, MI................................... 0.8903 0.9235 Bergen-Passaic, NJ.................................. 1.1774 1.1183 Billings, MT........................................ 0.9162 0.9418 Binghamton, NY...................................... 0.9078 0.9359 Birmingham, AL...................................... 0.9092 0.9369 Bismarck, ND........................................ 0.7863 0.8482 Boise City, ID...................................... 0.9209 0.9451 Boston-Worcester-Lawrence-Lowell-Brockton, MA-NH.... 1.1307 1.0878 Brazoria, TX........................................ 0.8925 0.9251 Bryan-College Station, TX........................... 0.8084 0.8645 Buffalo-Niagara Falls, NY........................... 0.9607 0.9729 Burlington, VT...................................... 0.9616 0.9735 Caguas, PR.......................................... 0.4419 0.5716 Canton-Massillon, OH................................ 0.8827 0.9181 Casper, WY.......................................... 0.9170 0.9424 Champaign-Urbana, IL................................ 0.8789 0.9154 Charleston-North Charleston, SC..................... 0.9134 0.9399 Charleston, WV...................................... 0.8782 0.9149 Charlotte-Gastonia-Rock Hill, NC-SC................. 0.9562 0.9698 Charlottesville, VA................................. 0.9754 0.9831 Chattanooga, TN-GA.................................. 0.8888 0.9224 Chicago, IL......................................... 1.0469 1.0319 Cincinnati, OH-KY-IN................................ 0.9615 0.9735 Clarksville-Hopkinsville, TN-KY..................... 0.8231 0.8752 Cleveland-Lorain-Elyria, OH......................... 0.9907 0.9936 Columbia, MO........................................ 0.8817 0.9174 Columbus, GA-AL..................................... 0.8529 0.8968 Columbus, OH........................................ 0.9802 0.9864 Corpus Christi, TX.................................. 0.8549 0.8982 Dallas, TX.......................................... 0.9364 0.9560 Danville, VA........................................ 0.8735 0.9115 Davenport-Moline-Rock Island, IA-IL................. 0.8431 0.8897 Dayton-Springfield, OH.............................. 0.9584 0.9713 Denver, CO.......................................... 1.0059 1.0040 Des Moines, IA...................................... 0.8494 0.8942 Duluth-Superior, MN-WI.............................. 1.0031 1.0021 Dutchess County, NY................................. 0.9904 0.9934 Elkhart-Goshen, IN.................................. 0.9388 0.9577 Eugene-Springfield, OR.............................. 1.1072 1.0722 Evansville-Henderson, IN-KY......................... 0.8433 0.8898 Fargo-Moorhead, ND-MN............................... 0.9264 0.9490 Fayetteville, NC.................................... 0.8407 0.8880 Flagstaff, AZ-UT.................................... 0.9543 0.9685 Flint, MI........................................... 1.1054 1.0710 Fort Collins-Loveland, CO........................... 1.0319 1.0217 Ft. Lauderdale, FL.................................. 0.9867 0.9909 Fort Pierce-Port St. Lucie, FL...................... 1.0263 1.0179 Fort Smith, AR-OK................................... 0.7535 0.8238 Fort Walton Beach, FL............................... 0.8640 0.9047 Forth Worth-Arlington, TX........................... 0.9729 0.9814 Gadsden, AL......................................... 0.8799 0.9161 Gainesville, FL..................................... 0.9482 0.9642 Goldsboro, NC....................................... 0.8353 0.8841 Grand Forks, ND-MN.................................. 0.8918 0.9246 Grand Junction, CO.................................. 0.9099 0.9374 Grand Rapids-Muskegon-Holland, MI................... 0.9878 0.9916 Great Falls, MT..................................... 0.9304 0.9518 Greeley, CO......................................... 0.9376 0.9568 Green Bay, WI....................................... 0.9268 0.9493 Greenville, NC...................................... 0.9118 0.9387 Greenville-Spartanburg-Anderson, SC................. 0.9242 0.9475 Harrisburg-Lebanon-Carlisle, PA..................... 1.0082 1.0056 Hartford, CT........................................ 1.1879 1.1251 Hattiesburg, MS..................................... 0.7327 0.8082 Hickory-Morganton-Lenoir, NC........................ 0.8668 0.9067 Honolulu, HI........................................ 1.1535 1.1027 Houston, TX......................................... 0.9904 0.9934 Huntington-Ashland, WV-KY-OH........................ 0.9295 0.9512 Huntsville, AL...................................... 0.8240 0.8758 Indianapolis, IN.................................... 0.9748 0.9827 Iowa City, IA....................................... 0.9382 0.9573 Jackson, MS......................................... 0.8310 0.8809 Jackson, TN......................................... 0.8578 0.9003 Jacksonville, FL.................................... 0.8919 0.9246 Johnson City-Kingsport-Bristol, TN-VA............... 0.8792 0.9156 Jonesboro, AR....................................... 0.7595 0.8283 Joplin, MO.......................................... 0.7890 0.8502 Kalamazoo-Battlecreek, MI........................... 1.1102 1.0742 Kansas City, KS-MO.................................. 0.9666 0.9770 Knoxville, TN....................................... 0.8937 0.9259 Lafayette, LA....................................... 0.8311 0.8810 Lansing-East Lansing, MI............................ 0.9995 0.9997 Las Cruces, NM...................................... 0.8989 0.9296 [[Page 41060]] Las Vegas, NV-AZ.................................... 1.1438 1.0964 Lexington, KY....................................... 0.8525 0.8965 Lima, OH............................................ 0.8787 0.9153 Lincoln, NE......................................... 0.9051 0.9340 Little Rock-North Little Rock, AR................... 0.8553 0.8985 Los Angeles-Long Beach, CA.......................... 1.2070 1.1375 Louisville, KY-IN................................... 0.9113 0.9384 Macon, GA........................................... 0.8502 0.8948 Madison, WI......................................... 1.0040 1.0027 Mansfield, OH....................................... 0.8552 0.8984 Memphis, TN-AR-MS................................... 0.8371 0.8854 Merced, CA.......................................... 1.0240 1.0164 Milwaukee-Waukesha, WI.............................. 0.9135 0.9399 Minneapolis-St. Paul, MN-WI......................... 1.0877 1.0593 Modesto, CA......................................... 1.0368 1.0251 Monroe, LA.......................................... 0.8097 0.8654 Montgomery, AL...................................... 0.7877 0.8492 Myrtle Beach, SC.................................... 0.8196 0.8726 Nashville, TN....................................... 0.9322 0.9531 New Haven-Bridgeport-Stamford-Waterbury-Danbury, CT. 1.2271 1.1504 New London-Norwich, CT.............................. 1.1665 1.1112 New Orleans, LA..................................... 0.9330 0.9536 New York, NY........................................ 1.4431 1.2855 Newburgh, NY-PA..................................... 1.1247 1.0838 Oakland, CA......................................... 1.5194 1.3317 Odessa-Midland, TX.................................. 0.8683 0.9078 Oklahoma City, OK................................... 0.8727 0.9110 Omaha, NE-IA........................................ 0.9993 0.9995 Orange County, CA................................... 1.1472 1.0986 Orlando, FL......................................... 0.9834 0.9886 Peoria-Pekin, IL.................................... 0.8081 0.8642 Philadelphia, PA-NJ................................. 1.1382 1.0927 Pittsburgh, PA...................................... 0.9661 0.9767 Pocatello, ID (Idaho Hospital)...................... 0.8673 0.9071 Pocatello, ID (Wyoming Hospitals)................... 