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 Department of Health and Human Services Centers for Medicare & Medicaid Services [CMS-1488-N]
RIN 0938-AO12
 AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
 ACTION: Notice.
 SUMMARY: This notice contains tables listing the final occupational mix adjusted wage indices, hospital reclassifications, payment rates, impacts, and other related tables as a result of the application of the occupational mix adjustment to 100 percent of the wage index effective for fiscal year (FY) 2007.
 DATES: *Effective Date:*
                             This notice is effective on October 1, 2006.
 FOR FURTHER INFORMATION CONTACT: Valerie Miller, (410) 786-4535, Wage Index Issues. Brian Slater, (410) 786-5229, Geographic Reclassification Issues. Marc Hartstein, (410) 786-4548, All Other Issues.


SUPPLEMENTARY INFORMATION: I. Background In the August 18, 2006 
                        **Federal Register**
                         (71 FR 47870) (hereinafter referred to as the FY 2007 IPPS final rule), we set forth our final rule for the Medicare inpatient prospective payment system (IPPS). Due to the decision in the case 
                        *Bellevue Hosp.**Center*
                         v. 
                        *Leavitt,*
                         443 F. 3d 163 (2nd Cir. 2006), we stated that we would publish the FY 2007 occupational mix adjusted wage index tables, rates, and impacts on our Web site and in a 
                        **Federal Register**
                         document subsequent to the FY 2007 IPPS final rule. (See the FY 2007 IPPS final rule for a full explanation of the reasons for such subsequent publication.) This notice includes such wage index tables, rates, and impacts. II. Final FY 2007 Occupational Mix Adjusted Wage Indices, Rates, and Impacts A. Wage Index and Occupational Mix Adjustment 1. Implementation of the New Occupational Mix Adjustment for the FY 2007 Wage Index The final wage index values for FY 2007 (except those for hospitals receiving wage index adjustments under section 505 of Pub. L. 108-173) are included in Tables 4A-1, 4A-2, 4B, 4C-1, 4C-2, and 4F of the Addendum to this notice and are posted on our Web site at 
                        *http://www.cms.hhs.gov/​AcuteInpatientPPS/​.*
                         For hospitals that are receiving a wage index adjustment under section 505 of Pub. L. 108-173, the hospital's final wage index will reflect the adjustment shown in Table 4J of the Addendum to this notice. Tables 3A and 3B of the Addendum to this notice and on our Web site reflect the 3-year average of the average hourly wage for each labor market area before the redesignation of hospitals, used for FYs 2005, 2006, and 2007. Table 3A lists average hourly wages for urban areas and Table 3B lists these data for rural areas. In addition, Table 2 in the Addendum to this notice includes the occupational mix adjusted average hourly wage for each hospital from the FYs 2001, 2002, and 2003 cost reporting periods. The average hourly wages for FYs 2001 and 2002 reflect a 10 percent occupational mix adjustment using the survey data used to develop the FYs 2005 and 2006 wage indices, respectively. The FY 2003 average hourly wages reflect a 100 percent occupational mix adjustment using the recently collected survey data and were used to calculate the FY 2007 wage index. 2. Proxy Occupational Mix Adjustment for Hospitals With No Survey Data As stated in the FY 2007 IPPS final rule (71 FR 48014), we have applied the average occupational mix adjustment for a hospital's labor market area to the wage data of hospitals that did not submit occupational mix survey data or that submitted survey data that could not be used because we determined it to be aberrant. For example, a hospital's individual nurse category average hourly wages were out of range (that is, unusually high or low), and the hospital did not provide sufficient documentation to explain the aberrancy, or the hospital did not submit any registered nurse staff salaries or hours data. In calculating the average occupational mix adjustment factor for an area, we replicated Steps 1 through 6 of the calculation for the occupational mix adjustment (see 71 FR 48009). However, instead of performing these steps at the hospital level, we aggregated the data at the labor market area level. In following these steps, for example, for Core-Based Statistical Areas (CBSAs) that contain providers that did not submit occupational mix survey data, the occupational mix adjustment factor ranged from a low of 0.8944 (CBSA 39820, Redding, CA), to a high of 1.0924 (CBSA 38220, Pine Bluff, AR). Also, in computing a hospital's occupational mix adjusted salaries and wage-related costs for nursing employees (Step 7 of the calculation (see 71 FR 48010)) in the absence of occupational mix survey data, we multiplied the hospital's total salaries and wage-related costs by the percentage of the 
                        *area's*
                         total workers attributable to the 
                        *area's*
                         total nursing category. There were also two CBSAs in which none of the providers submitted the occupational mix survey (CBSA 49740, Yuma, AZ, and CBSA 25020, Guayama, P.R.). In the absence of any data in these labor market areas, we applied an occupational mix adjustment factor of 1.0 to all providers. 3. Analysis of the Final FY 2007 Wage Index Using the new occupational mix survey data and applying the occupational mix adjustment to 100 percent of the FY 2007 wage index results in a national average hourly wage of $29.6529 and a Puerto-Rico specific average hourly wage of $13.0943. We calculated the FY 2007 wage index using the Worksheet S-3 cost report data of 3,570 hospitals and occupational mix survey data from 3,239 hospitals (90.7 percent response rate). Although more than 3,239 hospitals submitted occupational mix survey data for the January through March 2006 collection period, we excluded the data for 37 hospitals that did not have FY 2003 Worksheet S-3 cost report data for use in calculating the FY 2007 wage index. Also, we excluded the occupational mix survey data of another 30 hospitals because their data was incomplete or aberrant. Using the occupational mix data of 3,239 hospitals, the FY 2007 national average hourly wages for each occupational mix nursing subcategory as calculated in Step 2 of the occupational mix calculation are as follows: 
                        ( print page 59887) Occupational mix nursing subcategory
Average 
                                 hourly wageNational RN Management
$38.5908National RN Staff
33.3739National LPN
19.2721National Nurse Aides, Orderlies, and Attendants
13.6906National Medical Assistants
15.6304National Nurse Category
28.7431
 The national average hourly wage for the entire nurse category as computed in Step 5 of the occupational mix calculation is $28.7431. Hospitals with a nurse category average hourly wage (as calculated in Step 4) of greater than national nurse category average hourly wage receive an occupational mix adjustment factor (as calculated in Step 6) of less than 1.0. Hospitals with a nurse category average hourly wage (as calculated in Step 4) of less than national nurse category average hourly wage receive an occupational mix adjustment factor (as calculated in Step 6) of greater than 1.0. Based on the January through March 2006 occupational mix survey data, we determined (in Step 7 of the occupational mix calculation) that the national percentage of hospital employees in the Nurse category is 42.9 percent, and the national percentage of hospital employees in the All Other Occupations category is 57.1 percent. At the CBSA level, the percentage of hospital employees in the Nurse category ranged from a low of 23.0 percent in one CBSA, to a high of 85.5 percent in another CBSA. After adjusting the FY 2007 wage indices by 100 percent for occupational mix, the wage index values for a total of 250 hospitals in 73 labor market areas are assigned a statewide rural wage index value (“the rural floor”) according to section 4410 of Pub. L. 105-33, or an imputed floor, for hospitals located in all-urban States, according to § 412.64(h). *a. Effect of the 2006 Occupational Data on the FY 2007 Wage Index (Unadjusted Relative to Adjusted Wage Index).*
                         We compared the FY 2007 unadjusted wage indices for each CBSA to the FY 2007 wage indices adjusted for occupational mix. In implementing an occupational mix adjusted wage index based on the above calculation, the final wage index values for 14 rural areas (29.8 percent) and 201 urban areas (52.1 percent) would decrease as a result of the adjustment. Six rural areas (12.8 percent) and 108 urban areas (28.0 percent) would experience a decrease of 1 percent or greater in their wage index values. The largest negative impacts would be 2.7 percent and 6.0 percent. In addition, 33 rural areas (70.2 percent) and 181 urban areas (46.9 percent) would experience an increase in their wage index values. The largest increase for a rural area would be 3.16 percent and the largest increase for an urban area would be 8.39 percent. Four urban areas would be unaffected. These results indicate that a larger percentage of rural areas benefit from an occupational mix adjustment than do urban areas. However, as was the case with the previous occupational mix data, close to a third of rural CBSAs (29.8 percent) continue to experience a decrease in their wage indices as a result of the occupational mix adjustment. *b. Effect of the 2006 Occupational Mix Survey Data Relative to the 2003 Survey Data.*
                         We also analyzed the effect on the FY 2007 wage index of applying the January through March 2006 occupational mix survey data, relative to applying the 2003 occupational mix survey data. In this analysis, we compared the FY 2007 wage index adjusted 100 percent using 2003 and 2006 survey data. By controlling for changes in hospitals' wage data and geographic reclassification, we determined that the wage index values for 27 rural areas (57.4 percent) and 183 urban areas (47.4 percent) would decrease as a result of applying the 2006 survey data instead of the 2003 survey data. Ten rural areas (21.3 percent) and 96 urban areas (24.9 percent) would experience a decrease of 1 percent or greater in their wage index values. The largest negative impact for a rural area would be 3.6 percent. Six urban areas (1.2 percent) would be decreasing by greater than 5 percent; the largest urban decrease would be 20.9 percent, and the second largest decrease for an urban area would be 7.7 percent. One rural and one urban area would be unaffected by the change in the occupational mix data. In addition, 19 rural areas (40.4 percent) and 202 urban areas (52.3 percent) would experience an increase in their wage index values. The largest increase for a rural area would be 2.6 percent and the largest increase for an urban area would be 7.15 percent. B. Final FY 2007 Hospital Reclassifications/Redesignations 1. Withdrawals and Terminations As we stated in the FY 2007 IPPS final rule (71 FR 48020), for FY 2007, rather than hospitals withdrawing or terminating their 3-year reclassifications within 45 days of the publication of the IPPS proposed rule, hospitals would be subject to special procedures unique to FY 2007. These procedures are as follows: Hospitals had 15 days from the display date of the FY 2007 IPPS final rule to notify us of whether, in the absence of viewing the final 100 percent occupational mix-adjusted wage index data, they wish to choose a particular wage index for which they are eligible (such as to definitively maintain, terminate, or withdraw from a reclassification that they received ).
                    If we did not receive notice from the hospital within the 15-day timeframe, we made our best efforts to give the hospital the highest wage index among its available options. We made reclassification withdrawal and termination decisions based on what we perceived would be most advantageous to the hospital. (See71 FR 48020 for an explanation of the reclassifications and adjustment we chose among.) Please note that in some cases we terminated a hospital's Lugar reclassification under section 1886(d)(8)(B) of the Act in order to receive the out-migration adjustment. Because this termination would result in the hospital losing urban status, we published a separate table (Table 9D) identifying these hospitals that move from Lugar/urban status to rural status with the out-migration adjustment. Also, in some cases, we may have made half-year terminations/withdrawals on behalf of section 508 hospitals (or groups containing section 508 hospitals) using the procedures identified in the FY 2007 IPPS final rule. (See 71 FR 48021 for an explanation of the half-year reclassifications that could occur for section 508 hospitals and groups containing section 508 hospitals.
                    We have posted the final occupational mix-adjusted wage indices, out-migration adjustments, and our decisions on hospital reclassification on the CMS Web site at*http://www.cms.hhs.gov/​AcuteInpatientPPS/​WIFN/​list.asp.*
                         We have posted the same table on the CMS Web site that appeared in the 
                        **Federal Register**
                         final notice of the occupational mix-adjusted wage indices.
                    In the FY 2007 IPPS final rule, we acknowledged that hospitals may base termination/withdrawal decisions on factors other than simply what results in the highest wage index for the upcoming fiscal year. For this reason, we allowed a hospital to change a decision that is made by CMS on its behalf. Hospitals now have a 30-day period from the date these final data and our final decisions appear on the CMS Web site to notify CMS in writing, with a copy to the MGCRB, of whether they wish to reverse the reclassification decision made by CMS or to choose another reclassification for which they are eligible. Hospitals are able to( print page 59888)
                        determine the reclassification decision applied on their behalf by reviewing Tables 9A through 9C for hospitals that are reclassified under section 1886(d)(8)(B) of the Act, section 508 of Pub. L. 108-173, or section 1886(d)(10) of the Act. The applicable wage index for these hospitals will be found on Table 2. If a hospital is not listed in Tables 9A through 9C, CMS has made a decision not to reclassify the hospital and its home wage index will apply, including the effect of any out-migration adjustment (if applicable). Again, the wage index that will apply to the hospital is found in Table 2. Any applicable out-migration adjustment for the hospital is found in Table 4J. As indicated above in this section, we are publishing a separate table identifying hospitals that we move from Lugar/urban status to rural status with the out-migration adjustment in Table 9D.
                    Requests to reverse a decision made on behalf of a hospital by CMS and to choose another reclassification or adjustment for which the hospital is otherwise eligible must be*received*
                         by CMS no later than 5 p.m., e.s.t., with a copy sent to the MGCRB by October 30, 2006 (or within 30 days from the date the information appears on the CMS Web site at 
                        *http://www.cms.hhs.gov/​AcuteInpatientPPS/​WIFN/​list.asp*
                         at the following addresses: Division of Acute Care, C4-08-06, 7500 Security Boulevard, Baltimore, MD 21244, Attn: Marianne Myers; and a copy to Medicare Geographic Classification Review Board, 2520 Lord Baltimore Drive, Suite L, Baltimore, MD 21244-2670. As required under § 412.273(c), requests by groups of hospitals must be made by all hospitals that are a party to the application or reclassification. The reclassification or adjustment chosen by the hospital must be one for which the hospital would otherwise be eligible had CMS not made the withdrawal or termination decision on the hospital's behalf. If a hospital (or group of hospitals) fails to notify CMS that it is revising a determination made on its behalf within 30 days from the date the information appears on the CMS Web site, the decision made by CMS on the hospital's behalf will be final for FY 2007. Therefore, if CMS made a decision on a hospital's (or group of hospitals) behalf to terminate or withdraw a reclassification and the hospital does not reverse or modify CMS's decision within 30 days of posting the decision on the CMS Web site, we will deem the hospital's reclassification is withdrawn or terminated. If the hospital does not reverse or modify CMS's decision within 30 days of posting of the decision on the CMS Web site, once CMS's decision on the hospital's behalf is in effect, it will be treated in the same manner as if the hospital(s) had made the reclassification decision on its own. Thus, for example, because a hospital cannot have overlapping reclassifications, if we decide a hospital should accept a FY 2007 through 2009 reclassification and the hospital does not modify or reverse CMS's decision within 30 days of posting the decision on the CMS Web site, any reclassification the hospital previously had for FY 2006 through 2008 would be permanently terminated. Hospitals should note that we will not recalculate the wage indices or budget neutrality factors now that CMS has made their decisions regarding what is most advantageous to each hospital using the 100 percent occupational mix-adjusted wage data. That is, we will not further recalculate the wage indices (including any rural floors or imputed rural floors) or standardized amounts based on hospital decisions that further revise decisions made by CMS on the hospitals' behalf. In addition, we note that rural areas that include a section 508 hospital (specifically a hospital with wages relatively higher than the wages of other hospitals) may experience a decrease in their wage index for the second half of FY 2007. This is because section 508 hospitals are not considered reclassified under section 1886(d)(10) of the Act, and therefore, are not subject to the rule in section 1886(d)(8)(C)(ii) of the Act requiring rural area wage indices to be calculated exclusive of hospitals reclassified under section 1886(d)(10) of the Act, if doing so would increase the rural wage index. Thus, for the first half of the year, a section 508 hospital may be included in the home wage index of a rural area, while the hospitals reclassified under section 1886(d)(10) of the Act are excluded, since such exclusion increases the wage index of the rural area. However, for the second half of the year, the hospital is no longer a section 508 hospital. If the former section 508 hospital is reclassified under section 1886(d)(10) of the Act, it is grouped with other hospitals so reclassified. The high wages of the section 508 hospital may operate such that, for the second half of the year, it is more advantageous for 
                        *all*
                         of the reclassified hospitals to be 
                        *included*
                         in the wage index of the rural area (rather than excluded as they were in the first half of the year). However, because the other reclassified hospitals are now included in the wage index, and not just the sole section 508 hospital with high wages, the area may see a decline in the wage index. We view this scenario as arising due to the rural area's higher than expected wage index during the first half of the year from including only the section 508 hospital and not any reclassified hospitals. If we did not establish special rules that allowed for one-half year reclassifications, the section 508 hospital likely would have reclassified for the entire year under section 1886(d)(10) of the Act. In that case, the wage index for the second-half of FY 2007 would have applied for the entire year. 2. MGCRB Applications for FY 2008 Section 1886(d)(10)(C)(ii) of the Act indicates that a hospital requesting a change in geographic classification for a fiscal year must submit its application to the MGCRB no later than the first day of the 13-month period ending on September 30 of the preceding fiscal year. Thus, the statute requires that FY 2008 reclassification applications be submitted to the MGCRB no later than September 1, 2006. For this reason, hospitals must have filed a FY 2008 reclassification application by the September 1, 2006 deadline even though the average hourly wage data used to develop the final FY 2007 wage indices was not available. The MGCRB, in evaluating a hospital's request for reclassification for FY 2008 for the wage index, must utilize the official data used to develop the FY 2007 wage index. The wage data used to support the hospital's wage comparisons must be from the CMS hospital wage survey. Generally, the source for these data is the IPPS final rule. However, the wage tables identifying the 3-year average hourly wages of hospitals were not available in time to include them in the FY 2007 IPPS final rule and by the September 1, 2006 deadline for submitting FY 2008 geographic reclassification applications. As outlined in § 412.256(c)(2), hospitals with incomplete applications have the opportunity to request that the MGCRB grant a hospital that has submitted an application by September 1, 2006, an extension beyond September 1, 2006, to complete its application. Thus, while hospitals must file an application for reclassification to the MGCRB by September 1, 2006, they are able to supplement the reclassification application with official data used to develop the FY 2007 wage index after filing their initial application. Therefore, as we stated in the FY 2007 IPPS final rule (71 FR 48022 through 48023), we are allowing hospitals 30 days after the final wage data is posted on the CMS Web site or by October 30, 
                        ( print page 59889)
                        2006 to file a supplement to the reclassification application they filed by September 1, 2006. The supplement would include the official data (Attachment H in the MGCRB Application) used to develop the FY 2007 wage index. Supplements must be 
                        *received*
                         within 30 days this final data is posted on the CMS Web site or by October 30, 2006. The 3-year average hourly wage information necessary for FY 2008 reclassification applications appears in Tables 2, 3A, and 3B of the Addendum to this notice. The information also is available on the CMS Web site at: 
                        *http://www.cms.hhs.gov/​AcuteInpatientPPS/​WIFN/​list.asp*
                         and then by accessing the page titled “
                        *MGCRB Reclassification Data for FY 2008 Applications.*
                        ” Applications and other information about MGCRB reclassifications may be obtained via the CMS Internet Web site at: 
                        *http://www.cms.hhs.gov/​mgcrb/​,*
                         or by calling the MGCRB at (410) 786-1174. The mailing address of the MGCRB is: 2520 Lord Baltimore Drive, Suite L, Baltimore, MD 21244-2670. 3. Cancellations of Previous Withdrawals or Terminations for FY 2008 and Subsequent Fiscal Years We are also allowing a 30-day period from the date the final wage data is posted on the CMS Web site to cancel a previous withdrawal or termination in order for a hospital to reinstate its reclassification for FY 2008 (for a FY 2006-2008 reclassification) or FY 2008 and FY 2009 (for a FY 2007-2009 reclassification). Because we have made termination or withdrawal decisions on behalf of hospitals, hospitals should look carefully at these decisions and determine whether they want to cancel such withdrawals or terminations for FY 2008 or FY 2009 if the reclassification time period includes these years. Hospitals must request to reinstate a reclassification that includes FY 2008 within 30 days of posting the Web site data for the reclassification to continue in that year even if they agree with the decision we made on their behalf for FY 2007. Hospitals must request to reinstate a reclassification that includes FY 2008 within 30 days of when the data are posted to the CMS Web site or by October 30, 2006. Requests to cancel a withdrawal or termination in order to reinstate a hospital's reclassification for FY 2008 or FY 2009, or both fiscal years, should be forwarded to the following addresses: Medicare Geographic Classification Review Board, 2520 Lord Baltimore Drive, Suite L, Baltimore, MD 21244-2670; and a copy to Division of Acute Care, C4-08-06, 7500 Security Boulevard, Baltimore, MD 21244, Attn: Marianne Myers. All requests must be received within 30 days of this posting of CMS final wage data and final reclassification decisions on the CMS Web site or by October 30, 2006. C. Final FY 2007 Prospective Payment Systems Payment Rates for Hospital Operating and Capital Related Costs As discussed in the FY 2007 IPPS final rule, due to the unusual circumstances imposed by the order of the Court of Appeals for the Second Circuit in the decision in 
                        *Bellevue Hospital Center*
                         v. 
                        *Leavitt,*
                         we did not publish the final FY 2007 budget neutrality factors, standardized amounts, fixed-loss cost threshold, outlier offset factor, DRG weights, or wage indices in the FY 2007 IPPS final rule. Because the occupational mix adjustment affects the calculation of the outlier threshold as well as the outlier offset and budget neutrality factors that are applied to the standardized amounts, we were only able to provide tentative figures in that final rule. As discussed above in this notice, we are publishing final occupation mix-adjusted wage indices. Accordingly, in this section of this notice, we are discussing the final FY 2007 prospective payment rates for Medicare hospital inpatient operating costs and Medicare hospital inpatient capital-related costs. We calculated these final rates using the methodology we adopted in the FY 2007 IPPS final rule. We note that, because hospitals excluded from the IPPS are paid on a cost basis (and not by the IPPS), these hospitals were not affected by the tentative figures for standardized amounts, offsets, and budget neutrality factors. Therefore, the rate-of-increase percentages for updating the target amounts for hospitals and hospital units excluded from the IPPS that are effective October 1, 2006 were finalized in the FY 2007 IPPS final rule (71 FR 48164) and are not included in this notice. 1. Final FY 2007 Prospective Payment Rates for Hospital Inpatient Operating Costs a. 
                        *Final FY 2007 Standardized Amount.*
                         We calculated the final FY 2007 standardized amounts using the methodology we adopted in the FY 2007 IPPS final rule. For a complete description of this methodology, please see the FY 2007 IPPS final rule (71 FR 48145 through 48155). Tables 1A and 1B in the Addendum to this notice contain the final national standardized amount that we are applying to all hospitals, except hospitals in Puerto Rico. The final Puerto Rico-specific amounts are shown in Table 1C. The final amounts shown in Tables 1A and 1B differ only in that the labor-related share applied to the final standardized amounts in Table 1A is 69.7 percent, and the labor-related share applied to the final standardized amounts in Table 1B is 62 percent. (The labor-related share is 62 percent for all hospitals (other than those in Puerto Rico) whose wage indices are less than or equal to 1.0000.) In addition, Tables 1A and 1B include final standardized amounts reflecting the full 3.4 percent update for FY 2007, and final standardized amounts reflecting the 2.0 percentage point reduction to the update (a 1.4 percent update) applicable for hospitals that fail to submit quality data consistent with section 1886(b)(3)(B)(viii) of the Act. In the FY 2007 IPPS final rule, we did not supply a table that illustrated the changes from the FY 2006 national average standardized amount because we were only setting the standardized amounts tentatively, but we stated that we would provide the table in the subsequent 
                        **Federal Register**
                         notice. Therefore, in this notice, we include below a table that details the calculation of the final standardized amounts. Comparison of FY 2006 Standardized Amounts to Final FY 2007 Single Standardized Amount With Full Update and Reduced Update
Full update
                                 (3.4 percent)
Reduced update
                                 (1.4 percent)FY 2006 Base Rate, after removing reclassification budget neutrality, demonstration budget neutrality, wage index transition budget neutrality factors and outlier offset (based on the proposed labor and nonlabor market share percentage for FY 2007)
Labor: $3,505.76
                                 Nonlabor: $1,524.03
Labor: $3,505.76.
                                 Nonlabor: $1,524.03.Final FY 2007 Update Factor
1.034.
1.014.( print page 59890)Final FY 2007 DRG Recalibrations and Wage Index Budget Neutrality Factor
0.995662.
0.995662.Final FY 2007 Reclassification Budget Neutrality Factor
0.992355.
0.992355.Adjusted for Blend of FY 2006 DRG Recalibration and Wage Index Budget Neutrality Factors
Labor: $3,581.64
                                 Nonlabor: $1,557.01
Labor: $3,512.37.
                                 Nonlabor: $1,526.90.Final FY 2007 Outlier Factor
0.948968.
0.948968.Final FY 2007 Labor Market Wage Index Transition Budget Neutrality Factor
0.999700.
0.999700.Final Rural Demonstration Budget Neutrality Factor
0.999905.
0.999905.Final Rate for FY 2007 (after multiplying FY 2006 base rate by above factors) where the wage index is less than or equal to 1.0000
Labor: $3,022.18
                                 Nonlabor: $1,852.31
Labor: $2,963.73.
                                 Nonlabor: $1,816.48.Final Rate for FY 2007 (after multiplying FY 2006 base rate by above factors) where the wage index is greater than 1.0000
Labor: $3,397.52
                                 Nonlabor: $1,476.97
Labor: $3,331.80.
                                 Nonlabor: $1,448.40.
 The final labor-related and nonlabor-related portions of the national average standardized amounts for Puerto Rico hospitals for FY 2007 are set forth in Table 1C in the Addendum to this notice. (The labor-related share applied to the Puerto Rico-specific standardized amount is 58.7 percent, or 62 percent, depending on which is more advantageous to the hospital. b. 
                        *Final Adjustments for Area Wage Levels.*
                         The final occupational mix adjusted wage indices by geographic area are listed in Tables 4A-1, 4A-2, 4B, 4C-1, 4C-2, and 4F in the Addendum to this notice. (These tables are also available on the CMS Web site.) c. 
                        *FY 2007 Final Outlier Fixed-Loss Cost Threshold.*
                         Using the methodology we adopted in the FY 2007 IPPS final rule, we are establishing a final outlier fixed-loss cost threshold for FY 2007 equal to the prospective payment rate for the DRG, plus any IME and DSH payments, and any add-on payments for new technology, plus $24,485. d. 
                        *DRG Weights.*
                         Because we rely on the wage index data as one of the standardizing factors that we use in calculating both the charge-based and the cost-based relative weights that we are blending to set the FY 2007 transitional relative weights, we have recalculated the FY 2007 relative weights. We list the final DRG weights in Table 5 of the Addendum to this notice. 2. Final FY 2007 Prospective Payment Rates for Acute Care Hospital Inpatient Capital-Related Costs We have calculated the final FY 2007 capital Federal rates, offsets, and budget neutrality factors using the methodology we adopted in the FY 2007 IPPS final rule. For a complete description of this methodology, please see the FY 2007 IPPS final rule (71 FR 48155 through 48156). a. 
                        *Inpatient Hospital Capital-Related Prospective Payment Rate Update.*
                         The factors used in the update framework are not affected by the occupational mix information used to adjust the wage index. Therefore, the update factor for FY 2007 was not revised from the capital PPS standard Federal rate update factor published in the FY 2007 IPPS final rule and remains at 1.10 percent for FY 2007. A full discussion of the update framework is provided in the FY 2007 IPPS final rule (71 FR 48156 through 48158). b. 
                        *Outlier Payment Adjustment Factor.*
                         Based on the final thresholds as set forth in section II.C. of this notice, we estimate that final outlier payments for capital-related costs will equal 4.32 percent for inpatient capital-related payments based on the final Federal rate in FY 2007. Therefore, we are applying a final outlier adjustment factor of 0.9568 to the final capital Federal rate. Thus, we estimate that the percentage of capital outlier payments to total capital standard payments for FY 2007 will be slightly lower than the percentages for FY 2006. The outlier thresholds for FY 2007 are in section II.C.1. of this notice. For FY 2007, a case qualifies as a cost outlier if the cost for the case plus the IME and DSH payments are greater than the prospective payment rate for the DRG plus $24,485. c. 
                        *Budget Neutrality Adjustment Factor for Changes in DRG Classifications and Weights and the GAF.*
                         Using the methodology discussed in the FY 2007 IPPS final rule (71 FR 48158 through 48161), for FY 2007, we are establishing a final GAF/DRG budget neutrality factor of 0.9986. The GAF/DRG budget neutrality factors are built permanently into the capital rates; that is, they are applied cumulatively in determining the capital Federal rate. This follows from the requirement that estimated aggregate payments each year be no more or less than they would have been in the absence of the annual DRG reclassification and recalibration and changes in the GAF. The final incremental change in the adjustment from FY 2006 to FY 2007 is 0.9986. The final cumulative change in the capital Federal rate due to this adjustment is 0.9906 (the product of the incremental factors for FYs 1993 though 2006 and the final incremental factor of 0.9986 for FY 2007). (We note that averages of the incremental factors that were in effect during FYs 2005 and 2006, respectively, were used in the calculation of the final cumulative adjustment of 0.9986 for FY 2007.) This factor accounts for DRG reclassifications and recalibration and for changes in the GAF as well as the revised wage index as adjusted by occupational mix data. It also incorporates the effects on the final GAF of FY 2007 geographic reclassification decisions made by the MGCRB compared to FY 2006 decisions. However, it does not account for changes in payments due to changes in the DSH and IME adjustment factors or in the large urban add-on. d. 
                        *Exceptions Payment Adjustment Factor.*
                         The adjustments made to the wage index as a result of the application of occupational mix data had no effect on capital exceptions payments. Therefore, the special exceptions adjustment factor remains at 0.9997 as discussed in section III.A.4. of FY 2007 IPPS final rule (71 FR 48161). We also explained that the adjustments for regular exception payments are no longer necessary as they were only applicable during the capital transition period (cost reporting periods beginning on or after October 1, 1991 and before October 1, 2001). e. 
                        *Capital Standard Federal Rate for FY 2007.*
                         We are providing a chart that shows how each of the factors and adjustments for FY 2007 affected the computation of the final FY 2007 capital Federal rate in comparison to the FY 
                        ( print page 59891)
                        2006 capital Federal rate. The FY 2007 update factor has the effect of increasing the final capital Federal rate by 1.1 percent compared to the average FY 2006 Federal rate. The final GAF/DRG budget neutrality factor has the effect of decreasing the final capital Federal rate by 0.14 percent. The final FY 2007 outlier adjustment factor has the effect of increasing the final capital Federal rate by 0.56 percent compared to the average FY 2006 capital Federal rate. The FY 2007 exceptions payment adjustment factor remains unchanged from the FY 2006 exceptions payment adjustment factor, and therefore, has a 0.0 percent net effect on the final FY 2007 capital Federal rate. The combined effect of all the changes is to increase the capital Federal rate by 1.52 percent compared to the average FY 2006 capital Federal rate. Comparison of Factors and Adjustments: FY 2006 Capital Federal Rate and FY 2007 Capital Federal Rate
FY 2006
FY 2007
Change
Percent changeUpdate Factor 1
1.0080
1.0110
1.0110
1.10GAF/DRG Adjustment Factor 1
1.0008
3
                                 0.9986
0.9986
−0.14Outlier Adjustment Factor 2
0.9515
3
                                 0.9568
1.0056
0.56Exceptions Adjustment Factor 2
0.9997
0.9997
0.0000
0.00Capital Federal Rate
$420.65
3
                                 $427. 03
1.0152
1.521
                             The update factor and the GAF/DRG budget neutrality factors are built permanently into the capital rates. Thus, for example, the incremental change from FY 2006 to FY 2007 resulting from the application of the final GAF/DRG budget neutrality factor for FY 2007 is 0.9986.2
                             The outlier reduction factor and the exceptions adjustment factor are not built permanently into the capital rates; that is, these factors are not applied cumulatively in determining the capital rates. Thus, for example, the net change resulting from the application of the final FY 2007 outlier adjustment factor would be 0.9568/0.9515, or 1.0056.3
                             Final factors for FY 2007, as discussed in section II.E. of this notice.
 We provided a chart in the FY 2007 IPPS final rule (71 FR 48162) that compared the tentative FY 2007 capital Federal rate to the proposed FY 2007 capital Federal rate (71 FR 24158 through 24159). We are now providing a chart that shows how the final FY 2007 capital Federal rate differs from the tentative FY 2007 capital Federal rate as presented in the FY 2007 IPPS final rule. Comparison of Factors and Adjustments: FY 2007 Tentative Capital Federal Rate and FY 2007 Final Capital Federal Rate
Tentative 
                                 
                                    FY 2007 1
Final FY 2007 2
Change
Percent changeUpdate Factor 1
1.0110
1.0110
0
0GAF/DRG Adjustment Factor 1
0.9994
0.9986
0.0008
−0.08Outlier Adjustment Factor 2
0.9568
0.9568
0
0Exceptions Adjustment Factor 2
0.9997
0.9997
0.0000
0.00Capital Federal Rate
$427.38
$427.03
0.0008
0.081
                             As published in the FY 2007 IPPS final rule without the application of occupational mix data to the wage index.2
                             Final capital inpatient factors and rates after occupational mix adjustment to wage index in accordance with the order of the Second Circuit Court.
 As a final comparison, we are providing a chart that shows how the final FY 2007 capital Federal rate differs from the proposed FY 2007 capital Federal rate presented in the FY 2007 IPPS proposed rule (71 FR 24158 through 24159). Comparison of Factors and Adjustments: Proposed FY 2007 Capital Federal Rate and Final FY 2007 Capital Federal Rate
Proposed FY 2007
Final FY 2007
Change
Percent changeUpdate Factor
1.0080
1.0110
1.0030
0.30GAF/DRG Adjustment Factor
1.0012
* 0.9986
0.9974
−0.26Outlier Adjustment Factor
0.9513
* 0.9568
1.0058
0.58Exceptions Adjustment Factor
0.9997
0.9997
0.0000
0.00Capital Federal Rate
$424.42
* $427.03
1.0061
0.61* Final factors for FY 2007, as discussed in section II.C.2 of this notice.
 
 
 g. 
