I R PInnovative Resources for Payors
	
[Federal Register: July 30, 1999 (Volume 64, Number 146)]
[Rules and Regulations]               
[Page 41589-41638]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr30jy99-23]                         
 
[[pp. 41589-41638]] Medicare Program; Changes to the Hospital Inpatient Prospective 
Payment Systems and Fiscal Year 2000 Rates

[[Continued from page 41588]]

[[Page 41589]]


    Calcasieu, LA
3980  Lakeland-Winter Haven, FL \2\.................    0.8986    0.9294
    Polk, FL
4000  Lancaster, PA.................................    0.9255    0.9484
    Lancaster, PA
4040  Lansing-East Lansing, MI......................    0.9977    0.9984
    Clinton, MI
    Eaton, MI
    Ingham, MI
4080  Laredo, TX....................................    0.8323    0.8819
    Webb, TX
4100  Las Cruces, NM................................    0.8590    0.9012
    Dona Anam, NM
4120  Las Vegas, NV-AZ \1\..........................    1.1258    1.0845
    Mohave, AZ
    Clark, NV
    Nye, NV
4150  Lawrence, KS..................................    0.8222    0.8745
    Douglas, KS
4200  Lawton, OK....................................    0.9532    0.9677
    Comanche, OK
4243  Lewiston-Auburn, ME...........................    0.8899    0.9232
    Androscoggin, ME
4280  Lexington, KY.................................    0.8552    0.8984
    Bourbon, KY
    Clark, KY
    Fayette, KY
    Jessamine, KY
    Madison, KY
    Scott, KY
    Woodford, KY
4320  Lima, OH......................................    0.9108     0.938
    Allen, OH
    Auglaize, OH
4360  Lincoln, NE...................................    0.9670     0.977
    Lancaster, NE
4400  Little Rock-North Little Rock, AR.............    0.8614    0.9029
    Faulkner, AR
    Lonoke, AR
    Pulaski, AR
    Saline, AR
4420  Longview, Marshall, TX........................    0.8738    0.9118
    Gregg, TX
    Harrison, TX
    Upshur, TX
4480  Los Angeles-Long Beach, CA \1\................    1.2085    1.1385
    Los Angeles, CA
4520  Louisville, KY-IN.............................    0.9381    0.9572
    Clark, IN
    Floyd, IN
    Harrison, IN
    Scott, IN
    Bullitt, KY
    Jefferson, KY
    Oldham, KY
4600  Lubbock, TX...................................    0.8411    0.8883
    Lubbock, TX
4640  Lynchburg, VA.................................    0.8814    0.9172
    Amherst, VA
    Bedford, VA
    Bedford City, VA
    Campbell, VA
    Lynchburg City, VA
4680  Macon, GA.....................................    0.8530    0.8968
    Bibb, GA
    Houston, GA
    Jones, GA
    Peach, GA
    Twiggs, GA
4720  Madison, WI...................................    0.9729     0.981
    Dane, WI
4800  Mansfield, OH \2\.............................    0.8649     0.905
    Crawford, OH
    Richland, OH
4840  Mayaguez, PR..................................    0.4674    0.5940
    Anasco, PR
    Cabo Rojo, PR
    Hormigueros, PR
    Mayaguez, PR
    Sabana Grande, PR
    San German, PR
4880  McAllen-Edinburg-Mission, TX..................    0.8120    0.8671
    Hidalgo, TX
4890  Medford-Ashland, OR...........................    1.0492    1.0334
    Jackson, OR
4900  Melbourne-Titusville-Palm Bay, FL.............    0.9296    0.9512
    Brevard, FL
4920  Memphis, TN-AR-MS \1\.........................    0.8244    0.8761
    Crittenden, AR
    DeSoto, MS
    Fayette, TN
    Shelby, TN
    Tipton, TN
4940  Merced, CA....................................    1.0509    1.0346
    Merced, CA
5000  Miami, FL \1\.................................    1.0233    1.0159
    Dade, FL
5015  Middlesex-Somerset-Hunterdon, NJ \1\..........    1.0876    1.0592
    Hunterdon, NJ
    Middlesex, NJ
    Somerset, NJ
5080  Milwaukee-Waukesha, WI \1\....................    0.9845    0.9894
    Milwaukee, WI
    Ozaukee, WI
    Washington, WI
    Waukesha, WI
5120  Minneapolis-St. Paul, MN-WI \1\...............    1.0929    1.0627
    Anoka, MN
    Carver, MN
    Chisago, MN
    Dakota, MN
    Hennepin, MN
    Isanti, MN
    Ramsey, MN
    Scott, MN
    Sherburne, MN
    Washington, MN
    Wright, MN
    Pierce, WI
    St. Croix, WI
5140  Missoula, MT..................................    0.9085    0.9364
    Missoula, MT
5160  Mobile, AL....................................    0.8267    0.8778
    Baldwin, AL
    Mobile, AL
5170  Modesto, CA...................................    1.0111    1.0076
    Stanislaus, CA
5190  Monmouth-Ocean, NJ \1\........................    1.1258    1.0845
    Monmouth, NJ
    Ocean, NJ
5200  Monroe, LA....................................    0.8221    0.8745
    Quachita, LA
5240  Montgomery, AL................................    0.7724    0.8379
    Autauga, AL
    Elmore, AL
    Mongomery, AL
5280  Muncie, IN....................................    1.0834    1.0564
    Delaware, IN
5330  Myrtle Beach, SC..............................    0.8529    0.8968
    Horry, SC
5345  Naples, FL....................................    0.9839    0.9889
    Collier, FL
5360  Nashville, TN \1\.............................    0.9449    0.9619
    Cheatham, TN
    Davidson, TN
    Dickson, TN
    Robertson, TN
    Rutherford TN
    Sumner, TN
    Williamson, TN
    Wilson, TN
5380  Nassau-Suffolk, NY \1\........................    1.4074    1.2637
    Nassau, NY
    Suffolk, NY
5483  New Haven-Bridgeport-Stamford-Waterbury-          1.2417    1.1598
 Danbury, CT \1\....................................
    Fairfield, CT
    New Haven, CT
5523  New London-Norwich, CT........................    1.2428    1.1605
    New London, CT
5560  New Orleans, LA \1\...........................    0.9089    0.9367

[[Page 41590]]


    Jefferson, LA
    Orleans, LA
    Plaquemines, LA
    St. Bernard, LA
    St. Charles, LA
    St. James, LA
    St. John The Baptist, LA
    St. Tammany, LA
5600  New York, NY \1\..............................    1.4517    1.2908
    Bronx, NY
    Kings, NY
    New York, NY
    Putnam, NY
    Queens, NY
    Richmond, NY
    Rockland, NY
    Westchester, NY
5640  Newark, NY \1\................................    1.0772    1.0522
    Essex, NJ
    Morris, NJ
    Sussex, NJ
    Union, NJ
    Warren, NJ
5660  Newburgh, NY-PA...............................    1.0908    1.0613
    Orange, NY
    Pike, PA
5720  Norfolk-Virginia Beach-Newport News, VA-NC \1\    0.8442    0.8905
    Currituck, NC
    Chesapeake City, VA
    Gloucester, VA
    Hampton City, VA
    Isle of Wight, VA
    James City, VA
    Mathews, VA
    Newport News City, VA
    Norfolk City, VA
    Poquoson City, VA
    Portsmouth City, VA
    Suffolk City, VA
    Virginia Beach City VA
    Williamsburg City, VA
    York, VA
5775  Oakland, CA...................................    1.5095    1.3258
    Alameda, CA
    Contra Costa, CA
5790  Ocala, FL.....................................    0.9615    0.9735
    Marion, FL
5800  Odessa-Midland, TX............................    0.8873    0.9214
    Ector, TX
    Midland, TX
5880  Oklahoma City, OK \1\.........................    0.8589    0.9011
    Candian, OK
    Cleveland, OK
    Logan, OK
    McClain, OK
    Oklahoma, OK
    Pottawatomie, OK
5910  Olympia, WA...................................    1.0932    1.0629
    Thurston, WA
5920  Omaha, NE-IA..................................    1.0455    1.0309
    Pottawattamie, IA
    Cass, NE
    Douglas, NE
    Sarpy, NE
    Washington, NE
5945  Orange County, CA \1\.........................    1.1592    1.1065
    Orange, CA
5660  Orlando, FL...................................    0.9806    0.9867
    Lake, FL
    Orange, FL
    Osceola, FL
    Seminole, FL
5990  Owensboro, KY.................................    0.8104    0.8659
    Daviess, KY
6015  Panama City, FL...............................    0.9169    0.9423
6020  Parkersburg-Marietta, WV-OH (WV Hospitals)....    0.8414    0.8885
    Washington, OH
    Wood, WV
6020  Parkersburg-Marietta, WV-OH (OH Hospitals) <SUP>2</SUP>..    0.8649    0.9054
    Washington, OH
    Wood, WV
6080  Pensacola, FL \2\.............................    0.8986    0.9294
    Escambia, FL
    Santa Rosa, FL
6120  Peoria-Perkin, IL.............................    0.8399    0.8874
    Peoria, IL
    Tazewell, IL
    Woodford, IL
6160  Philadelphia, PA-NJ...........................    1.1186    1.0798
    Burlington, NJ
    Camden, NJ
    Gloucester, NJ
    Salem, NJ
    Bucks, PA
    Chester, PA
    Delaware, PA
    Montgomery, PA
    Philadelphia, PA
6200  Phoenix-Messa, AZ \1\.........................    0.9464    0.9630
    Maricopa, AZ
    Pinal, AZ
6240  Pine Bluff, AR................................    0.7697    0.8359
    Jefferson, AR
6280  Pittsburgh, PA \1\............................    0.9634    0.9748
    Allegheny, PA
    Beaver, PA
    Butler, PA
    Fayette, PA
    Washington, PA
    Westmoreland, PA
6323  Pittsfield, MA \2\............................    1.1369    1.0918
    Berkshire, MA
6340  Pocatello, ID.................................    0.8973    0.9285
    Bannock, ID
6360  Ponce, PR.....................................    0.4971    0.6196
    Guayanilla, PR
    Juana Diaz, PR
    Penuelas, PR
    Ponce, PR
    Villalba, PR
    Yauco, PR
6403  Portland, ME..................................    0.9487    0.9646
    Cumberland, ME
    Sagadahoc, ME
    York, ME
6440  Portland-Vancouver, OR-WA \1\.................    1.0996    1.0672
    Clackamas, OR
    Columbia, OR
    Multnomah, OR
    Washington, OR
    Yamhill, OR
    Clark, WA
6483  Providence-Warwick-Pawtucket, RI \1\..........    1.0690    1.0468
    Bristol, RI
    Kent, RI
    Newport, RI
    Providence, RI
    Washington, RI
6520  Provo-Orem, UT................................    0.9818    0.9875
    Utah, UT
6560  Pueblo, CO....................................    0.8853    0.9200
    Pueblo, CO
6580  Punta Gorda, FL...............................    0.9508    0.9660
    Charalotte, FL
6600  Racine, WI....................................    0.9216    0.9456
    Racine, WI
6640  Raleigh-Durham-Chapel Hill, NC \1\............    0.9544    0.9685
    Chatham, NC
    Durham, NC
    Franklin, NC
    Johnston, NC
    Orange, NC
    Wake, NC
6660  Rapid City, SD................................    0.8363    0.8848
    Pennington, SD
6680  Reading, PA...................................    0.9436    0.9610
    Berks, PA
6690  Redding, CA...................................    1.1263    1.0849
    Shasta, CA
6720  Reno, NV......................................    1.0655    1.0444
    Washoe, NV
6740  Richland-Kennewick-Pasco, WA..................    1.1224    1.0823
    Benton, WA
    Franklin, WA
6760  Richmond-Petersburg, VA.......................    0.9545    0.9686

[[Page 41591]]


