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Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2004 Rates; Correction

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AGENCY:

Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION:

Correction of final rule.

SUMMARY:

This document corrects technical errors that appeared in the final rule published in the Federal Register on August 1, 2003 entitled “Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2004 Rates.” These corrections include—(1) An error in the assignment of procedures to diagnosis-related group (DRG) 525, Heart Assist System Implant; (2) a technical error in the new technology add-on payment amount for InFUSE TM Bone Graft/LT-CAGE TM Lumbar Tapered Fusion Device (InFUSE TM); and (3) technical errors in the wage index values and geographic reclassifications. As a result of the wage index and geographic reclassification corrections, we have recalculated the budget neutrality factors applicable to the operating national average standardized amounts and the capital Federal rate, which resulted in changes to the standardized amounts themselves.

EFFECTIVE DATES:

The corrections listed in this document are effective on October 1, 2003.

Start Further Info

FOR FURTHER INFORMATION CONTACT:

Margot Blige Holloway, (410) 786-4642.

End Further Info End Preamble Start Supplemental Information

SUPPLEMENTARY INFORMATION:

I. Background

In FR Doc. 03-19363 of August 1, 2003 (68 FR 45346), there was a factual error and a number of technical errors that are identified and corrected in the Correction of Errors section (section II) of this document. There are also typographical errors that are identified and corrected in section II of this document.

We are correcting the assignment of procedures to DRG 525 in light of the much lower charges associated with code 37.62. We are also correcting a factual error in our response to a comment we received stating that the DRG assignment of International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) procedure codes to DRG 525 is clinically and financially inappropriate. Our response stated that this point had not been raised prior to this year's proposed rule. However, our response was incorrect. In fact, a commenter did point out in response to our proposal to create DRG 525 for FY 2003 that ICD-9-CM procedure code 37.62 was clinically and financially dissimilar to other procedures in DRG 525, and recommended this procedure code not be included in DRG 525 but should remain in DRGs 104 and 105, Cardiac Valve and Other Major Cardiothoracic Procedures With and Without Cardiac Catheterization. (See the August 1, 2002 Federal Register (68 FR 49991) for the detailed discussion of the comment and our response.)

We will remove all cases with code 37.62 from DRG 525, and reassign them to DRGs 104 and 105, respectively. Procedure codes 37.63 (Replacement and repair of heart assist system), 37.65 (Implant of an external, pulsatile heart assist system), and 37.66 (Implant of an implantable, pulsatile heart assist system) will continue to be assigned to DRG 525. This change will increase the relative weight and the payments for cases assigned to DRG 525. We now believe this correction is necessary to ensure adequate access to procedures in this DRG. As a result of these corrections, we are also making corrections to the relative weights and the geometric and arithmetic mean length of stay listed in Table 5 of the final rule. Although this change will be effective for discharges occurring on or after October 1, 2003, it requires the issuance of revised GROUPER software. At this time, we do not anticipate revised GROUPER software will be available until at least January 1, 2004. Affected claims may be resubmitted for adjusted payments after that date.

One of the technical errors involved our discussion of the approval of InFUSE TM Bone Graft/LT-CAGE TM Lumbar Tapered Fusion Device (InFUSE TM) as a new technology eligible add-on payment. In that discussion, we mistakenly indicated that a single level fusion required the use of two InFUSE products, with a total cost of $17,800. Based on further review of the costs associated with this technology, we have determined that only one InFUSE product is required for a single level fusion. Accordingly, we are correcting the maximum add-on payment for a case involving the InFUSE TM to be $4,450. In addition, we have recomputed the budget neutrality adjustment factor under section 1886(d)(4)(C)(iii) to reflect the lower estimate of the total add-on payments for this new technology.

The technical errors also included several errors in the calculation of the wage index. These errors were due to the mishandling or miscalculation of data by CMS and the fiscal intermediaries. Therefore, we are making corrections to some of the average hourly wages shown in Table 2 for individual hospitals and to the corresponding average hourly wages shown in Table 3A of the Metropolitan Statistical Areas (MSA) where those hospitals are located. At least one of the computational errors also has a spill-over effect on hospitals other than the hospitals that were the subjects of the error. This error involved a few hospitals whose wage indexes were calculated as if their cost reporting periods equaled 1 month (even though the hospitals had reported a full 12 months of data). As we explained in the August 1, 2003 final rule, we annualize short cost-reporting periods to reflect a 1-year period (68 FR 45399). Annualization is accomplished by dividing the data by the number of days in the cost report and then multiplying the results by 365, and such annualization resulted in a wage index for the subject hospitals inflated by a factor of approximately 12. Correcting the error results in a decrease to the national average hourly wage rate and a concurrent general increase in the wage indexes. Consequently, we are republishing Tables 4A through 4H, reflecting corrections to hospitals' wage indexes.

After the publication of the August 1, 2003 final rule, we were notified of a wage index data error for rural Georgia. These errors appear in the average hourly wages listed in Table 2 and in the Table 3B (Wage Index and Capital Geographic Adjustment Factor (GAF) for Rural Areas). The errors in the average hourly wage were a result of the use of an incorrect data file. In this notice, we are correcting the average hourly wage listed in Tables 2 and 3B. However, because we did not receive notification regarding the error in enough time to make corrections to the rural Georgia wage index effective for discharges on or after October 1, 2003, we are not correcting the corresponding wage index values (which are listed in Tables 4B and 4H) in this document. These corrections will be issued in a future program memorandum and made effective prospectively with discharges occurring on or after January 1, 2004.

Also, there were technical errors in the geographic reclassifications that will Start Printed Page 57733result in corrections to the reclassification data displayed in Table 9 of the August 1, 2003 final rule. We note that wage index changes and geographic reclassifications are required to be budget neutral under sections 1886(d)(3)(E) and 1886(d)(8)(D) of the Social Security Act (the Act). Similarly, section 412.308(c)(4) of the regulations requires that the capital standard Federal rate be adjusted so that the annual DRG reclassification and the recalibration of DRG weights and changes in the geographic adjustment factor (GAF) are budget neutral. Therefore, in order to comply with the statutory and regulatory requirements for overall budget neutrality, we recalculated the budget neutrality factors applied to operating national average standardized amounts and the capital Federal rate. Because the wage indexes generally increased across all hospitals, the budget neutrality calculations caused the standardized amounts to decrease slightly. We have also corrected the relevant columns of Table I from the impact analysis in Appendix A to reflect these corrections to the wage index and standardized amounts. In addition, we are correcting a typographical error in the same table. We note that this correction is essentially nullified by the wage index corrections. However, we want to point out the value of the published figure should have been positive rather than negative (see correction to page 45662). Finally, we note that total payments to hospitals under IPPS are relatively unaffected by changes in prospective payments for capital-related costs. Since capital PPS payments constitute about 10 percent of hospital payments, a 1-percent change in the capital Federal rate yields only about 0.1 percent change in actual payments to hospitals. Thus, the impact of the −0.31 percent change in the FY 2004 capital Federal rate is negligible.

Lastly, we are republishing Table 10, Mean and .75 Standard Deviation by Diagnosis-Related Group in its entirety, due to the inadvertent publication of the incorrect version of Table 10 in the final rule.

II. Correction of Errors

In FR Doc. 03-19363 of August 1, 2003 (68 FR 45346), make the following corrections:

1. On page 45370,

a. First column, second and third full paragraphs, the paragraphs beginning with the phrases “Response: In response to comments” and “While we recognize the significant” are corrected to read “Response: We agree it is appropriate to correct the assignment of procedures to DRG 525 in light of the lower charges associated with procedure code 37.62. Therefore, we are moving code 37.62 into DRGs 104 and 105, and leaving procedure codes 37.63, 37.65, and 37.66 in DRG 525.”;

b. First column last paragraph, lines 1 through 3, the sentence “Furthermore, the volume and mix of cases in this DRG is likely to change over the next year” is corrected by deleting the sentence; and

c. Second column, first full paragraph, last line, the phrase “revising DRG 525.” is corrected to read “any further revisions to these DRG assignments.”.

2. On page 45371, first column, third full paragraph, line 3, the phrase “increase the harge” is corrected to read “increase the charge”.

3. On page 45386, third column, first full paragraph, lines 5, the phrase “such item” is corrected to read “such items”.

4. On page 45390,

a. Second column,

(1) First partial paragraph, last line, sentences are added to read “We note that, InFUSETM Bone Graft/LT-CAGETM Lumbar Tapered Fusion Device with recombinant human bone morphogenetic protein (rhBMP) 2 is the only rhBMP technology that has applied and met the criteria for the new technology add-on payment. Therefore, the add-on payments will apply only to this technology”;

(2) Second full paragraph, lines 6 through 19, the sentences, “The average cost of the InFUSETM is reported to be $8,900, and a single level fusion requires two of the products. Therefore, the total cost for the InFUSETM for a single-level fusion is expected to be $17,800. Under § 412.88(a)(2), new technology add-on payments are limited to the lesser of 50 percent of the average cost of the device or 50 percent of the costs in excess of the DRG payment for the case. As a result, the maximum add-on payment for a case involving the InFUSETM is $8,900.” are corrected to read “The average cost of the InFUSETM is reported to be $8,900 for a single level fusion. Under § 412.88(a)(2), new technology add-on payments are limited to the lesser of 50 percent of the average cost of the device or 50 percent of the costs in excess of the DRG payment for the case. As a result the maximum add-on payment for a case involving the InFUSETM is $4,450.”; and

(3) Third full paragraph,

(a) Line 11, the figure “$8,900” is corrected to read “$4,450”; and

(b) Line 14, the figure “$4.4 million” is corrected to read “$2.2 million”.

b. Third column, first full paragraph, line 2, the phrase “meet the cost” is corrected to read “meets the cost”.

5. On page 45399,

a. First column, fourth full paragraph, line 9, the figure “$24.8076” is corrected to read “$24.7202”; and

b. Second column, first full paragraph, line 16, the figure “$11.5905” is corrected to read “$11.6030”.

6. On page 45410, first column, second full paragraph, line 3, the phrase “Of the three DRGs that” is corrected to read “Of these ten, three DRGs”.

7. On page 45413, table at the top of the page, line 19 (DRG 468), fifth column, the figure “7.07” is corrected to read “-7.07”.

8. On page 45416, third column, third paragraph, lines 12 through 13, the parenthetical phrase “(68 FR 37202 through 37204).” is corrected to read “(68 FR 27202 through 27204).”.

9. On page 45446, first column,

a. Lines 46 through 49, the phrase “agreements that will allow hospitals to continue counting residents training in nonhospital sites for indirect and direct GME.” is corrected by italicizing it to read “agreements that will allow hospitals to continue counting residents training in nonhospital sites for indirect and direct GME.”;

b. Lines 51 through 54, the sentence “We do not believe that the agreements regarding these financial transactions will necessitate changes in the placement and training of residents.” is corrected by italicizing it to read “We do not believe that the agreements regarding these financial transactions will necessitate changes in the placement and training of residents.”; and

c. Lines 60 through 64, the sentence “Currently the hospital is able to count the resident even though the costs for that resident may be lower during the time when the resident trains outside the hospital.” is corrected by italicizing it to read “Currently the hospital is able to count the resident even though the costs for that resident may be lower during the time when the resident trains outside the hospital.”.

10. On page 45453, second column, line 19, the phrase “condone, cost” is corrected to read “condoned, cost”.

[Corrected]
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11. On page 45472, first column, lines 3 and 4, the phrase “T. Redesignating paragraphs (i) and (j) as paragraphs (j) and (k), respectively,” is corrected to read “Redesignating paragraphs (i), (j), and (k) as paragraphs (j), (k), and (l), respectively,”.

End Amendment Part

12. On page 45475, third column, fifth paragraph, line 9, the figure “$14.4 million” is corrected to read “$12.2 million”.Start Printed Page 57734

13. On page 45476, first column,

a. First full paragraph, line 3, the figure “1.005522” is corrected to read “1.002588”; and

b. Fourth full paragraph, line 16, the amount “0.992026” is corrected to read “0.991636”.

14. On pages 45478 through 45479, the untitled table is corrected to read as follows:

Large urbanOther areas
FY 2003 Base Rate (after removing reclassification budget neutrality and outlier offset)Labor—$3,213.66 Nonlabor—$1,306.26Labor—$3,162.78 Nonlabor—$1,285.58
FY 2004 Update Factor1.0341.034
FY 2004 DRG Recalibrations and Wage Index Budget Neutrality Factor1.0025881.002588
FY 2004 Reclassification Budget Neutrality Factor0.9916360.991636
Adjusted for Blend of FY 2003 DRG Recalibration and Wage Index Budget Neutrality Factors (factor of 0.993209 effective October 1, 2002; factor of 0.993012 effective April 1, 2003)Labor—$3,331.20 Nonlabor—$1,354.03Labor—$3,278.45 Nonlabor—$1,332.60
FY 2004 Outlier Factor0.9494600.949460
Rate for FY 2004 (after multiplying FY 2003 base rate by above factors)Labor—$3,136.39 Nonlabor—$1,274.85Labor—$3,086.73 Nonlabor—$1,254.67

15. On page 45479, third column, sixth full paragraph, line 16, the figure “1.005522” is corrected to be “1.002588”.

16. On page 45481, first column,

a. First partial paragraph, line 12, the figure “$415.47” is corrected to read “$414.18”; and

b. First full paragraph, line 5, the figure “2.10” is corrected to read “1.78”.

17. On page 45482,

a. Second column, third paragraph,

(1) Line 11, the figure “4.79” is corrected to read “4.77”; and

(2) Line 15, the figure “0.9521” is corrected to read “0.9523”.

b. Third column, first paragraph,

(1) Line 4, the figures “1.0055” and “0.9521” are corrected to read “1.0057” and “0.9523”, respectively; and

(2) Line 6, the figure “0.55” is corrected to read “0.57”.

18. On page 45483,

a. Top of the page,

(1) Second column,

(a) Line 6, the figure “1.0002” is corrected to read “1.0003”; and

(b) Line 9, the figure “0.9965” is corrected to read “0.9966”.

(2) Third column, line 10, the figures “0.9941” and “0.9973” are corrected to read “0.9908” and “0.9974”, respectively.

b. Center of the page, in the table entitled Budget Neutrality Adjustment for DRG Reclassifications and Recalibration and the Geographic Adjustment Factors, the last line of the table (Fiscal Year 2004) is corrected to read as follows:

Fiscal yearNationalPuerto Rico
Incremental adjustmentCumulativeIncremental adjustmentCumulative
Geographic adjustment factorDRG reclassifications and recalibrationCombinedGeographic adjustment factorDRG Reclassifications and recalibrationCombined
20048 1.001751.000818 1.002560.990838 1.000288 1.000818 1.001090.99736

b. Lower third of the page,

(1) Second column, second paragraph, line 6, the figure “1.0059” is corrected to read “1.0026”;

(2) Third column, first partial paragraph,

(a) Line 5, the figure “1.0059” is corrected to read “1.0026”;

(b) Line 7, the figure “0.9941” is corrected to read “0.9908”;

(c) Line 13, the figure “1.0059” is corrected to read “1.0026”; and

(d) Line 14, the figure “0.9941” is corrected to read “0.9908”.

19. On page 45485,

a. Top of the page,

(1) Second column, first partial paragraph,

(a) Line 4, the figure “$415.47” is corrected to read “$414.18”;

(b) Line 13, the figure “1.0059” is corrected to read “1.0026”; and

(c) Line 15, the figure “0.9521” is corrected to read “0.9523”.