                        *Special Capital Rate for Puerto Rico Hospitals.*
                         Using the methodology discussed in the FY 2007 IPPS final rule (71 FR 48104), the final FY 2007 special capital rate for Puerto Rico is $203.06. (See the FY 2007 IPPS final rule (71 FR 48163) for additional information on the calculation of FY 2007 capital PPS payments.) D. Final FY 2007 Inpatient Operating and Capital-Related Impacts 1. Final FY 2007 Inpatient Operating Impacts (Quantitative Effects of the Final Occupational Mix Adjusted Wage Indices) The impact analysis for policy changes under the IPPS for operating costs was included in the FY 2007 IPPS final rule. As stated in that impact section (71 FR 48332), we were unable to provide final occupational mix adjusted wage indices because of our obligation to collect new occupational mix survey data consistent with the order of the Court of Appeals in the Second Circuit. We were also unable to provide final relative weights, budget neutrality calculations, the outlier threshold and outlier offsets to the standardized amounts because these figures are all dependent on final wage indices. However, we also indicated that when 100 percent occupational mix adjusted wage data were available, we would recalculate the impacts and provide them in a subsequent 
                        **Federal Register**
                         notice prior to October 1, 2006. Now that the new occupational mix survey data are available and the final 100 percent occupational mix adjusted wage data have been prepared, we are providing the final impacts for FY 2007 including the effect of the occupational mix adjusted wage data. Since there are statutory budget neutrality requirements applied to changes in DRGs and recalibration, wage index and geographic reclassifications, our payment estimates for hospitals overall are consistent with our estimate from the FY 2007 IPPS final rule (71 FR 48331). That is, the revisions to these figures do not increase or decrease aggregate total IPPS payments relative to those we earlier calculated. We continue to estimate that the changes in the FY 2007 IPPS final rule, in conjunction with the final IPPS rates included in this notice, will result in an approximate $3.4 billion increase in operating and capital payments. (See the FY 2007 IPPS final rule (71 FR 48331) for a more detailed explanation of how we estimated this $3.4 billion increase). a. 
                        *Analysis of Impact Table I.*
                         Table I displays the results of our analysis of the payment changes for FY 2007 that are affected by use of the 100 percent occupational-mix adjusted wage data using occupational-mix survey data from January through March. These impacts update the tentative ones that were shown in the FY 2007 IPPS final rule. As explained in the FY 2007 IPPS final rule and this notice, the FY 2006 occupational-mix survey data were unavailable in time for the completion of the IPPS final rule that was made available to the public on August 1. In this notice, we are only displaying the columns that were affected by the change to the 100 percent occupational-mix adjusted wage data and therefore we are not reprinting the impacts to the quality data rate difference or the MDH changes from section 5003 of the Deficit Reduction Act that were published in the FY 2007 IPPS final rule. (See the FY 2007 IPPS final rule (71 FR 48333 through 48341) for a full discussion of the FY 2007 regulatory impact analysis.) Table I categorizes hospitals by various geographic and special payment consideration groups to illustrate the varying impacts on different types of hospitals. The top row of the table shows the overall impact on the 3,595 hospitals included in the analysis. The next four rows of Table I contain hospitals categorized according to their geographic location: all urban, which is further divided into large urban and other urban; and rural. There are 2,590 hospitals located in urban areas included in our analysis. Among these, there are 1,441 hospitals located in large urban areas (populations over 1 million), and 1,149 hospitals in other urban areas (populations of 1 million or fewer). In addition, there are 1,005 hospitals in rural areas. The next two groupings are by bed-size categories, shown separately for urban and rural hospitals. The final groupings by geographic location are by census divisions, also shown separately for urban and rural hospitals. The second part of Table I shows hospital groups based on hospitals' FY 2007 payment classifications, including any reclassifications under section 1886(d)(10) of the Act. For example, the rows labeled urban, large urban, other urban, and rural show that the number of hospitals paid based on these categorizations after consideration of geographic reclassifications (including reclassifications under sections 1886(d)(8)(B) and 1886(d)(8)(E) of the Act, which have implications for capital payments) are 2,607, 1,448, 1,159, and 988, respectively. The next three groupings examine the impacts of the changes on hospitals grouped by whether or not they have GME residency programs (teaching hospitals that receive an IME adjustment) or receive DSH payments, or some combination of these two adjustments. There are 2,511 non-teaching hospitals in our analysis, 843 teaching hospitals with fewer than 100 residents, and 241 teaching hospitals with 100 or more residents. In the DSH categories, hospitals are grouped according to their DSH payment status, and whether they are considered urban or rural for DSH purposes. The next category groups hospitals considered urban after geographic reclassification, in terms of whether they receive the IME adjustment, the DSH adjustment, both, or neither. The next five rows examine the impacts of the changes on rural hospitals by special payment groups (sole community hospitals (SCHs), rural referral centers (RRCs), and Medicare dependent hospitals (MDHs)), as well as rural hospitals not receiving a special payment designation. There were 187 RRCs, 376 SCHs, 146 MDHs, 98 hospitals that are both SCHs and RRCs, and 8 hospitals that are both MDHs and RRCs. The next two groupings are based on type of ownership and the hospital's Medicare utilization expressed as a percent of total patient days. These data are taken primarily from the FY 2004 Medicare cost reports, if available, (otherwise FY 2003 data are used). The next series of groupings concern the geographic reclassification status of hospitals. The first grouping displays all urban hospitals that were reclassified by the MGCRB for FY 2007. The next grouping shows the MGCRB rural reclassifications. The final three rows in Table I contain hospitals located in urban counties, but deemed to be rural under section 1886(d)(8)(E) of the Act, hospitals located in rural counties but deemed to be urban under section 1886(d)(8)(B) of the Act, and hospitals currently reclassified under section 508 of Pub. L. 108-173, which expires on March 31, 2007. 
                        ( print page 59893) Table I.—Impact Analysis of Changes for FY 2007
Number of 
                                 
                                    hospitals 1
                                 
                                 (1)
FY 2007  Transitional1/3
                                 Cost2/3
                                 charge weights & DRG changes 2
                                 (2)
FY 2007 wage data 3
                                 (3)
FY 2007  DRG, Rel. Wts. and Wage index changes 4
                                 (4)
FY 2007  wage index transition for hospitals moving from urban to rural 5
                                 (5)
FY 2007  MGCRB reclassifications 6
                                 (6)
FY 2007  out-migration  adjustment 7
                                 (7)
All  FY 2007  changes 8
                                 (8)All Hospitals
3,595
0.3
0.2
0.0
0.0
0.0
0.1
3.5By Geographic Location:Urban hospitals
2,590
0.2
0.1
0.0
0.0
−0.3
0.1
3.4Large urban areas  (populations over 1 million)
1,441
0.4
0.0
−0.1
0.0
−0.4
0.0
3.5Other urban areas  (populations of 1 million or fewer)
1,149
0.1
0.3
0.0
0.0
−0.1
0.2
3.4Rural hospitals
1,005
0.3
0.3
0.4
0.3
2.1
0.1
3.9Bed Size (Urban):0-99 beds
651
0.4
0.1
0.0
0.0
−0.5
0.1
3.5100-199 beds
867
0.6
0.2
0.3
0.0
−0.1
0.1
3.8200-299 beds
492
0.3
0.1
0.0
0.0
−0.3
0.1
3.6300-499 beds
413
0.1
0.2
−0.2
0.0
−0.3
0.1
3.3500 or more beds
167
0.0
0.1
−0.3
0.0
−0.3
0.0
3.2Bed Size (Rural):0-49 beds
348
0.5
0.2
0.6
0.1
0.8
0.2
4.750-99 beds
370
0.5
0.2
0.4
0.2
1.1
0.2
4.9100-149 beds
174
0.4
0.4
0.5
0.5
2.5
0.1
3.6150-199 beds
68
0.3
0.4
0.3
0.4
3.4
0.1
3.3200 or more beds
45
0.0
0.3
−0.1
0.0
3.1
0.0
3.0Urban by Region:New England
128
0.4
1.1
1.0
0.0
0.3
0.1
3.5Middle Atlantic
357
0.5
0.6
0.7
0.0
−0.1
0.2
3.9South Atlantic
388
0.1
−0.2
−0.5
0.0
−0.4
0.0
3.2East North Central
395
0.2
0.3
0.1
0.0
−0.3
0.0
3.4East South Central
165
−0.1
−0.6
−1.0
0.0
−0.4
0.1
2.7West North Central
157
0.0
−0.4
−0.8
0.0
−0.6
0.0
2.8West South Central
374
0.2
−0.1
−0.3
0.0
−0.5
0.0
3.4Mountain
149
0.2
0.2
0.0
0.0
−0.2
0.0
3.7Pacific
424
0.4
0.1
0.1
0.0
−0.3
0.1
3.7Puerto Rico
53
0.3
−1.4
−1.5
0.0
−0.6
0.0
2.0Rural by Region:New England
19
0.5
−0.2
0.1
0.0
2.0
0.1
6.0Middle Atlantic
72
0.5
0.2
0.5
0.1
2.3
0.0
5.2South Atlantic
176
0.4
0.4
0.5
0.2
2.2
0.2
3.8East North Central
125
0.2
−0.2
−0.1
0.1
1.6
0.0
3.8East South Central
180
0.3
0.6
0.5
0.2
2.5
0.1
3.5West North Central
116
0.2
0.2
0.2
0.0
2.0
0.1
4.3West South Central
193
0.4
0.9
0.9
0.5
2.8
0.2
4.1Mountain
81
0.3
−0.2
−0.1
2.1
0.8
0.1
2.7Pacific
43
0.3
−0.3
−0.2
0.0
1.8
0.1
3.2By Payment Classification:Urban hospitals
2,607
0.2
0.1
0.0
0.0
−0.3
0.1
3.4Large urban areas  (populations over 1 million)
1,448
0.4
0.0
−0.1
0.0
−0.4
0.0
3.5Other urban areas  (populations of 1 million or fewer)
1,159
0.1
0.3
0.0
0.0
−0.1
0.2
3.4Rural areas
988
0.3
0.3
0.4
0.3
2.0
0.1
4.0Teaching Status:Nonteaching
2,511
0.4
0.1
0.1
0.0
0.2
0.1
3.8Fewer than 100 residents
843
0.2
0.1
−0.1
0.0
−0.2
0.1
3.4100 or more residents
241
0.1
0.3
−0.1
0.0
−0.3
0.0
3.1Urban DSH:Non−DSH
906
0.2
0.1
−0.1
0.0
−0.1
0.1
3.6100 or more beds
1,520
0.2
0.1
0.0
0.0
−0.3
0.1
3.4Less than 100 beds
346
0.6
0.0
0.2
0.0
−0.3
0.1
3.6Rural DSH:SCH
386
0.3
0.2
0.4
0.2
0.6
0.1
4.6( print page 59894)RRC
199
0.2
0.4
0.3
0.2
3.4
0.0
3.5Other Rural:100 or more beds
55
0.6
0.7
0.9
0.9
0.7
0.2
3.5Less than 100 beds
183
0.6
0.5
0.7
0.4
0.9
0.4
3.8Urban teaching and DSH:Both teaching and DSH
815
0.2
0.1
−0.1
0.0
−0.3
0.0
3.3Teaching and no DSH
201
0.1
0.3
0.0
0.0
−0.1
0.2
3.3No teaching and DSH
1,051
0.5
0.1
0.1
0.0
−0.1
0.1
3.7No teaching and no DSH
540
0.3
0.0
−0.2
0.0
−0.3
0.0
3.5Special Hospital Types:RRC
187
0.2
0.5
0.3
0.2
3.1
0.1
3.5SCH
376
0.3
0.1
0.3
0.2
0.4
0.1
3.6MDH
146
0.5
0.2
0.5
0.0
0.7
0.1
9.0SCH and RRC
98
0.1
−0.1
−0.1
0.0
1.9
0.0
3.1MDH and RRC
8
0.3
−0.1
0.3
0.0
1.0
0.0
14.0Type of Ownership:Voluntary
2,102
0.2
0.2
0.1
0.0
0.0
0.1
3.5Proprietary
880
0.4
−0.1
−0.2
0.1
−0.1
0.0
3.5Government
603
0.3
0.0
−0.2
0.0
0.1
0.1
3.4Unknown
10
2.2
0.1
1.7
0.0
−0.3
0.2
7.6Medicare Utilization as a Percent of Inpatient Days:0-25
243
0.6
−0.1
0.1
0.0
−0.3
0.0
3.625-50
1,328
0.2
0.0
−0.2
0.0
−0.4
0.0
3.350-65
1,478
0.3
0.3
0.2
0.0
0.4
0.1
3.7Over 65
462
0.2
0.3
0.1
0.0
0.5
0.1
3.8Unknown
84
1.0
−0.4
0.1
0.0
−0.5
0.1
4.4Urban Hospitals Reclassified by the Medicare Geographic Classification Review Board: First Half FY 2007 Reclassifications
281
0.3
0.3
0.1
0.0
2.4
0.0
3.7Urban Nonreclassified, First Half FY 2007:
2,284
0.2
0.1
−0.1
0.0
−0.6
0.1
3.4All Urban Hospitals Reclassified Second Half FY 2007:
341
0.3
0.4
0.2
0.0
1.8
0.0
3.5Urban Nonreclassified Hospitals Second Half FY 2007:
2,224
0.2
0.1
−0.1
0.0
−0.6
0.1
3.4All Rural Hospitals Reclassified Full Year FY 2007:
369
0.2
0.3
0.2
0.1
3.6
0.0
3.6Rural Nonreclassified Hospitals Full Year FY 2007:
578
0.5
0.3
0.5
0.6
−0.3
0.3
4.4All Section 401 Reclassified Hospitals:
30
0.2
0.8
0.8
0.0
−0.1
0.0
5.4Other Reclassified Hospitals (Section 1886(d)(8)(B))
57
0.6
0.3
0.6
0.0
3.6
0.0
4.4Section 508 Hospitals
108
0.2
0.6
0.4
0.0
−0.2
0.0
1.9Specialty HospitalsCardiac Specialty Hospitals
21
−2.0
0.0
−2.4
0.0
−0.6
0.0
1.21
                             Because data necessary to classify some hospitals by category were missing, the total number of hospitals in each category may not equal the national total. Discharge data are from FY 2005, and hospital cost report data are from reporting periods beginning in FY 2004 and FY 2003.2
                             This column displays the final payment impact of the changes to the V24 GROUPER and the recalibration of the DRG cost weights based on FY 2005 MedPAR data in accordance with section 1886(d)(4)(C)(iii) of the Act.3
                             This column displays the final payment impact of updating the wage index data with the 100 percent occupational mix adjustment applied to the FY 2003 cost report data. 
                            ( print page 59895)4
                             This column displays the final payment impact of the 0.995662 budget neutrality factor for DRG and wage index changes (with a 100 percent occupational mix adjustment applied to the wage index) data in accordance with section 1886(d)(4)(C)(iii) of the Act and section 1886(d)(3)(E) of the Act.5
                             Shown here are the final effects of providing rural hospitals formerly located in urban areas with urban wage index values in FY 2007. The effects reflected here are budget neutral: this column therefore includes the effect of the 0.999700 adjustment that we have applied to the rates to ensure budget neutrality.6
                             Shown here are the final effects of geographic reclassifications by the Medicare Geographic Classification Review Board (MGCRB) and CMS decisions made on behalf of the hospital for FY 2007. The effects demonstrate the FY 2007 payment impact of going from no reclassifications to the reclassifications scheduled to be in effect for FY 2007. Reclassification for prior years has no bearing on the payment impacts shown here. This column reflects the geographic budget neutrality factor of 0.992355.7
                             This column displays the final impact of the FY 2007 implementation of section 505 of Pub. L. 108-173, which provides for an increase in a hospital's wage index if the hospital qualifies by meeting a threshold percentage of residents of the county where the hospital is located who commute to work at hospitals in counties with higher wage indices.8
                             This column shows final changes in payments from FY 2006 to FY 2007. It incorporates all of the changes displayed in Columns 2, 3, 4,5, and 6 (the changes displayed in Columns 2 and 3 are included in Column 4), as well as those displayed in columns 2 and 3 (related to the quality data differential in the IPPS update and implementation of the MDH DRA provisions) of the FY 2007 IPPS final rule. It also reflects the impact of the FY 2007 update, changes in hospitals' reclassification status in FY 2007 compared to FY 2006, and the changes in payments as a result of continuing the reclassifications under section 508 of Pub. L. 108-173. The product of these impacts may be different from the percentage changes shown here due to rounding and interactive effects.
 (1) 
                        *Effects of the Changes to the DRG Reclassifications and Relative Cost-Based Weights (Column 2).*
                         In Column 2 of Table I, we present the combined effects of the DRG reclassifications and recalibration, as discussed in section II. of the preamble to the FY 2007 IPPS final rule (71 FR 47879 through 47979). Section 1886(d)(4)(C)(i) of the Act requires us annually to make appropriate classification changes in order to reflect changes in treatment patterns, technology, and any other factors that may change the relative use of hospital resources. As discussed in the preamble of the FY 2007 IPPS final rule (71 FR 47882 through 47898), we are changing the relative weight calculation methodology from a charge-based to a cost-based method. Further, we are implementing the new methodology under a 3-year transition such that weights in FY 2007 are 
                        1/3
                         cost-based and 
                        2/3
                         charge-based. As part of the methodology for determining cost weights, we standardize hospital charges by the wage index to remove the effect of area wage differences. Since the wage index data has been updated to reflect a 100 percent occupational mix adjustment based on the latest survey data available, we recalculated the relative weights for the FY 2007 by standardizing charges using the 100 percent occupational mix adjusted wage indices. The use of occupational mix adjusted wage indices to standardize hospital charges resulted in very small changes to the DRG relative weights. No DRG weight changed by greater or less than 1 percent from those shown in Table 5 of the FY 2007 IPPS final rule. The revised and final FY 2007 DRG relative weights are shown in Table 5 of the Addendum to this notice. In column 2, we compare aggregate payments using the FY 2007 blended relative weights (GROUPER Version 24) to the FY 2006 DRG relative charge weights (GROUPER Version 23.0) so the percentages shown here illustrate the effect of changes to the DRGs and relative weights. The method of calculating the relative weights and the reclassification changes to the GROUPER are described in more detail in section II. of the preamble to the FY 2007 IPPS final rule. The impacts shown in this column are generally very consistent by hospital category with those shown in column 4 of Table I of the FY 2007 IPPS final rule (71 FR 48335). With the exception of using occupational mix adjusted wage indices to standardize hospital charges, the data and methodology that we modeled in this column are identical to the FY 2007 IPPS final rule. Therefore, any differences in the impacts shown in this column from column 6 of Table I of the FY 2007 IPPS final rule and column 4 of the table above are due to the use of occupational mix adjusted wage data. We note that this column reflects the impact of changes to the DRG classifications and relative weights only and is not budget neutral. Consistent with section 1886(d)(4)(C)(iii) of the Act, we apply a single budget neutrality factor to ensure that the combined overall payment impact of changes to the DRG classification, relative weights, and wage index is budget neutral. The budget neutrality factor for the combined changes to the DRGs, relative weights, and wage index are shown in the table above entitled, “Comparison of FY 2006 Standardized Amounts to Final FY 2007 Single Standardized Amount with Full Update and Reduced Update.” *(2) Effects of Wage Index Changes (Column 3).*
                         Section 1886(d)(3)(E) of the Act requires that, beginning October 1, 1993, we annually update the wage data used to calculate the wage index. In accordance with this requirement, the wage index for FY 2007 is based on data submitted for hospital cost reporting periods beginning on or after October 1, 2002 and before October 1, 2003. In the IPPS FY 2007 IPPS final rule, due to the decision in 
                        *Bellevue Hosp. Center*
                         v. 
                        *Leavitt,*
                         in which the Court of Appeals for the Second Circuit ordered CMS to apply the occupational mix adjustment to 100 percent of the wage index effective for FY 2007 (see section III.C. of the FY 2007 IPPS final rule for more details of this Court decision (71 FR 48006)), we were unable to show the impact of the 100 percent occupational mix adjustment as the necessary data were unavailable in time for making the final IPPS rule available to the public on August 1. This column now shows the final estimated effect of updating the wage index with wage data from FY 2003 hospital cost reports and moving to a 100 percent occupational mix adjusted wage index using occupational mix survey data for January through March of this year. The estimated impact on hospital payments of the new wage data with the 100 percent occupational mix adjustment applied using the new survey data is isolated in Column 3 by holding the other payment parameters constant. That is, Column 3 shows the percentage changes in payments when going from a model using the FY 2006 wage index, based on FY 2002 wage data and having a 10-percent occupational mix adjustment applied, to a model using the FY 2007 pre-reclassification wage index, based on FY 2003 wage data with a 100 percent occupational mix adjustment based on the latest occupational mix survey data. The wage data collected on the FY 2003 cost report are the same as the FY 2002 wage data that were used to calculate the FY 2006 wage index. Hospitals located in urban New England are estimated to receive the greatest benefit from the new wage and occupational mix data. Payments to hospitals in urban New England are estimated to increase 1.1 percent while rural hospitals located in the West South Central region experience an increase of 0.9 percent from these data. 
                        ( print page 59896)
                        Puerto Rico hospitals see the least benefit from the change to the wage and occupational mix data with a 1.4 percent estimated decrease in payments. The national average hourly wage increased 5.9 percent compared to FY 2006 from the new wage data. Therefore, the only manner in which to maintain or exceed the previous year's wage index was to match the national 5.9 increase in average hourly wage. Of the 3,491 hospitals with wage data for both FYs 2006 and 2007, 1,706, or 48.9 percent, also experienced an average hourly wage increase of 5.9 percent or more. The following chart compares the shifts in wage index values for hospitals for FY 2007 relative to FY 2006. Among urban hospitals, 40 will experience an increase of between 5 percent and 10 percent and 15 will experience an increase of more than 10 percent. No rural hospitals will experience an increase greater than 5 percent, but 790 will experience increases between 0 and 5 percent. On the negative side, 79 urban hospitals will experience decreases in their wage index values of at least 5 percent, but less than 10 percent. Eight urban hospitals will experience decreases in their wage index values greater than 10 percent. The following chart shows the projected impact for urban and rural hospitals: Percentage change in area wage index 
                                 values
Number of 
                                 hospitalsUrban
RuralIncrease more than 10 percent
15
0Increase more than 5 percent and less than 10 percent
40
0Increase or decrease less than 5 percent
2,354
986Decrease more than 5 percent and less than 10 percent
79
5Decrease more than 10 percent
8
4
 (3) 
                        *Combined Effects of DRG and Wage Index Changes, Including Budget Neutrality Adjustment (Column 4).*
                         Section 1886(d)(4)(C)(iii) of the Act requires that changes to DRG reclassifications and the relative weights cannot increase or decrease aggregate payments. In addition, section 1886(d)(3)(E) of the Act specifies that any updates or adjustments to the wage index are to be budget neutral. As noted in the Addendum to this final rule, in determining the budget neutrality factor, we equated simulated aggregate payments for FY 2006 and FY 2007 using the FY 2005 Medicare utilization data after applying the changes to the DRG relative weights and the wage index. We computed a wage and DRG recalibration budget neutrality factor of 0.995662. The 0.0 percent impact for all hospitals demonstrates that these changes, in combination with the budget neutrality factor, are budget neutral. In Table I, the combined overall impacts of the effects of both the DRG reclassifications and the updated wage index are shown in Column 4. The changes in this column are the sum of the changes in Columns 2 and 3, combined with the budget neutrality factor for the wage index, including the wage index floor for urban areas required by section 4410 of Pub. L. 105-33. There also may be some variation of plus or minus 0.1 percentage point due to rounding. As indicated above, the changes in the relative weights are generally consistent with those we showed in Table I of the FY 2007 IPPS final rule while the impacts due to the wage data may be somewhat different than those shown there because of the new occupational mix survey and a 100 percent adjustment to the wage index. Any changes between column 6 of Table I of the FY 2007 IPPS final rule and column 4 of Table I of this notice are due to use of a 100 percent adjustment for occupational mix and the new survey data. (4) 
                        *Effects of the 3-Year Provision Allowing Urban Hospitals that Were Converted to Rural as a Result of the FY 2005 Labor Market Area Changes to Maintain the Wage Index of the Urban Labor Market Area in Which They Were Formerly Located (Column 5).*
                         To help alleviate the decreased payments for urban hospitals that became rural under the new labor market area definitions, for purposes of the wage index, we adopted a policy in FY 2005 to allow them to maintain the wage index assignment of the MSA where they were located for the 3-year period FY 2005, FY 2006, and FY 2007. Column 5 shows the impact of the remaining labor market area transition, for those hospitals that were urban under the old labor market area designations and are now considered rural hospitals. Section 1886(d)(3)(E) of the Act specifies that any updates or adjustments to the wage index are to be budget neutral. Therefore, we applied a adjustment of 0.999700 to ensure that the effects of reclassification are budget neutral as indicated by the zero effect on payments to hospitals overall. The rural hospital row shows a 0.3 percent benefit from this provision as these hold-harmless hospitals are now classified as geographically rural. (5) 
                        *Effects of MGCRB Reclassifications (Column 6).*
                         Our impact analysis up to this point has assumed hospitals are paid on the basis of their actual geographic location (with the exception of ongoing policies that provide that certain hospitals receive payments on other bases than where they are geographically located, such as hospitals in rural counties that are deemed urban under section 1886(d)(8)(B) of the Act). The changes in Column 6 reflect the per case payment impact of moving from this baseline to a simulation incorporating the MGCRB decisions for FY 2007 which affect hospitals' wage index area assignments. By February 28 of each year, the MGCRB makes reclassification determinations that will be effective for the next fiscal year, which begins on October 1. The MGCRB may approve a hospital's reclassification request for the purpose of using another area's wage index value. The FY 2007 wage index values incorporate all of the MGCRB's reclassification decisions for FY 2007 as well as any decisions made by the CMS Administrator through the appeals and review process. For FY 2007, as stated in the FY 2006 IPPS final rule (70 FR 47382, August 12, 2005), we established procedural rules under section 1886(d)(10)(D)(v) of the Act to address specific circumstances where individual and group reclassifications involve a section 508 hospital. The rules were designed to recognize the special circumstances of section 508 hospital reclassifications ending midyear during FY 2007 and were intended to allow previously approved reclassifications to continue through March 31, 2007, and new section 1886(d)(10) reclassifications to begin April 1, 2007, upon the conclusion of the section 508 reclassifications. Under these procedural rules, some section 1886(d)(10) hospital reclassifications are only in effect for the second half of the fiscal year. The first and second half fiscal year section 1886(d)(10) reclassifications permitted under these procedural rules have implications for the calculation of the reclassified wage indices and the reclassification budget neutrality factor. Section 1886(d)(8)(c) of the Act provides requirements for determining the wage index values for hospitals that were reclassified as a result of the MGCRB decisions under 1886(d)(10) of the Act. As provided in the statute, we are required to calculate a separate wage index for hospitals reclassified to an area if including the wage data for the reclassified hospitals would reduce the area wage index by more than 1 percent. 
                        ( print page 59897) Because of the half-year reclassifications permitted under the procedural rules, in this final rule, we are issuing two separate wage indices for affected areas (one effective from October 1, 2006, through March 31, 2007 and a second reclassified wage index effective April 1, 2007, through September 30, 2007). The FY 2007 wage index values are calculated based on the wage data for hospitals reclassified to the area in the respective half of the fiscal year. The impact of this policy is modeled in Column 6 of Table I of this notice. The overall effect of geographic reclassification is required by section 1886(d)(8)(D) of the Act to be budget neutral. In this final rule, we are calculating one budget neutrality adjustment that reflects the average of the adjustments required for first and second half fiscal year reclassifications, respectively. Therefore, we applied an adjustment of 0.992355 to ensure that the effects of the section 1886(d)(10) reclassifications are budget neutral. (See section II.A. of the Addendum to FY 2007 IPPS final rule (71 48146).) As noted in section II.B. of this notice, CMS applied reclassification decisions for FY 2007 on behalf of hospitals to give them the highest wage index. Hospitals have 30 days from the date of the posting of these data on the CMS Web site to revise the decision that CMS made on their behalf. The impacts shown in Column 6 of Table 1 above reflect the CMS reclassification decisions on behalf of hospitals, which reflect the area that would give the hospital the highest wage index using a 100 percent occupational-mix adjustment and the most recent survey data. As a group, rural hospitals benefit most from reclassification. We estimate that their payments will rise 2.1 percent in FY 2007. Payments to urban hospitals will decline by 0.3 percent. Hospitals in other urban areas will experience an overall decrease in payments of 0.1 percent, while hospitals in large urban areas will lose 0.4 percent. Among urban hospital groups (that is, bed size, census division and IME/DSH status), payments generally would decline. A positive impact is evident among all of the rural hospital groups. The smallest increase among rural census divisions is 0.8 percent for the Mountain region. The largest increases are in the rural West South Central and rural East South Central regions with 2.8 and 2.5 percent, respectively. Urban hospitals reclassified for FY 2007 are expected to receive an increase of 2.4 percent, while rural reclassified hospitals are expected to benefit from the MGCRB changes with a 3.6 percent increase in payments. Payments to urban and rural hospitals that did not reclassify are expected to decrease slightly due to the MGCRB changes, decreasing by 0.6 percent for urban hospitals and 0.3 percent for rural hospitals. (6) 
                        *Effects of the Wage Index Adjustment for Out-Migration (Column 7).*
                         Section 1886(d)(13) of the Act, as added by section 505 of Pub. L. 108-173, provides for an increase in the wage index for hospitals located in certain counties that have a relatively high percentage of hospital employees who reside in the county, but work in a different area with a higher wage index. Hospitals located in counties that qualify for the payment adjustment are to receive an increase in the wage index that is equal to a weighted average of the difference between the wage index of the resident county and the higher wage index work area(s), weighted by the overall percentage of workers who are employed in an area with a higher wage index. Using our established criteria, 583 providers in 282 counties are eligible for this adjustment. Due to the statutory formula to calculate the adjustment and the small number of counties that qualify, the impact on hospitals is minimal, with an overall impact on all hospitals of 0.1 percent. (7) 
                        *Effects of All Changes (Column 8).*
                         Column 8 compares our estimate of payments per case between FY 2006 and FY 2007, incorporating all changes reflected in the FY 2007 IPPS final rule and in this notice (including statutory changes). This column reflects the impact of all FY 2007 changes relative to FY 2006, including the impact of the quality data changes and the MDH changes from section 5003 of the DRA (see 70 FR 48335) and the impacts shown in Columns 2 through 8 as well as other factors that are not applied until the final rates are calculated. The average increase for all hospitals is approximately 3.5 percent. This increase includes the effects of the 3.4 percent market basket update. It also reflects the 0.5 percentage point difference between the projected outlier payments in FY 2006 (5.1 percent of total DRG payments) and the current estimate of the percentage of actual outlier payments in FY 2006 (4.6 percent), as described in the introduction to this Appendix and the Addendum to this final rule. As a result, payments are projected to be 0.5 percentage points lower in FY 2006 than originally estimated, resulting in a 0.5 percentage point greater increase for FY 2007 than would otherwise occur. In addition, the impact of section 505 adjustments accounted for a 0.1 percent increase. Indirect medical education formula changes for teaching hospitals under section 502 of Pub. L. 108-173, changes in payments due to the difference between the FY 2006 and FY 2007 wage index values assigned to providers reclassified under section 508 of Pub. L. 108-173, and changes in the incremental increase in payments from section 505 of Pub. L. 108-173 out-migration adjustments account for the remaining −0.6 percent. There might also be interactive effects among the various factors comprising the payment system that we are not able to isolate. For these reasons, the values in Column 8 may not equal the product of the percentage changes described above. We estimate that payments will increase across all hospitals in each category shown in column 8. We estimate that the average payment per case will increase in FY 2007 by 3.5 percent across all hospitals, 3.4 percent for hospitals in urban areas, 3.5 percent for hospitals in large urban areas, 3.4 percent for hospitals in other urban areas and 3.9 percent for hospitals in rural areas. Among urban census divisions, we estimate the largest payment increases would be 3.9 percent in the Mid Atlantic region and 3.7 percent in the Pacific and Mountain regions. We estimate that the smallest urban increase will be 2.0 percent in Puerto Rico. Among rural areas, the New England and Middle Atlantic regions would benefit the most from changes in the FY 2007 IPPS final rule, with 6.0 and 5.2 percent increases, respectively. The smallest increase would occur in the Mountain region, with a 2.7 percent increase in payments. Among special categories of rural hospitals in Column 8, MDH/RRC providers receive an increase in payments of 14.0 percent and MDH providers receive an increase of 9.0 percent, primarily due to the changes to MDH payments set forth in section 5003 of Pub. L. 109-171 (see 70 FR 48062). Urban hospitals reclassified for the first half of FY 2007 are anticipated to receive an increase of 3.7 percent, while urban hospitals that reclassified for the second half of FY 2007 are expected to receive an increase of 3.5 percent. The same set of rural hospitals is reclassified for the first and second half of FY 2007. Rural hospitals reclassifying for the entire year of FY 2007 are anticipated to receive a 3.6 percent payment increase. Those hospitals located in rural counties, but deemed to be urban under section 1886(d)(8)(B) of the Act are expected to receive an increase in 
                        ( print page 59898)
                        payments of 4.4 percent. Hospitals that were reclassified under section 508 of Pub. L. 108-173, which is only effective through March 31, 2007, are expected to receive an increase of 1.9 percent. This lower estimated increase in payment than the average for all hospitals is due to the expiration of the higher section 508 wage indices in effect for 6 months of FY 2007. b. 