0.8787 0.9153 Portland, ME........................................ 0.9595 0.9721 Portland-Vancouver, OR-WA........................... 1.1202 1.0808 Provo-Orem, UT...................................... 0.9907 0.9936 Raleigh-Durham-Chapel Hill, NC...................... 0.9833 0.9885 Rapid City, SD...................................... 0.8226 0.8748 Reno, NV............................................ 1.1118 1.0753 Rochester, MN....................................... 1.1723 1.1150 Rockford, IL........................................ 0.8634 0.9043 Sacramento, CA...................................... 1.1864 1.1242 Saginaw-Bay City-Midland, MI........................ 0.9507 0.9660 St. Cloud, MN....................................... 0.9607 0.9729 St. Louis, MO-IL.................................... 0.9171 0.9425 Salt Lake City-Ogden, UT............................ 0.9400 0.9585 San Diego, CA....................................... 1.2336 1.1546 Santa Fe, NM........................................ 0.9493 0.9650 Santa Rosa, CA...................................... 1.2934 1.1927 Seattle-Bellevue-Everett, WA........................ 1.1560 1.1044 Sharon, PA.......................................... 0.8866 0.9209 Sherman-Denison, TX................................. 0.8266 0.8777 Sioux City, IA-NE................................... 0.8499 0.8946 Sioux Falls, SD..................................... 0.8828 0.9182 South Bend, IN...................................... 0.9880 0.9918 Spokane, WA......................................... 1.0752 1.0509 Springfield, IL..................................... 0.8739 0.9118 Springfield, MO..................................... 0.8088 0.8647 State College, PA................................... 0.8812 0.9170 Syracuse, NY........................................ 0.9420 0.9599 Tallahassee, FL..................................... 0.8518 0.8960 Tampa-St. Petersburg-Clearwater, FL................. 0.9203 0.9447 Texarkana, AR-Texarkana, TX......................... 0.8542 0.8977 Toledo, OH.......................................... 1.0012 1.0008 Topeka, KS.......................................... 0.9609 0.9731 Tucson, AZ.......................................... 0.9047 0.9337 Tulsa, OK........................................... 0.8376 0.8857 Tuscaloosa, AL...................................... 0.7658 0.8330 Tyler, TX........................................... 0.8837 0.9188 Vallejo-Fairfield-Napa, CA.......................... 1.2845 1.1870 Victoria, TX........................................ 0.8400 0.8875 Washington, DC-MD-VA-WV............................. 1.0812 1.0549 Waterloo-Cedar Falls, IA............................ 0.8350 0.8838 Wausau, WI.......................................... 0.9442 0.9614 Wichita, KS......................................... 0.8789 0.9154 Wichita Falls, TX................................... 0.7677 0.8344 Rural Alabama....................................... 0.7338 0.8090 Rural Illinois...................................... 0.7942 0.8540 Rural Louisiana..................................... 0.7481 0.8198 Rural Massachusetts................................. 1.0421 1.0286 Rural Michigan...................................... 0.8903 0.9235 Rural Minnesota..................................... 0.8613 0.9028 Rural Missouri...................................... 0.7468 0.8188 Rural Nevada........................................ 0.8851 0.9198 Rural New Mexico.................................... 0.8136 0.8683 Rural Oregon........................................ 0.9933 0.9954 Rural Washington.................................... 1.0512 1.0348 Rural Wyoming....................................... 0.8787 0.9153 ------------------------------------------------------------------------ Table 4D.--Average Hourly Wage for Urban Areas ------------------------------------------------------------------------ Average Urban area hourly wage ------------------------------------------------------------------------ Abilene, TX.................................................. 16.5825 Aguadilla, PR................................................ 9.8222 Akron, OH.................................................... 20.5687 Albany, GA................................................... 16.5708 Albany-Schenectady-Troy, NY.................................. 17.8900 Albuquerque, NM.............................................. 17.8958 Alexandria, LA............................................... 17.7146 Allentown-Bethlehem-Easton, PA............................... 21.2002 Altoona, PA.................................................. 19.3951 Amarillo, TX................................................. 17.6070 Anchorage, AK................................................ 26.6324 Ann Arbor, MI................................................ 22.9238 Anniston, AL................................................. 17.9884 Appleton-Oshkosh-Neenah, WI.................................. 18.3354 Arecibo, PR.................................................. 10.1129 Asheville, NC................................................ 18.5755 Athens, GA................................................... 18.0203 Atlanta, GA.................................................. 20.6008 Atlantic-Cape May, NJ........................................ 23.9678 Augusta-Aiken, GA-SC......................................... 19.1829 Austin-San Marcos, TX........................................ 17.5021 Bakersfield, CA.............................................. 19.3407 Baltimore, MD................................................ 20.0332 Bangor, ME................................................... 19.6846 Barnstable-Yarmouth, MA...................................... 31.9593 Baton Rouge, LA.............................................. 18.4325 Beaumont-Port Arthur, TX..................................... 18.8069 Bellingham, WA............................................... 23.7572 Benton Harbor, MI............................................ 17.7241 Bergen-Passaic, NJ........................................... 25.3184 Billings, MT................................................. 18.9960 Biloxi-Gulfport-Pascagoula, MS............................... 17.1946 Binghamton, NY............................................... 18.8217 Birmingham, AL............................................... 18.8506 Bismarck, ND................................................. 16.6736 Bloomington, IN.............................................. 18.6271 Bloomington-Normal, IL....................................... 18.3900 Boise City, ID............................................... 19.0323 Boston-Worcester-Lawrence-Lowell-Brockton, MA-NH............. 23.4028 Boulder-Longmont, CO......................................... 20.8550 Brazoria, TX................................................. 18.5041 Bremerton, WA................................................ 22.9686 Brownsville-Harlingen-San Benito, TX......................... 17.1138 Bryan-College Station, TX.................................... 16.2473 Buffalo-Niagara Falls, NY.................................... 19.9187 Burlington, VT............................................... 19.8983 Caguas, PR................................................... 9.1414 Canton-Massillon, OH......................................... 18.3002 Casper, WY................................................... 18.0774 Cedar Rapids, IA............................................. 18.3134 Champaign-Urbana, IL......................................... 18.1242 Charleston-North Charleston, SC.............................. 18.9373 Charleston, WV............................................... 18.6776 Charlotte-Gastonia-Rock Hill, NC-SC.......................... 19.8253 Charlottesville, VA.......................................... 21.3425 Chattanooga, TN-GA........................................... 18.8525 Cheyenne, WY................................................. 16.9321 Chicago, IL.................................................. 21.7048 Chico-Paradise, CA........................................... 21.0787 Cincinnati, OH-KY-IN......................................... 19.9348 Clarksville-Hopkinsville, TN-KY.............................. 16.7045 Cleveland-Lorain-Elyria, OH.................................. 20.5401 Colorado Springs, CO......................................... 19.5098 Columbia, MO................................................. 18.5780 Columbia, SC................................................. 19.3016 Columbus, GA-AL.............................................. 17.6831 Columbus, OH................................................. 20.3213 Corpus