    Charles City County, VA
    Chesterfield, VA
    Colonial Heights City, VA
    Dinwiddie, VA
    Goochland, VA
    Hanover, VA
    Henrico, VA
    Hopewell City, VA
    New Kent, VA
    Petersburg City, VA
    Powhatan, VA
    Prince George, VA
    Richmond City, VA
6780  Riverside-San Bernardino, CA \1\..............    1.1061    1.0715
    Riverside, CA
    San Bernardino, CA
    6800  Roanoke, VA                                   0.8142    0.8687
    Botetourt, VA
    Roanoke, VA
    Roanoke City, VA
    Salem City, VA
6820  Rochester, MN.................................    1.1429    1.0958
    Olmsted, MN
6840  Rochester, NY \1\.............................    0.9184    0.9434
    Genesee, NY
    Livingston, NY
    Monroe, NY
    Ontario, NY
    Orleans, NY
    Wayne, NY
6880  Rockford, IL..................................    0.8783    0.9150
    Boone, IL
    Ogle, IL
    Winnebago, IL
6895  Rocky Mount, NC...............................    0.8735    0.9115
    Edgecombe, NC
    Nash, NC
6920  Sacramento, CA \1\............................    1.2284    1.1513
    El Dorado, CA
    Placer, CA
    Sacramento, CA
6960  Saginaw-Bay City-Midland, MI..................    0.9294    0.9511

    Bay, MI
    Midland, MI
    Saginaw, MI
6980  St. Cloud, MN.................................    0.9608    0.9730
    Benton, MN
    Stearns, MN
7000  St. Joseph, MO................................    0.8943    0.9264
    Andrew, MO
    Buchanan, MO
7040  St. Louis, MO-IL \1\..........................    0.9052    0.9341
    Clinton, IL
    Jersey, IL
    Madison, IL
    Monroe, IL
    St. Clair, IL
    Franklin, MO
    Jefferson, MO
    Lincoln, MO
    St. Charles, MO
    St. Louis, MO
    St. Louis City, MO
    Warren, MO
7080  Salem, OR.....................................    0.9949    0.9965
    Marion, OR
    Polk, OR
7120  Salinas, CA...................................    1.4710    1.3025
    Monterey, CA
7160  Salt Lake City-Ogden, UT \1\..................    0.9854    0.9900
    Davis, UT
    Salt Lake, UT
    Weber, UT
7200  San Angelo, TX................................    0.7845    0.8469
    Tom Green, TX
7240  San Antonio, TX \1\...........................    0.8318    0.8815
    Bexar, TX
    Comal, TX
    Guadalupe, TX
    Wilson, TX
7320  San Diego, CA \1\.............................    1.1955    1.1301
    San Diego, CA
7360  San Francisco, CA \1\.........................    1.3784    1.2458
    Marin, CA
    San Francisco, CA
    San Mateo, CA
7400  San Jose, CA \1\..............................    1.3492    1.2277
    Santa Clara, CA
7440  San Juan-Bayamon, PR \1\......................    0.4657    0.5925
    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....    1.0470    1.0320
    San Luis Obispo, CA
7480  Santa Barbara-Santa Maria-Lompoc, CA..........    1.0819    1.0554
    Santa Barbara, CA
7485  Santa Cruz-Watsonville, CA....................    1.3927    1.2546
    Santa Cruz, CA
7490  Santa Fe, NM..................................    1.0437    1.0297
    Los Alamos, NM
    Santa Fe, NM
7500  Santa Rosa, CA................................    1.3000    1.1968
    Sonoma, CA
7510  Sarasota-Bradenton, FL........................    0.9905    0.9935
    Manatee, FL
    Sarasota, FL
7520  Savannah, GA..................................    0.9953    0.9968
    Bryan, GA
    Chatham, GA
    Effington, GA
7560  Scranton--Wilkes-Barre--Hazleton, PA \2\......    0.8524    0.8964
    Columbia, PA
    Lackawanna, PA
    Luzerne, PA
    Wyoming, PA
7600  Seattle-Bellevue-Everett, WA \1\..............    1.1289    1.0866
    Island, WA
    King, WA
    Snohomish, WA
7610  Sharon, PA \2\................................    0.8524    0.8964

[[Page 41592]]


    Mercer, PA
7620  Sheboygan, WI \2\.............................    0.8759    0.9133
    Sheboygan, WI
7640  Sherman-Denison, TX...........................    0.9329    0.9535
    Grayson, TX
7680  Shreveport-Bossier City, LA...................    0.9049    0.9339
    Bossier, LA
    Caddo, LA
    Webster, LA
7720  Sioux City, IA-NE.............................    0.8549    0.8982
    Woodbury, IA
    Dakota, NE
7760  Sioux Falls, SD...............................    0.8776    0.9145
    Lincoln, SD
    Minnehaha, SD
7800  South Bend, IN................................    0.9793    0.9858
    St. Joseph, IN
7840  Spokane, WA...................................    1.0799    1.0541
    Spokane, WA
7880  Springfield, IL...............................    0.8684    0.9079
    Menard, IL
    Sangamon, IL
7920  Springfield, MO...............................    0.7991    0.8576
    Christian, MO
    Greene, MO
    Webster, MO
8003  Springfield, MA \2\...........................    1.1369    1.0918
    Hampden, MA
    Hampshire, MA
8050  State College, PA.............................    0.9138    0.9401
    Centre, PA
8080  Steubenville-Weirton, OH-WV (OH Hospitals) \2\    0.8649    0.9054
    Jefferson, OH
    Brooke, WV
    Hancock, WV
8080  Steubenville-Weirton, OH-WV (OH Hospitals) \2\    0.8614    0.9029
    Jefferson, OH
    Brooke, WV
    Hancock, WV
8120  Stockton-Lodi, CA.............................    1.0518    1.0352
    San Joaquin, CA
8140  Sumter, SC \2\................................    0.8264    0.8776
    Sumter, SC
8160  Syracuse, NY..................................    0.9441    0.9614
    Cayuga, NY
    Madison, NY
    Onondaga, NY
    Oswego, NY
8200  Tacoma, WA....................................    1.1631    1.1090
    Pierce, WA
8240  Tallahassee, FL \2\...........................    0.8986    0.9294
    Gadsden, FL
    Leon, FL
8280  Tampa-St. Petersburg-Clearwater, FL \1\.......    0.9119    0.9388
    Hernando, FL
    Hillsborough, FL
    Pasco, FL
    Pinellas, FL
8320  Terre Haute, IN...............................    0.8570    0.8997
    Clay, IN
    Vermillion, IN
    Vigo, IN
8360  Texarkana, AR-Texarkana, TX...................    0.8174    0.8710
    Miller, AR
    Bowie, TX
8400  Toledo, OH....................................    0.9593    0.9719
    Fulton, OH
    Lucas, OH
    Wood, OH
8440  Topeka, KS....................................    0.9326    0.9533
    Shawnee, KS
8480  Trenton, NJ...................................    0.9955    0.9969
    Mercer, NJ
8520  Tucson, AZ....................................    0.8742    0.9120
    Pima, AZ
8560  Tulsa, OK.....................................    0.8086    0.8646
    Creek, OK
    Osage, OK
    Rogers, OK
    Tulsa, OK
    Wagoner, OK
8600  Tuscaloosa, AL................................    0.8064    0.8630
    Tuscaloosa, AL
8640  Tyler, TX.....................................    0.9369    0.9563
    Smith, TX
8680  Utica-Rome, NY \2\............................    0.8636    0.9045
    Herkimer, NY
    Oneida, NY
8720  Vallejo-Fairfield-Napa, CA....................    1.2655    1.1750
    Napa, CA
    Solano, CA
8735  Ventura, CA...................................    1.0952    1.0643
    Ventura, CA
8750  Victoria, TX..................................    0.8378    0.8859
    Victoria, TX
8760  Vineland-Millville-Bridgeton, NJ..............    1.0517    1.0351
    Cumberland, NJ
8780  Visalia-Tulare-Porterville, CA................    1.0411    1.0280
    Tulare, CA
8800  Waco, TX......................................    0.8075    0.8638
    McLennan, TX
8840  Washington, DC-MD-VA-WV \1\...................    1.1053    1.0710
    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......................    0.8841    0.9191
    Black Hawk, IA
8940  Wausau, WI....................................    0.9445    0.9617
    Marathon, WI
8960  West Palm Beach-Boca Raton, FL \1\,\2\........    0.9951    0.9966
    Palm Beach, FL
9000  Wheeling, WV-OH (WV Hospitals) \2\............    0.8068    0.8633
    Belmont, OH
    Marshall, WV
    Ohio, WV
9000  Wheeling, WV-OH (OH Hospitals) \2\............    0.8649    0.9054
    Belmont, OH
    Marshall, WV
    Ohio, WV
9040  Wichita, KS...................................    0.9421   0.09600
    Butler, KS
    Harvey, KS
    Sedgwick, KS
9080  Wichita Falls, TX.............................    0.7652    0.8325
    Archer, TX
    Wichita, TX
9140  Williamsport, PA \2\..........................    0.8524    0.8964
    Lycoming, PA
9160  Wilmington-Newark, DE-MD......................    1.1274    1.0856
    New Castle, DE
    Cecil, MD
9200  Wilmington, NC................................    0.9707    0.9798
    New Hanover, NC
    Brunswick, NC
9260  \2\ Yakima, WA................................    1.0446    1.0303

[[Page 41593]]


    Yakima, WA
9270  Yolo, CA......................................    1.0485    1.0330
    Yolo, CA
9280  York, PA......................................    0.9309    0.9521
    York, PA
9320  Youngstown-Warren, OH.........................    0.9996    0.9997
    Columbiana, OH
    Mahoning, OH
    Trumbull, OH
9340  Yuba City, CA.................................    1.0662    1.0449
    Sutter, CA
    Yuba, CA
9360  Yuma, AZ......................................    0.9924    0.9948
    Yuma, AZ
------------------------------------------------------------------------
\1\ Large Urban Area.
\2\ Hospitals geographically located in the area are assigned the
  statewide rural wage index for FY 2000.