                        *Analysis of Impact Table II.*
                         Table II presents the projected impact of the changes for FY 2007 for urban and rural hospitals and for the different categories of hospitals shown in Table I. It compares the estimated payments per case for FY 2006 with the average estimated per case payments for FY 2007, as calculated under our models. Thus, this table presents, in terms of the average dollar amounts paid per discharge, the combined effects of the changes presented in Table I. The percentage changes shown in the last column of Table II equal the percentage changes in average payments from Column 8 of Table I. TABLE II.—Impact Analysis of Changes for FY 2007 Operating Prospective Payment System
[Payments per case]
Number of hospitals 
                                 (1)
Average FY 2006 payment per case 1
                                 (2)
Average FY 2007 payment per case 1
                                 (3)
All FY 2007 changes 
                                 (4)All hospitals
3,595
8,540
8,838
3.5By Geographic Location:Urban hospitals
2,590
8,951
9,258
3.4Large urban areas (populations over 1 million)
1,441
9,368
9,692
3.5Other urban areas (populations of 1 million or fewer)
1,149
8,446
8,731
3.4Rural hospitals
1,005
6,228
6,474
3.9Bed Size (Urban):0-99 beds
651
6,730
6,964
3.5100-199 beds
867
7,490
7,772
3.8200-299 beds
492
8,403
8,702
3.6300-499 beds
413
9,405
9,719
3.3500 or more beds
167
11,388
11,748
3.2Bed Size (Rural):0-49 beds
348
5,222
5,466
4.750-99 beds
370
5,622
5,897
4.9100-149 beds
174
6,199
6,425
3.6150-199 beds
68
6,933
7,163
3.3200 or more beds
45
7,898
8,134
3.0Urban by Region:New England
128
9,391
9,717
3.5Middle Atlantic
357
9,833
10,217
3.9South Atlantic
388
8,476
8,747
3.2East North Central
395
8,561
8,854
3.4East South Central
165
8,209
8,433
2.7West North Central
157
8,689
8,929
2.8West South Central
374
8,447
8,737
3.4Mountain
149
8,812
9,140
3.7Pacific
424
10,742
11,144
3.7Puerto Rico
53
4,190
4,272
2.0Rural by Region:New England
19
8,137
8,627
6.0Middle Atlantic
72
6,291
6,616
5.2South Atlantic
176
6,033
6,264
3.8East North Central
125
6,457
6,700
3.8East South Central
180
5,973
6,181
3.5West North Central
116
6,422
6,696
4.3West South Central
193
5,669
5,902
4.1Mountain
81
6,589
6,768
2.7Pacific
43
7,608
7,850
3.2By Payment Classification:Urban hospitals
2,607
8,939
9,245
3.4Large urban areas (populations over 1 million)
1,448
9,357
9,682
3.5Other urban areas (populations of 1 million or fewer)
1,159
8,431
8,714
3.4Rural areas
988
6,278
6,530
4.0Teaching Status:Non-teaching
2,511
7,124
7,393
3.8Fewer than 100 Residents
843
8,640
8,932
3.4100 or more Residents
241
12,605
13,001
3.1Urban DSH:Non-DSH
906
7,725
8,001
3.6100 or more beds
1,520
9,424
9,746
3.4Less than 100 beds
346
6,159
6,383
3.6Rural DSH:SCH
386
5,816
6,080
4.6RRC
199
6,946
7,186
3.5( print page 59899)Other Rural:100 or more beds
55
5,737
5,936
3.5Less than 100 beds
183
5,104
5,301
3.8Urban teaching and DSH:Both teaching and DSH
815
10,367
10,707
3.3Teaching and no DSH
201
8,601
8,889
3.3No teaching and DSH
1,051
7,617
7,899
3.7No teaching and no DSH
540
7,283
7,539
3.5Rural Hospital Types:RRC
187
7,277
7,529
3.5SCH
376
6,216
6,439
3.6MDH
146
5,190
5,657
9.0SCH and RRC
98
7,408
7,637
3.1MDH and RRC
8
6,439
7,341
14.0UnknownType of Ownership:Voluntary
2,102
8,680
8,984
3.5Proprietary
880
7,714
7,984
3.5Government
603
8,779
9,078
3.4Unknown
10
13,196
14,194
7.6Medicare Utilization as a Percent of Inpatient Days:0-25
243
12,182
12,620
3.625-50
1,328
9,739
10,057
3.350-65
1,478
7,438
7,714
3.7Over 65
462
6,662
6,915
3.8Unknown
84
9,920
10,354
4.4Hospitals Reclassified by the Medicare Geographic Classification Review Board: FY 2005 Reclassifications:Urban Hospitals Reclassified by the Medicare Geographic Classification Review Board: First Half FY 2007 Reclassifications:
281
8,778
9,099
3.7Urban Nonreclassified, First Half FY 2007:
2,284
8,983
9,288
3.4All Urban Hospitals Reclassified Second Half FY 2007:
341
9,038
9,351
3.5Urban Nonreclassified Hospitals Second Half FY 2007:
2,224
8,947
9,253
3.4All Rural Hospitals Reclassified Second Half FY 2007:
369
6,759
7,004
3.6Rural Nonreclassified Hospitals Second Half FY 2007:
578
5,559
5,806
4.4All Section 401 Reclassified Hospitals:
30
7,030
7,408
5.4Other Reclassified Hospitals (Section 1886(d)(8)(B))
57
5,839
6,097
4.4Section 508 Hospitals
108
9,268
9,446
1.9Specialty HospitalsCardiac Specialty Hospitals
21
11,363
11,497
1.21
                             These payment amounts per case do not reflect any estimates of annual case-mix increase.
 2. Final FY 2007 Capital-Related Impacts (Quantitative Effects of the Final Occupational Mix Adjusted Wage Indices) (a) 
                        *General Considerations.*
                         In accordance with § 412.312, the basic methodology for determining a capital PPS payment is: *(Standard Federal Rate) × (DRG weight) × (Geographic Adjustment Factor (GAF)) × (Large Urban Add-on, if applicable) × (COLA for hospitals located in Alaska and Hawaii) × (1 + Disproportionate Share (DSH) Adjustment Factor + Indirect Medical Education (IME) Adjustment Factor, if applicable).* In addition, hospitals may also receive outlier payments for those cases that qualify under the threshold established for each fiscal year. The data used in developing the impact analysis presented below are taken from the March 2006 update of the FY 2005 MedPAR file and the March 2006 update of the Provider-Specific File that is used for payment purposes. Although the analyses of the changes to the capital prospective payment system do not incorporate cost data, we used the March 2006 update of the most recently available hospital cost report data (FYs 2003 and 2004) to categorize hospitals. Our analysis has several qualifications. First, we do not make adjustments for behavioral changes that hospitals may adopt in response to policy changes. Second, due to the interdependent nature of the IPPS, it is very difficult to precisely quantify the impact associated with each change. Third, we draw upon various sources for the data used to categorize hospitals in the tables. In some cases (for instance, the number of beds), there is a fair degree of variation in the data from different sources. We have attempted to construct these variables with the best available sources overall. However, for individual hospitals, some miscategorizations are possible. Using cases from the March 2006 update of the FY 2005 MedPAR file, we simulated payments under the capital PPS for FY 2006 and FY 2007 for a comparison of total payments per case. Any short-term, acute care hospitals not paid under the general IPPS (Indian Health Service hospitals and hospitals in Maryland) are excluded from the simulations. 
                        ( print page 59900) We modeled payments for each hospital by multiplying the capital Federal rate by the GAF and the hospital's case-mix. We then added estimated payments for indirect medical education, disproportionate share, large urban add-on, and outliers, if applicable. For purposes of this impact analysis, the model includes the following assumptions: We estimate that the Medicare case-mix index will increase by 1.0 percent in both FYs 2006 and 2007.
                    We estimate that the Medicare discharges will be 13.5 million in FY 2006 and 13.1 million in FY 2007 for a 3.0 percent decrease from FY 2006 to FY 2007.
                    The capital Federal rate was updated beginning in FY 1996 by an analytical framework that considers changes in the prices associated with capital-related costs and adjustments to account for forecast error, changes in the case-mix index, allowable changes in intensity, and other factors. The FY 2007 update is 1.1 percent (see section II.E.2. of this notice).
                    In addition to the FY 2007 update factor, the FY 2007 capital Federal rate was calculated based on a GAF/DRG budget neutrality factor of 0.9986, an outlier adjustment factor of 0.9568, and an exceptions adjustment factor of 0.9997. (b) 
                        *Results.*
                         We used the actuarial model described above to estimate the potential impact of our changes for FY 2007 on total capital payments per case, using a universe of 3,595 hospitals. As described above, the individual hospital payment parameters are taken from the best available data, including the March 2006 update of the FY 2005 MedPAR file, the March 2006 update to the Provider-Specific File, and the most recent cost report data from the March 2006 update of HCRIS. In Table III, we present a comparison of total payments per case for FY 2006 compared to FY 2007 based on the FY 2007 payment policies. Column 2 shows estimates of payments per case under our model for FY 2006. Column 3 shows estimates of payments per case under our model for FY 2007. Column 4 shows the total percentage change in payments from FY 2006 to FY 2007. The change represented in Column 4 includes the 1.1 percent update to the capital Federal rate, a 0.0 percent increase in case-mix, changes in the adjustments to the capital Federal rate (for example, the effect of the hospital wage index on the GAF), and reclassifications by the MGCRB. The comparisons are provided by: (1) Geographic location; (2) region; and (3) payment classification. The simulation results show that, on average, capital payments per case can be expected to increase 2.4 percent in FY 2007. In addition to the 1.1 percent increase due to the capital market basket update, this projected increase in capital payments per case is largely attributable to the change in the DRG recalibration process methodology for FY 2007 as discussed in section II.C. of the preamble of the FY 2007 IPPS final rule (71 FR 48006). To a lesser extent, the final outlier factor also contributes to the increase in capital payments per case, while the final GAF has the opposite effect on capital payments (0.2 percent and −0.1 percent, respectively). The results of our comparisons by geographic location and by region are consistent with the results we expected after applying the changes to the DRG recalibration methodology. The geographic comparison shows that urban hospitals are expected to experience a 2.3 percent increase in IPPS capital payments per case, while rural hospitals are expected to experience a 2.4 percent increase in capital payments per case. This difference is mostly due to the changes to the methodology used to recalibrate DRGs discussed in the FY 2007 IPPS final rule (71 FR 47882). The capital impact is largely consistent with the impacts in the FY 2007 IPPS final rule (71 FR 48348). However the capital GAF is somewhat affected by the wage index changes resulting from using the revised occupational mix survey data and applying a 100 percent occupational mix adjustment. Any changes from the impact presented in the FY 2007 IPPS final rule would be due to the revised wage indices and the new occupational mix adjustment. Due to circumstances described in the FY 2007 IPPS final rule (71 FR 48005), the wage index used in these calculations is final. All regions are estimated to receive an increase in total capital payments per case from FY 2006 to FY 2007. Changes vary by region from a minimum increase of 0.14 percent in Puerto Rico for (urban) to a maximum increase of 3.1 percent in the West South Central rural region and the Middle Atlantic rural region. The change in payments per case for all hospitals is 2.4 percent and is the same as indicated in the FY 2007 IPPS final rule. Section 1886(d)(10) of the Act established the MGCRB. Before FY 2005, hospitals could apply to the MGCRB for reclassification for purposes of the standardized amount, wage index, or both. Section 401(c) of Pub. L. 108-173 equalized the standardized amounts under the operating IPPS. Therefore, beginning in FY 2005, there is no longer reclassification for the purposes of the standardized amounts; however, hospitals still may apply for reclassification for purposes of the wage index for FY 2007. Reclassification for wage index purposes also affects the GAF because that factor is constructed from the hospital wage index. As discussed in the FY 2007 IPPS final rule (71 FR 48067), procedural rules were established in the FY 2006 IPPS final rule (70 FR 47382) to recognize the special circumstances of section 508 hospital reclassifications ending midyear during FY 2007. Under these procedural rules, some section 1886(d)(10) hospital reclassifications are only in effect for the second half of the fiscal year. These half fiscal year reclassifications have implications for the calculation of reclassified wage indices and therefore, affect capital payments because GAF values are calculated from the hospital wage index. To present the effects of the hospitals being reclassified for FY 2007, we show the average payments per case for reclassified hospitals for each half of FY 2007 compared to the average payments per case for the same time period in FY 2006. The reclassified groups are compared to all other nonreclassified hospitals for the same time period. These categories are further identified by urban and rural designation. In general, the average payments per case in the first half of FY 2007 is the same or 0.1 percent less as the average payments per case in the second half of FY 2007 for each category of reclassified hospitals shown in Table III . The exception to that generalization is rural nonreclassified hospitals, which are expected to have the largest increases in payments, as well as the largest increase from the first half to the second half of FY 2007, that is, 2.7 percent in the first half of FY 2007, and 3.0 percent in the second half of FY 2007. Urban reclassified hospitals are expected to increase 2.6 percent and 2.5 percent in the first and second halves of FY 2007, respectively. Reclassified rural hospitals and nonreclassified urban hospitals are projected to have the same increase of 2.3 percent in the first half, while in the second half, the increase in payments per discharge to urban nonreclassified hospitals will remain at 2.3 percent but payments per discharge to rural reclassified hospitals are expected to decrease by 0.1 percent to 2.2 percent from the first half of FY 2007 to the second half of FY 2007. 
                        ( print page 59901) Table III.—Comparison of Total Payments Per Case
[FY 2006 payments compared to FY 2007 payments]
Number of hospitals
Average FY 2006 payments/ case
Average FY 2007 payments/ case
ChangeBy Geographic Location:All hospitals
3,595
753
771
2.4Large urban areas (populations over 1 million)
1,441
849
869
2.4Other urban areas (populations of 1 million or fewer)
1,149
731
747
2.3Rural areas
1,005
513
526
2.4Urban hospitals
2,590
796
814
2.30-99 beds
651
617
631
2.3100-199 beds
867
673
690
2.6200-299 beds
492
751
769
2.4300-499 beds
413
827
845
2.2500 or more beds
167
1,005
1,027
2.2Rural hospitals
1,005
513
526
2.40-49 beds
348
422
435
3.150-99 beds
370
469
482
2.8100-149 beds
174
516
528
2.3150-199 beds
68
564
576
2.2200 or more beds
45
642
654
1.9By Region:Urban by Region
2,590
796
814
2.3New England
128
853
874
2.5Middle Atlantic
357
873
898
2.9South Atlantic
388
755
771
2.0East North Central
395
782
801
2.5East South Central
165
720
731
1.6West North Central
157
783
795
1.6West South Central
374
740
758
2.4Mountain
149
787
808
2.6Pacific
424
920
942
2.4Puerto Rico
53
347
348
0.1Rural by Region
1,005
513
526
2.4New England
19
686
696
1.5Middle Atlantic
72
518
534
3.1South Atlantic
176
497
511
2.7East North Central
125
547
560
2.2East South Central
180
476
487
2.3West North Central
116
540
551
2.2West South Central
193
464
479
3.1Mountain
81
535
542
1.3Pacific
43
616
627
1.7By Payment Classification:All hospitals
3,595
753
771
2.4Large urban areas (populations over 1 million)
1,448
848
869
2.4Other urban areas (populations of 1 million or fewer)
1,159
730
746
2.3Rural areas
988
515
527
2.4Teaching Status:Non-teaching
2,511
630
645
2.5Fewer than 100 Residents
843
765
782
2.2100 or more Residents
241
1,100
1,125
2.3Urban DSH:100 or more beds
1,520
821
840
2.4Less than 100 beds
346
543
557
2.5Rural DSH:Sole Community (SCH/EACH)
386
464
477
2.7Referral Center (RRC/EACH)
199
570
582
2.1Other Rural:100 or more beds
55
475
486
2.3Less than 100 beds
183
423
435
3.0Urban teaching and DSH:Both teaching and DSH
815
902
922
2.3Teaching and no DSH
201
816
835
2.3No teaching and DSH
1,051
667
683
2.5No teaching and no DSH
540
700
716
2.3Rural Hospital Types:Non special status hospitals
2,490
799
818
2.3RRC/EACH
44
707
722
2.2SCH/EACH
39
627
640
2.1Medicare-dependent hospitals (MDH)
18
421
433
2.8SCH, RRC and EACH
16
736
756
2.7( print page 59902)Hospitals Reclassified by the Medicare Geographic Classification Review Board:  FY2007 Reclassifications:All Urban Reclassified 1st Half
281
777
797
2.6All Urban Non-Reclassified 1st Half
2,284
799
818
2.3All Rural Reclassified 1st Half
358
555
568
2.3All Rural Non-Reclassified 1st Half
589
460
473
2.7All Urban Reclassified 2nd Half
341
807
826
2.5All Urban Non-Reclassified 2nd Half
2,224
795
814
2.3ALL Rural Reclassified 2nd Half
369
559
571
2.2All Rural Non-Reclassified 2nd Half
578
451
464
3.0All Section 401 Reclassified Hospitals
30
553
565
2.3Other Reclassified Hospitals (Section 1886(d)(8)(B))
53
516
528
2.2Type of Ownership:Voluntary
2,102
771
790
2.4Proprietary
880
679
695
2.3Government
603
740
757
2.3Medicare Utilization as a Percent of Inpatient Days:0-25
243
999
1,026
2.725-50
1,328
855
874
2.250-65
1,478
663
680
2.5Over 65
462
597
611
2.4
 III. Collection of Information Requirements This document does not impose information collection and recordkeeping requirements. Consequently, it need not be reviewed by the Office of Management and Budget under the authority of the Paperwork Reduction Act of 1995. Authority:
                        Program; No. 93.773 Medicare—Hospital Insurance Program; and No. 93.774, Medicare—Supplementary Medical Insurance Program) Dated: September 21, 2006. Mark B. McClellan, Administrator, , Centers for Medicare & Medicaid Services. Michael O. Leavitt, Secretary.
 Addendum This addendum includes tables referred to throughout the notice which contain data relating to the FY 2007 wage indices and the hospital reclassifications and payment amounts for operating and capital-related costs that are affected by the new occupational mix survey data discussed in section II. of this notice. Table 1A—National Adjusted Operating Standardized Amounts, Labor/Nonlabor (69.7 Percent Labor Share/30.3 Percent Nonlabor Share If Wage Index Is Greater Than 1) Table 1B—National Adjusted Operating Standardized Amounts, Labor/Nonlabor (62 Percent Labor Share/38 Percent Nonlabor Share If Wage Index Is Less Than or Equal To 1) Table 1C—Adjusted Operating Standardized Amounts for Puerto Rico, Labor/Nonlabor Table 1D—Capital Standard Federal Payment Rate Table 2—Hospital Case-Mix Indexes for Discharges Occurring in Federal Fiscal Year 2005; Hospital Wage Indexes for Federal Fiscal Year 2007; Hospital Average Hourly Wage for Federal Fiscal Years 2005 (2001 Wage Data), 2006 (2002 Wage Data), and 2007 (2003 Wage Data); Wage Indexes and 3-Year Average of Hospital Average Hourly Wages Table 3A—FY 2007 and 3-Year Average Hourly Wage for Urban Areas by CBSA Table 3B—FY 2007 and 3-Year Average Hourly Wage for Rural Areas by CBSA Table 4A—1—Wage Index and Capital Geographic Adjustment Factor (GAF) for Urban Areas by CBSA—FY 2007 Table 4A—2—Wage Index and Capital Geographic Adjustment Factor (GAF) for Certain Urban Areas by CBSA for the Period April 1 through September 30, 2007 Table 4B—1—Wage Index and Capital Geographic Adjustment Factor (GAF) for Rural Areas by CBSA—FY 2007 Table 4B—2—Wage Index and Capital Geographic Adjustment Factor (GAF) for Certain Rural Areas by CBSA for the Period April 1 through September 30, 2007* Table 4C—1—Wage Index and Capital Geographic Adjustment Factor (GAF) for Hospitals That Are Reclassified by CBSA—FY 2007 Table 4C—2—Wage Index and Capital Geographic Adjustment Factor (GAF) for Certain Hospitals That Are Reclassified by CBSA for the Period April 1 through September 30, 2007 Table 4F—Puerto Rico Wage Index and Capital Geographic Adjustment Factor (GAF) by CBSA—FY 2007 Table 4J—Out-Migration Adjustment—FY 2007 Table 5—List of Diagnosis-Related Groups (DRGs), Relative Weighting Factors, and Geometric and Arithmetic Mean Length of Stay (LOS) Table 9A—Hospital Reclassifications and Redesignations by Individual Hospitals and CBSA for FY 2007 Table 9B—Hospital Reclassifications and Redesignations by Individual Hospital Under Section 508 of Pub. L. 108-173 for FY 2007 Table 9C—Hospitals Redesignated as Rural under Section 1886(d)(8)(E) of the Act for FY 2007 Table 9D—Hospitals who waived Lugar status to receive Out-migration Adjustment Table 10—Geometric Mean Plus the Lesser of 0.75 of the National Adjusted Operating Standardized Payment Amount (Increased to Reflect the Difference Between Costs and Charges) or 0.75 of One Standard Deviation of Mean Charges by Diagnosis-Related Group (DRG)—September 2006 
 
 Table 1A.—National Adjusted Operating Standardized; Labor/Nonlabor
[69.7 Percent Labor Share/30.3 Percent Nonlabor Share If Wage Index Greater Than 1]
Full Update (3.4 Percent)
Reduced Update (1.4 Percent)Labor-related
Nonlabor-related
Labor-related
Nonlabor-related$3,397.52
$1,476.97
$3,331.80
$1,448.40
 Table 1B.—National Adjusted Operating Standardized Amounts, Labor/Nonlabor
[62 Percent Labor Share/38 Percent Nonlabor Share If Wage Index Less Than or Equal to 1]
Full Update (3.4 Percent)
Reduced Update (1.4 Percent)Labor-related
Nonlabor-related
Labor-related
Nonlabor-related$3,022.18
$1,852.31
$2,963.73
$1,816.48
 Table 1C.—Adjusted Operating Standardized Amounts for Puerto Rico, Labor/Nonlabor
Rates If Wage Index Greater Than 1
Rates If Wage Index 
                                 Less Than or Equal to 1Labor
Nonlabor
Labor
NonlaborNational
$3,397.52
$1,476.97
$3,022.18
$1,852.31Puerto Rico
1,436.12
880.20
1,359.68
956.64
 Table 1D.—Capital Standard Federal Payment Rate
RateNational
$427.03Puerto Rico
203.03
 Table 2.—Hospital Case-Mix Indexes for Discharges Occurring in Federal Fiscal Year 2005; Hospital Wage Indexes for Federal Fiscal Year 2007; Hospital Average Hourly Wages for Federal Fiscal Years 2005 (2001 Wage Data), 2006 (2002 Wage Data), and 2007 (2003 Wage Data); Wage Indexes and 3-Year Average of Hospital Average Hourly Wages
Provider No.
Case-mix index 2
FY 2007 wage index
Average hourly wage FY 2005
Average hourly wage FY 2006
Average hourly wage FY 2007 1
Average hourly wage** 
                                 (3 years)010001
1.4913
0.7664
20.6563
21.6546
22.1989
21.5314010004
***
*
22.7585
*
*
22.7585010005 h
1.1262
0.8889
20.4937
22.4906
23.6022
22.2289010006
1.4596
0.7876
21.0241
23.4823
23.4975
22.6401010007
1.0707
0.7664
16.8811
18.2430
19.9328
18.3636010008
0.9820
0.7933
23.8333
20.4591
17.9533
20.5783010009
0.9668
0.8756
21.6422
23.2229
23.5626
22.8435010010 h
1.0464
0.9226
22.3021
21.4974
27.0386
23.4333010011
1.5930
0.8889
24.8166
27.4850
27.6658
26.6785010012
1.2376
0.8822
21.7622
22.7020
24.4059
22.9524010015
1.0200
0.7664
20.4732
21.5111
22.3383
21.4818010016
1.5194
0.8889
23.0414
25.1502
24.6488
24.2708010018
1.4681
0.8889
20.5888
22.2990
23.7048
22.1788010019
1.2315
0.7876
20.1336
22.0906
22.8766
21.7323010021 h
1.2160
0.7664
20.7108
18.6785
19.7367
19.6613010022
0.9818
0.9699
25.8797
24.5670
25.8403
25.4393010023
1.9061
0.7933
23.7791
27.6174
25.4272
25.5461010024
1.6733
0.7933
20.0067
20.7265
22.0819
20.8864010025
1.2764
0.8371
19.8561
21.2674
22.7635
21.2709010027
0.7773
0.7664
14.9585
15.3704
16.4681
15.5470010029
1.5790
0.8371
21.6724
22.6976
23.9007
22.7914010031
***
*
20.9463
*
*
20.9463010032
0.8962
0.7664
18.5073
19.1555
19.3311
19.0281010033
2.0668
0.8889
25.5165
26.3784
27.4181
26.4464010034
0.9985
0.7933
17.1625
16.9686
17.7457
17.3133010035
1.2645
0.8889
23.1319
22.2870
24.2425
23.2085010036
1.1237
0.7664
20.5125
22.9747
21.5796
21.7075( print page 59904)010038
1.3446
0.8059
20.3935
21.4509
23.7039
21.9034010039
1.6165
0.8967
23.4151
25.8820
26.9919
25.4654010040
1.5959
0.8060
21.6708
22.8851
24.3207
22.9524010043
1.0507
0.8889
19.5422
22.5945
21.9775
21.4194010044
1.0646
0.8889
23.0220
21.4036
22.5009
22.2925010045
1.1547
0.8889
20.5658
19.8803
20.4927
20.3026010046
1.4907
0.8060
20.8935
21.6965
23.4219
21.9636010047
0.8902
0.7819
19.5937
21.0604
26.4851
22.3753010049
1.1436
0.7664
17.7801
20.2413
21.7888
19.9912010050
1.0226
0.8889
21.5625
22.1584
22.9620
22.2007010051
0.8417
0.8761
14.7053
15.2208
18.7700
16.2601010052
0.8872
0.7767
21.3673
16.4959
25.9233
21.5543010053
1.0524
*
17.4160
19.0108
*
18.2193010054
1.0884
0.8756
23.1894
22.5554
23.3624
23.0327010055
1.5280
0.7664
19.1847
22.3800
22.5396
21.3292010056
1.5788
0.8889
22.7183
23.7144
23.7398
23.3988010058
0.9540
0.8889
20.3182
18.5537
19.5091
19.5962010059
1.0302
0.8756
23.6963
21.3237
23.0012
22.7246010061
1.0116
0.8170
20.5683
21.9370
24.1185
22.2906010062
1.0689
0.7664
18.1323
18.3435
21.4805
19.2652010064
1.6993
0.8889
25.4345
26.1110
24.8155
25.4466010065
1.4873
0.7933
20.0108
21.3785
23.0477
21.5043010066
0.8394
0.7664
17.0935
17.6152
19.8692
18.2085010068
***
*
17.5690
19.0789
22.7156
19.7871010069
1.0221
0.7664
19.6317
21.3608
23.1243
21.2883010072
***
*
21.5419
21.8169
24.4989
22.5892010073
0.9710
0.7664
16.4043
16.4168
18.3963
17.0851010078
1.5086
0.8059
21.0633
21.6857
23.5279
22.1019010079
1.1637
0.8967
20.4254
21.8199
22.7337
21.6778010083 h
1.1649
0.7871
20.2166
22.3041
22.4279
21.6675010084
1.5041
0.8889
22.5219
24.7127
26.3238
24.5148010085
1.3171
0.8756
23.7007
24.4710
24.2609
24.1411010086
1.0946
0.7664
19.4332
18.6081
22.2096
20.0606010087
1.9800
0.7847
21.6226
22.5225
22.4318
22.1820010089
1.2666
0.8889
22.2508
22.8448
25.0811
23.4064010090
1.7203
0.7847
21.4322
23.6948
26.0494
23.6535010091
0.9645
0.7664
19.4222
18.6912
23.1309
20.2880010092
1.6031
0.8761
22.0709
24.4592
26.6796
24.3552010095
0.8478
0.8761
13.4426
13.9326
16.5250
14.6585010097
0.7204
0.7933
17.1735
16.7548
19.4511
17.7707010098
1.0596
*
19.6717
14.3076
*
16.5936010099
0.9988
0.7664
18.1849
18.7909
20.8383
19.2535010100 h
1.6823
0.7871
20.0027
21.2915
23.8919
21.8071010101
1.1315
0.7997
21.0085
21.6593
24.2575
22.2800010102
0.9487
0.7664
19.9196
21.0903
25.6158
22.2527010103
1.8923
0.8889
24.2201
26.1163
27.8272
26.0578010104
1.8099
0.8889
24.1929
24.7394
27.6471
25.5331010108
1.1555
0.7933
23.7803
28.4624
24.6740
25.5797010109
0.9897
0.8115
21.7128
21.6194
17.6733
20.3002010110
0.7990
0.7664
19.2706
17.5957
26.0039
20.5257010112
1.0377
0.7664
17.2963
16.8902
17.1833
17.1259010113
1.6543
0.7847
20.4181
21.4121
22.3282
21.3874010114
1.3860
0.8889
21.5319
22.3752
25.6152
23.1874010115
0.8661
*
17.5985
21.7478
*
19.2200010118
1.2128
0.8362
18.8560
19.7673
21.4630
20.1843010119
***
*
21.8215
*
*
21.8215010120
0.9876
0.7664
20.5855
20.9450
20.9019
20.8146010121
***
*
17.0329
24.0867
*
19.3686010125
1.0409
0.7664
16.8419
18.4114
21.5123
18.8320010126
1.1468
0.7933
23.1856
23.1381
23.9327
23.4131010128
0.8695
0.7664
17.9354
21.4201
23.6648
21.1327010129 h
1.0101
0.7968
18.7821
21.3555
22.1574
20.8452010130
0.9443
0.8889
18.4944
23.2488
23.7528
21.6390010131
1.3815
0.8967
24.2197
25.7837
26.4297
25.5385010137
1.2390
0.8889
29.7665
24.7366
27.5782
27.2371010138
0.6122
0.7664
13.5082
13.8475
16.7601
14.7816( print page 59905)010139
1.5771
0.8889
24.9410
25.3014
26.8726
25.7394010143
1.1687
0.8889
22.1312
22.0215
26.2762
23.4710010144
1.5743
0.7847
20.6425
20.8209
22.5133
21.3563010145
1.3832
0.8761
23.1976
24.9531
24.5092
24.2395010146
1.1039
0.8059
19.9944
20.8917
22.6586
21.2025010148
0.8960
0.7664
18.5309
20.5589
23.9246
21.0046010149
1.2672
0.7933
23.1593
26.5854
24.4805
24.6823010150
1.0581
0.8152
20.6738
21.6377
23.6081
21.9568010152
1.1825
0.7847
22.1626
22.6202
22.4075
22.4009010157
1.1543
0.7876
21.3574
24.3560
23.3829
23.0158010158
1.1398
0.8065
22.4440
24.3531
23.5533
23.4497010161
***
*
27.5119
*
*
27.5119010162
***
*
*
*
33.8778
33.8778010164
1.1726
0.7997
*
*
*
*010165
1.5088
0.8967
*
*
*
*010166
1.6844
0.8761
*
*
*
*020001
1.6874
1.1916
31.6091
32.8120
35.4232
33.3471020004
1.1410
1.0702
29.9926
32.0966
31.8004
31.3123020006
1.2700
1.1916
33.4210
36.0540
34.3752
34.6332020008
1.2785
1.2055
34.5856
35.9236
36.1251
35.5664020012
1.3355
1.0993
29.3419
31.8995
32.5975
31.2913020014
1.1955
1.0702
32.1233
32.0893
29.4472
31.1605020017
1.9901
1.1916
32.9281
33.5852
35.4119
33.9602020018
0.9378
1.9343
*
*
*
*020019
0.9085
1.9343
*
*
*
*020020
0.8722
*
*
*
*
*020024
1.1254
1.0702
27.9799
33.0644
29.5195
30.2029020026
1.6132
1.9343
*
*
*
*020027
0.8940
1.9343
*
*
*
*030001
1.4281
1.0146
27.7572
29.9840
32.4791
30.1381030002
2.0911
1.0146
27.9628
29.0519
30.2200
29.0083030006
1.6285
0.9390
24.0169
25.8872
27.0599
25.7641030007
1.4071
1.1073
26.9442
29.6174
31.1928
29.3442030009
***
*
21.4065
22.3992
26.5408
22.6580030010
1.3731
0.9390
22.8647
24.8275
28.5684
25.4056030011
1.4469
0.9390
22.8422
25.1361
28.1423
25.5193030012
1.3762
0.9748
25.5205
26.3859
27.3895
26.4764030013
1.4295
0.9269
23.5229
25.7050
27.0111
25.4677030014
1.4878
1.0146
25.1189
25.6259
29.6582
26.7569030016
1.2207
1.0146
27.1583
26.7003
29.1980
27.7047030017
2.0849
1.0146
24.4055
26.2452
30.6008
27.1050030018
1.2384
1.0146
24.4308
28.9476
29.4567
27.3566030019
1.3107
1.0146
28.4917
27.3156
29.5921
28.5143030022
1.5662
1.0146
25.1461
26.4404
30.5710
27.4209030023
1.6988
1.1538
28.4112
33.8333
34.2142
32.1557030024
2.0618
1.0146
28.3470
31.6658
31.9247
30.7056030027
0.9474
*
21.0527
20.4031
*
20.7264030030
1.5463
1.0146
24.6005
30.2712
32.0993
28.8311030033
1.2690
1.1073
26.6009
26.6531
28.7508
27.3705030036
1.4179
1.0146
26.5708
30.3521
30.9834
29.5043030037
2.2619
1.0146
30.3907
28.6453
31.2878
30.1945030038
1.6872
1.0146
26.5178
29.5509
29.9314
28.8772030040
0.9065
0.9269
22.5130
24.8145
27.5322
24.9809030043
1.2654
0.9269
26.0825
24.7932
26.5834
25.8015030044
0.8433
*
19.5714
*
*
19.5714030055 h
1.4168
1.1148
23.1837
24.5202
27.1473
25.0480030059
***
*
24.7676
*
*
24.7676030060
1.1881
0.9269
22.3551
24.3523
24.8373
23.8179030061
1.6331
1.0146
23.4722
25.5529
28.0696
25.7847030062
1.2612
0.9269
21.9849
23.8068
26.6881
24.2112030064
1.9613
0.9390
24.6732
25.4922
28.3853
26.2854030065
1.5988
1.0146
25.6738
27.1646
29.5883
27.5688030067
1.0785
0.9269
19.1332
20.4376
20.7590
20.1031030068
1.1498
0.9269
19.7030
20.8846
23.1394
21.2604030069 h
1.3722
1.1148
25.6243
26.3518
30.2224
27.2876030071
0.9150
1.4448
*
*
*
*( print page 59906)030073
0.8489
1.4448
*
*
*
*030074
0.9110
1.4448
*
*
*
*030077
0.8100
1.4448
*
*
*
*030078
0.9644
1.4448
*
*
*
*030080
1.4636
0.9390
24.3573
25.2077
27.1360
25.5290030083
1.3648
1.0146
24.9269
27.5353
27.4983
26.6771030084
0.8727
1.4448
*
*
*
*030085
1.5795
0.9390
23.2070
24.5792
26.8364
24.9731030087
1.5934
1.0146
26.3878
26.6594
29.5962
27.6820030088
1.3693
1.0146
23.2478
26.6796
27.8604
25.9831030089
1.5137
1.0146
26.2166
27.1835
28.9068
27.5504030092
1.4265
1.0146
25.4127
27.3203
31.7512
28.3500030093
1.2271
1.0146
23.5623
25.8955
26.4430
25.4779030094
1.3649
1.0146
26.9985
29.5948
31.5422
29.4037030099
0.8324
0.9269
26.7996
26.3236
27.1402
26.7623030100
2.0680
0.9390
*
29.0691
31.5628
30.3333030101 h
1.4490
1.1148
25.0077
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26.3906030102
2.6120
1.0146
*
29.0942
31.6285
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2.3289
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1.6799
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30.4791
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32.3777030107
1.9370
1.0146
*
*
35.6197
35.6197030108
2.0799
1.0146
*
*
*
*030109
2.6500
1.0146
*
*
16.5905
16.5905030110
1.4264
1.0146
*
*
31.4852
31.4852030111
1.0600
0.9390
*
*
*
*030112
1.9402
1.0146
*
*
*
*030113
0.9319
1.4448
*
*
*
*030114
1.3877
0.9390
*
*
*
*030115
1.3290
1.0146
*
*
*
*030116
2.1291
*
*
*
*
*040001
1.0908
0.9027
23.1475
23.7718
22.9327
23.2665040002
1.2196
0.7475
19.3429
20.1384
21.2021
20.2735040003
1.2374
*
18.5000
*
*
18.5000040004
1.6187
0.9027
23.3504
25.0286
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25.3035040022
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29.5000
26.1298040024
0.6959
*
20.1101
*
*
20.1101040026
1.5264
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24.3053
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25.9042040027
1.4577
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21.1412
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20.8384040029
1.5455
0.9704
22.8770
24.0704
24.8409
23.9749040032
***
*
18.5171
*
*
18.5171040035
***
*
13.4265
*
*
13.4265040036
1.6111
0.9704
24.2851
26.3226
27.6234
26.1793040039
1.2926
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23.7787
22.6793040042
1.3631
0.9307
18.9550
19.9627
21.1716
20.0582040045
0.9923
*
18.7952
17.2280
*
17.9500040047
1.1022
0.8353
21.5334
21.9163
22.4250
21.9377040050
1.1632
0.7475
15.4782
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17.6906
16.5483040051
0.9570
0.7475
18.8943
19.1401
21.3342
19.8090040053
1.0148
*
20.8153
20.7824
*
20.7984040054
1.1388
0.7475
16.7370
18.2684
18.0510
17.6860040055
1.5959
0.7850
22.2237
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22.8516040062
1.7015
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21.6403
23.3083
23.8994
22.9604040066
***
*
23.4616
*
*
23.4616( print page 59907)040067
1.0263
0.7475
15.1441
16.8799
19.0471
16.9179040069
1.0365
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21.7607
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22.4741
21.0044040074
1.1734
0.9704
22.6147
25.2423
25.2700
24.2961040075
0.9763
*
16.2583
18.3254
*
17.2857040076
1.0169
0.9265
21.0442
20.6272
23.5742
21.7288040077
0.9627
*
18.3261
18.2082
*
18.2646040078
1.6285
0.9265
24.4589
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23.5915
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1.0358
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21.3483
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22.4860
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1.2014
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23.0252
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24.2398
23.4639040100
1.3467
0.9265
19.3560
20.0460
21.3051
20.2851040105
1.0208
*
15.8171
18.2182
*
16.9121040109
1.1303
*
18.8624
22.8801
*
20.7540040114
1.7605
0.9704
23.5628
24.8992
26.7581
25.1160040118
1.4309
0.8345
24.2547
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24.9780040119
1.4108
0.9265
20.1631
21.0103
24.3680
21.8564040126
0.8957
*
12.5944
14.0701
15.6984
14.0818040132
***
*
36.5525
28.1390
*
32.3748040134
2.4378
0.9704
*
27.3412
31.9325
29.6807040137
1.3158
0.9704
23.4672
25.2907
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24.8946040138
1.3474
0.9027
23.3615
25.7513
27.8584
25.9401040140
***
*
25.1224
*
*
25.1224040141
0.8250
0.9027
*
24.0901
26.1041
25.1761040142
1.4241
0.8829
*
27.9695
21.4222
24.3073040143
***
*
*
*
37.1976
37.1976040144
***
*
*
*
21.4007
21.4007040145
1.7851
0.8345
*
*
*
*040147
1.7154
0.9704
*
*
*
*050002
1.3823
1.5617
31.9709
34.1948
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24.7519050029
***
*
34.3934
*
*
34.3934050030
1.2476
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1.6440
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1.5254
1.1202
26.5515
27.3282
29.9762
27.9723( print page 59908)050061
***
*
*
32.2172
*
32.2172050063
1.3269
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32.1347050088
***
*
26.4093
25.7385
*
26.0862050089
1.3319
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28.0644050097
***
*
26.6788
*
*
26.6788050099
1.4964
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42.2727050155
***
*
21.8829
21.8550
16.9516
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1.3036
1.1686
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35.7805
34.9098( print page 59909)050159
1.2083
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*
27.1497
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*
27.8554050173
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31.8069050177
***
*
24.7531
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1.1686
*
34.2091
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38.0606050214
***
*
24.4785
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1.8352
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41.6886
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44.7172050217
1.2206
*
23.6286
*
*
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1.3329
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27.0949
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1.0132
1.4220
31.6240
35.3864
*
33.4763050251
1.0297
1.1202
26.5021
27.2675
27.8452
27.2522050253
***
*
22.2450
24.0044
23.5381
23.1900050254
1.2450
1.2986
24.1512
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27.5193050256
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40.0775050264
1.3604
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41.3478
41.1211
47.7024
43.4930050267
***
*
26.7060
*
*
26.7060050270
0.8638
1.1202
30.0540
32.4812
33.6855
32.1141050272
1.3489
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27.3824
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27.7172050283
1.4252
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38.5600
43.0638
44.3122
42.0650050286
***
*
19.4973
*
*
19.4973050289
1.6373
1.5419
38.6875
41.1774
44.2814
41.4520( print page 59910)050290
1.5790
1.1686
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34.8783050291
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43.0691
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41.6020050309
1.4129
1.2986
28.9181
34.4145
38.2659
34.1832050312
***
*
32.6846
33.9022
36.8498
34.2537050313
1.2209
1.2029
27.5321
31.8003
35.0479
31.7666050315
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1.2527
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25.4012050331
1.2280
*
20.9847
20.2692
*
20.6171050333
1.1134
1.1202
15.3119
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1.6668
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1.5321
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31.8291
29.4215
29.2166050355
***
*
11.2498
*
*
11.2498050357
1.4364
1.1202
26.7265
32.3095
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30.1138050359
1.2192
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1.5441
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34.3539
32.7049050377
***
*
20.2484
*
*
20.2484050378
0.9844
1.1686
33.9087
34.2417
37.9904
35.4690050379
***
*
31.7645
32.9575
*
32.3515050380
1.6100
1.5324
39.1098
42.0782
46.0276
42.2717050382
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32.2632050390
1.1621
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27.3183
27.2656050391
***
*
21.3012
18.1004
17.2141
18.6587050392
1.2020
*
22.7209
*
*
22.7209050393
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1.1686
28.2369
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28.0135050407
1.1762
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35.6035
37.9066
42.2749
38.7172050410
***
*
19.4995
21.3814
*
20.4290050411
1.5452
1.1686
37.3817
37.8064
38.8294
38.0498050414
1.2911
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1.3320
*
28.4471
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*
30.8677050420
1.1777
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26.1838
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24.4689( print page 59911)050432
1.6418
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31.4233
36.1488
32.1490050488
1.3296
1.5617
40.5313
42.9904
42.6854
42.1042050491
***
*
30.6461
32.1379
34.3597
32.1132050492
1.5153
1.1202
27.4933
27.1540
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27.5900050494
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1.7749
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48.2467
43.0259050497
***
*
15.9501
*
*
15.9501050498
1.3332
1.2986
28.2667
33.0298
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1.7123
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1.2494
*
28.0586
29.8242
*
29.0033050541
1.5030
1.5617
43.7765
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29.0925050557
1.5384
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33.3654
31.3154050559
***
*
26.9662
*
*
26.9662050561
1.2834
1.1686
37.5863
38.8651
38.0196
38.1604050567
1.5530
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1.1689
1.1686
23.2447
25.2513
25.1457
24.6365( print page 59912)050577
***
*
28.7060
30.8841
32.3744
30.7024050578
1.4763
1.1686
31.5953
33.8825
35.2390
33.5020050579
***
*
40.2740
39.4976
42.5081
40.6599050580
1.2604
1.1525
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25.2399050609
1.3781
1.1525
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40.5323050613
1.0078
1.5419
*
*
42.8105
42.8105050615
1.0963
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32.8786
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1.3821
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0.9782
1.1202
25.4500
27.4539
31.3183
28.1589050623
***
*
29.6550
32.0627
*
30.7447050624
1.2715
1.1686
28.1941
32.2907
33.9594
31.5331050625
1.7561
1.1686
33.5137
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38.6591
36.2037050630
***
*
28.0726
30.9410
*
29.5481050633
1.2263
1.1305
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26.1922050667
0.8949
1.4095
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25.5661050668
1.0956
1.5445
*
31.8065
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1.7997
1.1686
*
*
*
*050682
0.9902
1.1202
21.7264
21.7791
17.9077
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1.1436
1.1202
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1.0815
1.2450
19.2603
25.1984
16.6605
19.8559050698
1.0543
1.1202
*
*
*
*050699
***
*
25.6818
26.8210
28.9082
27.1586050701
1.3401
1.1202
29.6896
29.6253
31.9529
30.7478050704
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1.3641
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34.8311
39.9858
45.8021
40.7733050713
***
*
20.7448
20.2803
21.1273
20.6573050714
1.3795
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20.3162( print page 59913)050720
0.9434
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*
31.4867
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34.2580
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*
51.5425
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2.4544
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*
*
*
*050733
1.5502
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*
*
*
*050735
1.4627
1.1686
*
*
*
*050736
1.2134
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*
*
*
*050737
1.4924
1.1686
*
*
*
*050738
1.3628
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*
*
*
*050739
1.6628
1.1686
*
*
*
*050740
1.2672
1.1686
*
*
*
*050741
1.4585
1.1686
*
*
*
*050742
1.4555
1.1686
*
*
*
*050743
1.1726
1.1686
*
*
*
*050744
2.0256
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*
*
*
*050745
1.2873
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*
*
*
*050746
1.7748
1.1379
*
*
*
*050747
1.3755
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*
*
*