(2) Third column, first full paragraph,

(a) Line 11, the figure “0.59” is corrected to read “0.26”;

(b) Line 13, the figure “0.55” is corrected to read “0.57”; and

(c) Line 21, the figure “2.10” is corrected to read “1.78”.

b. Upper half of the page, the table entitled Comparison of Factors and Adjustments: FY 2003 Capital Federal Rate and FY 2004 Capital Federal Rate, the table is corrected to read as follows:

FY 2003FY 2004ChangePercent change
Update factor 11.01101.00701.00700.70
GAF/DRG Adjustment Factor 10.99571.00261.00260.26
Outlier Adjustment Factor 20.94690.95231.00570.57
Exceptions Adjustment Factor 20.99700.99951.00250.25
Capital Federal Rate$406.93$414.183 1.01783 1.78
1 The update factor and the GAF/DRG budget neutrality factors are built permanently into the capital rates. Thus, for example, the incremental change from FY 2003 to FY 2004 resulting from the application of the 1.0026 GAF/DRG budget neutrality factor for FY 2004 is 1.0026.
2 The outlier reduction factor and the exceptions adjustment factor are not built permanently into the capital rates; that is, these factors are not applied cumulatively in determining the capital rates. Thus, for example, the net change resulting from the application of the FY 2004 outlier adjustment factor is 0.9523/0.9469, or 1.0057.
3 The percent change in factors and adjustments may not sum due to rounding.
Start Printed Page 57735

c. Lower half of the page, the table entitled Comparison of Factors and Adjustments: FY 2004 Proposed Capital Federal Rate and FY 2004 Final Capital Federal Rate, the following entries are corrected to read as follows:

Proposed FY 2004Final FY 2004ChangePercent change
GAF/DRG Adjustment Factor1.00381.00260.9988−0.12
Outlier Adjustment Factor0.94550.95231.00720.72
Capital Federal Rate$411.72$414.181.00600.60

d. Bottom of the page, third column, first partial paragraph,

(1) Line 3, the figure “1.0002” is corrected to read “1.0003”; and

(2) Line 5, the figure “0.9973” is corrected to read “0.9974”.

20. On page 45486, first column, first full paragraph, last line, the figure “$203.15” is corrected to read “$203.17”.

21. On page 45487, third column, line 45, the title, “Table 6E.—vised Diagnosis Code Titles” is corrected to read “Table 6E.—Revised Diagnosis Code Titles”.

22. On page 45488,

a. In Table 1A—National Adjusted Operating Standardized Amounts, Labor/Nonlabor, the table is corrected to read as follows:

Table 1A.—National Adjusted Operating Standardized Amounts, Labor/Nonlabor

Large urban areasOther Areas
Labor-relatedNonlabor-relatedLabor-relatedNonlabor-related
$3,136.39$1,274.85$3,086.73$1,254.67

b. In Table 1C—Adjusted Operating Standardized Amounts for Puerto Rico, Labor/Nonlabor, the table is corrected to read as follows:

Table 1C.—Adjusted Operating Standardized Amounts for Puerto Rico, Labor/Nonlabor

Large urban areasOther areas
LaborNonlaborLaborNonlabor
National$3,110.02$1,264.14$3,110.02$1,264.14
Puerto Rico1,509.57607.641,485.68598.02

c. In Table 1D—Capital Standard Federal Payment Rate, the table is corrected to read as follows:

Table 1D.—Capital Standard Federal Payment Rate

Rate
National$414.18
Puerto Rico203.17

23. On page 45504, in Table 2—Hospital Average Hourly Wage for Federal Fiscal Years 2002 (1998 Wage Data), 2003 (1999 Wage Data), and 2004 (2000 Wage Data) Wage Indexes and 3-Year Average of Hospital Average Hourly Wages, line 29 (provider number 110063),

a. Fourth column, the figure “25.0270”, is corrected to read “19.4401”; and

b. Fifth column, the figure “24.4605” is corrected to read “18.6913”.

24. On page 45514, in Table 2—Hospital Average Hourly Wage for Federal Fiscal Years 2002 (1998 Wage Data), 2003 (1999 Wage Data), and 2004 (2000 Wage Data) Wage Indexes and 3-Year Average of Hospital Average Hourly Wages, line 3 (provider number 170020), fifth column, the figure “9.3514”, is corrected to read “19.3514”.

25. On page 45521, in Table 2—Hospital Average Hourly Wage for Federal Fiscal Years 2002 (1998 Wage Data), 2003 (1999 Wage Data), and 2004 (2000 Wage Data) Wage Indexes and 3-Year Average of Hospital Average Hourly Wages, line 19 (provider number 220077),

a. Fourth column, the figure “26.7020” is corrected to read “27.0946”; and

b. Fifth column, the figure “26.6704” is corrected to read “26.8042”.

26. On page 45535, in Table 2—Hospital Average Hourly Wage for Federal Fiscal Years 2002 (1998 Wage Data), 2003 (1999 Wage Data), and 2004 (2000 Wage Data) Wage Indexes and 3-Year Average of Hospital Average Hourly Wages,

a. Line 42 (provider number 330107),

(1) Fourth column, the figure “29.7378” is corrected to read “29.1958”; and

(2) Fifth column, the figure “29.5391” is corrected to read “28.6349”.

b. Line 56 (provider number 330133),

(1) Fourth column, the figure “35.9692” is corrected to read “35.3136”; and

(2) Fifth column, the figure should read, “35.9945” is corrected to read “35.8603”.

c. Line 64 (provider number 330152),

(1) Fourth column, the figure “32.9336” is corrected to read “32.3332”.; and

(2) Fifth column, the figure “32.8160” is corrected to read “32.2000”.

27. On page 45541, in Table 2—Hospital Average Hourly Wage for Federal Fiscal Years 2002 (1998 Wage Data), 2003 (1999 Wage Data), and 2004 (2000 Wage Data) Wage Indexes and 3-Year Average of Hospital Average Hourly Wages, line 62 (provider number 360118),

a. Fourth column, the figure “*” is corrected to read “23.0071”; and

b. Fifth column, the figure “20.4951” is corrected to read “21.3647”.

28. On page 45549, in Table 2—Hospital Average Hourly Wage for Federal Fiscal Years 2002 (1998 Wage Start Printed Page 57736Data), 2003 (1999 Wage Data), and 2004 (2000 Wage Data) Wage Indexes and 3-Year Average of Hospital Average Hourly Wages,

a. Line 19 (provider number 400019),

(1) Fourth column, the figure “13.6516” is corrected to read “13.7007”; and

(2) Fifth column, the figure “12.2168” is corrected to read “12.2324”.

b. Line 32 (provider number 400098),

(1) Fourth column, the figure “13.5901” is corrected to read “13.8036”; and

(2) Fifth column, the figure “11.0612” is corrected to read “11.1197”.

c. Line 38 (provider number 400109),

(1) Fourth column, the figure “12.8886” is corrected to read “12.8921”; and

(2) Fifth column, the figure “12.3304” is corrected to read “12.3316”.

d. Line 51 (provider number 400124),

(1) Fourth column, the figure “14.1627” is corrected to read “14.3496”; and

(2) Fifth column, the figure “13.0714” is corrected to read “13.1360”.

e. Line 52 (provider number 400125),

(1) Fourth column, the figure “10.5811” is corrected to read “10.6642”; and

(2) Fifth column, the figure “10.4664” is corrected to read “10.4990”.

29. On page 45567, in Table 3A—FY 2004 and 3-Year Average Hourly Wage for Urban Areas,

a. Second set of columns, second line from the bottom (Mansfield, OH),

(1) Second column, the figure “20.3677” is corrected to read “22.6801”; and

(2) Third column, the figure “20.0909” is corrected to read “20.9208”.

b. Third set of columns,

(1) Line 25 (Nassau-Suffolk, NY),

(a) Second column, the figure “32.0836” is corrected to read “32.4665”; and

(b) Third column, the figure “31.2325” is corrected to read “31.3135”.

(2) Line 33 (New York, NY),

(1) Second column, the figure “34.5159” is corrected to read “34.6338”; and

(2) Third column, the figure “33.4648” is corrected to read “33.4208”.

30. On page 45568, in Table 3A—FY 2004 and 3-Year Average Hourly Wage for Urban Areas,

a. First set of columns, line 37 (San Juan-Bayamon, PR),

(1) Second column, the figure “12.1065” is corrected to read “12.1291”; and

(2) Third column, the figure “11.2275” is corrected to read “11.2346”.

b. Second set of columns, line 3 (Springfield, MA),

(1) Second column, the figure “25.8461” is corrected to read “26.0499”; and

(2) Third column, the figure “25.1765” is corrected to read “25.2463”.

31. On page 45568, in Table 3B—FY 2004 and 3-Year* Average Hourly Wage for Rural Areas, line 10 (Georgia),

a. Third column, the figure “21.2360” is corrected to read “20.6779”; and

b. Fourth column, the figure “19.6529” is corrected to read “19.4073”.

32. On pages 45569 through 45576, in Table 4A—Wage Index and Capital Geographic Adjustment Factor (GAF) for Urban Areas, the table is corrected to read as follows:

Table 4A.—Wage Index and Capital Geographic Adjustment Factor (GAF) for Urban Areas