Christi, TX........................................... 17.6885 Cumberland, MD-WV............................................ 17.1237 Dallas, TX................................................... 19.4566 Danville, VA................................................. 18.7936 Davenport-Moline-Rock Island, IA-IL.......................... 17.4790 Dayton-Springfield, OH....................................... 19.8696 Daytona Beach, FL............................................ 18.9775 Decatur, AL.................................................. 17.1056 Decatur, IL.................................................. 16.6936 Denver, CO................................................... 20.8379 Des Moines, IA............................................... 17.5526 Detroit, MI.................................................. 21.9074 Dothan, AL................................................... 16.3982 [[Page 41061]] Dover, DE.................................................... 19.4527 Dubuque, IA.................................................. 17.0836 Duluth-Superior, MN-WI....................................... 20.6977 Dutchess County, NY.......................................... 21.8781 Eau Claire, WI............................................... 17.8112 El Paso, TX.................................................. 19.1468 Elkhart-Goshen, IN........................................... 19.3331 Elmira, NY................................................... 17.5367 Enid, OK..................................................... 16.5214 Erie, PA..................................................... 19.2614 Eugene-Springfield, OR....................................... 23.2566 Evansville, Henderson, IN-KY................................. 17.7198 Fargo-Moorhead, ND-MN........................................ 19.7733 Fayetteville, NC............................................. 17.4302 Fayetteville-Springdale-Rogers, AR........................... 17.8965 Flagstaff, AZ-UT............................................. 19.7032 Flint, MI.................................................... 22.9184 Florence, AL................................................. 15.9479 Florence, SC................................................. 17.6631 Fort Collins-Loveland, CO.................................... 21.3936 Fort Lauderdale, FL.......................................... 20.3766 Fort Myers-Cape Coral, FL.................................... 18.5257 Fort Pierce-Port St. Lucie, FL............................... 21.2784 Fort Smith, AR-OK............................................ 15.8375 Fort Walton Beach, FL........................................ 17.8995 Fort Wayne, IN............................................... 18.7962 Fort Worth-Arlington, TX..................................... 20.1487 Fresno, CA................................................... 21.5811 Gadsden, AL.................................................. 18.2411 Gainesville, FL.............................................. 19.6396 Galveston-Texas City, TX..................................... 22.4914 Gary, IN..................................................... 19.6025 Glens Falls, NY.............................................. 17.6404 Goldsboro, NC................................................ 17.7222 Grand Forks, ND-MN........................................... 18.3589 Grand Junction, CO........................................... 17.0997 Grand Rapids-Muskegon-Holland, MI............................ 20.7161 Great Falls, MT.............................................. 18.4336 Greeley, CO.................................................. 19.6480 Green Bay, WI................................................ 19.0230 Greensboro-Winston-Salem-High Point, NC...................... 19.8355 Greenville, NC............................................... 19.6007 Greenville-Spartanburg-Anderson, SC.......................... 19.1612 Hagerstown, MD............................................... 21.1564 Hamilton-Middletown, OH...................................... 19.1833 Harrisburg-Lebanon-Carlisle, PA.............................. 20.9016 Hartford, CT................................................. 24.5817 Hattiesburg, MS.............................................. 15.0868 Hickory-Morganton-Lenoir, NC................................. 18.4995 Honolulu, HI................................................. 23.9148 Houma, LA.................................................... 17.0314 Houston, TX.................................................. 20.5336 Huntington-Ashland, WV-KY-OH................................. 20.0441 Huntsville, AL............................................... 17.4211 Indianapolis, IN............................................. 20.4258 Iowa City, IA................................................ 19.6992 Jackson, MI.................................................. 19.1645 Jackson, MS.................................................. 17.2283 Jackson, TN.................................................. 17.7852 Jacksonville, FL............................................. 18.4915 Jacksonville, NC............................................. 15.6996 Jamestown, NY................................................ 15.9148 Janesville-Beloit, WI........................................ 18.8060 Jersey City, NJ.............................................. 24.0964 Johnson City-Kingsport-Bristol, TN-VA........................ 18.2276 Johnstown, PA................................................ 17.9084 Jonesboro, AR................................................ 15.3904 Joplin, MO................................................... 16.3572 Kalamazoo-Battlecreek, MI.................................... 23.5418 Kankakee, IL................................................. 19.5674 Kansas City, KS-MO........................................... 20.0395 Kenosha, WI.................................................. 18.9676 Killeen-Temple, TX........................................... 21.0041 Knoxville, TN................................................ 18.5294 Kokomo, IN................................................... 19.2700 La Crosse, WI-MN............................................. 18.5196 Lafayette, LA................................................ 17.1506 Lafayette, IN................................................ 18.3693 Lake Charles, LA............................................. 15.9437 Lakeland-Winter Haven, FL.................................... 18.5726 Lancaster, PA................................................ 19.8644 Lansing-East Lansing, MI..................................... 20.9650 Laredo, TX................................................... 15.2556 Las Cruces, NM............................................... 18.4298 Las Vegas, NV-AZ............................................. 23.7139 Lawrence, KS................................................. 17.9827 Lawton, OK................................................... 18.0698 Lewiston-Auburn, ME.......................................... 19.0090 Lexington, KY................................................ 17.6740 Lima, OH..................................................... 18.5932 Lincoln, NE.................................................. 19.3291 Little Rock-North Little Rock, AR............................ 17.6667 Longview-Marshall, TX........................................ 18.0723 Los Angeles-Long Beach, CA................................... 24.9564 Louisville, KY-IN............................................ 18.8926 Lubbock, TX.................................................. 17.6523 Lynchburg, VA................................................ 18.4907 Macon, GA.................................................... 17.8909 Madison, WI.................................................. 20.8155 Mansfield, OH................................................ 17.7305 Mayaguez, PR................................................. 8.6819 McAllen-Edinburg-Mission, TX................................. 17.6361 Medford-Ashland, OR.......................................... 20.8190 Melbourne-Titusville-Palm Bay, FL............................ 19.1487 Memphis, TN-AR-MS............................................ 17.3552 Merced, CA................................................... 