*050749
1.2621
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*
*
*
*050750
2.3783
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*
*
*
*050751
1.9927
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*
*
*
*050752
1.3824
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*
*
*
*060001
1.5405
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***
*
21.4792
*
*
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***
*
21.9108
*
*
21.9108060054
1.4653
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***
*
26.9891
*
*
26.9891060064
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31.9445( print page 59914)060076
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***
*
31.2571
*
*
31.2571060112
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*
*
34.9272
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1.2895
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*
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1.2586
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*
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***
*
26.4192
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***
*
29.6780
*
*
29.6780090003
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***
*
30.1419
*
*
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*
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27.5517( print page 59915)100009
1.4600
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***
*
26.9486
*
*
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***
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***
*
25.7945
*
*
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*
*
*
*
*100080
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***
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21.2505
*
*
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21.7494
*
*
21.7494( print page 59916)100105
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26.2510100151
1.8217
0.9281
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28.1322
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1.5616
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1.1229
0.8858
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25.5636100157
1.5921
0.9265
25.9133
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27.2019
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28.4084100166
1.4991
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25.7537
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25.9442100206
1.3170
0.9265
23.0340
25.2196
27.0295
25.1380100208
***
*
24.9854
*
*
24.9854100209
1.3780
0.9821
25.0778
26.6246
26.8473
26.2262100210
1.5743
1.0320
28.6449
28.9486
29.8515
29.1402100211
1.1966
0.9265
*
24.7095
24.7533
24.7320100212
1.5442
0.8793
24.2669
24.7566
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25.1112100213
1.5878
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1.7195
0.8733
24.6994
25.5175
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25.3245( print page 59917)100232 h
1.2507
0.9281
23.9405
24.9322
28.5537
25.7586100234
1.3905
0.9535
25.2574
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1.2191
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1.3737
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25.6593100255
1.2759
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1.2661
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24.9404
26.0175
27.4809
26.1720100260
1.3662
0.9866
25.2630
27.5188
26.7129
26.5422100262
***
*
26.3954
*
*
26.3954100264
1.2611
0.9265
25.0250
25.5489
26.8216
25.7971100265
1.3040
0.9265
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28.5549100284
1.0852
0.9821
22.5927
23.8170
22.3134
22.9032100285
1.2180
1.0320
*
*
*
*100286
1.6225
1.0107
27.1051
29.4284
28.3645
28.3421100287
1.3360
0.9535
28.2229
28.3427
28.1051
28.2241100288
1.5523
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32.8594100289
1.7459
1.0320
28.4504
29.2915
29.6376
29.1710100290
1.1712
0.9315
*
23.5080
27.1011
25.2897100291
1.2990
0.9547
*
*
28.4722
28.4722100292
1.2991
0.8733
*
*
26.7063
26.7063100293
***
*
*
*
32.7963
32.7963100294
***
*
*
*
30.7557
30.7557100295
***
*
*
*
26.1984
26.1984100296
1.3525
0.9821
*
*
*
*100298
0.8795
0.8959
*
*
*
*100299
1.2958
0.9743
*
*
*
*100300
1.3542
0.9743
*
*
*
*110001
1.2731
0.9793
25.1164
25.3102
26.4338
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21.8616
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1.4670
1.0478
31.5253
26.1311
31.0703
29.3670( print page 59918)110026
1.1055
0.7825
20.5740
21.2826
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21.2258110027
1.0719
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1.0820
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34.9954
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1.7845
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1.1532
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19.6940
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1.1325
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21.3922
24.9821
24.4275
23.6022110046
1.1529
0.9793
24.0022
23.8292
26.7464
24.8445110049
***
*
19.8706
*
*
19.8706110050
1.1084
0.8955
25.6020
26.1320
27.5985
26.4636110051
1.1406
0.7825
19.0995
19.4276
20.1756
19.6094110054
1.3977
0.9793
22.2250
25.7085
28.9254
25.6688110056
0.9186
*
23.0080
*
*
23.0080110059
1.1330
0.7825
18.7097
20.5565
23.2138
20.6555110063
***
*
20.3760
*
*
20.3760110064
1.4831
0.8530
23.8739
24.2739
24.1219
24.0962110069
1.2904
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21.2013
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19.3785110095
1.4359
0.8632
21.8709
23.4846
26.3075
23.9099110096
0.9724
*
19.4498
*
*
19.4498110100
0.9648
0.7825
16.5833
16.5600
16.2575
16.4514110101
1.0859
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1.0256
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19.2307
20.2502
19.4901110135
1.2396
0.7825
20.0057
20.4411
22.5346
21.1020110136
***
*
22.7715
15.8573
18.8212
19.2514( print page 59919)110142
0.9619
0.7825
17.3328
18.1980
21.3935
19.0415110143
1.3859
0.9793
25.4932
27.7055
28.6583
27.3468110146
1.0797
0.8630
19.9221
23.9067
27.0987
23.5994110149
***
*
24.7686
27.1477
28.4040
26.9572110150
1.2473
0.9793
23.8157
22.6624
25.3742
23.8995110153
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27.0600
28.8946
27.4989110165
1.3710
0.9793
24.3897
26.8378
27.0977
26.1136110166
***
*
25.2264
26.8070
*
26.0253110168
1.8671
0.9793
24.6321
27.0022
28.5700
26.7717110172
1.2061
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27.0240
29.1703
31.1234
29.1343110177
1.7152
0.9640
25.0129
26.7504
28.8356
26.9030110179
***
*
26.1173
26.0759
*
26.0961110183
1.2171
0.9793
27.6020
29.6133
28.6209
28.6681110184
1.1745
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26.8277
27.7760
26.8257110192
1.3475
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25.7406
26.7852
28.8267
27.1606110193
***
*
27.8223
27.3341
27.9161
27.6860110194
0.9307
0.7825
16.3148
18.4776
19.1919
18.0639110198
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19.8407110212
1.0916
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20.9365
40.5120
*
32.6453110214
***
*
*
*
37.1448
37.1448110215
1.2879
0.9793
23.9657
25.7886
27.5566
25.8696110218
***
*
26.1073
*
*
26.1073110219
1.3686
0.9793
27.1880
27.0362
28.8814
27.7093110220
***
*
*
*
37.5739
37.5739110221
***
*
*
*
28.0500
28.0500110222
***
*
*
*
35.6189
35.6189110224
1.2679
0.9798
*
*
*
*110225
1.1580
0.9793
*
*
*
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1.1751
0.9793
*
*
*
*120001
1.7470
1.0911
31.7108
34.7715
34.1385
33.5501120002
1.1929
1.0627
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34.4536120014
1.2894
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28.0786
28.6416
30.3463
29.0519120016
***
*
52.1034
19.6034
*
31.3542120019
1.1559
1.0627
28.9661
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30.4257
29.9613120022
1.8325
1.0911
24.7875
26.6100
29.9527
27.0886120024
0.8986
*
*
*
*
*120025
***
*
48.7148
30.2358
*
39.4887120026
1.3757
1.0911
28.5048
30.3293
32.4566
30.5540120027
1.3069
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1.3517
1.0911
31.3195
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32.4847
31.4126120029
2.0189
1.0911
*
*
*
*130002
1.4008
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21.6626
23.6078
24.7871
23.4445130003
1.3799
0.9978
25.4904
27.6345
28.6158
27.2882130005
***
*
25.2550
25.7523
*
25.4954130006
1.7910
0.9445
24.3982
25.3221
27.2158
25.7084130007
1.7747
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26.1776130011
1.1958
*
22.9336
*
*
22.9336( print page 59920)130013
1.3191
0.9445
26.3118
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30.9609
28.4102130014
1.2907
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24.3884
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25.0229130018
1.6800
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26.4125
27.3439
25.9628130021
***
*
18.9400
16.1658
*
17.6183130024
1.0804
0.8843
21.7853
23.3347
23.6212
22.9207130025
1.2184
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21.1998
20.3710130026
***
*
25.4020
*
*
25.4020130028
1.3899
0.9204
25.2938
26.3443
27.2195
26.4364130036
***
*
16.7907
*
*
16.7907130049
1.5536
1.0244
24.5841
26.9749
27.3597
26.3413130060
***
*
26.7516
*
*
26.7516130062
0.4992
0.9127
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20.6642
25.6467
20.2308130063
1.3170
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0.9127
*
*
21.9792
21.9792130066
2.0224
0.9576
*
*
*
*130067
1.1199
0.9127
*
*
*
*140001
1.0835
0.8358
21.4779
22.3170
22.3001
22.0343140002
1.3226
0.8998
24.4908
24.6954
27.0165
25.3917140003
***
*
22.6230
*
*
22.6230140007
1.3229
1.0670
26.7943
28.3482
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1.0262
*
17.1372
18.1242
*
17.6389140018
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27.7548
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0.9332
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*
16.9672
17.5249
*
17.2349140026
1.1434
0.8704
21.6847
23.0470
25.9669
23.5256140027
***
*
22.6208
*
*
22.6208140029
1.5819
1.0670
27.7304
28.6565
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28.9563140030
1.5647
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1.0697
*
21.0042
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*
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*
30.9925
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*
25.9797140062
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27.0784140077
1.0413
0.8998
19.0922
19.1363
20.3999
19.5250140079
***
*
29.3040
*
*
29.3040140080
1.4393
1.0670
26.0109
23.2575
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25.8555140082
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23.1482( print page 59921)140091
1.8211
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27.9410140102
***
*
21.2278
*
*
21.2278140103
1.1933
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*
17.8103
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*
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21.8843140140
***
*
21.4710
*
*
21.4710140141
1.0468
*
23.0515
21.7871
*
22.4305140143
1.2220
0.8966
23.8255
26.2954
27.4498
25.8938140144
***
*
27.8046
*
*
27.8046140145
1.0887
0.8998
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*
15.9312
16.6304
*
16.2816140166
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23.1005
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1.1217
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***
*
20.0225
*
*
20.0225140170
0.9592
*
17.1608
*
*
17.1608140172
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1.0748
*
18.8530
19.8297
*
19.3398140191
1.2979
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25.2817
25.8678
28.5836
26.6009140193
***
*
22.9443
*
*
22.9443140197
1.3210
1.0670
21.8060
23.0684
24.0463
22.8812140199
1.0471
*
21.3464
22.0315
*
21.6914( print page 59922)140200
1.4725
1.0670
24.9217
26.3379
28.8435
26.6579140202
1.5687
1.0798
27.4336
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32.7915
30.2241140203
***
*
28.2212
*
*
28.2212140205
1.7125
1.0211
*
*
*
*140206
1.0864
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1.2114
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***
*
22.3097
*
*
22.3097140217
1.4960
1.0670
29.3711
31.5324
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30.9714140223
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32.4400140245
***
*
16.0772
*
*
16.0772140250
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27.4628
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1.3410
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*
18.8535
*
*
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***
*
17.7824
20.7576
*
19.1679140286
1.1244
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*
31.7073
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*
*
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*
19.7689
21.8465
*
20.8053150014
***
*
26.5785
*
*
26.5785150015
1.3194
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1.0217
*
21.2855
17.4862
*
19.1736( print page 59923)150029
1.3955
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24.5455
25.8349
25.5194
25.3061150048
1.3731
0.9522
24.5864
27.1817
27.1233
26.2805150049
1.2079
*
20.2178
22.3370
*
21.2543150051
1.5936
0.9619
22.6866
23.7061
26.5655
24.3118150052
1.0624
*
19.6073
20.6339
*
20.1223150056
1.9001
0.9769
27.6754
28.2842
28.8727
28.2800150057
2.0303
0.9769
22.7804
24.8605
28.9529
25.4129150058
1.5500
0.9914
26.9753
27.5341
29.1445
27.9361150059
1.5327
0.9769
27.0792
28.5715
31.4987
29.0629150060
1.0850
*
23.2409
24.8544
*
24.0586150061
1.1346
0.8564
21.3640
22.2822
21.3711
21.6717150062
1.0875
*
23.5550
24.6088
*
24.0884150063
***
*
19.0377
*
*
19.0377150064
1.2094
0.8564
21.6370
23.7707
25.4987
23.6332150065
1.2357
0.9619
24.4451
25.9461
27.9283
26.1247150069
1.2455
0.9522
25.3445
25.2655
26.2028
25.6133150070
***
*
22.6260
*
*
22.6260150072
1.1543
0.8564
20.3191
20.5111
21.2120
20.6926150074
1.4535
0.9769
24.4374
25.2586
25.9321
25.2121150075
1.0892
0.9283
24.2085
24.0745
25.1568
24.4755150076
1.2756
0.9721
24.1434
28.1874
29.3249
27.1556150078
1.0091
*
21.2476
*
*
21.2476150079
1.1106
*
20.6486
21.4067
*
21.0466150082
1.7142
0.8898
22.2054
25.5860
28.3494
25.3487150084
1.7587
0.9769
28.7722
29.3905
31.1720
29.7450150086
1.1986
0.9522
22.4471
23.9404
25.1992
23.9069150088
1.2537
0.9619
23.0998
23.6253
27.2103
24.6426150089
1.5788
0.8564
22.6545
25.0449
24.7233
24.0903150090
1.5435
1.0564
24.6758
26.2899
30.4835
27.1134150091 h
1.1169
0.9856
27.8087
30.6209
30.4235
29.7411150096
0.9101
*
21.9091
*
*
21.9091150097
1.1189
0.9769
24.4179
25.0367
27.7468
25.7862150100
1.7129
0.8898
22.2687
24.3530
25.7997
24.0897150101
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27.9745
29.1657
29.0300
28.7724150102
1.0335
0.9397
22.6870
24.5923
25.7424
24.3784150104
1.0430
0.9769
21.8172
25.5871
28.2552
25.1795150106
1.0601
*
20.9955
20.9387
*
20.9659150109
1.4360
0.8777
24.3786
23.5865
25.3367
24.4270150112
1.4112
0.9619
24.7455
26.5643
28.0068
26.4823150113
1.2571
0.9619
23.0450
24.8760
24.7960
24.2644150115
1.4456
0.8564
20.5215
19.3411
22.0747
20.5908150122
1.1591
0.9619
24.2471
26.0173
*
25.1559150123
***
*
15.3050
*
*
15.3050150124
1.1006
*
18.8218
21.3933
*
20.1237150125
1.4955
1.0564
24.3872
26.7666
27.6535
26.2866150126
1.4314
1.0564
25.5585
26.9887
28.9454
27.2077150128
1.4221
0.9769
23.1660
26.4976
28.7810
26.1051150129
1.1677
0.9769
35.4311
29.9099
29.7398
31.3352150130
1.0936
*
21.5678
21.7399
*
21.6494150132
***
*
24.2559
25.6257
27.6560
25.8491150133
1.2284
0.9283
21.8839
22.7293
25.1322
23.2323150134
1.0654
0.9155
22.1085
23.8526
26.3248
24.0103150136
***
*
25.7004
26.2703
*
25.9880150146
1.0527
0.9283
26.1168
29.3383
29.5256
28.3979150147
1.2949
1.0564
32.3336
22.8456
27.2339
26.5823( print page 59924)150148
***
*
27.2081
*
*
27.2081150149
0.9789
0.8898
23.8554
23.6361
23.7026
23.7280150150
1.2516
0.9283
26.5138
25.5331
27.0542
26.3875150151
***
*
*
38.1446
*
38.1446150152
***
*
*
44.7143
*
44.7143150153
2.4889
0.9769
*
*
32.1022
32.1022150154
2.5312
0.9769
*
*
29.8514
29.8514150155
***
*
*
*
45.0125
45.0125150156
***
*
*
*
25.9681
25.9681150157
1.5340
0.9769
*
*
*
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1.1765
0.9769
*
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*
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0.9340
0.8564
*
*
*
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1.8626
0.9769
*
*
*
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1.1593
0.9219
23.8657
25.1220
24.5108
24.4801160003
0.8939
*
19.0037
*
*
19.0037160005
1.1851
0.8709
21.1745
21.8950
23.1034
22.0673160008
1.0862
0.8709
19.8066
20.7200
22.1402
20.8765160013
1.2689
0.8927
23.0163
23.7163
24.0956
23.5930160014
0.9603
*
19.2447
20.5882
*
19.9190160016
1.5514
0.9009
21.2785
23.3619
24.5338
23.0645160020
1.1036
*
19.0043
19.5554
*
19.2901160024
1.6000
0.9170
24.2385
26.2392
27.4158
25.9688160026
1.0127
*
24.2045
24.7424
*
24.4805160028
1.3164
0.9399
26.0052
26.2948
27.8535
26.8171160029
1.6096
0.9598
24.9493
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28.7324
27.2104160030
1.4171
0.9745
24.9920
26.7068
28.7786
26.8184160031
0.9885
*
18.5281
19.7368
*
19.1263160032
1.0670
0.8981
22.3837
23.4727
25.4662
23.8323160033
1.7526
0.8836
23.4148
24.6768
26.5315
24.9144160034
0.9761
*
19.4837
19.3503
*
19.4156160039
0.9847
*
20.9623
22.1180
*
21.5414160040
1.2762
0.8709
21.8187
23.9053
25.9032
23.9141160044
1.1479
*
19.5635
*
*
19.5635160045
1.7219
0.8756
24.4957
25.4153
26.6463
25.5518160047
1.4020
0.9399
24.5000
25.2072
26.0227
25.2497160048
1.0438
*
19.5701
19.5832
*
19.5767160050
1.1274
*
23.8830
24.5403
*
24.2221160057
1.2427
0.9454
22.0472
23.0937
25.1272
23.4614160058
1.9602
0.9598
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28.4167
27.0670160064
1.5239
0.9491
27.6301
28.6139
28.7669
28.4068160066
1.0583
*
21.4631
22.7709
*
22.1300160067
1.3113
0.8709
21.9418
23.4060
24.8137
23.5158160069
1.5045
0.8994
22.7514
25.3402
27.4473
25.2028160074
1.0988
*
20.2418
*
*
20.2418160076
***
*
20.9749
*
*
20.9749160079
1.5445
0.8756
22.5299
23.7234
24.7372
23.6850160080
1.3034
0.8836
23.5721
23.1837
25.8252
24.2266160081
1.1639
*
21.3614
23.1930
*
22.2788160082
1.8118
0.9170
23.8181
26.4398
27.4718
25.8854160083
1.6842
0.9170
25.0617
28.2193
27.3004
26.8898160089
1.2916
0.9009
21.5693
22.6551
23.2149
22.4971160090
0.8236
*
21.2753
*
*
21.2753160091
0.9379
*
18.0630
17.9862
*
18.0240160092
0.9932
*
22.0841
*
*
22.0841160101
1.1212
0.9170
24.2309
25.1000
25.0503
24.7943160104
1.5160
0.8836
24.0075
24.9134
28.1891
25.7176160106
***
*
21.4912
*
*
21.4912160107
***
*
21.3754
*
*
21.3754160110
1.5216
0.8709
24.1762
24.9434
26.6633
25.2722160112
1.2343
0.8709
21.8901
23.0672
24.7957
23.3023160113
***
*
18.6599
*
*
18.6599160115
1.0431
*
19.5764
*
*
19.5764160116
1.0101
*
22.2019
*
*
22.2019160117
1.3161
0.8994
23.4250
25.0278
25.4659
24.6501160118
***
*
18.3322
19.7764
*
19.0436160122
1.1026
0.8709
22.9565
22.5872
23.9177
23.1647( print page 59925)160124
1.1569
0.8709
22.7223
23.1690
22.5482
22.8123160126
1.0168
*
20.3748
19.8323
*
20.1046160140
1.0468
*
22.5230
*
*
22.5230160146
1.4552
0.9062
20.9583
22.9897
22.6949
22.1903160147
1.3425
0.9009
26.6577
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28.6303
27.3539160153
1.6240
0.9062
26.3671
28.9881
29.9378
28.4563160154
0.8245
*
*
*
*
*170001
1.2230
0.8018
20.9837
21.9131
23.1260
21.9964170006
1.2544
0.8626
20.6460
21.9019
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22.6869
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25.0419
25.2476
24.4806170014
1.0370
0.9345
22.9772
23.5960
23.8135
23.4738170015
1.0219
*
19.1902
20.2367
*
19.7243170016
1.6343
0.8763
24.2336
25.9482
25.8061
25.3473170017
1.1055
0.9016
23.3030
24.7771
26.9657
25.0890170018
0.9384
*
17.9497
*
*
17.9497170019
1.1578
*
20.3243
22.0251
*
21.1885170020
1.5647
0.8776
22.2571
23.1800
23.2757
22.9031170022
1.1216
*
22.9313
22.2878
*
22.6058170023
1.4424
0.8776
23.2690
23.9808
24.0561
23.7670170027
1.4371
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21.4678
22.5103
23.1766
22.3745170033
1.3350
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20.0801
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21.9709
20.9382170039
0.9529
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21.5203
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22.6024170040
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0.9345
27.1771
28.2856
28.4458
27.9951170049
1.4626
0.9345
24.1208
24.7895
25.2070
24.7282170052
1.2007
*
17.3794
18.5291
*
17.9769170054
***
*
17.5500
*
*
17.5500170058
1.0573
0.9345
22.0398
23.3398
22.9209
22.7663170068
1.2227
0.9248
20.8771
22.6087
23.0635
22.2050170070
0.9776
*
16.4767
16.0162
*
16.2556170074
1.2346
0.8018
20.4936
21.0565
23.7829
21.8361170075
0.8407
0.8018
16.2047
16.5444
19.7760
17.4870170085
0.9089
*
18.4867
*
*
18.4867170086
1.5628
0.8763
22.7737
24.0812
26.1362
24.3755170090
***
*
15.9807
*
*
15.9807170093
0.8364
*
16.8710
16.5553
*
16.7116170094
0.9776
0.8018
20.3678
21.3887
21.5295
21.2055170097
***
*
20.3391
*
*
20.3391170098
0.9881
*
20.0078
20.1242
*
20.0657170103
1.2325
0.9016
21.4985
22.8707
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22.7657170104
1.5046
0.9345
26.1866
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23.1089
23.0341170110
0.9595
0.8018
21.8904
22.9195
23.3260
22.7144170114
0.8803
*
18.1610
18.9158
*
18.5532170116
***
*
23.1127
*
*
23.1127170120
1.3342
0.8626
19.8723
21.0499
22.0253
20.9846170122
1.6347
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24.6532
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27.6653
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22.7676
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24.7096
23.8060170142
1.3490
0.8639
22.4095
22.5778
23.9527
23.0055170143
1.1942
*
19.7643
20.4459
*
20.1017170144
***
*
24.4259
24.6260
*
24.5144170145
1.0743
0.8018
21.4472
21.5756
23.2162
22.0629170146
1.4609
0.9345
28.1965
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29.8858
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23.1610
21.4753
22.4974
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17.4916
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19.0505170166
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23.6262
23.9304
25.6281
24.4016170176
1.4949
0.9345
24.2283
26.2366
27.2332
25.8724170180
***
*
*
25.1366
32.5016
27.5336170182
1.4645
0.9345
24.3820
25.7443
27.3503
25.8409170183
1.9822
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22.8633
24.5539
25.8340
24.4112( print page 59926)170185
1.3211
0.9345
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30.5157
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1.6075
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22.8235170192
2.0024
0.9016
*
27.9704
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27.0528170193
1.6307
0.8776
*
24.7430
20.6821
22.6027170194
1.3761
0.9345
*
27.9904
29.9014
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*
*
30.1001
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2.2556
0.9016
*
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1.2877
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24.7647
25.4217
27.6917
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1.0773
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21.6843
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22.0798
20.2498180005
1.0872
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22.8871
24.5561
24.9779
24.1687180006
0.8758
*
15.7136
14.8011
*
15.2405180007
1.4567
0.8965
21.8724
22.7606
25.7042
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1.6459
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1.0667
*
15.8431
18.2120
*
17.0401180027
1.1918
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22.1072
23.8763
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22.1687180028
0.9369
*
21.4766
24.7968
*
23.0070180029
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24.2668180040
2.0443
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24.5590
26.2125
27.9979
26.3498180041
***
*
18.5483
*
*
18.5483180043
1.1644
0.7805
18.8436
19.0617
20.9326
19.5996180044
1.6041
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27.4732
25.9866180046
1.0512
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24.7562
27.2244
27.1034
26.3870180047
0.9201
*
20.4768
21.8037
*
21.1276180048
1.2648
0.9155
22.3601
21.6571
23.9230
22.6272180049 h
1.3774
0.8965
19.4488
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22.4769
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1.1551
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21.7150
22.6473
26.3604
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19.7765180054
***
*
19.0657
*
*
19.0657180055
1.1303
*
21.1989
20.7237
*
20.9496180056
1.1053
0.8898
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22.8910
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22.8882180063
1.1270
*
15.9185
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*
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20.1295( print page 59927)180095
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1.0694
*
15.1776
*
*
15.1776180127
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1.0266
*
17.3449
18.6779
*
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28.1924
25.9094180144
***
*
*
*
29.5053
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*
*
*
*180148
1.8464
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*
*
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22.9635190017 h
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24.6734
28.5376
25.5929190043
0.9745
*
16.8944
17.3477
*
17.1195190044 h
1.2786
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19.5304
19.5567
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20.0144190045
1.5975
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24.0490
25.3854
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23.4370190048
1.0931
*
18.6148
19.6288
*
19.1025190049
***
*
20.1229
*
*
20.1229190050
1.1067
0.7660
18.5287
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19.5664190053
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*
19.2396
*
*
19.2396190060
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22.1880
22.9778190077
0.9229
*
18.4043
18.8409
*
18.6185190078 h
1.0615
0.8643
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22.2432
21.7436( print page 59928)190079
1.2813
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19.2683
*
*
19.2683190086
1.2378
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18.8306
19.8823
22.0610
20.2693190088 h
1.0650
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22.5045
22.3480
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22.8805190089
1.0009
*
16.2961
*
*
16.2961190090
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***
*
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*
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18.0560190110
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*
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*
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16.6910
*
*
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27.1854190140
1.0113
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17.0371
17.6936
18.9652
17.9144190144 h
1.1488
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21.1658
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21.9664190145
0.9687
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18.9678
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1.5834
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25.7165190148
***
*
20.8321
*
*
20.8321190149
0.9361
*
17.1671
18.8819
*
17.9835190151
0.9783
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27.4708
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0.8841
*
18.3702
*
*
18.3702190158
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26.2352
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1.0937
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17.8794
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***
*
22.1781
25.0328
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24.9988190190
0.8828
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16.1195
24.3328
19.1578190191 h
1.3171
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23.4096190196
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19.2137190200
***
*
26.4258
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1.4429
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22.5588
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***
*
13.9888
*
*
13.9888190241
1.4547
0.8185
28.9620
23.9700
25.2123
25.8649( print page 59929)190242
1.1385
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20.5937
23.0072
24.8461
22.9349190243
***
*
30.6060
*
*
30.6060190245
1.6195
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*
27.1786
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***
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32.7499
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***
*
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31.5102
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*
21.4464
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***
*
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23.6921
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*
*
22.8060
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***
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32.9289
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22.2413
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***
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*
*
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***
*
24.5071
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*
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27.8034( print page 59930)210012
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1.2013
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28.9932220002
1.3255
1.1343
28.9722
30.3598
32.4356
30.6685220003
1.0789
*
20.5790
22.0549
*
21.3294220006
***
*
29.5946
30.8599
30.7673
30.4550220008
1.2811
1.1343
27.1675
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29.2909220036
1.5276
1.1765
29.6296
31.5184
33.1436
31.4741220041
***
*
29.7464
*
*
29.7464220046
1.4368
1.1050
27.7726
28.1396
30.4460
28.8367220049
1.2182
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25.0598
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25.7247
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1.1930
1.2156
30.8242
32.3362
32.5477
31.9429( print page 59931)220062
0.5767
1.1343
21.9489
24.2779
25.0766
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28.4930
30.5607
28.9335220075
1.5908
1.1765
27.9503
29.1588
30.9176
29.3379220076
***
*
27.2534
29.7507
27.5148
28.1088220077
1.7132
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31.7325
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29.0005220133
***
*
31.2981
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1.3341
1.2589
31.3246
33.9866
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0.9848
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18.9267
*
*
18.9267220154
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*
29.8324220163
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1.1970
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1.5403
1.0852
*
*
*
*230001
1.0768
*
24.3660
*
*
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1.2924
1.0411
27.0305
29.1410
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1.2105
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1.7219
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29.3933
27.2951230005 h
1.2738
1.0678
22.1018
24.1902
25.8768
23.9997230006
1.1131
*
22.7656
23.8835
*
23.3472230013
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1.1116
*
22.5736
23.5511
*
23.0457230029
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1.2203
*
24.3640
26.2037
*
25.3026230046
1.8667
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30.3591
31.6235
30.4859( print page 59932)230047
1.4851
1.0331
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26.0729230065
***
*
27.9179
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32.6255
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1.3033
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1.1996
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22.8590230082
0.9762
*
23.1240
22.2165
*
22.6498230085
1.2326
1.0797
22.2569
22.7314
23.4959
22.8465230086
1.1553
*
20.8759
*
*
20.8759230087
***
*
*
16.9168
*
16.9168230089
1.3467
1.0502
23.9486
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27.8258230092
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22.1951230101
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1.0628
*
18.4304
21.6609
*
19.9258230104
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1.1119
*
21.7894
24.1485
*
22.9553230121
1.2714
0.9896
23.4394
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1.3714
*
23.0508
*
*
23.0508230130
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1.2815
*
19.5387
21.4083
*
20.4663230144
1.5305
1.0678
*
*
*
*230145
***
*
17.2181
*
*
17.2181230146
1.3044
1.0502
24.3891
26.3432
26.8156
25.8932230149
***
*
21.4753
*
*
21.4753230151
1.3166
1.0442
26.4669
28.2243
27.4546
27.3846230153
1.0027
*
22.3404
22.8644
*
22.6169230155
***
*
24.0404
*
*
24.0404230156
1.5875
1.0678
29.4855
31.1909
32.3755
31.0315230165
1.7104
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1.0068
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27.4562
29.8071
27.9942230169
***
*
27.1172
31.8442
*
29.3455230171
***
*
22.0635
*
*
22.0635230172
1.2644
*
24.0236
25.7402
*
24.8835230174
1.3198
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22.5454
24.7358
26.0707
24.4709( print page 59933)230184
***
*
21.9346
23.6707
34.6295
23.7225230186
***
*
27.1126
26.2282
*
26.7039230189
0.9846
*
20.8605
23.0099
*
21.9754230190
0.9642
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28.6200230222 h
1.3410
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27.7682230235
0.9779
*
19.6046
21.8777
*
20.7318230236
1.4588
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28.4754
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29.1973
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28.6994230279
0.5318
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24.7673
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24.9348230283
***
*
24.9272
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***
*
*
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*
29.7720230290
***
*
29.4792
*
*
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*
*
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*
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***
*
*
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*
31.8943230294
***
*
*
*
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31.6195230295
***
*
*
*
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27.1298230296
1.6111
1.0068
*
*
*
*240001
1.5128
1.0782
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31.5753
33.1499
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0.9765
*
23.7588
*
*
23.7588240010
2.0337
1.1239
30.4139
31.3733
33.4668
31.7518240011
***
*
22.9561
*
*
22.9561240013
1.3281
*
28.7202
28.3860
*
28.5544240014
1.0334
1.0782
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1.2566
*
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*
25.9310240017
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1.0697
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0.9533
*
23.7096
27.1235
*
25.3021240022
1.1304
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25.2066
26.1920
25.0459240025
***
*
27.8656
*
*
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0.9029
*
20.2531
18.2481
*
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1.1322
*
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*
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0.9625
*
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*
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1.6508
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1.0388
*
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*
*
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22.0037( print page 59934)240044
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*
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*
*
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29.8562
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29.7303240078
1.6565
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30.5339
32.3235
32.5785
31.8123240079
***
*
20.9220
*
*
20.9220240080
1.8378
1.0782
29.6274
31.6828
32.5725
31.2895240083
1.2006
*
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0.0000
25.8650240084
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1.0229
*
24.8479
*
*
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25.5180240094
1.1961
*
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*
*
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1.2939
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25.3269
27.6299
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0.9238
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*
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22.7078
*
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30.1392
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1.5320
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0.9139
*
25.5199
*
*
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0.9419
*
15.2076
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*
15.8386240115
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1.1107
*
20.5755
21.7500
*
21.1868240124
***
*
23.9297
*
*
23.9297240127
***
*
24.4824
*
*
24.4824240128
1.0244
0.9238
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21.5791
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22.0573240132
1.3265
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31.1490240133
1.1359
*
26.1836
*
*
26.1836240135
***
*
16.1837
*
*
16.1837240137
***
*
23.8666
*
*
23.8666240139
***
*
23.7898
*
*
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1.1273
1.0782
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26.4016
31.4468
28.5886240143
0.8825
*
21.1180
21.7416
*
21.4375240152
0.9888
*
27.3445
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*
28.5127240154
1.0590
*
23.9643
*
*
23.9643240162
1.1482
*
22.3136
22.2721
*
22.2926240166
1.1472
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25.7509
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25.6501240179
***
*
20.8449
*
*
20.8449240187
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1.0782
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27.8811
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27.4419240196
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*
*
*
*240207
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0.9690
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***
*
15.1242
20.3559
*
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0.9189
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15.2939
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*
16.2540250040
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***
*
16.1984
*
*
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***
*
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*
*
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***
*
17.7149
*
*
17.7149250072
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***
*
19.9484
*
*
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***
*
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*
20.1785250102
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*
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*
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*
*
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*
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*
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*
25.7837
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***
*
*
29.0461
*
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***
*
*
*
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0.7796
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*
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0.8769
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1.6632
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***
*
27.2329
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*
26.9807260003
***
*
17.6339
*
*
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***
*
17.6040
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*
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*
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***
*
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*
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***
*
22.0826
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*
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27.1569( print page 59937)260094
1.5623
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0.9150
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27.2145
24.8458260103
***
*
23.3175
*
*
23.3175260104
1.4937
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24.0038
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1.0843
*
17.3270
20.8015
*
19.0424260123
***
*
16.1169
*
*
16.1169260127
0.9499
*
22.5328
21.8534
*
22.1664260134
***
*
18.1531
*
*
18.1531260137
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***
*
26.8924
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*
19.5539
19.7068
*
19.6321260166
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***
*
18.1438
*
*
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*
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26.5559( print page 59938)270057
1.2513
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0.9573
*
16.6592
17.7564
*
17.1813270074
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*
*
*
*270079
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*
21.6382
*
*
21.6382270081
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***
*
19.6173
*
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19.6173270084
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*
22.2340
*
*
22.2340270086
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21.0807
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*
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***
*
22.6516
*
*
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*
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*
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*
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37.1660290045
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32.0288( print page 59939)300005
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*
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26.9346
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***
*
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25.5059
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*
