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Proposed Rule

Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2005 Rates; Correction

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Start Preamble Start Printed Page 35920

AGENCY:

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

ACTION:

Correction of proposed rule.

SUMMARY:

This document corrects technical errors that occurred in the proposed rule entitled “Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2005 Rates,” including technical errors in four of the tables containing the proposed wage index values for FY 2005 (69 FR 28196, May 18, 2004).

Start Further Info

FOR FURTHER INFORMATION CONTACT:

James Hart, (410) 786-9520.

End Further Info End Preamble Start Supplemental Information

SUPPLEMENTARY INFORMATION:

I. Background

FR Doc. 04-10932 contains our proposed rule to update the Medicare hospital inpatient prospective payment system for fiscal year (FY) 2005 and to implement a number of changes made by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, Public Law 108-173 (69 FR 28196, May 18, 2004). We have identified a number of technical errors and are correcting them in sections II. and III. of this preamble. These errors include:

  • On page 28223, third column, lines 57 through 60, in our discussion of drug-eluting stents under section “b. Coronary Stent Procedures” under item “16. Other DRG Issues,” we cited incorrect numbers of cases involving drug-eluting stents in DRGs 526 and 527 from the FY 2003 MedPAR file.
  • On page 28224, second column, under section “d. Implantable Cardiac Defibrillators” under item “16. Other DRG Issues,” we discussed a request for a national coverage determination (NCD) we had received on potential payment mechanisms to encourage the use of simple, single-lead implantable defibrillators when medically indicated, rather than expensive, technologically complex devices. The proposed rule stated that “The requestor further added that CMS could restrict use of complex defibrillators to patients for whom they are medically necessary, that is, in the population at low-moderate risk for sudden cardiac death.” We incorrectly associated this suggestion with the requestor, a manufacturer of defibrillators. CMS staff actually made this suggestion as part of the NCD on implantable defibrillators that is currently being reviewed. We regret any incorrect impression that may have been conveyed to the public regarding the manufacturer.
  • In the Addendum of the proposed rule, errors in four of the tables containing wage index values resulted from the inadvertent omission of one of the geographic statistical areas that caused a misalignment of the stated wage index values in the tables for a number of areas.

1. On pages 28525 through 28535, in Table 3A—FY 2005 and 3-Year Average Hourly Wage for Urban Areas, the average hourly wages entries in columns 2 and 3 for 42 geographic areas (the entries for Erie, PA through Greensboro-High Point, NC, the entries for Newark-Union, NJ-PA through New York-Wayne-White Plains, NY-NJ, and the entries for Portland-South Portland-Biddeford, ME through Port St. Lucie-Fort Pierce, FL) are misaligned and, therefore, incorrectly stated. We are publishing the corrected Table 3A in its entirety under section III. of this notice.

2. On page 28539 through 28579, in Table 4A—Wage Index and Capital Geographic Adjustment Factor (GAF) for Urban Areas, we inadvertently omitted four geographic areas. The geographic areas that were inadvertently omitted are as follows:

CBSA 21420, Enid, OK

CBSA 27460, Jamestown, NY

CBSA 29940, Lawrence, KS

CBSA 41140, St. Joseph, MO-KS

In CBSAs 21420 and 27460, all hospitals in these areas maintain their assignment to the geographic areas where they are currently located for the 3-year period, FY 2005, FY 2006, and FY 2007.

In CBSA 29940 and 41140, all hospitals geographically located in these areas are classified as rural under section 401 of the Medicare, Medicaid, and SCHIP [State Children's Health Insurance Program] Balanced Budget Refinement Act of 1999, Public Law 106-554. The areas are assigned the statewide rural-wide wage index values.

We are publishing the corrected Table 4A in its entirety under section III. of this notice.

3. On page 28586, in Table 4C—Wage Index and Capital Geographic Adjustment Factor (GAF) for Hospitals that are Reclassified, we incorrectly included two entries for Wilmington, NC. The first of these two entries should have been for Wilmington, DE.

4. On pages 28589 through 28628, in Table 4G—Pre-Reclassified Wage Index for Urban Areas, due to a misalignment of the CBSA code and urban area with the wage index value, we inadvertently published incorrect wage index values for 195 areas between CBSA 21420 and CBSA 41100. We are publishing the corrected Table 4G in its entirety under section III. of this notice.

We note that as soon as we discovered the errors in these four wage index tables after publication of the May 18, 2004 proposed rule, we posted the corrected tables on the CMS Web site: www.cms.hhs.gov. We also notified providers, fiscal intermediaries, and health organizations through the Internet.

  • On pages 28663 through 28667, in Table 6A—New Diagnosis Codes, in the row entry for codes 521.06, through 528.79, in the “MDC” column, the MDC designations specifying “PRE” and “3” should have appeared on separate lines. For the convenience of the reader, we are publishing a corrected Table 6A in its entirety under section III. of this notice.
  • On pages 28671 through 28674, in Table 6B—New Procedure Codes, we inadvertently omitted some of the MDC and DRG assignments entries in columns 4 and 5 for codes 84.59 through 84.69. For the convenience of the reader, we are publishing the corrected Table 6B in its entirety in section III. of this notice.
  • On pages 28768 through 28770, in Table 9B—Hospital Reclassifications and Redesignations by Individual Hospital under Section 508 of Public Law 108-173—FY 2004, we incorrectly stated the “Wage index CBSA 508 Reclassification” entries in column 5 and the “Nearest County” designations identified in column 6 for several areas. The errors resulted from a programming error that occurred during the development of the data file. In section III. of this notice, we are publishing a corrected Table 9B in its entirety to reflect the corrected new (section 508) wage index MSA reclassifications and the identification of the nearest county.
  • We are also correcting typographical, formatting, or other errors that appeared on various other pages of the FR document, as cited in sections II. and III. of this notice.

The comment period for the proposed rule ends on July 12, 2004 (69 FR 28196). Accordingly, we are correcting these technical errors in the preamble Start Printed Page 35921language and tables to assist interested parties in their review of the proposed rule. These corrections do not alter the substance of any of the proposals that were contained in the proposed rule.

II. Corrections to Errors in Preamble

In FR Doc. 04-10932 (69 FR 28196, May 18, 2004), make the following corrections:

1. On page 28205, third column, line 17, the figure “522” is corrected to read “518”.

2. On page 28212, second column, lines 12 and 13, the phrase “principal diagnosis of extensive third degree burns” is corrected to read “principal or secondary diagnosis of extensive third degree burns”.

3. On page 28223, third column, lines 57 through 60, the sentence “There have been a total of 42,356 cases in DRG 526, and 33,179 cases in DRG 527, with adjustments made for transfers to other facilities.” is corrected to read “There have been a total of approximately 11,084 cases in DRG 526 and 48,097 cases in DRG 527, with adjustments made for transfers to other facilities.”

4. On page 28224, second column, lines 13 through 21, the two sentences “The requestor indicated that, as part of CMS' coverage decisions, CMS could expand the population eligible for implantable defibrillators. The requestor further added that CMS could restrict use of complex defibrillators to patients for whom they are medically necessary, that is in the population at low-moderate risk for sudden cardiac death.” are deleted, and the sentence “As part of CMS' coverage decision, we are considering whether to restrict the use of complex defibrillators to patients for whom they are medically necessary; that is, the population at low-moderate risk for sudden cardiac death.” is added in their place.

5. On page 28269, second column, line 30, the term “FY 2004” is corrected to read “FY 2005”.

6. On page 28272, first column, line 62, the word “leans” is corrected to read “learns.”

7. On page 28273, first column, lines 12 and 24, the term “tracheostomy” is corrected to read “tracheostomy”.

8. On page 28273, first column, lines 59 and 60, the phrase “FY 2003 GROUPER Version 22.0” is corrected to read “FY 2005 GROUPER Version 22.0.”

9. On page 28317, second column, line 40, the date “2003” is corrected to read “2002”.

10. On page 28333, first column, line 59, the term “reviewer” is corrected to read “institution”.

11. On page 28353, second column, line 56, the phrase “rural area, or from a rural area to” is corrected to read “rural area, or from an urban area to”.

12. On page 28353, second column, line 66, the phrase “rural area to another urban area for the” is corrected to read “urban area to another urban area for the”.

13. On page 28369, third column, line 41, the term “reviewer” is corrected to read “institution”.

III. Corrections to Tables in the Addendum

In FR Doc. 04-10932 (69 FR 28196, May 18, 2004), make the following corrections to the specified tables in the Addendum:

1. On pages 28525 through 28535, Table 3A—FY 2005 and 3-Year Average Hourly Wage for Urban Areas is corrected to read as follows:

Table 3A.—FY 2005 and 3-Year* Average Hourly Wage for Urban Areas

[* Based on the sum of the salaries and hours computed for Federal Fiscal Years 2003, 2004, and 2005]

Urban areaFY 2005 average hourly wage3-Year average hourly wage
Abilene, TX20.719218.9824
Aguadilla-Isabela-San Sebastián, PR11.265510.7453
Akron, OH23.832522.9962
Albany, GA29.723327.0817
Albany-Schenectady-Troy, NY22.833921.1332
Albuquerque, NM26.730423.7887
Alexandria, LA21.552319.8721
Allentown-Bethlehem-Easton, PA-NJ25.078723.9067
Altoona, PA22.272121.8268
Amarillo, TX24.209822.4647
Ames, IA24.983523.3759
Anchorage, AK32.061830.6014
Anderson, IN23.053922.1872
Anderson, SC22.843121.2369
Ann Arbor, MI29.090827.7788
Anniston-Oxford, AL20.811019.8344
Appleton, WI23.968722.3453
Asheville, NC24.231723.1925
Athens-Clarke County, GA26.316324.7864
Atlanta-Sandy Springs-Marietta, GA26.096824.7895
Atlantic City, NJ28.191326.9178
Auburn-Opelika, AL21.639220.7095
Augusta-Richmond County, GA-SC24.104923.7946
Austin-Round Rock, TX25.288923.8238
Bakersfield, CA26.469424.5972
Baltimore-Towson, MD26.037724.5999
Bangor, ME26.185124.5706
Barnstable Town, MA31.456831.4010
Baton Rouge, LA21.935720.6202
Battle Creek, MI24.008223.1843
Bay City, MI25.240524.2291
Beaumont-Port Arthur, TX22.515720.9402
Bellingham, WA30.746329.4910
Start Printed Page 35922
Bend, OR27.927326.2021
Bethesda-Frederick-Gaithersburg, MD28.901827.1525
Billings, MT23.644022.3010
Binghamton, NY22.305820.8442
Birmingham-Hoover, AL23.951822.6209
Bismarck, ND19.785519.3431
Blacksburg-Christiansburg-Radford, VA21.045220.0679
Bloomington, IN22.681521.6305
Bloomington-Normal, IL23.921722.3486
Boise City-Nampa, ID24.608323.0621
Boston-Quincy, MA30.624829.0263
Boulder, CO26.480224.7280
Bowling Green, KY21.459320.8100
Bremerton-Silverdale, WA27.962026.5966
Bridgeport-Stamford-Norwalk, CT33.851532.2888
Bristol, VA20.929819.1025
Brownsville-Harlingen, TX26.759224.2502
Brunswick, GA31.517325.9538
Buffalo-Niagara Falls, NY24.583323.3255
Burlington, NC23.347922.3446
Burlington-South Burlington, VT24.551923.9875
Cambridge-Newton-Framingham, MA29.443527.2369
Camden, NJ28.084726.6655
Canton-Massillon, OH23.442422.2411
Cape Coral-Fort Myers, FL24.661423.8158
Carson City, NV27.240625.0243
Casper, WY24.453423.1390
Cedar Rapids, IA23.625822.2100
Champaign-Urbana, IL25.078124.7625
Charleston, WV23.332521.9766
Charleston-North Charleston, SC24.657623.0430
Charlotte-Gastonia-Concord, NC-SC25.633324.3300
Charlottesville, VA27.123825.4502
Chattanooga, TNGA24.272622.6360
Cheyenne, WY23.762321.9411
Chicago-Naperville-Joliet, IL28.444527.1142
Chico, CA27.801425.3690
Cincinnati-Middletown, OH-KY-IN25.059123.3569
Clarksville, TN-KY21.103620.3476
Cleveland, TN20.702719.6847
Cleveland-Elyria-Mentor, OH25.415023.9998
Coeur d'Alene, ID24.570023.4802
College Station-Bryan, TX22.359121.7365
Colorado Springs, CO25.762624.4544
Columbia, MO21.956521.0526
Columbia, SC23.849122.4081
Columbus, GA-AL22.900421.3117
Columbus, IN24.903123.5191
Columbus, OH25.651724.0771
Corpus Christi, TX22.780821.3078
Corvallis, OR27.729527.6296
Cumberland, MD-WV22.789320.3329
Dallas-PlanoIrving, TX26.531624.9176
Dalton, GA24.502223.5790
Danville, IL22.129821.6265
Danville, VA23.113922.0447
Davenport-Moline-Rock Island, IA-IL23.072821.9290
Dayton, OH24.502323.1075
Decatur, AL23.437422.1047
Decatur, IL21.298220.0769
Deltona-Daytona Beach-Ormond Beach, FL22.789222.0973
Denver-Aurora, CO28.684726.7513
Des Moines, IA24.419622.5843
Detroit-Livonia-Dearborn, MI27.285425.8075
Dothan, AL19.952319.1936
Dover, DE25.183123.7712
Dubuque, IA22.998721.7824
Duluth, MN-WI27.469625.6665
Start Printed Page 35923
Durham, NC27.109625.6687
Eau Claire, WI23.959822.4824
Edison, NJ29.340227.5086
El Centro, CA23.458622.4957
Elizabethtown, KY22.907120.9570
Elkhart-Goshen, IN24.412423.7579
Elmira, NY22.314720.8650
El Paso, TX24.212522.8475
Erie, PA22.892921.6426
Essex County, MA28.040226.1158
Eugene-Springfield, OR28.790227.8766
Evansville, IN-KY22.100120.6171
Fairbanks, AK29.319928.0993
Fajardo, PR10.553110.3744
Fargo, ND-MN24.022123.5747
Farmington, NM21.216421.8840
Fayetteville, NC24.677922.5084
Fayetteville-Springdale-Rogers, AR-MO22.804320.8321
Flagstaff, AZ28.404127.6198
Flint, MI29.409527.3393
Florence, AL20.815219.3461
Florence, SC22.451021.3335
Fond du Lac, WI26.082124.1790
Fort Collins-Loveland, CO26.663725.0766
Fort Lauderdale-Pompano Beach-Deerfield Beach, FL26.763225.3385
Fort Smith, AR-OK21.848720.2453
Fort Walton Beach-Crestview-Destin, FL23.149222.6355
Fort Wayne, IN25.829823.9115
Fort Worth-Arlington, TX25.015323.3197
Fresno, CA28.013825.8765
Gadsden, AL21.267620.4740
Gainesville, FL19.850121.8864
Gainesville, GA25.196823.1944
Gary, IN24.523923.3155
Glens Falls, NY22.368020.9769
Goldsboro, NC23.124321.6987
Grand Forks, ND-MN24.105121.9885
Grand Junction, CO26.154924.0220
Grand Rapids-Wyoming, MI24.862323.4427
Great Falls, MT23.381421.9663
Greeley, CO24.939623.3099
Green Bay, WI25.244023.6155
Greensboro-High Point, NC24.261322.8768
Greenville, NC24.141422.5921
Greenville, SC24.416023.4426
Guayama, PR10.55599.9125
Gulfport-Biloxi, MS23.539022.4842
Hagerstown-Martinsburg, MD-WV25.671823.1815
Hanford-Corcoran, CA24.576221.7460
Harrisburg-Carlisle, PA24.651223.0614
Harrisonburg, VA24.448822.6337
Hartford-West Hartford-East Hartford, CT29.203628.2830
Hattiesburg, MS19.424918.4478
Hickory-Lenoir-Morganton, NC24.997822.9254
Hinesville-Fort Stewart, GA20.385519.3480
Holland-Grand Haven, MI24.927123.6522
Honolulu, HI28.911027.6426
Hot Springs, AR24.413022.4838
Houma-Bayou Cane-Thibodaux, LA20.452319.7139
Houston-Baytown-Sugar Land, TX26.276524.3806
Huntington-Ashland, WV-KY-OH25.199924.0420
Huntsville, AL23.267922.2981
Idaho Falls, ID23.824122.0793
Indianapolis, IN26.557624.6427
Iowa City, IA25.405123.7752
Ithaca, NY25.751524.3335
Jackson, MI24.060622.7959
Jackson, MS21.834520.7075
Start Printed Page 35924
Jackson, TN23.429722.4121
Jacksonville, FL25.135823.5679
Jacksonville, NC22.103620.7500
Janesville, WI25.284923.7717
Jefferson City, MO21.958021.3716
Johnson City, TN21.007519.8585
Johnstown, PA22.075521.0851
Jonesboro, AR21.031019.4623
Joplin, MO22.992721.5121
Kalamazoo-Portage, MI28.168126.8790
Kankakee-Bradley, IL27.739626.1968
Kansas City, MO-KS25.305223.9705
Kennewick-Richland-Pasco, WA27.683026.9371
Killeen-Temple-Fort Hood, TX24.452523.7215
Kingsport-Bristol, TN-VA21.706820.9083
Kingston, NY23.331022.8485
Knoxville, TN22.569621.8145
Kokomo, IN23.760422.5267
La Crosse, WI-MN24.448623.0910
Lafayette, IN23.852122.6294
Lafayette, LA21.871120.8396
Lake Charles, LA20.825219.5207
Lake County-Kenosha County, IL-WI27.190525.6826
Lakeland, FL23.566922.3605
Lancaster, PA26.077623.4410
Lansing-East Lansing, MI25.436324.0043
Laredo, TX21.803720.4902
Las Cruces, NM23.091021.6543
Las Vegas-Paradise, NV29.918129.0021
Lawrence, KS 1
Lawton, OK21.725020.5120
Lebanon, PA22.587921.0978
Lewiston, ID-WA24.515623.4734
Lewiston-Auburn, ME25.272923.3141
Lexington-Fayette, KY23.855821.9407
Lima, OH24.529523.5975
Lincoln, NE26.832125.2305
Little Rock-North Little Rock, AR23.744922.2587
Logan, UT-ID23.929223.2359
Longview, TX23.196621.8904
Longview, WA26.765225.5095
Los Angeles-Long Beach-Glendale, CA Metropolitan Div30.838229.3226
Louisville, KY-IN24.046022.8315
Lubbock, TX23.129221.9599
Lynchburg, VA23.788322.5784
Macon, GA26.116123.3172
Madera, CA22.466621.5471
Madison, WI27.144325.4986
Manchester-Nashua, NH27.797026.1531
Mansfield, OH24.249422.8092
Mayagüez, PR11.707411.2316
McAllen-Edinburg-Pharr, TX22.672021.2111
Medford, OR27.763926.3299
Memphis, TN-MS-AR24.319422.4212
Merced, CA27.173124.6543
Miami-Miami Beach-Kendall, FL26.407324.6105
Michigan City-La Porte, IN24.585123.6069
Midland, TX24.734624.4654
Milwaukee-Waukesha-West Allis, WI26.567924.7859
Minneapolis-St. Paul-Bloomington, MN-WI29.113627.2452
Missoula, MT25.265022.6543
Mobile, AL21.077419.9429
Modesto, CA31.567928.1097
Monroe, LA20.842819.7851
Monroe, MI25.019323.6265
Montgomery, AL21.853419.6944
Morgantown, WV22.925321.5156
Morristown, TN20.495219.5595
Start Printed Page 35925
Mount Vernon-Anacortes, WA27.816426.4332
Muncie, IN22.647621.9816
Muskegon-Norton Shores, MI25.684724.0160
Myrtle Beach-Conway-North Myrtle Beach, SC22.589422.0416
Napa, CA32.995130.3948
Naples-Marco Island, FL27.849524.9735
Nashville-Davidson-Murfreesboro, TN26.592324.4382
Newark-Union, NJPA30.779928.6257
New Haven-Milford, CT31.096629.3258
New Orleans-Metairie-Kenner, LA23.970222.5635
New York-Wayne-White Plains, NY-NJ35.029933.8042
Niles-Benton Harbor, MI23.456422.1503
Norwich-New London, CT30.563628.9104
Oakland-Fremont-Hayward, CA40.096337.4101
Ocala, FL24.170023.3534
Ocean City, NJ28.501426.7316
Odessa, TX25.821822.7836
Ogden-Clearfield, UT24.279023.6339
Oklahoma City, OK23.674822.2955
Olympia, WA29.009127.1952
Omaha-Council Bluffs, NE-IA25.672224.3668
Orlando, FL25.710024.0572
Oshkosh-Neenah, WI23.890022.4593
Owensboro, KY22.268820.8069
Oxnard-Thousand Oaks-Ventura, CA29.260427.4878
Palm Bay-Melbourne-Titusville, FL25.316624.4546
Panama City-Lynn Haven, FL21.414920.7673
Parkersburg-Marietta, WV-OH22.052220.3637
Pascagoula, MS21.012920.2767
Pensacola-Ferry Pass-Brent, FL21.945721.2533
Peoria, IL23.114421.7408
Philadelphia, PA28.603526.8410
Phoenix-Mesa-Scottsdale, AZ26.314324.7648
Pine Bluff, AR22.935320.2396
Pittsburgh, PA22.985222.2476
Pittsfield, MA28.276625.8438
Pocatello, ID25.279023.0882
Ponce, PR13.195512.2999
Portland-South Portland-Biddeford, ME26.623824.6954
Portland-Vancouver-Beaverton, OR-WA29.928427.5978
Port St. Lucie-Fort Pierce, FL26.492424.6939
Poughkeepsie-Newburgh-Middletown, NY29.957527.8180
Prescott, AZ26.084324.3852
Providence-New Bedford-Fall River, RI-MA28.764626.9631
Provo-Orem, UT25.229024.3330
Pueblo, CO23.056021.7707
Punta Gorda, FL24.904423.3102
Racine, WI23.869222.5330
Raleigh-Cary, NC26.449023.8614
Rapid City, SD23.520622.0026
Reading, PA24.115122.7873
Redding, CA31.170928.5235
Reno-Sparks, NV27.536826.3026
Richmond, VA24.769423.3257
Riverside-San Bernardino-Ontario, CA28.910827.8355
Roanoke, VA21.957321.1792
Rochester, MN30.262929.1844
Rochester, NY24.468923.3450
Rockford, IL25.300123.8777
Rockingham County-Strafford County, NH26.900525.0922
Rocky Mount, NC23.704422.4921
Rome, GA23.338322.1831
Sacramento-Arden-Arcade-Roseville, CA30.776928.6803
Saginaw-Saginaw Township North, MI25.972924.2444
St. Cloud, MN26.798224.3631
St. George, UT24.962124.0247
St. Joseph, MO-KS 1
St. Louis, MO-IL23.836222.2550
Start Printed Page 35926
Salem, OR27.794425.9246
Salinas, CA36.665435.4103
Salisbury, MD24.015222.6054
Salt Lake City, UT25.208324.4086
San Angelo, TX21.543120.6794
San Antonio, TX23.715821.9397
San Diego-Carlsbad-San Marcos, CA29.616527.7504
Sandusky, OH23.779922.2393
San Francisco-San Mateo-Redwood City, CA37.864835.5059
San Germán-Cabo Rojo, PR13.811713.3968
San Jose-Sunnyvale-Santa Clara, CA38.232935.7808
San Juan-Caguas-Guaynabo, PR12.214011.6037
San Luis Obispo-Paso Robles, CA29.288327.9302
Santa Ana-Anaheim-Irvine, CA30.569428.5166
Santa Barbara-Santa Maria-Goleta, CA28.210826.2466
Santa Cruz-Watsonville, CA38.873534.1822
Santa Fe, NM28.690627.0247
Santa Rosa-Petaluma, CA34.067932.4622
Sarasota-Bradenton-Venice, FL25.330523.9836
Savannah, GA24.895923.4451
Scranton-Wilkes-Barre, PA22.421721.1520
Seattle-Bellevue-Everett, WA30.224728.5300
Sheboygan, WI23.619921.7331
Sherman-Denison, TX25.355823.6878
Shreveport-Bossier City, LA24.062522.4763
Sioux City, IA-NE-SD23.864322.3353
Sioux Falls, SD24.812123.2534
South Bend-Mishawaka, IN-MI24.864623.9958
Spartanburg, SC23.754022.2281
Spokane, WA28.062426.7830
Springfield, IL23.015421.7482
Springfield, MA26.824326.0789
Springfield, MO22.236020.9588
Springfield, OH23.037121.8250
State College, PA22.309721.5709
Stockton, CA27.880626.0627
Suffolk County-Nassau County, NY34.086932.5664
Sumter, SC21.189120.2758
Syracuse, NY24.986023.7102
Tacoma, WA29.196527.4453
Tallahassee, FL22.847421.2591
Tampa-St. Petersburg-Clearwater, FL23.890022.4996
Terre Haute, IN22.447520.9616
Texarkana, TX—Texarkana, AR22.167820.3845
Toledo, OH25.070123.6845
Topeka, KS23.438122.4553
Trenton-Ewing, NJ27.063925.7890
Tucson, AZ23.585822.0873
Tulsa, OK22.897321.5543
Tuscaloosa, AL21.974320.2439
Tyler, TX25.064523.6477
Utica-Rome, NY21.923420.8668
Valdosta, GA21.966320.8793
Vallejo-Fairfield, CA37.529035.5583
Vero Beach, FL25.009624.0705
Victoria, TX22.322220.7461
Vineland-Millville-Bridgeton, NJ27.877726.3280
Virginia Beach-Norfolk-Newport News, VA-NC23.505421.6059
Visalia-Porterville, CA26.498724.4049
Waco, TX21.472420.3429
Warner Robins, GA22.382121.5347
Warren-Farmington Hills-Troy, MI26.633324.9325
Washington-Arlington-Alexandria, DC-VA-MD-WV29.084827.2173
Waterloo-Cedar Falls, IA22.746720.6136
Wausau, WI25.357524.1052
Weirton-Steubenville, WV-OH21.800821.0217
Wenatchee, WA24.786225.4005
West Palm Beach-Boca Raton-Boynton Beach, FL26.484424.6697
Start Printed Page 35927
Wheeling, WV-OH19.645318.6517
Wichita, KS24.913123.2912
Wichita Falls, TX22.029020.6773
Williamsport, PA22.167620.8109
Wilmington, DE-MD-NJ29.209227.2898
Wilmington, NC24.313923.5805
Winchester, VA-WV27.638725.3807
Winston-Salem, NC24.790422.9844
Worcester, MA29.009027.6763
Yakima, WA27.191625.8563
Yauco, PR11.843411.5358
York-Hanover, PA23.440222.3569
Youngstown-Warren-Boardman, OH-PA24.335622.4714
Yuba City, CA27.268725.5014
Yuma, AZ23.506621.8745
1 The new MSA is empty for FY 2005. The hospital(s) in the new MSA received rural status under Section 401 of the Balanced Budget Refinement Act of 1999 (Pub. L. 106-113). The new MSA is assigned the statewide rural wage index (see Table 4B).