20.8449 Miami, FL.................................................... 20.8119 Middlesex-Somerset-Hunterdon, NJ............................. 23.1702 Milwaukee-Waukesha, WI....................................... 18.9231 Minneapolis-St. Paul, MN-WI.................................. 22.5517 Missoula, MT................................................. 19.0914 Mobile, AL................................................... 17.4040 Modesto, CA.................................................. 21.4951 Monmouth-Ocean, NJ........................................... 23.5125 Monroe, LA................................................... 17.0762 Montgomery, AL............................................... 16.2493 Muncie, IN................................................... 19.5589 Myrtle Beach, SC............................................. 16.9930 Naples, FL................................................... 21.1457 Nashville, TN................................................ 19.6966 Nassau-Suffolk, NY........................................... 28.1530 New Haven-Bridgeport-Stamford-Waterbury-Danbury, CT.......... 25.6149 New London-Norwich, CT....................................... 24.1351 New Orleans, LA.............................................. 19.3440 New York, NY................................................. 29.9194 Newark, NJ................................................... 24.6026 Newburgh, NY-PA.............................................. 23.1779 Norfolk-Virginia Beach-Newport News, VA-NC................... 17.0290 Oakland, CA.................................................. 31.1506 Ocala, FL.................................................... 19.0159 Odessa-Midland, TX........................................... 17.9849 Oklahoma City, OK............................................ 18.0923 Olympia, WA.................................................. 23.9389 Omaha, NE-IA................................................. 20.7181 Orange County, CA............................................ 23.8979 Orlando, FL.................................................. 20.3876 Owensboro, KY................................................ 16.1460 Panama City, FL.............................................. 17.6753 Parkersburg-Marietta, WV-OH.................................. 16.6559 Pensacola, FL................................................ 16.9466 Peoria-Pekin, IL............................................. 16.7415 Philadelphia, PA-NJ.......................................... 23.5963 Phoenix-Mesa, AZ............................................. 19.9270 Pine Bluff, AR............................................... 16.4382 Pittsburgh, PA............................................... 20.3368 Pittsfield, MA............................................... 22.4781 Pocatello, ID................................................ 18.2669 Ponce, PR.................................................... 9.9487 Portland, ME................................................. 19.8655 Portland-Vancouver, OR-WA.................................... 23.2244 Providence-Warwick, RI....................................... 22.4405 Provo-Orem, UT............................................... 20.5384 Pueblo, CO................................................... 18.1010 Punta Gorda, FL.............................................. 18.7634 Racine, WI................................................... 18.9687 Raleigh-Durham-Chapel Hill, NC............................... 20.3867 Rapid City, SD............................................... 17.0546 Reading, PA.................................................. 19.1866 Redding, CA.................................................. 24.6374 Reno, NV..................................................... 23.0512 Richland-Kennewick-Pasco, WA................................. 21.3732 Richmond-Petersburg, VA...................................... 19.1375 Riverside-San Bernardino, CA................................. 21.4175 Roanoke, VA.................................................. 17.6802 Rochester, MN................................................ 24.3054 Rochester, NY................................................ 20.0636 Rockford, IL................................................. 17.8998 Rocky Mount, NC.............................................. 18.7242 Sacramento, CA............................................... 24.5905 Saginaw-Bay City-Midland, MI................................. 19.7109 St. Cloud, MN................................................ 19.9167 St. Joseph, MO............................................... 20.5465 St. Louis, MO-IL............................................. 19.0136 Salem, OR.................................................... 20.5776 Salinas, CA.................................................. 31.4614 Salt Lake City-Ogden, UT..................................... 19.4382 San Angelo, TX............................................... 15.8857 San Antonio, TX.............................................. 16.8290 San Diego, CA................................................ 25.4828 San Francisco, CA............................................ 28.8570 San Jose, CA................................................. 28.7281 San Juan-Bayamon, PR......................................... 9.6051 San Luis Obispo-Atascadero-Paso Robles, CA................... 22.2647 Santa Barbara-Santa Maria-Lompoc, CA......................... 23.2580 Santa Cruz-Watsonville, CA................................... 29.0487 Santa Fe, NM................................................. 19.9519 Santa Rosa, CA............................................... 28.2508 Sarasota-Bradenton, FL....................................... 19.8054 Savannah, GA................................................. 20.9009 Scranton-Wilkes Barre-Hazleton, PA........................... 17.2431 Seattle-Bellevue-Everett, WA................................. 23.9486 Sharon, PA................................................... 18.3824 Sheboygan, WI................................................ 17.0899 Sherman-Denison, TX.......................................... 17.8053 Shreveport-Bossier City, LA.................................. 19.4893 [[Page 41062]] Sioux City, IA-NE............................................ 17.6215 Sioux Falls, SD.............................................. 18.5158 South Bend, IN............................................... 20.4831 Spokane, WA.................................................. 22.7055 Springfield, IL.............................................. 18.1176 Springfield, MO.............................................. 16.7688 Springfield, MA.............................................. 22.8337 State College, PA............................................ 19.6319 Steubenville-Weirton, OH-WV.................................. 17.5119 Stockton-Lodi, CA............................................ 23.0115 Sumter, SC................................................... 16.8850 Syracuse, NY................................................. 19.5305 Tacoma, WA................................................... 21.5661 Tallahassee, FL.............................................. 17.5545 Tampa-St. Petersburg-Clearwater, FL.......................... 18.9348 Terre Haute, IN.............................................. 18.6798 Texarkana, AR-Texarkana, TX.................................. 17.7097 Toledo, OH................................................... 20.7579 Topeka, KS................................................... 20.3862 Trenton, NJ.................................................. 21.8355 Tucson, AZ................................................... 18.7576 Tulsa, OK.................................................... 17.5841 Tuscaloosa, AL............................................... 15.8762 Tyler, TX.................................................... 18.3215 Utica-Rome, NY............................................... 17.4892 Vallejo-Fairfield-Napa, CA................................... 26.6436 Ventura, CA.................................................. 22.7551 Victoria, TX................................................. 17.4131 Vineland-Millville-Bridgeton, NJ............................. 21.6923 