24.0620
*
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24.0620300016
***
*
24.5498
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24.5498300017
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*
23.5948
*
*
23.5948300023
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23.9205
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***
*
29.0207
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***
*
32.7666
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*
30.6033310050
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25.3482( print page 59940)310061
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***
*
26.8068
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*
26.8068310069
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***
*
26.3520
*
*
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***
*
30.7465
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***
*
26.9589
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27.2010
31.4110
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1.8283
1.1402
*
*
*
*310123
2.4750
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*
*
*
*310124
1.7405
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*
*
*
*310125
2.8454
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*
*
*
*320001
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*
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*
*
*320058
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*
*
*
*320059
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*
*
*
*320060
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*
*
*
*320061
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*
*
*
*320062
0.8792
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*
*
*
*320063
1.2715
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25.0031
24.8079( print page 59941)320065
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*
*
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*
17.2511
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*
24.8752
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26.5515330001
***
*
31.3735
33.4718
*
32.4179330002
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***
*
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45.6620330047 h
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23.5888( print page 59942)330095
***
*
28.9914
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*
30.3053330096
1.2295
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0.9502
*
19.7388
*
*
19.7388330122
***
*
26.3849
*
*
26.3849330125
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18.5443
*
*
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26.9958330166 h
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30.2183330209
***
*
28.7213
29.7988
30.2038
29.5753( print page 59943)330211
1.1197
0.8430
21.1094
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24.4470
22.8189330212
***
*
27.0585
27.2232
*
27.1435330213
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37.6044330293
***
*
19.0290
*
*
19.0290330304
1.3151
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33.4431
34.5761
36.2845
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31.8389
33.3050
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33.5211330333
***
*
33.7637
26.1917
*
29.6102330338
***
*
27.3859
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0.8963
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35.1840( print page 59944)330393
1.7645
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1.3727
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35.7435
40.6249
37.8559
38.0657330402
***
*
21.3302
*
*
21.3302330403
***
*
*
23.1887
25.5163
24.2907330404
0.8754
1.3344
*
*
*
*330405
0.8833
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*
*
*
*330406
0.8810
0.8849
*
*
*
*340001
1.5110
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26.6404
25.4364340005
1.0047
*
22.9830
22.3814
*
22.6704340007
***
*
21.1519
*
*
21.1519340008
1.1123
0.9413
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23.1580340014
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24.4831
25.1872
27.4888
25.7544340015 h
1.3261
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1.2057
*
20.3840
23.7243
*
21.9193340019
***
*
17.8768
*
*
17.8768340020
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*
21.7089
*
*
21.7089340045
0.9491
*
14.5004
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*
18.3297340047
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23.4233
22.8967340065
***
*
20.8413
*
*
20.8413340068
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21.2580
21.1364
21.2332( print page 59945)340085 h
1.2040
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23.9793
26.5164
24.4669340087
1.2098
0.8629
18.4202
22.0070
22.4287
20.8329340088
***
*
24.3299
*
*
24.3299340090
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25.9994340096 h
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26.0637
25.1328340124
1.0344
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18.3866
20.8018
22.2988
20.3755340126 h
1.2909
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23.5405
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29.9903
21.0642
22.1742
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0.8935
0.9775
27.4767
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*
24.4228340141
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23.7131
25.8459
24.4499340146
***
*
18.8354
*
*
18.8354340147
1.3146
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*
*
*
*340158
1.1289
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*
17.0785340171
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0.8629
*
24.7471
26.7155
25.7127340178
***
*
*
28.7219
*
28.7219340179
***
*
*
*
34.1895
34.1895340182
***
*
*
*
27.8071
27.8071340183
1.1072
0.9413
*
*
*
*350002
1.7643
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22.0283
22.4308
21.7095350003
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25.3076
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23.5735350004
***
*
27.5891
*
*
27.5891350006
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23.2018
23.1277( print page 59946)350027
***
*
14.2262
*
*
14.2262350030
0.9922
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19.2282
18.9978
20.2722
19.5036350043
***
*
20.9732
*
*
20.9732350061
1.0429
*
18.6546
22.0515
*
20.3874350063
0.8756
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*
*
*
*350064
0.8724
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*
*
*
*350070
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***
*
24.0612
23.5793
*
23.9138360025
1.4649
0.9345
23.6574
25.5633
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20.8778
22.7785
24.3216
22.6844360031
***
*
24.4324
*
*
24.4324360032 h
1.1673
0.8925
22.9759
23.2638
25.0034
23.7556360034
***
*
25.1366
*
*
25.1366360035
1.7578
1.0076
25.6895
27.5220
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27.8468360036
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21.2954360046
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1.0101
*
17.1973
21.7248
*
19.5322360048
1.8470
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27.2274
28.8107
29.3415
28.4551360049
***
*
24.2605
25.8367
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1.6989
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*
25.7032
24.2444
*
24.9438360070
1.6528
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23.1687
24.8863
27.2389
25.0981360071 h
1.1233
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21.6176
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27.4067( print page 59947)360082
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25.8657
26.4696360092
1.2158
1.0076
23.5100
25.6618
25.4954
24.9203360093
1.0395
*
24.1238
*
*
24.1238360094
***
*
27.1864
26.6348
*
26.9890360095
1.3002
0.9455
24.6984
26.1275
26.4635
25.8077360096
1.1175
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22.2333
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22.2034360101
1.3462
0.9396
27.7584
26.6208
27.6030
27.3232360106
1.1133
*
21.6450
24.1588
*
22.9406360107
1.0899
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24.5365
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24.6095
25.0331360109
1.0637
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27.1920
24.5927360125
1.2270
0.8683
22.6871
22.1096
24.1388
22.9762360128
0.9990
*
18.5954
21.0066
*
19.7451360129
0.8857
*
19.5336
*
*
19.5336360130
1.4118
0.9396
21.7015
22.9762
25.6570
23.6771360131
1.2592
0.9076
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26.1250
26.2803360141
1.5889
0.8799
31.0127
27.7085
29.7937
29.5044360142
1.0137
*
21.2084
22.1610
*
21.6897360143
1.3747
0.9396
23.8938
24.6306
28.3057
25.6818360144
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27.9147
29.9425
27.4346360153
1.0101
0.8683
19.0844
19.0226
19.8499
19.3351360154
***
*
17.1274
*
*
17.1274360155
1.4975
0.9396
23.9466
25.3909
26.9127
25.4352360156
1.1803
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26.8586
24.9193360175
1.2821
0.9891
24.6152
26.5949
28.1531
26.5193360177
1.1840
*
23.4256
24.4712
*
23.9572360179
1.5975
0.9522
25.9429
28.8645
30.0311
28.3424360180
2.2426
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26.8720
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24.9353
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26.3756
24.9449360192
1.3004
0.9396
26.2976
26.7577
26.4616
26.5055360194
1.4943
*
22.3297
*
*
22.3297360195
1.1153
0.9396
25.8043
26.1280
25.0922
25.6560360197
1.1452
0.9891
24.7539
27.0896
28.7580
26.9161( print page 59948)360203
1.1895
0.8683
21.5564
22.1414
24.4433
22.7702360210
1.1790
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1.1597
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27.0223
28.8018
27.5510360234
1.3695
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23.3325
24.3625
25.9360
24.4659360236
1.2018
0.9522
21.3795
35.8144
25.6728
25.5006360239
1.3109
0.9185
24.4398
25.2474
27.2939
25.7721360241
***
*
24.8089
24.7001
23.0662
24.0127360245
0.5403
0.9229
18.7966
19.1885
20.6504
19.5796360247
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19.8892
19.3678
21.2374360253
2.3749
0.9522
28.2555
30.4276
33.2371
30.6962360257
***
*
17.9652
*
*
17.9652360258
1.4162
1.0076
*
*
*
*360259
1.2033
0.9455
*
25.1338
25.9878
25.5797360260
***
*
*
27.3903
*
27.3903360261
1.7902
0.8828
*
22.5431
22.3614
22.4466360262
1.3153
0.9455
*
27.1680
28.6995
27.9424360263
1.7093
0.8925
*
20.8884
25.1652
23.0327360264
***
*
*
*
36.0754
36.0754360265
***
*
*
*
36.6265
36.6265360266
2.0044
1.0076
*
*
*
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2.3691
0.9185
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1.8584
0.9522
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0.8803
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1.6999
0.9522
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1.4382
0.9522
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1.7856
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26.2391
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26.0194
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0.9430
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21.1833
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23.2012370016 h
1.5301
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24.2737
25.4062
26.7938
25.5406370018
1.4510
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23.4286
23.5336
25.3574
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23.5170
21.9281370025
1.2626
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22.0287
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23.2001370026 h
1.5154
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22.5734
23.0848
25.8428
23.8245370028
1.8260
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27.8621
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22.0082
22.3496
22.6730
22.3396370042
0.8617
*
15.3613
*
*
15.3613370043
***
*
21.5588
*
*
21.5588370045
***
*
14.6370
*
*
14.6370370047
1.4124
0.8526
19.7112
20.4657
24.1991
21.5082370048
1.1157
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21.7647
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0.9659
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18.0426
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19.8683
19.2303( print page 59949)370060
0.9262
0.8310
23.8007
18.7592
19.9026
20.7237370064
0.9613
*
14.1879
14.2053
*
14.1969370065
1.0205
0.7968
20.6537
20.0226
21.2343
20.6475370072
0.7998
0.7847
14.6387
9.9616
11.7942
11.6722370076
***
*
21.5461
*
*
21.5461370078
1.5606
0.8310
23.9507
25.4068
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25.7573370080
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1.3799
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22.0591
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24.5555
23.2775370095
0.9969
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16.5310
*
*
16.5310370097
1.2874
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21.7150
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1.0484
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25.3565
26.9720
25.1507370114
1.5610
0.8310
21.0603
21.7880
23.0006
21.9699370123
***
*
22.8174
25.4733
*
24.1041370125
0.8736
*
17.2013
17.1361
*
17.1678370138
1.0853
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19.8308
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19.4299370139
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0.7847
17.8900
18.5225
19.4287
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1.2217
0.9163
21.0608
22.3537
23.3493
22.3941370153
1.0646
0.7847
18.5417
19.8349
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0.9628
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15.7686
15.8002
16.8253
16.1118370170
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15.1880370178
0.8981
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14.9767
14.6070
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23.5794
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1.6047
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27.4495
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26.0353
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***
*
32.8278
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0.8310
20.0360
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23.3786
21.6821370211
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26.5344
27.8737
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21.0758
19.1720
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***
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32.3589
31.5652
31.9072370216
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0.8310
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27.2428
27.2428370217
***
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26.8676370218
2.5607
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27.8554
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30.5227380005
1.3310
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30.9087
29.8079380006
***
*
26.0475
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1.9213
1.1210
31.5207
33.9969
33.9601
33.1659380008
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25.4494
25.8356
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25.6457380009
1.9924
1.1210
30.4198
31.7042
32.4016
31.5282380010
***
*
27.5291
30.2957
34.4208
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1.9310
1.1334
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29.2804380022
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1.2145
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26.5439
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25.1052380025
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1.1210
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33.2105
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33.4828
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***
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26.4784
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30.5818
32.4033
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34.2303
34.5971
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***
*
30.1544
32.3959
38.0988
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30.6164380066
***
*
27.5412
0.0000
0.0000
27.5412380071
1.3325
1.1210
29.5740
30.2304
31.7761
30.5464380072
***
*
22.5275
*
*
22.5275380075
1.3158
1.0756
27.4795
29.0368
33.8962
30.0594380081
1.1837
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36.5066380100
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1.1210
*
*
*
*390001
1.6514
0.9146
22.4407
22.5309
23.6075
22.8571390002
1.2598
0.8568
23.0113
22.4388
24.7867
23.4162390003 h
1.1444
0.9146
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21.6478
23.3672
22.0945390004
1.6363
0.9373
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24.3249
24.4068
24.0843390005
0.9813
*
19.0318
*
*
19.0318390006
1.8675
0.9230
23.3960
25.1216
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25.1560390008 h
1.1478
0.8568
21.0021
22.2680
22.8041
22.0150390009
1.7189
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1.2870
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19.8602
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21.4856
21.0733390012
1.2963
1.0996
*
28.5076
30.7542
29.6464390013
1.2228
0.9230
23.3180
24.0044
25.0037
24.1006390016 h
1.2680
0.8568
19.9899
21.9549
23.2095
21.8911390017
***
*
20.6575
*
*
20.6575390019
1.1313
1.0093
21.5137
23.4636
24.0538
23.0231390022
***
*
31.0971
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1.2139
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28.9159
35.8381
35.5692
33.4427( print page 59951)390028
1.5659
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23.6616
25.7246
27.1869
25.5621390029
***
*
24.4276
*
*
24.4276390030
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23.1430390037
1.3063
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22.9008
24.7820
25.4290
24.3814390039 h
1.1673
0.8562
17.8461
20.3787
22.0208
20.0837390040
***
*
23.1807
*
*
23.1807390041
1.3026
0.8568
20.6789
21.5925
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23.3474
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23.3355390054
1.2008
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22.8087
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22.8828390055
***
*
25.5675
25.6945
*
25.6356390056
1.0694
0.8343
*
19.5537
23.5077
21.4287390057
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30.9499
33.3185
30.4414390071
0.9933
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20.9443
21.8366
24.6462
22.3632390072 h
1.0701
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26.3698
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25.6598390074
1.1084
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21.0941
22.8545
23.6500
22.5335390075
***
*
22.6530
24.6359
*
23.6261390076
1.3800
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*
18.7558
19.9156
*
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27.7311
24.9613390111
2.0459
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30.6809
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34.2990
32.5907390112 h
1.1810
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20.7821
20.3998( print page 59952)390118
1.1700
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1.6789
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31.1083
28.7826390135
***
*
*
24.4738
*
24.4738390136
***
*
24.8042
22.1415
23.9813
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27.1539
29.9254
27.4676390152
***
*
11.7774
*
*
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*
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*
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1.1254
*
19.2308
20.8761
*
20.0637390192
1.0320
0.9146
20.0395
21.2620
20.5459
20.6115390193
***
*
18.5516
20.1024
*
19.3425390194
1.1195
1.0093
23.1814
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21.3157
22.3224
21.1923390200
***
*
23.1486
23.7471
*
23.4231390201
1.2909
0.9428
24.8222
26.3658
27.0054
26.1065390203
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25.1689
23.5881390215
***
*
26.4180
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*
27.0961390217
1.1957
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21.3281
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*
18.1226
18.7624
*
18.4428( print page 59953)390225
1.1870
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26.2736390238
***
*
26.4748
*
*
26.4748390246
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*
*
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0.5400
1.0996
21.6893
23.6843
26.6663
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1.0937
*
15.3569
17.0012
*
16.1698390285
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1.1656
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27.4090
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***
*
35.7147
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39.3176
37.5485390288
***
*
28.5267
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30.9701
29.7120390289
***
*
28.4577
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1.9071
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36.4991
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37.6001390291
***
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21.3015
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21.3015390298
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26.8290
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26.8290390299
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31.9423390300
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40.4697
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40.4697390301
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30.9838
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9.5296
10.3914( print page 59954)400087
1.2348
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9.5860
10.6849
11.0377
10.4576400094
***
*
8.8646
*
*
8.8646400098
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1.6827
0.4449
*
*
17.8303
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1.0320
0.4449
*
*
*
*410001
1.2768
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22.6820420006
***
*
22.8920
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1.1984
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21.5140420014
***
*
21.5658
*
*
21.5658420015
1.3132
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1.1580
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24.8777( print page 59955)420055
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22.1681420056
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24.9313
22.7178420059
1.0698
*
21.4260
*
*
21.4260420061
***
*
20.8684
*
*
20.8684420062
1.0681
0.8801
25.6683
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1.3737
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25.5204
24.7447420075
0.9056
*
16.4816
*
*
16.4816420078
1.8727
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25.3032
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28.0485
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1.7986
0.9197
23.2230
24.3609
25.4697
24.3550420088
***
*
23.1273
*
*
23.1273420089
1.3287
0.9197
25.2729
26.0074
28.1855
26.5304420091
1.3535
0.8703
23.4710
26.9214
26.0592
25.5303420093
***
*
25.1457
27.4766
28.0765
27.0073420097
***
*
24.7809
*
*
24.7809420098
1.1551
0.8727
*
*
30.7532
30.7532420100
1.9107
0.9566
*
*
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1.0414
0.8692
*
*
*
*430005
1.3236
0.8503
19.9454
22.3272
22.4111
21.5283430008
1.0700
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20.9442
23.3790
24.4277
22.8172430011
***
*
20.6597
*
*
20.6597430012
1.2528
0.9238
22.7530
24.0850
24.0326
23.6212430013
1.1748
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0.8745
*
20.2708
*
*
20.2708430031
0.9563
*
15.6112
16.0346
*
15.8232430043
***
*
17.2722
*
*
17.2722430047
1.0053
*
21.9116
18.8982
*
20.4712430048
1.3089
0.8768
21.1718
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0.9030
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10.2704
*
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24.8679430081
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*
21.6998
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26.3484( print page 59956)440006
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24.8097440020
1.0309
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23.7425440023
0.9893
*
17.0335
*
*
17.0335440024
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20.8638
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0.9591
*
17.4074
17.9409
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17.6972440046
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26.1341
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27.1443
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21.0455440111
1.2938
0.9810
25.8821
28.5705
29.0975
27.8355440114
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*
21.4271
24.0147
*
22.7665440115
0.9920
0.8621
20.0642
21.7830
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21.6814440120
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23.9955
23.0274( print page 59957)440131
1.1493
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20.2816440141
1.0075
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19.4528
21.3313
24.2406
21.9166440143
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21.0374
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*
21.0374440144
1.2530
0.8122
22.3671
23.3828
23.9242
23.2347440145
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*
20.9863
20.7875
*
20.8882440147
***
*
28.9038
31.4012
33.1755
31.1830440148
1.1144
0.9550
23.0697
24.6412
23.9810
23.9010440149
1.0254
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19.8020
20.4562
*
20.1312440150
1.3627
0.9810
25.4952
26.8308
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22.8645
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23.7848440161
1.7812
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28.6774
28.6971
28.7074
28.6947440162
***
*
16.5305
21.1418
27.6836
21.4196440166
***
*
27.1355
31.0779
35.3063
30.4732440168
0.9700
0.9307
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*
*
24.8328
24.8328440226
1.5393
0.8227
*
*
26.5831
26.5831440227
1.2253
0.9810
*
*
*
*440228
1.3670
0.9307
*
*
*
*450002
1.4312
0.9238
25.4975
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28.0936
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***
*
22.5001
*
*
22.5001450015
1.5745
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24.0730
27.4012
29.9193
27.1701450016
***
*
22.1368
*
*
22.1368450018
1.5035
1.0094
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27.1629450020
0.9641
*
17.7148
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*
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22.9390( print page 59958)450033
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*
21.6933
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*
19.4978
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*
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***
*
25.3618
25.2434
*
25.3030450096
1.4219
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*
22.9005
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*
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***
*
22.5552
*
*
22.5552450113
***
*
*
54.6681
*
54.6681450119
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***
*
23.2317
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***
*
22.4695
*
*
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***
*
17.8812
*
*
17.8812( print page 59959)450160
0.8255
*
21.9118
*
*
21.9118450162
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***
*
15.5838
*
*
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***
*
16.5616
*
*
16.5616450253
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***
*
15.4111
*
*
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***
*
14.8204
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*
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*
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***
*
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18.7853( print page 59960)450370
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*
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*
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*
15.2707
*
*
15.2707450518
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24.1194
28.1755
24.8852450523
***
*
28.6387
*
*
28.6387450530
1.2367
1.0094
26.1998
28.7451
29.1349
28.0793450534
***
*
20.4715
*
*
20.4715450535
***
*
29.4427
*
*
29.4427450537
1.4218
0.9977
23.9256
27.5856
27.7756
26.4449450539
1.1857
0.8225
20.0343
21.0442
23.1829
21.4051450545
***
*
22.8130
*
*
22.8130450547
0.9940
0.9743
21.8106
21.6542
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22.5004450558
1.8481
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23.1202
21.2201450591
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23.9992
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1.2076
1.0364
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27.4011
25.7968450597
0.9666
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24.7853
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22.0429450605
1.0371
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22.2205
20.9276
22.2838450609
***
*
18.3856
*
*
18.3856450610
1.6341
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22.5451
26.8710
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25.6685450615
0.9996
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1.5039
1.0094
25.2211
26.5026
28.0225
26.6300( print page 59961)450620
0.9632
0.8225
18.1819
17.7138
18.6183
18.1777450623
1.1196
*
28.3354
28.3552
*
28.3456450626
0.8879
*
21.4445
26.8375
*
23.9299450630
1.5661
1.0094
27.8856
29.6796
29.1462
28.9006450631
***
*
24.5409
*
*
24.5409450634
1.6693
0.9977
27.0412
28.1705
28.7312
28.0120450638
1.6206
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24.0815450647
1.8728
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30.7334
30.6924
30.1156450648
***
*
18.2826
*
*
18.2826450649
***
*
18.1118
*
*
18.1118450651
1.5203
0.9977
28.9829
32.4822
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0.9162
*
17.2566
18.6054
*
17.9420450668
1.5005
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1.2012
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24.3797450672
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30.1191
28.2018450673
***
*
19.4030
*
*
19.4030450674
0.9612
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26.8081
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0.9189
*
18.6373
*
*
18.6373450702
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27.8941450730
1.1793
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30.7567
29.9430
31.3324
30.6860450733
***
*
25.5624
26.4976
*
26.0340450742
1.2010
0.9977
26.3414
26.1190
27.2022
26.5824450743
1.5065
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23.8314
23.4471450749
0.9981
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17.8227
20.0487
18.7388450751
***
*
22.9070
19.3265
18.7455
20.2713450754
0.9206
0.8225
21.3043
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22.1819
21.4874450755
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0.8561
*
16.2605
15.7483
*
16.0004450763
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*
21.4171
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*
21.9641450766
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21.5849( print page 59962)450771
1.7685
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31.3924
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29.5787450774
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25.2007
25.3208450796
1.7748
0.9248
24.7564
27.9734
36.4073
29.4591450797
***
*
23.8708
20.5379
24.8950
22.9091450801
1.4926
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1.2821
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31.1476450824
2.5316
0.9328
*
26.7803
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1.2665
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21.4128
22.3667
24.4740
22.7556450829
***
*
18.2860
19.5014
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1.6065
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17.6635
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20.9410
19.3356450842
***
*
23.0945
*
*
23.0945450844
1.2950
1.0094
34.4235
28.7296
30.7887
30.5867450845
1.9042
0.9238
26.5040
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29.4933
28.0269450846
***
*
24.0791
*
*
24.0791450847
1.2405
1.0094
26.8892
27.6854
28.5548
27.7393450848
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27.9941450849
2.1291
*
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1.2693
0.9538
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22.1334
21.9266
22.0277450851
2.5547
0.9977
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30.1213
32.6950
31.4416450852
***
*
*
30.0191
*
30.0191450853
1.9180
0.9977
*
*
36.1169
36.1169450854
***
*
*
*
27.1867
27.1867450855
1.5421
0.9731
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*
30.8855
30.8855450856
1.8036
0.8945
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*
39.0865
39.0865450857
***
*
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30.4630
30.4630450860
2.0576
1.0094
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*
24.0171
24.0171450861
***
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34.9289
34.9289450862
1.2151
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*
*
31.2224
31.2224450863
***
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24.8824450864
2.0234
0.8963
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23.3765
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1.1187
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*
29.1763
29.1763450866
***
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15.2959450867
1.3218
0.9328
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28.2290
28.2290450868
1.8042
1.0038
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27.9579
27.9579450869
1.8958
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*
22.6253
22.6253450870
***
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37.4366450871
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0.9743
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26.1372
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1.2019
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25.0376
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26.9512
25.8154460025
***
*
18.7978
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22.7589
24.1547
26.9295
24.5709460030
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23.2270460032
***
*
22.8987
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23.3508460035
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28.7819470006
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25.9300
28.3419
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27.1737470023
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26.7486
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26.7486470024
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25.2427
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18.5220
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***
*
23.8112
27.3456
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25.4279490004
1.3010
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24.4580
25.4597
27.1676
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***
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16.7679
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22.4772
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22.8740490015
***
*
22.5641
*
*
22.5641490017
1.4173
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22.9632
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1.2739
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24.7153490019 h
1.1709
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20.8898490031
***
*
22.4300
22.0579
*
22.2427490032
1.9793
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1.5651
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1.0311
*
21.9156
22.5424
*
22.2282490048
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33.1215
17.3295
*
22.8307490105
0.9466
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21.6199( print page 59965)490112
1.6455
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1.0808
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23.9233
24.3490
23.7387490124
***
*
29.7939
*
*
29.7939490126
1.2229
0.8101
23.1423
22.2859
23.6690
23.0360490127
1.1631
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20.3701490130
1.1989
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22.0769
22.8512
23.9982
22.9793490133
***
*
*
26.5683
*
26.5683490134
0.8131
0.8101
*
*
*
*490135
0.6927
0.8803
*
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1.0556
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*
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1.6103
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*
27.3823
*
*
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*
*
*
*500053
1.2893
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28.4130
28.2901
27.8359500054
1.9834
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28.8062
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31.6595
30.4566500057
***
*
21.4393
*
*
21.4393500058
1.6679
1.0206
28.4247
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31.4455500065
***
*
26.0960
*
*
26.0960500072
1.1979
1.1096
29.3087
33.4863
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***
*
23.2466
*
*
23.2466500104
1.1366
*
27.0034
*
*
27.0034500108
1.6321
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***
*
25.4785
*
*
25.4785500118
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*
28.1074
*
*
28.1074( print page 59966)500119
1.3526
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*
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*
23.0518
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22.3847510029
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***
*
16.0586
*
*
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***
*
15.3355
*
*
15.3355510062
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*
20.0007
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*
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***
*
18.3401
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*
18.3401510089
***
*
*
27.7062
*
27.7062510090
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0.8828
*
*
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***
*
21.8662
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*
21.8662520004
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*
28.5569
*
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***
*
22.1064
*
*
22.1064520015
***
*
23.0403
*
*
23.0403520017
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18.5072
*
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18.5072520026
***
*
26.1056
*
*
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25.3059
*
*
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*
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***
*
25.5346
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*
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*
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***
*
25.5777
*
*
25.5777520087
1.7229
0.9607
24.5280
27.3374
28.5810
26.7699520088
1.2892
1.0368
26.0882
26.9936
30.7450
28.0398520089
1.5179
1.0841
26.6013
30.0448
33.8793
30.2306520091
1.2839
0.9607
24.8269
24.6320
25.4593
24.9881520092
***
*
23.4043
*
*
23.4043520094
***
*
25.3166
25.7567
*
25.5399520095
1.2343
1.0621
28.6376
26.7863
30.4216
28.6080520096
1.3522
1.0209
22.9929
24.5758
27.8896
25.3901520097
1.3944
0.9607
25.1135
26.3321
29.1479
26.8851520098
1.9786
1.0841
28.0730
30.6150
32.5785
30.4882520100
1.2755
0.9868
24.5914
26.2161
29.3243
26.7266520102
1.1172
1.0209
25.6146
26.8234
29.1680
27.2579520103
1.5632
1.0324
25.5361
27.9147
30.3165
28.0905520107
1.2485
0.9607
27.7413
28.3431
28.9878
28.3702520109
1.0573
0.9607
22.4048
23.3271
24.7228
23.4867520111
***
*
26.3095
*
*
26.3095520112
***
*
20.4034
*
*
20.4034520113
1.2842
0.9607
26.7926
27.4135
31.4707
28.5985520114
***
*
22.0536
*
*
22.0536520116
1.2796
1.0209
26.3057
26.9902
27.9688
27.1297520117
***
*
22.0023
*
*
22.0023520123
***
*
22.2430
*
*
22.2430520132
0.9607
0.9684
21.6025
23.1941
25.0006
23.2907520135
***
*
18.5618
*
*
18.5618520136
1.6673
1.0324
25.5145
27.7703
30.6522
27.9536520138
1.8679
1.0324
26.9047
28.4394
30.8016
28.7391520139
1.2807
1.0324
25.4424
26.5110
28.8870
27.0173520140
1.6530
1.0324
26.1616
28.4433
31.0043
28.5899520148
1.3198
*
26.2258
*
*
26.2258520151
***
*
22.9592
*
*
22.9592520152
1.0804
0.9607
23.2493
24.9392
29.7308
26.1195( print page 59968)520154
***
*
23.7160
*
*
23.7160520156
***
*
24.9258
*
*
24.9258520160
1.8219
0.9607
24.3528
25.7588
27.9548
26.0586520161
***
*
24.0673
*
*
24.0673520170
1.4053
1.0324
25.6124
27.2221
30.4309
27.8135520173
1.1245
1.0285
26.2224
28.0995
29.2429
27.8645520177
1.6430
1.0324
28.4663
30.7317
31.4555
30.2920520178
0.9946
*
23.0419
20.2666
*
21.6760520189
1.1608
1.0651
26.3172
28.4720
28.0014
27.7043520193
1.6504
0.9607
*
26.0885
27.8113
27.0087520194
1.3272
1.0324
*
24.9408
30.1668
27.5109520195
***
*
*
36.6973
36.3116
36.5038520196
1.6500
0.9613
*
35.1043
36.9266
35.9808520197
2.6190
1.0324
*
*
*
*520198
1.3546
0.9607
*
*
*
*520199
2.3592
1.0324
*
*
*
*520200
1.3175
*
*
*
*
*530002
1.0817
0.9124
25.2983
26.8356
28.3063
26.8117530006
1.1609
0.9124
22.8344
24.9318
27.2422
24.9156530007
***
*
19.3476
20.4391
*
19.9218530008
1.1112
0.9145
23.8271
23.8589
24.0090
23.8983530009
0.9348
0.9124
24.2426
26.8316
24.6719
25.2403530010
1.2278
0.9145
23.9255
25.8482
25.9852
25.2473530011
1.1081
0.9124
24.1396
24.8245
27.8772
25.6665530012
1.6961
0.9145
24.3454
25.2526
26.9582
25.5096530014
1.5337
0.9124
23.6907
24.5947
26.7156
25.0071530015
1.2055
0.9639
26.3107
27.6876
29.8310
27.9484530016
***
*
21.6575
*
*
21.6575530017
0.9935
0.9124
23.5415
25.3362
29.8504
26.3807530023
***
*
24.1493
21.3813
*
22.6795530025
1.2393
0.9233
27.7988
28.6938
24.4392
26.8843530031
***
*
16.3472
*
*
16.3472530032
1.0643
0.9124
22.6584
25.7728
23.9005
24.05581
                             Based on salaries adjusted for occupational mix, according to the calculation specified in FY 2007 IPPS final rule (71 FR 48006).2
                             The transfer-adjusted case-mix index is based on the billed DRG on the FY 2005 MedPAR.h
                             These hospitals are assigned a wage index value according to the FY 2007 final rule (71 FR 48005).* Denotes wage data not available for the provider for that year.** Based on the sum of the salaries and hours computed for Federal FYs 2005, 2006, and 2007.*** Denotes MedPAR data not available for the provider for FY 2005.