Urban area (constituent counties)Wage indexGAF
0040 2 Abilene, TX0.77800.8421
Taylor, TX
0060 Aguadilla, PR0.43060.5616
Aguada, PR
Aguadilla, PR
Moca, PR
0080 Akron, OH0.94420.9614
Portage, OH
Summit, OH
0120 Albany, GA1.08631.0583
Dougherty, GA
Lee, GA
0160 2 Albany-Schenectady-Troy, NY0.85260.8965
Albany, NY
Montgomery, NY
Rensselaer, NY
Saratoga, NY
Schenectady, NY
Schoharie, NY
0200 Albuquerque, NM0.93000.9515
Bernalillo, NM
Sandoval, NM
Valencia, NM
0220 Alexandria, LA0.80370.8610
Rapides, LA
0240 Allentown-Bethlehem-Easton, PA0.97210.9808
Carbon, PA
Lehigh, PA
Northampton, PA
0280 Altoona, PA0.88270.9181
Blair, PA
0320 Amarillo, TX0.89860.9294
Potter, TX
Randall, TX
0380 Anchorage, AK1.23511.1556
Anchorage, AK
0440 Ann Arbor, MI1.10741.0724
Lenawee, MI
Livingston, MI
Washtenaw, MI
0450 Anniston, AL0.80900.8649
Calhoun, AL
0460 2 Appleton-Oshkosh-Neenah, WI0.93040.9518
Calumet, WI
Outagamie, WI
Winnebago, WI
0470 Arecibo, PR0.41550.5480
Arecibo, PR
Camuy, PR
Hatillo, PR
0480 Asheville, NC0.97200.9807
Buncombe, NC
Madison, NC
0500 Athens, GA0.98180.9875
Clarke, GA
Madison, GA
Oconee, GA
0520 1 Atlanta, GA1.01301.0089
Barrow, GA
Bartow, GA
Carroll, GA
Cherokee, GA
Clayton, GA
Cobb, GA
Coweta, GA
DeKalb, GA
Douglas, GA
Fayette, GA
Forsyth, GA
Fulton, GA
Gwinnett, GA
Henry, GA
Newton, GA
Paulding, GA
Pickens, GA
Rockdale, GA
Spalding, GA
Walton, GA
0560 Atlantic-Cape May, NJ1.07951.0538
Atlantic, NJ
Cape May, NJ
0580 Auburn-Opelika, AL0.84940.8942
Lee, AL
0600 Augusta-Aiken, GA-SC0.96250.9742
Columbia, GA
McDuffie, GA
Richmond, GA
Aiken, SC
Edgefield, SC
0640 1 Austin-San Marcos, TX0.96090.9731
Bastrop, TX
Caldwell, TX
Hays, TX
Travis, TX
Williamson, TX
0680 2 Bakersfield, CA0.99670.9977
Kern, CA
0720 1 Baltimore, MD0.99190.9944
Anne Arundel, MD
Baltimore, MD
Baltimore City, MD
Carroll, MD
Harford, MD
Start Printed Page 57737
Howard, MD
Queen Anne's, MD
0733 Bangor, ME0.99040.9934
Penobscot, ME
0743 Barnstable-Yarmouth, MA1.29561.1940
Barnstable, MA
0760 Baton Rouge, LA0.84060.8879
Ascension, LA
East Baton Rouge, LA
Livingston, LA
West Baton Rouge, LA
0840 Beaumont-Port Arthur, TX0.84240.8892
Hardin, TX
Jefferson, TX
Orange, TX
0860 Bellingham, WA1.17571.1172
Whatcom, WA
0870 Benton Harbor, MI0.89350.9258
Berrien, MI
0875 1 Bergen-Passaic, NJ1.17311.1155
Bergen, NJ
Passaic, NJ
0880 Billings, MT0.89610.9276
Yellowstone, MT
0920 Biloxi-Gulfport-Pascagoula, MS0.90290.9324
Hancock, MS
Harrison, MS
Jackson, MS
0960 2 Binghamton, NY0.85260.8965
Broome, NY
Tioga, NY
1000 Birmingham, AL0.92120.9453
Blount, AL
Jefferson, AL
St. Clair, AL
Shelby, AL
1010 Bismarck, ND0.80330.8607
Burleigh, ND
Morton, ND
1020 2 Bloomington, IN0.88240.9179
Monroe, IN
1040 Bloomington-Normal, IL0.88320.9185
McLean, IL
1080 Boise City, ID0.92320.9467
Ada, ID
Canyon, ID
1123 1 Boston-Worcester-Lawrence-Lowell-Brockton, MA-NH1.12331.0829
Bristol, MA
Essex, MA
Middlesex, MA
Norfolk, MA
Plymouth, MA
Suffolk, MA
Worcester, MA
Hillsborough, NH
Merrimack, NH
Rockingham, NH
Strafford, NH
1125 Boulder-Longmont, CO1.00491.0034
Boulder, CO
1145 Brazoria, TX0.81370.8683
Brazoria, TX
1150 Bremerton, WA1.05801.0394
Kitsap, WA
1240 Brownsville-Harlingen-San Benito, TX1.03031.0207
Cameron, TX
1260 Bryan-College Station, TX0.90190.9317
Brazos, TX
1280 1 Buffalo-Niagara Falls, NY0.96040.9727
Erie, NY
Niagara, NY
1303 Burlington, VT0.97040.9796
Chittenden, VT
Franklin, VT
Grand Isle, VT
1310 Caguas, PR0.42010.5522
Caguas, PR
Cayey, PR
Cidra, PR
Gurabo, PR
San Lorenzo, PR
1320 Canton-Massillon, OH0.90710.9354
Carroll, OH
Stark, OH
1350 Casper, WY0.92090.9451
Natrona, WY
1360 Cedar Rapids, IA0.88740.9215
Linn, IA
1400 Champaign-Urbana, IL0.99070.9936
Champaign, IL
1440 Charleston-North Charleston, SC0.93320.9538
Berkeley, SC
Charleston, SC
Dorchester, SC
1480 Charleston, WV0.88800.9219
Kanawha, WV
Putnam, WV
1520 1 Charlotte-Gastonia-Rock Hill, NC-SC0.97300.9814
Cabarrus, NC
Gaston, NC
Lincoln, NC
Mecklenburg, NC
Rowan, NC
Stanly, NC
Union, NC
York, SC
1540 Charlottesville, VA1.00251.0017
Albemarle, VA
Charlottesville City, VA
Fluvanna, VA
Greene, VA
1560 Chattanooga, TN-GA0.90860.9365
Catoosa, GA
Dade, GA
Walker, GA
Hamilton, TN
Marion, TN
1580 2 Cheyenne, WY0.91100.9382
Laramie, WY
1600 1 Chicago, IL1.08921.0603
Cook, IL
DeKalb, IL
DuPage, IL
Grundy, IL
Kane, IL
Kendall, IL
Lake, IL
McHenry, IL
Will, IL
1620 Chico-Paradise, CA1.01931.0132
Butte, CA
1640 1 Cincinnati, OH-KY-IN0.94130.9594
Dearborn, IN
Ohio, IN
Boone, KY
Campbell, KY
Gallatin, KY
Grant, KY
Kenton, KY
Pendleton, KY
Brown, OH
Clermont, OH
Hamilton, OH
Warren, OH
1660 Clarksville-Hopkinsville, TN-KY0.83540.8841
Christian, KY
Montgomery, TN
1680 1 Cleveland-Lorain-Elyria, OH0.96710.9774
Ashtabula, OH
Cuyahoga, OH
Geauga, OH
Lake, OH
Lorain, OH
Medina, OH
1720 Colorado Springs, CO0.98330.9885
El Paso, CO
1740 Columbia, MO0.86950.9087
Boone, MO
1760 Columbia, SC0.89020.9234
Lexington, SC
Richland, SC
1800 Columbus, GA-AL0.86940.9086
Russell, AL
Chattahoochee, GA
Harris, GA
Muscogee, GA
1840 1 Columbus, OH0.96480.9758
Delaware, OH
Fairfield, OH
Franklin, OH
Start Printed Page 57738
Licking, OH
Madison, OH
Pickaway, OH
1880 Corpus Christi, TX0.85210.8962
Nueces, TX
San Patricio, TX
1890 Corvallis, OR1.15161.1015
Benton, OR
1900 2 Cumberland, MD-WV (MD Hospitals)0.91250.9392
Allegany, MD
Mineral, WV
1900 Cumberland, MD-WV (WV Hospitals)0.82000.8729
Allegany, MD
Mineral, WV
1920 1 Dallas, TX0.99740.9982
Collin, TX
Dallas, TX
Denton, TX
Ellis, TX
Henderson, TX
Hunt, TX
Kaufman, TX
Rockwall, TX
1950 Danville, VA0.90350.9329
Danville City, VA
Pittsylvania, VA
1960 Davenport-Moline-Rock Island, IA-IL0.89850.9293
Scott, IA
Henry, IL
Rock Island, IL
2000 Dayton-Springfield, OH0.95290.9675
Clark, OH
Greene, OH
Miami, OH
Montgomery, OH
2020 Daytona Beach, FL0.90600.9346
Flagler, FL
Volusia, FL
2030 Decatur, AL0.88280.9182
Lawrence, AL
Morgan, AL
2040 2 Decatur, IL0.82540.8769
Macon, IL
2080 1 Denver, CO1.08371.0566
Adams, CO
Arapahoe, CO
Broomfield, CO
Denver, CO
Douglas, CO
Jefferson, CO
2120 Des Moines, IA0.91060.9379
Dallas, IA
Polk, IA
Warren, IA
2160 1 Detroit, MI1.01011.0069
Lapeer, MI
Macomb, MI
Monroe, MI
Oakland, MI
St. Clair, MI
Wayne, MI
2180 Dothan, AL0.77650.8409
Dale, AL
Houston, AL
2190 Dover, DE0.98050.9866
Kent, DE
2200 Dubuque, IA0.88860.9223
Dubuque, IA
2240 Duluth-Superior, MN-WI1.01711.0117
St. Louis, MN
Douglas, WI
2281 Dutchess County, NY1.09341.0631
Dutchess, NY
2290 2 Eau Claire, WI0.93040.9518
Chippewa, WI
Eau Claire, WI
2320 El Paso, TX0.91960.9442
El Paso, TX
2330 Elkhart-Goshen, IN0.97830.9851
Elkhart, IN
2335 2 Elmira, NY0.85260.8965
Chemung, NY
2340 Enid, OK0.85590.8989
Garfield, OK
2360 Erie, PA0.86010.9019
Erie, PA
2400 Eugene-Springfield, OR1.14561.0976
Lane, OR
2440 2 Evansville-Henderson, IN-KY (IN Hospitals)0.88240.9179
Posey, IN
Vanderburgh, IN
Warrick, IN
Henderson, KY
2440 Evansville-Henderson, IN-KY (KY Hospitals)0.84290.8896
Posey, IN
Vanderburgh, IN
Warrick, IN
Henderson, KY
2520 Fargo-Moorhead, ND-MN0.97970.9861
Clay, MN
Cass, ND
2560 Fayetteville, NC0.89860.9294
Cumberland, NC
2580 Fayetteville-Springdale-Rogers, AR0.83960.8872
Benton, AR
Washington, AR
2620 Flagstaff, AZ-UT1.13331.0895
Coconino, AZ
Kane, UT
2640 Flint, MI1.08581.0580
Genesee, MI
2650 Florence, AL0.77970.8433
Colbert, AL
Lauderdale, AL
2655 Florence, SC0.87090.9097
Florence, SC
2670 Fort Collins-Loveland, CO1.01481.0101
Larimer, CO
2680 1 Ft. Lauderdale, FL1.04791.0326
Broward, FL
2700 Fort Myers-Cape Coral, FL0.98160.9874
Lee, FL
2710 Fort Pierce-Port St. Lucie, FL1.01241.0085
Martin, FL
St. Lucie, FL
2720 Fort Smith, AR-OK0.84240.8892
Crawford, AR
Sebastian, AR
Sequoyah, OK
2750 Fort Walton Beach, FL0.89660.9280
Okaloosa, FL
2760 Fort Wayne, IN0.95850.9714
Adams, IN
Allen, IN
De Kalb, IN
Huntington, IN
Wells, IN
Whitley, IN
2800 1 Forth Worth-Arlington, TX0.93590.9556
Hood, TX
Johnson, TX
Parker, TX
Tarrant, TX
2840 Fresno, CA1.01421.0097
Fresno, CA
Madera, CA
2880 Gadsden, AL0.82290.8750
Etowah, AL
2900 Gainesville, FL0.96930.9789
Alachua, FL
2920 Galveston-Texas City, TX0.92790.9500
Galveston, TX
2960 Gary, IN0.94100.9592
Lake, IN
Porter, IN
2975 2 Glens Falls, NY0.85260.8965
Warren, NY
Washington, NY
2980 Goldsboro, NC0.86220.9035
Wayne, NC
2985 Grand Forks, ND-MN (ND Hospitals)0.86360.9045
Polk, MN
Grand Forks, ND
2985 2 Grand Forks, ND-MN (MN Hospitals)0.93450.9547
Polk, MN
Grand Forks, ND
2995 Grand Junction, CO0.99210.9946
Mesa, CO
Start Printed Page 57739
3000 1 Grand Rapids-Muskegon-Holland, MI0.94690.9633
Allegan, MI
Kent, MI
Muskegon, MI
Ottawa, MI
3040 Great Falls, MT0.89180.9246
Cascade, MT
3060 Greeley, CO0.94530.9622
Weld, CO
3080 Green Bay, WI0.95180.9667
Brown, WI
3120 1 Greensboro-Winston-Salem-High Point, NC0.91660.9421
Alamance, NC
Davidson, NC
Davie, NC
Forsyth, NC
Guilford, NC
Randolph, NC
Stokes, NC
Yadkin, NC
3150 Greenville, NC0.91670.9422
Pitt, NC
3160 Greenville-Spartanburg-Anderson, SC0.93350.9540
Anderson, SC
Cherokee, SC
Greenville, SC
Pickens, SC
Spartanburg, SC
3180 Hagerstown, MD0.91720.9425
Washington, MD
3200 Hamilton-Middletown, OH0.92140.9455
Butler, OH
3240 Harrisburg-Lebanon-Carlisle, PA0.91640.9420
Cumberland, PA
Dauphin, PA
Lebanon, PA
Perry, PA
3283 1,2 Hartford, CT1.21831.1448
Hartford, CT
Litchfield, CT
Middlesex, CT
Tolland, CT
3285 2 Hattiesburg, MS0.77780.8419
Forrest, MS
Lamar, MS
3290 Hickory-Morganton-Lenoir, NC0.92420.9475
Alexander, NC
Burke, NC
Caldwell, NC
Catawba, NC
3320 Honolulu, HI1.11161.0751
Honolulu, HI
3350 Houma, LA0.77710.8414
Lafourche, LA
Terrebonne, LA
3360 1 Houston, TX0.98340.9886
Chambers, TX
Fort Bend, TX
Harris, TX
Liberty, TX
Montgomery, TX
Waller, TX
3400 Huntington-Ashland, WV-KY-OH0.95950.9721
Boyd, KY
Carter, KY
Greenup, KY
Lawrence, OH
Cabell, WV
Wayne, WV
3440 Huntsville, AL0.92450.9477
Limestone, AL
Madison, AL
3480 1 Indianapolis, IN0.99160.9942
Boone, IN
Hamilton, IN
Hancock, IN
Hendricks, IN
Johnson, IN
Madison, IN
Marion, IN
Morgan, IN
Shelby, IN
3500 Iowa City, IA0.95480.9688
Johnson, IA
3520 Jackson, MI0.89860.9294
Jackson, MI
3560 Jackson, MS0.83990.8874
Hinds, MS
Madison, MS
Rankin, MS
3580 Jackson, TN0.89840.9293
Madison, TN
Chester, TN
3600 1 Jacksonville, FL0.95630.9699
Clay, FL
Duval, FL
Nassau, FL
St. Johns, FL
3605 Jacksonville, NC0.85440.8978
Onslow, NC
3610 2 Jamestown, NY0.85260.8965
Chautauqua, NY
3620 2 Janesville-Beloit, WI0.93040.9518
Rock, WI
3640 Jersey City, NJ1.11151.0751
Hudson, NJ
3660 Johnson City-Kingsport-Bristol, TN-VA (TN Hospitals)0.82560.8770
Carter, TN
Hawkins, TN
Sullivan, TN
Unicoi, TN
Washington, TN
Bristol City, VA
Scott, VA
Washington, VA
3660 2 Johnson City-Kingsport-Bristol, TN-VA (VA Hospitals)0.84980.8945
Carter, TN
Hawkins, TN
Sullivan, TN
Unicoi, TN
Washington, TN
Bristol City, VA
Scott, VA
Washington, VA
3680 2 Johnstown, PA0.83780.8859
Cambria, PA
Somerset, PA
3700 Jonesboro, AR0.78090.8442
Craighead, AR
3710 Joplin, MO0.86810.9077
Jasper, MO
Newton, MO
3720 Kalamazoo-Battlecreek, MI1.05001.0340
Calhoun, MI
Kalamazoo, MI
Van Buren, MI
3740 Kankakee, IL1.04191.0285
Kankakee, IL
3760 1 Kansas City, KS-MO0.97150.9804
Johnson, KS
Leavenworth, KS
Miami, KS
Wyandotte, KS
Cass, MO
Clay, MO
Clinton, MO
Jackson, MO
Lafayette, MO
Platte, MO
Ray, MO
3800 Kenosha, WI0.97610.9836
Kenosha, WI
3810 Killeen-Temple, TX0.91590.9416
Bell, TX
Coryell, TX
3840 Knoxville, TN0.88200.9176
Anderson, TN
Blount, TN
Knox, TN
Loudon, TN
Sevier, TN
Union, TN
3850 Kokomo, IN0.90450.9336
Howard, IN
Tipton, IN
3870 2 La Crosse, WI-MN0.93040.9518
Houston, MN
La Crosse, WI
3880 Lafayette, LA0.82250.8748
Acadia, LA
Lafayette, LA
St. Landry, LA
St. Martin, LA
3920 2 Lafayette, IN0.88240.9179
Clinton, IN
Tippecanoe, IN
3960 Lake Charles, LA0.78410.8466
Calcasieu, LA
3980 2 Lakeland-Winter Haven, FL0.88550.9201
Start Printed Page 57740
Polk, FL
4000 Lancaster, PA0.92820.9503
Lancaster, PA
4040 Lansing-East Lansing, MI0.97140.9803
Clinton, MI
Eaton, MI
Ingham, MI
4080 Laredo, TX0.80910.8650
Webb, TX
4100 Las Cruces, NM0.86880.9082
Dona Ana, NM
4120 1 Las Vegas, NV-AZ1.15281.1023
Mohave, AZ
Clark, NV
Nye, NV
4150 2 Lawrence, KS0.80740.8637
Douglas, KS
4200 Lawton, OK0.82670.8778
Comanche, OK
4243 Lewiston-Auburn, ME0.93830.9573
Androscoggin, ME
4280 Lexington, KY0.86850.9080
Bourbon, KY
Clark, KY
Fayette, KY
Jessamine, KY
Madison, KY
Scott, KY
Woodford, KY
4320 Lima, OH0.95220.9670
Allen, OH
Auglaize, OH
4360 Lincoln, NE1.00331.0023
Lancaster, NE
4400 Little Rock-North Little Rock, AR0.89230.9249
Faulkner, AR
Lonoke, AR
Pulaski, AR
Saline, AR
4420 Longview-Marshall, TX0.91130.9384
Gregg, TX
Harrison, TX
Upshur, TX
4480 1 Los Angeles-Long Beach, CA1.18321.1221
Los Angeles, CA
4520 1 Louisville, KY-IN0.92420.9475
Clark, IN
Floyd, IN
Harrison, IN
Scott, IN
Bullitt, KY
Jefferson, KY
Oldham, KY
4600 Lubbock, TX0.82720.8782
Lubbock, TX
4640 Lynchburg, VA0.91340.9399
Amherst, VA
Bedford, VA
Bedford City, VA
Campbell, VA
Lynchburg City, VA
4680 Macon, GA0.89750.9286
Bibb, GA
Houston, GA
Jones, GA
Peach, GA
Twiggs, GA
4720 Madison, WI1.02641.0180
Dane, WI
4800 Mansfield, OH0.91800.9431
Crawford, OH
Richland, OH
4840 Mayaguez, PR0.47950.6045
Anasco, PR
Cabo Rojo, PR
Hormigueros, PR
Mayaguez, PR
Sabana Grande, PR
San German, PR
4880 McAllen-Edinburg-Mission, TX0.83810.8861
Hidalgo, TX
4890 Medford-Ashland, OR1.07721.0522
Jackson, OR
4900 Melbourne-Titusville-Palm Bay, FL0.97760.9846
Brevard, Fl
4920 1 Memphis, TN-AR-MS0.90090.9310
Crittenden, AR
DeSoto, MS
Fayette, TN
Shelby, TN
Tipton, TN
4940 2 Merced, CA0.99670.9977
Merced, CA
5000 1 Miami, FL0.98940.9927
Dade, FL
5015 1 Middlesex-Somerset-Hunterdon, NJ1.13661.0916
Hunterdon, NJ
Middlesex, NJ
Somerset, NJ
5080 1 Milwaukee-Waukesha, WI0.99880.9992
Milwaukee, WI
Ozaukee, WI
Washington, WI
Waukesha, WI
5120 1 Minneapolis-St. Paul, MN-WI1.10011.0675
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, MT0.88840.9222
Missoula, MT
5160 Mobile, AL0.79940.8579
Baldwin, AL
Mobile, AL
5170 Modesto, CA1.12751.0856
Stanislaus, CA
5190 1 Monmouth-Ocean, NJ1.10831.0730
Monmouth, NJ
Ocean, NJ
5200 Monroe, LA0.79220.8526
Ouachita, LA
5240 Montgomery, AL0.79070.8514
Autauga, AL
Elmore, AL
Montgomery, AL
5280 2 Muncie, IN0.88240.9179
Delaware, IN
5330 Myrtle Beach, SC0.91120.9383
Horry, SC
5345 Naples, FL0.97900.9856
Collier, FL
5360 1 Nashville, TN0.98550.9900
Cheatham, TN
Davidson, TN
Dickson, TN
Robertson, TN
Rutherford TN
Sumner, TN
Williamson, TN
Wilson, TN
5380 1 Nassau-Suffolk, NY1.31401.2056
Nassau, NY
Suffolk, NY
5483 1 New Haven-Bridgeport-Stamford-Waterbury-Danbury, CT1.24681.1631
Fairfield, CT
New Haven, CT
5523 2 New London-Norwich, CT1.21831.1448
New London, CT
5560 1 New Orleans, LA0.91740.9427
Jefferson, LA
Orleans, LA
Plaquemines, LA
St. Bernard, LA
St. Charles, LA
St. James, LA
St. John The Baptist, LA
St. Tammany, LA
5600 1 New York, NY1.40181.2602
Bronx, NY
Kings, NY
New York, NY
Putnam, NY
Queens, NY
Richmond, NY
Rockland, NY
Westchester, NY
Start Printed Page 57741
5640 1 Newark, NJ1.15181.1016
Essex, NJ
Morris, NJ
Sussex, NJ
Union, NJ
Warren, NJ
5660 Newburgh, NY-PA1.15091.1010
Orange, NY
Pike, PA
5720 1 Norfolk-Virginia Beach-Newport News, VA-NC0.86190.9032
Currituck, NC
Chesapeake City, VA
Gloucester, VA
Hampton City, VA
Isle of Wight, VA
James City, VA
Mathews, VA
Newport News City, VA
Norfolk City, VA
Poquoson City, VA
Portsmouth City, VA
Suffolk City, VA
Virginia Beach City VA
Williamsburg City, VA
York, VA
5775 1 Oakland, CA1.51191.3272
Alameda, CA
Contra Costa, CA
5790 Ocala, FL0.97280.9813
Marion, FL
5800 Odessa-Midland, TX0.93270.9534
Ector, TX
Midland, TX
5880 1 Oklahoma City, OK0.89840.9293
Canadian, OK
Cleveland, OK
Logan, OK
McClain, OK
Oklahoma, OK
Pottawatomie, OK
5910 Olympia, WA1.09631.0650
Thurston, WA
5920 Omaha, NE-IA0.97450.9825
Pottawattamie, IA
Cass, NE
Douglas, NE
Sarpy, NE
Washington, NE
5945 1 Orange County, CA1.14921.0999
Orange, CA
5960 1 Orlando, FL0.96540.9762
Lake, FL
Orange, FL
Osceola, FL
Seminole, FL
5990 Owensboro, KY0.83740.8856
Daviess, KY
6015 2 Panama City, FL0.88550.9201
Bay, FL
6020 Parkersburg-Marietta, WV-OH (WV Hospitals)0.80390.8612
Washington, OH
Wood, WV
6020 2 Parkersburg-Marietta, WV-OH (OH Hospitals)0.88200.9176
Washington, OH
Wood, WV
6080 2 Pensacola, FL0.88550.9201
Escambia, FL
Santa Rosa, FL
6120 Peoria-Pekin, IL0.87340.9115
Peoria, IL
Tazewell, IL
Woodford, IL
6160 1 Philadelphia, PA-NJ1.08831.0597
Burlington, NJ
Camden, NJ
Gloucester, NJ
Salem, NJ
Bucks, PA
Chester, PA
Delaware, PA
Montgomery, PA
Philadelphia, PA
6200 1 Phoenix-Mesa, AZ1.01291.0088
Maricopa, AZ
Pinal, AZ
6240 Pine Bluff, AR0.78650.8483
Jefferson, AR
6280 1 Pittsburgh, PA0.89010.9234
Allegheny, PA
Beaver, PA
Butler, PA
Fayette, PA
Washington, PA
Westmoreland, PA
6323 2 Pittsfield, MA1.04321.0294
Berkshire, MA
6340 Pocatello, ID0.92490.9479
Bannock, ID
6360 Ponce, PR0.47080.5970
Guayanilla, PR
Juana Diaz, PR
Penuelas, PR
Ponce, PR
Villalba, PR
Yauco, PR
6403 Portland, ME0.99490.9965
Cumberland, ME
Sagadahoc, ME
York, ME
6440 1 Portland-Vancouver, OR-WA1.12131.0816
Clackamas, OR
Columbia, OR
Multnomah, OR
Washington, OR
Yamhill, OR
Clark, WA
6483 1 Providence-Warwick-Pawtucket, RI1.09771.0659
Bristol, RI
Kent, RI
Newport, RI
Providence, RI
Washington, RI
6520 Provo-Orem, UT0.99760.9984
Utah, UT
6560 2 Pueblo, CO0.93280.9535
Pueblo, CO
6580 Punta Gorda, FL0.95100.9662
Charlotte, FL
6600 2 Racine, WI0.93040.9518
Racine, WI
6640 1 Raleigh-Durham-Chapel Hill, NC0.99590.9972
Chatham, NC
Durham, NC
Franklin, NC
Johnston, NC
Orange, NC
Wake, NC
6660 Rapid City, SD0.88060.9166
Pennington, SD
6680 Reading, PA0.91330.9398
Berks, PA
6690 Redding, CA1.13521.0907
Shasta, CA
6720 Reno, NV1.06821.0462
Washoe, NV
6740 Richland-Kennewick-Pasco, WA1.06091.0413
Benton, WA
Franklin, WA
6760 Richmond-Petersburg, VA0.93490.9549
Charles City County, VA
Chesterfield, VA
Colonial Heights City, VA
Dinwiddie, VA
Goochland, VA
Hanover, VA
Henrico, VA
Hopewell City, VA
New Kent, VA
Petersburg City, VA
Powhatan, VA
Prince George, VA
Richmond City, VA
6780 1 Riverside-San Bernardino, CA1.13481.0905
Riverside, CA
San Bernardino, CA
6800 Roanoke, VA0.87000.9090
Botetourt, VA
Roanoke, VA
Roanoke City, VA
Salem City, VA
6820 Rochester, MN1.17391.1160
Olmsted, MN
6840 1 Rochester, NY0.94300.9606
Genesee, NY
Livingston, NY
Monroe, NY
Ontario, NY
Start Printed Page 57742
Orleans, NY
Wayne, NY
6880 Rockford, IL0.96660.9770
Boone, IL
Ogle, IL
Winnebago, IL
6895 Rocky Mount, NC0.90760.9358
Edgecombe, NC
Nash, NC
6920 1 Sacramento, CA1.18451.1229
El Dorado, CA
Placer, CA
Sacramento, CA
6960 Saginaw-Bay City-Midland, MI1.00321.0022
Bay, MI
Midland, MI
Saginaw, MI
6980 St. Cloud, MN0.96790.9779
Benton, MN
Stearns, MN
7000 2 St. Joseph, MO0.80560.8624
Andrew, MO
Buchanan, MO
7040 1 St. Louis, MO-IL0.90330.9327
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, OR1.04821.0328
Marion, OR
Polk, OR
7120 Salinas, CA1.43391.2799
Monterey, CA
7160 1 Salt Lake City-Ogden, UT0.99130.9940
Davis, UT
Salt Lake, UT
Weber, UT
7200 San Angelo, TX0.85350.8972
Tom Green, TX
7240 1 San Antonio, TX0.88700.9212
Bexar, TX
Comal, TX
Guadalupe, TX
Wilson, TX
7320 1 San Diego, CA1.11471.0772
San Diego, CA
7360 1 San Francisco, CA1.45141.2906
Marin, CA
San Francisco, CA
San Mateo, CA
7400 1 San Jose, CA1.46261.2974
Santa Clara, CA
7440 1 San Juan-Bayamon, PR0.49090.6143
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, CA1.14291.0958
San Luis Obispo, CA
7480 Santa Barbara-Santa Maria-Lompoc, CA1.04411.0300
Santa Barbara, CA
7485 Santa Cruz-Watsonville, CA1.29421.1932
Santa Cruz, CA
7490 Santa Fe, NM1.06531.0443
Los Alamos, NM
Santa Fe, NM
7500 Santa Rosa, CA1.28771.1891
Sonoma, CA
7510 Sarasota-Bradenton, FL0.99710.9980
Manatee, FL
Sarasota, FL
7520 Savannah, GA0.94880.9646
Bryan, GA
Chatham, GA
Effingham, GA
7560 Scranton—Wilkes-Barre—Hazleton, PA0.84120.8883
Columbia, PA
Lackawanna, PA
Luzerne, PA
Wyoming, PA
7600 1 Seattle-Bellevue-Everett, WA1.15621.1045
Island, WA
King, WA
Snohomish, WA
7610 2 Sharon, PA0.83780.8859
Mercer, PA
7620 2 Sheboygan, WI0.93040.9518
Sheboygan, WI
7640 Sherman-Denison, TX0.97000.9794
Grayson, TX
7680 Shreveport-Bossier City, LA0.90830.9363
Bossier, LA
Caddo, LA
Webster, LA
7720 Sioux City, IA-NE0.89930.9299
Woodbury, IA
Dakota, NE
7760 Sioux Falls, SD0.93090.9521
Lincoln, SD
Minnehaha, SD
7800 South Bend, IN0.98210.9877
St. Joseph, IN
7840 Spokane, WA1.09011.0609
Spokane, WA
7880 Springfield, IL0.89440.9264
Menard, IL
Sangamon, IL
7920 Springfield, MO0.84570.8916
Christian, MO
Greene, MO
Webster, MO
8003 Springfield, MA1.05431.0369
Hampden, MA
Hampshire, MA
8050 State College, PA0.87400.9119
Centre, PA
8080 2 Steubenville-Weirton, OH-WV (OH Hospitals)0.88200.9176
Jefferson, OH
Brooke, WV
Hancock, WV
8080 Steubenville-Weirton, OH-WV (WV Hospitals)0.83980.8873
Jefferson, OH
Brooke, WV
Hancock, WV
8120 Stockton-Lodi, CA1.04041.0275
San Joaquin, CA
8140 2 Sumter, SC0.84980.8945
Sumter, SC
8160 Syracuse, NY0.94120.9594
Cayuga, NY
Madison, NY
Onondaga, NY
Oswego, NY
8200 Tacoma, WA1.11161.0751
Pierce, WA
8240 2 Tallahassee, FL0.88550.9201
Gadsden, FL
Leon, FL
8280 1 Tampa-St. Petersburg-Clearwater, FL0.91030.9377
Start Printed Page 57743
Hernando, FL
Hillsborough, FL
Pasco, FL
Pinellas, FL
8320 2 Terre Haute, IN0.88240.9179
Clay, IN
Vermillion, IN
Vigo, IN
8360 Texarkana, AR—Texarkana, TX0.81500.8693
Miller, AR
Bowie, TX
8400 Toledo, OH0.93970.9583
Fulton, OH
Lucas, OH
Wood, OH
8440 Topeka, KS0.91080.9380
Shawnee, KS
8480 Trenton, NJ1.05171.0351
Mercer, NJ
8520 2 Tucson, AZ0.92700.9494
Pima, AZ
8560 Tulsa, OK0.91850.9434
Creek, OK
Osage, OK
Rogers, OK
Tulsa, OK
Wagoner, OK
8600 Tuscaloosa, AL0.82120.8738
Tuscaloosa, AL
8640 Tyler, TX0.94040.9588
Smith, TX
8680 2 Utica-Rome, NY0.85260.8965
Herkimer, NY
Oneida, NY
8720 Vallejo-Fairfield-Napa, CA1.34251.2235
Napa, CA
Solano, CA
8735 Ventura, CA1.10641.0717
Ventura, CA
8750 Victoria, TX0.81840.8718
Victoria, TX
8760 Vineland-Millville-Bridgeton, NJ1.04051.0276
Cumberland, NJ
8780 2 Visalia-Tulare-Porterville, CA0.99670.9977
Tulare, CA
8800 Waco, TX0.83940.8870
McLennan, TX
8840 1 Washington, DC-MD-VA-WV1.09041.0611
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 2 Waterloo-Cedar Falls, IA0.84160.8886
Black Hawk, IA
8940 Wausau, WI0.97830.9851
Marathon, WI
8960 1 West Palm Beach-Boca Raton, FL0.97980.9861
Palm Beach, FL
9000 2 Wheeling, WV-OH (WV Hospitals)0.80180.8596
Belmont, OH
Marshall, WV
Ohio, WV
9000 2 Wheeling, WV-OH (OH Hospitals)0.88200.9176
Belmont, OH
Marshall, WV
Ohio, WV
9040 Wichita, KS0.92380.9472
Butler, KS
Harvey, KS
Sedgwick, KS
9080 Wichita Falls, TX0.83410.8832
Archer, TX
Wichita, TX
9140 2 Williamsport, PA0.83780.8859
Lycoming, PA
9160 Wilmington-Newark, DE-MD1.08821.0596
New Castle, DE
Cecil, MD
9200 Wilmington, NC0.95630.9699
New Hanover, NC
Brunswick, NC
9260 2 Yakima, WA1.03881.0264
Yakima, WA
9270 2 Yolo, CA0.99670.9977
Yolo, CA
9280 York, PA0.91190.9388
York, PA
9320 Youngstown-Warren, OH0.92140.9455
Columbiana, OH
Mahoning, OH
Trumbull, OH
9340 Yuba City, CA1.01961.0134
Sutter, CA
Yuba, CA
9360 2 Yuma, AZ0.92700.9494
Yuma, AZ
1 Large Urban Area
2 Hospitals geographically located in the area are assigned the statewide rural wage index for FY 2004.