2. On pages 28536 through 28538, the title and subtitle of Table 3B are corrected to read as follows:

“Table 3B.—FY 2005 and 3-Year* Average Hourly Wage for Rural Areas

[*Based on the sum of the salaries and hours computed for Federal Fiscal Years 2003, 2004, and 2005.]”

In addition, the column heading for the second column is corrected to read “FY 2005 Average Hourly Wage”.

3. On pages 28539 through 28579, Table 4A—Wage Index and Capital Geographic Adjustment Factor (GAF) for Urban Areas, is corrected to read as follows:

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

CBSA codeUrban area (constituent counties)Wage indexGAF
10180Abilene, TX 20.80110.8591
Callahan County, TX
Jones County, TX
Taylor County, TX
10380Aguadilla-Isabela-San Sebastián, PR0.42850.5597
Aguada Municipio, PR
Aguadilla Municipio, PR
Anasco Municipio, PR
Isabela Municipio, PR
Lares Municipio, PR
Moca Municipio, PR
Rincón Municipio, PR
San Sebastián Municipio, PR
10420Akron, OH0.90650.9350
Portage County, OH
Summit County, OH
10500Albany, GA1.13061.0877
Baker County, GA
Dougherty County, GA
Lee County, GA
Terrell County, GA
Worth County, GA
10580Albany-Schenectady-Troy, NY0.86850.9080
Albany County, NY
Rensselaer County, NY
Saratoga County, NY
Schenectady County, NY
Schoharie County, NY
10740Albuquerque, NM1.01671.0114
Bernalillo County, NM
Sandoval County, NM
Torrance County, NM
Valencia County, NM
Start Printed Page 35928
10780Alexandria, LA0.81980.8728
Grant Parish, LA
Rapides Parish, LA
10900Allentown-Bethlehem-Easton, PA-NJ0.95390.9682
Warren County, NJ
Carbon County, PA
Lehigh County, PA
Northampton County, PA
11020Altoona, PA0.84720.8927
Blair County, PA
11100Amarillo, TX0.92090.9451
Armstrong County, TX
Carson County, TX
Potter County, TX
Randall County, TX
11180Ames, IA0.95030.9657
Story County, IA
11260Anchorage, AK1.21951.1456
Anchorage Municipality, AK
Matanuska-Susitna Borough, AK
11300Anderson, IN0.87900.9155
Madison County, IN
11340Anderson, SC0.86890.9083
Anderson County, SC
11460Ann Arbor, MI1.10651.0718
Washtenaw County, MI
11500Anniston-Oxford, AL0.79670.8559
Calhoun County, AL
11540Appleton, WI 20.94850.9644
Calumet County, WI
Outagamie County, WI
11700Asheville, NC0.92170.9457
Buncombe County, NC
Haywood County, NC
Henderson County, NC
Madison County, NC
12020Athens-Clarke County, GA1.00101.0007
Clarke County, GA
Madison County, GA
Oconee County, GA
Oglethorpe County, GA
12060Atlanta-Sandy Springs-Marietta, GA 10.99260.9949
Barrow County, GA
Bartow County, GA
Butts County, GA
Carroll County, GA
Cherokee County, GA
Clayton County, GA
Cobb County, GA
Coweta County, GA
Dawson County, GA
DeKalb County, GA
Douglas County, GA
Fayette County, GA
Forsyth County, GA
Fulton County, GA
Gwinnett County, GA
Haralson County, GA
Heard County, GA
Henry County, GA
Jasper County, GA
Lamar County, GA
Meriwether County, GA
Newton County, GA
Paulding County, GA
Pickens County, GA
Pike County, GA
Rockdale County, GA
Spalding County, GA
Walton County, GA
12100Atlantic City, NJ1.07231.0490
Start Printed Page 35929
Atlantic County, NJ
12220Auburn-Opelika, AL0.82310.8752
Lee County, AL
12260Augusta-Richmond County, GA-SC0.91690.9423
Burke County, GA
Columbia County, GA
McDuffie County, GA
Richmond County, GA
Aiken County, SC
Edgefield County, SC
12420Austin-Round Rock, TX 10.96190.9737
Bastrop County, TX
Caldwell County, TX
Hays County, TX
Travis County, TX
Williamson County, TX
12540Bakersfield, CA 21.04401.0299
Kern County, CA
12580Baltimore-Towson, MD 10.99040.9934
Anne Arundel County, MD
Baltimore County, MD
Carroll County, MD
Harford County, MD
Howard County, MD
Queen Anne's County, MD
Baltimore City, MD
12620Bangor, ME0.99600.9973
Penobscot County, ME
12700Barnstable Town, MA1.19651.1307
Barnstable County, MA
12940Baton Rouge, LA0.83440.8834
Ascension Parish, LA
East Baton Rouge Parish, LA
East Feliciana Parish, LA
Iberville Parish, LA
Livingston Parish, LA
Pointe Coupee Parish, LA
St. Helena Parish, LA
West Baton Rouge Parish, LA
West Feliciana Parish, LA
12980Battle Creek, MI0.91320.9397
Calhoun County, MI
13020Bay City, MI0.96010.9725
Bay County, MI
13140Beaumont-Port Arthur, TX0.85640.8993
Hardin County, TX
Jefferson County, TX
Orange County, TX
13380Bellingham, WA1.16951.1132
Whatcom County, WA
13460Bend, OR1.06231.0423
Deschutes County, OR
13644Bethesda-Frederick-Gaithersburg, MD 11.09931.0670
Frederick County, MD
Montgomery County, MD
13740Billings, MT0.89930.9299
Carbon County, MT
Yellowstone County, MT
13780Binghamton, NY0.84840.8935
Broome County, NY
Tioga County, NY
13820BirminghamHoover, AL 10.91110.9382
Bibb County, AL
Blount County, AL
Chilton County, AL
Jefferson County, AL
St. Clair County, AL
Shelby County, AL
Walker County, AL
13900Bismarck, ND 20.77410.8392
Burleigh County, ND
Start Printed Page 35930
Morton County, ND
13980Blacksburg-Christiansburg-Radford, VA 20.80650.8631
Giles County, VA
Montgomery County, VA
Pulaski County, VA
Radford City, VA
14020Bloomington, IN 20.86750.9072
Greene County, IN
Monroe County, IN
Owen County, IN
14060Bloomington-Normal, IL0.90990.9374
McLean County, IL
14260Boise City-Nampa, ID0.93600.9557
Ada County, ID
Boise County, ID
Canyon County, ID
Gem County, ID
Owyhee County, ID
14484Boston-Quincy, MA 11.16491.1102
Norfolk County, MA
Plymouth County, MA
Suffolk County, MA
14500Boulder, CO1.00721.0049
Boulder County, CO
14540Bowling Green, KY0.81620.8702
Edmonson County, KY
Warren County, KY
14740Bremerton-Silverdale, WA1.06361.0431
Kitsap County, WA
14860Bridgeport-Stamford-Norwalk, CT1.28761.1890
Fairfield County, CT
14980Bristol, VA 20.80650.8631
Washington County, VA
Bristol City, VA
15180Brownsville-Harlingen, TX1.01781.0122
Cameron County, TX
15260Brunswick, GA1.19881.1322
Brantley County, GA
Glynn County, GA
McIntosh County, GA
15380Buffalo-Niagara Falls, NY 10.93510.9551
Erie County, NY
Niagara County, NY
15500Burlington, NC0.88810.9219
Alamance County, NC
15540Burlington-South Burlington, VT 20.94690.9633
Chittenden County, VT
Franklin County, VT
Grand Isle County, VT
15764Cambridge-Newton-Framingham, MA 11.11991.0806
Middlesex County, MA
15804Camden, NJ 11.06831.0463
Burlington County, NJ
Camden County, NJ
Gloucester County, NJ
15940Canton-Massillon, OH0.89170.9245
Carroll County, OH
Stark County, OH
15980Cape Coral-Fort Myers, FL0.93800.9571
Lee County, FL
16180Carson City, NV1.03621.0247
Carson City, NV
16220Casper, WY0.93670.9562
Natrona County, WY
16300Cedar Rapids, IA0.89870.9295
Benton County, IA
Jones County, IA
Linn County, IA
16580Champaign-Urbana, IL0.95970.9722
Champaign County, IL
Ford County, IL
Start Printed Page 35931
Piatt County, IL
16620Charleston, WV0.88750.9215
Boone County, WV
Clay County, WV
Kanawha County, WV
Lincoln County, WV
Putnam County, WV
16700Charleston-North Charleston, SC0.93790.9570
Berkeley County, SC
Charleston County, SC
Dorchester County, SC
16740Charlotte-Gastonia-Concord, NC-SC 10.97500.9828
Anson County, NC
Cabarrus County, NC
Gaston County, NC
Mecklenburg County, NC
Union County, NC
York County, SC
16820Charlottesville, VA1.03171.0216
Albemarle County, VA
Fluvanna County, VA
Greene County, VA
Nelson County, VA
Charlottesville City, VA
16860Chattanooga, TN-GA0.92330.9468
Catoosa County, GA
Dade County, GA
Walker County, GA
Hamilton County, TN
Marion County, TN
Sequatchie County, TN
16940Cheyenne, WY 20.91900.9438
Laramie County, WY
16974Chicago-Naperville-Joliet, IL11.08191.0554
Cook County, IL
DeKalb County, IL
DuPage County, IL
Grundy County, IL
Kane County, IL
Kendall County, IL
McHenry County, IL
Will County, IL
17020Chico, CA1.05751.0390
Butte County, CA
17140Cincinnati-Middletown, OH-KY-IN 10.95330.9678
Dearborn County, IN
Franklin County, IN
Ohio County, IN
Boone County, KY
Bracken County, KY
Campbell County, KY
Gallatin County, KY
Grant County, KY
Kenton County, KY
Pendleton County, KY
Brown County, OH
Butler County, OH
Clermont County, OH
Hamilton County, OH
Warren County, OH
17300Clarksville, TN-KY0.81310.8679
Christian County, KY
Trigg County, KY
Montgomery County, TN
Stewart County, TN
17420Cleveland, TN 20.79110.8517
Bradley County, TN
Polk County, TN
17460Cleveland-Elyria-Mentor, OH 10.96670.9771
Cuyahoga County, OH
Geauga County, OH
Start Printed Page 35932
Lake County, OH
Lorain County, OH
Medina County, OH
17660Coeur d'Alene, ID0.93460.9547
Kootenai County, ID
17780College Station-Bryan, TX0.85050.8950
Brazos County, TX
Burleson County, TX
Robertson County, TX
17820Colorado Springs, CO0.97990.9862
El Paso County, CO
Teller County, CO
17860Columbia, MO0.83520.8840
Boone County, MO
Howard County, MO
17900Columbia, SC0.90710.9354
Calhoun County, SC
Fairfield County, SC
Kershaw County, SC
Lexington County, SC
Richland County, SC
Saluda County, SC
17980Columbus, GA-AL0.87110.9098
Russell County, AL
Chattahoochee County, GA
Harris County, GA
Marion County, GA
Muscogee County, GA
18020Columbus, IN0.94720.9635
Bartholomew County, IN
18140Columbus, OH 10.97570.9833
Delaware County, OH
Fairfield County, OH
Franklin County, OH
Licking County, OH
Madison County, OH
Morrow County, OH
Pickaway County, OH
Union County, OH
18580Corpus Christi, TX0.86650.9065
Aransas County, TX
Nueces County, TX
San Patricio County, TX
18700Corvallis, OR1.05471.0371
Benton County, OR
19060Cumberland, MD-WV (MD Hospitals) 20.92480.9479
Allegany County, MD
Mineral County, WV
19060Cumberland, MD-WV (WV Hospitals)0.86680.9067
Allegany County, MD
Mineral County, WV
19124Dallas-Plano-Irving, TX1.00921.0063
Collin County, TX
Dallas County, TX
Delta County, TX
Denton County, TX
Ellis County, TX
Hunt County, TX
Kaufman County, TX
Rockwall County, TX
19140Dalton, GA0.93200.9529
Murray County, GA
Whitfield County, GA
19180Danville, IL0.84180.8888
Vermilion County, IL
19260Danville, VA0.87920.9156
Pittsylvania County, VA
Danville City, VA
19340Davenport-Moline-Rock Island, IA-IL0.87760.9145
Henry County, IL
Mercer County, IL
Start Printed Page 35933
Rock Island County, IL
Scott County, IA
19380Dayton, OH0.93220.9531
Greene County, OH
Miami County, OH
Montgomery County, OH
Preble County, OH
19460Decatur, AL0.89150.9244
Lawrence County, AL
Morgan County, AL
19500Decatur, IL 20.83640.8848
Macon County, IL
19660Deltona-Daytona Beach-Ormond Beach, FL0.86850.9080
Volusia County, FL
19740Denver-Aurora, CO 11.09111.0615
Adams County, CO
Arapahoe County, CO
Broomfield County, CO
Clear Creek County, CO
Denver County, CO
Douglas County, CO
Elbert County, CO
Gilpin County, CO
Jefferson County, CO
Park County, CO
19780Des Moines, IA0.92880.9507
Dallas County, IA
Guthrie County, IA
Madison County, IA
Polk County, IA
Warren County, IA
19804Detroit-Livonia-Dearborn, MI 11.03791.0258
Wayne County, MI
20020Dothan, AL 20.76750.8343
Geneva County, AL
Henry County, AL
Houston County, AL
20100Dover, DE 20.96510.9760
Kent County, DE
20220Dubuque, IA0.87480.9125
Dubuque County, IA
20260Duluth, MN-WI1.04491.0305
Carlton County, MN
St. Louis County, MN
Douglas County, WI
20500Durham, NC1.03121.0213
Chatham County, NC
Durham County, NC
Orange County, NC
Person County, NC
20740Eau Claire, WI 20.94850.9644
Chippewa County, WI
Eau Claire County, WI
20764Edison, NJ 11.11601.0781
Middlesex County, NJ
Monmouth County, NJ
Ocean County, NJ
Somerset County, NJ
20940El Centro, CA 21.04401.0299
Imperial County, CA
21060Elizabethtown, KY0.87130.9100
Hardin County, KY
Larue County, KY
21140Elkhart-Goshen, IN0.92860.9505
Elkhart County, IN
21300Elmira, NY0.84880.8938
Chemung County, NY
21340El Paso, TX0.92100.9452
El Paso County, TX
21420Enid, OK0.90340.9328
Garfield County, OK
Start Printed Page 35934
21500Erie, PA0.87080.9096
Erie County, PA
21604Essex County, MA1.06661.0451
Essex County, MA
21660Eugene-Springfield, OR1.09511.0642
Lane County, OR
21780Evansville, IN-KY (IN Hospitals) 20.86750.9072
Gibson County, IN
Posey County, IN
Vanderburgh County, IN
Warrick County, IN
Henderson County, KY
Webster County, KY
21780Evansville, IN-KY (KY Hospitals)0.84060.8879
Gibson County, IN
Posey County, IN
Vanderburgh County, IN
Warrick County, IN
Henderson County, KY
Webster County, KY
21820Fairbanks, AK 21.17611.1175
Fairbanks North Star Borough,
AK
21940Fajardo, PR0.40140.5352
Ceiba Municipio, PR
Fajardo Municipio, PR
Luquillo Municipio, PR
22020Fargo, ND-MN 20.93400.9543
Clay County, MN
Cass County, ND
22140Farmington, NM 20.85920.9013
San Juan County, NM
22180Fayetteville, NC0.93870.9576
Cumberland County, NC
Hoke County, NC
22220Fayetteville-Springdale-Rogers, AR-MO0.86870.9081
Benton County, AR
Madison County, AR
Washington County, AR
McDonald County, MO
22380Flagstaff, AZ1.08041.0544
Coconino County, AZ
22420Flint, MI1.11871.0798
Genesee County, MI
22460Florence-Muscle Shoals, AL0.79170.8522
Colbert County, AL
Lauderdale County, AL
22500Florence, SC0.85400.8976
Darlington County, SC
Florence County, SC
22540Fond du Lac, WI0.99210.9946
Fond du Lac County, WI
22660Fort Collins-Loveland, CO1.02141.0146
Larimer County, CO
22744Fort Lauderdale-Pompano Beach 11.04081.0278
Deerfield Beach, FL
Broward County, FL
22900Fort Smith, AR-OK0.83110.8810
Crawford County, AR
Franklin County, AR
Sebastian County, AR