Table 4b.--Wage Index and Capital Geographic Adjustment Factor (GAF) for
                               Rural Areas
------------------------------------------------------------------------
                                                        Wage
                    Nonurban area                       index      GAF
------------------------------------------------------------------------
Alabama.............................................    0.7390    0.8129
Alaska..............................................    1.2057    1.1367
Arizona.............................................    0.8544    0.8978
Arkansas............................................    0.7236    0.8013
California..........................................    0.9951    0.9966
Colorado............................................    0.8813    0.9171
Connecticut.........................................    1.2413    1.1595
Delaware............................................    0.9166    0.9421
Florida.............................................    0.8986    0.9294
Georgia.............................................    0.8094    0.8652
Hawaii..............................................    1.0726    1.0492
Idaho...............................................    0.8651    0.9055
Illinois............................................    0.8047    0.8617
Indiana.............................................    0.8396    0.8872
Iowa................................................    0.7926    0.8528
Kansas..............................................    0.7460    0.8182
Kentucky............................................    0.8043    0.8615
Louisiana...........................................    0.7486    0.8201
Maine...............................................    0.8639    0.9047
Maryland............................................    0.8631    0.9041
Massachusetts.......................................    1.1369    1.0918
Michigan............................................    0.8831    0.9184
Minnesota...........................................    0.8669    0.9068
Mississippi.........................................    0.7306    0.8066
Missouri............................................    0.7723    0.8378
Montana.............................................    0.8398    0.8873
Nebraska............................................    0.8007    0.8588
Nevada..............................................    0.9097    0.9372
New Hampshire.......................................    0.9905    0.9935
New Jersey \1\......................................  ........  ........
New Mexico..........................................    0.8378    0.8859
New York............................................    0.8636    0.9045
North Carolina......................................    0.8290    0.8795
North Dakota........................................    0.7647    0.8322
Ohio................................................    0.8649    0.9054
Oklahoma............................................    0.7255    0.8027
Oregon..............................................    0.9873    0.9913
Pennsylvania........................................    0.8524    0.8964
Puerto Rico.........................................    0.4249    0.5565
Rhode Island \1\....................................  ........  ........
South Carolina......................................    0.8264    0.8776
South Dakota........................................    0.7576    0.8269
Tennessee...........................................    0.7650    0.8324
Texas...............................................    0.7471    0.8190
Utah................................................    0.8906    0.9237
Vermont.............................................    0.9427    0.9604
Virginia............................................    0.7916    0.8521
Washington..........................................    1.0446    1.0303
West Virginia.......................................    0.8068    0.8633
Wisconsin...........................................    0.8759    0.9133
Wyoming.............................................    0.8859    0.9204
------------------------------------------------------------------------
\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.........................................    0.8179    0.8714
Akron, OH...........................................    0.9981    0.9987
Albany, GA..........................................    0.9544    0.9685
Alexandria, LA......................................    0.7910    0.8517
Amarillo, TX........................................    0.8435    0.8900
Anchorage, AK.......................................    1.3009    1.1974
Ann Arbor, MI.......................................    1.1343    1.0901
Atlanta, GA.........................................    1.0050    1.0034
Austin-San Marcos, TX...............................    0.9081    0.9361
Baltimore, MD.......................................    0.9891    0.9925
Baton Rouge, LA.....................................    0.8707    0.9095
Beaumont-Port Arthur, TX............................    0.8624    0.9036
Benton Harbor, MI...................................    0.8831    0.9184
Bergen-Passaic, NJ..................................    1.1833    1.1222
Billings, MT........................................    1.0038    1.0026
Biloxi-Gulfport-Pascagoula, MS......................    0.7949    0.8545
Binghamton, NY......................................    0.8750    0.9126
Birmingham, AL......................................    0.8994    0.9300
Bismarck, ND........................................    0.7893    0.8504
Boise City, ID......................................    0.9086    0.9365
Boston-Worcester-Lawrence-Lowell-Brockton, MA-NH....    1.1358    1.0911
Burlington, VT......................................    1.0122    1.0083
Caguas, PR..........................................    0.4561    0.5842
Champaign-Urbana, IL................................    0.9163    0.9419
Charleston-North Charleston, SC.....................    0.8988    0.9295
Charleston, WV......................................    0.8861    0.9205
Charlotte-Gastonia-Rock Hill, NC-SC.................    0.9433    0.9608
Chattanooga, TN-GA..................................    0.9453    0.9622
Chicago, IL.........................................    1.0872    1.0589
Cincinnati, OH-KY-IN................................    0.9434    0.9609
Clarksville-Hopkinsville, TN-KY.....................    0.8283    0.8790
Cleveland-Lorain-Elyria, OH.........................    0.9688    0.9785
Columbia, MO........................................    0.8736    0.9116
Columbia, SC........................................    0.9215    0.9456
Columbus, GA-AL.....................................    0.8318    0.8815
Columbus, OH........................................    0.9728    0.9813
Corpus Christi, TX..................................    0.8599    0.9018
Dallas, TX..........................................    0.9589    0.9717
Danville, VA........................................    0.8706    0.9095
Davenport-Moline-Rock Island, IA-IL.................    0.8606    0.9023
Dayton-Springfield, OH..............................    0.9231    0.9467
Denver, CO..........................................    1.0197    1.0134
Des Moines, IA......................................    0.8754    0.9129
Dothan, AL..........................................    0.7836    0.8462
Dover, DE...........................................    1.0511    1.0347
Duluth-Superior, MN-WI..............................    1.0165    1.0113
Elkhart-Goshen, IN..................................    0.9379    0.9570
Eugene-Springfield, OR..............................    1.0765    1.0518
Evansville-Henderson, IN-KY.........................    0.8396    0.8872
Fargo-Moorhead, ND-MN (ND and SD Hospitals).........    0.8620    0.9033
Fargo-Moorhead, ND-MN (MN Hospital).................    0.8669    0.9068
Fayetteville, NC....................................    0.8494    0.8942
Flagstaff, AZ-UT....................................    0.9860    0.9904
Flint, MI...........................................    1.0918    1.0620
Fort Collins-Loveland, CO...........................    1.0197    1.0134
Fort Pierce-Port St. Lucie, FL......................    1.0109    1.0075
Fort Smith, AR-OK...................................    0.7696    0.8358
Fort Walton Beach, FL...............................    0.8713    0.9100
Forth Worth-Arlington, TX...........................    0.9835    0.9887
Fresno, CA..........................................    1.0262    1.0179
Gadsden, AL.........................................    0.8754    0.9129
Gainesville, FL.....................................    0.9963    0.9975
Goldsboro, NC.......................................    0.8333    0.8826
Grand Forks, ND-MN..................................    0.9097    0.9372
Grand Rapids-Muskegon-Holland, MI...................    1.0017    1.0012
Great Falls, MT.....................................    1.0459    1.0312
Greeley, CO.........................................    0.9449    0.9619
Green Bay, WI.......................................    0.9215    0.9456
Greensboro-Winston-Salem-High Point, NC.............    0.9037    0.9330
Greenville, NC......................................    0.9237    0.9471
Greenville-Spartanburg-Anderson, SC.................    0.9188    0.9437
Hagerstown, MD......................................    0.8853    0.9200
Harrisburg-Lebanon-Carlisle, PA.....................    0.9793    0.9858
Hartford, CT........................................    1.1715    1.1145
Hickory-Morganton-Lenoir, NC........................    0.9148    0.9408
Honolulu, HI........................................    1.1479    1.0991
Houston, TX.........................................    0.9387    0.9576
Huntington-Ashland, WV-KY-OH........................    0.9436    0.9610
Huntsville, AL......................................    0.8608    0.9024
Indianapolis, IN....................................    0.9792    0.9857
Iowa City, IA.......................................    0.9460    0.9627
Jackson, MS.........................................    0.8268    0.8779
Jackson, TN.........................................    0.8447    0.8909
Jacksonville, FL....................................    0.8957    0.9273
Johnson City-Kingsport-Bristol, TN-VA...............    0.8894    0.9229
Jonesboro, AR.......................................    0.7251    0.8024
Joplin, MO..........................................    0.7678    0.8345

[[Page 41594]]


Kalamazoo-Battlecreek, MI...........................    0.9981    0.9987
Kansas City, KS-MO..................................    0.9322    0.9531
Knoxville, TN.......................................    0.9199    0.9444
Kokomo, IN..........................................    0.8984    0.9293
Lafayette, LA.......................................    0.8397    0.8872
Lansing-East Lansing, MI............................    0.9834    0.9886
Las Vegas, NV-AZ....................................    1.1258    1.0845
Lexington, KY.......................................    0.8552    0.8984
Lima, OH............................................    0.9108    0.9380
Lincoln, NE.........................................    0.9451    0.9621
Little Rock-North Little Rock, AR...................    0.8432    0.8898
Longview-Marshall, TX...............................    0.8541    0.8976
Los Angeles-Long Beach, CA..........................    1.2085    1.1385
Louisville, KY-IN...................................    0.9381    0.9572
Macon, GA...........................................    0.8530    0.8968
Madison, WI.........................................    0.9729    0.9814
Mansfield, OH.......................................    0.8649    0.9054
Memphis, TN-AR-MS...................................    0.8244    0.8761
Merced, CA..........................................    1.0509    1.0346
Milwaukee-Waukesha, WI..............................    0.9845    0.9894
Minneapolis-St. Paul, MN-WI.........................    1.0929    1.0627
Missoula, MT........................................    0.9085    0.9364
Monmouth-Ocean, NJ..................................    1.1258    1.0845
Monroe, LA..........................................    0.8062    0.8628
Montgomery, AL......................................    0.7724    0.8379
Myrtle Beach, SC....................................    0.8357    0.8843
Nashville, TN.......................................    0.9254    0.9483
New Haven-Bridgeport-Stamford-Waterbury- Danbury, CT    1.2417    1.1598
New London-Norwich, CT..............................    1.2328    1.1541
New Orleans, LA.....................................    0.9089    0.9367
New York, NY........................................    1.4399    1.2836
Newark, NJ..........................................    1.0772    1.0522
Newburgh, NY-PA.....................................    1.0837    1.0566
Norfolk-Virginia Beach-Newport News, VA-NC..........    0.8442    0.8905
Oakland, CA.........................................    1.5095    1.3258
Oklahoma City, OK...................................    0.8589    0.9011
Omaha, NE-IA........................................    1.0455    1.0309
Orange County, CA...................................    1.1592    1.1065
Orlando, FL.........................................    0.9806    0.9867
Peoria-Pekin, IL....................................    0.8399    0.8874
Philadelphia, PA-NJ.................................    1.1186    1.0798
Phoenix-Mesa, AZ....................................    0.9464    0.9630
Pittsburgh, PA......................................    0.9496    0.9652
Pocatello, ID.......................................    0.8651    0.9055
Portland, ME........................................    0.9487    0.9646
Portland-Vancouver, OR-WA...........................    1.0996    1.0672
Provo-Orem, UT......................................    0.9818    0.9875
Raleigh-Durham-Chapel Hill, NC......................    0.9544    0.9685
Roanoke, VA.........................................    0.8142    0.8687
Rockford, IL........................................    0.8783    0.9150
Sacramento, CA......................................    1.2284    1.1513
Saginaw-Bay City-Midland, MI........................    0.9294    0.9511
St. Cloud, MN.......................................    0.9608    0.9730
St. Louis, MO-IL....................................    0.9052    0.9341
Salt Lake City-Ogden, UT............................    0.9854    0.9900
San Diego, CA.......................................    1.1955    1.1301
Santa Fe, NM........................................    0.9911    0.9939
Santa Rosa, CA......................................    1.3000    1.1968
Seattle-Bellevue-Everett, WA........................    1.1289    1.0866
Sharon, PA..........................................    0.8524    0.8964
Sherman-Denison, TX.................................    0.8833    0.9185
Sioux City, IA-NE...................................    0.8549    0.8982
South Bend, IN......................................    0.9692    0.9788
Springfield, IL.....................................    0.8684    0.9079
Springfield, MO.....................................    0.7991    0.8576
Syracuse, NY........................................    0.9441    0.9614
Tallahassee, FL.....................................    0.8274    0.8783
Tampa-St. Petersburg-Clearwater, FL.................    0.9119    0.9388
Texarkana, AR-Texarkana, TX.........................    0.8174    0.8710
Toledo, OH..........................................    0.9593    0.9719
Topeka, KS..........................................    0.9326    0.9533
Tulsa, OK...........................................    0.7931    0.8532
Tuscaloosa, AL......................................    0.8064    0.8630
Tyler, TX...........................................    0.9199    0.9444
Vallejo-Fairfield-Napa, CA..........................    1.2167    1.1438
Victoria, TX........................................    0.8378    0.8859
Waco, TX............................................    0.8075    0.8638
Washington, DC-MD-VA-WV.............................    1.1053    1.0710
Waterloo-Cedar Falls, IA............................    0.8841    0.9191
Wausau, WI..........................................    0.9445    0.9617
Wichita, KS.........................................    0.9082    0.9362
Rural Colorado......................................    0.8813    0.9171
Rural Florida.......................................    0.8986    0.9294
Rural Illinois......................................    0.8047    0.8617
Rural Louisiana.....................................    0.7486    0.8201
Rural Michigan......................................    0.8831    0.9184
Rural Minnesota.....................................    0.8669    0.9068
Rural Missouri......................................    0.7723    0.8378
Rural Montana.......................................    0.8398    0.8873
Rural Oregon........................................    0.9873    0.9913
Rural Tennessee.....................................    0.7650    0.8324
Rural Texas.........................................    0.7471    0.8190
Rural Virginia (KY Hospital)........................    0.8043    0.8615
Rural Washington....................................    1.0333    1.0227
Rural Wyoming.......................................    0.8859    0.9204
------------------------------------------------------------------