Visalia-Tulare-Porterville, CA............................... 20.9493 Waco, TX..................................................... 17.3923 Washington, DC-MD-VA-WV...................................... 22.4162 Waterloo-Cedar Falls, IA..................................... 16.5347 Wausau, WI................................................... 20.2214 West Palm Beach-Boca Raton, FL............................... 21.2323 Wheeling, OH-WV.............................................. 15.8460 Wichita, KS.................................................. 18.4872 Wichita Falls, TX............................................ 16.2686 Williamsport, PA............................................. 17.7778 Wilmington-Newark, DE-MD..................................... 24.6591 Wilmington, NC............................................... 19.4129 Yakima, WA................................................... 21.4371 Yolo, CA..................................................... 22.0507 York, PA..................................................... 19.5520 Youngstown-Warren, OH........................................ 20.3921 Yuba City, CA................................................ 22.5751 Yuma, AZ..................................................... 20.8977 ------------------------------------------------------------------------ Table 4E.--Average Hourly Wage for Rural Areas ------------------------------------------------------------------------ Average Nonurban area hourly wage ------------------------------------------------------------------------ Alabama...................................................... 15.1457 Alaska....................................................... 25.8250 Arizona...................................................... 16.5996 Arkansas..................................................... 15.0624 California................................................... 20.6476 Colorado..................................................... 17.5278 Connecticut.................................................. 25.0854 Delaware..................................................... 18.2993 Florida...................................................... 18.4445 Georgia...................................................... 16.3888 Hawaii....................................................... 22.6670 Idaho........................................................ 17.6129 Illinois..................................................... 16.4463 Indiana...................................................... 17.4120 Iowa......................................................... 16.1574 Kansas....................................................... 15.1960 Kentucky..................................................... 16.2977 Louisiana.................................................... 15.4880 Maine........................................................ 17.5914 Maryland..................................................... 17.7750 Massachusetts................................................ 22.5095 Michigan..................................................... 18.4407 Minnesota.................................................... 17.8572 Mississippi.................................................. 15.1905 Missouri..................................................... 15.4837 Montana...................................................... 17.4489 Nebraska..................................................... 15.9437 Nevada....................................................... 19.2311 New Hampshire................................................ 21.2761 New Jersey \1\............................................... ......... New Mexico................................................... 16.8682 New York..................................................... 17.8401 North Carolina............................................... 16.8551 North Dakota................................................. 15.5776 Ohio......................................................... 17.6991 Oklahoma..................................................... 14.8012 Oregon....................................................... 20.5901 Pennsylvania................................................. 18.0013 Puerto Rico.................................................. 8.4766 Rhode Island \1\............................................. ......... South Carolina............................................... 16.7176 South Dakota................................................. 15.5989 Tennessee.................................................... 15.5660 Texas........................................................ 15.4273 Utah......................................................... 18.4060 Vermont...................................................... 19.5637 Virginia..................................................... 16.3017 Washington................................................... 21.7934 West Virginia................................................ 16.3620 Wisconsin.................................................... 18.0975 Wyoming...................................................... 18.2168 ------------------------------------------------------------------------ \1\ All counties within the State are classified as urban. Table 4F.--Puerto Rico Wage Index and Capital Geographic Adjustment Factor (GAF) ---------------------------------------------------------------------------------------------------------------- Wage index-- reclass. GAF-- Area Wage index GAF hospitals Reclass. hospitals ---------------------------------------------------------------------------------------------------------------- Aguadilla, PR............................................... 1.0336 1.0229 ........... ........... Arecibo, PR................................................. 1.0642 1.0435 ........... ........... Caguas, PR.................................................. 0.9642 0.9753 0.9642 0.9753 Mayaguez, PR................................................ 0.9136 0.9400 ........... ........... Ponce, PR................................................... 1.0470 1.0320 ........... ........... San Juan-Bayamon, PR........................................ 1.0108 1.0074 ........... ........... Rural Puerto Rico........................................... 0.8920 0.9247 ........... ........... ---------------------------------------------------------------------------------------------------------------- BILLING CODE 4120-01-P [[Page 41063]] [GRAPHIC] [TIFF OMITTED] TR31JY98.032 [[Page 41064]] [GRAPHIC] [TIFF OMITTED] TR31JY98.033 [[Page 41065]] [GRAPHIC] [TIFF OMITTED] TR31JY98.034 [[Page 41066]] [GRAPHIC] [TIFF OMITTED] TR31JY98.035 [[Page 41067]] [GRAPHIC] [TIFF OMITTED] TR31JY98.036 [[Page 41068]] [GRAPHIC] [TIFF OMITTED] TR31JY98.037 [[Page 41069]] [GRAPHIC] [TIFF OMITTED] TR31JY98.038 [[Page 41070]] [GRAPHIC] [TIFF OMITTED] TR31JY98.039 [[Page 41071]] [GRAPHIC] [TIFF OMITTED] TR31JY98.040 [[Page 41072]] [GRAPHIC] [TIFF OMITTED] TR31JY98.041 [[Page 41073]] [GRAPHIC] [TIFF OMITTED] TR31JY98.042 [[Page 41074]] [GRAPHIC] [TIFF OMITTED] TR31JY98.043 [[Page 41075]] [GRAPHIC] [TIFF OMITTED] TR31JY98.044 [[Page 41076]] [GRAPHIC] [TIFF OMITTED] TR31JY98.045 [[Page 41077]] [GRAPHIC] [TIFF OMITTED] TR31JY98.046 BILLING CODE 4120-01-C [[Page 41078]] Table 6A.--New Diagnosis Codes ---------------------------------------------------------------------------------------------------------------- Diagnosis code Description CC MDC DRG ---------------------------------------------------------------------------------------------------------------- 337.3....... Autonomic dysreflexia....... N 1 18, 19 438.53...... Other paralytic syndrome, N 1 12 bilateral. 482.40...... Pneumonia due to Y 4 79, 80, 81 Staphyloccus, unspecified. 5 121 \1\ 15 387, 389 \2\ 25 489 \3\ 482.41...... Pneumonia due to Y 4 79, 80, 81 Staphylococcus aureus. 5 121 \1\ 15 387, 389 \2\ 25 489 \3\ 482.49...... Other Staphylococcus Y 4 79, 80, 81 pneumonia. 5 121 \1\ 15 387, 389 \2\ 25 489 \3\ 518.83...... Chronic respiratory failure. Y 4 87 5 121 \1\ 518.84...... Acute and chronic Y 4 87 respiratory failure. 5 121 \1\ 22 506, 507 519.00...... Unspecified tracheostomy Y Pre 482 complication. 4 101, 102 519.01...... Infection of tracheostomy... Y Pre 482 4 101, 102 519.02...... Mechanical complication of Y Pre 482 tracheostomy. 