 Table 3A.—FY 2007 and 3-Year Average Hourly Wage For Urban Areas By CBSA
[*Based on the salaries and hours computed for Federal FYs 2005, 2006, and 2007.]
CBSA code
Urban area
FY 2007 
                                 average  
                                 hourly wage
3-year 
                                 average  
                                 hourly wage10180
Abilene, TX
24.7354
22.549710380
Aguadilla-Isabela-San Sebastia
                                
                                n, PR
11.3127
11.879810420
Akron, OH
25.4747
24.826610500
Albany, GA
26.8537
26.647710580
Albany-Schenectady-Troy, NY
26.2389
24.430110740
Albuquerque, NM
28.3608
27.755110780
Alexandria, LA
23.4795
22.526410900
Allentown-Bethlehem-Easton, PA-NJ
29.9286
27.685611020
Altoona, PA
25.3167
24.152411100
Amarillo, TX
27.4217
25.774111180
Ames, IA
28.7786
26.818411260
Anchorage, AK
35.2999
33.608111300
Anderson, IN
26.1553
24.479411340
Anderson, SC
26.4473
24.869511460
Ann Arbor, MI
31.6639
30.458211500
Anniston-Oxford, AL
23.4777
21.971211540
Appleton, WI
27.7424
25.902911700
Asheville, NC
27.4697
25.9704( print page 59969)12020
Athens-Clarke County, GA
28.0394
27.481412060
Atlanta-Sandy Springs-Marietta, GA
29.0398
27.597312100
Atlantic City, NJ
34.6691
32.056712220
Auburn-Opelika, AL
23.9007
22.791412260
Augusta-Richmond County, GA-SC
28.5862
26.685112420
Austin-Round Rock, TX
27.6592
26.503912540
Bakersfield, CA
32.3762
29.576512580
Baltimore-Towson, MD
29.4225
27.758012620
Bangor, ME
28.5032
27.552012700
Barnstable Town, MA
37.3300
35.118312940
Baton Rouge, LA
23.9749
23.346812980
Battle Creek, MI
28.6610
26.646613020
Bay City, MI
27.8853
26.475113140
Beaumont-Port Arthur, TX
25.8266
24.015513380
Bellingham, WA
32.4426
31.948413460
Bend, OR
31.0837
29.796413644
Bethesda-Gaithersburg-Frederick, MD
32.1685
31.043713740
Billings, MT
26.5564
25.007913780
Binghamton, NY
26.5773
24.308913820
Birmingham-Hoover, AL
26.3579
25.203713900
Bismarck, ND
21.6654
20.932713980
Blacksburg-Christiansburg-Radford, VA
24.3556
22.623014020
Bloomington, IN
26.5655
24.311814060
Bloomington-Normal, IL
27.1016
25.512514260
Boise City-Nampa, ID
28.0081
26.016014484
Boston-Quincy, MA
34.8871
32.785014500
Boulder, CO
29.8919
27.963414540
Bowling Green, KY
23.9663
22.814614740
Bremerton-Silverdale, WA
32.2245
30.088514860
Bridgeport-Stamford-Norwalk, CT
37.7967
35.689915180
Harlingen, TX
28.8551
27.758815260
Brunswick, GA
31.0703
29.367015380
Buffalo-Niagara Falls, NY
28.0965
26.417815500
Burlington, NC
25.3226
24.621015540
Burlington-South Burlington, VT
27.9794
26.285215764
Cambridge-Newton-Framingham, MA
32.6270
31.150215804
Camden, NJ
31.1549
29.610815940
Canton-Massillon, OH
26.8311
25.113915980
Cape Coral-Fort Myers, FL
28.0527
26.330216180
Carson City, NV
29.3650
28.440016220
Casper, WY
26.9582
25.509616300
Cedar Rapids, IA
25.8224
24.738816580
Champaign-Urbana, IL
28.4141
26.781216620
Charleston, WV
25.7589
24.266016700
Charleston-North Charleston, SC
27.1568
25.970016740
Charlotte-Gastonia-Concord, NC-SC
27.9122
26.916816820
Charlottesville, VA
29.7688
28.467416860
Chattanooga, TN-GA
26.5327
25.448116940
Cheyenne, WY
26.7156
25.007116974
Chicago-Naperville-Joliet, IL
31.6404
30.181217020
Chico, CA
32.7875
29.971317140
Cincinnati-Middletown, OH-KY-IN
28.2340
26.721417300
Clarksville, TN-KY
24.9690
23.094217420
Cleveland, TN
24.3808
22.653317460
Cleveland-Elyria-Mentor, OH
27.8617
26.378817660
Coeur d'Alene, ID
27.3597
26.341317780
College Station-Bryan, TX
26.4006
25.236017820
Colorado Springs, CO
28.0973
26.775717860
Columbia, MO
25.0579
23.477717900
Columbia, SC
26.5160
25.594517980
Columbus, GA-AL
25.2948
24.061318020
Columbus, IN
28.0068
26.576418140
Columbus, OH
29.8780
27.752418580
Corpus Christi, TX
25.0205
23.929518700
Corvallis, OR
33.6078
30.464019060
Cumberland, MD-WV
24.1695
24.279519124
Dallas-Plano-Irving, TX
29.5841
28.276819140
Dalton, GA
26.5548
25.709619180
Danville, IL
28.3299
24.9634( print page 59970)19260
Danville, VA
25.2022
23.949419340
Davenport-Moline-Rock Island, IA-IL
26.2005
24.554019380
Dayton, OH
27.2364
25.736219460
Decatur, AL
23.9150
23.688319500
Decatur, IL
24.3550
22.825719660
Deltona-Daytona Beach-Ormond Beach, FL
27.2901
25.653219740
Denver-Aurora, CO
31.7836
30.161219780
Des Moines-West Des Moines, IA
27.1922
26.238719804
Detroit-Livonia-Dearborn, MI
30.7812
29.085120020
Dothan, AL
22.2783
21.334920100
Dover, DE
30.1094
27.930320220
Dubuque, IA
26.6704
24.986720260
Duluth, MN-WI
30.2214
28.697720500
Durham, NC
28.6941
28.174420740
Eau Claire, WI
28.5056
26.172620764
Edison, NJ
33.0199
31.323520940
El Centro, CA
26.6950
25.155621060
Elizabethtown, KY
25.6000
24.411321140
Elkhart-Goshen, IN
27.8012
26.409721300
Elmira, NY
24.7620
23.389021340
El Paso, TX
27.3947
25.638321500
Erie, PA
26.1902
24.486921604
Essex County, MA
30.8811
29.520021660
Eugene-Springfield, OR
32.5163
30.545421780
Evansville, IN-KY
26.3862
24.255721820
Fairbanks, AK
32.5975
31.291321940
Fajardo, PR
11.9787
11.231622020
Fargo, ND-MN
24.1964
23.980722140
Farmington, NM
24.7543
23.295522180
Fayetteville, NC
28.0323
26.380622220
Fayetteville-Springdale-Rogers, AR-MO
26.7687
24.643322380
Flagstaff, AZ
34.2142
32.155722420
Flint, MI
32.0203
30.425522500
Florence, SC
25.8070
24.802222520
Florence-Muscle Shoals, AL
23.3021
22.448422540
Fond du Lac, WI
30.7450
28.039822660
Fort Collins-Loveland, CO
27.3774
27.517222744
Fort Lauderdale-Pompano Beach-Deerfield Beach, FL
29.6372
28.540322900
Fort Smith, AR-OK
23.2765
22.741723020
Fort Walton Beach-Crestview-Destin, FL
25.4368
24.469723060
Fort Wayne, IN
27.5263
26.936323104
Fort Worth-Arlington, TX
28.3363
26.713723420
Fresno, CA
32.7702
30.166323460
Gadsden, AL
23.9000
22.477523540
Gainesville, FL
27.9339
26.418823580
Gainesville, GA
27.3618
25.948723844
Gary, IN
27.8634
26.247024020
Glens Falls, NY
25.5656
24.000324140
Goldsboro, NC
27.2105
24.986624220
Grand Forks, ND-MN
23.2018
23.106124300
Grand Junction, CO
28.6313
27.219224340
Grand Rapids-Wyoming, MI
28.3292
26.517824500
Great Falls, MT
25.1796
24.550024540
Greeley, CO
29.6191
27.154224580
Green Bay, WI
28.3855
26.791624660
Greensboro-High Point, NC
26.6351
25.493024780
Greenville, NC
27.6626
26.080924860
Greenville, SC
28.3669
27.159925020
Guayama, PR
09.5930
09.693425060
Gulfport-Biloxi, MS
25.9410
24.777725180
Hagerstown-Martinsburg, MD-WV
27.6180
26.658425260
Hanford-Corcoran, CA
31.0985
28.109825420
Harrisburg-Carlisle, PA
27.7934
26.184625500
Harrisonburg, VA
27.1676
25.738225540
Hartford-West Hartford-East Hartford, CT
32.5306
30.913925620
Hattiesburg, MS
22.5641
21.086125860
Hickory-Lenoir-Morganton, NC
26.6596
25.586325980
1
                                 Hinesville-Fort Stewart, GA26100
Holland-Grand Haven, MI
27.3299
25.9201( print page 59971)26180
Honolulu, HI
32.3512
30.929226300
Hot Springs, AR
26.1802
25.328026380
Houma-Bayou Cane-Thibodaux, A
24.2699
22.160726420
Houston-Sugar Land-Baytown, TX
29.9311
28.106226580
Huntington-Ashland, WV-KY-OH
26.1762
25.974126620
Huntsville, AL
26.5886
25.172426820
Idaho Falls, ID
26.7936
25.731026900
Indianapolis-Carmel, IN
28.9678
27.785426980
Iowa City, IA
28.4615
27.088227060
Ithaca, NY
29.2529
27.468327100
Jackson, MI
28.8148
26.250827140
Jackson, MS
24.3583
23.189927180
Jackson, TN
26.0828
24.897127260
Jacksonville, FL
27.5221
26.266527340
Jacksonville, NC
25.0110
23.384527500
Janesville, WI
29.2614
27.106127620
Jefferson City, MO
25.5406
23.690327740
Johnson City, TN
23.9569
22.613227780
Johnstown, PA
25.3896
23.573527860
Jonesboro, AR
23.2669
22.398027900
Joplin, MO
26.0767
24.337928020
Kalamazoo-Portage, MI
32.0173
29.724728100
Kankakee-Bradley, IL
29.7142
29.306328140
Kansas City, MO-KS
27.7105
26.521828420
Kennewick-Richland-Pasco, WA
29.9252
29.058828660
Killeen-Temple-Fort Hood, TX
26.6669
24.992128700
Kingsport-Bristol-Bristol, TN-VA
24.0550
22.772528740
Kingston, NY
27.9971
25.891628940
Knoxville, TN
24.3875
23.567329020
Kokomo, IN
28.6352
26.421329100
La Crosse, WI-MN
28.2928
26.477329140
Lafayette, IN
26.0274
24.763529180
Lafayette, LA
24.8595
23.433029340
Lake Charles, LA
23.4919
22.109229404
Lake County-Kenosha County, IL-WI
31.5831
29.483229460
Lakeland, FL
26.8539
25.196629540
Lancaster, PA
29.3703
27.604829620
Lansing-East Lansing, MI
29.8547
27.515729700
Laredo, TX
24.3950
23.407729740
Las Cruces, NM
27.0271
24.575629820
Las Vegas-Paradise, NV
33.0567
31.663029940
Lawrence, KS
24.7096
23.806030020
Lawton, OK
25.1598
23.075630140
Lebanon, PA
25.9645
24.426030300
Lewiston, ID-WA
28.6158
26.750430340
Lewiston-Auburn, ME
27.3831
26.277730460
Lexington-Fayette, KY
26.5828
25.528030620
Lima, OH
26.3736
25.586030700
Lincoln, NE
29.5529
28.373030780
Little Rock-North Little Rock, AR
28.7760
25.612230860
Logan, UT-ID
26.8219
25.544730980
Longview, TX
26.2133
24.659231020
Longview, WA
30.3627
27.955731084
Los Angeles-Long Beach-Glendale, CA
34.6534
32.916031140
Louisville-Jefferson County, KY-IN
27.1468
25.743731180
Lubbock, TX
25.3114
24.339131340
Lynchburg, VA
25.5005
24.575231420
Macon, GA
29.0544
27.291731460
Madera, CA
25.2337
24.066431540
Madison, WI
32.1479
29.732031700
Manchester-Nashua, NH
30.3021
29.098431900
Mansfield, OH
27.3884
26.502732420
Mayagu
                                
                                ez, PR
11.2889
11.443832580
McAllen-Edinburg-Mission, TX
26.0769
24.457432780
Medford, OR
31.8958
29.456632820
Memphis, TN-MS-AR
27.5968
26.078332900
Merced, CA
33.8352
30.833333124
Miami-Miami Beach-Kendall, FL
29.1208
27.512433140
Michigan City-La Porte, IN
26.7983
25.9329( print page 59972)33260
Midland, TX
28.2837
26.595033340
Milwaukee-Waukesha-West Allis, WI
30.6139
28.588433460
Minneapolis-St. Paul-Bloomington, MN-WI
31.9723
30.693533540
Missoula, MT
25.7182
25.799833660
Mobile, AL
23.2681
22.109533700
Modesto, CA
34.7979
33.333833740
Monroe, LA
23.9412
22.395433780
Monroe, MI
29.0221
26.878933860
Montgomery, AL
23.5234
23.167034060
Morgantown, WV
25.3671
24.041834100
Morristown, TN
23.6707
22.235434580
Mount Vernon-Anacortes, WA
30.3080
29.150934620
Muncie, IN
24.7233
24.090334740
Muskegon-Norton Shores, MI
29.9638
27.689634820
Myrtle Beach-Conway-North Myrtle Beach, SC
26.3388
25.034434900
Napa, CA
38.3501
35.614634940
Naples-Marco Island, FL
29.9690
28.717134980
Nashville-Davidson—Murfreesboro, TN
29.0906
27.702935004
Nassau-Suffolk, NY
38.4620
36.110635084
Newark-Union, NJ-PA
34.8610
32.982535300
New Haven-Milford, CT
35.7841
33.472935380
New Orleans-Metairie-Kenner, LA
25.6466
24.941235644
New York-White Plains-Wayne, NY-NJ
39.5688
37.216335660
Niles-Benton Harbor, MI
26.4739
24.920135980
Norwich-New London, CT
35.6505
32.760336084
Oakland-Fremont-Hayward, CA
45.7373
43.013936100
Ocala, FL
25.5292
24.944536140
Ocean City, NJ
31.2907
30.239136220
Odessa, TX
29.7647
27.889236260
Ogden-Clearfield, UT
26.8970
25.507036420
Oklahoma City, OK
26.1146
25.067836500
Olympia, WA
32.5051
30.716636540
Omaha-Council Bluffs, NE-IA
27.8702
26.773236740
Orlando-Kissimmee, FL
28.3934
26.876336780
Oshkosh-Neenah, WI
27.0950
25.526936980
Owensboro, KY
26.0440
24.266837100
Oxnard-Thousand Oaks-Ventura, CA
32.9949
31.652937340
Palm Bay-Melbourne-Titusville, FL
28.3087
27.149937460
Panama City-Lynn Haven, FL
24.2006
22.701837620
Parkersburg-Marietta-Vienna, WV-OH
24.0592
23.088337700
Pascagoula, MS
24.1489
22.712037860
Pensacola-Ferry Pass-Brent, FL
23.3305
22.623737900
Peoria, IL
27.0600
25.085737964
Philadelphia, PA
32.6068
30.738338060
Phoenix-Mesa-Scottsdale, AZ
30.0869
28.313138220
Pine Bluff, AR
25.8491
24.408738300
Pittsburgh, PA
25.4077
24.378838340
Pittsfield, MA
30.4071
28.842338540
Pocatello, ID
27.2195
26.227038660
Ponce, PR
13.9714
13.668138860
Portland-South Portland-Biddeford, ME
29.2449
28.299038900
Portland-Vancouver-Beaverton, OR-WA
33.2416
31.585438940
Port St. Lucie-Fort Pierce, FL
29.2554
28.082639100
Poughkeepsie-Newburgh-Middletown, NY
32.5172
31.030139140
Prescott, AZ
28.9051
27.614739300
Providence-New Bedford-Fall River, RI-MA
31.8595
30.480039340
Provo-Orem, UT
28.1069
26.636039380
Pueblo, CO
25.7454
24.338239460
Punta Gorda, FL
28.8128
26.582439540
Racine, WI
28.1129
25.761939580
Raleigh-Cary, NC
28.8272
27.476739660
Rapid City, SD
25.8230
24.871139740
Reading, PA
28.7892
26.787739820
Redding, CA
36.9179
33.963639900
Reno-Sparks, NV
35.9585
31.349640060
Richmond, VA
26.6797
25.830240140
Riverside-San Bernardino-Ontario, CA
31.7977
30.587440220
Roanoke, VA
26.1048
23.963240340
Rochester, MN
33.3258
31.5976( print page 59973)40380
Rochester, NY
26.9944
25.694540420
Rockford, IL
29.7962
27.701840484
Rockingham County-Strafford County, NH
30.0121
28.710640580
Rocky Mount, NC
26.3907
25.051340660
Rome, GA
28.7614
26.185140900
Sacramento—Arden-Arcade—Roseville, CA
38.5069
35.318540980
Saginaw-Saginaw Township North, MI
27.3125
26.300341060
St. Cloud, MN
32.7028
29.210141100
St. George, UT
28.0291
26.575841140
St. Joseph, MO-KS
30.3440
28.033641180
St. Louis, MO-IL
26.6812
25.239741420
Salem, OR
30.4906
29.233141500
Salinas, CA
42.1655
39.221841540
Salisbury, MD
26.2842
25.216741620
Salt Lake City, UT
28.0986
26.606041660
San Angelo, TX
25.1540
23.303241700
San Antonio, TX
26.5240
25.167541740
San Diego-Carlsbad-San Marcos, CA
32.9130
31.580641780
Sandusky, OH
27.4533
25.452241884
San Francisco-San Mateo-Redwood City, CA
45.7224
42.232641900
San Germa
                                
                                n-Cabo Rojo, PR
14.3995
13.691941940
San Jose-Sunnyvale-Santa Clara, CA
45.4409
42.210141980
San Juan-Caguas-Guaynabo, PR
13.1933
12.805442020
San Luis Obispo-Paso Robles, CA
33.0896
31.341442044
Santa Ana-Anaheim-Irvine, CA
33.6565
32.232942060
Santa Barbara-Santa Maria, CA
32.1995
31.105042100
Santa Cruz-Watsonville, CA
44.6455
42.078942140
Santa Fe, NM
32.0477
30.467042220
Santa Rosa-Petaluma, CA
42.4689
38.036042260
Sarasota-Bradenton-Venice, FL
28.8918
27.065742340
Savannah, GA
27.1003
26.203742540
Scranton—Wilkes-Barre, PA
24.5216
23.605842644
Seattle-Bellevue-Everett, WA
33.3915
32.046842680
Sebastian-Vero Beach, FL
29.3162
26.949143100
Sheboygan, WI
27.0944
25.278043300
Sherman-Denison, TX
25.6518
25.889443340
Shreveport-Bossier City, LA
26.2370
24.939343580
Sioux City, IA-NE-SD
26.8716
25.645843620
Sioux Falls, SD
27.7271
26.516443780
South Bend-Mishawaka, IN-MI
29.3973
27.169243900
Spartanburg, SC
26.7923
25.898744060
Spokane, WA
30.9034
29.826344100
Springfield, IL
26.5425
24.631644140
Springfield, MA
30.1291
28.597944180
Springfield, MO
25.4111
23.730544220
Springfield, OH
25.1686
23.932144300
State College, PA
25.6643
23.716444700
Stockton, CA
34.0233
31.239144940
Sumter, SC
24.7899
23.608745060
Syracuse, NY
28.9876
26.957445104
Tacoma, WA
31.7596
30.379145220
Tallahassee, FL
26.5663
24.584345300
Tampa-St. Petersburg-Clearwater, FL
27.2772
25.784645460
Terre Haute, IN
26.1137
23.718045500
Texarkana, TX-Texarkana, AR
24.0237
23.161145780
Toledo, OH
28.0359
26.630145820
Topeka, KS
25.9836
24.827845940
Trenton-Ewing, NJ
32.3220
29.981446060
Tucson, AZ
27.8441
25.649746140
Tulsa, OK
24.6404
23.891346220
Tuscaloosa, AL
25.9777
24.037146340
Tyler, TX
26.4318
25.762646540
Utica-Rome, NY
25.9564
23.757446660
Valdosta, GA
25.1934
24.020546700
Vallejo-Fairfield, CA
43.8674
41.404447020
Victoria, TX
24.9845
23.307147220
Vineland-Millville-Bridgeton, NJ
30.7865
28.765747260
Virginia Beach-Norfolk-Newport News, VA-NC
26.0160
24.789047300
Visalia-Porterville, CA
29.9158
28.2959( print page 59974)47380
Waco, TX
25.9394
23.752447580
Warner Robins, GA
26.1288
24.311347644
Warren-Troy-Farmington Hills, MI
29.9724
28.099947894
Washington-Arlington-Alexandria, DC-VA-MD-WV
32.5489
30.723847940
Waterloo-Cedar Falls, IA
25.4836
24.139848140
Wausau, WI
29.4678
27.337548260
Weirton-Steubenville, WV-OH
23.8928
22.502148300
Wenatchee, WA
30.1956
27.572748424
West Palm Beach-Boca Raton-Boynton Beach, FL
28.2754
27.880148540
Wheeling, WV-OH
21.0012
20.215348620
Wichita, KS
26.7361
25.782548660
Wichita Falls, TX
25.3878
23.558848700
Williamsport, PA
23.9343
23.179748864
Wilmington, DE-MD-NJ
31.3445
30.059648900
Wilmington, NC
28.9725
26.745149020
Winchester, VA-WV
29.8215
28.680949180
Winston-Salem, NC
27.4181
25.792749340
Worcester, MA
32.0147
30.618749420
Yakima, WA
29.1309
28.236649500
Yauco, PR
11.1812
11.824249620
York-Hanover, PA
28.1586
26.171349660
Youngstown-Warren-Boardman, OH-PA
26.0913
24.834849700
Yuba City, CA
31.2174
29.742749740
Yuma, AZ
27.0111
25.46771
                             This area has no average hourly wage because there are no short-term, acute care hospitals in the area.
 Table 3B.—FY 2007 and 3-Year* Average Hourly Wage for Rural Areas by CBSA
[*Based on the sum of the salaries and hours computed for federal FYs 2005, 2006, and 2007.]
CBSA code
Nonurban area
FY 2007 
                                 average  
                                 hourly wage
3-Year 
                                 average  
                                 hourly wage01
Alabama
22.7266
21.236202
Alaska
31.7349
32.069203
Arizona
26.8924
25.020104
Arkansas
22.1322
20.859005
California
33.2165
30.421006
Colorado
26.9566
25.910107
Connecticut
35.5471
33.284108
Delaware
29.2141
27.082210
Florida
25.8957
24.239911
Georgia
23.2040
21.711712
Hawaii
31.5122
29.708013
Idaho
23.7761
22.537914
Illinois
24.7833
23.247115
Indiana
25.3962
24.053816
Iowa
25.5462
23.724617
Kansas
23.7576
22.461018
Kentucky
23.1433
21.787919
Louisiana
22.7152
20.928720
Maine
24.8875
24.442221
Maryland
26.3358
25.632422
Massachusetts 123
Michigan
26.7707
24.896524
Minnesota
27.2664
25.691925
Mississippi
23.1173
21.591626
Missouri
24.0814
22.217827
Montana
25.6649
24.312128
Nebraska
25.6086
24.532729
Nevada
27.2229
25.612230
New Hampshire
32.3754
29.361731
New Jersey 132
New Mexico
24.8330
24.013633
New York
24.7417
23.038234
North Carolina
25.5870
24.037735
North Dakota
21.8478
20.833636
Ohio
25.7486
24.4334( print page 59975)37
Oklahoma
23.2698
21.621138
Oregon
28.8316
27.362139
Pennsylvania
24.6146
23.248640
Puerto Rico 141
Rhode Island 142
South Carolina
25.7744
24.348043
South Dakota
24.6052
23.491944
Tennessee
23.8699
22.275145
Texas
24.3889
22.617346
Utah
24.4689
22.974447
Vermont
28.5315
26.638149
Virginia
24.0216
22.547550
Washington
30.2634
28.797851
West Virginia
22.9916
21.803252
Wisconsin
28.4880
26.568753
Wyoming
26.8294
25.57431
                             All counties in the State or Territory are classified as urban, with the exception of Massachusetts. Massachusetts has area(s) designated as rural. However, no short-term, acute care hospitals are located in the area(s) for FY 2007.