             Table 4d.--Average Hourly Wage for Urban Areas
------------------------------------------------------------------------
                                                                Average
                          Urban area                             hourly
                                                                  wage
------------------------------------------------------------------------
Abilene, TX..................................................    17.3227
Aguadilla, PR................................................     8.0776
Akron, OH....................................................    21.5248
Albany, GA...................................................    21.9678
Albany-Schenectady-Troy, NY..................................    18.5415
Albuquerque, NM..............................................    18.0017
Alexandria, LA...............................................    16.6660
Allentown-Bethlehem-Easton, PA...............................    21.6602
Altoona, PA..................................................    19.7859
Amarillo, TX.................................................    17.7501
Anchorage, AK................................................    27.2347
Ann Arbor, MI................................................    24.3199
Anniston, AL.................................................    17.9235
Appleton-Oshkosh-Neenah, WI..................................    18.8767
Arecibo, PR..................................................    10.1973
Asheville, NC................................................    18.8155
Athens, GA...................................................    20.5536
Atlanta, GA..................................................    21.2868
Atlantic-Cape May, NJ........................................    23.9544
Auburn-Opelika, AL...........................................    16.4103
Augusta-Aiken, GA-SC.........................................    19.0900
Austin-San Marcos, TX........................................    19.2341
Bakersfield, CA..............................................    20.3699
Baltimore, MD................................................    20.9485
Bangor, ME...................................................    20.3521
Barnstable-Yarmouth, MA......................................    28.1731
Baton Rouge, LA..............................................    18.4424
Beaumont-Port Arthur, TX.....................................    18.2648
Bellingham, WA...............................................    24.1321
Benton Harbor, MI............................................    17.9119
Bergen-Passaic, NJ...........................................    25.4749
Billings, MT.................................................    21.2596
Biloxi-Gulfport-Pascagoula, MS...............................    16.6634
Binghamton, NY...............................................    18.5327
Birmingham, AL...............................................    19.0492
Bismarck, ND.................................................    16.4329
Bloomington,IN...............................................    18.1990
Bloomington-Normal, IL.......................................    19.0474
Boise City, ID...............................................    19.1895
Boston-Worcester-Lawrence-Lowell-Brockton, MA-NH.............    24.0562
Boulder-Longmont, CO.........................................    21.0610
Brazoria, TX.................................................    18.0362
Bremerton, WA................................................    23.3211
Brownsville-Harlingen-San Benito, TX.........................    19.5103
Bryan-College Station, TX....................................    18.0042
Buffalo-Niagara Falls, NY....................................    20.3404
Burlington, VT...............................................    22.3616
Caguas, PR...................................................     9.6595
Canton-Massillon, OH.........................................    18.5769
Casper, WY...................................................    19.4829
Cedar Rapids, IA.............................................    19.1010
Champaign-Urbana, IL.........................................    19.4065
Charleston-North Charleston, SC..............................    19.0373
Charleston, WV...............................................    19.2624
Charlotte-Gastonia-Rock Hill, NC-SC..........................    19.9800
Charlottesville, VA..........................................    22.3946
Chattanooga, TN-GA...........................................    20.6102
Cheyenne, WY.................................................    17.3158
Chicago, IL..................................................    23.0278
Chico-Paradise, CA...........................................    22.0066
Cincinnati, OH-KY-IN.........................................    19.9480
Clarksville-Hopkinsville, TN-KY..............................    17.1337
Cleveland-Lorain-Elyria, OH..................................    20.5190
Colorado Springs, CO.........................................    19.5228
Columbia, MO.................................................    18.8596
Columbia, SC.................................................    19.8182
Columbus, GA-AL..............................................    18.0250
Columbus, OH.................................................    20.9839
Corpus Christi, TX...........................................    18.4298
Corvallis, OR................................................    23.4819
Cumberland, MD-WV............................................    18.6405
Dallas, TX...................................................    20.3455
Danville, VA.................................................    19.1906
Davenport-Moline-Rock Island, IA-IL..........................    18.4403

[[Page 41595]]


Dayton-Springfield, OH.......................................    20.0366
Daytona Beach, FL............................................    19.0345
Decatur, AL..................................................    18.3823
Decatur, IL..................................................    17.6232
Denver, CO...................................................    21.5811
Des Moines, IA...............................................    18.5408
Detroit, MI..................................................    22.0711
Dothan, AL...................................................    16.5159
Dover, DE....................................................    19.7725
Dubuque, IA..................................................    18.0451
Duluth-Superior, MN-WI.......................................    21.5294
Dutchess County, NY..........................................    22.3487
Eau Claire, WI...............................................    18.9711
El Paso, TX..................................................    18.9500
Elkhart-Goshen, IN...........................................    19.8656
Elmira, NY...................................................    18.0730
Enid, OK.....................................................    16.8452
Erie, PA.....................................................    19.1114
Eugene-Springfield, OR.......................................    22.4571
Evansville, Henderson, IN-KY.................................    17.5854
Fargo-Moorhead, ND-MN........................................    18.2572
Fayetteville, NC.............................................    17.9896
Fayetteville-Springdale-Rogers, AR...........................    16.4641
Flagstaff, AZ-UT.............................................    21.9164
Flint, MI....................................................    23.3401
Florence, AL.................................................    16.7894
Florence, SC.................................................    18.2536
Fort Collins-Loveland, CO....................................    21.8189
Fort Lauderdale, FL..........................................    21.5452
Fort Myers-Cape Coral, FL....................................    18.9574
Fort Pierce-Port St. Lucie, FL...............................    21.1766
Fort Smith, AR-OK............................................    16.6129
Fort Walton Beach, FL........................................    18.4550
Fort Wayne, IN...............................................    19.2662
Fort Worth-Arlington, TX.....................................    20.8308
Fresno, CA...................................................    21.7350
Gadsden, AL..................................................    18.4020
Gainesville, FL..............................................    21.3966
Galveston-Texas City, TX.....................................    20.6131
Gary, IN.....................................................    19.8884
Glens Falls, NY..............................................    18.2277
Goldsboro, NC................................................    17.6500
Grand Forks, ND-MN...........................................    19.2683
Grand Junction, CO...........................................    19.4593
Grand Rapids-Muskegon-Holland, MI............................    21.4652
Great Falls, MT..............................................    22.1512
Greeley, CO..................................................    20.5908
Green Bay, WI................................................    19.3420
Greensboro-Winston-Salem-High Point, NC......................    19.1402
Greenville, NC...............................................    20.1214
Greenville-Spartanburg-Anderson, SC..........................    19.4594
Hagerstown, MD...............................................    18.7266
Hamilton-Middletown, OH......................................    18.9474
Harrisburg-Lebanon-Carlisle, PA..............................    21.0037
Hartford, CT.................................................    24.8124
Hattiesburg, MS..............................................    16.1679
Hickory-Morganton-Lenoir, NC.................................    19.2995
Honolulu, HI.................................................    24.3050
Houma, LA....................................................    16.5978
Houston, TX..................................................    19.8810
Huntington-Ashland, WV-KY-OH.................................    20.6646
Huntsville, AL...............................................    18.6860
Indianapolis, IN.............................................    20.7402
Iowa City, IA................................................    20.3481
Jackson, MI..................................................    18.7230
Jackson, MS..................................................    17.7627
Jackson, TN..................................................    18.2151
Jacksonville, FL.............................................    18.9712
Jacksonville, NC.............................................    16.6300
Jamestown, NY................................................    16.6418
Janesville-Beloit, WI........................................    20.4504
Jersey City, NJ..............................................    24.7265
Johnson City-Kingsport-Bristol, TN-VA........................    18.7506
Johnstown, PA................................................    18.2989
Jonesboro, AR................................................    15.3149
Joplin, MO...................................................    16.2618
Kalamazoo-Battlecreek, MI....................................    21.1395
Kankakee, IL.................................................    18.2109
Kansas City, KS-MO...........................................    19.7430
Kenosha, WI..................................................    19.1315
Killeen-Temple, TX...........................................    21.0356
Knoxville, TN................................................    19.4838
Kokomo, IN...................................................    18.8885
La Crosse, WI-MN.............................................    18.9205
Lafayette, LA................................................    17.6615
Lafayette, IN................................................    18.6572
Lake Charles, LA.............................................    16.8715
Lakeland-Winter Haven, FL....................................    18.6713
Lancaster, PA................................................    19.6017
Lansing-East Lansing, MI.....................................    21.1315
Laredo, TX...................................................    17.6272
Las Cruces, NM...............................................    18.1944
Las Vegas, NV-AZ.............................................    23.8445
Lawrence, KS.................................................    17.4151
Lawton, OK...................................................    20.1897
Lewiston-Auburn, ME..........................................    18.8489
Lexington, KY................................................    18.0690
Lima, OH.....................................................    18.8613
Lincoln, NE..................................................    20.4820
Little Rock-North Little Rock, AR............................    18.2444
Longview-Marshall, TX........................................    18.5072
Los Angeles-Long Beach, CA...................................    25.5235
Louisville, KY-IN............................................    19.8685
Lubbock, TX..................................................    17.8142
Lynchburg, VA................................................    18.6683
Macon, GA....................................................    18.0675
Madison, WI..................................................    20.6054
Mansfield, OH................................................    17.9510
Mayaguez, PR.................................................     9.9005
McAllen-Edinburg-Mission, TX.................................    17.1975
Medford-Ashland, OR..........................................    22.2214
Melbourne-Titusville-Palm Bay, FL............................    19.6889
Memphis, TN-AR-MS............................................    17.4610
Merced, CA...................................................    21.7673
Miami, FL....................................................    21.6737
Middlesex-Somerset-Hunterdon, NJ.............................    23.5556
Milwaukee-Waukesha, WI.......................................    20.8513
Minneapolis-St. Paul, MN-WI..................................    23.1482
Missoula, MT.................................................    19.2420
Mobile, AL...................................................    17.5090
Modesto, CA..................................................    21.4157
Monmouth-Ocean, NJ...........................................    23.8439
Monroe, LA...................................................    17.4115
Montgomery, AL...............................................    16.3157
Muncie, IN...................................................    22.9458
Myrtle Beach, SC.............................................    18.0643
Naples, FL...................................................    20.8392
Nashville, TN................................................    20.0138
Nassau-Suffolk, NY...........................................    29.8096
New Haven-Bridgeport-Stamford-Waterbury-Danbury, CT..........    26.1700
New London-Norwich, CT.......................................    26.3222
New Orleans, LA..............................................    19.2503
New York, NY.................................................    30.7475
Newark, NJ...................................................    24.6654
Newburgh, NY-PA..............................................    23.1041
Norfolk-Virginia Beach-Newport News, VA-NC...................    17.8754
Oakland, CA..................................................    31.8928
Ocala, FL....................................................    20.3639
Odessa-Midland, TX...........................................    18.7922
Oklahoma City, OK............................................    18.1873
Olympia, WA..................................................    23.1536
Omaha, NE-IA.................................................    22.1432
Orange County, CA............................................    24.5477
Orlando, FL..................................................    20.7465
Owensboro, KY................................................    17.1643
Panama City, FL..............................................    19.4197
Parkersburg-Marietta, WV-OH..................................    17.8217
Pensacola, FL................................................    17.8801
Peoria-Pekin, IL.............................................    17.6840
Philadelphia, PA-NJ..........................................    23.6372
Phoenix-Mesa, AZ.............................................    20.0450
Pine Bluff, AR...............................................    16.3022
Pittsburgh, PA...............................................    20.4057
Pittsfield, MA...............................................    21.7194
Pocatello, ID................................................    19.0047
Ponce, PR....................................................    10.5280
Portland, ME.................................................    20.0674
Portland-Vancouver, OR-WA....................................    23.2438
Providence-Warwick, RI.......................................    22.6420
Provo-Orem, UT...............................................    20.7946
Pueblo, CO...................................................    18.7505
Punta Gorda, FL..............................................    20.1370
Racine, WI...................................................    19.5201
Raleigh-Durham-Chapel Hill, NC...............................    20.2151
Rapid City, SD...............................................    17.7126
Reading, PA..................................................    19.9855
Redding, CA..................................................    23.8559
Reno, NV.....................................................    22.5678
Richland-Kennewick-Pasco, WA.................................    23.7721
Richmond-Petersburg, VA......................................    20.2158
Riverside-San Bernardino, CA.................................    23.7428
Roanoke, VA..................................................    17.2365
Rochester, MN................................................    24.2072
Rochester, NY................................................    19.4510
Rockford, IL.................................................    18.6017
Rocky Mount, NC..............................................    18.4997
Sacramento, CA...............................................    26.0168
Saginaw-Bay City-Midland, MI.................................    19.6689
St. Cloud, MN................................................    19.9529
St. Joseph, MO...............................................    18.9408
St. Louis, MO-IL.............................................    19.1725
Salem, OR....................................................    21.0721
Salinas, CA..................................................    31.1554
Salt Lake City-Ogden, UT.....................................    20.8711
San Angelo, TX...............................................    16.6166
San Antonio, TX..............................................    17.6168
San Diego, CA................................................    25.2676
San Francisco, CA............................................    29.6537
San Jose, CA.................................................    28.8225
San Juan-Bayamon, PR.........................................     9.8640
San Luis Obispo-Atascadero-Paso Robles, CA...................    22.1746
Santa Barbara-Santa Maria-Lompoc, CA.........................    22.9137
Santa Cruz-Watsonville, CA...................................    29.4979
Santa Fe, NM.................................................    22.1051
Santa Rosa, CA...............................................    27.5337
Sarasota-Bradenton, FL.......................................    20.9796
Savannah, GA.................................................    21.0803