4 101, 102 519.09...... Other tracheostomy Y Pre 482 complication. 4 101, 102 536.40...... Unspecified gastrostomy Y 6 188, 189, 190 complication. 536.41...... Infection of gastrostomy.... Y 6 188, 189, 190 536.42...... Mechanical complication of Y 6 188, 189, 190 gastrostomy. 536.49...... Other gastrostomy Y 6 188, 189, 190 complication. 564.81...... Neurogenic bowel............ N 6 182, 183, 184 564.89...... Other functional disorders N 6 182, 183, 184 of intestine. 569.62...... Mechanical complication of Y 6 188, 189, 190 colostomy and enterostomy. 659.70...... Abnormality in fetal heart N 14 370, 371, 372, 373, 374, 375 rate/rhythm, unspecified as to episode of care or not applicable. 659.71...... Abnormality in fetal heart N 14 370, 371, 372, 373, 374, 375 rate/rhythm, delivered, with or without mention of antepartum condition. 659.73...... Abnormality in fetal heart N 14 383, 384 rate/rhythm, antepartum condition or complication. 763.81...... Abnormality in fetal heart N 15 390 rate or rhythm before the onset of labor. 763.82...... Abnormality in fetal heart N 15 390 rate or rhythm during labor. 763.83...... Abnormality in fetal heart N 15 390 rate or rhythm, unspecified as to time of onset. 763.89...... Other specified N 15 390 complications of labor and delivery affecting fetus and newborn. 780.71...... Chronic fatigue syndrome.... N 23 463, 464 25 490 780.79...... Other malaise and fatigue... N 23 463, 464 25 490 786.03...... Apnea....................... Y 4 99, 100 25 490 786.04...... Cheyne-Stokes respiration... Y 4 99, 100 25 490 786.05...... Shortness of breath......... N 4 99, 100 25 490 786.06...... Tachypnea................... N 4 99, 100 25 490 786.07...... Wheezing.................... N 4 99, 100 25 490 965.61...... Poisoning by propionic acid N 21 449, 450, 451 derivatives. 965.69...... Poisoning by other N 21 449, 450, 451 antirheumatics. 995.86...... Malignant hyperthermia...... Y 21 454,455 996.55...... Mechanical complications due Y 21 452, 453 to artificial skin graft and decellularized allodermis. 996.56...... Mechanical complications due Y 21 452, 453 to peritoneal dialysis catheter. 996.68...... Infection and inflammatory Y 21 452, 453 reaction due to peritoneal dialysis catheter. V02.51...... Carrier or suspected carrier N 23 467 of Group B streptococcus. V02.52...... Carrier or suspected carrier N 23 467 of other streptococcus. V02.59...... Carrier or suspected carrier N 23 467 of other specified bacterial diseases. V10.48...... Personal history of N 17 411, 412 malignant neoplasm of epididymis. V13.61...... Personal history of N 23 467 hypospadias. V13.69...... Personal history other N 23 467 congenital malformation. [[Page 41079]] V16.51...... Family history of malignant N 23 467 neoplasm of kidney. V16.59...... Family history of malignant N 23 467 neoplasm of other urinary organs. V18.61...... Family history of polycystic N 23 467 kidney. V18.69...... Family history of other N 23 467 kidney diseases. V23.81...... Supervision of high-risk Y 14 469 pregnancy of elderly primigravida. V23.82...... Supervision of high-risk Y 14 469 pregnancy of elderly multigravida. V23.83...... Supervision of high-risk Y 14 469 pregnancy of young primigravida. V23.84...... Supervision of high-risk Y 14 469 pregnancy of young multigravida. V23.89...... Supervision of other high- Y 14 469 risk pregnancy. V26.51...... Tubal ligation status....... N 23 467 V26.52...... Vasectomy status............ N 23 467 V29.3....... Observation for suspected N 23 467 genetic or metabolic condition. V43.83...... Organ or tissue replaced by N 23 467 artificial skin. V44.50...... Unspecified cystostomy N 23 467 status. V44.51...... Cutaneous-vesicostomy status N 23 467 V44.52...... Appendico-vesicostomy status N 23 467 V44.59...... Other cystostomy status..... N 23 467 V56.2....... Fitting and adjustment of N 11 317 peritoneal dialysis catheter. V58.62...... Encounter for aftercare for N 23 465, 466 long- term (current) use of antibiotics. V76.44...... Special screening for N 23 467 malignant neoplasm of prostate. V76.45...... Special screening for N 23 467 malignant neoplasm of testis. ---------------------------------------------------------------------------------------------------------------- \1\ Classified as a "major complication" in this DRG. \2\ Classified as a "major problem" in these DRGs. \3\ HIV major related condition in this DRG. Table 6B.--New Procedure Codes ---------------------------------------------------------------------------------------------------------------- Procedure code Description OR MDC DRG ---------------------------------------------------------------------------------------------------------------- 36.31....... Open chest transmyocardial Y 5 108 revascularization. 36.32....... Other transmyocardial Y 5 108 revascularization. 36.39....... Other heart revascularization. Y 5 108 37.67....... Implantation of Y 5 110, 111 cardiomyostimulation system. 75.37....... Amnioinfusion................. N 86.67....... Dermal regenerative graft..... Y 1 7, 8 3 63 5 120 6 170, 171 8 217 9 263, 264, 265, 266 10 287 21 439 22 504, 506, 507 24 486 92.30....... Stereotactic radiosurgery, not N \1\ 1 7, 8 otherwise specified. 10 292, 293 17 401, 402, 408 92.31....... Single source photon N \1\ 1 7, 8 radiosurgery. 10 292, 293 17 401, 402, 408 92.32....... Multi-source photon N \1\ 1 7, 8 radiosurgery. 10 292, 293 17 401, 402, 408 92.33....... Particulate radiosurgery...... N \1\ 1 7, 8 10 292, 293 17 401, 402, 408 92.39....... Stereotactic radiosurgery, not N \1\ 1 7, 8 elsewhere classified. 10 292, 293 17 401, 402, 408 96.29....... Reduction of intussusception N of alimentary tract. 99.10....... Injection or infusion of N thrombolytic agent. 99.20....... Injection or infusion of N platelet inhibitor. ---------------------------------------------------------------------------------------------------------------- \1\ Non-operating room procedure that affects DRG assignment. [[Page 41080]] Table 6C.--Invalid Diagnosis Codes ---------------------------------------------------------------------------------------------------------------- Diagnosis code Description CC MDC DRG ---------------------------------------------------------------------------------------------------------------- 482.4....... Pneumonia due to Y 4 79, 80, 81 Staphylococcus. 5 121 \1\1 15 387, 389 \2\ 25 489 \3\ 519.0....... Tracheostomy complication... Y PRE 482 4 101, 102 564.8....... Other specified functional N 6 182, 183, 184 disorders of intestine. 763.8....... Other specified N 15 390 complications of labor and delivery affecting fetus and newborn. 780.7....... Malaise and fatigue......... N 23 463, 464 25 490 965.6....... Poisoning by antirheumatics N 21 449, 450, 451 [antiphlogistics]. V02.5....... Carrier or suspected carrier N 23 467 of other specified bacterial diseases. V13.6....... Personal history of N 23 467 congenital malformations. V16.5....... Family history of malignant N 23 467 neoplasm of urinary organs. V18.6....... Family history of kidney N 23 467 diseases. V23.8....... Supervision of other high- Y 14 469 risk pregnancy. V44.5....... Cystostomy status........... N 23 467 ---------------------------------------------------------------------------------------------------------------- \1\ Classified as a "major complication" in this DRG. \2\ Classified as a "major problem" in these DRGs. \3\ HIV major related condition in this DRG. Table 6D.--Invalid Procedure Codes ---------------------------------------------------------------------------------------------------------------- Procedure code Description OR MDC DRG ---------------------------------------------------------------------------------------------------------------- 36.3........ Other heart Y 5 108 revascularization. 92.3........ Stereotactic radiosurgery... N \1\ 1 7,8 10 292, 293 17 401, 402, 408 ---------------------------------------------------------------------------------------------------------------- \1\ Non-operating room procedure that affects DRG assignment. Table 6E.