 Table 4A-1.—Wage Index And Capital Geographic Adjustment Factor (GAF) for Urban Areas by CBSA
CBSA code
Urban area (constituent counties)
Wage index
GAF10180
Abilene, TX
0.8380
0.8860Callahan County, TXJones County, TXTaylor County, TX10380
Aguadilla-Isabela-San Sebastián, PR
0.3815
0.5169Aguada Municipio, PRAguadilla Municipio, PRAñasco Municipio, PRIsabela Municipio, PRLares Municipio, PRMoca Municipio, PRRinc≤n Municipio, PRSan Sebastián Municipio10420
2
                                 Akron, OH
0.8683
0.9078Portage County, OHSummit County, OH10500
Albany, GA
0.9056
0.9344Baker County, GADougherty County, GALee County, GATerrell County, GAWorth County, GA10580
Albany-Schenectady-Troy, NY
0.8849
0.9197Albany County, NYRensselaer County, NYSaratoga County, NYSchenectady County, NYSchoharie County, NY10740
Albuquerque, NM
0.9564
0.9699Bernalillo County, NMSandoval County, NMTorrance County, NMValencia County, NM10780
Alexandria, LA
0.7961
0.8554Grant Parish, LARapides Parish, LA10900
Allentown-Bethlehem-Easton, PA-NJ (PA Hospitals)
1.0093
1.0064Warren County, NJCarbon County, PALehigh County, PANorthampton County, PA10900
2
                                 Allentown-Bethlehem-Easton, PA-NJ (NJ Hospitals)
1.1402
1.0940Warren County, NJCarbon County, PA( print page 59976)Lehigh County, PANorthampton County, PA11020
Altoona, PA
0.8538
0.8974Blair County, PA11100
Amarillo, TX
0.9248
0.9479Armstrong County, TXCarson County, TXPotter County, TXRandall County, TX11180
Ames, IA
0.9705
0.9797Story County, IA11260
3
                                 Anchorage, AK
1.1904
1.1268Anchorage Municipality, AKMatanuska-Susitna Borough, AK11300
Anderson, IN
0.8820
0.9176Madison County, IN11340
Anderson, SC
0.8919
0.9246Anderson County, SC11460
3
                                 Ann Arbor, MI
1.0678
1.0459Washtenaw County, MI11500
Anniston-Oxford, AL
0.7997
0.8581Calhoun County, AL11540
2
                                 Appleton, WI
0.9607
0.9729Calumet County, WIOutagamie County, WI11700
Asheville, NC
0.9264
0.9490Buncombe County, NCHaywood County, NCHenderson County, NCMadison County, NC12020
Athens-Clarke County, GA
0.9456
0.9624Clarke County, GAMadison County, GAOconee County, GAOglethorpe County, GA12060
1
                                 Atlanta-Sandy Springs-Marietta, GA
0.9793
0.9858Barrow County, GABartow County, GAButts County, GACarroll County, GACherokee County, GAClayton County, GACobb County, GACoweta County, GADawson County, GADeKalb County, GADouglas County, GAFayette County, GAForsyth County, GAFulton County, GAGwinnett County, GAHaralson County, GAHeard County, GAHenry County, GAJasper County, GALamar County, GAMeriwether County, GANewton County, GAPaulding County, GAPickens County, GAPike County, GARockdale County, GASpalding County, GAWalton County, GA12100
Atlantic City, NJ
1.1692
1.1130Atlantic County, NJ12220
Auburn-Opelika, AL
0.8060
0.8627Lee County, AL12260
Augusta-Richmond County, GA-SC
0.9640
0.9752Burke County, GA( print page 59977)Columbia County, GAMcDuffie County, GARichmond County, GAAiken County, SCEdgefield County, SC12420
1
                                 Austin-Round Rock, TX
0.9328
0.9535Bastrop County, TXCaldwell County, TXHays County, TXTravis County, TXWilliamson County, TX12540
2
                                 Bakersfield, CA
1.1202
1.0808Kern County, CA12580
1
                                 Baltimore-Towson, MD
0.9922
0.9947Anne Arundel County, MDBaltimore County, MDCarroll County, MDHarford County, MDHoward County, MDQueen Anne's County, MDBaltimore City, MD12620
Bangor, ME
0.9612
0.9733Penobscot County, ME12700
Barnstable Town, MA
1.2589
1.1708Barnstable County, MA12940
Baton Rouge, LA
0.8085
0.8645Ascension Parish, LAEast Baton Rouge Parish, LAEast Feliciana Parish, LAIberville Parish, LALivingston Parish, LAPointe Coupee Parish, LASt. Helena Parish, LAWest Baton Rouge Parish, LAWest Feliciana Parish, LA12980
Battle Creek, MI
0.9666
0.9770Calhoun County, MI13020
3
                                 Bay City, MI
1.0080
1.0055Bay County, MI13140
Beaumont-Port Arthur, TX
0.8710
0.9098Hardin County, TXJefferson County, TXOrange County, TX13380
Bellingham, WA
1.0941
1.0635Whatcom County, WA13460
Bend, OR
1.0483
1.0328Deschutes County, OR13644
1
                                 Bethesda-Gaithersburg-Frederick, MD
1.0848
1.0573Frederick County, MDMontgomery County, MD13740
Billings, MT
0.8956
0.9273Carbon County, MTYellowstone County, MT13780
Binghamton, NY
0.8963
0.9278Broome County, NYTioga County, NY13820
1
                                 Birmingham-Hoover, AL
0.8889
0.9225Bibb County, ALBlount County, ALChilton County, ALJefferson County, ALSt. Clair County, ALShelby County, ALWalker County, AL13900
2,3
                                 Bismarck, ND
0.7368
0.8113Burleigh County, NDMorton County, ND13980
Blacksburg-Christiansburg-Radford, VA
0.8214
0.8740Giles County, VAMontgomery County, VA( print page 59978)Pulaski County, VARadford City, VA14020
Bloomington, IN
0.8959
0.9275Greene County, INMonroe County, INOwen County, IN14060
Bloomington-Normal, IL
0.9140
0.9403McLean County, IL14260
Boise City-Nampa, ID
0.9445
0.9617Ada County, IDBoise County, IDCanyon County, IDGem County, IDOwyhee County, ID14484
1
                                 Boston-Quincy, MA
1.1765
1.1177Norfolk County, MAPlymouth County, MASuffolk County, MA14500
Boulder, CO
1.0081
1.0055Boulder County, CO14540
Bowling Green, KY
0.8082
0.8643Edmonson County, KYWarren County, KY14740
Bremerton-Silverdale, WA
1.0867
1.0586Kitsap County, WA14860
Bridgeport-Stamford-Norwalk, CT
1.2746
1.1808Fairfield County, CT15180
Brownsville-Harlingen, TX
0.9731
0.9815Cameron County, TX15260
Brunswick, GA
1.0478
1.0325Brantley County, GAGlynn County, GAMcIntosh County, GA15380
1
                                 Buffalo-Niagara Falls, NY
0.9475
0.9637Erie County, NYNiagara County, NY15500
2
                                 Burlington, NC
0.8629
0.9040Alamance County, NC15540
2
                                 Burlington-South Burlington, VT
0.9622
0.9740Chittenden County, VTFranklin County, VTGrand Isle County, VT15764
1
                                 Cambridge-Newton-Framingham, MA
1.1003
1.0676Middlesex County, MA15804
1,2
                                 Camden, NJ
1.1402
1.0940Burlington County, NJCamden County, NJGloucester County, NJ15940
Canton-Massillon, OH
0.9048
0.9338Carroll County, OHStark County, OH15980
Cape Coral-Fort Myers, FL
0.9460
0.9627Lee County, FL16180
Carson City, NV
0.9903
0.9933Carson City, NV16220
2,3
                                 Casper, WY
0.9199
0.9444Natrona County, WY16300
2,3
                                 Cedar Rapids, IA
0.8803
0.9164Benton County, IAJones County, IALinn County, IA16580
Champaign-Urbana, IL
0.9582
0.9712Champaign County, ILFord County, ILPiatt County, IL16620
Charleston, WV
0.8687
0.9081Boone County, WVClay County, WVKanawha County, WVLincoln County, WV( print page 59979)Putnam County, WV16700
Charleston-North Charleston, SC
0.9197
0.9443Berkeley County, SCCharleston County, SCDorchester County, SC16740
1
                                 Charlotte-Gastonia-Concord, NC-SC
0.9413
0.9594Anson County, NCCabarrus County, NCGaston County, NCMecklenburg County, NCUnion County, NCYork County, SC16820
Charlottesville, VA
1.0039
1.0027Albemarle County, VAFluvanna County, VAGreene County, VANelson County, VACharlottesville City, VA16860
Chattanooga, TN-GA
0.8948
0.9267Catoosa County, GADade County, GAWalker County, GAHamilton County, TNMarion County, TNSequatchie County, TN16940
2,3
                                 Cheyenne, WY
0.9199
0.9444Laramie County, WY16974
1
                                 Chicago-Naperville-Joliet, IL
1.0670
1.0454Cook County, ILDeKalb County, ILDuPage County, ILGrundy County, ILKane County, ILKendall County, ILMcHenry County, ILWill County, IL17020
2
                                 Chico, CA
1.1202
1.0808Butte County, CA17140
1
                                 Cincinnati-Middletown, OH-KY-IN
0.9522
0.9670Dearborn County, INFranklin County, INOhio County, INBoone County, KYBracken County, KYCampbell County, KYGallatin County, KYGrant County, KYKenton County, KYPendleton County, KYBrown County, OHButler County, OHClermont County, OHHamilton County, OHWarren County, OH17300
Clarksville, TN-KY
0.8420
0.8889Christian County, KYTrigg County, KYMontgomery County, TNStewart County, TN17420
Cleveland, TN
0.8222
0.8745Bradley County, TNPolk County, TN17460
1
                                 Cleveland-Elyria-Mentor, OH
0.9396
0.9582Cuyahoga County, OHGeauga County, OHLake County, OHLorain County, OHMedina County, OH17660
Coeur d'Alene, ID
0.9227
0.9464Kootenai County, ID( print page 59980)17780
College Station-Bryan, TX
0.8903
0.9235Brazos County, TXBurleson County, TXRobertson County, TX17820
Colorado Springs, CO
0.9475
0.9637El Paso County, COTeller County, CO17860
Columbia, MO
0.8456
0.8915Boone County, MOHoward County, MO17900
Columbia, SC
0.8942
0.9263Calhoun County, SCFairfield County, SCKershaw County, SCLexington County, SCRichland County, SCSaluda County, SC17980
Columbus, GA-AL
0.8530
0.8968Russell County, ALChattahoochee County, GAHarris County, GAMarion County, GAMuscogee County, GA18020
Columbus, IN
0.9445
0.9617Bartholomew County, IN18140
1
                                 Columbus, OH
1.0076
1.0052Delaware County, OHFairfield County, OHFranklin County, OHLicking County, OHMadison County, OHMorrow County, OHPickaway County, OHUnion County, OH18580
Corpus Christi, TX
0.8438
0.8902Aransas County, TXNueces County, TXSan Patricio County, TX18700
Corvallis, OR
1.1334
1.0895Benton County, OR19060
2
                                 Cumberland, MD-WV (MD Hospitals)
0.8881
0.9219Allegany County, MDMineral County, WV19060
Cumberland, MD-WV (WV Hospitals)
0.8151
0.8694Allegany County, MDMineral County, WV19124
1
                                 Dallas-Plano-Irving, TX
0.9977
0.9984Collin County,  TXDallas County, TXDelta County, TXDenton County, TXEllis County, TXHunt County, TXKaufman County, TXRockwall County, TX19140
Dalton, GA
0.8955
0.9272Murray County, GAWhitfield County, GA19180
Danville, IL
0.9554
0.9692Vermilion County, IL19260
Danville, VA
0.8499
0.8946Pittsylvania County, VADanville City, VA19340
Davenport-Moline-Rock Island, IA-IL
0.8836
0.9187Henry County, ILMercer County, ILRock Island County, ILScott County, IA19380
Dayton, OH
0.9185
0.9434Greene County, OH( print page 59981)Miami County, OHMontgomery County, OHPreble County, OH19460
Decatur, AL
0.8065
0.8631Lawrence County, ALMorgan County, AL19500
2
                                 Decatur, IL
0.8358
0.8844Macon County, IL19660
Deltona-Daytona Beach-Ormond Beach, FL
0.9203
0.9447Volusia County, FL19740
1
                                 Denver-Aurora, CO
1.0719
1.0487Adams County, COArapahoe County, COBroomfield County, COClear Creek County, CODenver County, CODouglas County, COElbert County, COGilpin County, COJefferson County, COPark County, CO19780
Des Moines-West Des Moines, IA
0.9170
0.9424Dallas County, IAGuthrie County, IAMadison County, IAPolk County, IAWarren County, IA19804
1,3
                                 Detroit-Livonia-Dearborn, MI
1.0381
1.0259Wayne County, MI20020
Dothan, AL
0.7664
0.8334Geneva County, ALHenry County, ALHouston County, AL20100
Dover, DE
1.0154
1.0105Kent County, DE20220
Dubuque, IA
0.8994
0.9300Dubuque County, IA20260
Duluth, MN-WI
1.0285
1.0194Carlton County, MNSt. Louis County, MNDouglas County, WI20500
Durham, NC
0.9677
0.9778Chatham County, NCDurham County, NCOrange County, NCPerson County, NC20740
Eau Claire, WI
0.9613
0.9733Chippewa County, WIEau Claire County, WI20764
1,2
                                 Edison, NJ
1.1402
1.0940Middlesex County, NJMonmouth County, NJOcean County, NJSomerset County, NJ20940
2
                                 El Centro, CA
1.1202
1.0808Imperial County, CA21060
Elizabethtown, KY
0.8633
0.9042Hardin County, KYLarue County, KY21140
Elkhart-Goshen, IN
0.9376
0.9568Elkhart County, IN21300
2
                                 Elmira, NY
0.8430
0.8896Chemung County, NY21340
El Paso, TX
0.9238
0.9472El Paso County, TX21500
Erie, PA
0.8832
0.9185Erie County, PA21604
2
                                 Essex County, MA
1.0757
1.0512Essex County, MA21660
3
                                 Eugene-Springfield, OR
1.0966
1.0652( print page 59982)Lane County, OR21780
Evansville, IN-KY
0.8898
0.9232Gibson County, INPosey County, INVanderburgh County, INWarrick County, INHenderson County, KYWebster County, KY21820
Fairbanks, AK
1.0993
1.0670Fairbanks North Star Borough, AK21940
Fajardo, PR
0.4040
0.5376Ceiba Municipio, PRFajardo Municipio, PRLuquillo Municipio, PR22020
3
                                 Fargo, ND-MN (ND Hospitals)
0.8367
0.8851Clay County, MNCass County, ND22020
2,3
                                 Fargo, ND-MN (MN Hospitals)
0.9195
0.9441Clay County, MNCass County, ND22140
2
                                 Farmington, NM
0.8375
0.8856San Juan County, NM22180
Fayetteville, NC
0.9453
0.9622Cumberland County, NCHoke County, NC22220
Fayetteville-Springdale-Rogers, AR-MO
0.9027
0.9323Benton County, ARMadison County, ARWashington County, ARMcDonald County, MO22380
Flagstaff, AZ
1.1538
1.1029Coconino County, AZ22420
Flint, MI
1.0798
1.0540Genesee County, MI22500
Florence, SC
0.8703
0.9093Darlington County, SCFlorence County, SC22520
Florence-Muscle Shoals, AL
0.7876
0.8492Colbert County, ALLauderdale County, AL22540
Fond du Lac, WI
1.0368
1.0251Fond du Lac County, WI22660
Fort Collins-Loveland, CO
0.9233
0.9468Larimer County, CO22744
1
                                 Fort Lauderdale-Pompano Beach-Deerfield Beach, FL
1.0320
1.0218Broward County, FL22900
Fort Smith, AR-OK
0.7850
0.8472Crawford County, ARFranklin County, ARSebastian County, ARLe Flore County, OKSequoyah County, OK23020
2
                                 Fort Walton Beach-Crestview-Destin, FL
0.8733
0.9114Okaloosa County, FL23060
Fort Wayne, IN
0.9283
0.9503Allen County, INWells County, INWhitley County, IN23104
1
                                 Fort Worth-Arlington, TX
0.9556
0.9694Johnson County, TXParker County, TXTarrant County, TXWise County, TX23420
2
                                 Fresno, CA
1.1202
1.0808Fresno County, CA23460
Gadsden, AL
0.8060
0.8627Etowah County, AL23540
Gainesville, FL
0.9420
0.9599Alachua County, FLGilchrist County, FL( print page 59983)23580
Gainesville, GA
0.9227
0.9464Hall County, GA23844
Gary, IN
0.9397
0.9583Jasper County, INLake County, INNewton County, INPorter County, IN24020
Glens Falls, NY
0.8622
0.9035Warren County, NYWashington County, NY24140
Goldsboro, NC
0.9176
0.9428Wayne County, NC24220
3
                                 Grand Forks, ND-MN (ND Hospitals)
0.7824
0.8453Polk County, MNGrand Forks County, ND24220
2,3
                                 Grand Forks, ND-MN (MN Hospitals)
0.9195
0.9441Polk County, MNGrand Forks County, ND24300
3
                                 Grand Junction, CO
0.9655
0.9762Mesa County, CO24340
Grand Rapids-Wyoming, MI
0.9554
0.9692Barry County, MIIonia County, MIKent County, MINewaygo County, MI24500
Great Falls, MT
0.8747
0.9124Cascade County, MT24540
Greeley, CO
0.9989
0.9992Weld County, CO24580
2
                                 Green Bay, WI
0.9607
0.9729Brown County, WIKewaunee County, WIOconto County, WI24660
Greensboro-High Point, NC
0.8982
0.9291Guilford County, NCRandolph County, NCRockingham County, NC24780
Greenville, NC
0.9329
0.9535Greene County, NCPitt County, NC24860
Greenville, SC
0.9566
0.9701Greenville County, SCLaurens County, SCPickens County, SC25020
Guayama, PR
0.3235
0.4617Arroyo Municipio, PRGuayama Municipio, PRPatillas Municipio, PR25060
Gulfport-Biloxi, MS
0.8748
0.9125Hancock County, MSHarrison County, MSStone County, MS25180
Hagerstown-Martinsburg, MD-WV
0.9314
0.9525Washington County, MDBerkeley County, WVMorgan County, WV25260
2
                                 Hanford-Corcoran, CA
1.1202
1.0808Kings County, CA25420
Harrisburg-Carlisle, PA
0.9373
0.9566Cumberland County, PADauphin County, PAPerry County, PA25500
Harrisonburg, VA
0.9162
0.9418Rockingham County, VAHarrisonburg City, VA25540
1,2
                                 Hartford-West Hartford-East Hartford, CT
1.1988
1.1322Hartford County, CTLitchfield County, CTMiddlesex County, CTTolland County, CT( print page 59984)25620
2
                                 Hattiesburg, MS
0.7796
0.8432Forrest County, MSLamar County, MSPerry County, MS25860
Hickory-Lenoir-Morganton, NC
0.8991
0.9298Alexander County, NCBurke County, NCCaldwell County, NCCatawba County, NC25980
Hinesville-Fort Stewart, GA
0.7825
0.8454Liberty County, GALong County, GA26100
Holland-Grand Haven, MI
0.9217
0.9457Ottawa County, MI26180
Honolulu, HI
1.0911
1.0615Honolulu County, HI26300
Hot Springs, AR
0.8829
0.9182Garland County, AR26380
Houma-Bayou Cane-Thibodaux, LA
0.8185
0.8718Lafourche Parish, LATerrebonne Parish, LA26420
1
                                 Houston-Sugar Land-Baytown, TX
1.0094
1.0064Austin County, TXBrazoria County, TXChambers County, TXFort Bend County, TXGalveston County, TXHarris County, TXLiberty County, TXMontgomery County, TXSan Jacinto County, TXWaller County, TX26580
Huntington-Ashland, WV-KY-OH
0.8828
0.9182Boyd County, KYGreenup County, KYLawrence County, OHCabell County, WVWayne County, WV26620
Huntsville, AL
0.8967
0.9281Limestone County, ALMadison County, AL26820
3
                                 Idaho Falls, ID
0.9036
0.9329Bonneville County, IDJefferson County, ID26900
1
                                 Indianapolis-Carmel, IN
0.9769
0.9841Boone County, INBrown County, INHamilton County, INHancock County, INHendricks County, INJohnson County, INMarion County, INMorgan County, INPutnam County, INShelby County, IN26980
Iowa City, IA
0.9598
0.9723Johnson County, IAWashington County, IA27060
Ithaca, NY
0.9865
0.9907Tompkins County, NY27100
Jackson, MI
0.9717
0.9805Jackson County, MI27140
Jackson, MS
0.8214
0.8740Copiah County, MSHinds County, MSMadison County, MSRankin County, MSSimpson County, MS27180
Jackson, TN
0.8796
0.9159Chester County, TN( print page 59985)Madison County, TN27260
1
                                 Jacksonville, FL
0.9281
0.9502Baker County, FLClay County, FLDuval County, FLNassau County, FLSt. Johns County, FL27340
2
                                 Jacksonville, NC
0.8629
0.9040Onslow County, NC27500
Janesville, WI
0.9868
0.9909Rock County, WI27620
Jefferson City, MO
0.8613
0.9028Callaway County, MOCole County, MOMoniteau County, MOOsage County, MO27740
2
                                 Johnson City, TN
0.8122
0.8672Carter County, TNUnicoi County, TNWashington County, TN27780
Johnstown, PA
0.8562
0.8991Cambria County, PA27860
Jonesboro, AR
0.8345
0.8835Craighead County, ARPoinsett County, AR27900
Joplin, MO
0.8794
0.9158Jasper County, MONewton County, MO28020
Kalamazoo-Portage, MI
1.0797
1.0539Kalamazoo County, MIVan Buren County, MI28100
Kankakee-Bradley, IL
1.0021
1.0014Kankakee County, IL28140
1
                                 Kansas City, MO-KS
0.9345
0.9547Franklin County, KSJohnson County, KSLeavenworth County, KSLinn County, KSMiami County, KSWyandotte County, KSBates County, MOCaldwell County, MOCass County, MOClay County, MOClinton County, MOJackson County, MOLafayette County, MOPlatte County, MORay County, MO28420
2
                                 Kennewick-Richland-Pasco, WA
1.0206
1.0141Benton County, WAFranklin County, WA28660
Killeen-Temple-Fort Hood, TX
0.8993
0.9299Bell County, TXCoryell County, TXLampasas County, TX28700
Kingsport-Bristol-Bristol, TN-VA
0.8215
0.8740Hawkins County, TNSullivan County, TNBristol City, VAScott County, VAWashington County, VA28740
Kingston, NY
0.9442
0.9614Ulster County, NY28940
Knoxville, TN
0.8227
0.8749Anderson County, TNBlount County, TNKnox County, TNLoudon County, TNUnion County, TN( print page 59986)29020
Kokomo, IN
0.9657
0.9764Howard County, INTipton County, IN29100
2
                                 La Crosse, WI-MN (WI Hospitals)
0.9607
0.9683Houston County, MNLa Crosse County, WI29100
La Crosse, WI-MN (MN Hospitals)
0.9541
0.9729Houston County, MNLa Crosse County, WI29140
Lafayette, IN
0.8777
0.9145Benton County, INCarroll County, INTippecanoe County, IN29180
Lafayette, LA
0.8408
0.8880Lafayette Parish, LASt. Martin Parish, LA29340
Lake Charles, LA
0.7922
0.8526Calcasieu Parish, LACameron Parish, LA29404
Lake County-Kenosha County, IL-WI
1.0651
1.0441Lake County, ILKenosha County, WI29460
Lakeland, FL
0.9056
0.9344Polk County, FL29540
Lancaster, PA
0.9942
0.9960Lancaster County, PA29620
Lansing-East Lansing, MI
1.0068
1.0047Clinton County, MIEaton County, MIIngham County, MI29700
Laredo, TX
0.8227
0.8749Webb County, TX29740
Las Cruces, NM
0.9124
0.9391Dona Ana County, NM29820
1
                                 Las Vegas-Paradise, NV
1.1148
1.0773Clark County, NV29940
Lawrence, KS
0.8333
0.8826Douglas County, KS30020
Lawton, OK
8485
0.8936Comanche County, OK 0.30140
Lebanon, PA
0.8756
0.9130Lebanon County, PA30300
Lewiston, ID-WA (ID Hospitals)
0.9650
0.9759Nez Perce County, IDAsotin County, WA30300
2
                                 Lewiston, ID-WA (WA Hospitals)
1.0206
1.0141Nez Perce County, IDAsotin County, WA30340
Lewiston-Auburn, ME
0.9235
0.9470Androscoggin County, ME30460
Lexington-Fayette, KY
0.8965
0.9279Bourbon County, KYClark County, KYFayette County, KYJessamine County, KYScott County, KYWoodford County, KY30620
Lima, OH
0.8925
0.9251Allen County, OH30700
Lincoln, NE
0.9966
0.9977Lancaster County, NESeward County, NE30780
Little Rock-North Little Rock, AR
0.9704
0.9796Faulkner County, ARGrant County, ARLonoke County, ARPerry County, ARPulaski County, ARSaline County, AR30860
Logan, UT-ID
0.9045
0.9336( print page 59987)Franklin County, IDCache County, UT30980
Longview, TX
0.8946
0.9266Gregg County, TXRusk County, TXUpshur County, TX31020
Longview, WA
1.0239
1.0163Cowlitz County, WA31084
1,3
                                 Los Angeles-Long Beach-Glendale, CA
1.1686
1.1126Los Angeles County, CA31140
1
                                 Louisville-Jefferson County, KY-IN
0.9155
0.9413Clark County, INFloyd County, INHarrison County, INWashington County, INBullitt County, KYHenry County, KYJefferson County, KYMeade County, KYNelson County, KYOldham County, KYShelby County, KYSpencer County, KYTrimble County, KY31180
Lubbock, TX
0.8536
0.8973Crosby County, TXLubbock County, TX31340
Lynchburg, VA
0.8600
0.9019Amherst County, VAAppomattox County, VABedford County, VACampbell County, VABedford City, VALynchburg City, VA31420
Macon, GA
0.9798
0.9861Bibb County, GACrawford County, GAJones County, GAMonroe County, GATwiggs County, GA31460
2
                                 Madera, CA
1.1202
1.0808Madera County, CA31540
Madison, WI
1.0841
1.0569Columbia County, WIDane County, WIIowa County, WI31700
2
                                 Manchester-Nashua, NH
1.1732
1.1156Hillsborough County, NHMerrimack County, NH31900
Mansfield, OH
0.9236
0.9470Richland County, OH32420
Mayagüez, PR
0.3807
0.5162Hormigueros Municipio, PRMayagüez Municipio, PR32580
McAllen-Edinburg-Mission, TX
0.8794
0.9158Hidalgo County, TX32780
Medford, OR
1.0756
1.0512Jackson County, OR32820
1
                                 Memphis, TN-MS-AR
0.9307
0.9520Crittenden County, ARDeSoto County, MSMarshall County, MSTate County, MSTunica County, MSFayette County, TNShelby County, TNTipton County, TN32900
Merced, CA
1.1410
1.0945Merced County, CA33124
1
                                 Miami-Miami Beach-Kendall, FL
0.9821
0.9877( print page 59988)Miami-Dade County, FL33140
Michigan City-La Porte, IN
0.9037
0.9330LaPorte County, IN33260
Midland, TX
0.9538
0.9681Midland County, TX33340
1
                                 Milwaukee-Waukesha-West Allis, WI
1.0324
1.0221Milwaukee County, WIOzaukee County, WIWashington County, WIWaukesha County, WI33460
1
                                 Minneapolis-St. Paul-Bloomington, MN-WI
1.0782
1.0529Anoka County, MNCarver County, MNChisago County, MNDakota County, MNHennepin County, MNIsanti County, MNRamsey County, MNScott County, MNSherburne County, MNWashington County, MNWright County, MNPierce County, WISt. Croix County, WI33540
Missoula, MT
0.8783
0.9150Missoula County, MT33660
Mobile, AL
0.7847
0.8470Mobile County, AL33700
Modesto, CA
1.1735
1.1158Stanislaus County, CA33740
Monroe, LA
0.8074
0.8637Ouachita Parish, LAUnion Parish, LA33780
Monroe, MI
0.9787
0.9854Monroe County, MI33860
Montgomery, AL
0.7933
0.8534Autauga County, ALElmore County, ALLowndes County, ALMontgomery County, AL34060
Morgantown, WV
0.8555
0.8986Monongalia County, WVPreston County, WV34100
2
                                 Morristown, TN
0.8122
0.8672Grainger County, TNHamblen County, TNJefferson County, TN34580
Mount Vernon-Anacortes, WA
1.0221
1.0151Skagit County, WA34620
2
                                 Muncie, IN
0.8564
0.8993Delaware County, IN34740
3
                                 Muskegon-Norton Shores, MI
1.0105
1.0072Muskegon County, MI34820
Myrtle Beach-Conway-North Myrtle Beach, SC
0.8882
0.9220Horry County, SC34900
Napa, CA
1.2933
1.1926Napa County, CA34940
Naples-Marco Island, FL
1.0107
1.0073Collier County, FL34980
1
                                 Nashville-Davidson—Murfreesboro, TN
0.9810
0.9869Cannon County, TNCheatham County, TNDavidson County, TNDickson County, TNHickman County, TNMacon County, TNRobertson County, TNRutherford County, TNSmith County, TNSumner County, TN( print page 59989)Trousdale County, TNWilliamson County, TNWilson County, TN35004
1,3
                                 Nassau-Suffolk, NY
1.2971
1.1950Nassau County, NYSuffolk County, NY35084
1
                                 Newark-Union, NJ-PA
1.1756
1.1172Essex County, NJHunterdon County, NJMorris County, NJSussex County, NJUnion County, NJPike County, PA35300
3
                                 New Haven-Milford, CT
1.2068
1.1374New Haven County, CT35380
1
                                 New Orleans-Metairie-Kenner, LA
0.8649
0.9054Jefferson Parish, LAOrleans Parish, LAPlaquemines Parish, LASt. Bernard Parish, LASt. Charles Parish, LASt. John the Baptist Parish, LASt. Tammany Parish, LA35644
1,3
                                 New York-White Plains-Wayne, NY-NJ
1.3344
1.2184Bergen County, NJHudson County, NJPassaic County, NJBronx County, NYKings County, NYNew York County, NYPutnam County, NYQueens County, NYRichmond County, NYRockland County, NYWestchester County, NY35660
2
                                 Niles-Benton Harbor, MI
0.9028
0.9324Berrien County, MI35980
Norwich-New London, CT
1.2031
1.1350New London County, CT36084
1
                                 Oakland-Fremont-Hayward, CA
1.5617
1.3570Alameda County, CAContra Costa County, CA36100
2
                                 Ocala, FL
0.8733
0.9114Marion County, FL36140
2
                                 Ocean City, NJ
1.1402
1.0940Cape May County, NJ36220
Odessa, TX
1.0038
1.0026Ector County, TX36260
Ogden-Clearfield, UT
0.9080
0.9360Davis County, UTMorgan County, UTWeber County, UT36420
1
                                 Oklahoma City, OK
0.8807
0.9167Canadian County, OKCleveland County, OKGrady County, OKLincoln County, OKLogan County, OKMcClain County, OKOklahoma County, OK36500
Olympia, WA
1.0962
1.0649Thurston County, WA36540
Omaha-Council Bluffs, NE-IA
0.9399
0.9584Harrison County, IAMills County, IAPottawattamie County, IACass County, NEDouglas County, NESarpy County, NESaunders County, NE( print page 59990)Washington County, NE36740
1
                                 Orlando-Kissimmee, FL
0.9575
0.9707Lake County, FLOrange County, FLOsceola County, FLSeminole County, FL36780
2
                                 Oshkosh-Neenah, WI
0.9607
0.9729Winnebago County, WI36980
Owensboro, KY
0.8783
0.9150Daviess County, KYHancock County, KYMcLean County, KY37100
2
                                 Oxnard-Thousand Oaks-Ventura, CA
1.1202
1.0808Ventura County, CA37340
Palm Bay-Melbourne-Titusville, FL
0.9547
0.9688Brevard County, FL37460
2
                                 Panama City-Lynn Haven, FL
0.8733
0.9114Bay County, FL37620
Parkersburg-Marietta-Vienna, WV-OH (WV Hospitals)
0.8114
0.8667Washington County, OHPleasants County, WVWirt County, WVWood County, WV37620
2
                                 Parkersburg-Marietta-Vienna, WV-OH (OH Hospitals)
0.8683
0.9078Washington County, OHPleasants County, WVWirt County, WVWood County, WV37700
Pascagoula, MS
0.8144
0.8688George County, MSJackson County, MS37860
2
                                 Pensacola-Ferry Pass-Brent, FL
0.8733
0.9114Escambia County, FLSanta Rosa County, FL37900
Peoria, IL
0.9126
0.9393Marshall County, ILPeoria County, ILStark County, ILTazewell County, ILWoodford County, IL37964
1
                                 Philadelphia, PA
1.0996
1.0672Bucks County, PAChester County, PADelaware County, PAMontgomery County, PAPhiladelphia County, PA38060
1
                                 Phoenix-Mesa-Scottsdale, AZ
1.0146
1.0100Maricopa County, AZPinal County, AZ38220
Pine Bluff, AR
0.8717
0.9103Cleveland County, ARJefferson County, ARLincoln County, AR38300
1
                                 Pittsburgh, PA
0.8568
0.8996Allegheny County, PAArmstrong County, PABeaver County, PAButler County, PAFayette County, PAWashington County, PAWestmoreland County, PA38340
2
                                 Pittsfield, MA
1.0757
1.0512Berkshire County, MA38540
Pocatello, ID
0.9204
0.9448Bannock County, IDPower County, ID38660
Ponce, PR
0.4712
0.5973Juana Díaz Municipio, PRPonce Municipio, PRVillalba Municipio, PR( print page 59991)38860
Portland-South Portland-Biddeford, ME
0.9862
0.9905Cumberland County, MESagadahoc County, MEYork County, ME38900
1
                                 Portland-Vancouver-Beaverton, OR-WA
1.1210
1.0814Clackamas County, ORColumbia County, ORMultnomah County, ORWashington County, ORYamhill County, ORClark County, WASkamania County, WA38940
Port St. Lucie-Fort Pierce, FL
0.9906
0.9936Martin County, FLSt. Lucie County, FL39100
Poughkeepsie-Newburgh-Middletown, NY
1.0966
1.0652Dutchess County, NYOrange County, NY39140
Prescott, AZ
0.9748
0.9827Yavapai County, AZ39300
1,2
                                 Providence-New Bedford-Fall River, RI-MA (RI Hospitals)
1.0744
1.0504Bristol County, MABristol County, RIKent County, RINewport County, RIProvidence County, RIWashington County, RI39300