[[Page 41596]]


Scranton-Wilkes Barre-Hazleton, PA...........................    17.7324
Seattle-Bellevue-Everett, WA.................................    23.9115
Sharon, PA...................................................    17.5441
Sheboygan, WI................................................    17.3719
Sherman-Denison, TX..........................................    19.7582
Shreveport-Bossier City, LA..................................    19.1657
Sioux City, IA-NE............................................    18.1059
Sioux Falls, SD..............................................    18.5874
South Bend, IN...............................................    20.7421
Spokane, WA..................................................    22.8719
Springfield, IL..............................................    18.3917
Springfield, MO..............................................    16.9245
Springfield, MA..............................................    22.6142
State College, PA............................................    19.3540
Steubenville-Weirton, OH-WV..................................    18.2449
Stockton-Lodi, CA............................................    22.2772
Sumter, SC...................................................    17.4486
Syracuse, NY.................................................    19.9343
Tacoma, WA...................................................    24.3099
Tallahassee, FL..............................................    17.9690
Tampa-St. Petersburg-Clearwater, FL..........................    19.1546
Terre Haute, IN..............................................    18.1515
Texarkana, AR-Texarkana, TX..................................    17.2300
Toledo, OH...................................................    20.7884
Topeka, KS...................................................    19.7520
Trenton, NJ..................................................    21.3959
Tucson, AZ...................................................    18.5157
Tulsa, OK....................................................    17.1256
Tuscaloosa, AL...............................................    17.0793
Tyler, TX....................................................    19.8429
Utica-Rome, NY...............................................    17.5752
Vallejo-Fairfield-Napa, CA...................................    28.2652
Ventura, CA..................................................    24.2606
Victoria, TX.................................................    17.7441
Vineland-Millville-Bridgeton, NJ.............................    22.2740
Visalia-Tulare-Porterville, CA...............................    22.0500
Waco, TX.....................................................    17.1037
Washington, DC-MD-VA-WV......................................    23.4111
Waterloo-Cedar Falls, IA.....................................    18.0392
Wausau, WI...................................................    20.0043
West Palm Beach-Boca Raton, FL...............................    21.2055
Wheeling, OH-WV..............................................    16.1892
Wichita, KS..................................................    19.9536
Wichita Falls, TX............................................    16.2079
Williamsport, PA.............................................    17.8945
Wilmington-Newark, DE-MD.....................................    23.8786
Wilmington, NC...............................................    20.5594
Yakima, WA...................................................    21.8833
Yolo, CA.....................................................    20.5840
York, PA.....................................................    19.7168
Youngstown-Warren, OH........................................    21.1707
Yuba City, CA................................................    22.5818
Yuma, AZ.....................................................    21.0182
------------------------------------------------------------------------


             Table 4e.--Average Hourly Wage for Rural Areas
------------------------------------------------------------------------
                                                                Average
                        Nonurban area                            hourly
                                                                  wage
------------------------------------------------------------------------
Alabama......................................................    15.6529
Alaska.......................................................    25.5370
Arizona......................................................    18.0961
Arkansas.....................................................    15.3250
California...................................................    21.0766
Colorado.....................................................    18.6657
Connecticut..................................................    26.2903
Delaware.....................................................    19.4135
Florida......................................................    19.0317
Georgia......................................................    17.1426
Hawaii.......................................................    22.7187
Idaho........................................................    18.3238
Illinois.....................................................    17.0445
Indiana......................................................    17.7834
Iowa.........................................................    16.7882
Kansas.......................................................    15.8000
Kentucky.....................................................    17.0342
Louisiana....................................................    15.6336
Maine........................................................    18.2971
Maryland.....................................................    18.2815
Massachusetts................................................    24.0785
Michigan.....................................................    18.6693
Minnesota....................................................    18.3602
Mississippi..................................................    15.4749
Missouri.....................................................    16.3576
Montana......................................................    17.7804
Nebraska.....................................................    16.9591
Nevada.......................................................    19.2681
New Hampshire................................................    20.9790
New Jersey \1\...............................................
New Mexico...................................................    17.7448
New York.....................................................    18.2911
North Carolina...............................................    17.5573
North Dakota.................................................    16.1967
Ohio.........................................................    18.3192
Oklahoma.....................................................    15.3668
Oregon.......................................................    20.8991
Pennsylvania.................................................    18.0541
Puerto Rico..................................................     8.9988
Rhode Island \1\.............................................
South Carolina...............................................    17.5024
South Dakota.................................................    16.0465
Tennessee....................................................    16.2034
Texas........................................................    15.8229
Utah.........................................................    18.8636
Vermont......................................................    19.9246
Virginia.....................................................    16.7397
Washington...................................................    22.1244
West Virginia................................................    17.0883
Wisconsin....................................................    18.5514
Wyoming......................................................    18.7641
------------------------------------------------------------------------
\1\ All counties within the State are classified as urban.


                Table 4F.--Puerto Rico Wage Index and Capital Geographic Adjustment Factor (GAF)
----------------------------------------------------------------------------------------------------------------
                                                                                    Wage index
                      Area                          Wage index          GAF          reclass.      GAF  reclass.
                                                                                     hospitals       hospitals
----------------------------------------------------------------------------------------------------------------
Aguadilla, PR...................................          0.9120          0.9389
Arecibo, PR.....................................          1.0334          1.0228
Caguas, PR......................................          0.9789          0.9855          0.9789          0.9855
Mayaguez, PR....................................          1.0033          1.0023
Ponce, PR.......................................          1.0669          1.0453
San Juan-Bayamon, PR............................          0.9996          0.9997
Rural Puerto Rico...............................          0.9120          0.9389
----------------------------------------------------------------------------------------------------------------


  Table 5.--List of Diagnosis Related Groups (DRGS), Relative Weighting Factors, Geometric and Arithmetic Mean
                                                 Length of Stay
----------------------------------------------------------------------------------------------------------------
                                                                             Relative    Geometric    Arithmetic
                                                                             weights      mean LOS     mean LOS
----------------------------------------------------------------------------------------------------------------
1..............       01  SURG                 CRANIOTOMY AGE >17 EXCEPT        3.0957          6.5          9.3
                                                FOR TRAUMA.
2..............       01  SURG                 CRANIOTOMY FOR TRAUMA AGE        3.1047          7.4          9.9
                                                >17.
3..............       01  SURG                 *CRANIOTOMY AGE 0-17......       1.9619         12.7         12.7
4..............       01  SURG                 SPINAL PROCEDURES.........       2.3205          4.9          7.5
5..............       01  SURG                 EXTRACRANIAL VASCULAR            1.4466          2.5          3.4
                                                PROCEDURES.
6..............       01  SURG                 CARPAL TUNNEL RELEASE.....        .8119          2.2          3.1
7..............       01  SURG                 PERIPH & CRANIAL NERVE &         2.4986          6.9         10.4
                                                OTHER NERV SYST PROC W CC.

[[Page 41597]]


8..............       01  SURG                 PERIPH & CRANIAL NERVE &         1.3426          2.2          3.1
                                                OTHER NERV SYST PROC W/O
                                                CC.
9..............       01  MED                  SPINAL DISORDERS &               1.1917          4.6          6.3
                                                INJURIES.
10.............       01  MED                  NERVOUS SYSTEM NEOPLASMS W       1.2036          4.9          6.6
                                                CC.
11.............       01  MED                  NERVOUS SYSTEM NEOPLASMS W/       .8283          3.0          4.1
                                                O CC.
12.............       01  MED                  DEGENERATIVE NERVOUS              .8904          4.6          6.3
                                                SYSTEM DISORDERS.
13.............       01  MED                  MULTIPLE SCLEROSIS &              .7599          4.2          5.2
                                                CEREBELLAR ATAXIA.
14.............       01  MED                  SPECIFIC CEREBROVASCULAR         1.1914          4.7          6.1
                                                DISORDERS EXCEPT TIA.
15.............       01  MED                  TRANSIENT ISCHEMIC ATTACK         .7397          3.0          3.7
                                                & PRECEREBRAL OCCLUSIONS.
16.............       01  MED                  NONSPECIFIC                      1.0985          4.6          5.9
                                                CEREBROVASCULAR DISORDERS
                                                W CC.
17.............       01  MED                  NONSPECIFIC                       .6399          2.6          3.4
                                                CEREBROVASCULAR DISORDERS
                                                W/O CC.
18.............       01  MED                  CRANIAL & PERIPHERAL NERVE        .9353          4.2          5.5
                                                DISORDERS W CC.
19.............       01  MED                  CRANIAL & PERIPHERAL NERVE        .6503          3.0          3.8
                                                DISORDERS W/O CC.
20.............       01  MED                  NERVOUS SYSTEM INFECTION         2.6125          7.7         10.2
                                                EXCEPT VIRAL MENINGITIS.
21.............       01  MED                  VIRAL MENINGITIS..........       1.5032          5.0          6.8
22.............       01  MED                  HYPERTENSIVE                      .9621          3.8          4.9
                                                ENCEPHALOPATHY.
23.............       01  MED                  NONTRAUMATIC STUPOR & COMA        .7746          3.1          4.2
24.............       01  MED                  SEIZURE & HEADACHE AGE >17        .9770          3.7          5.0
                                                W CC.
25.............       01  MED                  SEIZURE & HEADACHE AGE >17        .5911          2.6          3.4
                                                W/O CC.
26.............       01  MED                  SEIZURE & HEADACHE AGE 0-         .6337          2.8          3.6
                                                17.
27.............       01  MED                  TRAUMATIC STUPOR & COMA,         1.3581          3.3          5.3
                                                COMA >1 HR.
28.............       01  MED                  TRAUMATIC STUPOR & COMA,         1.2690          4.5          6.2
                                                COMA <1 HR AGE >17 W CC.
29.............       01  MED                  TRAUMATIC STUPOR & COMA,          .6859          2.8          3.6
                                                COMA >1 HR AGE <17 W/O CC.
30.............       01  MED                  *TRAUMATIC STUPOR & COMA,         .3318          2.0          2.0
                                                COMA >1 HR AGE 0-17.
31.............       01  MED                  CONCUSSION AGE >17 W CC...        .8497          3.2          4.3
32.............       01  MED                  CONCUSSION AGE >17 W/O CC.        .5295          2.1          2.7
33.............       01  MED                  *CONCUSSION AGE 0-17......        .2085          1.6          1.6
34.............       01  MED                  OTHER DISORDERS OF NERVOUS       1.0275          3.9          5.3
                                                SYSTEM W CC.
35.............       01  MED                  OTHER DISORDERS OF NERVOUS        .5937          2.7          3.5
                                                SYSTEM W/O CC.
36.............       02  SURG                 RETINAL PROCEDURES........        .6834          1.2          1.4
37.............       02  SURG                 ORBITAL PROCEDURES........       1.0318          2.6          3.8
38.............       02  SURG                 PRIMARY IRIS PROCEDURES...        .4875          1.9          2.6
39.............       02  SURG                 LENS PROCEDURES WITH OR           .5704          1.4          1.9
                                                WITHOUT VITRECTOMY.
40.............       02  SURG                 EXTRAOCULAR PROCEDURES            .8170          2.2          3.3
                                                EXCEPT ORBIT AGE >17.
41.............       02  SURG                 * EXTRAOCULAR PROCEDURES          .3378          1.6          1.6
                                                EXCEPT ORBIT AGE 0-17.
42.............       02  SURG                 INTRAOCULAR PROCEDURES            .6236          1.6          2.1
                                                EXCEPT RETINA, IRIS &