33. On page 45576, in Table 4B—Wage Index and Capital Geographic Adjustment Factor (GAF) for Rural Areas, the table is corrected to read as follows:

Table 4B.—Wage Index and Capital Geographic Adjustment Factor (GAF) For Rural Areas

Nonurban areaWage indexGAF
Alabama0.74920.8206
Alaska1.18861.1256
Arizona0.92700.9494
Arkansas0.77340.8386
California0.99670.9977
Colorado0.93280.9535
Connecticut1.21831.1448
Delaware0.95950.9721
Florida0.88550.9201
Georgia0.85950.9015
Hawaii0.99580.9971
Idaho0.89740.9285
Illinois0.82540.8769
Indiana0.88240.9179
Iowa0.84160.8886
Kansas0.80740.8637
Kentucky0.79740.8564
Louisiana0.74670.8187
Maine0.88120.9170
Maryland0.91250.9392
Massachusetts1.04321.0294
Michigan0.88770.9217
Minnesota0.93450.9547
Mississippi0.77780.8419
Missouri0.80560.8624
Montana0.88000.9162
Nebraska0.88220.9177
Nevada0.98060.9867
New Hampshire1.00301.0021
New Jersey 1
New Mexico0.82700.8780
New York0.85260.8965
North Carolina0.84560.8915
North Dakota0.77780.8419
Ohio0.88200.9176
Oklahoma0.75370.8240
Oregon0.99940.9996
Pennsylvania0.83780.8859
Puerto Rico0.40180.5356
Rhode Island 1
South Carolina0.84980.8945
South Dakota0.81950.8726
Tennessee0.78860.8499
Texas0.77800.8421
Utah0.89740.9285
Vermont0.95340.9678
Virginia0.84980.8945
Start Printed Page 57744
Washington1.03881.0264
West Virginia0.80180.8596
Wisconsin0.93040.9518
Wyoming0.91100.9382
1 All counties within the State are classified as urban.

34. On pages 45576 through 45577, in Table 4C—Wage Index and Capital Geographic Adjustment Factor (GAF) for Hospitals that are Reclassified, the table is corrected to read as follows:

Table 4C.—Wage Index and Capital Geographic Adjustment Factor (GAF) for Hospitals That Are Reclassified