--Revised Diagnosis Code Titles ---------------------------------------------------------------------------------------------------------------- Diagnosis code Description CC MDC DRG ---------------------------------------------------------------------------------------------------------------- 518.81...... Acute respiratory failure... Y 4 87 5 121 \1\ 22 506, 507 659.60...... Elderly multigravida N 14 370, 371, 372, 373, 374, 375 unspecified as to episode of care or not applicable. 659.61...... Elderly multigravida N 14 370, 371, 372, 373, 374, 375 delivered, with mention of antepartum condition. 659.63...... Elderly multigravida with N 14 383, 384 antepartum condition or complication. V56.1....... Fitting and adjustment of N 11 317 extracorporeal dialysis catheter. V82.4....... Maternal postnatal screening N 23 467 for chromosomal anomalies. ---------------------------------------------------------------------------------------------------------------- \1\ Classified as a "major complication" in this DRG. [[Page 41081]] Table 6F.--Additions to the CC Exclusions List Page 1 of 3 Pages CCs that are added to the list are in Table 6F--Additions to the CC Exclusions List. Each of the principal diagnoses is shown with an asterisk, and the revisions to the CC Exclusions List are provided in an indented column immediately following the affected principal diagnosis. ------------------------------------------------------------------------ ------------------------------------------------------------------------ *01100 *01123 *01146 *01172 *01195 *01281 *11515 48249 48240 48240 48240 48240 48240 48240 48240 *48230 48241 48241 48241 48241 48241 48241 48241 48240 48249 48249 48249 48249 48249 48249 48249 48241 *01101 *01124 *01150 *01173 *01196 *01282 *11595 48249 48240 48240 48240 48240 48240 48240 48240 *48231 48241 48241 48241 48241 48241 48241 48241 48240 48249 48249 48249 48249 48249 48249 48249 48241 *01102 *01125 *01151 *01174 *01200 *01283 *1221 48249 48240 48240 48240 48240 48240 48240 48240 *48232 48241 48241 48241 48241 48241 48241 48241 48240 48249 48249 48249 48249 48249 48249 48249 48241 *01103 *01126 *01152 *01175 *01201 *01284 *1304 48249 48240 48240 48240 48240 48240 48240 48240 *48239 48241 48241 48241 48241 48241 48241 48241 48240 48249 48249 48249 48249 48249 48249 48249 48241 *01104 *01130 *01153 *01176 *01202 *01285 *1363 48249 48240 48240 48240 48240 48240 48240 48240 *48240 48241 48241 48241 48241 48241 48241 48241 01100 48249 48249 48249 48249 48249 48249 48249 01101 *01105 *01131 *01154 *01180 *01203 *01286 *3373 01102 48240 48240 48240 48240 48240 48240 3350 01103 48241 48241 48241 48241 48241 48241 33510 01104 48249 48249 48249 48249 48249 48249 33511 01105 *01106 *01132 *01155 *01181 *01204 *01790 01106 33519 48240 48240 48240 48240 48240 48240 33520 01110 48241 48241 48241 48241 48241 48241 33521 01111 48249 48249 48249 48249 48249 48249 33522 01112 *01110 *01133 *01156 *01182 *01205 *01791 33523 01113 48240 48240 48240 48240 48240 48240 33524 01114 48241 48241 48241 48241 48241 48241 33529 01115 48249 48249 48249 48249 48249 48249 3358 01116 *01111 *01134 *01160 *01183 *01206 *01792 3359 01120 48240 48240 48240 48240 48240 48240 *4800 01121 48241 48241 48241 48241 48241 48241 48240 01122 48249 48249 48249 48249 48249 48249 48241 01123 *01112 *01135 *01161 *01184 *01210 *01793 48249 01124 48240 48240 48240 48240 48240 48240 *4801 01125 48241 48241 48241 48241 48241 48241 48240 01126 48249 48249 48249 48249 48249 48249 48241 01130 *01113 *01136 *01162 *01185 *01211 *01794 48249 01131 48240 48240 48240 48240 48240 48240 *4802 01132 48241 48241 48241 48241 48241 48241 48240 01133 48249 48249 48249 48249 48249 48249 48241 01134 *01114 *01140 *01163 *01186 *01212 *01795 48249 01135 48240 48240 48240 48240 48240 48240 *4808 01136 48241 48241 48241 48241 48241 48241 48240 01140 48249 48249 48249 48249 48249 48249 48241 01141 *01115 *01141 *01164 *01190 *01213 *01796 48249 01142 48240 48240 48240 48240 48240 48240 *4809 01143 48241 48241 48241 48241 48241 48241 48240 01144 48249 48249 48249 48249 48249 48249 48241 01145 *01116 *01142 *01165 *01191 *01214 *0212 48249 01146 48240 48240 48240 48240 48240 48240 *481 01150 48241 48241 48241 48241 48241 48241 48240 01151 48249 48249 48249 48249 48249 48249 48241 01152 *01120 *01143 *01166 *01192 *01215 *0310 48249 01153 48240 48240 48240 48240 48240 48240 *4820 01154 48241 48241 48241 48241 48241 48241 48240 01155 48249 48249 48249 48249 48249 48249 48241 01156 *01121 *01144 *01170 *01193 *01216 *0391 48249 01160 48240 48240 48240 48240 48240 48240 *4821 01161 48241 48241 48241 48241 48241 48241 48240 01162 48249 48249 48249 48249 48249 48249 48241 01163 *01122 *01145 *01171 *01194 *01280 *11505 48249 01164 48240 48240 48240 48240 48240 48240 *4822 01165 48241 48241 48241 48241 48241 48241 48240 01166 48249 48249 48249 48249 48249 48249 48241 01170 ------------------------------------------------------------------------ [[Page 41082]] Page 2 of 3 Pages ------------------------------------------------------------------------ ------------------------------------------------------------------------ 01171 4955 01183 5078 01195 48240 48241 48249 01172 4956 01184 5080 01196 48241 48249 *5061 01173 4957 01185 5081 01200 48249 *4950 48240 01174 4958 01186 5171 01201 *48283 48240 48241 01175 4959 01190 *48249 01202 48240 48241 48249 01176 5060 01191 01100 01203 48241 48249 *5062 01180 5061 01192 01101 01204 48249 *4951 48240 01181 5070 01193 01102 01205 *48284 48240 48241 01182 5071 01194 01103 01206 48240 48241 48249 01183 5078 01195 01104 01210 48241 48249 *5063 01184 5080 01196 01105 01211 48249 *4952 48240 01185 5081 01200 01106 01212 *48289 48240 48241 01186 5171 01201 01110 01213 48240 48241 48249 01190 *48241 01202 01111 01214 48241 48249 *5064 01191 01100 01203 01112 01215 48249 *4953 48240 01192 01101 01204 01113 01216 *4829 48240 48241 01193 01102 01205 01114 0310 48240 48241 48249 01194 01103 01206 01115 11505 48241 48249 *5069 01195 01104 01210 01116 11515 48249 *4954 48240 01196 01105 01211 01120 1304 *4830 48240 48241 01200 01106 01212 01121 1363 48240 48241 48249 01201 01110 01213 01122 481 48241 48249 *5070 01202 01111 01214 01123 4820 48249 *4955 48240 01203 01112 01215 01124 4821 *4831 48240 48241 01204 01113 01216 01125 4822 48240 48241 48249 01205 01114 0310 01126 48230 48241 48249 *5071 01206 01115 11505 01130 48231 48249 *4956 48240 01210 01116 11515 01131 48232 *4838 48240 48241 01211 01120 1304 01132 48239 48240 48241 48249 01212 01121 1363 01133 48240 48241 48249 *5078 01213 01122 481 01134 48241 48249 *4957 48240 01214 01123 4820 01135 48249 *4841 48240 48241 01215 01124 4821 01136 48281 48240 48241 48249 01216 01125 4822 01140 48282 48241 48249 *5080 0310 01126 48230 01141 48283 48249 *4958 48240 11505 01130 48231 01142 48284 *4843 48240 48241 11515 01131 48232 01143 48289 48240 48241 48249 1304 01132 48239 01144 4829 48241 48249 *5081 1363 01133 48240 01145 4830 48249 *4959 48240 481 01134 48241 01146 4831 *4845 48240 48241 4820 01135 48249 01150 4838 48240 48241 48249 4821 01136 48281 01151 4841 48241 48249 *5088 4822 01140 48282 01152 4843 48249 *496 48240 48230 01141 48283 01153 4845 *4846 48240 48241 48231 01142 48284 01154 4846 48240 48241 48249 48232 01143 48289 01155 4847 48241 48249 *5089 48239 01144 4829 01156 4848 48249 *500 48240 48240 01145 4830 01160 485 *4847 48240 48241 48241 01146 4831 01161 486 48240 48241 48249 48249 01150 4838 01162 4870 48241 48249 *5171 48281 01151 4841 01163 4950 48249 *501 48240 48282 01152 4843 01164 4951 *4848 48240 48241 48283 01153 4845 01165 4952 48240 48241 48249 48284 01154 4846 01166 4953 48241 48249 *5178 48289 01155 4847 01170 4954 48249 *502 48240 4829 01156 4848 01171 4955 *485 48240 48241 4830 01160 485 01172 4956 48240 48241 48249 4831 01161 486 01173 4957 48241 48249 *51881 4838 01162 4870 01174 4958 48249 *503 51883 4841 01163 4950 01175 4959 *486 48240 51884 4843 01164 4951 01176 5060 48240 48241 78603 4845 01165 4952 01180 5061 48241 48249 78604 4846 01166 4953 01181 5070 48249 *504 *51882 4847 01170 4954 01182 5071 *4870 48240 51883 4848 01171 4955 01183 5078 48240 48241 51884 485 01172 4956 01184 5080 48241 48249 78603 486 01173 4957 01185 5081 48249 *505 78604 4870 01174 4958 01186 5171 *4871 48240 *51883 4950 01175 4959 01190 *48281 48240 48241 51881 4951 01176 5060 01191 48240 48241 48249 51882 4952 01180 5061 01192 48241 48249 *5060 51883 4953 01181 5070 01193 48249 *494 48240 51884 4954 01182 5071 