Le Flore County, OK
Sequoyah County, OK
23020Fort Walton Beach-Crestview-Destin, FL0.88050.9165
Okaloosa County, FL
23060Fort Wayne, IN0.98250.9880
Allen County, IN
Wells County, IN
Whitley County, IN
23104Fort WorthArlington, TX 10.95150.9665
Johnson County, TX
Start Printed Page 35935
Parker County, TX
Tarrant County, TX
Wise County, TX
23420Fresno, CA1.06561.0445
Fresno County, CA
23460Gadsden, AL0.81820.8716
Etowah County, AL
23540Gainesville, FL 20.85810.9005
Alachua County, FL
Gilchrist County, FL
23580Gainesville, GA0.95840.9713
Hall County, GA
23844Gary, IN0.93280.9535
Jasper County, IN
Lake County, IN
Newton County, IN
Porter County, IN
24020Glens Falls, NY0.85080.8953
Warren County, NY
Washington County, NY
24140Goldsboro, NC0.87960.9159
Wayne County, NC
24220Grand Forks, ND-MN (MN Hospitals) 20.93400.9543
Polk County, MN
Grand Forks County, ND
24220Grand Forks, ND-MN (ND Hospitals)0.91690.9423
Polk County, MN
Grand Forks County, ND
24300Grand Junction, CO0.99490.9965
Mesa County, CO
24340Grand Rapids-Wyoming, MI0.94570.9625
Barry County, MI
Ionia County, MI
Kent County, MI
Newaygo County, MI
24500Great Falls, MT0.89080.9239
Cascade County, MT
24540Greeley, CO0.97580.9834
Weld County, CO
24580Green Bay, WI0.96020.9726
Brown County, WI
Kewaunee County, WI
Oconto County, WI
24660Greensboro-High Point, NC0.92280.9465
Guilford County, NC
Randolph County, NC
Rockingham County, NC
24780Greenville, NC0.92000.9445
Greene County, NC
Pitt County, NC
24860Greenville, SC0.92870.9506
Greenville County, SC
Laurens County, SC
Pickens County, SC
25020Guayama, PR0.40150.5353
Arroyo Municipio, PR
Guayama Municipio, PR
Patillas Municipio, PR
25060Gulfport-Biloxi, MS0.89540.9271
Hancock County, MS
Harrison County, MS
Stone County, MS
25180Hagerstown-Martinsburg, MD-WV0.97650.9838
Washington County, MD
Berkeley County, WV
Morgan County, WV
25260Hanford-Corcoran, CA 21.04401.0299
Kings County, CA
25420Harrisburg-Carlisle, PA0.93770.9569
Cumberland County, PA
Dauphin County, PA
Start Printed Page 35936
Perry County, PA
25500Harrisonburg, VA0.93000.9515
Rockingham County, VA
Harrisonburg City, VA
25620Hattiesburg, MS 20.76650.8335
Forrest County, MS
Lamar County, MS
Perry County, MS
25860Hickory-Lenoir-Morganton, NC0.95080.9660
Alexander County, NC
Burke County, NC
Caldwell County, NC
Catawba County, NC
25980Hinesville-Fort Stewart, GA 20.77740.8416
Liberty County, GA
Long County, GA
26100Holland-Grand Haven, MI0.94820.9642
Ottawa County, MI
26180Honolulu, HI1.10181.0686
Honolulu County, HI
26300Hot Springs, AR0.92860.9505
Garland County, AR
26380Houma-Bayou Cane-Thibodaux, LA0.77790.8420
Lafourche Parish, LA
Terrebonne Parish, LA
26420Houston-Baytown-Sugar Land, TX> 10.99950.9997
Austin County, TX
Brazoria County, TX
Chambers County, TX
Fort Bend County, TX
Galveston County, TX
Harris County, TX
Liberty County, TX
Montgomery County, TX
San Jacinto County, TX
Waller County, TX
26580Huntington-Ashland, WV-KY-OH0.95850.9714
Boyd County, KY
Greenup County, KY
Lawrence County, OH
Cabell County, WV
Wayne County, WV
26620Huntsville, AL0.88610.9205
Limestone County, AL
Madison County, AL
26820Idaho Falls, ID0.90620.9348
Bonneville County, ID
Jefferson County, ID
26900Indianapolis, IN 11.01021.0070
Boone County, IN
Brown County, IN
Hamilton County, IN
Hancock County, IN
Hendricks County, IN
Johnson County, IN
Marion County, IN
Morgan County, IN
Putnam County, IN
Shelby County, IN
26980Iowa City, IA0.96630.9768
Johnson County, IA
Washington County, IA
27060Ithaca, NY0.97950.9859
Tompkins County, NY
27100Jackson, MI0.91520.9411
Jackson County, MI
27140Jackson, MS0.83050.8806
Copiah County, MS
Hinds County, MS
Madison County, MS
Rankin County, MS
Start Printed Page 35937
Simpson County, MS
27180Jackson, TN0.89120.9242
Chester County, TN
Madison County, TN
27260Jacksonville, FL 10.95740.9706
Baker County, FL
Clay County, FL
Duval County, FL
Nassau County, FL
St. Johns County, FL
27340Jacksonville, NC 20.85870.9009
Onslow County, NC
27460Jamestown, NY0.81800.8715
Chautauqua County, NY
27500Janesville, WI0.96180.9737
Rock County, WI
27620Jefferson City, MO0.83520.8840
Callaway County, MO
Cole County, MO
Moniteau County, MO
Osage County, MO
27740Johnson City, TN0.79910.8576
Carter County, TN
Unicoi County, TN
Washington County, TN
27780Johnstown, PA0.83970.8872
Cambria County, PA
27860Jonesboro, AR0.80780.8640
Craighead County, AR
Poinsett County, AR
27900Joplin, MO0.87460.9123
Jasper County, MO
Newton County, MO
28020Kalamazoo-Portage, MI1.07141.0484
Kalamazoo County, MI
Van Buren County, MI
28100Kankakee-Bradley, IL1.05511.0374
Kankakee County, IL
28140Kansas City, MO-KS 10.96250.9742
Franklin County, KS
Johnson County, KS
Leavenworth County, KS
Linn County, KS
Miami County, KS
Wyandotte County, KS
Bates County, MO
Caldwell County, MO
Cass County, MO
Clay County, MO
Clinton County, MO
Jackson County, MO
Lafayette County, MO
Platte County, MO
Ray County, MO
28420Kennewick-Richland-Pasco, WA1.05301.0360
Benton County, WA
Franklin County, WA
28660Killeen-Temple-Fort Hood, TX0.93010.9516
Bell County, TX
Coryell County, TX
Lampasas County, TX
28700Kingsport-Bristol-Bristol, TN-VA0.82570.8771
Hawkins County, TN
Sullivan County, TN
Scott County, VA
28740Kingston, NY0.88740.9215
Ulster County, NY
28940Knoxville, TN0.85850.9008
Anderson County, TN
Blount County, TN
Knox County, TN
Start Printed Page 35938
Loudon County, TN
Union County, TN
29020Kokomo, IN0.90380.9331
Howard County, IN
Tipton County, IN
29100La Crosse, WI-MN (MN Hospitals) 20.93400.9543
Houston County, MN
La Crosse County, WI
29100La Crosse, WI-MN (WI Hospitals) 20.94850.9644
Houston County, MN
La Crosse County, WI
29140Lafayette, IN0.90730.9356
Benton County, IN
Carroll County, IN
Tippecanoe County, IN
29180Lafayette, LA0.83190.8816
Lafayette Parish, LA
St. Martin Parish, LA
29340Lake Charles, LA0.79210.8525
Calcasieu Parish, LA
Cameron Parish, LA
29404Lake County-Kenosha County, IL-WI1.03421.0233
Lake County, IL
Kenosha County, WI
29460Lakeland, FL
Polk County, FL0.89640.9278
29540Lancaster, PA0.99190.9944
Lancaster County, PA
29620Lansing-East Lansing, MI0.96750.9776
Clinton County, MI
Eaton County, MI
Ingham County, MI
29700Laredo, TX0.82930.8797
Webb County, TX
29740Las Cruces, NM0.87830.9150
Dona Ana County, NM
29820Las Vegas-Paradise, NV 11.13801.0926
Clark County, NV
29940Lawrence, KS 20.81320.8680
Douglas County, KS
30020Lawton, OK0.82640.8776
Comanche County, OK
30140Lebanon, PA0.85920.9013
Lebanon County, PA
30300Lewiston, ID-WA (ID Hospitals) 20.93250.9533
Nez Perce County, ID
Asotin County, WA
30300Lewiston, ID-WA (WA Hospitals)1.03401.0232
Nez Perce County, ID
Asotin County, WA
30340Lewiston-Auburn, ME0.96130.9733
Androscoggin County, ME
30460Lexington-Fayette, KY0.90740.9356
Bourbon County, KY
Clark County, KY
Fayette County, KY
Jessamine County, KY
Scott County, KY
Woodford County, KY
30620Lima, OH0.93300.9536
Allen County, OH
30700Lincoln, NE1.02061.0141
Lancaster County, NE
Seward County, NE
30780Little Rock-North Little Rock, AR0.90320.9327
Faulkner County, AR
Grant County, AR
Lonoke County, AR
Perry County, AR
Pulaski County, AR
Saline County, AR
Start Printed Page 35939
30860Logan, UT-ID0.91020.9376
Franklin County, ID
Cache County, UT
30980Longview, TX0.88230.9178
Gregg County, TX
Rusk County, TX
Upshur County, TX
31020Longview, WA 21.03401.0232
Cowlitz County, WA
31084Los Angeles-Long Beach-Glendale, CA 11.17301.1155
Los Angeles County, CA
31140Louisville, KY-IN 10.91460.9407
Clark County, IN
Floyd County, IN
Harrison County, IN
Washington County, IN
Bullitt County, KY
Henry County, KY
Jefferson County, KY
Meade County, KY
Nelson County, KY
Oldham County, KY
Shelby County, KY
Spencer County, KY
Trimble County, KY
31180Lubbock, TX0.87980.9160
Crosby County, TX
Lubbock County, TX
31340Lynchburg, VA0.90480.9338
Amherst County, VA
Appomattox County, VA
Bedford County, VA
Campbell County, VA
Bedford City, VA
Lynchburg City, VA
31420Macon, GA0.99340.9955
Bibb County, GA
Crawford County, GA
Jones County, GA
Monroe County, GA
Twiggs County, GA
31460Madera, CA 21.04401.0299
Madera County, CA
31540Madison, WI1.03251.0221
Columbia County, WI
Dane County, WI
Iowa County, WI
31700Manchester-Nashua, NH1.05731.0389
Hillsborough County, NH
31900Mansfield, OH0.92240.9462
Richland County, OH
32420Mayagüez, PR0.44530.5746
Hormigueros Municipio, PR
Mayagüez Municipio, PR
32580McAllen-Edinburg-Pharr, TX0.86240.9036
Hidalgo County, TX
32780Medford, OR1.05611.0381
Jackson County, OR
32820Memphis, TN-MS-AR 10.92500.9480
Crittenden County, AR
DeSoto County, MS
Marshall County, MS
Tate County, MS
Tunica County, MS
Fayette County, TN
Shelby County, TN
Tipton County, TN
32900Merced, CA21.04401.0299
Merced County, CA
33124Miami-Miami Beach-Kendall, FL 11.00451.0031
Miami-Dade County, FL
Start Printed Page 35940
33140Michigan City-La Porte, IN0.93510.9551
LaPorte County, IN
33260Midland, TX0.94080.9591
Midland County, TX
33340Milwaukee-Waukesha-West Allis, WI 11.01061.0072
Milwaukee County, WI
Ozaukee County, WI
Washington County, WI
Waukesha County, WI
33460Minneapolis-St. Paul-Bloomington, MN-WI 11.10741.0724
Anoka County, MN
Carver County, MN
Chisago County, MN
Dakota County, MN
Hennepin County, MN
Isanti County, MN
Ramsey County, MN
Scott County, MN
Sherburne County, MN
Washington County, MN
Wright County, MN
Pierce County, WI
St. Croix County, WI
33540Missoula, MT0.96570.9764
Missoula County, MT
33660Mobile, AL0.80170.8595
Mobile County, AL
33700Modesto, CA1.20071.1334
Stanislaus County, CA
33740Monroe, LA0.79280.8530
Ouachita Parish, LA
Union Parish, LA
33780Monroe, MI0.95170.9667
Monroe County, MI
33860Montgomery, AL0.83120.8811
Autauga County, AL
Elmore County, AL
Lowndes County, AL
Montgomery County, AL
34060Morgantown, WV0.87200.9105
Monongalia County WV
Preston County, WV
34100Morristown, TN 20.79110.8517
Grainger County, TN
Hamblen County, TN
Jefferson County, TN
34580Mount Vernon-Anacortes, WA1.05811.0394
Skagit County, WA
34620Muncie, IN 20.86750.9072
Delaware County, IN
34740Muskegon-Norton Shores, MI0.97700.9842
Muskegon County, MI
34820Myrtle Beach-Conway-North Myrtle Beach, SC0.85920.9013
Horry County, SC
34900Napa, CA1.35371.2305
Napa County, CA
34940Naples-Marco Island, FL1.05931.0402
Collier County, FL
34980Nashville-Davidson-Murfreesboro, TN1.01151.0079
Cannon County, TN
Cheatham County, TN
Davidson County, TN
Dickson County, TN
Hickman County, TN
Macon County, TN
Robertson County, TN
Rutherford County, TN
Smith County, TN
Sumner County, TN
Trousdale County, TN
Williamson County, TN
Start Printed Page 35941
Wilson County, TN
35084Newark-Union, NJ-PA 11.17081.1140
Essex County, NJ
Hunterdon County, NJ
Morris County, NJ
Sussex County, NJ
Union County, NJ
Pike County, PA
35300New Haven-Milford, CT1.18281.1218
New Haven County, CT
35380New Orleans-Metairie-Kenner, LA 10.91180.9387
Jefferson Parish, LA
Orleans Parish, LA
Plaquemines Parish, LA
St. Bernard Parish, LA
St. Charles Paris, LA
St. John the Baptist Parish, LA
St. Tammany Parish, LA
35644New York-Wayne-White Plains, NY-NJ11.33241.2172
Bergen County, NJ
Hudson County, NJ
Passaic County, NJ
Bronx County, NY
Kings County, NY
New York County, NY
Putnam County, NY
Queens County, NY
Richmond County, NY
Rockland County, NY
Westchester County, NY
35660Niles-Benton Harbor, MI0.89220.9249
Berrien County, MI
35980Norwich-New London, CT1.16251.1086
New London County, CT
36084Oakland-Fremont-Hayward, CA 11.53871.3433
Alameda County, CA
Contra Costa County, CA
36100Ocala, FL0.91940.9441
Marion County, FL
36140Ocean City, NJ1.08411.0569
Cape May County, NJ
36220Odessa, TX0.98220.9878
Ector County, TX
36260Ogden-Clearfield, UT0.93030.9517
Davis County, UT
Morgan County, UT
Weber County, UT
36420Oklahoma City, OK 10.90050.9307
Canadian County, OK
Cleveland County, OK
Grady County, OK
Lincoln County, OK
Logan County, OK
McClain County, OK
Oklahoma County, OK
36500Olympia, WA1.10341.0697
Thurston County, WA
36540Omaha-Council Bluffs, NE-IA0.97650.9838
Harrison County, IA
Mills County, IA
Pottawattamie County, IA
Cass County, NE
Douglas County, NE
Sarpy County, NE
Saunders County, NE
Washington County, NE
36740Orlando, FL 10.97790.9848
Lake County, FL
Orange County, FL
Osceola County, FL
Seminole County, FL
Start Printed Page 35942
36780Oshkosh-Neenah, WI 20.94850.9644
Winnebago County, WI
36980Owensboro, KY0.84700.8925
Daviess County, KY
Hancock County, KY
McLean County, KY
37100Oxnard-Thousand Oaks-Ventura, CA1.11301.0761
Ventura County, CA
37340Palm Bay-Melbourne-Titusville, FL0.96300.9745
Brevard County, FL
37460Panama City-Lynn Haven, FL 20.85810.9005
Bay County, FL
37620Parkersburg-Marietta, WV-OH (OH Hospitals) 20.87080.9096
Washington County, OH
Pleasants County, WV
Wirt County, WV
Wood County, W
37620Parkersburg-Marietta, WV-OH (WV Hospitals)0.83880.8866
Washington County, OH
Pleasants County, WV
Wirt County, WV
Wood County, WV
37700Pascagoula, MS0.79930.8578
George County, MS
Jackson County, MS
37860Pensacola-Ferry Pass-Brent, FL 20.85810.9005
Escambia County, FL
Santa Rosa County, FL
37900Peoria, IL0.88530.9200
Marshall County, IL