AreaWage indexGAF
Akron, OH0.94420.9614
Albany, GA1.06641.0450
Albuquerque, NM (NM hospitals)0.93000.9515
Albuquerque, NM (CO hospitals)0.93280.9535
Alexandria, LA0.80370.8610
Allentown-Bethlehem-Easton, PA0.97210.9808
Altoona, PA0.88270.9181
Amarillo, TX0.88580.9203
Anchorage, AK1.23511.1556
Ann Arbor, MI1.08461.0572
Anniston, AL0.79750.8565
Asheville, NC0.94770.9639
Athens, GA0.95640.9699
Atlanta, GA0.99900.9993
Atlantic-Cape May, NJ1.05311.0361
Augusta-Aiken, GA-SC0.94330.9608
Austin-San Marcos, TX0.96090.9731
Bangor, ME0.99040.9934
Barnstable-Yarmouth, MA1.27201.1791
Baton Rouge, LA0.84060.8879
Bellingham, WA1.13051.0876
Benton Harbor, MI0.89350.9258
Bergen-Passaic, NJ1.17311.1155
Billings, MT0.89610.9276
Biloxi-Gulfport-Pascagoula, MS0.84070.8880
Binghamton, NY0.84280.8895
Birmingham, AL0.92120.9453
Bismarck, ND0.80330.8607
Bloomington-Normal, IL0.88320.9185
Boise City, ID0.92320.9467
Boston-Worcester-Lawrence-Lowell-Brockton, MA-NH1.12331.0829
Burlington, VT0.93320.9538
Caguas, PR0.42010.5522
Casper, WY0.92090.9451
Champaign-Urbana, IL0.94600.9627
Charleston-North Charleston, SC0.93320.9538
Charleston, WV (WV Hospitals)0.85680.8996
Charleston, WV (OH Hospitals)0.88200.9176
Charlotte-Gastonia-Rock Hill, NC-SC0.97300.9814
Charlottesville, VA0.98770.9916
Chattanooga, TN-GA0.90860.9365
Chicago, IL1.07521.0509
Cincinnati, OH-KY-IN0.94130.9594
Clarksville-Hopkinsville, TN-KY0.83540.8841
Cleveland-Lorain-Elyria, OH0.96710.9774
Columbia, MO0.85570.8988
Columbia, SC0.89020.9234
Columbus, GA-AL0.85950.9015
Columbus, OH0.96480.9758
Corpus Christi, TX0.85210.8962
Corvallis, OR1.12411.0834
Dallas, TX0.99740.9982
Davenport-Moline-Rock Island, IA-IL0.89850.9293
Dayton-Springfield, OH0.95290.9675
Decatur, AL0.85800.9004
Denver, CO1.06641.0450
Des Moines, IA0.91060.9379
Detroit, MI1.01011.0069
Dothan, AL0.77650.8409
Duluth-Superior, MN-WI1.01711.0117
Elkhart-Goshen, IN0.95540.9692
Erie, PA0.85260.8965
Eugene-Springfield, OR1.09771.0659
Fargo-Moorhead, ND-MN0.95010.9656
Fayetteville, NC0.88170.9174
Flagstaff, AZ-UT1.10791.0727
Flint, MI1.07031.0476
Florence, AL0.77970.8433
Fort Collins-Loveland, CO1.01481.0101
Ft. Lauderdale, FL1.04791.0326
Fort Pierce-Port St. Lucie, FL1.01241.0085
Fort Smith, AR-OK0.80770.8639
Fort Walton Beach, FL0.88040.9165
Forth Worth-Arlington, TX0.93590.9556
Gadsden, AL0.82290.8750
Gainesville, FL0.96930.9789
Grand Forks, ND-MN0.86360.9045
Grand Junction, CO0.99210.9946
Grand Rapids-Muskegon-Holland, MI0.94690.9633
Great Falls, MT0.89180.9246
Greeley, CO0.94530.9622
Green Bay, WI0.95180.9667
Greensboro-Winston-Salem-High Point, NC0.90580.9345
Greenville, NC0.91670.9422
Hamilton-Middletown, OH0.92140.9455
Harrisburg-Lebanon-Carlisle, PA0.91640.9420
Hartford, CT1.13591.0912
Hickory-Morganton-Lenoir, NC0.91130.9384
Honolulu, HI1.11161.0751
Houston, TX0.98340.9886
Huntington-Ashland, WV-KY-OH0.90760.9358
Huntsville, AL0.91200.9389
Indianapolis, IN0.99160.9942
Iowa City, IA0.94040.9588
Jackson, MS0.83990.8874
Jackson, TN0.88190.9175
Jacksonville, FL0.95630.9699
Johnson City-Kingsport-Bristol, TN-VA (VA Hospitals)0.84980.8945
Johnson City-Kingsport-Bristol, TN-VA (KY Hospitals)0.82560.8770
Jonesboro, AR (AR Hospitals)0.78090.8442
Jonesboro, AR (MO Hospitals)0.80560.8624
Joplin, MO0.85580.8989
Kalamazoo-Battlecreek, MI1.05001.0340
Kansas City, KS-MO0.97150.9804
Knoxville, TN0.88200.9176
Kokomo, IN0.90450.9336
Lafayette, LA0.82250.8748
Lakeland-Winter Haven, FL0.88550.9201
Las Vegas, NV-AZ1.14011.0939
Lawton, OK0.81400.8686
Lexington, KY0.84750.8929
Lima, OH0.95220.9670
Lincoln, NE0.95970.9722
Little Rock-North Little Rock, AR0.89230.9249
Longview-Marshall, TX0.89430.9264
Los Angeles-Long Beach, CA1.18321.1221
Louisville, KY-IN0.91180.9387
Lubbock, TX0.82720.8782
Lynchburg, VA0.89410.9262
Macon, GA0.89750.9286
Madison, WI1.01171.0080
Medford-Ashland, OR1.04251.0289
Melbourne-Titusville-Palm Bay, FL0.97760.9846
Memphis, TN-AR-MS0.87860.9152
Miami, FL0.98940.9927
Milwaukee-Waukesha, WI0.98290.9883
Minneapolis-St. Paul, MN-WI1.10011.0675
Missoula, MT0.88840.9222
Mobile, AL0.79940.8579
Modesto, CA1.11481.0773
Monmouth-Ocean, NJ1.10831.0730
Monroe, LA0.79220.8526
Montgomery, AL0.79070.8514
Nashville, TN0.95910.9718
New Haven-Bridgeport-Stamford-Waterbury-Danbury, CT1.24681.1631
New Orleans, LA0.91740.9427
Start Printed Page 57745
New York, NY1.40181.2602
Newark, NJ1.15181.1016
Newburgh, NY-PA1.10481.0706
Oakland, CA1.51191.3272
Odessa-Midland, TX0.90760.9358
Oklahoma City, OK0.89840.9293
Olympia, WA1.09631.0650
Omaha, NE-IA0.97450.9825
Orange County, CA1.14921.0999
Orlando, FL0.96540.9762
Peoria-Pekin, IL0.87340.9115
Philadelphia, PA-NJ1.08831.0597
Phoenix-Mesa, AZ1.01291.0088
Pittsburgh, PA0.89010.9234
Pittsfield, MA0.97950.9859
Pocatello, ID0.92490.9479
Portland, ME0.96580.9765
Portland-Vancouver, OR-WA1.12131.0816
Provo-Orem, UT0.99760.9984
Raleigh-Durham-Chapel Hill, NC0.97250.9811
Rapid City, SD0.88060.9166
Reading, PA0.89980.9302
Redding, CA1.13521.0907
Reno, NV1.06821.0462
Richland-Kennewick-Pasco, WA (WA Hospitals)1.03881.0264
Richland-Kennewick-Pasco, WA (ID Hospitals)1.02151.0147
Richmond-Petersburg, VA0.93490.9549
Roanoke, VA0.87000.9090
Rochester, MN1.17391.1160
Rockford, IL0.94410.9614
Sacramento, CA1.18451.1229
Saginaw-Bay City-Midland, MI0.97510.9829
St. Cloud, MN0.96790.9779
St. Joseph, MO0.85780.9003
St. Louis, MO-IL0.90330.9327
Salinas, CA1.43391.2799
Salt Lake City-Ogden, UT0.99130.9940
San Antonio, TX0.88700.9212
Santa Fe, NM0.95240.9672
Santa Rosa, CA1.28771.1891
Sarasota-Bradenton, FL0.99710.9980
Savannah, GA0.94880.9646
Seattle-Bellevue-Everett, WA1.15621.1045
Sherman-Denison, TX0.92030.9447
Shreveport-Bossier City, LA0.89370.9259
Sioux City, IA-NE (NE Hospitals)0.88220.9177
Sioux City, IA-NE (SD Hospitals)0.87850.9151
Sioux Falls, SD0.91840.9434
South Bend, IN0.97150.9804
Spokane, WA1.07171.0486
Springfield, IL0.89440.9264
Springfield, MO0.82590.8772
Syracuse, NY0.94120.9594
Tampa-St. Petersburg-Clearwater, FL0.91030.9377
Texarkana, AR-Texarkana, TX0.79690.8560
Toledo, OH0.93970.9583
Topeka, KS0.91080.9380
Tucson, AZ0.92700.9494
Tulsa, OK0.89380.9260
Tuscaloosa, AL0.81010.8657
Tyler, TX0.91550.9413
Vallejo-Fairfield-Napa, CA1.34251.2235
Victoria, TX0.81840.8718
Waco, TX0.83940.8870
Washington, DC-MD-VA-WV1.09041.0611
Waterloo-Cedar Falls, IA0.84160.8886
Wausau, WI0.97830.9851
West Palm Beach-Boca Raton, FL0.97980.9861
Wichita, KS0.90040.9307
Wichita Falls, TX0.83410.8832
Wilmington-Newark, DE-MD1.07101.0481
Wilmington, NC0.94240.9602
Youngstown-Warren, OH0.92140.9455
Rural Florida0.86990.9090
Rural Illinois (IA Hospitals)0.84160.8886
Rural Illinois (MO Hospitals)0.82540.8769
Rural Kentucky0.79740.8564
Rural Louisiana0.74670.8187
Rural Minnesota0.93450.9547
Rural Missouri0.80560.8624
Rural Nebraska0.88220.9177
Rural Nevada0.92760.9498
Rural New Hampshire1.00301.0021
Rural Texas0.77800.8421
Rural Washington1.03881.0264
Rural Wyoming0.89840.9293

35. On pages 45578, in Table 4F—Puerto Rico Wage Index and Capital Geographic Adjustment Factor (GAF), the table is corrected to read as follows:

Table 4F.—Puerto Rico Wage Index and Capital Geographic Adjustment Factor (GAF)

AreaWage indexGAFWage index— Reclassified hospitalsGAF— Reclassified hospitals
Aguadilla, PR0.91700.9424
Arecibo, PR0.88470.9195
Caguas, PR0.89460.92660.89460.9266
Mayaguez, PR1.02111.0144
Ponce, PR1.00261.0018
San Juan-Bayamon, PR1.04531.0308
Rural Puerto Rico0.85570.8988

36. On pages 45578 through 45584, in Table 4G, Pre-Reclassified Wage Index for Urban Areas, the table is corrected to read as follows:

Table 4G.—Pre-Reclassified Wage Index for Urban Areas

Urban area (Constituent counties)Wage index
0040 Abilene, TX0.7780
Taylor, TX
0060 Aguadilla, PR0.4306
Aguada, PR
Aguadilla, PR
Moca, PR
0080 Akron, OH0.9246
Portage, OH
Start Printed Page 57746
Summit, OH
0120 Albany, GA1.0863
Dougherty, GA
Lee, GA
0160 Albany-Schenectady-Troy, NY0.8526
Albany, NY
Montgomery, NY
Rensselaer, NY
Saratoga, NY
Schenectady, NY
Schoharie, NY
0200 Albuquerque, NM0.9300
Bernalillo, NM
Sandoval, NM
Valencia, NM
0220 Alexandria, LA0.8019
Rapides, LA
0240 Allentown-Bethlehem-Easton, PA0.9721
Carbon, PA
Lehigh, PA
Northampton, PA
0280 Altoona, PA0.8806
Blair, PA
0320 Amarillo, TX0.8986
Potter, TX
Randall, TX
0380 Anchorage, AK1.2216
Anchorage, AK
0440 Ann Arbor, MI1.1074
Lenawee, MI
Livingston, MI
Washtenaw, MI
0450 Anniston, AL0.8090
Calhoun, AL
0460 Appleton-Oshkosh-Neenah, WI0.9304
Calumet, WI
Outagamie, WI
Winnebago, WI
0470 Arecibo, PR0.4155
Arecibo, PR
Camuy, PR
Hatillo, PR
0480 Asheville, NC0.9720
Buncombe, NC
Madison, NC
0500 Athens, GA0.9818
Clarke, GA
Madison, GA
Oconee, GA
0520 Atlanta, GA1.0130
Barrow, GA
Bartow, GA
Carroll, GA
Cherokee, GA
Clayton, GA
Cobb, GA
Coweta, GA
DeKalb, GA
Douglas, GA
Fayette, GA
Forsyth, GA
Fulton, GA
Gwinnett, GA
Henry, GA
Newton, GA
Paulding, GA
Pickens, GA
Rockdale, GA
Spalding, GA
Walton, GA
0560 Atlantic-Cape May, NJ1.0795
Atlantic, NJ
Cape May, NJ
0580 Auburn-Opelika, AL0.8494
Lee, AL
0600 Augusta-Aiken, GA-SC0.9625
Columbia, GA
McDuffie, GA
Richmond, GA
Aiken, SC
Edgefield, SC
0640 Austin-San Marcos, TX0.9609
Bastrop, TX
Caldwell, TX
Hays, TX
Travis, TX
Williamson, TX
0680 Bakersfield, CA0.9967
Kern, CA
0720 Baltimore, MD0.9919
Anne Arundel, MD
Baltimore, MD
Baltimore City, MD
Carroll, MD
Harford, MD
Howard, MD
Queen Anne's, MD
0733 Bangor, ME0.9904
Penobscot, ME
0743 Barnstable-Yarmouth, MA1.2956
Barnstable, MA
0760 Baton Rouge, LA0.8406
Ascension, LA
East Baton Rouge, LA
Livingston, LA
West Baton Rouge, LA
0840 Beaumont-Port Arthur, TX0.8424
Hardin, TX
Jefferson, TX
Orange, TX
0860 Bellingham, WA1.1757
Whatcom, WA
0870 Benton Harbor, MI0.8935
Berrien, MI
0875 Bergen-Passaic, NJ1.1692
Bergen, NJ
Passaic, NJ
0880 Billings, MT0.8961
Yellowstone, MT
0920 Biloxi-Gulfport-Pascagoula, MS0.9029
Hancock, MS
Harrison, MS
Jackson, MS
0960 Binghamton, NY0.8526
Broome, NY
Tioga, NY
1000 Birmingham, AL0.9212
Blount, AL
Jefferson, AL
St. Clair, AL
Shelby, AL
1010 Bismarck, ND0.7965
Burleigh, ND
Morton, ND
1020 Bloomington, IN0.8824
Monroe, IN
1040 Bloomington-Normal, IL0.8832
McLean, IL
1080 Boise City, ID0.9209
Ada, ID
Canyon, ID
1123 Boston-Worcester-Lawrence-Lowell-Brockton, MA-NH (NH Hospitals)1.1233
Bristol, MA
Essex, MA
Middlesex, MA
Norfolk, MA
Plymouth, MA
Suffolk, MA
Worcester, MA
Hillsborough, NH
Merrimack, NH
Rockingham, NH
Strafford, NH
1125 Boulder-Longmont, CO1.0049
Boulder, CO
1145 Brazoria, TX0.8137
Brazoria, TX
1150 Bremerton, WA1.0580
Kitsap, WA
1240 Brownsville-Harlingen-San Benito, TX1.0303
Cameron, TX
1260 Bryan-College Station, TX0.9019
Brazos, TX
1280 Buffalo-Niagara Falls, NY0.9604
Erie, NY
Niagara, NY
1303 Burlington, VT0.9704
Chittenden, VT
Franklin, VT
Grand Isle, VT
1310 Caguas, PR0.4158
Caguas, PR
Cayey, PR
Cidra, PR
Gurabo, PR
San Lorenzo, PR
1320 Canton-Massillon, OH0.9071
Carroll, OH
Stark, OH
1350 Casper, WY0.9110
Natrona, WY
1360 Cedar Rapids, IA0.8874
Linn, IA
1400 Champaign-Urbana, IL0.9907
Champaign, IL
1440 Charleston-North Charleston, SC0.9332
Berkeley, SC
Charleston, SC
Dorchester, SC
1480 Charleston, WV0.8880
Kanawha, WV
Putnam, WV
1520 Charlotte-Gastonia-Rock Hill, NC-SC0.9730
Cabarrus, NC
Gaston, NC
Lincoln, NC
Mecklenburg, NC
Rowan, NC
Stanly, NC
Union, NC
York, SC
Start Printed Page 57747
1540 Charlottesville, VA1.0025
Albemarle, VA
Charlottesville City, VA
Fluvanna, VA
Greene, VA
1560 Chattanooga, TN-GA0.9086
Catoosa, GA
Dade, GA
Walker, GA
Hamilton, TN
Marion, TN
1580 Cheyenne, WY0.9110
Laramie, WY
1600 Chicago, IL1.0892
Cook, IL
DeKalb, IL
DuPage, IL
Grundy, IL
Kane, IL
Kendall, IL
Lake, IL
McHenry, IL
Will, IL
1620 Chico-Paradise, CA1.0193
Butte, CA
1640 Cincinnati, OH-KY-IN0.9413
Dearborn, IN
Ohio, IN
Boone, KY
Campbell, KY
Gallatin, KY
Grant, KY
Kenton, KY
Pendleton, KY
Brown, OH
Clermont, OH
Hamilton, OH
Warren, OH
1660 Clarksville-Hopkinsville, TN-KY0.8244
Christian, KY
Montgomery, TN
1680 Cleveland-Lorain-Elyria, OH0.9671
Ashtabula, OH
Cuyahoga, OH
Geauga, OH
Lake, OH
Lorain, OH
Medina, OH
1720 Colorado Springs, CO0.9833
El Paso, CO
1740 Columbia, MO0.8695
Boone, MO
1760 Columbia, SC0.8902
Lexington, SC
Richland, SC
1800 Columbus, GA-AL0.8694
Russell, AL
Chattahoochee, GA
Harris, GA
Muscogee, GA
1840 Columbus, OH0.9648
Delaware, OH
Fairfield, OH
Franklin, OH
Licking, OH
Madison, OH
Pickaway, OH
1880 Corpus Christi, TX0.8521
Nueces, TX
San Patricio, TX
1890 Corvallis, OR1.1516
Benton, OR
1900 Cumberland, MD-WV (WV Hospital)0.8200
Allegany, MD
Mineral, WV
1920 Dallas, TX0.9974
Collin, TX
Dallas, TX
Denton, TX
Ellis, TX
Henderson, TX
Hunt, TX
Kaufman, TX
Rockwall, TX
1950 Danville, VA0.9035
Danville City, VA
Pittsylvania, VA
1960 Davenport-Moline-Rock Island, IA-IL0.8985
Scott, IA
Henry, IL
Rock Island, IL
2000 Dayton-Springfield, OH0.9518
Clark, OH
Greene, OH
Miami, OH
Montgomery, OH
2020 Daytona Beach, FL0.9060
Flagler, FL
Volusia, FL
2030 Decatur, AL0.8828
Lawrence, AL
Morgan, AL
2040 Decatur, IL0.8254
Macon, IL
2080 Denver, CO1.0837
Adams, CO
Arapahoe, CO
Broomfield, CO
Denver, CO
Douglas, CO
Jefferson, CO
2120 Des Moines, IA0.9106
Dallas, IA
Polk, IA
Warren, IA
2160 Detroit, MI1.0101
Lapeer, MI
Macomb, MI
Monroe, MI
Oakland, MI
St. Clair, MI
Wayne, MI
2180 Dothan, AL0.7741
Dale, AL
Houston, AL
2190 Dover, DE0.9805
Kent, DE
2200 Dubuque, IA0.8886
Dubuque, IA
2240 Duluth-Superior, MN-WI1.0171
St. Louis, MN
Douglas, WI
2281 Dutchess County, NY1.0934
Dutchess, NY
2290 Eau Claire, WI0.9304
Chippewa, WI
Eau Claire, WI
2320 El Paso, TX0.9196
El Paso, TX
2330 Elkhart-Goshen, IN0.9783
Elkhart, IN
2335 Elmira, NY0.8526
Chemung, NY
2340 Enid, OK0.8559
Garfield, OK
2360 Erie, PA0.8601
Erie, PA
2400 Eugene-Springfield, OR1.1456
Lane, OR
2440 Evansville-Henderson, IN-KY (IN Hospitals)0.8824
Posey, IN
Vanderburgh, IN
Warrick, IN
Henderson, KY
2520 Fargo-Moorhead, ND-MN0.9797
Clay, MN
Cass, ND
2560 Fayetteville, NC0.8986
Cumberland, NC
2580 Fayetteville-Springdale-Rogers, AR0.8396
Benton, AR
Washington, AR
2620 Flagstaff, AZ-UT1.1333
Coconino, AZ
Kane, UT
2640 Flint, MI1.0858
Genesee, MI
2650 Florence, AL0.7747
Colbert, AL
Lauderdale, AL
2655 Florence, SC0.8709
Florence, SC
2670 Fort Collins-Loveland, CO1.0108
Larimer, CO
2680 Ft. Lauderdale, FL1.0163
Broward, FL
2700 Fort Myers-Cape Coral, FL0.9816
Lee, FL
2710 Fort Pierce-Port St. Lucie, FL1.0008
Martin, FL
St. Lucie, FL
2720 Fort Smith, AR-OK0.8424
Crawford, AR
Sebastian, AR
Sequoyah, OK
2750 Fort Walton Beach, FL0.8966
Okaloosa, FL
2760 Fort Wayne, IN0.9585
Adams, IN
Allen, IN
De Kalb, IN
Huntington, IN
Wells, IN
Whitley, IN
2800 Forth Worth-Arlington, TX0.9359
Hood, TX
Johnson, TX
Parker, TX
Tarrant, TX
2840 Fresno, CA1.0142
Fresno, CA
Madera, CA
2880 Gadsden, AL0.8206
Etowah, AL
Start Printed Page 57748
2900 Gainesville, FL0.9693
Alachua, FL
2920 Galveston-Texas City, TX0.9279
Galveston, TX
2960 Gary, IN0.9410
Lake, IN
Porter, IN
2975 Glens Falls, NY0.8526
Warren, NY
Washington, NY
2980 Goldsboro, NC0.8622
Wayne, NC
2985 Grand Forks, ND-MN0.8636
Polk, MN
Grand Forks, ND
2995 Grand Junction, CO0.9633
Mesa, CO
3000 Grand Rapids-Muskegon-Holland, MI0.9469
Allegan, MI
Kent, MI
Muskegon, MI
Ottawa, MI
3040 Great Falls, MT0.8809
Cascade, MT
3060 Greeley, CO0.9372
Weld, CO
3080 Green Bay, WI0.9461
Brown, WI
3120 Greensboro-Winston-Salem-High Point, NC0.9166
Alamance, NC
Davidson, NC
Davie, NC
Forsyth, NC
Guilford, NC
Randolph, NC
Stokes, NC
Yadkin, NC
3150 Greenville, NC0.9098
Pitt, NC
3160 Greenville-Spartanburg-Anderson, SC0.9335
Anderson, SC
Cherokee, SC
Greenville, SC
Pickens, SC
Spartanburg, SC
3180 Hagerstown, MD0.9172
Washington, MD
3200 Hamilton-Middletown, OH0.9214
Butler, OH
3240 Harrisburg-Lebanon-Carlisle, PA0.9164
Cumberland, PA
Dauphin, PA
Lebanon, PA
Perry, PA
3283 Hartford, CT1.2183
Hartford, CT
Litchfield, CT
Middlesex, CT
Tolland, CT
3285 Hattiesburg, MS0.7778
Forrest, MS
Lamar, MS
3290 Hickory-Morganton-Lenoir, NC0.9242
Alexander, NC
Burke, NC
Caldwell, NC
Catawba, NC
3320 Honolulu, HI1.1098
Honolulu, HI
3350 Houma, LA0.7771
Lafourche, LA
Terrebonne, LA
3360 Houston, TX0.9834
Chambers, TX
Fort Bend, TX
Harris, TX
Liberty, TX
Montgomery, TX
Waller, TX
3400 Huntington-Ashland, WV-KY-OH0.9595
Boyd, KY
Carter, KY
Greenup, KY
Lawrence, OH
Cabell, WV
Wayne, WV
3440 Huntsville, AL0.9245
Limestone, AL
Madison, AL
3480 Indianapolis, IN0.9916
Boone, IN
Hamilton, IN
Hancock, IN
Hendricks, IN
Johnson, IN
Madison, IN
Marion, IN
Morgan, IN
Shelby, IN
3500 Iowa City, IA0.9548
Johnson, IA
3520 Jackson, MI0.8986
Jackson, MI
3560 Jackson, MS0.8357
Hinds, MS
Madison, MS
Rankin, MS
3580 Jackson, TN0.8984
Madison, TN
Chester, TN
3600 Jacksonville, FL0.9529
Clay, FL
Duval, FL
Nassau, FL
St. Johns, FL
3605 Jacksonville, NC0.8544
Onslow, NC
3610 Jamestown, NY0.8526
Chautauqua, NY
3620 Janesville-Beloit, WI0.9304
Rock, WI
3640 Jersey City, NJ1.1115
Hudson, NJ
3660 Johnson City-Kingsport-Bristol, TN-VA0.8253
Carter, TN
Hawkins, TN
Sullivan, TN
Unicoi, TN
Washington, TN
Bristol City, VA
Scott, VA
Washington, VA
3680 Johnstown, PA0.8378
Cambria, PA
Somerset, PA
3700 Jonesboro, AR0.7794
Craighead, AR
3710 Joplin, MO0.8681
Jasper, MO
Newton, MO
3720 Kalamazoo-Battlecreek, MI1.0500
Calhoun, MI
Kalamazoo, MI
Van Buren, MI
3740 Kankakee, IL1.0419
Kankakee, IL
3760 Kansas City, KS-MO0.9715
Johnson, KS
Leavenworth, KS
Miami, KS
Wyandotte, KS
Cass, MO
Clay, MO
Clinton, MO
Jackson, MO
Lafayette, MO
Platte, MO
Ray, MO
3800 Kenosha, WI0.9761
Kenosha, WI
3810 Killeen-Temple, TX0.9159
Bell, TX
Coryell, TX
3840 Knoxville, TN0.8820
Anderson, TN
Blount, TN
Knox, TN
Loudon, TN
Sevier, TN
Union, TN
3850 Kokomo, IN0.9045
Howard, IN
Tipton, IN
3870 La Crosse, WI-MN0.9304
Houston, MN
La Crosse, WI
3880 Lafayette, LA0.8207
Acadia, LA
Lafayette, LA
St. Landry, LA
St. Martin, LA
3920 Lafayette, IN0.8824
Clinton, IN
Tippecanoe, IN
3960 Lake Charles, LA0.7841
Calcasieu, LA
3980 Lakeland-Winter Haven, FL0.8855
Polk, FL
4000 Lancaster, PA0.9282
Lancaster, PA
4040 Lansing-East Lansing, MI0.9714
Clinton, MI
Eaton, MI
Ingham, MI
4080 Laredo, TX0.8091
Webb, TX
4100 Las Cruces, NM0.8688
Dona Ana, NM
4120 Las Vegas, NV-AZ1.1528
Mohave, AZ
Clark, NV
Nye, NV
4150 Lawrence, KS0.8074
Start Printed Page 57749
Douglas, KS
4200 Lawton, OK0.8267
Comanche, OK
4243 Lewiston-Auburn, ME0.9383
Androscoggin, ME
4280 Lexington, KY0.8685
Bourbon, KY
Clark, KY
Fayette, KY
Jessamine, KY
Madison, KY
Scott, KY
Woodford, KY
4320 Lima, OH0.9522
Allen, OH
Auglaize, OH
4360 Lincoln, NE1.0033
Lancaster, NE
4400 Little Rock-North Little Rock, AR0.8923
Faulkner, AR
Lonoke, AR
Pulaski, AR
Saline, AR
4420 Longview-Marshall, TX0.9113
Gregg, TX
Harrison, TX
Upshur, TX
4480 Los Angeles-Long Beach, CA1.1795
Los Angeles, CA
4520 Louisville, KY-IN0.9242
Clark, IN
Floyd, IN
Harrison, IN
Scott, IN
Bullitt, KY
Jefferson, KY
Oldham, KY
4600 Lubbock, TX0.8272
Lubbock, TX
4640 Lynchburg, VA0.9134
Amherst, VA
Bedford, VA
Bedford City, VA
Campbell, VA
Lynchburg City, VA
4680 Macon, GA0.8953
Bibb, GA
Houston, GA
Jones, GA
Peach, GA
Twiggs, GA
4720 Madison, WI1.0264
Dane, WI
4800 Mansfield, OH0.9180
Crawford, OH
Richland, OH
4840 Mayaguez, PR0.4795
Anasco, PR
Cabo Rojo, PR
Hormigueros, PR
Mayaguez, PR
Sabana Grande, PR
San German, PR
4880 McAllen-Edinburg-Mission, TX0.8381
Hidalgo, TX
4890 Medford-Ashland, OR1.0772
Jackson, OR
4900 Melbourne-Titusville-Palm Bay, FL0.9776
Brevard, Fl
4920 Memphis, TN-AR-MS0.9009
Crittenden, AR
DeSoto, MS
Fayette, TN
Shelby, TN
Tipton, TN
4940 Merced, CA0.9967
Merced, CA
5000 Miami, FL0.9894
Dade, FL
5015 Middlesex-Somerset-Hunterdon, NJ1.1366
Hunterdon, NJ
Middlesex, NJ
Somerset, NJ
5080 Milwaukee-Waukesha, WI0.9988
Milwaukee, WI
Ozaukee, WI
Washington, WI
Waukesha, WI
5120 Minneapolis-St. Paul, MN-WI1.1001
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, MT0.8800
Missoula, MT
5160 Mobile, AL0.7994
Baldwin, AL
Mobile, AL
5170 Modesto, CA1.1275
Stanislaus, CA
5190 Monmouth-Ocean, NJ1.0956
Monmouth, NJ
Ocean, NJ
5200 Monroe, LA0.7922
Ouachita, LA
5240 Montgomery, AL0.7907
Autauga, AL
Elmore, AL
Montgomery, AL
5280 Muncie, IN0.8824
Delaware, IN
5330 Myrtle Beach, SC0.9112
Horry, SC
5345 Naples, FL0.9790
Collier, FL
5360 Nashville, TN0.9855
Cheatham, TN
Davidson, TN
Dickson, TN
Robertson, TN
Rutherford TN
Sumner, TN
Williamson, TN
Wilson, TN
5380 Nassau-Suffolk, NY1.3140
Nassau, NY
Suffolk, NY
5483 New Haven-Bridgeport-Stamford-Waterbury-Danbury, CT1.2385
Fairfield, CT
New Haven, CT
5523 New London-Norwich, CT1.2183
New London, CT
5560 New Orleans, LA0.9174
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, NY1.4018
Bronx, NY
Kings, NY
New York, NY
Putnam, NY
Queens, NY
Richmond, NY
Rockland, NY
Westchester, NY
5640 Newark, NJ1.1518
Essex, NJ
Morris, NJ
Sussex, NJ
Union, NJ
Warren, NJ
5660 Newburgh, NY-PA1.1509
Orange, NY
Pike, PA
5720 Norfolk-Virginia Beach-Newport News, VA-NC0.8619
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, CA1.4921
Alameda, CA
Contra Costa, CA
5790 Ocala, FL0.9728
Marion, FL
5800 Odessa-Midland, TX0.9327
Ector, TX
Midland, TX
5880 Oklahoma City, OK0.8984
Canadian, OK
Cleveland, OK
Logan, OK
McClain, OK
Oklahoma, OK
Pottawatomie, OK
5910 Olympia, WA1.0963
Thurston, WA
Start Printed Page 57750
5920 Omaha, NE-IA0.9745
Pottawattamie, IA
Cass, NE
Douglas, NE
Sarpy, NE
Washington, NE
5945 Orange County, CA1.1372
Orange, CA
5960 Orlando, FL0.9654
Lake, FL
Orange, FL
Osceola, FL
Seminole, FL
5990 Owensboro, KY0.8374
Daviess, KY
6015 Panama City, FL0.8855
Bay, FL
6020 Parkersburg-Marietta, WV-OH0.8039
Washington, OH
Wood, WV
6080 Pensacola, FL0.8855
Escambia, FL
Santa Rosa, FL
6120 Peoria-Pekin, IL0.8734
Peoria, IL
Tazewell, IL
Woodford, IL
6160 Philadelphia, PA-NJ1.0883
Burlington, NJ
Camden, NJ
Gloucester, NJ
Salem, NJ
Bucks, PA
Chester, PA
Delaware, PA
Montgomery, PA
Philadelphia, PA
6200 Phoenix-Mesa, AZ1.0129
Maricopa, AZ
Pinal, AZ
6240 Pine Bluff, AR0.7865
Jefferson, AR
6280 Pittsburgh, PA0.8901
Allegheny, PA
Beaver, PA
Butler, PA
Fayette, PA
Washington, PA
Westmoreland, PA
6323 Pittsfield, MA1.0432
Berkshire, MA
6340 Pocatello, ID0.9042
Bannock, ID
6360 Ponce, PR0.4708
Guayanilla, PR
Juana Diaz, PR
Penuelas, PR
Ponce, PR
Villalba, PR
Yauco, PR
6403 Portland, ME0.9949
Cumberland, ME
Sagadahoc, ME
York, ME
6440 Portland-Vancouver, OR-WA1.1213
Clackamas, OR
Columbia, OR
Multnomah, OR
Washington, OR
Yamhill, OR
Clark, WA
6483 Providence-Warwick-Pawtucket, RI1.0977
Bristol, RI
Kent, RI
Newport, RI
Providence, RI
Washington, RI
6520 Provo-Orem, UT0.9976
Utah, UT
6560 Pueblo, CO0.9328
Pueblo, CO
6580 Punta Gorda, FL0.9510
Charlotte, FL
6600 Racine, WI0.9304
Racine, WI
6640 Raleigh-Durham-Chapel Hill, NC0.9959
Chatham, NC
Durham, NC
Franklin, NC
Johnston, NC
Orange, NC
Wake, NC
6660 Rapid City, SD0.8806
Pennington, SD
6680 Reading, PA0.9133
Berks, PA
6690 Redding, CA1.1352
Shasta, CA
6720 Reno, NV1.0682
Washoe, NV
6740 Richland-Kennewick-Pasco, WA1.0609
Benton, WA
Franklin, WA
6760 Richmond-Petersburg, VA0.9349
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, CA1.1348
Riverside, CA
San Bernardino, CA
6800 Roanoke, VA0.8700
Botetourt, VA
Roanoke, VA
Roanoke City, VA
Salem City, VA
6820 Rochester, MN1.1739
Olmsted, MN
6840 Rochester, NY0.9430
Genesee, NY
Livingston, NY
Monroe, NY
Ontario, NY
Orleans, NY
Wayne, NY
6880 Rockford, IL0.9666
Boone, IL
Ogle, IL
Winnebago, IL
6895 Rocky Mount, NC0.9076
Edgecombe, NC
Nash, NC
6920 Sacramento, CA1.1845
El Dorado, CA
Placer, CA
Sacramento, CA
6960 Saginaw-Bay City-Midland, MI1.0032
Bay, MI
Midland, MI
Saginaw, MI
6980 St. Cloud, MN0.9506
Benton, MN
Stearns, MN
7000 St. Joseph, MO0.8056
Andrew, MO
Buchanan, MO
7040 St. Louis, MO-IL0.9033
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, OR1.0482
Marion, OR
Polk, OR
7120 Salinas, CA1.4339
Monterey, CA
7160 Salt Lake City-Ogden, UT0.9913
Davis, UT
Salt Lake, UT
Weber, UT
7200 San Angelo, TX0.8535
Tom Green, TX
7240 San Antonio, TX0.8870
Bexar, TX
Comal, TX
Guadalupe, TX
Wilson, TX
7320 San Diego, CA1.1147
San Diego, CA
7360 San Francisco, CA1.4514
Marin, CA
San Francisco, CA
San Mateo, CA
7400 San Jose, CA1.4626
Santa Clara, CA
7440 San Juan-Bayamon, PR0.4909
Aguas Buenas, PR
Barceloneta, PR
Bayamon, PR
Canovanas, PR
Carolina, PR
Catano, PR
Ceiba, PR
Comerio, PR
Corozal, PR
Dorado, PR
Start Printed Page 57751
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, CA1.1429
San Luis Obispo, CA
7480 Santa Barbara-Santa Maria-Lompoc, CA1.0441
Santa Barbara, CA
7485 Santa Cruz-Watsonville, CA1.2942
Santa Cruz, CA
7490 Santa Fe, NM1.0653
Los Alamos, NM
Santa Fe, NM
7500  Santa Rosa, CA1.2877
Sonoma, CA
7510 Sarasota-Bradenton, FL0.9964
Manatee, FL
Sarasota, FL
7520 Savannah, GA0.9472
Bryan, GA
Chatham, GA
Effingham, GA
7560 Scranton-Wilkes-Barre-Hazleton, PA0.8412
Columbia, PA
Lackawanna, PA
Luzerne, PA
Wyoming, PA
7600 Seattle-Bellevue-Everett, WA1.1562
Island, WA
King, WA
Snohomish, WA
7610 Sharon, PA0.8378
Mercer, PA
7620 Sheboygan, WI0.9304
Sheboygan, WI
7640 Sherman-Denison, TX0.9700
Grayson, TX
7680 Shreveport-Bossier City, LA0.9083
Bossier, LA
Caddo, LA
Webster, LA
7720 Sioux City, IA-NE0.8993
Woodbury, IA
Dakota, NE
7760 Sioux Falls, SD0.9309
Lincoln, SD
Minnehaha, SD
7800 South Bend, IN0.9821
St. Joseph, IN
7840 Spokane, WA1.0901
Spokane, WA
7880 Springfield, IL0.8944
Menard, IL
Sangamon, IL
7920 Springfield, MO0.8457
Christian, MO
Greene, MO
Webster, MO
8003 Springfield, MA1.0543
Hampden, MA
Hampshire, MA
8050 State College, PA0.8740
Centre, PA
8080 Steubenville-Weirton, OH-WV (WV Hospitals)0.8398
Jefferson, OH
Brooke, WV
Hancock, WV
8120 Stockton-Lodi, CA1.0404
San Joaquin, CA
8140 Sumter, SC0.8498
Sumter, SC
8160 Syracuse, NY0.9412
Cayuga, NY
Madison, NY
Onondaga, NY
Oswego, NY
8200 Tacoma, WA1.1116
Pierce, WA
8240 Tallahassee, FL0.8855
Gadsden, FL
Leon, FL
8280 Tampa-St. Petersburg-Clearwater, FL0.9103
Hernando, FL
Hillsborough, FL
Pasco, FL
Pinellas, FL
8320 Terre Haute, IN0.8824
Clay, IN
Vermillion, IN
Vigo, IN
8360 Texarkana, AR-Texarkana, TX0.8150
Miller, AR
Bowie, TX
8400 Toledo, OH0.9381
Fulton, OH
Lucas, OH
Wood, OH
8440 Topeka, KS0.9108
Shawnee, KS
8480  Trenton, NJ1.0517
Mercer, NJ
8520 Tucson, AZ0.9270
Pima, AZ
8560 Tulsa, OK0.9185
Creek, OK
Osage, OK
Rogers, OK
Tulsa, OK
Wagoner, OK
8600 Tuscaloosa, AL0.8212
Tuscaloosa, AL
8640 Tyler, TX0.9404
Smith, TX
8680 Utica-Rome, NY0.8526
Herkimer, NY
Oneida, NY
8720 Vallejo-Fairfield-Napa, CA1.3377
Napa, CA
Solano, CA
8735 Ventura, CA1.1064
Ventura, CA
8750 Victoria, TX0.8184
Victoria, TX
8760 Vineland-Millville-Bridgeton, NJ1.0405
Cumberland, NJ
8780 Visalia-Tulare-Porterville, CA0.9967
Tulare, CA
8800 Waco, TX0.8394
McLennan, TX
8840 Washington, DC-MD-VA-WV1.0904
District of Columbia, DC
Calvert, MD
Charles, MD
Frederick, MD
Montgomery, MD
Prince Georges, MD
Alexandria City, VA
Arlington, VA
Clarke, VA
Culpepper, 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, IA0.8416
Black Hawk, IA
8940 Wausau, WI0.9692
Marathon, WI
8960 West Palm Beach-Boca Raton, FL0.9798
Palm Beach, FL
9000 Wheeling, WV-OH0.8018
Belmont, OH
Marshall, WV
Ohio, WV
9040 Wichita, KS0.9238
Butler, KS
Harvey, KS
Sedgwick, KS
9080 Wichita Falls, TX0.8341
Archer, TX
Wichita, TX
9140 Williamsport, PA0.8378
Lycoming, PA
9160 Wilmington-Newark, DE-MD1.0882
New Castle, DE
Cecil, MD
9200 Wilmington, NC0.9563
New Hanover, NC
Brunswick, NC
9260 Yakima, WA1.0388
Yakima, WA
Start Printed Page 57752
9270 Yolo, CA0.9967
Yolo, CA
9280 York, PA0.9119
York, PA
9320 Youngstown-Warren, OH0.9214
Columbiana, OH
Mahoning, OH
Trumbull, OH
9340 Yuba City, CA1.0196
Sutter, CA
Yuba, CA
9360 Yuma, AZ0.9270
Yuma, AZ