                                                LENS.
43.............       02  MED                  HYPHEMA...................        .4515          2.6          4.1
44.............       02  MED                  ACUTE MAJOR EYE INFECTIONS        .6496          4.1          5.0
45.............       02  MED                  NEUROLOGICAL EYE DISORDERS        .6941          2.7          3.4
46.............       02  MED                  OTHER DISORDERS OF THE EYE        .7525          3.5          4.6
                                                AGE >17 W CC.
47.............       02  MED                  OTHER DISORDERS OF THE EYE        .4784          2.5          3.2
                                                AGE >17 W/O CC.
48.............       02  MED                  * OTHER DISORDERS OF THE          .2975          2.9          2.9
                                                EYE AGE 0-17.
49.............       03  SURG                 MAJOR HEAD & NECK                1.8557          3.7          5.0
                                                PROCEDURES.
50.............       03  SURG                 SIALOADENECTOMY...........        .8401          1.6          2.0
51.............       03  SURG                 SALIVARY GLAND PROCEDURES         .8504          1.9          2.9
                                                EXCEPT SIALOADENECTOMY.
52.............       03  SURG                 CLEFT LIP & PALATE REPAIR.        .7696          1.5          1.9
53.............       03  SURG                 SINUS & MASTOID PROCEDURES       1.1784          2.3          3.6
                                                AGE >17.
54.............       03  SURG                 * SINUS & MASTOID                 .4823          3.2          3.2
                                                PROCEDURES AGE 0-17.
55.............       03  SURG                 MISCELLANEOUS EAR, NOSE,          .8686          1.9          2.9
                                                MOUTH & THROAT PROCEDURES.
56.............       03  SURG                 RHINOPLASTY...............        .8893          2.1          2.8
57.............       03  SURG                 T&A PROC, EXCEPT                 1.1589          2.8          4.5
                                                TONSILLECTOMY &/OR
                                                ADENOIDECTOMY ONLY, AGE
                                                >17.
58.............       03  SURG                 * T&A PROC, EXCEPT                .2739          1.5          1.5
                                                TONSILLECTOMY &/OR
                                                ADENOIDECTOMY ONLY, AGE 0-
                                                17.
59.............       03  SURG                 TONSILLECTOMY &/OR                .6720          1.9          2.5
                                                ADENOIDECTOMY ONLY, AGE
                                                >17.
60.............       03  SURG                 * TONSILLECTOMY &/OR              .2086          1.5          1.5
                                                ADENOIDECTOMY ONLY, AGE 0-
                                                17.
61.............       03  SURG                 MYRINGOTOMY W TUBE               1.2597          2.9          4.8
                                                INSERTION AGE >17.
62.............       03  SURG                 * MYRINGOTOMY W TUBE              .2953          1.3          1.3
                                                INSERTION AGE 0-17.
63.............       03  SURG                 OTHER EAR, NOSE, MOUTH &         1.3136          3.0          4.5
                                                THROAT O.R. PROCEDURES.
64.............       03  MED                  EAR, NOSE, MOUTH & THROAT        1.2464          4.3          6.6
                                                MALIGNANCY.
65.............       03  MED                  DYSEQUILIBRIUM............        .5261          2.3          2.9
66.............       03  MED                  EPISTAXIS.................        .5548          2.6          3.2
67.............       03  MED                  EPIGLOTTITIS..............        .8031          2.9          3.7
68.............       03  MED                  OTITIS MEDIA & URI AGE >17        .6758          3.4          4.2
                                                W CC.
69.............       03  MED                  OTITIS MEDIA & URI AGE >17        .5191          2.7          3.3
                                                W/O CC.
70.............       03  MED                  OTITIS MEDIA & URI AGE 0-         .3985          2.3          2.7
                                                17.
71.............       03  MED                  LARYNGOTRACHEITIS.........        .6136          2.7          3.4
72.............       03  MED                  NASAL TRAUMA & DEFORMITY..        .6462          2.6          3.4
73.............       03  MED                  OTHER EAR, NOSE, MOUTH &          .7667          3.3          4.3
                                                THROAT DIAGNOSES AGE >17.

[[Page 41598]]


74.............       03  MED                  * OTHER EAR, NOSE, MOUTH &        .3356          2.1          2.1
                                                THROAT DIAGNOSES AGE 0-17.
75.............       04  SURG                 MAJOR CHEST PROCEDURES....       3.1107          7.8          9.9
76.............       04  SURG                 OTHER RESP SYSTEM O.R.           2.7208          8.3         11.1
                                                PROCEDURES W CC.
77.............       04  SURG                 OTHER RESP SYSTEM O.R.           1.2113          3.6          5.0
                                                PROCEDURES W/O CC.
78.............       04  MED                  PULMONARY EMBOLISM........       1.3861          6.1          7.1
79.............       04  MED                  RESPIRATORY INFECTIONS &         1.6439          6.6          8.4
                                                INFLAMMATIONS AGE >17 W
                                                CC.
80.............       04  MED                  RESPIRATORY INFECTIONS &          .8980          4.5          5.6
                                                INFLAMMATIONS AGE >17 W/O
                                                CC.
81.............       04  MED                  * RESPIRATORY INFECTIONS &       1.5196          6.1          6.1
                                                INFLAMMATIONS AGE 0-17.
82.............       04  MED                  RESPIRATORY NEOPLASMS.....       1.3656          5.2          7.0
83.............       04  MED                  MAJOR CHEST TRAUMA W CC...        .9796          4.3          5.5
84.............       04  MED                  MAJOR CHEST TRAUMA W/O CC.        .5278          2.6          3.2
85.............       04  MED                  PLEURAL EFFUSION W CC.....       1.2421          5.0          6.5
86.............       04  MED                  PLEURAL EFFUSION W/O CC...        .6724          2.9          3.8
87.............       04  MED                  PULMONARY EDEMA &                1.3694          4.8          6.3
                                                RESPIRATORY FAILURE.
88.............       04  MED                  CHRONIC OBSTRUCTIVE               .9406          4.3          5.3
                                                PULMONARY DISEASE.
89.............       04  MED                  SIMPLE PNEUMONIA &               1.0855          5.1          6.1
                                                PLEURISY AGE >17 W CC.
90.............       04  MED                  SIMPLE PNEUMONIA &                .6734          3.7          4.3
                                                PLEURISY AGE >17 W/O CC.
91.............       04  MED                  SIMPLE PNEUMONIA &                .6334          3.3          4.0
                                                PLEURISY AGE 0-17.
92.............       04  MED                  INTERSTITIAL LUNG DISEASE        1.1786          5.0          6.3
                                                W CC.
93.............       04  MED                  INTERSTITIAL LUNG DISEASE         .7644          3.5          4.3
                                                W/O CC.
94.............       04  MED                  PNEUMOTHORAX W CC.........       1.1910          4.8          6.4
95.............       04  MED                  PNEUMOTHORAX W/O CC.......        .5944          2.9          3.6
96.............       04  MED                  BRONCHITIS & ASTHMA AGE           .7943          3.9          4.8
                                                >17 W CC.
97.............       04  MED                  BRONCHITIS & ASTHMA AGE           .5954          3.1          3.7
                                                >17 W/O CC.
98.............       04  MED                  BRONCHITIS & ASTHMA AGE 0-        .6859          3.3          4.5
                                                17.
99.............       04  MED                  RESPIRATORY SIGNS &               .6817          2.4          3.1
                                                SYMPTOMS W CC.
100............       04  MED                  RESPIRATORY SIGNS &               .5268          1.8          2.2
                                                SYMPTOMS W/O CC.
101............       04  MED                  OTHER RESPIRATORY SYSTEM          .8490          3.3          4.4
                                                DIAGNOSES W CC.
102............       04  MED                  OTHER RESPIRATORY SYSTEM          .5349          2.1          2.7
                                                DIAGNOSES W/O CC.
103............       05  SURG                 HEART TRANSPLANT..........      19.5100         35.7         56.5
104............       05  SURG                 CARDIAC VALVE & OTHER            7.2361          9.3         11.9
                                                MAJOR CARDIOTHORACIC PROC
                                                W CARDIAC CATH.
105............       05  SURG                 CARDIAC VALVE & OTHER            5.6607          7.6          9.4
                                                MAJOR CARDIOTHORACIC PROC
                                                W/O CARDIAC CATH.
106............       05  SURG                 CORONARY BYPASS W PTCA....       7.3334          9.1         10.9
107............       05  SURG                 CORONARY BYPASS W CARDIAC        5.4639          9.3         10.5
                                                CATH.
108............       05  SURG                 OTHER CARDIOTHORACIC             5.7715          8.3         11.0
                                                PROCEDURES.
109............       05  SURG                 CORONARY BYPASS W/O PTCA         4.0403          6.9          7.8
                                                OR CARDIAC CATH.
110............       05  SURG                 MAJOR CARDIOVASCULAR             4.1600          7.2          9.6
                                                PROCEDURES W CC.
111............       05  SURG                 MAJOR CARDIOVASCULAR             2.2267          4.9          5.7
                                                PROCEDURES W/O CC.
112............       05  SURG                 PERCUTANEOUS                     1.9222          2.7          3.8
                                                CARDIOVASCULAR PROCEDURES.
113............       05  SURG                 AMPUTATION FOR CIRC SYSTEM       2.7283          9.5         12.6
                                                DISORDERS EXCEPT UPPER
                                                LIMB & TOE.
114............       05  SURG                 UPPER LIMB & TOE                 1.5555          6.0          8.2
                                                AMPUTATION FOR CIRC
                                                SYSTEM DISORDERS.
115............       05  SURG                 PRM CARD PACEM IMPL W AMI,       3.4727          6.2          8.4
                                                HRT FAIL OR SHK, OR AICD
                                                LEAD OR GNRTR PR.
116............       05  SURG                 OTH PERM CARD PACEMAK IMPL       2.4651          2.8          3.9
                                                OR PTCA W CORONARY ARTERY
                                                STENT IMPLNT.
117............       05  SURG                 CARDIAC PACEMAKER REVISION       1.2931          2.7          4.1
                                                EXCEPT DEVICE REPLACEMENT.
118............       05  SURG                 CARDIAC PACEMAKER DEVICE         1.5480          2.0          2.9
                                                REPLACEMENT.
119............       05  SURG                 VEIN LIGATION & STRIPPING.       1.2297          3.0          4.9
120............       05  SURG                 OTHER CIRCULATORY SYSTEM         2.0136          5.0          8.2
                                                O.R. PROCEDURES.
121............       05  MED                  CIRCULATORY DISORDERS W          1.6295          5.6          6.8
                                                AMI & MAJOR COMP,
                                                DISCHARGED ALIVE.
122............       05  MED                  CIRCULATORY DISORDERS W          1.1063          3.4          4.2
                                                AMI W/O MAJOR COMP,
                                                DISCHARGED ALIVE.
123............       05  MED                  CIRCULATORY DISORDERS W          1.5108          2.7          4.4
                                                AMI, EXPIRED.
124............       05  MED                  CIRCULATORY DISORDERS            1.4020          3.4          4.5
                                                EXCEPT AMI, W CARD CATH &

                                                COMPLEX DIAG.
125............       05  MED                  CIRCULATORY DISORDERS            1.0436          2.2          2.8
                                                EXCEPT AMI, W CARD CATH W/
                                                O COMPLEX DIAG.
126............       05  MED                  ACUTE & SUBACUTE                 2.5170          9.3         12.1
                                                ENDOCARDITIS.
127............       05  MED                  HEART FAILURE & SHOCK.....       1.0144          4.2          5.4
128............       05  MED                  DEEP VEIN THROMBOPHLEBITIS        .7645          5.1          5.9
129............       05  MED                  CARDIAC ARREST,                  1.0770          1.8          2.8
                                                UNEXPLAINED.
130............       05  MED                  PERIPHERAL VASCULAR               .9469          4.7          5.9
                                                DISORDERS W CC.