01194 *48282 48240 48241 78603 ------------------------------------------------------------------------ [[Page 41083]] Page 3 of 3 Pages ------------------------------------------------------------------------ ------------------------------------------------------------------------ 78604 53642 *99656 56962 V2384 V2384 7991 53649 99655 *99791 V2389 V2389 *51884 56962 99656 53640 *V230 V239 51881 9974 99659 53641 V2381 *V2389 51882 *53642 99660 53642 V2382 V237 51883 53640 99661 53649 V2383 V2381 51884 53641 99662 56962 V2384 V2382 78603 53642 99663 99586 V2389 V2383 78604 53649 99664 99655 *V231 V2384 7991 56962 99665 99656 V2381 V2389 *51889 9974 99666 99668 V2382 V239 48240 *53649 99667 *99799 V2383 *V239 48241 53640 99668 53640 V2384 V2381 48249 53641 99669 53641 V2389 V2382 *51900 53642 99670 53642 *V232 V2383 51900 53649 99671 53649 V2381 V2384 51901 56962 99672 56962 V2382 V2389 51902 9974 99673 99586 V2383 51909 *56960 99674 99655 V2384 *51901 56962 99675 99656 V2389 51900 *56961 99676 99668 *V233 51901 56962 99677 *9980 V2381 51902 *56962 99678 99586 V2382 51909 56960 99679 *99811 V2383 *51902 56961 *99659 99586 V2384 51900 56962 99655 *99812 V2389 51901 56969 99656 99586 *V234 51902 *56969 99668 *99813 V2381 51909 56962 *99660 99586 V2382 *51909 *74861 99655 *99881 V2383 51900 48240 99656 53640 V2384 51901 48241 99668 53641 V2389 51902 48249 *99668 53642 *V235 51909 *78603 99655 53649 V2381 *5191 78603 99656 56962 V2382 51900 78604 99659 99586 V2383 51901 *78604 99660 *99883 V2384 51902 78603 99661 53640 V2389 51909 78604 99662 53641 *V237 *5198 *7991 99663 53642 V2381 48240 51883 99664 53649 V2382 48241 51884 99665 56962 V2383 48249 78603 99666 99586 V2384 51883 78604 99667 *99889 V2389 51884 *9584 99668 53640 *V2381 51900 99586 99669 53641 V237 51901 *9954 99670 53642 V2381 51902 99586 99671 53649 V2382 51909 *99586 99672 56962 V2383 78603 99586 99673 99586 V2384 78604 *99652 99674 *9989 V2389 *5199 99655 99675 53640 V239 48240 *99655 99676 53641 *V2382 48241 99652 99677 53642 V237 48249 99655 99678 53649 V2381 51883 99660 99679 56962 V2382 51884 99661 *99669 99586 V2383 51900 99662 99655 *V220 V2384 51901 99663 99656 V2381 V2389 51902 99665 99668 V2382 V239 51909 99666 *99670 V2383 *V2383 78603 99667 99655 V2384 V237 78604 99669 99656 V2389 V2381 *53640 99670 99668 *V221 V2382 53640 99671 *99679 V2381 V2383 53641 99672 99655 V2382 V2384 53642 99673 99656 V2383 V2389 53649 99674 99668 V2384 V239 56962 99675 *9974 V2389 *V2384 9974 99676 53640 *V222 V237 *53641 99677 53641 V2381 V2381 53640 99678 53642 V2382 V2382 53641 99679 53649 V2383 V2383 ------------------------------------------------------------------------ [[Page 41084]] Table 6G.--Deletions to the CC Exclusions List [CCs that are deleted from the list are in Table 6G--Deletions to the CC Exclusions List. Each of the principal diagnoses is shown with an asterisk, and the revisions to the CC Exclusions List are provided in an indented column immediately following the affected principal diagnosis.] ------------------------------------------------------------------------ ------------------------------------------------------------------------ *01100 *01146 *01195 *11515 01143 48282 4824 4824 4824 4824 4824 4824 01144 48283 *4870 *5178 *01101 *01150 *01196 *11595 01145 48284 4824 4824 4824 4824 4824 4824 01146 48289 *4871 *51889 *01102 *01151 *01200 *1221 01150 4829 4824 4824 4824 4824 4824 4824 01151 4830 *494 *5190 *01103 *01152 *01201 *1304 01152 4831 4824 5190 4824 4824 4824 4824 01153 4838 *4950 *5191 *01104 *01153 *01202 *1363 01154 4841 4824 5190 4824 4824 4824 4824 01155 4843 *4951 *5198 *01105 *01154 *01203 *4800 01156 4845 4824 4824 4824 4824 4824 4824 01160 4846 *4952 5190 *01106 *01155 *01204 *4801 01161 4847 4824 *5199 4824 4824 4824 4824 01162 4848 *4953 4824 *01110 *01156 *01205 *4802 01163 485 4824 5190 4824 4824 4824 4824 01164 486 *4954 *74861 *01111 *01160 *01206 *4808 01165 4870 4824 4824 4824 4824 4824 4824 01166 4950 *4955 *V220 *01112 *01161 *01210 *4809 01170 4951 4824 V238 4824 4824 4824 4824 01171 4952 *4956 *V221 *01113 *01162 *01211 *481 4953 4824 V238 01172 4824 4824 4824 4824 01173 4954 *4957 *V222 *01114 *01163 *01212 *4820 01174 4955 4824 V238 4824 4824 4824 4824 01175 4956 *4958 *V230 *01115 *01164 *01213 *4821 01176 4957 4824 V238 4824 4824 4824 4824 01180 4958 *4959 *V231 *01116 *01165 *01214 *4822 01181 4959 4824 V238 4824 4824 4824 4824 01182 5060 *496 *V232 *01120 *01166 *01215 *48230 01183 5061 4824 V238 4824 4824 4824 4824 01184 5070 *500 *V233 *01121 *01170 *01216 *48231 01185 5071 4824 V238 4824 4824 4824 4824 01186 5078 *501 *V234 *01122 *01171 *01280 *48232 01190 5080 4824 V238 4824 4824 4824 4824 01191 5081 *502 *V235 *01123 *01172 *01281 *48239 01192 5171 4824 V238 4824 4824 4824 4824 01193 *48281 *503 *V237 *01124 *01173 *01282 *4824 01194 4824 4824 V238 4824 4824 4824 01100 01195 *48282 *504 *V238 *01125 *01174 *01283 01101 01196 4824 4824 V237 4824 4824 4824 01102 01200 *48283 *505 V238 *01126 *01175 *01284 01103 01201 4824 4824 V239 4824 4824 4824 01104 01202 *48284 *5060 *V239 *01130 *01176 *01285 01105 01203 4824 4824 V238 4824 4824 4824 01106 01204 *48289 *5061 *01131 *01180 *01286 01110 01205 4824 4824 4824 4824 4824 01111 01206 *4829 *5062 *01132 *01181 *01790 01112 01210 4824 4824 4824 4824 4824 01113 01211 *4830 *5063 *01133 *01182 *01791 01114 01212 4824 4824 4824 4824 4824 01115 01213 *4831 *5064 *01134 *01183 *01792 01116 01214 4824 4824 4824 4824 4824 01120 01215 *4838 *5069 *01135 *01184 *01793 01121 01216 4824 4824 4824 4824 4824 01122 0310 *4841 *5070 *01136 *01185 *01794 01123 11505 4824 4824 4824 4824 4824 01124 11515 *4843 *5071 *01140 *01186 *01795 01125 1304 4824 4824 4824 4824 4824 01126 1363 *4845 *5078 *01141 *01190 *01796 01130 481 4824 4824 4824 4824 4824 01131 4820 *4846 *5080 *01142 *01191 *0212 01132 4821 4824 4824 4824 4824 4824 01133 4822 *4847 *5081 *01143 *01192 *0310 01134 48230 4824 4824 4824 4824 4824 01135 48231 *4848 *5088 *01144 *01193 *0391 01136 48232 4824 4824 4824 4824 4824 01140 48239 *485 *5089 *01145 *01194 *11505 01141 4824 4824 4824 4824 4824 4824 01142 48281 *486 *5171 ------------------------------------------------------------------------ [[Page 41085]] Table 7A.--Medicare Prospective Payment System Selected Percentile Lengths of Stay [FY97 MEDPAR Update 03/98 Grouper V15.0] -------------------------------------------------------------------------------------------------------------------------------------------------------- Number Arithmetic 10th 25th 50th 75th 90th DRG discharges mean LOS percentile percentile percentile percentile percentile -------------------------------------------------------------------------------------------------------------------------------------------------------- 1....................................... 36863 9.6140 2 4 7 12 20 2....................................... 7073 10.0431 3 5 8 13 20 3....................................... 3 9.3333 7 7 9 12 12 4....................................... 6387 7.7417 1 3 5 9 17 5....................................... 101629 3.6388 1 2 2 4 8 6....................................... 359 3.0306 1 1 2 4 7 7....................................... 12693 10.1052 2 4 7 12 20 8....................................... 3051 3.1786 1 1 2 4 7 9....................................... 1712 6.5724 1 3 5 8 13 10...................................... 19898 6.8603 2 3 5 8 14 11...................................... 2976 4.1398 1 2 3 5 8 12...................................... 38546 6.6802 2 3 5 8 12 13...................................... 6395 5.4835 2 3 4 6 9 14...................................... 374285 6.2936 2 3 5 8 12 15...................................... 146334 3.8586 1 2 3 5 7 16...................................... 13990 5.9277 2 3 4 7 11 17...................................... 3228 3.4291 1 2 3 4 7 18...................................... 27696 5.5756 2 3 4 7 10 19...................................... 7354 3.8089 1 2 3 5 7 20...................................... 6638 10.1788 2 5 8 13 19 21...................................... 1386 6.8283 2 3 5 8 14 22...................................... 2803 4.6522 2 2 4 6 9 23...................................... 6933 4.2573 1 2 3 5 8 24......................................