37. On page 45584, in Table 4H—Pre-Reclassified Wage Index for Rural Areas, the table is corrected to read as follows:

Nonurban areaWage index
Alabama0.7492
Alaska1.1886
Arizona0.9270
Arkansas0.7734
California0.9967
Colorado0.9328
Connecticut1.2183
Delaware0.9557
Florida0.8855
Georgia0.8595
Hawaii0.9958
Idaho0.8974
Illinois0.8254
Indiana0.8824
Iowa0.8416
Kansas0.8074
Kentucky0.7973
Louisiana0.7451
Maine0.8812
Maryland0.9125
Massachusetts1.0432
Michigan0.8877
Minnesota0.9330
Mississippi0.7778
Missouri0.8056
Montana0.8800
Nebraska0.8822
Nevada0.9806
New Hampshire1.0030
New Jersey 1
New Mexico0.8270
New York0.8526
North Carolina0.8456
North Dakota0.7778
Ohio0.8820
Oklahoma0.7537
Oregon0.9994
Pennsylvania0.8378
Puerto Rico0.4018
Rhode Island 1
South Carolina0.8498
South Dakota0.8195
Tennessee0.7886
Texas0.7780
Utah0.8974
Vermont0.9307
Virginia0.8498
Washington1.0388
West Virginia0.8018
Wisconsin0.9304
Wyoming0.9110
1 All counties within the State are classified as urban.

38. On page 45585, in Table 5—List of Diagnosis-Related Groups (DRGs), Relative Weighting Factors, and Geometric and Arithmetic Mean Length of Stay (LOS), the fourth column (DRG Title),

a. Line 13 ((DRG 28) “Traumatic Stupor & Coma, Coma <1HR Age>17 w cc” is corrected to read “Traumatic Stupor & Coma, Coma <1HR Age>17 w cc”;

b. Line 14 line 59 (DRG 29) “Traumatic Stupor & Coma, Coma >1HR Age<17 w/o cc” is corrected to read “Traumatic Stupor & Coma, Coma <1HR Age>17 w/o cc”;

c. Line 53 (DRG 68), “Otitis Media & URI Age & gt;17 w cc” is corrected to read “Otitis Media & URI Age>17 w cc”; and

d. Line 54 (DRG 69), “Otitis Media & URI Age & gt;17 w/o cc” is corrected to read “Otitis Media & URI Age>17 w/o cc”.

39. On page 45586, in Table 5—List of Diagnosis-Related Groups (DRGs), Relative Weighting Factors, and Geometric and Arithmetic Mean Length of Stay (LOS),

a. Line 25 (DRG 104), fifth column, the figure “7.9351” is corrected to read “7.9389”; and

b. Line 27 (DRG 105), fifth column, the figure “5.7088” is corrected to read “5.7156”.

40. On page 45593, in Table 5—List of Diagnosis-Related Groups (DRGs), Relative Weighting Factors, and Geometric and Arithmetic Mean Length of Stay (LOS),

a. Line 21 (DRG 481),

(1) Sixth column, the figure “19.20” is added; and

(2) Seventh column, the figure “21.80” is added.

b. Line 22, first, second, and third columns, the figures “1”, “9.20”, and “21.80” are corrected by deleting these figures; and

c. Line 36 (DRG 492), the fourth column, the title “Chemotherapy w Acute Leukemia or w use of Hi Dose Chemoagent” is corrected to read “Chemotherapy w Acute Leukemia as Secondary Diagnosis or w use of High Dose Chemotherapy Agent”.

d. Line 49 (DRG 504),

(1) Sixth column, the figure “0.30” is corrected to read “20.30”; and

(2) Seventh column, the figure, “8.00” is corrected to read “28.00”.

41. On page 45594,

a. In Table 5—List of Diagnosis-Related Groups (DRGs), Relative Weighting Factors, and Geometric and Arithmetic Mean Length of Stay (LOS),

(1) Line 10 (DRG 525),

(a) Fifth column, the figure “11.4372” is corrected to read “14.1896”;

(b) Sixth column, the figure “8.90” is corrected to read “10.2”; and

(c) Seventh column, the figure “17.00” is corrected to read “19.6”.

b. In Table 6A—New Diagnosis Codes, first column, line 1, the figure “1 079.82” is corrected to read “079.821 1”.

42. On page 45595, in Table 6A—New Diagnosis Codes, first column,

a. Line 12, the figure “480.31” is corrected to read “480.31 1”; and

b. Line 17, the figure “1 517.3” is corrected to read “517.3”.

43. On page 45596,

a. In Table 6A—New Diagnosis Codes, first column, line 10, the figure “1 V01.82” is corrected to read “V01.82 1”;

b. In Table 6B—New Procedure Codes, line 3,

(1) Column 3, the figure “5” is corrected to read “Y”;

(2) Column 4, the figure “525” is corrected to read “5”; and

(3) Column 5, the figure “525” is added.

44. On pages 45596 and 45597, table heading, the table entitled “Table 6C—Invalid Procedure Codes” is corrected to read “Table 6C—Invalid Diagnosis Codes”.

45. On pages 45638 through 45647, Table 9—Hospital Reclassifications and Redesignations by Individual Hospital—FY 2004 is corrected by—

a. Adding the following entries (in numerical order):

Provider No.Actual MSA or rural areaWage index MSA reclassificationStandardized amount MSA reclassification
040136044400
07001532835600
07003632835483
Start Printed Page 57753
140012141600
3400393415201520
340129341520
340131343150
340144341520
36003716800080
360056320016401640
430028436660

b. Correcting the standardized amount MSA reclassification for the following entries:

Provider No.Published standardized amount MSA reclassificationCorrected standardized amount MSA reclassification
34012666406895

c. Correcting the wage index MSA reclassification for the following entries:

Provider No.Published wage index MSA reclassificationCorrected wage index MSA reclassification
01000534401000
06004920802670
10021727104900
10023257902900
130003506740
19008652007680
3400391520

d. Deleting the following entries:

Provider No.Actual MSA or rural areaWage index MSA reclassificationStandardized amount MSA reclassification
0100440125
10021182803980
31008787606160
330386335660
39019702406160
39026302406160
460011466520

46. On pages 45648 through 45650, Table 10—Mean and .75 Standard Deviation by Diagnosis-Related Group (DRG)—July 2003 is corrected to read:

Table 10.—Mean and .75 Standard Deviation by Diagnosis-Related Group (DRG)—July 2003