[[Page 41599]]


131............       05  MED                  PERIPHERAL VASCULAR               .6050          3.7          4.5
                                                DISORDERS W/O CC.
132............       05  MED                  ATHEROSCLEROSIS W CC......        .6713          2.5          3.1
133............       05  MED                  ATHEROSCLEROSIS W/O CC....        .5675          1.9          2.4
134............       05  MED                  HYPERTENSION..............        .5846          2.6          3.3
135............       05  MED                  CARDIAC CONGENITAL &              .8704          3.3          4.4
                                                VALVULAR DISORDERS AGE
                                                <ls-thn-eq>17 W CC.
136............       05  MED                  CARDIAC CONGENITAL &              .6004          2.3          2.9
                                                VALVULAR DISORDERS AGE
                                                <ls-thn-eq>17 W/O CC.
137............       05  MED                  * CARDIAC CONGENITAL &            .8188          3.3          3.3
                                                VALVULAR DISORDERS AGE 0-
                                                17.
138............       05  MED                  CARDIAC ARRHYTHMIA &              .8154          3.1          4.0
                                                CONDUCTION DISORDERS W CC.
139............       05  MED                  CARDIAC ARRHYTHMIA &              .5079          2.1          2.5
                                                CONDUCTION DISORDERS W/O
                                                CC.
140............       05  MED                  ANGINA PECTORIS...........        .5829          2.3          2.8
141............       05  MED                  SYNCOPE & COLLAPSE W CC...        .7091          2.9          3.7
142............       05  MED                  SYNCOPE & COLLAPSE W/O CC.        .5419          2.2          2.7
143............       05  MED                  CHEST PAIN................        .5342          1.8          2.2
144............       05  MED                  OTHER CIRCULATORY SYSTEM         1.1526          3.8          5.4
                                                DIAGNOSES W CC.
145............       05  MED                  OTHER CIRCULATORY SYSTEM          .6497          2.2          2.8
                                                DIAGNOSES W/O CC.
146............       06  SURG                 RECTAL RESECTION W CC.....       2.7862          9.1         10.3
147............       06  SURG                 RECTAL RESECTION W/O CC...       1.6382          6.1          6.7
148............       06  SURG                 MAJOR SMALL & LARGE BOWEL        3.4289         10.1         12.1
                                                PROCEDURES W CC.
149............       06  SURG                 MAJOR SMALL & LARGE BOWEL        1.5723          6.2          6.7
                                                PROCEDURES W/O CC.
150............       06  SURG                 PERITONEAL ADHESIOLYSIS W        2.8098          9.0         11.0
                                                CC.
151............       06  SURG                 PERITONEAL ADHESIOLYSIS W/       1.3437          4.9          6.0
                                                O CC.
152............       06  SURG                 MINOR SMALL & LARGE BOWEL        1.9606          6.9          8.3
                                                PROCEDURES W CC.
153............       06  SURG                 MINOR SMALL & LARGE BOWEL        1.2170          5.0          5.6
                                                PROCEDURES W/O CC.
154............       06  SURG                 STOMACH, ESOPHAGEAL &            4.1335         10.1         13.2
                                                DUODENAL PROCEDURES AGE
                                                >17 W CC.
155............       06  SURG                 STOMACH, ESOPHAGEAL &            1.3781          3.5          4.5
                                                DUODENAL PROCEDURES AGE
                                                >17 W/O CC.
156............       06  SURG                 * STOMACH, ESOPHAGEAL &           .8432          6.0          6.0
                                                DUODENAL PROCEDURES AGE 0-
                                                17.
157............       06  SURG                 ANAL & STOMAL PROCEDURES W       1.2392          4.0          5.6
                                                CC.
158............       06  SURG                 ANAL & STOMAL PROCEDURES W/       .6561          2.1          2.6
                                                O CC.
159............       06  SURG                 HERNIA PROCEDURES EXCEPT         1.3097          3.7          5.0
                                                INGUINAL & FEMORAL AGE
                                                >17 W CC.
160............       06  SURG                 HERNIA PROCEDURES EXCEPT          .7801          2.2          2.7
                                                INGUINAL & FEMORAL AGE
                                                >17 W/O CC.
161............       06  SURG                 INGUINAL & FEMORAL HERNIA        1.0976          2.9          4.2
                                                PROCEDURES AGE >17 W CC.
162............       06  SURG                 INGUINAL & FEMORAL HERNIA         .6283          1.6          2.0
                                                PROCEDURES AGE >17 W/O CC.
163............       06  SURG                 * HERNIA PROCEDURES AGE 0-        .8720          2.1          2.1
                                                17.
164............       06  SURG                 APPENDECTOMY W COMPLICATED       2.3463          7.3          8.5
                                                PRINCIPAL DIAG W CC.
165............       06  SURG                 APPENDECTOMY W COMPLICATED       1.2655          4.4          4.9
                                                PRINCIPAL DIAG W/O CC.
166............       06  SURG                 APPENDECTOMY W/O                 1.4788          4.1          5.1
                                                COMPLICATED PRINCIPAL
                                                DIAG W CC.
167............       06  SURG                 APPENDECTOMY W/O                  .8995          2.4          2.8
                                                COMPLICATED PRINCIPAL
                                                DIAG W/O CC.
168............       03  SURG                 MOUTH PROCEDURES W CC.....       1.2039          3.3          4.6
169............       03  SURG                 MOUTH PROCEDURES W/O CC...        .7492          1.9          2.5
170............       06  SURG                 OTHER DIGESTIVE SYSTEM           2.8435          7.8         11.3
                                                O.R. PROCEDURES W CC.
171............       06  SURG                 OTHER DIGESTIVE SYSTEM           1.2556          3.6          4.8
                                                O.R. PROCEDURES W/O CC.
172............       06  MED                  DIGESTIVE MALIGNANCY W CC.       1.3144          5.1          6.9
173............       06  MED                  DIGESTIVE MALIGNANCY W/O          .7123          2.7          3.8
                                                CC.
174............       06  MED                  G.I. HEMORRHAGE W CC......        .9981          3.9          4.9
175............       06  MED                  G.I. HEMORRHAGE W/O CC....        .5456          2.5          2.9
176............       06  MED                  COMPLICATED PEPTIC ULCER..       1.0968          4.1          5.3
177............       06  MED                  UNCOMPLICATED PEPTIC ULCER        .8802          3.7          4.5
                                                W CC.
178............       06  MED                  UNCOMPLICATED PEPTIC ULCER        .6502          2.6          3.2
                                                W/O CC.
179............       06  MED                  INFLAMMATORY BOWEL DISEASE       1.0869          4.8          6.2
180............       06  MED                  G.I. OBSTRUCTION W CC.....        .9206          4.2          5.4
181............       06  MED                  G.I. OBSTRUCTION W/O CC...        .5277          2.8          3.4
182............       06  MED                  ESOPHAGITIS, GASTROENT &          .7821          3.4          4.3
                                                MISC DIGEST. DISORDERS
                                                AGE >17 W CC.
183............       06  MED                  ESOPHAGITIS, GASTROENT &          .5710          2.4          3.0
                                                MISC DIGEST. DISORDERS
                                                AGE >17 W/O CC.
184............       06  MED                  ESOPHAGITIS, GASTROENT &          .5286          2.3          3.0
                                                MISC DIGEST. DISORDERS
                                                AGE 0-17.
185............       03  MED                  DENTAL & ORAL DIS EXCEPT          .8593          3.3          4.5
                                                EXTRACTIONS &

                                                RESTORATIONS, AGE >17.
186............       03  MED                  * DENTAL & ORAL DIS EXCEPT        .3214          2.9          2.9
                                                EXTRACTIONS &
                                                RESTORATIONS, AGE 0-17.
187............       03  MED                  DENTAL EXTRACTIONS &              .7790          2.9          3.9
                                                RESTORATIONS.
188............       06  MED                  OTHER DIGESTIVE SYSTEM           1.0942          4.1          5.6
                                                DIAGNOSES AGE >17 W CC.

[[Page 41600]]


189............       06  MED                  OTHER DIGESTIVE SYSTEM            .5831          2.4          3.2
                                                DIAGNOSES AGE >17 W/O CC.
190............       06  MED                  OTHER DIGESTIVE SYSTEM           1.0011          3.9          5.6
                                                DIAGNOSES AGE 0-17.
191............       07  SURG                 PANCREAS, LIVER & SHUNT          4.3837         10.6         14.2
                                                PROCEDURES W CC.
192............       07  SURG                 PANCREAS, LIVER & SHUNT          1.8454          5.7          7.0
                                                PROCEDURES W/O CC.
193............       07  SURG                 BILIARY TRACT PROC EXCEPT        3.4161         10.3         12.6
                                                ONLY CHOLECYST W OR W/O
                                                C.D.E. W CC.
194............       07  SURG                 BILIARY TRACT PROC EXCEPT        1.6401          5.4          6.6
                                                ONLY CHOLECYST W OR W/O
                                                C.D.E. W/O CC.
195............       07  SURG                 CHOLECYSTECTOMY W C.D.E. W       2.9359          8.4         10.0
                                                CC.
196............       07  SURG                 CHOLECYSTECTOMY W C.D.E. W/      1.6554          4.9          5.7
                                                O CC.
197............       07  SURG                 CHOLECYSTECTOMY EXCEPT BY        2.4183          7.1          8.6
                                                LAPAROSCOPE W/O C.D.E. W
                                                CC.
198............       07  SURG                 CHOLECYSTECTOMY EXCEPT BY        1.2324          3.9          4.5
                                                LAPAROSCOPE W/O C.D.E. W/
                                                O CC.
199............       07  SURG                 HEPATOBILIARY DIAGNOSTIC         2.3317          7.1          9.6
                                                PROCEDURE FOR MALIGNANCY.
200............       07  SURG                 HEPATOBILIARY DIAGNOSTIC         3.0708          7.2         11.1
                                                PROCEDURE FOR NON-
                                                MALIGNANCY.
201............       07  SURG                 OTHER HEPATOBILIARY OR           3.5838         10.3         14.1
                                                PANCREAS O.R. PROCEDURES.
202............       07  MED                  CIRRHOSIS & ALCOHOLIC            1.3188          5.0          6.6
                                                HEPATITIS.
203............       07  MED                  MALIGNANCY OF                    1.3046          5.0          6.7
                                                HEPATOBILIARY SYSTEM OR
                                                PANCREAS.
204............       07  MED                  DISORDERS OF PANCREAS            1.2161          4.6          6.0
                                                EXCEPT MALIGNANCY.
205............       07  MED                  DISORDERS OF LIVER EXCEPT        1.1816          4.7          6.4
                                                MALIG, CIRR, ALC HEPA W
                                                CC.
206............       07  MED                  DISORDERS OF LIVER EXCEPT         .7163          3.1          4.1
                                                MALIG, CIRR, ALC HEPA W/O
                                                CC.
207............       07  MED                  DISORDERS OF THE BILIARY         1.1013          4.0          5.2
                                                TRACT W CC.
208............       07  MED                  DISORDERS OF THE BILIARY          .6455          2.3          2.9
                                                TRACT W/O CC.
209............       08  SURG                 MAJOR JOINT & LIMB               2.1175          4.6          5.2
                                                REATTACHMENT PROCEDURES
                                                OF LOWER EXTREMITY.
210............       08  SURG                 HIP & FEMUR PROCEDURES           1.8028          5.9          6.8
                                                EXCEPT MAJOR JOINT AGE
                                                >17 W CC.
211............       08  SURG                 HIP & FEMUR PROCEDURES           1.2609          4.5          4.9
                                                EXCEPT MAJOR JOINT AGE
                                                >17 W/O CC.
212............       08  SURG                 * HIP & FEMUR PROCEDURES          .8468         11.1         11.1
                                                EXCEPT MAJOR JOINT AGE 0-
                                                17.
213............       08  SURG                 AMPUTATION FOR                   1.7130          6.1          8.3
                                                MUSCULOSKELETAL SYSTEM &