Peoria County, IL
Stark County, IL
Tazewell County, IL
Woodford County, IL
37964Philadelphia, PA 11.08801.0595
Bucks County, PA
Chester County, PA
Delaware County, PA
Montgomery County, PA
Philadelphia County, PA
38060Phoenix-Mesa-Scottsdale, AZ 11.00091.0006
Maricopa County, AZ
Pinal County, AZ
38220Pine Bluff, AR0.87240.9108
Cleveland County, AR
Jefferson County, AR
Lincoln County, AR
38300Pittsburgh, PA 10.87430.9121
Allegheny County, PA
Armstrong County, PA
Beaver County, PA
Butler County, PA
Fayette County, PA
Washington County, PA
Westmoreland County, PA
38340Pittsfield, MA1.07561.0512
Berkshire County, MA
38540Pocatello, ID0.96150.9735
Bannock County, ID
Power County, ID
38660Ponce, PR0.50190.6237
Juana Díaz Municipio, PR
Ponce Municipio, PR
Villalba Municipio, PR
38860Portland-South Portland-Biddeford, ME1.01271.0087
Cumberland County, ME
Sagadahoc County, ME
York County, ME
38900Portland-Vancouver-Beaverton, OR-WA 11.13841.0928
Clackamas County, OR
Columbia County, OR
Start Printed Page 35943
Multnomah County, OR
Washington County, OR
Yamhill County, OR
Clark County, WA
Skamania County, WA
38940Port St. Lucie-Fort Pierce, FL1.01171.0080
Martin County, FL
St. Lucie County, FL
39100Poughkeepsie-Newburgh-Middletown, NY1.13951.0935
Dutchess County, NY
Orange County, NY
39140Prescott, AZ0.99220.9947
Yavapai County, AZ
39300Providence-New Bedford-Fall River, RI-MA 11.09411.0635
Bristol County, MA
Bristol County, RI
Kent County, RI
Newport County, RI
Providence County, RI
Washington County, RI
39340ProvoOrem, UT0.97620.9836
Juab County, UT
Utah County, UT
39380Pueblo, CO 20.93740.9567
Pueblo County, CO
39460Punta Gorda, FL0.94730.9636
Charlotte County, FL
39540Racine, WI 20.94850.9644
Racine County, WI
39580RaleighCary, NC1.00601.0041
Franklin County, NC
Johnston County, NC
Wake County, NC
39660Rapid City, SD0.89470.9266
Meade County, SD
Pennington County, SD
39740Reading, PA0.91730.9426
Berks County, PA
39820Redding, CA1.18561.1237
Shasta County, CA
39900Reno-Sparks, NV1.04741.0322
Storey County, NV
Washoe County, NV
40060Richmond, VA 10.94220.9600
Amelia County, VA
Caroline County, VA
Charles City County, VA
Chesterfield County, VA
Cumberland County, VA
Dinwiddie County, VA
Goochland County, VA
Hanover County, VA
Henrico County, VA
King and Queen County, VA
King William County, VA
Louisa County, VA
New Kent County, VA
Powhatan County, VA
Prince George County, VA
Sussex County, VA
Colonial Heights City, VA
Hopewell City, VA
Petersburg City, VA
Richmond City, VA
40140Riverside-San Bernardino-Ontario, CA 11.09971.0672
Riverside County, CA
San Bernardino County, CA
40220Roanoke, VA0.83900.8867
Botetourt County, VA
Craig County, VA
Franklin County, VA
Start Printed Page 35944
Roanoke County, VA
Roanoke City, VA
Salem City, VA
40340Rochester, MN1.15111.1012
Dodge County, MN
Olmsted County, MN
Wabasha County, MN
40380Rochester, NY 10.93070.9520
Livingston County, NY
Monroe County, NY
Ontario County, NY
Orleans County, NY
Wayne County, NY
40420Rockford, IL0.96230.9740
Boone County, IL
Winnebago County, IL
40484Rockingham County-Strafford County, NH1.02321.0158
Rockingham County, NH
Strafford County, NH
40580Rocky Mount, NC0.90160.9315
Edgecombe County, NC
Nash County, NC
40660Rome, GA0.88770.9217
Floyd County, GA
40900Sacramento-Arden-Arcade-Roseville, CA 11.17091.1141
El Dorado County, CA
Placer County, CA
Sacramento County, CA
Yolo County, CA
40980Saginaw-Saginaw Township North, MI0.98790.9917
Saginaw County, MI
41060St. Cloud, MN1.01931.0132
Benton County, MN
Stearns County, MN
41100St. George, UT0.94950.9651
Washington County, UT
41140St. Joseph, MO-KS (MO Hospitals) 20.80110.8591
Doniphan County, KS
Andrew County, MO
Buchanan County, MO
DeKalb County, MO
41140St. Joseph, MO-KS (KS Hospitals) 20.81320.8680
Doniphan County, KS
Andrew County, MO
Buchanan County, MO
DeKalb County, MO
41180St. Louis, MO-IL0.90670.9351
Bond County, IL
Calhoun County, IL
Clinton County, IL
Jersey County, IL
Macoupin County, IL
Madison County, IL
Monroe County, IL
St. Clair County, IL
Crawford County, MO
Franklin County, MO
Jefferson County, MO
Lincoln County, MO
St. Charles County, MO
St. Louis County, MO
Warren County, MO
Washington County, MO
St. Louis City, MO
41420Salem, OR1.05721.0388
Marion County, OR
Polk County, OR
41500Salinas, CA1.39461.2558
Monterey County, CA
41540Salisbury, MD 20.92480.9479
Somerset County, MD
Start Printed Page 35945
Wicomico County, MD
41620Salt Lake City, UT0.95880.9716
Salt Lake County, UT
Summit County, UT
Tooele County, UT
41660San Angelo, TX0.81940.8725
Irion County, TX
Tom Green County, TX
41700San Antonio, TX 10.90210.9319
Atascosa County, TX
Bandera County, TX
Bexar County, TX
Comal County, TX
Guadalupe County, TX
Kendall County, TX
Medina County, TX
Wilson County, TX
41740San Diego-Carlsbad-San Marcos, CA 11.12651.0850
San Diego County, CA
41780Sandusky, OH0.90450.9336
Erie County, OH
41884San Francisco-San Mateo-Redwood City, CA 11.44031.2838
Marin County, CA
San Francisco County, CA
San Mateo County, CA
41900San Germán-Cabo Rojo, PR0.52540.6436
Cabo Rojo Municipio, PR
Lajas Municipio, PR
Sabana Grande Municipio, PR
San Germán Municipio, PR
41940San Jose-Sunnyvale-Santa Clara, CA 11.45431.2924
San Benito County, CA
Santa Clara County, CA
41980San Juan-Caguas-Guaynabo, PR 10.46460.5916
Aguas Buenas Municipio, PR
Aibonito Municipio, PR
Arecibo Municipio, PR
Barceloneta Municipio, PR
Barranquitas Municipio, PR
Bayamón Municipio, PR
Caguas Municipio, PR
Camuy Municipio, PR
Canóvanas Municipio, PR
Carolina Municipio, PR
Cataño Municipio, PR
Cayey Municipio, PR
Ciales Municipio, PR
Cidra Municipio, PR
Comerío Municipio, PR
Corozal Municipio, PR
Dorado Municipio, PR
Florida Municipio, PR
Guaynabo Municipio, PR
Gurabo Municipio, PR
Hatillo Municipio, PR
Humacao Municipio, PR
Juncos Municipio, PR
Las Piedras Municipio, PR
Loíza Municipio, PR
Manatí Municipio, PR
Maunabo Municipio, PR
Morovis Municipio, PR
Naguabo Municipio, PR
Naranjito Municipio, PR
Orocovis Municipio, PR
Quebradillas Municipio, PR
Río Grande Municipio, PR
San Juan Municipio, PR
San Lorenzo Municipio, PR
Toa Alta Municipio, PR
Toa Baja Municipio, PR
Start Printed Page 35946
Trujillo Alto Municipio, PR
Vega Alta Municipio, PR
Vega Baja Municipio, PR
Yabucoa Municipio, PR
42020San Luis Obispo-Paso Robles, CA1.11401.0767
San Luis Obispo County, CA
42044Santa Ana-Anaheim-Irvine, CA 11.17281.1153
Orange County, CA
42060Santa Barbara-Santa Maria-Goleta, CA1.07311.0495
Santa Barbara County, CA
42100Santa Cruz-Watsonville, CA1.47861.3071
Santa Cruz County, CA
42140Santa Fe, NM1.09131.0617
Santa Fe County, NM
42220Santa Rosa-Petaluma, CA1.29581.1942
Sonoma County, CA
42260Sarasota-Bradenton-Venice, FL0.96350.9749
Manatee County, FL
Sarasota County, FL
42340Savannah, GA0.94700.9634
Bryan County, GA
Chatham County, GA
Effingham County, GA
42540Scranton-Wilkes-Barre, PA0.85290.8968
Lackawanna County, PA
Luzerne County, PA
Wyoming County, PA
42644Seattle-Bellevue-Everett, WA 11.14971.1002
King County, WA
Snohomish County, WA
43100Sheboygan, WI 20.94850.9644
Sheboygan County, WI
43300Sherman-Denison, TX0.96450.9756
Grayson County, TX
43340Shreveport-Bossier City, LA0.91530.9412
Bossier Parish, LA
Caddo Parish, LA
De Soto Parish, LA
43580Sioux City, IA-NE-SD0.90770.9358
Woodbury County, IA
Dakota County, NE
Dixon County, NE
Union County, SD
43620Sioux Falls, SD0.94380.9612
Lincoln County, SD
McCook County, SD
Minnehaha County, SD
Turner County, SD
43780South Bend-Mishawaka, IN-MI0.94580.9626
St. Joseph County, IN
Cass County, MI
43900Spartanburg, SC0.90350.9329
Spartanburg County, SC
44060Spokane, WA1.06741.0457
Spokane County, WA
44100Springfield, IL0.87540.9129
Menard County, IL
Sangamon County, IL
44140Springfield, MA 21.04321.0294
Franklin County, MA
Hampden County, MA
Hampshire County, MA
44180Springfield, MO0.84580.8916
Christian County, MO
Dallas County, MO
Greene County, MO
Polk County, MO
Webster County, MO
44220Springfield, OH0.87630.9135
Clark County, OH
44300State College, PA0.84860.8937
Start Printed Page 35947
Centre County, PA
44700Stockton, CA1.06051.0410
San Joaquin County, CA
44844Suffolk-Nassau, NY 11.29661.1947
Nassau County, NY
Suffolk County, NY
44940Sumter, SC 20.84490.8910
Sumter County, SC
45060Syracuse, NY0.95040.9658
Madison County, NY
Onondaga County, NY
Oswego County, NY
45104Tacoma, WA1.11051.0744
Pierce County, WA
45220Tallahassee, FL0.86900.9083
Gadsden County, FL
Jefferson County, FL
Leon County, FL
Wakulla County, FL
45300Tampa-St. Petersburg-Clearwater, FL 10.90870.9365
Hernando County, FL
Hillsborough County, FL
Pasco County, FL
Pinellas County, FL
45460Terre Haute, IN 20.86750.9072
Clay County, IN
Sullivan County, IN
Vermillion County, IN
Vigo County, IN
45500Texarkana, TX-Texarkana, AR0.84570.8916
Miller County, AR
Bowie County, TX
45780Toledo, OH0.95360.9680
Fulton County, OH
Lucas County, OH
Ottawa County, OH
Wood County, OH
45820Topeka, KS0.89150.9244
Jackson County, KS
Jefferson County, KS
Osage County, KS
Shawnee County, KS
Wabaunsee County, KS
45940Trenton-Ewing, NJ1.02941.0200
Mercer County, NJ
46060Tucson, AZ0.89710.9283
Pima County, AZ
46140Tulsa, OK0.87090.9097
Creek County, OK
Okmulgee County, OK
Osage County, OK
Pawnee County, OK
Rogers County, OK
Tulsa County, OK
Wagoner County, OK
46220Tuscaloosa, AL0.83580.8844
Greene County, AL
Hale County, AL
Tuscaloosa County, AL
46340Tyler, TX0.95340.9678
Smith County, TX
46540Utica-Rome, NY0.83390.8830
Herkimer County, NY
Oneida County, NY
46660Valdosta, GA0.83550.8842
Brooks County, GA
Echols County, GA
Lanier County, GA
Lowndes County, GA
46700Vallejo-Fairfield, CA1.42751.2760
Solano County, CA
Start Printed Page 35948
46940Vero Beach, FL0.95130.9664
Indian River County, FL
47020Victoria, TX0.84910.8940
Calhoun County, TX
Goliad County, TX
Victoria County, TX
47220Vineland-Millville-Bridgeton, NJ1.06041.0410
Cumberland County, NJ
47260Virginia Beach-Norfolk-Newport News, VA-NC 10.89410.9262
Currituck County, NC
Gloucester County, VA
Isle of Wight County, VA
James City County, VA
Mathews County, VA
Surry County, VA
York County, VA
Chesapeake City, VA
Hampton City, VA
Newport News City, VA
Norfolk City, VA
Poquoson City, VA
Portsmouth City, VA
Suffolk City, VA
Virginia Beach City, VA
Williamsburg City, VA
47300Visalia-Porterville, CA 21.04401.0299
Tulare County, CA
47380Waco, TX0.81670.8705
McLennan County, TX
47580Warner Robins, GA0.85130.8956
Houston County, GA
47644Warren-Farmington Hills-Troy, MI 11.01311.0090
Lapeer County, MI
Livingston County, MI
Macomb County, MI
Oakland County, MI
St. Clair County, MI
47894Washington-Arlington-Alexandria, DC-VA-MD-WV 11.10631.0716
District of Columbia, DC
Calvert County, MD
Charles County, MD
Prince George's County, MD
Arlington County, VA
Clarke County, VA
Fairfax County, VA
Fauquier County, VA
Loudoun County, VA
Prince William County, VA
Spotsylvania County, VA
Stafford County, VA
Warren County, VA
Alexandria City, VA
Fairfax City, VA
Falls Church City, VA
Fredericksburg City, VA
Manassas City, VA
Manassas Park City, VA
Jefferson County, WV
47940Waterloo-Cedar Falls, IA0.86520.9056
Black Hawk County, IA
Bremer County, IA
Grundy County, IA
48140Wausau, WI1.01211.0083
Marathon County, WI
48260Weirton-Steubenville, WV-OH (OH Hospitals) 20.87080.9096
Jefferson County, OH
Brooke County, WV
Hancock County, WV
48260Weirton-Steubenville, WV-OH (WV Hospitals)0.82920.8796
Jefferson County, OH
Brooke County, WV
Start Printed Page 35949
Hancock County, WV
48300Wenatchee, WA 21.03401.0232
Chelan County, WA
Douglas County, WA
48424West Palm Beach-Boca Raton-Boynton Beach, FL 11.00741.0051
Palm Beach County, FL
48540Wheeling, WV-OH (OH Hospitals) 20.87080.9096
Belmont County, OH
Marshall County, WV
Ohio County, WV
48540Wheeling, WV-OH (WV Hospitals) 20.79030.8512
Belmont County, OH
Marshall County, WV
Ohio County, WV
48620Wichita, KS0.94760.9638
Butler County, KS
Harvey County, KS
Sedgwick County, KS
Sumner County, KS
48660Wichita Falls, TX0.83790.8859
Archer County, TX
Clay County, TX
Wichita County, TX
48700Williamsport, PA0.84320.8898
Lycoming County, PA
48864Wilmington, DE-MD-NJ1.11101.0747
New Castle County, DE
Cecil County, MD
Salem County, NJ
48900Wilmington, NC0.92480.9479
Brunswick County, NC
New Hanover County, NC
Pender County, NC
49020Winchester, VA-WV1.05131.0349
Frederick County, VA
Winchester City, VA
Hampshire County, WV
49180Winston-Salem, NC0.94300.9606
Davie County, NC
Forsyth County, NC
Stokes County, NC
Yadkin County, NC
49340Worcester, MA1.10341.0697
Worcester County, MA
49420Yakima, WA1.03431.0234
Yakima County, WA
49500Yauco, PR0.45050.5792
Guánica Municipio, PR
Guayanilla Municipio, PR
Peñuelas Municipio, PR
Yauco Municipio, PR
49620York-Hanover, PA0.89160.9244
York County, PA
49660Youngstown-Warren-Boardman, OH-PA0.92570.9485
Mahoning County, OH
Trumbull County, OH
Mercer County, PA
49700Yuba City, CA 21.04401.0299
Sutter County, CA
Yuba County, CA
49740Yuma, AZ 20.89670.9281
Yuma County, AZ
1 Large urban area.
2 Hospitals geographically located in the area are assigned the statewide rural wage index for FY 2005.