DRGCasesMean + .75 standard deviation
124,267$60,950
211,855$35,495
33$38,670
6358$13,422
714,782$44,651
84,189$27,349
91,724$22,103
1018,551$20,645
113,276$14,588
1252,059$14,717
137,063$13,412
14235,629$20,649
1592,689$16,064
Start Printed Page 57754
169,895$20,645
172,722$11,711
1829,545$16,455
198,485$11,848
206,179$45,939
211,884$24,848
222,759$17,693
2311,165$13,566
2458,700$16,388
2527,285$10,243
2620$15,481
274,447$21,583
2813,952$21,942
295,298$11,870
303$15,951
313,927$15,129
321,914$9,563
3423,699$16,230
357,411$10,739
362,093$10,243
371,375$17,454
3895$7,950
39556$10,496
401,550$14,867
421,575$11,705
4394$9,191
441,205$10,735
452,656$12,162
463,449$13,222
471,389$9,033
492,381$28,970
502,411$13,659
51242$14,263
52218$13,403
532,464$19,840
551,481$15,300
56471$14,360
57708$17,369
59114$13,104
61253$20,533
622$17,648
633,018$22,970
643,109$21,265
6539,944$9,647
667,774$9,443
67383$12,823
6811,465$10,817
693,694$8,350
7031$5,312
7179$10,701
72959$11,421
737,654$13,387
7543,245$50,365
7644,348$46,358
772,472$20,249
7839,220$21,219
79167,196$26,768
807,929$14,141
815$17,492
8263,922$23,263
836,703$15,965
841,598$9,061
8522,136$19,978
862,226$11,541
8760,498$22,477
88398,325$14,903
89525,617$17,228
9047,542$10,197
9144$11,589
9215,657$20,101
931,752$12,148
9412,763$18,831
951,650$10,312
9656,023$12,449
9728,360$9,184
989$11,369
9921,198$11,730
1008,182$8,813
10122,194$14,311
1025,584$9,146
103495$306,011
10420,506$130,419
10528,981$93,467
1063,483$119,674
10782,849$87,235
1086,471$91,161
10957,053$64,104
11054,627$67,935
1119,477$42,482
11339,525$46,445
1148,280$27,158
11519,730$59,709
116115,521$39,243
1174,698$22,635
1188,243$27,186
1191,239$21,882
12038,097$37,461
121162,443$25,794
12276,199$16,778
12338,308$25,403
124135,070$23,506
12591,605$18,143
1265,371$42,207
127667,674$16,687
1287,104$11,969
1293,828$16,850
13088,024$15,441
13126,812$9,413
132141,313$10,559
1338,584$9,090
13440,950$9,979
1357,749$14,879
1361,177$9,660
138206,600$13,753
13986,760$8,638
14054,470$8,802
141108,038$12,460
14252,222$9,661
143247,984$9,176
14494,294$19,911
1457,277$9,758
14610,717$45,045
1472,622$25,606
148133,149$55,961
14919,992$23,891
15021,026$47,648
1515,108$21,887
1524,537$31,514
1532,042$18,743
15428,242$66,985
1556,581$21,615
1564$13,610
1578,229$21,199
1584,302$10,898
15918,005$22,652
16012,068$13,727
16110,697$18,978
1626,319$10,842
1638$8,496
1645,354$38,494
1652,318$20,220
1664,177$23,548
1674,064$14,643
1681,430$21,184
169808$12,591
17015,615$46,595
1711,508$20,124
17231,193$22,687
1732,456$12,789
174249,690$16,591
17534,572$9,382
17613,384$17,977
1779,012$15,382
1783,345$11,611
17913,115$17,902
18089,518$15,767
18126,863$9,013
182270,142$13,570
18390,281$9,726
18475$7,829
1855,350$14,122
1866$13,840
187632$13,047
18883,496$18,050
18913,002$10,094
19076$13,314
1919,509$70,693
1921,318$30,582
1934,791$56,646
194646$27,181
1953,986$50,267
196985$26,442
19718,180$42,215
1985,338$20,057
1991,639$40,105
2001,076$48,840
2012,132$60,824
20226,597$21,538
20329,851$22,690
20465,032$18,780
20527,308$19,560
2062,040$11,756
20732,486$19,030
20810,054$11,133
209397,136$32,251
210122,325$29,402
21129,910$20,102
21210$24,400
2139,941$30,927
2168,759$35,017
21717,302$48,569
21823,856$26,012
21919,900$16,947
22313,264$17,479
22411,697$13,087
2256,458$19,210
2265,850$25,118
2274,833$13,561
2282,523$19,156
2291,259$11,806
2302,453$21,335
Start Printed Page 57755
232817$15,763
2339,955$33,217
2345,357$20,460
2355,077$12,131
23639,734$11,649
2371,762$9,959
2388,853$22,389
23945,836$17,055
24011,991$20,968
2413,139$10,476
2422,575$18,916
24395,842$12,511
24414,536$11,855
2455,794$8,060
2461,483$9,996
24720,262$9,546
24813,801$14,154
24912,889$10,969
2503,771$11,727
2512,358$7,723
25321,978$12,388
25410,705$7,450
2566,679$13,456
25715,630$14,551
25815,172$11,527
2593,515$15,356
2604,202$11,332
2611,785$14,931
262663$15,556
26323,018$32,927
2643,859$17,783
2654,097$25,386
2662,544$14,569
267240$16,311
268921$19,160
2699,800$28,934
2702,790$13,512
27119,129$16,800
2725,696$16,372
2731,322$10,402
2742,283$19,471
275227$9,759
2761,315$10,938
27799,585$14,304
27831,973$9,001
27910$12,862
28017,758$11,723
2817,518$8,138
2836,010$11,903
2842,013$7,089
2856,942$34,194
2862,497$33,219
2876,223$30,590
2885,643$35,074
2896,933$15,251
2909,910$14,457
29159$10,867
2926,506$45,369
293366$23,584
29497,377$12,578
2953,548$13,073
296277,113$14,025
29747,860$8,433
298115$7,607
2991,268$15,188
30018,635$18,300
3013,592$10,394
3028,919$52,568
30321,743$38,927
30412,600$38,885
3053,040$19,958
3067,011$20,007
3072,011$10,074
3087,246$25,931
3094,147$15,113
31024,762$18,844
3117,439$10,426
3121,516$17,596
313554$11,488
3142$322,531
31534,014$33,973
316118,639$21,267
3172,029$13,340
3185,737$19,749
319408$11,321
320185,666$14,359
32130,824$9,396
32254$7,725
32319,804$13,565
3246,943$8,142
3259,200$10,835
3262,722$7,123
3277$5,731
328742$12,602
32991$8,723
33151,130$17,377
3324,964$10,097
333268$14,821
33410,503$24,076
33512,644$17,706
33635,736$13,949
33729,363$9,573
338930$19,992
3391,475$18,262
3413,579$21,414
342687$12,913
3443,568$22,429
3451,361$18,321
3464,823$17,335
347311$9,389
3483,394$12,387
349611$7,947
3506,669$12,143
352956$11,679
3532,555$29,268
3547,393$23,963
3555,523$14,500
35625,715$12,441
3575,609$37,303
35821,488$19,224
35931,686$13,249
36015,637$14,188
361344$17,957
3625$13,102
3632,508$15,450
3641,624$14,985
3651,828$33,961
3664,555$20,584
367481$9,537
3683,547$19,121
3693,462$10,155
3701,377$15,561
3711,735$10,212
372965$8,800
3734,195$6,098
37499$11,825
376328$8,877
37753$17,821
378171$12,848
379360$5,868
38096$7,077
381194$8,851
38249$3,600
3832,009$8,066
384133$5,926
3852$22,090
3922,277$53,937
3942,592$31,013
395106,920$13,517
39619$11,854
39718,865$19,906
39818,054$20,397
3991,675$11,244
4015,843$48,194
4021,464$19,205
40331,718$29,897
4044,318$14,782
4062,416$44,198
407641$20,591
4082,107$35,182
4092,155$20,799
41028,305$18,044
4117$6,308
41217$9,840
4135,303$22,045
414632$12,457
41543,248$59,623
416190,961$25,953
41741$16,917
41825,757$17,318
41916,258$14,095
4203,154$10,282
42110,646$11,935
42268$10,056
4238,039$28,618
4241,258$39,774
42516,028$11,214
4264,549$8,538
4271,600$8,463
428793$11,410
42927,000$13,332
43064,921$11,267
431316$10,220
432448$10,690
4335,537$4,752
4391,516$27,413
4405,775$29,517
441684$15,097
44217,534$39,029
4433,910$16,540
4445,723$12,286
4452,544$8,456
4476,473$8,222
44932,997$13,374
4507,419$7,054
45225,608$16,753
4535,670$8,623
4544,756$13,210
4551,066$8,058
4614,964$19,286
4629,653$16,368
Start Printed Page 57756
46326,785$11,378
4647,137$8,327
465197$10,114
4661,716$11,143
4671,099$7,982
46851,309$63,557
470860$28,413
47113,222$48,749
4738,064$53,842
475109,073$61,001
4763,631$38,059
47726,262$30,961
478107,707$39,719
47923,849$24,028
480627$160,255
481861$105,050
4825,284$57,555
48345,589$273,650
484345$91,730
4853,244$52,335
4862,218$81,989
4873,885$32,670
488752$79,121
48913,365$29,515
4905,439$17,149
49115,267$27,730
4923,092$62,862
49359,236$30,239
49428,580$16,623
495199$139,829
4962,489$95,191
49721,941$56,996
49815,707$42,663
49934,575$23,446
50049,702$15,440
5012,596$42,839
502774$23,764
5035,957$20,407
504128$203,606
505136$26,710
506923$68,196
507343$30,206
508622$21,886
509156$10,594
5101,634$18,264
511586$10,560
512505$87,711
513214$97,229
5158,235$91,055
51633,015$38,062
51768,536$30,211
51848,849$29,634
5199,009$40,231
52012,990$26,021
52130,580$11,606
5225,993$8,691
52315,190$6,564
524131,223$12,175
525583$195,369
52651,533$41,296
527135,957$33,156
5281,591$122,442
5293,656$36,874
5302,681$19,867
5313,839$51,789
5322,961$24,910
53343,024$27,417
53451,857$17,726
5356,061$135,910
53620,673$104,255
5376,861$30,151
5386,415$16,597
5394,443$55,375
5401,884$21,594

47. On pages 45661 through 45662, in Table I—Impact Analysis of Final Changes for FY 2004 Operating Prospective Payment System (Percent of Changes in Payments per Case), columns 4 and 10 are corrected to read as follows:

Table I.—Impact Analysis of Final Changes For FY 2004 Operating Prospective Payment System

(Percent changes in payments per case)

Published new wage data) 4Corrected new wage data 4Published all FY 2004 changes 10Corrected all FY 2004 changes 10
(4)(4)(10)(10)
By Geographic Location
All hospitals−0.3−0.21.81.8
Urban hospitals−0.3−0.21.21.2
Large urban areas(populations over 1 million)−0.3−0.21.11.1
Other urban areas(populations of 1 million of fewer)−0.3−0.31.41.4
Rural hospitals−0.30.15.85.9
Bed Size (Urban):
0-99 beds0.00.12.12.1
100-199 beds−0.3−0.21.21.2
200-299 beds−0.3−0.31.41.4
300-499 beds−0.10.00.80.8
500 or more beds−0.7−0.61.41.4
Bed Size (Rural):
0-49 beds−0.40.16.05.8
50-99 beds−0.30.16.26.1
100-149 beds−0.40.06.06.1
150-199 beds−0.20.44.44.7
200 or more beds−0.10.25.76.1
Urban by Region:
New England−0.3−0.52.82.8
Middle Atlantic−0.9−0.8−2.8−2.7
South Atlantic−0.1−0.12.72.6
East North Central−0.6−0.62.72.6
East South Central0.10.22.92.8
West North Central0.00.13.13.1
West South Central−0.10.01.61.5
Mountain0.50.84.44.3
Pacific−0.10.1−0.6−0.6
Puerto Rico−0.3−0.22.82.7
Start Printed Page 57757
Rural by Region:
New England−0.20.26.86.7
Middle Atlantic−0.4−0.34.14.0
South Atlantic−0.10.25.35.6
East North Central0.10.54.55.0
East South Central−0.4−0.24.74.7
West North Central−0.10.77.97.8
West South Central−0.6−0.25.85.7
Mountain−0.30.07.16.8
Pacific−0.60.08.78.5
Puerto Rico−4.2−4.3−0.3−0.4
By Payment Classification:
Urban hospitals−0.3−0.21.21.3
Large urban areas (populations over 1 million)−0.3−0.21.21.3
Other urban areas (populations of 1 million of fewer)−0.3−0.31.31.2
Rural areas−0.30.15.95.8
Teaching Status:
Non-teaching−0.20.02.62.6
Fewer than 100 Residents−0.20.01.31.3
100 or more Residents−0.7−0.71.21.3
Urban DSH:
Non-DSH−0.20.02.52.5
100 or more beds−0.4−0.30.91.0
Less than 100 beds−0.10.10.90.8
Rural DSH:
Sole Community (SCH)−0.20.010.09.7
Referral Center (RRC)−0.30.24.54.5
Other Rural: 100 or more beds−0.7−0.32.52.5
Less than 100 beds−0.6−0.12.82.6
Urban teaching and DSH:
DSH−0.4−0.30.90.9
Teaching and no DSH−0.3−0.22.12.1
No teaching and DSH−0.3−0.21.01.0
No teaching and no DSH−0.10.01.81.8
Rural Hospital Types:
Non special status hospitals−0.5−0.12.72.8
RRC−0.20.53.53.5
SCH−0.10.010.810.5
Medicare-dependent hospitals (MDH)−0.50.23.33.1
SCH and RRC−0.20.07.47.2
Type of Ownership:
Voluntary−0.3−0.22.22.2
Proprietary0.00.1−2.1−2.2
Government−0.4−0.24.04.0
Unknown 5−1.0−0.93.53.5
Medicare Utilization as a Percent of Inpatient Days:
0-250.10.32.52.5
25-50−0.4−0.31.21.2
50-65−0.3−0.22.82.8
Over 65−0.20.01.11.1
Unknown0.10.31.71.7
Hospitals Reclassified by the Medicare Geographic Classification Review Board: FY 2004 Reclassifications:
All Reclassified Hospitals−0.30.12.62.7
Standardized Amount Only−0.8−0.45.45.4
Wage Index Only−0.30.01.92.0
Both−0.30.14.15.8
Nonreclassified Hospitals−0.3−0.21.81.8
All Reclassified Urban Hospitals−0.3−0.2−1.8−1.8
Standardized Amount Only−0.9−0.8−4.64.8
Wage Index Only−0.3−0.3−4.1−4.2
Both0.10.24.14.1
Urban Nonreclassified Hospitals−0.3−0.21.41.4
All Reclassified Rural Hospitals−0.20.25.55.7
Standardized Amount Only−0.10.42.36.9
Wage Index Only−0.30.25.75.6
Start Printed Page 57758
Both0.00.65.45.4
Rural Nonreclassified Hospitals−0.30.06.26.2
Other Reclassified Hospitals (Section 1886(D)(8)(B))0.0−0.33.03.5
4 This column displays the impact of updating the wage index with wage data from hospitals' FY 2000 cost reports.
10 This column shows changes in payments from FY 2003 to FY 2004. It incorporates all of the changes displayed in columns 2, 3, and 8 of the final rule (the changes displayed in columns 4, 5, and 6 are included in column 8). It also reflects the impact of the FY 2004 update, changes in hospitals' reclassification status in FY 2004 compared to FY 2003, and the difference in outlier payments from FY 2003 to FY 2004. The sum of these impacts may be different from the percentage changes shown here due to rounding and interactive effect.

48. On page 45662, in Table I—Impact Analysis of Final Changes for FY 2004 Operating Prospective Payment System (Percent of Changes in Payments per Case), line 39 (All Reclassified Hospitals—Standardized Amount Only), column 10 the figure “−4.6” is corrected to read “4.6”.

49. On page 45664, bottom half of the page,

a. First column, second full paragraph, line 13, the figure “1.005522” is corrected to read “1.002588”.

b. Second column, second full paragraph, lines 8 and 9, the figure “$ 4.4 million” is corrected to read “2.2 million”; and

c. Third column, first partial paragraph, line 1, the figure “1.005522” is corrected to read “1.002588”.

50. On page 45670, first column, first paragraph, fourth bulleted item,

a. Line 4, the figure “1.0059” is corrected to read “1.0026”; and

b. Line 5, the figure “0.9522” is corrected to read “0.9523”.

III. Waiver of Proposed Rulemaking and Delay in Effective Date

We ordinarily publish a notice of proposed rulemaking in the Federal Register to provide a period for public comment before the provisions of a document take effect. However, we can waive this procedure, if we find good cause that notice and comment procedure is impracticable, unnecessary, or contrary to the public interest and incorporate a statement of the finding and the reasons for it into the notice issued. We can also waive the 30-day delayed effective date of the Administrative Procedure Act (5 U.S.C. 553(d)) when there is good cause to do so and we publish in the rule an explanation of our good cause.

In this document, we are correcting an error related to our discussion of DRG 525, and the assignment of procedure code 37.62. In light of the much lower charges associated with code 37.62, we are removing all cases with code 37.62 from DRG 525 and reassigning them to DRGs 104 and 105. This correction is necessary to ensure adequate payment for this procedure and for the other procedures that will continue to be assigned to DRG 525. Especially because these are frequently life-saving procedures, it is important that the Medicare payment amount better reflect hospitals' true costs in performing these procedures. We are concerned that, without this correction, payments for the other procedures in DRG 525, particularly procedure code 37.66, will be inadequate. As a result, Medicare beneficiaries' access to these important procedures could be limited. Accordingly, we believe there is a compelling public interest to waive notice and comment rulemaking, as well as the 30-day delay in effective date, for this correction.

We also find it unnecessary to undertake notice and comment rulemaking with respect to the other corrections contained in this document because the remainder of this document merely provides technical corrections to the final rule. We are merely correcting computational or technical errors and making a variety of typographical and grammatical corrections. We are not making changes to payment methodology or payment policy. For example, our changes to the hospital wage index and budget neutrality factor are based upon computational methodologies for which we previously provided notice and received comments. By correcting these data we are not announcing new computational methodologies, but merely ensuring that the data used in the calculations are correct. Similarly, our changes to the add-on payment for InFUSE merely incorporate the correct data into our previously published methodologies for calculating add-on payments. Thus, because the public has already had the opportunity to comment on the payment methodology used in IPPS, additional comment would be unnecessary.

In addition, we believe it is impracticable at this point in time to solicit additional comments or to delay the effective date of these corrections beyond October 1, 2003. The Social Security Act, in section 1886(d)(3), requires a national adjusted DRG prospective payment rate to be in place at the beginning of the fiscal year. Because the fiscal year begins on October 1, 2003, it is imperative that we ensure that the correct rates are in place by October 1, 2003, and it would not have been possible to publish a notice and receive comments on it in the brief period of time between discovering our errors and the October 1, 2003 effective date for the updated IPPS rates.

Finally, we believe that engaging in notice and comment prior to making these corrections or delaying the effective date beyond October 1, 2003 would be contrary to the public interest. As a matter of good public policy, the rates used in the IPPS should not be based on miscalculations or inappropriate data. The public interest is served by ensuring that the rates used in the IPPS are correct. Thus, it would be contrary to the public interest to delay implementing such corrected rates in order either to engage in notice and comment rulemaking or to provide for a 30-day delay in effective date. Therefore, we find good cause to waive notice and comment procedures, as well as the 30-day delay in effective date.

(Catalog of Federal Domestic Assistance Program No. 93.773, Medicare—Hospital Insurance; and Program No. 93.774, Medicare—Supplementary Medical Insurance Program)

Start Signature

Dated: Sepember 30, 2003.

Ann C. Agnew,

Executive Secretary to the Department.

End Signature End Supplemental Information

[FR Doc. 03-25192 Filed 9-30-03; 3:27 pm]

BILLING CODE 4120-01-P