                                                CONN TISSUE DISORDERS.
214............       08  SURG                 NO LONGER VALID...........        .0000           .0           .0
215............       08  SURG                 NO LONGER VALID...........        .0000           .0           .0
216............       08  SURG                 BIOPSIES OF                      2.1400          6.9          9.6
                                                MUSCULOSKELETAL SYSTEM &
                                                CONNECTIVE TISSUE.
217............       08  SURG                 WND DEBRID & SKN GRFT            2.8006          8.6         12.6
                                                EXCEPT HAND, FOR
                                                MUSCSKELET & CONN TISS
                                                DIS.
218............       08  SURG                 LOWER EXTREM & HUMER PROC        1.4900          4.2          5.3
                                                EXCEPT HIP, FOOT, FEMUR
                                                AGE >17 W CC.
219............       08  SURG                 LOWER EXTREM & HUMER PROC        1.0117          2.7          3.2
                                                EXCEPT HIP, FOOT, FEMUR
                                                AGE >17 W/O CC.
220............       08  SURG                 * LOWER EXTREM & HUMER            .5841          5.3          5.3
                                                PROC EXCEPT HIP, FOOT,
                                                FEMUR AGE 0-17.
221............       08  SURG                 NO LONGER VALID...........        .0000           .0           .0
222............       08  SURG                 NO LONGER VALID...........        .0000           .0           .0
223............       08  SURG                 MAJOR SHOULDER/ELBOW PROC,        .9378          2.0          2.6
                                                OR OTHER UPPER EXTREMITY
                                                PROC W CC.
224............       08  SURG                 SHOULDER, ELBOW OR FOREARM        .8042          1.7          2.0
                                                PROC, EXC MAJOR JOINT
                                                PROC, W/O CC.
225............       08  SURG                 FOOT PROCEDURES...........       1.0518          3.2          4.5
226............       08  SURG                 SOFT TISSUE PROCEDURES W         1.4383          4.1          6.0
                                                CC.
227............       08  SURG                 SOFT TISSUE PROCEDURES W/O        .8181          2.1          2.8
                                                CC.
228............       08  SURG                 MAJOR THUMB OR JOINT PROC,       1.0516          2.4          3.6
                                                OR OTH HAND OR WRIST PROC
                                                W CC.
229............       08  SURG                 HAND OR WRIST PROC, EXCEPT        .7348          1.9          2.4
                                                MAJOR JOINT PROC, W/O CC.
230............       08  SURG                 LOCAL EXCISION & REMOVAL         1.1722          3.2          4.8
                                                OF INT FIX DEVICES OF HIP
                                                & FEMUR.
231............       08  SURG                 LOCAL EXCISION & REMOVAL         1.3623          3.1          4.6
                                                OF INT FIX DEVICES EXCEPT
                                                HIP & FEMUR.
232............       08  SURG                 ARTHROSCOPY...............       1.1567          2.4          4.1
233............       08  SURG                 OTHER MUSCULOSKELET SYS &        2.0424          5.3          7.5
                                                CONN TISS O.R. PROC W CC.
234............       08  SURG                 OTHER MUSCULOSKELET SYS &        1.2450          2.7          3.5
                                                CONN TISS O.R. PROC W/O
                                                CC.
235............       08  MED                  FRACTURES OF FEMUR........        .7479          3.8          5.1
236............       08  MED                  FRACTURES OF HIP & PELVIS.        .7157          3.9          5.0
237............       08  MED                  SPRAINS, STRAINS, &               .5451          2.9          3.6
                                                DISLOCATIONS OF HIP,
                                                PELVIS & THIGH.

[[Page 41601]]


238............       08  MED                  OSTEOMYELITIS.............       1.2831          6.4          8.4
239............       08  MED                  PATHOLOGICAL FRACTURES &          .9660          4.9          6.3
                                                MUSCULOSKELETAL & CONN
                                                TISS MALIGNANCY.
240............       08  MED                  CONNECTIVE TISSUE                1.2328          5.0          6.7
                                                DISORDERS W CC.
241............       08  MED                  CONNECTIVE TISSUE                 .6089          3.2          4.0
                                                DISORDERS W/O CC.
242............       08  MED                  SEPTIC ARTHRITIS..........       1.0168          5.1          6.7
243............       08  MED                  MEDICAL BACK PROBLEMS.....        .7164          3.7          4.7
244............       08  MED                  BONE DISEASES & SPECIFIC          .7024          3.8          4.8
                                                ARTHROPATHIES W CC.
245............       08  MED                  BONE DISEASES & SPECIFIC          .4801          2.8          3.6
                                                ARTHROPATHIES W/O CC.
246............       08  MED                  NON-SPECIFIC ARTHROPATHIES        .5545          3.0          3.7
247............       08  MED                  SIGNS & SYMPTOMS OF               .5563          2.6          3.4
                                                MUSCULOSKELETAL SYSTEM &

                                                CONN TISSUE.
248............       08  MED                  TENDONITIS, MYOSITIS &            .7554          3.6          4.6
                                                BURSITIS.
249............       08  MED                  AFTERCARE, MUSCULOSKELETAL        .6504          2.5          3.5
                                                SYSTEM & CONNECTIVE
                                                TISSUE.
250............       08  MED                  FX, SPRN, STRN & DISL OF          .6700          3.2          4.1
                                                FOREARM, HAND, FOOT AGE
                                                >17 W CC.
251............       08  MED                  FX, SPRN, STRN & DISL OF          .4608          2.3          2.9
                                                FOREARM, HAND, FOOT AGE
                                                >17 W/O CC.
252............       08  MED                  * FX, SPRN, STRN & DISL OF        .2537          1.8          1.8
                                                FOREARM, HAND, FOOT AGE 0-
                                                17.
253............       08  MED                  FX, SPRN, STRN & DISL OF          .7261          3.7          4.8
                                                UPARM, LOWLEG EX FOOT AGE
                                                >17 W CC.
254............       08  MED                  FX, SPRN, STRN & DISL OF          .4339          2.6          3.2
                                                UPARM, LOWLEG EX FOOT AGE
                                                >17 W/O CC.
255............       08  MED                  * FX, SPRN, STRN & DISL OF        .2954          2.9          2.9
                                                UPARM, LOWLEG EX FOOT AGE
                                                0-17.
256............       08  MED                  OTHER MUSCULOSKELETAL             .7687          3.8          5.1
                                                SYSTEM & CONNECTIVE
                                                TISSUE DIAGNOSES.
257............       09  SURG                 TOTAL MASTECTOMY FOR              .9134          2.3          2.9
                                                MALIGNANCY W CC.
258............       09  SURG                 TOTAL MASTECTOMY FOR              .7227          1.8          2.1
                                                MALIGNANCY W/O CC.
259............       09  SURG                 SUBTOTAL MASTECTOMY FOR           .8673          1.9          2.8
                                                MALIGNANCY W CC.
260............       09  SURG                 SUBTOTAL MASTECTOMY FOR           .6444          1.3          1.5
                                                MALIGNANCY W/O CC.
261............       09  SURG                 BREAST PROC FOR NON-              .9188          1.7          2.2
                                                MALIGNANCY EXCEPT BIOPSY
                                                & LOCAL EXCISION.
262............       09  SURG                 BREAST BIOPSY & LOCAL             .8392          2.7          3.9
                                                EXCISION FOR NON-
                                                MALIGNANCY.
263............       09  SURG                 SKIN GRAFT &/OR DEBRID FOR       2.0609          8.7         11.8
                                                SKN ULCER OR CELLULITIS W
                                                CC.
264............       09  SURG                 SKIN GRAFT &/OR DEBRID FOR       1.1216          5.3          7.1
                                                SKN ULCER OR CELLULITIS W/
                                                O CC.
265............       09  SURG                 SKIN GRAFT &/OR DEBRID           1.5650          4.4          7.0
                                                EXCEPT FOR SKIN ULCER OR
                                                CELLULITIS W CC.
266............       09  SURG                 SKIN GRAFT &/OR DEBRID            .8495          2.4          3.3
                                                EXCEPT FOR SKIN ULCER OR
                                                CELLULITIS W/O CC.
267............       09  SURG                 PERIANAL & PILONIDAL              .9815          2.9          4.1
                                                PROCEDURES.
268............       09  SURG                 SKIN, SUBCUTANEOUS TISSUE        1.1979          2.4          3.8
                                                & BREAST PLASTIC
                                                PROCEDURES.
269............       09  SURG                 OTHER SKIN, SUBCUT TISS &        1.6147          5.6          7.9
                                                BREAST PROC W CC.
270............       09  SURG                 OTHER SKIN, SUBCUT TISS &         .7447          2.2          3.1
                                                BREAST PROC W/O CC.
271............       09  MED                  SKIN ULCERS...............        .9905          5.6          7.1
272............       09  MED                  MAJOR SKIN DISORDERS W CC.       1.0003          4.8          6.3
273............       09  MED                  MAJOR SKIN DISORDERS W/O          .6275          3.3          4.4
                                                CC.
274............       09  MED                  MALIGNANT BREAST DISORDERS       1.1335          4.7          6.6
                                                W CC.
275............       09  MED                  MALIGNANT BREAST DISORDERS        .6322          2.6          3.9
                                                W/O CC.
276............       09  MED                  NON-MALIGANT BREAST               .6529          3.5          4.4
                                                DISORDERS.
277............       09  MED                  CELLULITIS AGE >17 W CC...        .8312          4.7          5.8
278............       09  MED                  CELLULITIS AGE >17 W/O CC.        .5621          3.7          4.4
279............       09  MED                  CELLULITIS AGE 0-17.......        .6641          4.1          5.1
280............       09  MED                  TRAUMA TO THE SKIN, SUBCUT        .6736          3.3          4.2
                                                TISS & BREAST AGE >17 W
                                                CC.
281............       09  MED                  TRAUMA TO THE SKIN, SUBCUT        .4596          2.4          3.1
                                                TISS & BREAST AGE >17 W/O
                                                CC.
282............       09  MED                  * TRAUMA TO THE SKIN,             .2569          2.2          2.2
                                                SUBCUT TISS & BREAST AGE
                                                0-17.
283............       09  MED                  MINOR SKIN DISORDERS W CC.        .7129          3.6          4.7
284............       09  MED                  MINOR SKIN DISORDERS W/O          .4373          2.5          3.2
                                                CC.
285............       10  SURG                 AMPUTAT OF LOWER LIMB FOR        2.0217          7.7         10.6
                                                ENDOCRINE, NUTRIT, &

                                                METABOL DISORDERS.
286............       10  SURG                 ADRENAL & PITUITARY              2.2287          5.2          6.6
                                                PROCEDURES.
287............       10  SURG                 SKIN GRAFTS & WOUND DEBRID       1.8045          7.4         10.4
                                                FOR ENDOC, NUTRIT & METAB
                                                DISORDERS.
288............       10  SURG                 O.R. PROCEDURES FOR              2.0665          4.6          5.7
                                                OBESITY.
289............       10  SURG                 PARATHYROID PROCEDURES....        .9756          2.1          3.0

[[Page 41602]]


290............       10  SURG                 THYROID PROCEDURES........        .9174          1.9          2.4
291............       10  SURG                 THYROGLOSSAL PROCEDURES...        .6732          1.6          2.0
292............       10  SURG                 OTHER ENDOCRINE, NUTRIT &        2.4719          7.1         10.4
                                                METAB O.R. PROC W CC.
293............       10  SURG                 OTHER ENDOCRINE, NUTRIT &        1.1942          3.5          5.0
                                                METAB O.R. PROC W/O CC.
294............       10  MED                  DIABETES AGE >35..........        .7518          3.7          4.7
295............       10  MED                  DIABETES AGE 0-35.........        .7464          3.0          3.9
296............       10  MED                  NUTRITIONAL & MISC                .8556          4.0          5.3
                                                METABOLIC DISORDERS AGE
                                                >17 W CC.
297............       10  MED                  NUTRITIONAL & MISC                .5204          2.8          3.5
                                                METABOLIC DISORDERS AGE
                                                >17 W/O CC.
298............       10  MED                  NUTRITIONAL & MISC                .4954          2.4          3.5
                                                METABOLIC DISORDERS AGE 0-
                                                17.
299............       10  MED                  INBORN ERRORS OF                  .9475          3.8          5.4
                                                METABOLISM.
300............       10  MED                  ENDOCRINE DISORDERS W CC..       1.0779          4.8          6.2
301............       10  MED                  ENDOCRINE DISORDERS W/O CC        .5889          2.8          3.6
302............       11  SURG                 KIDNEY TRANSPLANT.........       3.5669          8.2          9.7
303............       11  SURG                 KIDNEY, URETER & MAJOR           2.5401          7.2          8.8
                                                BLADDER PROCEDURES FOR
                                                NEOPLASM.
304............       11  SURG                 KIDNEY, URETER & MAJOR           2.3458          6.5          8.9
                                                BLADDER PROC FOR NON-
                                                NEOPL W CC.
305............       11  SURG                 KIDNEY, URETER & MAJOR           1.1857          3.2          3.9
                                                BLADDER PROC FOR NON-
                                                NEOPL W/O CC.
306............       11  SURG                 PROSTATECTOMY W CC........       1.2448          3.7          5.4
307............       11  SURG                 PROSTATECTOMY W/O CC......        .6588          2.0          2.4
308............       11  SURG                 MINOR BLADDER PROCEDURES W       1.5907          4.1          6.1
                                                CC.
309............       11  SURG                 MINOR BLADDER PROCEDURES W/       .9442          2.0          2.5
                                                O CC.
310............       11  SURG                 TRANSURETHRAL PROCEDURES W       1.0869          3.0          4.3
                                                CC.
311............       11  SURG                 TRANSURETHRAL PROCEDURES W/       .6126          1.6          1.9