5. On page 28586, in Table 4C—Wage Index and Capital Geographic Adjustment Factor (GAF) for Hospitals that are Reclassified, we incorrectly included two entries for Wilmington, N.C., the two entries for Wilmington, NC are deleted and the following two entries are added in their place:Start Printed Page 35950

AreaWage indexGAF
Wilmington, DE1.08171.0553
Wilmington, NC0.90920.9369

6. On pages 28589 through 28628, Table 4G—Pre-Reclassified Wage Index for Urban Areas, is corrected to read as follows:

Table 4G—Pre-Reclassified Wage Index For Urban Areas

CBSA codeUrban area (constituent counties)Wage index
10180Abilene, TX0.8011
Callahan County, TX
Jones County, TX
Taylor County, TX
10380Aguadilla-Isabela-San Sebastián, PR0.4285
Aguada Municipio, PR
Aguadilla Municipio, PR
Añasco Municipio, PR
Isabela Municipio, PR
Lares Municipio, PR
Moca Municipio, PR
Rincón Municipio, PR
San Sebastián Municipio, PR
10420Akron, OH0.9065
Portage County, OH
Summit County, OH
10500Albany, GA1.1306
Baker County, GA
Dougherty County, GA
Lee County, GA
Terrell County, GA
Worth County, GA
10580Albany-Schenectady-Troy, NY0.8685
Albany County, NY
Rensselaer County, NY
Saratoga County, NY
Schenectady County, NY
Schoharie County, NY
10740Albuquerque, NM1.0167
Bernalillo County, NM
Sandoval County, NM
Torrance County, NM
Valencia County, NM
10780Alexandria, LA0.8198
Grant Parish, LA
Rapides Parish, LA
10900Allentown-Bethlehem-Easton, PA-NJ0.9539
Warren County, NJ
Carbon County, PA
Lehigh County, PA
Northampton County, PA
11020Altoona, PA0.8472
Blair County, PA
11100Amarillo, TX0.9209
Armstrong County, TX
Carson County, TX
Potter County, TX
Randall County, TX
11180Ames, IA0.9503
Story County, IA
11260Anchorage, AK1.2195
Anchorage Municipality, AK
Matanuska-Susitna Borough, AK
11300Anderson, IN0.8769
Madison County, IN
11340Anderson, SC0.8689
Anderson County, SC
11460Ann Arbor, MI1.1065
Washtenaw County, MI
11500Anniston-Oxford, AL0.7916
Calhoun County, AL
11540Appleton, WI0.9485
Calumet County, WI
Outagamie County, WI
11700Asheville, NC0.9217
Buncombe County, NC
Start Printed Page 35951
Haywood County, NC
Henderson County, NC
Madison County, NC
12020Athens-Clarke County, GA1.0010
Clarke County, GA
Madison County, GA
Oconee County, GA
Oglethorpe County, GA
12060Atlanta-Sandy Springs-Marietta, GA0.9926
Barrow County, GA
Bartow County, GA
Butts County, GA
Carroll County, GA
Cherokee County, GA
Clayton County, GA
Cobb County, GA
Coweta County, GA
Dawson County, GA
DeKalb County, GA
Douglas County, GA
Fayette County, GA
Forsyth County, GA
Fulton County, GA
Gwinnett County, GA
Haralson County, GA
Heard County, GA
Henry County, GA
Jasper County, GA
Lamar County, GA
Meriwether County, GA
Newton County, GA
Paulding County, GA
Pickens County, GA
Pike County, GA
Rockdale County, GA
Spalding County, GA
Walton County, GA
12100Atlantic City, NJ1.0723
Atlantic County, NJ
12220Auburn-Opelika, AL0.8231
Lee County, AL
12260Augusta-Richmond County, GA-SC0.9169
Burke County, GA
Columbia County, GA
McDuffie County, GA
Richmond County, GA
Aiken County, SC
Edgefield County, SC
12420Austin-Round Rock, TX0.9619
Bastrop County, TX
Caldwell County, TX
Hays County, TX
Travis County, TX
Williamson County, TX
12540Bakersfield, CA1.0440
Kern County, CA
12580Baltimore-Towson, MD0.9904
Anne Arundel County, MD
Baltimore County, MD
Carroll County, MD
Harford County, MD
Howard County, MD
Queen Anne's County, MD
Baltimore City, MD
12620Bangor, ME0.9960
Penobscot County, ME
12700Barnstable Town, MA1.1965
Barnstable County, MA
12940Baton Rouge, LA0.8344
Ascension Parish, LA
East Baton Rouge Parish, LA
Start Printed Page 35952
East Feliciana Parish, LA
Iberville Parish, LA
Livingston Parish, LA
Pointe Coupee Parish, LA
St. Helena Parish, LA
West Baton Rouge Parish, LA
West Feliciana Parish, LA
12980Battle Creek, MI0.9132
Calhoun County, MI
13020Bay City, MI0.9601
Bay County, MI
13140Beaumont-Port Arthur, TX0.8564
Hardin County, TX
Jefferson County, TX
Orange County, TX
13380Bellingham, WA1.1695
Whatcom County, WA
13460Bend, OR1.0623
Deschutes County, OR
13644Bethesda-Frederick-Gaithersburg, MD1.0993
Frederick County, MD
Montgomery County, MD
13740Billings, MT0.8993
Carbon County, MT
Yellowstone County, MT
13780Binghamton, NY0.8484
Broome County, NY
Tioga County, NY
13820Birmingham-Hoover, AL0.9111
Bibb County, AL
Blount County, AL
Chilton County, AL
Jefferson County, AL
St. Clair County, AL
Shelby County, AL
Walker County, AL
13900Bismarck, ND0.7741
Burleigh County, ND
Morton County, ND
13980Blacksburg-Christiansburg-Radford, VA0.8065
Giles County, VA
Montgomery County, VA
Pulaski County, VA
Radford City, VA
14020Bloomington, IN0.8675
Greene County, IN
Monroe County, IN
Owen County, IN
14060Bloomington-Normal, IL0.9099
McLean County, IL
14260Boise City-Nampa, ID0.9360
Ada County, ID
Boise County, ID
Canyon County, ID
Gem County, ID
Owyhee County, ID
14484Boston-Quincy, MA1.1649
Norfolk County, MA
Plymouth County, MA
Suffolk County, MA
14500Boulder, CO1.0072
Boulder County, CO
14540Bowling Green, KY0.8162
Edmonson County, KY
Warren County, KY
14740Bremerton-Silverdale, WA1.0636
Kitsap County, WA
14860Bridgeport-Stamford-Norwalk, CT1.2876
Fairfield County, CT
14980Bristol, VA0.8065
Washington County, VA
Start Printed Page 35953
Bristol City, VA
15180Brownsville-Harlingen, TX1.0178
Cameron County, TX
15260Brunswick, GA1.1988
Brantley County, GA
Glynn County, GA
McIntosh County, GA
15380Buffalo-Niagara Falls, NY0.9351
Erie County, NY
Niagara County, NY
15500Burlington, NC0.8881
Alamance County, NC
15540Burlington-South Burlington, VT0.9378
Chittenden County, VT
Franklin County, VT
Grand Isle County, VT
15764Cambridge-Newton-Framingham, MA1.1199
Middlesex County, MA
15804Camden, NJ1.0683
Burlington County, NJ
Camden County, NJ
Gloucester County, NJ
15940Canton-Massillon, OH0.8917
Carroll County, OH
Stark County, OH
15980Cape Coral-Fort Myers, FL0.9380
Lee County, FL
16180Carson City, NV1.0362
Carson City, NV
16220Casper, WY0.9301
Natrona County, WY
16300Cedar Rapids, IA0.8987
Benton County, IA
Jones County, IA
Linn County, IA
16580Champaign-Urbana, IL0.9539
Champaign County, IL
Ford County, IL
Piatt County, IL
16620Charleston, WV0.8875
Boone County, WV
Clay County, WV
Kanawha County, WV
Lincoln County, WV
Putnam County, WV
16700Charleston-North Charleston, SC0.9379
Berkeley County, SC
Charleston County, SC
Dorchester County, SC
16740Charlotte-Gastonia-Concord, NC-SC0.9750
Anson County, NC
Cabarrus County, NC
Gaston County, NC
Mecklenburg County, NC
Union County, NC
York County, SC
16820Charlottesville, VA1.0317
Albemarle County, VA
Fluvanna County, VA
Greene County, VA
Nelson County, VA
Charlottesville City, VA
16860Chattanooga, TN-GA0.9233
Catoosa County, GA
Dade County, GA
Walker County, GA
Hamilton County, TN
Marion County, TN
Sequatchie County, TN
16940Cheyenne, WY0.9190
Laramie County, WY
Start Printed Page 35954
16974Chicago-Naperville Joliet, IL1.0819
Cook County, IL
DeKalb County, IL
DuPage County, IL
Grundy County, IL
Kane County, IL
Kendall County, IL
McHenry County, IL
Will County, IL
17020Chico, CA1.0575
Butte County, CA
17140Cincinnati-Middletown, OH-KY-IN0.9532
Dearborn County, IN
Franklin County, IN
Ohio County, IN
Boone County, KY
Bracken County, KY
Campbell County, KY
Gallatin County, KY
Grant County, KY
Kenton County, KY
Pendleton County, KY
Brown County, OH
Butler County, OH
Clermont County, OH
Hamilton County, OH
Warren County, OH
17300Clarksville, TN-KY0.8027
Christian County, KY
Trigg County, KY
Montgomery County, TN
Stewart County, TN
17420Cleveland, TN0.7911
Bradley County, TN
Polk County, TN
17460Cleveland-Elyria-Mentor, OH0.9667
Cuyahoga County, OH
Geauga County, OH
Lake County, OH
Lorain County, OH
Medina County, OH
17660Coeur d'Alene, ID0.9346
Kootenai County, ID
17780College Station-Bryan, TX0.8505
Brazos County, TX
Burleson County, TX
Robertson County, TX
17820Colorado Springs, CO0.9799
El Paso County, CO
Teller County, CO
17860Columbia, MO0.8352
Boone County, MO
Howard County, MO
17900Columbia, SC0.9071
Calhoun County, SC
Fairfield County, SC
Kershaw County, SC
Lexington County, SC
Richland County, SC
Saluda County, SC
17980Columbus, GA-AL0.8711
Russell County, AL
Chattahoochee County, GA
Harris County, GA
Marion County, GA
Muscogee County, GA
18020Columbus, IN0.9472
Bartholomew County, IN
18140Columbus, OH0.9757
Delaware County, OH
Fairfield County, OH
Start Printed Page 35955
Franklin County, OH
Licking County, OH
Madison County, OH
Morrow County, OH
Pickaway County, OH
Union County, OH
18580Corpus Christi, TX0.8665
Aransas County, TX
Nueces County, TX
San Patricio County, TX
18700Corvallis, OR1.0547
Benton County, OR
19060Cumberland, MD-WV0.9248
Allegany County, MD
Mineral County, WV
19124Dallas-Plano-Irving, TX1.0092
Collin County, TX
Dallas County, TX
Delta County, TX
Denton County, TX
Ellis County, TX
Hunt County, TX
Kaufman County, TX
Rockwall County, TX
19140Dalton, GA0.9320
Murray County, GA
Whitfield County, GA
19180Danville, IL0.8418
Vermilion County, IL
19260Danville, VA0.8792
Pittsylvania County, VA
Danville City, VA
19340Davenport-Moline-Rock Island, IA-IL0.8776
Henry County, IL
Mercer County, IL
Rock Island County, IL
Scott County, IA
19380Dayton, OH0.9320
Greene County, OH
Miami County, OH
Montgomery County, OH
Preble County, OH
19460Decatur, AL0.8915
Lawrence County, AL
Morgan County, AL
19500Decatur, IL0.8364
Macon County, IL
19660Deltona-Daytona Beach-Ormond Beach, FL0.8668
Volusia County, FL
19740Denver-Aurora, CO1.0911
Adams County, CO
Arapahoe County, CO
Broomfield County, CO
Clear Creek County, CO
Denver County, CO
Douglas County, CO
Elbert County, CO
Gilpin County, CO
Jefferson County, CO
Park County, CO
19780Des Moines, IA0.9288
Dallas County, IA
Guthrie County, IA
Madison County, IA
Polk County, IA
Warren County, IA
19804Detroit-Livonia-Dearborn, MI1.0379
Wayne County, MI
20020Dothan, AL0.7675
Geneva County, AL
Henry County, AL
Start Printed Page 35956
Houston County, AL
20100Dover, DE0.9579
Kent County, DE
20220Dubuque, IA0.8748
Dubuque County, IA
20260Duluth, MN-WI1.0449
Carlton County, MN
St. Louis County, MN
Douglas County, WI
20500Durham, NC1.0312
Chatham County, NC
Durham County, NC
Orange County, NC
Person County, NC
20740Eau Claire, WI0.9485
Chippewa County, WI
Eau Claire County, WI
20764Edison, NJ1.1160
Middlesex County, NJ
Monmouth County, NJ
Ocean County, NJ
Somerset County, NJ
20940El Centro, CA1.0440
Imperial County, CA
21060Elizabethtown, KY0.8713
Hardin County, KY
Larue County, KY
21140Elkhart-Goshen, IN0.9286
Elkhart County, IN
21300Elmira, NY0.8488
Chemung County, NY
21340El Paso, TX0.9210
El Paso County, TX
21420Enid, OK0.9034
Garfield County, OK
21500Erie, PA0.8708
Erie County, PA
21604Essex County, MA1.0666
Essex County, MA
21660Eugene-Springfield, OR1.0951
Lane County, OR
21780Evansville, IN-KY0.8675
Gibson County, IN
Posey County, IN
Vanderburgh County, IN
Warrick County, IN
Henderson County, KY
Webster County, KY
21820Fairbanks, AK1.1761
Fairbanks North Star Borough, AK
21940Fajardo, PR0.4014
Ceiba Municipio, PR
Fajardo Municipio, PR
Luquillo Municipio, PR
22020Fargo, ND-MN0.9340
Clay County, MN
Cass County, ND
22140Farmington, NM0.8592
San Juan County, NM
22180Fayetteville, NC0.9387
Cumberland County, NC
Hoke County, NC
22220Fayetteville-Springdale-Rogers, AR-MO0.8674
Benton County, AR
Madison County, AR
Washington County, AR
McDonald County, MO
22380Flagstaff, AZ1.0804
Coconino County, AZ
22420Flint, MI1.1187
Genesee County, MI
Start Printed Page 35957
22460Florence-Muscle Shoals, AL0.7917
Colbert County, AL
Lauderdale County, AL
22500Florence, SC0.8540
Darlington County, SC
Florence County, SC
22540Fond du Lac, WI0.9921
Fond du Lac County, WI
22660Fort Collins-Loveland, CO1.0142
Larimer County, CO
22744Fort Lauderdale-Pompano Beach-Deerfield Beach, FL1.0180
Broward County, FL
22900Fort Smith, AR-OK0.8311
Crawford County, AR
Franklin County, AR
Sebastian County, AR
Le Flore County, OK
Sequoyah County, OK
23020Fort Walton Beach-Crestview-Destin, FL0.8805
Okaloosa County, FL
23060Fort Wayne, IN0.9825
Allen County, IN
Wells County, IN
Whitley County, IN
23104Fort Worth-Arlington, TX0.9515
Johnson County, TX
Parker County, TX
Tarrant County, TX
Wise County, TX
23420Fresno, CA1.0656
Fresno County, CA
23460Gadsden, AL0.8090
Etowah County, AL
23540Gainesville, FL0.8581
Alachua County, FL
Gilchrist County, FL
23580Gainesville, GA0.9584
Hall County, GA
23844Gary, IN0.9328
Jasper County, IN
Lake County, IN
Newton County, IN
Porter County, IN
24020Glens Falls, NY0.8508
Warren County, NY
Washington County, NY
24140Goldsboro, NC0.8796
Wayne County, NC
24220Grand Forks, ND-MN0.9340
Polk County, MN
Grand Forks County, ND
24300Grand Junction, CO0.9949
Mesa County, CO
24340Grand Rapids-Wyoming, MI0.9457
Barry County, MI
Ionia County, MI
Kent County, MI
Newaygo County, MI
24500Great Falls, MT0.8894
Cascade County, MT
24540Greeley, CO0.9486
Weld County, CO
24580Green Bay, WI0.9602
Brown County, WI
Kewaunee County, WI
Oconto County, WI
24660Greensboro-High Point, NC0.9228
Guilford County, NC
Randolph County, NC
Rockingham County, NC
24780Greenville, NC0.9183
Start Printed Page 35958
Greene County, NC
Pitt County, NC
24860Greenville, SC0.9287
Greenville County, SC
Laurens County, SC
Pickens County, SC
25020Guayama, PR0.4015
Arroyo Municipio, PR
Guayama Municipio, PR
Patillas Municipio, PR
25060Gulfport-Biloxi, MS0.8954
Hancock County, MS
Harrison County, MS
Stone County, MS
25180Hagerstown-Martinsburg, MD-WV0.9765
Washington County, MD
Berkeley County, WV
Morgan County, WV
25260Hanford-Corcoran, CA1.0440
Kings County, CA
25420Harrisburg-Carlisle, PA0.9377
Cumberland County, PA
Dauphin County, PA
Perry County, PA
25500Harrisonburg, VA0.9300
Rockingham County, VA
Harrisonburg City, VA
25540Hartford-West Hartford-East Hartford, CT1.1312
Hartford County, CT
Middlesex County, CT
Tolland County, CT
25620Hattiesburg, MS0.7665
Forrest County, MS
Lamar County, MS
Perry County, MS
25860Hickory-Lenoir-Morganton, NC0.9508
Alexander County, NC
Burke County, NC
Caldwell County, NC
Catawba County, NC
25980Hinesville-Fort Stewart, GA0.7774
Liberty County, GA
Long County, GA
26100Holland-Grand Haven, MI0.9482
Ottawa County, MI
26180Honolulu, HI1.0997
Honolulu County, HI
26300Hot Springs, AR0.9286
Garland County, AR
26380Houma-Bayou Cane-Thibodaux, LA0.7779
Lafourche Parish, LA
Terrebonne Parish, LA
26420Houston-Baytown-Sugar Land, TX0.9995
Austin County, TX
Brazoria County, TX
Chambers County, TX
Fort Bend County, TX
Galveston County, TX
Harris County, TX
Liberty County, TX
Montgomery County, TX
San Jacinto County, TX
Waller County, TX
26580Huntington-Ashland, WV-KY-OH0.9585
Boyd County, KY
Greenup County, KY
Lawrence County, OH
Cabell County, WV
Wayne County, WV
26620Huntsville, AL0.8850
Limestone County, AL
Start Printed Page 35959
Madison County, AL
26820Idaho Falls, ID0.9062
Bonneville County, ID
Jefferson County, ID
26900Indianapolis, IN1.0102
Boone County, IN
Brown County, IN
Hamilton County, IN
Hancock County, IN
Hendricks County, IN
Johnson County, IN
Marion County, IN
Morgan County, IN
Putnam County, IN
Shelby County, IN
26980Iowa City, IA0.9663
Johnson County, IA
Washington County, IA
27060Ithaca, NY0.9795
Tompkins County, NY
27100Jackson, MI0.9152
Jackson County, MI
27140Jackson, MS0.8305
Copiah County, MS
Hinds County, MS
Madison County, MS
Rankin County, MS
Simpson County, MS
27180Jackson, TN0.8912
Chester County, TN
Madison County, TN
27260Jacksonville, FL0.9561
Baker County, FL
Clay County, FL
Duval County, FL
Nassau County, FL
St. Johns County, FL
27340Jacksonville, NC0.8587
Onslow County, NC
27460Jamestown-Dunkirk-Fredonia, NY0.8180
Chautauqua County, NY
27500Janesville, WI0.9618
Rock County, WI
27620Jefferson City, MO0.8352
Callaway County, MO
Cole County, MO
Moniteau County, MO
Osage County, MO
27740Johnson City, TN0.7991
Carter County, TN
Unicoi County, TN
Washington County, TN
27780Johnstown, PA0.8397
Cambria County, PA
27860Jonesboro, AR0.8000
Craighead County, AR
Poinsett County, AR
27900Joplin, MO0.8746
Jasper County, MO
Newton County, MO
28020Kalamazoo-Portage, MI1.0714
Kalamazoo County, MI
Van Buren County, MI
28100Kankakee-Bradley, IL1.0551
Kankakee County, IL
28140Kansas City, MO-KS0.9625
Franklin County, KS
Johnson County, KS
Leavenworth County, KS
Linn County, KS
Miami County, KS
Start Printed Page 35960
Wyandotte County, KS
Bates County, MO
Caldwell County, MO
Cass County, MO
Clay County, MO
Clinton County, MO
Jackson County, MO
Lafayette County, MO
Platte County, MO
Ray County, MO
28420Kennewick-Richland-Pasco, WA1.0530
Benton County, WA
Franklin County, WA
28660Killeen-Temple-Fort Hood, TX0.9301
Bell County, TX
Coryell County, TX
Lampasas County, TX
28700Kingsport-Bristol-Bristol, TN-VA0.8257
Hawkins County, TN
Sullivan County, TN
Scott County, VA
28740Kingston, NY0.8874
Ulster County, NY
28940Knoxville, TN0.8585
Anderson County, TN
Blount County, TN
Knox County, TN
Loudon County, TN
Union County, TN
29020Kokomo, IN0.9038
Howard County, IN
Tipton County, IN
29100La Crosse, WI-MN0.9340
Houston County, MN
La Crosse County, WI
29140Lafayette, IN0.9073
Benton County, IN
Carroll County, IN
Tippecanoe County, IN
29180Lafayette, LA0.8319
Lafayette Parish, LA
St. Martin Parish, LA
29340Lake Charles, LA0.7921
Calcasieu Parish, LA
Cameron Parish, LA
29404Lake County-Kenosha County, IL-WI1.0342
Lake County, IL
Kenosha County, WI
29460Lakeland, FL0.8964
Polk County, FL
29540Lancaster, PA0.9919
Lancaster County, PA
29620Lansing-East Lansing, MI0.9675
Clinton County, MI
Eaton County, MI
Ingham County, MI
29700Laredo, TX0.8293
Webb County, TX
29740Las Cruces, NM0.8783
Dona Ana County, NM
29820Las Vegas-Paradise, NV1.1380
Clark County, NV
29940Lawrence, KS0.8132
Douglas County, KS
30020Lawton, OK0.8264
Comanche County, OK
30140Lebanon, PA0.8592
Lebanon County, PA
30300Lewiston, ID-WA0.9325
Nez Perce County, ID
Asotin County, WA
Start Printed Page 35961
30340Lewiston-Auburn, ME0.9613
Androscoggin County, ME
30460Lexington-Fayette, KY0.9074
Bourbon County, KY
Clark County, KY
Fayette County, KY
Jessamine County, KY
Scott County, KY
Woodford County, KY
30620Lima, OH0.9330
Allen County, OH
30700Lincoln, NE1.0206
Lancaster County, NE
Seward County, NE
30780Little Rock-North Little Rock, AR0.9032
Faulkner County, AR
Grant County, AR
Lonoke County, AR
Perry County, AR
Pulaski County, AR
Saline County, AR
30860Logan, UT-ID0.9102
Franklin County, ID
Cache County, UT
30980Longview, TX0.8823
Gregg County, TX
Rusk County, TX
Upshur County, TX
31020Longview, WA1.0340
Cowlitz County, WA
31084Los Angeles-Long Beach-Glendale, CA1.1730
Los Angeles County, CA
31140Louisville, KY-IN0.9146
Clark County, IN
Floyd County, IN
Harrison County, IN
Washington County, IN
Bullitt County, KY
Henry County, KY
Jefferson County, KY
Meade County, KY
Nelson County, KY
Oldham County, KY
Shelby County, KY
Spencer County, KY
Trimble County, KY
31180Lubbock, TX0.8798
Crosby County, TX
Lubbock County, TX
31340Lynchburg, VA0.9048
Amherst County, VA
Appomattox County, VA
Bedford County, VA
Campbell County, VA
Bedford City, VA
Lynchburg City, VA
31420Macon, GA0.9934
Bibb County, GA
Crawford County, GA
Jones County, GA
Monroe County, GA
Twiggs County, GA
31460Madera, CA1.0440
Madera County, CA
31540Madison, WI1.0325
Columbia County, WI
Dane County, WI
Iowa County, WI
31700Manchester-Nashua, NH1.0573
Hillsborough County, NH
31900Mansfield, OH0.9224
Start Printed Page 35962
Richland County, OH
32420Mayagüez, PR0.4453
Hormigueros Municipio, PR
Mayagüez Municipio, PR
32580McAllen-Edinburg-Pharr, TX0.8624
Hidalgo County, TX
32780Medford, OR1.0561
Jackson County, OR
32820Memphis, TN-MS-AR0.9250
Crittenden County, AR
DeSoto County, MS
Marshall County, MS
Tate County, MS
Tunica County, MS
Fayette County, TN
Shelby County, TN
Tipton County, TN
32900Merced, CA1.0440
Merced County, CA
33124Miami-Miami Beach-Kendall, FL1.0045
Miami-Dade County, FL
33140Michigan City-La Porte, IN0.9351
LaPorte County, IN
33260Midland, TX0.9408
Midland County, TX
33340Milwaukee-Waukesha-West Allis, WI1.0106
Milwaukee County, WI
Ozaukee County, WI
Washington County, WI
Waukesha County, WI
33460Minneapolis-St. Paul-Bloomington, MN-WI1.1074
Anoka County, MN
Carver County, MN
Chisago County, MN
Dakota County, MN
Hennepin County, MN
Isanti County, MN
Ramsey County, MN
Scott County, MN
Sherburne County, MN
Washington County, MN
Wright County, MN
Pierce County, WI
St. Croix County, WI
33540Missoula, MT0.9610
Missoula County, MT
33660Mobile, AL0.8017
Mobile County, AL
33700Modesto, CA1.2007
Stanislaus County, CA
33740Monroe, LA0.7928
Ouachita Parish, LA
Union Parish, LA
33780Monroe, MI0.9517
Monroe County, MI
33860Montgomery, AL0.8312
Autauga County, AL
Elmore County, AL
Lowndes County, AL
Montgomery County, AL
34060Morgantown, WV0.8720
Monongalia County, WV
Preston County, WV
34100Morristown, TN0.7911
Grainger County, TN
Hamblen County, TN
Jefferson County, TN
34580Mount Vernon-Anacortes, WA1.0581
Skagit County, WA
34620Muncie, IN0.8675
Delaware County, IN
Start Printed Page 35963
34740Muskegon-Norton Shores, MI0.9770
Muskegon County, MI
34820Myrtle Beach-Conway-North Myrtle Beach, SC0.8592
Horry County, SC
34900Napa, CA1.2550
Napa County, CA
34940Naples-Marco Island, FL1.0593
Collier County, FL
34980Nashville-Davidson-Murfreesboro, TN1.0115
Cannon County, TN
Cheatham County, TN
Davidson County, TN
Dickson County, TN
Hickman County, TN
Macon County, TN
Robertson County, TN
Rutherford County, TN
Smith County, TN
Sumner County, TN
Trousdale County, TN
Williamson County, TN
Wilson County, TN
35084Newark-Union, NJ-PA1.1708
Essex County, NJ
Hunterdon County, NJ
Morris County, NJ
Sussex County, NJ
Union County, NJ
Pike County, PA
35300New Haven-Milford, CT1.1828
New Haven County, CT
35380New Orleans-Metairie-Kenner, LA0.9118
Jefferson Parish, LA
Orleans Parish, LA
Plaquemines Parish, LA
St. Bernard Parish, LA
St. Charles Parish, LA
St. John the Baptist Parish, LA
St. Tammany Parish, LA
35644New York-Wayne-White Plains, NY-NJ1.3324
Bergen County, NJ
Hudson County, NJ
Passaic County, NJ
Bronx County, NY
Kings County, NY
New York County, NY
Putnam County, NY
Queens County, NY
Richmond County, NY
Rockland County, NY
Westchester County, NY
35660Niles-Benton Harbor, MI0.8922
Berrien County, MI
35980Norwich-New London, CT1.1625
New London County, CT
36084Oakland-Fremont-Hayward, CA1.5251
Alameda County, CA
Contra Costa County, CA
36100Ocala, FL0.9194
Marion County, FL
36140Ocean City, NJ1.0841
Cape May County, NJ
36220Odessa, TX0.9822
Ector County, TX
36260Ogden-Clearfield, UT0.9235
Davis County, UT
Morgan County, UT
Weber County, UT
36420Oklahoma City, OK0.9005
Canadian County, OK
Cleveland County, OK
Start Printed Page 35964
Grady County, OK
Lincoln County, OK
Logan County, OK
McClain County, OK
Oklahoma County, OK
36500Olympia, WA1.1034
Thurston County, WA
36540Omaha-Council Bluffs, NE-IA0.9765
Harrison County, IA
Mills County, IA
Pottawattamie County, IA
Cass County, NE
Douglas County, NE
Sarpy County, NE
Saunders County, NE
Washington County, NE
36740Orlando, FL0.9779
Lake County, FL
Orange County, FL
Osceola County, FL
Seminole County, FL
36780Oshkosh-Neenah, WI0.9485
Winnebago County, WI
36980Owensboro, KY0.8470
Daviess County, KY
Hancock County, KY
McLean County, KY
37100Oxnard-Thousand Oaks-Ventura, CA1.1130
Ventura County, CA
37340Palm Bay-Melbourne-Titusville, FL0.9630
Brevard County, FL
37460Panama City-Lynn Haven, FL0.8581
Bay County, FL
37620Parkersburg-Marietta, WV-OH0.8708
Washington County, OH
Pleasants County, WV
Wirt County, WV
Wood County, WV
37700Pascagoula, MS0.7993
George County, MS
Jackson County, MS
37860Pensacola-Ferry Pass-Brent, FL0.8581
Escambia County, FL
Santa Rosa County, FL
37900Peoria, IL0.8792
Marshall County, IL
Peoria County, IL
Stark County, IL
Tazewell County, IL
Woodford County, IL
37964Philadelphia, PA1.0880
Bucks County, PA
Chester County, PA
Delaware County, PA
Montgomery County, PA
Philadelphia County, PA
38060Phoenix-Mesa-Scottsdale, AZ1.0009
Maricopa County, AZ
Pinal County, AZ
38220Pine Bluff, AR0.8724
Cleveland County, AR
Jefferson County, AR
Lincoln County, AR
38300Pittsburgh, PA0.8743
Allegheny County, PA
Armstrong County, PA
Beaver County, PA
Butler County, PA
Fayette County, PA
Washington County, PA
Westmoreland County, PA
Start Printed Page 35965
38340Pittsfield, MA1.0756
Berkshire County, MA
38540Pocatello, ID0.9615
Bannock County, ID
Power County, ID
38660Ponce, PR0.5019
Juana Díaz Municipio, PR
Ponce Municipio, PR
Villalba Municipio, PR
38860Portland-South Portland-Biddeford, ME1.0127
Cumberland County, ME
Sagadahoc County, ME
York County, ME
38900Portland-Vancouver-Beaverton, OR-WA1.1384
Clackamas County, OR
Columbia County, OR
Multnomah County, OR
Washington County, OR
Yamhill County, OR
Clark County, WA
Skamania County, WA
38940Port St. Lucie-Fort Pierce, FL1.0077
Martin County, FL
St. Lucie County, FL
39100Poughkeepsie-Newburgh-Middletown, NY1.1395
Dutchess County, NY
Orange County, NY
39140Prescott, AZ0.9922
Yavapai County, AZ
39300Providence-New Bedford-Fall River, RI-MA1.0941
Bristol County, MA
Bristol County, RI
Kent County, RI
Newport County, RI
Providence County, RI
Washington County, RI
39340Provo-Orem, UT0.9596
Juab County, UT
Utah County, UT
39380Pueblo, CO0.9374
Pueblo County, CO
39460Punta Gorda, FL0.9473
Charlotte County, FL
39540Racine, WI0.9485
Racine County, WI
39580Raleigh-Cary, NC1.0060
Franklin County, NC
Johnston County, NC
Wake County, NC
39660Rapid City, SD0.8947
Meade County, SD
Pennington County, SD
39740Reading, PA0.9173
Berks County, PA
39820Redding, CA1.1856
Shasta County, CA
39900Reno-Sparks, NV1.0474
Storey County, NV
Washoe County, NV
40060Richmond, VA0.9422
Amelia County, VA
Caroline County, VA
Charles City County, VA
Chesterfield County, VA
Cumberland County, VA
Dinwiddie County, VA
Goochland County, VA
Hanover County, VA
Henrico County, VA
King and Queen County, VA
King William County, VA
Start Printed Page 35966
Louisa County, VA
New Kent County, VA
Powhatan County, VA
Prince George County, VA
Sussex County, VA
Colonial Heights City, VA
Hopewell City, VA
Petersburg City, VA
Richmond City, VA
40140Riverside-San Bernardino-Ontario, CA1.0997
Riverside County, CA
San Bernardino County, CA
40220Roanoke, VA0.8352
Botetourt County, VA
Craig County, VA
Franklin County, VA
Roanoke County, VA
Roanoke City, VA
Salem City, VA
40340Rochester, MN1.1511
Dodge County, MN
Olmsted County, MN
Wabasha County, MN
40380Rochester, NY0.9307
Livingston County, NY
Monroe County, NY
Ontario County, NY
Orleans County, NY
Wayne County, NY
40420Rockford, IL0.9623
Boone County, IL
Winnebago County, IL
40484Rockingham County-Strafford County, NH1.0232
Rockingham County, NH
Strafford County, NH
40580Rocky Mount, NC0.9016
Edgecombe County, NC
Nash County, NC
40660Rome, GA0.8877
Floyd County, GA
40900Sacramento-Arden-Arcade-Roseville, CA1.1707
El Dorado County, CA
Placer County, CA
Sacramento County, CA
Yolo County, CA
40980Saginaw-Saginaw Township North, MI0.9879
Saginaw County, MI
41060St. Cloud, MN1.0193
Benton County, MN
Stearns County, MN
41100St. George, UT0.9495
Washington County, UT
41140St. Joseph, MO-KS
Doniphan County, KS0.8010
Andrew County, MO0.8132
Buchanan County, MO
DeKalb County, MO
Hospitals located in Missouri
Hospitals located in Kansas
41180St. Louis, MO-IL0.9067
Bond County, IL
Calhoun County, IL
Clinton County, IL
Jersey County, IL
Macoupin County, IL
Madison County, IL
Monroe County, IL
St. Clair County, IL
Crawford County, MO
Franklin County, MO
Jefferson County, MO
Start Printed Page 35967
Lincoln County, MO
St. Charles County, MO
St. Louis County, MO
Warren County, MO
Washington County, MO
St. Louis City, MO
41420Salem, OR1.0572
Marion County, OR
Polk County, OR
41500Salinas, CA1.3946
Monterey County, CA
41540Salisbury, MD0.9248
Somerset County, MD
Wicomico County, MD
41620Salt Lake City, UT0.9588
Salt Lake County, UT
Summit County, UT
Tooele County, UT
41660San Angelo, TX0.8194
Irion County, TX
Tom Green County, TX
41700San Antonio, TX0.9021
Atascosa County, TX
Bandera County, TX
Bexar County, TX
Comal County, TX
Guadalupe County, TX
Kendall County, TX
Medina County, TX
Wilson County, TX
41740San Diego-Carlsbad-San Marcos, CA1.1265
San Diego County, CA
41780Sandusky, OH0.9045
Erie County, OH
41884San Francisco-San Mateo-Redwood City, CA1.4403
Marin County, CA
San Francisco County, CA
San Mateo County, CA
41900San Germán-Cabo Rojo, PR0.5254
Cabo Rojo Municipio, PR
Lajas Municipio, PR
Sabana Grande Municipio, PR
San German Municipio, PR
41940San Jose-Sunnyvale-Santa Clara, CA1.4543
San Benito County, CA
Santa Clara County, CA
41980San Juan-Caguas-Guaynabo, PR0.4646
Aguas Buenas Municipio, PR
Aibonito Municipio, PR
Arecibo Municipio, PR
Barceloneta Municipio, PR
Barranquitas Municipio, PR
Bayamon Municipio, PR
Caguas Municipio, PR
Camuy Municipio, PR
Canovanas Municipio, PR
Carolina Municipio, PR
Catano Municipio, PR
Cayey Municipio, PR
Ciales Municipio, PR
Cidra Municipio, PR
Comerio Municipio, PR
Corozal Municipio, PR
Dorado Municipio, PR
Florida Municipio, PR
Guaynabo Municipio, PR
Gurabo Municipio, PR
Hatillo Municipio, PR
Humacao Municipio, PR
Juncos Municipio, PR
Las Piedras Municipio, PR
Start Printed Page 35968
Loiza Municipio, PR
Manati Municipio, PR
Maunabo Municipio, PR
Morovis Municipio, PR
Naguabo Municipio, PR
Naranjito Municipio, PR
Orocovis Municipio, PR
Quebradillas Municipio, PR
Rio Grande Municipio, PR
San Juan Municipio, PR
San Lorenzo Municipio, PR
Toa Alta Municipio, PR
Toa Baja Municipio, PR
Trujillo Alto Municipio, PR
Vega Alta Municipio, PR
Vega Baja Municipio, PR
Yabucoa Municipio, PR
42020San Luis Obispo-Paso Robles, CA1.1140
San Luis Obispo County, CA
42044Santa Ana-Anaheim-Irvine, CA1.1628
Orange County, CA
42060Santa Barbara-Santa Maria-Goleta, CA1.0731
Santa Barbara County, CA
42100Santa Cruz-Watsonville, CA1.4786
Santa Cruz County, CA
42140Santa Fe, NM1.0913
Santa Fe County, NM
42220Santa Rosa-Petaluma, CA1.2958
Sonoma County, CA
42260Sarasota-Bradenton-Venice, FL0.9635
Manatee County, FL
Sarasota County, FL
42340Savannah, GA0.9470
Bryan County, GA
Chatham County, GA
Effingham County, GA
42540Scranton-Wilkes-Barre, PA0.8529
Lackawanna County, PA
Luzerne County, PA
Wyoming County, PA
42644Seattle-Bellevue-Everett, WA1.1497
King County, WA
Snohomish County, WA
43100Sheboygan, WI0.9485
Sheboygan County, WI
43300Sherman-Denison, TX0.9645
Grayson County, TX
43340Shreveport-Bossier City, LA0.9153
Bossier Parish, LA
Caddo Parish, LA
De Soto Parish, LA
43580Sioux City, IA-NE-SD0.9077
Woodbury County, IA
Dakota County, NE
Dixon County, NE
Union County, SD
43620Sioux Falls, SD0.9438
Lincoln County, SD
McCook County, SD
Minnehaha County, SD
Turner County, SD
43780South Bend-Mishawaka, IN-MI0.9458
St. Joseph County, IN
Cass County, MI
43900Spartanburg, SC0.9035
Spartanburg County, SC
44060Spokane, WA1.0674
Spokane County, WA
44100Springfield, IL0.8754
Menard County, IL
Sangamon County, IL
Start Printed Page 35969
44140Springfield, MA1.0432
Franklin County, MA
Hampden County, MA
Hampshire County, MA
44180Springfield, MO0.8458
Christian County, MO
Dallas County, MO
Greene County, MO
Polk County, MO
Webster County, MO
44220Springfield, OH0.8763
Clark County, OH
44300State College, PA0.8486
Centre County, PA
44700Stockton, CA1.0605
San Joaquin County, CA
44844Suffolk-Nassau, NY1.2966
Nassau County, NY
Suffolk County, NY
44940Sumter, SC0.8449
Sumter County, SC
45060Syracuse, NY0.9504
Madison County, NY
Onondaga County, NY
Oswego County, NY
45104Tacoma, WA1.1105
Pierce County, WA
45220Tallahassee, FL0.8690
Gadsden County, FL
Jefferson County, FL
Leon County, FL
Wakulla County, FL
45300Tampa-St. Petersburg-Clearwater, FL0.9087
Hernando County, FL
Hillsborough County, FL
Pasco County, FL
Pinellas County, FL
45460Terre Haute, IN0.8675
Clay County, IN
Sullivan County, IN
Vermillion County, IN
Vigo County, IN
45500Texarkana, TX-Texarkana, AR0.8432
Miller County, AR
Bowie County, TX
45780Toledo, OH0.9536
Fulton County, OH
Lucas County, OH
Ottawa County, OH
Wood County, OH
45820Topeka, KS0.8915
Jackson County, KS
Jefferson County, KS
Osage County, KS
Shawnee County, KS
Wabaunsee County, KS
45940Trenton-Ewing, NJ1.0294
Mercer County, NJ
46060Tucson, AZ0.8971
Pima County, AZ
46140Tulsa, OK0.8709
Creek County, OK
Okmulgee County, OK
Osage County, OK
Pawnee County, OK
Rogers County, OK
Tulsa County, OK
Wagoner County, OK
46220Tuscaloosa, AL0.8358
Greene County, AL
Hale County, AL
Start Printed Page 35970
Tuscaloosa County, AL
46340Tyler, TX0.9534
Smith County, TX
46540Utica-Rome, NY0.8339
Herkimer County, NY
Oneida County, NY
46660Valdosta, GA0.8355
Brooks County, GA
Echols County, GA
Lanier County, GA
Lowndes County, GA
46700Vallejo-Fairfield, CA1.4275
Solano County, CA
46940Vero Beach, FL0.9513
Indian River County, FL
47020Victoria, TX0.8491
Calhoun County, TX
Goliad County, TX
Victoria County, TX
47220Vineland-Millville-Bridgeton, NJ1.0604
Cumberland County, NJ
47260Virginia Beach-Norfolk-Newport News, VA-NC0.8941
Currituck County, NC
Gloucester County, VA
Isle of Wight County, VA
James City County, VA
Mathews County, VA
Surry County, VA
York County, VA
Chesapeake City, VA
Hampton City, VA
Newport News City, VA
Norfolk City, VA
Poquoson City, VA
Portsmouth City, VA
Suffolk City, VA
Virginia Beach City, VA
Williamsburg City, VA
47300Visalia-Porterville, CA1.0440
Tulare County, CA
47380Waco, TX0.8167
McLennan County, TX
47580Warner Robins, GA0.8513
Houston County, GA
47644Warren-Farmington Hills-Troy, MI1.0131
Lapeer County, MI
Livingston County, MI
Macomb County, MI
Oakland County, MI
St. Clair County, MI
47894Washington-Arlington-Alexandria, DC-VA-MD-WV1.1063
District of Columbia, DC
Calvert County, MD
Charles County, MD
Prince George's County, MD
Arlington County, VA
Clarke County, VA
Fairfax County, VA
Fauquier County, VA
Loudoun County, VA
Prince William County, VA
Spotsylvania County, VA
Stafford County, VA
Warren County, VA
Alexandria City, VA
Fairfax City, VA
Falls Church City, VA
Fredericksburg City, VA
Manassas City, VA
Manassas Park City, VA
Jefferson County, WV
Start Printed Page 35971
47940Waterloo-Cedar Falls, IA0.8652
Black Hawk County, IA
Bremer County, IA
Grundy County, IA
48140Wausau, WI0.9645
Marathon County, WI
48260Weirton-Steubenville, WV-OH0.8708
Jefferson County, OH
Brooke County, WV
Hancock County, WV
48300Wenatchee, WA1.0340
Chelan County, WA
Douglas County, WA
48424West Palm Beach-Boca Raton-Boynton Beach, FL1.0074
Palm Beach County, FL
48540Wheeling, WV-OH0.8708
Belmont County, OH
Marshall County, WV
Ohio County, WV
48620Wichita, KS0.9476
Butler County, KS
Harvey County, KS
Sedgwick County, KS
Sumner County, KS
48660Wichita Falls, TX0.8379
Archer County, TX
Clay County, TX
Wichita County, TX
48700Williamsport, PA0.8432
Lycoming County, PA
48864Wilmington, DE-MD-NJ1.1110
New Castle County, DE
Cecil County, MD
Salem County, NJ
48900Wilmington, NC0.9248
Brunswick County, NC
New Hanover County, NC
Pender County, NC
49020Winchester, VA-WV1.0513
Frederick County, VA
Winchester City, VA
Hampshire County, WV
49180Winston-Salem, NC0.9430
Davie County, NC
Forsyth County, NC
Stokes County, NC
Yadkin County, NC
49340Worcester, MA1.1034
Worcester County, MA
49420Yakima, WA1.0343
Yakima County, WA
49500Yauco, PR0.4505
Guánica Municipio, PR
Guayanilla Municipio, PR
Peñuelas Municipio, PR
Yauco Municipio, PR
49620York-Hanover, PA0.8916
York County, PA
49660Youngstown-Warren-Boardman, OH-PA0.9257
Mahoning County, OH
Trumbull County, OH
Mercer County, PA
49700Yuba City, CA1.0440
Sutter County, CA
Yuba County, CA
49740Yuma, AZ0.8967
Yuma County, AZ
Start Printed Page 35972

7. On page 28658, in Table 5—List of Diagnosis Related Groups (DRGs), Relative Weighting Factors, Geometric and Arithmetic Mean Length of Stay (LOS), correct the entry for DRG 483 to read as follows:

DRGMDCTypeDRG titleRelative weightsGeometric mean LOSArithmetic mean LOS
483PRESURGNo longer valid0.00000.00.0

8. On page 28660, in Table 5—List of Diagnosis Related Groups (DRGs), Relative Weighting Factors, Geometric and Arithmetic Mean Length of Stay (LOS), correct the entry for DRG 541 to read as follows:

DRGMDCTypeDRG TitleRelative weightsGeometric mean LOSArithmetic mean LOS
541PRESURGTRACH W MV 96+ HRS OR PDX EXC FACE, MTH, & NECK DX W/MAJOR OR19.341637.744.9

9. On page 28662 through 28667, Table 6A.—New Diagnosis Codes is corrected to read as follows:

Table 6A.—New Diagnosis codes

Diagnosis CodeDescriptionCCMDCDRG
066.40West Nile Fever, unspecifiedN18421, 422
066.41West Nile Fever with encephalitisN18421, 422
066.42West Nile Fever with other neurologic manifestationN18421, 422
066.49West Nile Fever with other complicationsN18421, 422
070.70Unspecified viral hepatitis C without hepatic comaY7205, 206
070.71Unspecified viral hepatitis C with hepatic comaY7205, 206
252.00Hyperparathyroidism, unspecifiedN10300, 301
252.01Primary hyperparathyroidismN10300, 301
252.02Secondary hyperparathyroidism, non-renalN10300, 301
252.08Other hyperparathyroidismN10300, 301
273.4Alpha-1-antitrypsin deficiencyN10299
277.85Disorders of fatty acid oxidationN10299
277.86Peroxisomal disordersN10299
277.87Disorders of mitochondrial metabolismN10299
347.00Narcolepsy, without cataplexyN134, 35
347.01Narcolepsy, with cataplexyN134, 35
347.10Narcolepsy in conditions classified elsewhere, without cataplexyN134, 35
347.11Narcolepsy in conditions classified elsewhere, with cataplexyN134, 35
380.03Chondritis of pinnaN8256
453.40Venous embolism and thrombosis of unspecified deep vessels of lower extremityY5130, 131
453.41Venous embolism and thrombosis of deep vessels of proximal lower extremityY5130, 131
453.42Venous embolism and thrombosis of deep vessels of distal lower extremityY5130, 131
477.2Allergic rhinitis, due to animal (cat) (dog) hair and danderN368, 69, 70
491.22Obstructive chronic bronchitis with acute bronchitisY488
521.06Dental caries pit and fissureNPRE 3482 185, 186, 187
521.07Dental caries of smooth surfaceNPRE 3482 185, 186, 187
521.08Dental caries of root surfaceNPRE 3482 185, 186, 187
521.10Excessive attrition, unspecifiedNPRE 3482 185, 186, 187
521.11Excessive attrition, limited to enamelNPRE 3482 185, 186, 187
521.12Excessive attrition, extending into dentineNPRE 3482 185, 186, 187
521.13Excessive attrition, extending into pulpNPRE 3482 185, 186, 187
521.14Excessive attrition, localizedNPRE 3482 185, 186, 187
521.15Excessive attrition, generalizedNPRE 3482 185, 186, 187
521.20Abrasion, unspecifiedNPRE 3482 185, 186, 187
Start Printed Page 35973
521.21Abrasion, limited to enamelNPRE 3482 185, 186, 187
521.22Abrasion, extending into dentineNPRE 3482 185, 186, 187
521.23Abrasion, extending into pulpNPRE 3482 185, 186, 187
521.24Abrasion, localizedNPRE 3482 185, 186, 187
521.25Abrasion, generalizedNPRE 3482 185, 186, 187
521.30Erosion, unspecifiedNPRE 3482 185, 186, 187
521.31Erosion, limited to enamelNPRE 3482 185, 186, 187
521.32Erosion, extending into dentineNPRE 3482 185, 186, 187
521.33Erosion, extending into pulpNPRE 3482 185, 186, 187
521.34Erosion, localizedNPRE 3482 185, 186, 187
521.35Erosion, generalizedNPRE 3482 185, 186, 187
521.40Pathological resorption, unspecifiedNPRE 3482 185, 186, 187
521.41Pathological resorption, internalNPRE 3482 185, 186, 187
521.42Pathological resorption, externalNPRE 3482 185, 186, 187
521.49Other pathological resorptionNPRE 3482 185, 186, 187
523.20Gingival recession, unspecifiedNPRE 3482 185, 186, 187
523.21Gingival recession, minimalNPRE 3482 185, 186, 187
523.22Gingival recession, moderateNPRE 3482 185, 186, 187
523.23Gingival recession, severeNPRE 3482 185, 186, 187
523.24Gingival recession, localizedNPRE 3482 185, 186, 187
523.25Gingival recession, generalizedNPRE 3482 185, 186, 187
524.07Excessive tuberosity of jawNPRE 3482 185, 186, 187
524.20Unspecified anomaly of dental arch relationshipNPRE 3482 185, 186, 187
524.21Angle's class INPRE 3482 185, 186, 187
524.22Angle's class IINPRE 3482 185, 186, 187
524.23Angle's class IIINPRE 3482 185, 186, 187
524.24Open anterior occlusal relationshipNPRE 3482 185, 186, 187
524.25Open posterior occlusal relationshipNPRE 3482 185, 186, 187
524.26Excessive horizontal overlapNPRE 3482 185, 186, 187
524.27Reverse articulationNPRE 3482 185, 186, 187
524.28Anomalies of interarch distanceNPRE 3482 185, 186, 187
524.29Other anomalies of dental arch relationshipNPRE 3482 185, 186, 187
524.30Unspecified anomaly of tooth positionNPRE 3482 185, 186, 187
524.31Crowding of teethNPRE 3482 185, 186, 187
524.32Excessive spacing of teethNPRE 3482 185, 186, 187
Start Printed Page 35974
524.33Horizontal displacement of teethNPRE 3482 185, 186, 187
524.34Vertical displacement of teethNPRE 3482 185, 186, 187
524.35Rotation of teethNPRE 3482 185, 186, 187
524.36Insufficient interocclusal distance of teeth (ridge)NPRE 3482 185, 186, 187
524.37Excessive interocclusal distance of teethNPRE 3482 185, 186, 187
524.39Other anomalies of tooth positionNPRE 3482 185, 186, 187
524.50Dentofacial functional abnormality, unspecifiedNPRE 3482 185, 186, 187
524.51Abnormal jaw closureNPRE 3482 185, 186, 187
524.52Limited mandibular range of motionNPRE 3482 185, 186, 187
524.53Deviation in opening and closing of the mandibleNPRE 3482 185, 186, 187
524.54Insufficient anterior guidanceNPRE 3482 185, 186, 187
524.55Centric occlusion maximum intercuspation discrepancyNPRE 3482 185, 186, 187
524.56Nonworking side interferenceNPRE 3482 185, 186, 187
524.57Lack of posterior occlusal supportNPRE 3482 185, 186, 187
524.59Other dentofacial functional abnormalitiesNPRE 3482 185, 186, 187
524.64Temporomandibular joint sounds on opening and/or closing the jawNPRE 3482 185, 186, 187
524.75Vertical displacement of alveolus and teethNPRE 3482 185, 186, 187
524.76Occlusal plane deviationNPRE 3482 185, 186, 187
524.81Anterior soft tissue impingementNPRE 3482 185, 186, 187
524.82Posterior soft tissue impingementNPRE 3482 185, 186, 187
524.89Other specified dentofacial anomaliesNPRE 3482 185, 186, 187
525.20Unspecified atrophy of edentulous alveolar ridgeNPRE 3482 185, 186, 187
525.21Minimal atrophy of the mandibleNPRE 3482 185, 186, 187
525.22Moderate atrophy of the mandibleNPRE 3482 185, 186, 187
525.23Severe atrophy of the mandibleNPRE 3482 185, 186, 187
525.24Minimal atrophy of the maxillaNPRE 3482 185, 186, 187
525.25Moderate atrophy of the maxillaNPRE 3482 185, 186, 187
525.26Severe atrophy of the maxillaNPRE 3482 185, 186, 187
528.71Minimal keratinized residual ridge mucosaNPRE 3482 185, 186, 187
528.72Excessive keratinized residual ridge mucosaNPRE 3482 185, 186, 187
528.79Other disturbances of oral epithelium, including tongueNPRE 3482 185, 186, 187
530.86Infection of esophagostomyY6188, 189, 190
530.87Mechanical complication of esophagostomyY6188, 189, 190
588.81Secondary hyperparathyroidism (of renal origin)N11331, 332, 333
588.89Other specified disorders resulting from impaired renal functionN11331, 332, 333
618.00Unspecified prolapse of vaginal wallsN13358, 359, 369
618.01Cystocele, midlineN13358, 359, 369
618.02Cystocele, lateralN13358, 359, 369
618.03UrethroceleN13358, 359, 369
618.04RectoceleN13358, 359, 369
Start Printed Page 35975
618.05PerineoceleN13358, 359, 369
618.09Other prolapse of vaginal walls without mention of uterine prolapseN13358, 359, 369
618.81Incompetence or weakening of pubocervical tissueN13358, 359, 369
618.82Incompetence or weakening of rectovaginal tissueN13358, 359, 369
618.83Pelvic muscle wastingN13358, 359, 369
618.89Other specified genital prolapseN13358, 359, 369
621.30Endometrial hyperplasia, unspecifiedN13358, 359, 369
621.31Simple endometrial hyperplasia without atypiaN13358, 359, 369
621.32Complex endometrial hyperplasia without atypiaN13358, 359, 369
621.33Endometrial hyperplasia with atypiaN13358, 359, 369
622.10Dysplasia of cervix, unspecifiedN13358, 359, 369
622.11Mild dysplasia of cervixN13358, 359, 369
622.12Moderate dysplasia of cervixN13358, 359, 369
629.20Female genital mutilation status, unspecifiedN13358, 359, 369
629.21Female genital mutilation Type I statusN13358, 359, 369
629.22Female genital mutilation Type II statusN13358, 359, 369
629.23Female genital mutilation Type III statusN13358, 359, 369
692.84Contact dermatitis and other eczema due to animal (cat) (dog) danderN9283, 284
705.21Primary focal hyperhidrosisN9283, 284
705.22Secondary focal hyperhidrosisN9283, 284
707.00Decubitus ulcer, unspecified siteY5 9121 1 263, 264, 271
707.01Decubitus ulcer, elbowY5 9121 1 263, 264, 271
707.02Decubitus ulcer, upper backY5 9121 1 263, 264, 271
707.03Decubitus ulcer, lower backY5 9121 1 263, 264, 271
707.04Decubitus ulcer, hipY5 9121 1 263, 264, 271
707.05Decubitus ulcer, buttockY5 9121 1 263, 264, 271
707.06Decubitus ulcer, ankleY5 9121 1 263, 264, 271
707.07Decubitus ulcer, heelY5 9121 1 263, 264, 271
707.09Decubitus ulcer, other siteY5 9121 1 263, 264, 271
758.31Cri-du-chat syndromeN19429
758.32Velo-cardio-facial syndromeN19429
758.33Other microdeletionsN19429
758.39Other autosomal deletionsN19429
780.58Sleep related movement disorderN19432
788.38Overflow incontinenceN11325, 326, 327
790.95Elevated C-reactive protein (CRP)N23463, 464
795.03Papanicolaou smear of cervix with low grade squamous intraepithelial lesion (LGSIL)N13358, 359, 369
795.04Papanicolaou smear of cervix with high grade squamous intraepithelial lesion (HGSIL)N13358, 359, 369
795.05Cervical high risk human papillomavirus (HPV) DNA test positiveN13358, 359, 369
795.08Nonspecific abnormal papanicolaou smear of cervix, unsatisfactory smearN13358, 359, 369
796.6Nonspecific abnormal findings on neonatal screeningN23463, 464
V01.71Contact or exposure to varicellaN23467
V01.79Contact or exposure to other viral diseasesN23467
V01.83Contact or exposure to escherichia coli (E. coli)N23467
V01.84Contact or exposure to meningococcusN23467
V46.11Dependence on respirator, statusY23467
V46.12Encounter for respirator dependence during power failureY23467
V49.83Awaiting organ transplant statusY23467
V58.44Aftercare following organ transplantN23465-466
V58.66Longterm (current) use of aspirinN23465-466
V58.67Longterm (current) use of insulinN23465-466
V69.4Lack of adequate sleepN23467
V72.31Routine gynecological examinationN23467
V72.32Encounter for Papanicolaou cervical smear to confirm findings of recent normal smear following initial abnormal smearN23467
V72.40Pregnancy examination or test, pregnancy unconfirmedN23467
V72.41Pregnancy examination or test, negative resultN23467
V84.01Genetic susceptibility to malignant neoplasm of breastN23467
V84.02Genetic susceptibility to malignant neoplasm of ovaryN23467
V84.03Genetic susceptibility to malignant neoplasm of prostateN23467
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V84.04Genetic susceptibility to malignant neoplasm of endometriumN23467
V84.09Genetic susceptibility to other malignant neoplasmN23467
V84.8Genetic susceptibility to other diseaseN23467
1 Assigned to the secondary diagnosis list that defines a major complication.

10. On page 28671 through 28674, Table 6B—New Procedure Codes is corrected to read as follows:

Table 6B.—New Procedures Codes

Procedure codeDescriptionORMDCDRG
00.16Pressurized treatment of venous bypass graft [conduit] with pharmaceutical substanceN
00.17Infusion of vasopressor agentN
00.21Intravascular imaging of extracranial cerebral vesselsN
00.22Intravascular imaging of intrathoracic vesselsN
00.23Intravascular imaging of peripheral vesselsN
00.24Intravascular imaging of coronary vesselsN
00.25Intravascular imaging of renal vesselsN
00.28Intravascular imaging, other specified vessels(s)N
00.29Intravascular imaging, unspecified vessels(s)N
00.31Computer assisted surgery with CT/CTAN
00.32Computer assisted surgery with MR/MRAN
00.33Computer assisted surgery with fluoroscopyN
00.34Imageless computer assisted surgeryN
00.35Computer assisted surgery with multiple datasetsN
00.39Other computer assisted surgeryN
00.61Percutaneous angioplasty or atherectomy precerebral (extracranial) vessel(s)Y1 5 21 24533, 534 478, 479 442, 443 486
00.62Percutaneous angioplasty or atherectomy of intracranial vessel(s)Y1 5 21 24533, 534 478, 479 442, 443 486
00.63Percutaneous insertion of carotid artery stent(s)N
00.64Percutaneous insertion of other precerebral (extracranial) artery stent(s)N
00.65Percutaneous insertion of intracranial vascular stent(s)N
00.91Transplant from live related donorN
00.92Transplant from live nonrelated donorN
00.93Transplant from cadaverN
27.64Insertion of palatal implantN
37.68Insertion of percutaneous external heart assist deviceY5104, 105
37.90Insertion of left atrial appendageN*5518
44.38Laparoscopic gastroenterostomyY5 6 7 10 17120 154, 155, 156 201 288 406, 407, 539, 540
44.67Laparoscopic procedures for creation of esophagogastric sphincteric competeneY6 21 24154, 155, 156 442, 443 486
44.68Laparoscopic gastroplastyY6 10 21 24154, 155, 156 288 442, 443 486
44.95Laparoscopic gastric restrictive procedureY10288
44.96Laparoscopic revision of gastricY10288
44.97Laparoscopic removal of gastric restrictive device(s)Y10288
44.98(Laparoscopic) adjustment of size of adjustable gastric restrictive deviceY10288
81.65VertebroplastyY8 21 24233, 234 442, 443 486
Start Printed Page 35977
81.66KyphoplastyY8 21 24233, 234 442, 443 486
84.53Implantation of internal limb lenthening device with kinetic distractionN
84.54Implantation of other internal limb lengthening deviceN
84.55Insertion of bone void fillerN
84.59Insertion of other spinal devicesY1 8 21 24531, 532 499, 500 442, 443 486
84.60Insertion of spinal disc prosthesis, not ohterwise specifiedY1 8 21 24531, 532 499, 500 442, 443 486
84.61Insertion of partial spinal disc prosthesis, cervicalY1 8 21 24531, 532 499, 500 442, 443 486
84.62Insertion of total spinal disc prosthesis, cervicalY1 8 21 24531, 532 499, 500 442, 443 486
84.63Insertion of spinal disc prosthesis, thoracicY1 8 21 24531, 532 499, 500 442, 443 486
84.64Insertion of partial spinal disc prosthesis, lumbosacralY1 8 21 24531, 532 499, 500 442, 443 4861
84.65Insertion of total spinal disc prosthesis, lumbosacralY1 8 21 24531, 532 499, 500 442, 443 486
84.66Revision or replacement of artificial spinal disc prosthesis, cervicalY1 8 21 24531, 532 499, 500 442, 443 486
84.67Revision or replacement of artificial spinal disc prosthesis, thoracicY1 8 21 24531, 532 499, 500 442, 443 486
84.68Revision or replacement of artifical spinal disc prosthesis, lumbosacralY1 8 21 24531, 532 499, 500 442, 443 486
84.69Revision or replacement of artificial spinal disc prosthesis, not otherwise specifiedY1 8 21 24531, 532 499, 500 442, 443 486
86.94Insertion or replacement of single array neurostimulator pulse generatorY17, 8
86.95Insertion or replacement of dual array neurostimulator pulse generatorY17, 8
86.96Insertion or replacement of other neurostimulator pulse generatorY17, 8
89.49Automatic implantable cardioverter/defibrillator (AICD) checkN
99.78AquapheresisN
* Non-operating room procedure, but affects DRG assignment.

11. On page 28680, in the Table 6E.—Revised Diagnosis Code Titles, in the fourth row, the entry codes for diagnosis code 250.63 should read:

Diagnosis codeDescriptionCCMDCDRG
250.63Diabetes with neurological manifestations, type I [juvenile type],uncontrolledYPRE 1512, 513 18, 19
Start Printed Page 35978

12. On pages 28768 through 28770, Table 9B.—Hospital Reclassifications and Redesignations by Individual Hospital under Section 508 of Pub. L. 108-173—FY 2004, is Corrected to read as follows:

Table 9B.—Hospital Reclassifications and Redesignations by Individual Hospital Under Section 508 of Public Law 108-173—FY 2004

Provider No.Actual MSA or rural areaWage index MSA 508 reclassificationActual CBSA or rural areaWage index CBSA 508 reclassificationNearest countyOwn wage index
020008021.3157
060075061.1681
070036255401.2954
160064161.0504
330106448441.5152
380090381.2808
410010393001.1702
530015531.0064
0101500118000117980
0504940575000542220
050549873575003710042220
0600570620800619740
070001548353803530044844
070005548353803530044844
070010548356001486035644
070016548353803530044844
070017548353803530044844
070019548353803530044844
070022548353803530044844
070028548356001486035644
070031548353803530044844
070039548353803530044844
1200251233201226180
150034296016002384416974Cook
160040892013604794016300
160067892013604794016300
160110892013604794016300
1902181976801943340Caddo
220046632311233834049340Worcester
230003300037202610028020Van Buren
230004300037203474028020Van Buren
230013216026404764422420
230019216026404764422420
230020216004401980411460Washtenaw
230024216004401980411460Washtenaw
230029216026404764422420
2300362326402322420
230038300037202434028020Kalamazoo
230053216004401980411460Washtenaw
230059300037202434028020Kalamazoo
230066300037203474028020Van Buren
230071216026404764422420
230072300037202610028020Van Buren
230089216004401980411460Washtenaw
230092352030002710024340Kent
2300972337202328020Kalamazoo
230104216004401980411460Washtenaw
2301062337202434028020Van Buren
230119216004401980411460Washtenaw
230130216026404764422420
230135216004401980411460Washtenaw
230146216004401980411460Washtenaw
230151216026404764422420
230165216004401980411460Washtenaw
230174300037202610028020Van Buren
230176216004401980411460Washtenaw
230207216026404764422420
230223216026404764422420
230236300037202434028020Kalamazoo
230254216026404764422420
230269216026404764422420
230270216004401980411460Washtenaw
230273216004401980411460Washtenaw
230277216026404764422420
2500022509202537700Jackson
2501222509202525060Hancock
Start Printed Page 35979
2700142708803354013740
2700212708802713740
270023514008803354013740
2700322708802713740
2700502708802713740
2700572708802713740
310021848008754594035644
310028564056003508435644
310050564056003508435644
310051564056003508435644
310060564056001090035644
310115564056001090035644
310120564056003508435644
330049228156003910035644
330067228156003910035644
330126566056003910035644
330135566056003910035644
330205566056003910035644
330264566053803910044844
340002048015201170016740Gaston
350002101025201390022020
350003101025203522020
350006101025203522020
350010101025203522020
350014101025203522020
350015101025201390022020
350017101025203522020
350030101025203522020
350061101025203522020
390001756002404254010900
390003756002403910900
390054756040004254029540
390072756002403910900
390095756002404254010900
390109756002404254010900
390119756002404254010900
390137756002404254010900
390169756002404254010900
390185756002404254010900
390192756002404254010900
390237756002404254010900
390270756040004254029540
43000343666039660
4300154377604343620
4300484377604343620
4300604377604343620
4300644377604343620
430077666077603966043620
430091666077603966043620
450010908048804866032580
450072114533602642026420
450591114533602642026420
470003130311231554040484Strafford
4900014946404931340
490024680019504022019260
Start Signature

(Catalog of Federal Domestic Assistance Program No. 93.773, Medicare—Hospital Insurance; Program No. 93.774, Medicare—Supplementary Medical Insurance Program; and Program No. 93.778, Medical Assistance Program)

Dated: June 8,2004.

Ann C. Agnew,

Executive Secretary to the Department.

End Signature End Supplemental Information

[FR Doc. 04-14346 Filed 6-24-04;8:45 am]

BILLING CODE 4120-03-P