1,2
                                 Providence-New Bedford-Fall River, RI-MA (MA Hospitals)
1.0757
1.0512Bristol County, MABristol County, RIKent County, RINewport County, RIProvidence County, RIWashington County, RI39340
Provo-Orem, UT
0.9479
0.9640Juab County, UTUtah County, UT39380
2
                                 Pueblo, CO
0.9091
0.9368Pueblo County, CO39460
Punta Gorda, FL
0.9717
0.9805Charlotte County, FL39540
2
                                 Racine, WI
0.9607
0.9729Racine County, WI39580
Raleigh-Cary, NC
0.9722
0.9809Franklin County, NCJohnston County, NCWake County, NC39660
Rapid City, SD
0.8708
0.9096Meade County, SDPennington County, SD39740
Reading, PA
0.9709
0.9800Berks County, PA39820
Redding, CA
1.2450
1.1619Shasta County, CA39900
Reno-Sparks, NV
1.2126
1.1411Storey County, NVWashoe County, NV40060
1
                                 Richmond, VA
0.8997
0.9302Amelia County, VACaroline County, VACharles City County, VAChesterfield County, VACumberland County, VADinwiddie County, VAGoochland County, VAHanover County, VAHenrico County, VAKing and Queen County, VAKing William County, VALouisa County, VA( print page 59992)New Kent County, VAPowhatan County, VAPrince George County, VASussex County, VAColonial Heights City, VAHopewell City, VAPetersburg City, VARichmond City, VA40140
1,2
                                 Riverside-San Bernardino-Ontario, CA
1.1202
1.0808Riverside County, CASan Bernardino County, CA40220
Roanoke, VA
0.8803
0.9164Botetourt County, VACraig County, VAFranklin County, VARoanoke County, VARoanoke City, VASalem City, VA40340
Rochester, MN
1.1239
1.0833Dodge County, MNOlmsted County, MNWabasha County, MN40380
1
                                 Rochester, NY
0.9103
0.9377Livingston County, NYMonroe County, NYOntario County, NYOrleans County, NYWayne County, NY40420
Rockford, IL
1.0048
1.0033Boone County, ILWinnebago County, IL40484
2
                                 Rockingham County-Strafford County, NH
1.1732
1.1156Rockingham County, NHStrafford County, NH40580
Rocky Mount, NC
0.8900
0.9233Edgecombe County, NCNash County, NC40660
Rome, GA
0.9699
0.9793Floyd County, GA40900
1
                                 Sacramento—Arden-Arcade—Roseville, CA
1.2986
1.1959El Dorado County, CAPlacer County, CASacramento County, CAYolo County, CA40980
Saginaw-Saginaw Township North, MI
0.9211
0.9453Saginaw County, MI41060
St. Cloud, MN
1.1029
1.0694Benton County, MNStearns County, MN41100
St. George, UT
0.9452
0.9621Washington County, UT41140
St. Joseph, MO-KS
1.0233
1.0159Doniphan County, KSAndrew County, MOBuchanan County, MODeKalb County, MO41180
St. Louis, MO-IL
0.8998
0.9302Bond County, ILCalhoun County, ILClinton County, ILJersey County, ILMacoupin County, ILMadison County, ILMonroe County, ILSt. Clair County, ILCrawford County, MOFranklin County, MOJefferson County, MOLincoln County, MOSt. Charles County, MO( print page 59993)St. Louis County, MOWarren County, MOWashington County, MOSt. Louis City, MO41420
Salem, OR
1.0283
1.0193Marion County, ORPolk County, OR41500
Salinas, CA
1.4220
1.2726Monterey County, CA41540
2
                                 Salisbury, MD
0.8881
0.9219Somerset County, MDWicomico County, MD41620
Salt Lake City, UT
0.9476
0.9638Salt Lake County, UTSummit County, UTTooele County, UT41660
San Angelo, TX
0.8483
0.8935Irion County, TXTom Green County, TX41700
1
                                 San Antonio, TX
0.8945
0.9265Atascosa County, TXBandera County, TXBexar County, TXComal County, TXGuadalupe County, TXKendall County, TXMedina County, TXWilson County, TX41740
1,2
                                 San Diego-Carlsbad-San Marcos, CA
1.1202
1.0808San Diego County, CA41780
Sandusky, OH
0.9258
0.9486Erie County, OH41884
1
                                 San Francisco-San Mateo-Redwood City, CA
1.5419
1.3452Marin County, CASan Francisco County, CASan Mateo County, CA41900
San Germán-Cabo Rojo, PR
0.4856
0.6098Cabo Rojo Municipio, PRLajas Municipio, PRSabana Grande Municipio, PRSan Germán Municipio, PR41940
1
                                 San Jose-Sunnyvale-Santa Clara, CA
1.5324
1.3395San Benito County, CASanta Clara County, CA41980
1
                                 San Juan-Caguas-Guaynabo, PR
0.4449
0.5743Aguas Buenas Municipio, PRAibonito Municipio, PRArecibo Municipio, PRBarceloneta Municipio, PRBarranquitas Municipio, PRBayamón Municipio, PRCaguas Municipio, PRCamuy Municipio, PRCanóvanas Municipio, PRCarolina Municipio, PRCataño Municipio, PRCayey Municipio, PRCiales Municipio, PRCidra Municipio, PRComerío Municipio, PRCorozal Municipio, PRDorado Municipio, PRFlorida Municipio, PRGuaynabo Municipio, PRGurabo Municipio, PRHatillo Municipio, PRHumacao Municipio, PRJuncos Municipio, PRLas Piedras Municipio, PRLoíza Municipio, PR( print page 59994)Manatí Municipio, PRMaunabo Municipio, PRMorovis Municipio, PRNaguabo Municipio, PRNaranjito Municipio, PROrocovis Municipio, PRQuebradillas Municipio, PRRío Grande Municipio, PRSan Juan Municipio, PRSan Lorenzo Municipio, PRToa Alta Municipio, PRToa Baja Municipio, PRTrujillo Alto Municipio, PRVega Alta Municipio, PRVega Baja Municipio, PRYabucoa Municipio, PR42020
2
                                 San Luis Obispo-Paso Robles, CA
1.1202
1.0808San Luis Obispo County, CA42044
1
                                 Santa Ana-Anaheim-Irvine, CA
1.1350
1.0906Orange County, CA42060
2
                                 Santa Barbara-Santa Maria, CA
1.1202
1.0808Santa Barbara County, CA42100
Santa Cruz-Watsonville, CA
1.5056
1.3234Santa Cruz County, CA42140
Santa Fe, NM
1.0808
1.0547Santa Fe County, NM42220
Santa Rosa-Petaluma, CA
1.4322
1.2789Sonoma County, CA42260
Sarasota-Bradenton-Venice, FL
0.9743
0.9823Manatee County, FLSarasota County, FL42340
Savannah, GA
0.9139
0.9402Bryan County, GAChatham County, GAEffingham County, GA42540
2
                                 Scranton—Wilkes-Barre, PA
0.8301
0.8803Lackawanna County, PALuzerne County, PAWyoming County, PA42644
1
                                 Seattle-Bellevue-Everett, WA
1.1261
1.0847King County, WASnohomish County, WA42680
Sebastian-Vero Beach, FL
0.9886
0.9922Indian River County, FL43100
2
                                 Sheboygan, WI
0.9607
0.9729Sheboygan County, WI43300
Sherman-Denison, TX
0.8651
0.9055Grayson County, TX43340
Shreveport-Bossier City, LA
0.8848
0.9196Bossier Parish, LACaddo Parish, LADe Soto Parish, LA43580
Sioux City, IA-NE-SD
0.9062
0.9348Woodbury County, IADakota County, NEDixon County, NEUnion County, SD43620
Sioux Falls, SD
0.9351
0.9551Lincoln County, SDMcCook County, SDMinnehaha County, SDTurner County, SD43780
South Bend-Mishawaka, IN-MI
0.9914
0.9941St. Joseph County, INCass County, MI43900
Spartanburg, SC
0.9072
0.9355Spartanburg County, SC44060
Spokane, WA
1.0422
1.0287Spokane County, WA44100
Springfield, IL
0.8951
0.9269( print page 59995)Menard County, ILSangamon County, IL44140
2
                                 Springfield, MA
1.0757
1.0512Franklin County, MAHampden County, MAHampshire County, MA44180
Springfield, MO
0.8570
0.8997Christian County, MODallas County, MOGreene County, MOPolk County, MOWebster County, MO44220
2
                                 Springfield, OH
0.8683
0.9078Clark County, OH44300
State College, PA
0.8655
0.9058Centre County, PA44700
Stockton, CA
1.1474
1.0987San Joaquin County, CA44940
2
                                 Sumter, SC
0.8692
0.9085Sumter County, SC45060
Syracuse, NY
0.9776
0.9846Madison County, NYOnondaga County, NYOswego County, NY45104
Tacoma, WA
1.0710
1.0481Pierce County, WA45220
Tallahassee, FL
0.8959
0.9275Gadsden County, FLJefferson County, FLLeon County, FLWakulla County, FL45300
1
                                 Tampa-St. Petersburg-Clearwater, FL
0.9265
0.9491Hernando County, FLHillsborough County, FLPasco County, FLPinellas County, FL45460
Terre Haute, IN
0.8806
0.9166Clay County, INSullivan County, INVermillion County, INVigo County, IN45500
2
                                 Texarkana, TX-Texarkana, AR (TX Hospitals)
0.8225
0.8748Miller County, ARBowie County, TX45500
Texarkana, TX-Texarkana, AR (AR Hospitals)
0.8107
0.8661Miller County, ARBowie County, TX45780
Toledo, OH
0.9455
0.9623Fulton County, OHLucas County, OHOttawa County, OHWood County, OH45820
Topeka, KS
0.8763
0.9135Jackson County, KSJefferson County, KSOsage County, KSShawnee County, KSWabaunsee County, KS45940
2
                                 Trenton-Ewing, NJ
1.1402
1.0940Mercer County, NJ46060
Tucson, AZ
0.9390
0.9578Pima County, AZ46140
Tulsa, OK
0.8310
0.8809Creek County, OKOkmulgee County, OKOsage County, OKPawnee County, OKRogers County, OKTulsa County, OKWagoner County, OK( print page 59996)46220
Tuscaloosa, AL
0.8761
0.9134Greene County, ALHale County, ALTuscaloosa County, AL46340
Tyler, TX
0.8963
0.9278Smith County, TX46540
Utica-Rome, NY
0.8753
0.9128Herkimer County, NYOneida County, NY46660
Valdosta, GA
0.8632
0.9042Brooks County, GAEchols County, GALanier County, GALowndes County, GA46700
Vallejo-Fairfield, CA
1.4794
1.3076Solano County, CA47020
Victoria, TX
0.8426
0.8893Calhoun County, TXGoliad County, TXVictoria County, TX47220
2
                                 Vineland-Millville-Bridgeton, NJ
1.1402
1.0940Cumberland County, NJ47260
1
                                 Virginia Beach-Norfolk-Newport News, VA-NC
0.8774
0.9143Currituck County, NCGloucester County, VAIsle of Wight County, VAJames City County, VAMathews County, VASurry County, VAYork County, VAChesapeake City, VAHampton City, VANewport News City, VANorfolk City, VAPoquoson City, VAPortsmouth City, VASuffolk City, VAVirginia Beach City, VAWilliamsburg City, VA47300
2
                                 Visalia-Porterville, CA
1.1202
1.0808Tulare County, CA47380
Waco, TX
0.8748
0.9125McLennan County, TX47580
Warner Robins, GA
0.8812
0.9170Houston County, GA47644
1
                                 Warren-Troy-Farmington Hills, MI
1.0108
1.0074Lapeer County, MILivingston County, MIMacomb County, MIOakland County, MISt. Clair County, MI47894
1
                                 Washington-Arlington-Alexandria, DC-VA-MD-WV
1.0977
1.0659District of Columbia, DCCalvert County, MDCharles County, MDPrince George's County, MDArlington County, VAClarke County, VAFairfax County, VAFauquier County, VALoudoun County, VAPrince William County, VASpotsylvania County, VAStafford County, VAWarren County, VAAlexandria City, VAFairfax City, VAFalls Church City, VAFredericksburg City, VAManassas City, VA( print page 59997)Manassas Park City, VAJefferson County, WV47940
2,3
                                 Waterloo-Cedar Falls, IA
0.8803
0.9164Black Hawk County, IABremer County, IAGrundy County, IA48140
Wausau, WI
0.9947
0.9964Marathon County, WI48260
Weirton-Steubenville, WV-OH (WV Hospitals)
0.8057
0.8625Jefferson County, OHBrooke County, WVHancock County, WV48260
2
                                 Weirton-Steubenville, WV-OH (OH Hospitals)
0.8683
0.9078Jefferson County, OHBrooke County, WVHancock County, WV48300
2
                                 Wenatchee, WA
1.0206
1.0141Chelan County, WADouglas County, WA48424
1
                                 West Palm Beach-Boca Raton-Boynton Beach, FL
0.9535
0.9679Palm Beach County, FL48540
2
                                 Wheeling, WV-OH (WV Hospitals)
0.7754
0.8401Belmont County, OHMarshall County, WVOhio County, WV48540
2
                                 Wheeling, WV-OH (OH Hospitals)
0.8683
0.9078Belmont County, OHMarshall County, WVOhio County, WV48620
Wichita, KS
0.9016
0.9315Butler County, KSHarvey County, KSSedgwick County, KSSumner County, KS48660
Wichita Falls, TX
0.8562
0.8991Archer County, TXClay County, TXWichita County, TX48700
2
                                 Williamsport, PA
0.8301
0.8803Lycoming County, PA48864
Wilmington, DE-MD-NJ (DE, MD Hospitals)
1.0570
1.0387New Castle County, DECecil County, MDSalem County, NJ48864
2
                                 Wilmington, DE-MD-NJ (NJ Hospitals)
1.1402
1.0940New Castle County, DECecil County, MDSalem County, NJ48900
Wilmington, NC
0.9771
0.9843Brunswick County, NCNew Hanover County, NCPender County, NC49020
Winchester, VA-WV
1.0057
1.0039Frederick County, VAWinchester City, VAHampshire County, WV49180
Winston-Salem, NC
0.9246
0.9477Davie County, NCForsyth County, NCStokes County, NCYadkin County, NC49340
Worcester, MA
1.0796
1.0538Worcester County, MA49420
2
                                 Yakima, WA
1.0206
1.0141Yakima County, WA49500
Yauco, PR
0.3771
0.5128Guánica Municipio, PRGuayanilla Municipio, PRPeñuelas Municipio, PRYauco Municipio, PR( print page 59998)49620
York-Hanover, PA
0.9496
0.9652York County, PA49660
Youngstown-Warren-Boardman, OH-PA
0.8799
0.9161Mahoning County, OHTrumbull County, OHMercer County, PA49700
2
                                 Yuba City, CA
1.1202
1.0808Sutter County, CAYuba County, CA49740
2
                                 Yuma, AZ
0.9269
0.9493Yuma County, AZ1
                             Large urban area.2
                             Hospitals geographically located in the area are assigned the statewide rural wage index for FY 2007.3
                             For this area, the wage index and GAF on this table are only effective from October 1, 2006 through March 31, 2007. See Table 4A-2 for the values that are effective from April 1 through September 30, 2007.
 Table 4A-2.—Wage Index and Capital Geographic Adjustment Factor (GAF) for Certain Urban Areas by CBSA for the Period April 1 Through September 30, 2007 *
CBSA code
Urban area  (constituent counties)
Wage index
GAF11260
Anchorage, AK
1.1927
1.128311460
Ann Arbor, MI
1.0678
1.045913020
Bay City, MI
1.0044
1.003013900
Bismarck, ND
0.7368
0.811316220
Casper, WY
0.9091
0.936816300
Cedar Rapids, IA
0.8708
0.909616940
Cheyenne, WY
0.9048
0.933819804
Detroit-Livonia-Dearborn, MI
1.0381
1.025921660
Eugene-Springfield, OR
1.0966
1.065222020
Fargo, ND-MN (ND Hospitals)
0.8367
0.885122020
Fargo, ND-MN (MN Hospitals)
0.9280
0.950124220
Grand Forks, ND-MN (ND Hospitals)
0.7824
0.845324220
Grand Forks, ND-MN (MN Hospitals)
0.9280
0.950124300
Grand Junction, CO
0.9879
0.991726820
Idaho Falls, ID
0.9217
0.945731084
Los Angeles-Long Beach-Santa Ana, CA
1.1686
1.112634740
Muskegon-Norton Shores, MI
1.0105
1.007235004
Nassau-Suffolk, NY
1.2971
1.195035300
New Haven-Milford, CT
1.2142
1.142135644
New York-White Plains-Wayne, NY-NJ
1.3344
1.218447940
Waterloo-Cedar Falls, IA
0.8615
0.9029* See Table 4A-1 for the wage index and GAF that are effective from October 1, 2006 through March 31, 2007. For areas that are not listed on this table, the wage index and GAF on Table 4A-1 are effective for the entire FY 2007.
 Table 4B-1.—Wage Index and Capital Geographic Adjustment (GAF) for Rural Areas by CBSA—FY 2007
CBSA code
Nonurban area
Wage index
GAF01
Alabama
0.7664
0.833402
Alaska
1.0702
1.047603
Arizona
0.9269
0.949304
Arkansas
0.7475
0.819305
California
1.1202
1.080806
Colorado
0.9091
0.936807
Connecticut
1.1988
1.132208
Delaware
1.0009
1.000610
Florida
0.8733
0.911411
Georgia
0.7825
0.845412
Hawaii
1.0627
1.042513
Idaho
0.8568
0.899614
Illinois
0.8358
0.884415
Indiana
0.8564
0.899316
Iowa2
0.8803
0.916417
Kansas
0.8018
0.859618
Kentucky
0.7805
0.8439( print page 59999)19
Louisiana
0.7660
0.833120
Maine
0.8393
0.886921
Maryland
0.8881
0.921922
Massachusetts1
1.0757
1.051223
Michigan
0.9028
0.932424
Minnesota2
0.9195
0.944125
Mississippi
0.7796
0.843226
Missouri
0.8353
0.884127
Montana
0.8655
0.905828
Nebraska
0.8636
0.904529
Nevada
0.9181
0.943230
New Hampshire
1.1732
1.115631
New Jersey1
1.1402
1.094032
New Mexico
0.8375
0.885633
New York
0.8430
0.889634
North Carolina
0.8629
0.904035
North Dakota
0.7368
0.811336
Ohio
0.8683
0.907837
Oklahoma
0.7847
0.847038
Oregon2
1.0194
1.013239
Pennsylvania
0.8301
0.880340
Puerto Rico141
Rhode Island1
1.0744
1.050442
South Carolina
0.8692
0.908543
South Dakota
0.8298
0.880144
Tennessee
0.8122
0.867245
Texas
0.8225
0.874846
Utah
0.8252
0.876747
Vermont
0.9622
0.974049
Virginia
0.8101
0.865750
Washington
1.0206
1.014151
West Virginia
0.7754
0.840152
Wisconsin
0.9607
0.972953
Wyoming2
0.9199
0.94441
                             All counties in the State or Territory are classified as urban, with the exception of Massachusetts. Massachusetts has area(s) designated as rural. However, no short-term, acute care hospitals are located in the area(s) for FY 2007.Massachusetts, New Jersey, and Rhode Island rural floors are imputed as discussed in the FY 2005 IPPS final rule, (69 FR 49109).2
                             For this area, the wage index and GAF on this table are only effective from October 1, 2006 through March 31, 2007. See Table 4C-2 for the values that are effective from April 1 through September 30, 2007.
 Table 4B-2.—Wage Index and Capital Geographic Adjustment Factor (GAF) for Certain Rural Areas by CBSA for the Period April 1 Through September 30, 2007 *
CBSA code
Nonurban area
Wage index
GAF16
Iowa
0.8615
0.902924
Minnesota
0.9280
0.950138
Oregon
0.9764
0.983853
Wyoming
0.9048
0.9338* See Table 4B-1 for the wage index and GAF that are effective from October 1, 2006 through March 31, 2007. For areas that are not listed on this table, the wage index and GAF on Table 4B-1 are effective for the entire FY 2007.
 Table 4C-1.—Wage Index and Capital Geographic Adjustment Factor (GAF) for Hospitals that are Reclassified by CBSA
CBSA code
Area
Wage index
GAF10180
Abilene, TX
0.8380
0.886010420
Akron, OH
0.8683
0.907810580
Albany-Schenectady-Troy, NY
0.8849
0.919710740
Albuquerque, NM
0.9444
0.961610780
Alexandria, LA
0.7961
0.855410900
Allentown-Bethlehem-Easton, PA-NJ
0.9990
0.999311020
Altoona, PA
0.8538
0.897411100
Amarillo, TX
0.9248
0.947911180
Ames, IA
0.9219
0.9458( print page 60000)11460
1
                                 Ann Arbor, MI
1.0563
1.038211500
Anniston-Oxford, AL
0.7997
0.858111700
Asheville, NC
0.9264
0.949012020
Athens-Clarke County, GA
0.9456
0.962412060
Atlanta-Sandy Springs-Marietta, GA
0.9793
0.985812260
Augusta-Richmond County, GA-SC
0.9531
0.967612420
Austin-Round Rock, TX
0.9328
0.953512620
Bangor, ME
0.9612
0.973312700
Barnstable Town, MA
1.2156
1.143012940
Baton Rouge, LA
0.8085
0.864513020
1
                                 Bay City, MI
1.0080
1.005513644
Bethesda-Gaithersburg-Frederick, MD
1.0848
1.057313780
Binghamton, NY
0.8626
0.903713820
Birmingham-Hoover, AL
0.8889
0.922514260
Boise City-Nampa, ID
0.9313
0.952414484
Boston-Quincy, MA
1.1343
1.090114540
Bowling Green, KY
0.8082
0.864315380
Buffalo-Niagara Falls, NY
0.9475
0.963715540
Burlington-South Burlington, VT
0.9436
0.961015764
Cambridge-Newton-Framingham, MA
1.1003
1.067616180
Carson City, NV
0.9468
0.963316580
Champaign-Urbana, IL
0.9096
0.937216620
Charleston, WV
0.8415
0.888516700
Charleston-North Charleston, SC
0.9197
0.944316740
Charlotte-Gastonia-Concord, NC-SC
0.9413
0.959416820
Charlottesville, VA
0.9709
0.980016860
Chattanooga, TN-GA
0.8822
0.917716974
Chicago-Naperville-Joliet, IL
1.0564
1.038317140
Cincinnati-Middletown, OH-KY-IN
0.9522
0.967017300
Clarksville, TN-KY
0.8014
0.859317460
Cleveland-Elyria-Mentor, OH
0.9229
0.946517780
College Station-Bryan, TX
0.8903
0.923517860
Columbia, MO
0.8456
0.891517900
Columbia, SC
0.8942
0.926317980
Columbus, GA-AL
0.8371
0.885418140
Columbus, OH
0.9891
0.992518700
Corvallis, OR
1.0956
1.064519124
Dallas-Plano-Irving, TX
0.9743
0.982319340
Davenport-Moline-Rock Island, IA-IL
0.8836
0.918719380
Dayton, OH
0.9185
0.943419460
Decatur, AL
0.8065
0.863119740
Denver-Aurora, CO
1.0555
1.037719780
Des Moines-West Des Moines,IA
0.9009
0.931019804
1
                                 Detroit-Livonia-Dearborn, MI
1.0381
1.025920100
Dover, DE
1.0009
1.000620260
Duluth, MN-WI
1.0285
1.019420500
Durham, NC
0.9677
0.977820764
Edison, NJ
1.1402
1.094021060
Elizabethtown, KY
0.8144
0.868821500
Erie, PA
0.8451
0.891121660
1
                                 Eugene-Springfield, OR
1.0494
1.033621780
Evansville, IN-KY
0.8553
0.898522020
1
                                 Fargo, ND-MN
0.8367
0.885122180
Fayetteville, NC
0.9245
0.947722220
Fayetteville-Springdale-Rogers, AR-MO
0.8816
0.917322380
Flagstaff, AZ
1.1073
1.072322420
Flint, MI
1.0602
1.040822520
Florence-Muscle Shoals, AL
0.7876
0.849222660
Fort Collins-Loveland, CO
0.9233
0.946822744
Fort Lauderdale-Pompano Beach-Deerfield Beach, FL
1.0320
1.021822900
Fort Smith, AR-OK
0.7847
0.847023020
Fort Walton Beach-Crestview-Destin, FL
0.8733
0.911423060
Fort Wayne, IN
0.9283
0.950323104
Fort Worth-Arlington, TX
0.9556
0.969423540
Gainesville, FL
0.9420
0.959923844
Gary, IN
0.9397
0.958324340
Grand Rapids-Wyoming, MI
0.9554
0.969224500
Great Falls, MT
0.8747
0.912424540
Greeley, CO
0.9857
0.990224580
Green Bay, WI (WI Hospitals)
0.9607
0.9729( print page 60001)24580
Green Bay, WI (MI Hospitals)
0.9573
0.970624780
Greenville, NC
0.9223
0.946124860
Greenville, SC
0.9208
0.945125060
Gulfport-Biloxi, MS
0.8461
0.891925420
Harrisburg-Carlisle, PA
0.9230
0.946625540
Hartford-West Hartford-East Hartford, CT (CT Hospitals)
1.1988
1.132225540
Hartford-West Hartford-East Hartford, CT (MA Hospitals)
1.0970
1.065525860
Hickory-Lenoir-Morganton, NC
0.8860
0.920526100
Holland-Grand Haven, MI
0.9217
0.945726180
Honolulu, HI
1.0911
1.061526420
Houston-Sugar Land-Baytown, TX
1.0094
1.006426580
Huntington-Ashland, WV-KY-OH (WV, KY Hospitals)
0.8681
0.907726580
Huntington-Ashland, WV-KY-OH (OH Hospitals)
0.8683
0.907826620
Huntsville, AL
0.8756
0.913026820
1
                                 Idaho Falls, ID
0.9036
0.932926900
Indianapolis-Carmel, IN
0.9619
0.973726980
Iowa City, IA
0.9454
0.962327060
Ithaca, NY
0.9407
0.959027140
Jackson, MS
0.8214
0.874027180
Jackson, TN
0.8643
0.905027260
Jacksonville, FL
0.9281
0.950227860
Jonesboro, AR (AR Hospitals)
0.8345
0.883527860
Jonesboro, AR (MO Hospitals)
0.8353
0.884127900
Joplin, MO
0.8626
0.903728020
Kalamazoo-Portage, MI
1.0797
1.053928100
Kankakee-Bradley, IL
1.0021
1.001428140
Kansas City, MO-KS
0.9345
0.954728420
Kennewick-Richland-Pasco, WA
1.0206
1.014128700
Kingsport-Bristol-Bristol, TN-VA
0.8215
0.874028740
Kingston, NY
0.9195
0.944128940
Knoxville, TN
0.8227
0.874929180
Lafayette, LA
0.8408
0.888029404
Lake County-Kenosha County, IL-WI
1.0651
1.044129460
Lakeland, FL
0.9056
0.934429540
Lancaster, PA
0.9942
0.996029620
Lansing-East Lansing, MI
0.9896
0.992929740
Las Cruces, NM
0.9124
0.939129820
Las Vegas-Paradise, NV
1.1006
1.067830020
Lawton, OK
0.8485
0.893630460
Lexington-Fayette, KY
0.8643
0.905030620
Lima, OH
0.8925
0.925130700
Lincoln, NE
0.9617
0.973630780
Little Rock-North Little Rock, AR
0.9265
0.949130980
Longview, TX
0.8946
0.926631084
1
                                 Los Angeles-Long Beach-Santa Ana, CA
1.1530
1.102431140
Louisville-Jefferson County, KY-IN
0.9155
0.941331340
Lynchburg, VA
0.8600
0.901931420
Macon, GA
0.9443
0.961531540
Madison, WI
1.0621
1.042131700
Manchester-Nashua, NH
1.1732
1.115632780
Medford, OR
1.0404
1.027532820
Memphis, TN-MS-AR
0.8984
0.929333124
Miami-Miami Beach-Kendall, FL
0.9821
0.987733260
Midland, TX
0.9387
0.957633340
Milwaukee-Waukesha-West Allis, WI
1.0209
1.014333460
Minneapolis-St. Paul-Bloomington, MN-WI
1.0782
1.052933540
Missoula, MT
0.8783
0.915033740
Monroe, LA
0.8074
0.863733860
Montgomery, AL
0.7933
0.853434060
Morgantown, WV
0.8555
0.898634980
Nashville-Davidson—Murfreesboro, TN
0.9550
0.969035084
Newark-Union, NJ-PA
1.1756
1.117235380
New Orleans-Metairie-Kenner, LA
0.8649
0.905435644
1
                                 New York-White Plains-Wayne, NY-NJ
1.3134
1.205335980
Norwich-New London, CT
1.2031
1.135036084
Oakland-Fremont-Hayward, CA
1.5617
1.357036140
Ocean City, NJ
1.0336
1.022936220
Odessa, TX
0.9714
0.980336260
Ogden-Clearfield, UT
0.9080
0.936036420
Oklahoma City, OK
0.8807
0.9167( print page 60002)36540
Omaha-Council Bluffs, NE-IA
0.9399
0.958436740
Orlando-Kissimmee, FL
0.9575
0.970737860
Pensacola-Ferry Pass-Brent, FL
0.7871
0.848837900
Peoria, IL
0.8966
0.928037964
Philadelphia, PA (PA Hospitals)
1.0996
1.067237964
Philadelphia, PA (NJ Hospitals)
1.1402
1.094038220
Pine Bluff, AR
0.8397
0.887238300
Pittsburgh, PA (PA, WV Hospitals)
0.8568
0.899638300
Pittsburgh, PA (OH Hospitals)
0.8683
0.907838340
Pittsfield, MA
0.9887
0.992238540
Pocatello, ID
0.9204
0.944838860
Portland-South Portland-Biddeford, ME
0.9472
0.963538900
Portland-Vancouver-Beaverton, OR-WA
1.1210
1.081438940
Port St. Lucie-Fort Pierce, FL
0.9906
0.993639100
Poughkeepsie-Newburgh-Middletown, NY
1.0660
1.044739340
Provo-Orem, UT
0.9479
0.964039580
Raleigh-Cary, NC
0.9492
0.964939740
Reading, PA
0.9709
0.980039820
Redding, CA
1.2203
1.146139900
Reno-Sparks, NV
1.1713
1.114440060
Richmond, VA
0.8997
0.930240220
Roanoke, VA
0.8700
0.909040340
Rochester, MN
1.1239
1.083340380
Rochester, NY
0.9103
0.937740420
Rockford, IL
0.9828
0.988240484
Rockingham County, NH
1.0237
1.016240660
Rome, GA
0.9699
0.979340900
Sacramento—Arden-Arcade—Roseville, CA
1.2986
1.195940980
Saginaw-Saginaw Township North, MI
0.9028
0.932441060
St. Cloud, MN
1.0302
1.020641100
St. George, UT
0.9452
0.962141140
St. Joseph, MO-KS
1.0045
1.003141180
St. Louis, MO-IL
0.8889
0.922541620
Salt Lake City, UT
0.9476
0.963841700
San Antonio, TX
0.8945
0.926541884
San Francisco-San Mateo-Redwood City, CA
1.5260
1.335741980
San Juan-Caguas-Guaynabo, PR
0.4449
0.574342044
Santa Ana-Anaheim-Irvine, CA
1.1202
1.080842140
Santa Fe, NM
0.9808
0.986842220
Santa Rosa-Petaluma, CA
1.4116
1.266342260
Sarasota-Bradenton-Venice, FL
0.9743
0.982342340
Savannah, GA
0.9023
0.932042644
Seattle-Bellevue-Everett, WA
1.1096
1.073843300
Sherman-Denison, TX
0.8526
0.896543340
Shreveport-Bossier City, LA
0.8688
0.908243580
Sioux City, IA-NE-SD
0.8693
0.908543620
Sioux Falls, SD
0.9238
0.947243780
South Bend-Mishawaka, IN-MI
0.9721
0.980843900
Spartanburg, SC
0.9072
0.935544060
Spokane, WA
1.0244
1.016644180
Springfield, MO
0.8412
0.888344300
State College, PA
0.8301
0.880344940
Sumter, SC
0.8692
0.908545060
Syracuse, NY
0.9498
0.965345220
Tallahassee, FL
0.8802
0.916345300
Tampa-St. Petersburg-Clearwater, FL
0.9265
0.949145500
Texarkana, TX-Texarkana, AR
0.8107
0.866145780
Toledo, OH
0.9455
0.962345820
Topeka, KS
0.8639
0.904746140
Tulsa, OK
0.8310
0.880946220
Tuscaloosa, AL
0.8362
0.884746340
Tyler, TX
0.8963
0.927846660
Valdosta, GA
0.8632
0.904246700
Vallejo-Fairfield, CA
1.4095
1.265047260
Virginia Beach-Norfolk-Newport News, VA
0.8774
0.914347380
Waco, TX
0.8748
0.912547894
Washington-Arlington-Alexandria, DC-VA-MD-WV
1.0877
1.059348140
Wausau, WI
0.9947
0.996448620
Wichita, KS
0.8776
0.914548700
Williamsport, PA
0.8301
0.8803( print page 60003)48864
Wilmington, DE-MD-NJ
1.0570
1.038748900
Wilmington, NC
0.9473
0.963649180
Winston-Salem, NC
0.9246
0.947749340
Worcester, MA
1.1732
1.115649660
Youngstown-Warren-Boardman, OH-PA
0.8690
0.908304
Arkansas
0.7660
0.833105
California
1.1202
1.080807
Connecticut
1.1988
1.132210
Florida (FL Hospitals)
0.8733
0.911410
Florida (GA Hospitals)
0.8489
0.893914
Illinois (IL Hospitals)
0.8358
0.884414
Illinois (KY Hospitals)
0.8248
0.876414
Illinois (MO Hospitals)
0.8353
0.884116
1
                                 Iowa
0.8700
0.909017
Kansas
0.8018
0.859623
Michigan
0.9028
0.932426
Missouri
0.8353
0.884130
New Hampshire
1.1394
1.093533
New York
0.8430
0.889634
North Carolina
0.8629
0.904036
Ohio
0.8683
0.907837
Oklahoma
0.7847
0.847038
1
                                 Oregon
1.0194
1.013239
Pennsylvania
0.8430
0.889644
Tennessee
0.8122
0.867245
Texas
0.8225
0.874847
Vermont
0.9380
0.957150
Washington (WA Hospitals)
1.0206
1.014150
Washington (ID Hospitals)
0.9978
0.998552
Wisconsin
0.9607
0.972953
1
                                 Wyoming
0.9066
0.93511
                             For this area, the wage index and GAF on this table are only effective from October 1, 2006 through March 31, 2007. See Table 4C-2 for the values that are effective from April 1 through September 30, 2007.
 Table 4C2.—Wage Index and capital Geographic Adjustment Factor (GAF) for Certain Hospitals That Are Reclassified by CBSA for the Period April 1 Trhough September 30, 2007*
CBSA code
Area
Wage index
GAF11260
Anchorage, AK
1.1927
1.128311460
Ann Arbor, MI
1.0440
1.029913020
Bay City, MI
1.0044
1.003013900
Bismarck, ND
0.73680
0.811319804
Detroit-Livonia-Dearborn, MI
1.0281
1.019221660
Eugene-Springfield, OR
1.0598
1.040622020
Fargo, ND-MN
0.8367
0.885124300
Grand Junction, CO
0.9879
0.991726820
Idaho Falls, ID
0.9217
0.945731084
Los Angeles-Long Beach-Santa Ana, CA
1.1520
1.101734740
Muskegon-Norton Shores, MI
0.9762
0.983635004
Nassau-Suffolk, NY
1.2730
1.179735300
New Haven-Milford, CT
1.2142
1.142135644
New York-White Plains-Wayne, NY-NJ
1.3113
1.203916
Iowa
0.8615
0.902924
Minnesota
0.9280
0.950138
Oregon
0.97640
0.983853
Wyoming
0.9048
0.9338** See Table 4C-1 for the wage index and GAF that are effective from October 1, 2006 through March 31, 2007. For areas that are not listed on this table, the wage index and GAF on Table 4C-1 are effective for the entire FY 2007.
 Table 4F.—Puerto Rico Wage Index and Capital Geographic Adjustment Factor (GAF) by CBSA
CBSA code
Area
Wage 
                                 Index
GAF
Wage Index—reclassified rospitals
GAF—
                                 Reclassified  
                                 hospitals10380
Aguadilla-Isabela-San Sebastián, PR
0.8736
0.9116( print page 60004)21940
Fajardo, PR
0.9168
0.942225020
Guayama, PR
0.7326
0.8081;32420
Mayagüez, PR
0.8739
0.9118;38660
Ponce, PR
1.0781
1.052841900
San Germán-Cabo Rojo, PR
1.1052
1.070941980
San Juan-Caguas-Guaynabo, PR
1.0119
1.0081
1.0119
1.008149500
Yauco, PR
0.8668
0.9067
 The following list represents all hospitals located in counties that became newly eligible in FY 2005, FY 2006 or FY 2007 to have their wage index increased by the out-migration adjustment listed in this table.  This table now reflects any additional hospitals located in counties that may newly qualify for the adjustment in FY 2007 based on the 100 percent occupational mix adjusted wage index data.  Hospitals cannot receive the out-migration adjustment if they are reclassified under section 1886(d)(10) of the Act, reclassified under section 508 of Pub. L. 108-173, or redesignated under section 1886(d)(8) of the Act.  If a hospital has a half fiscal year reclassification, the hospital will be eligible for the out-migration adjustment for the portion of the fiscal year that it is not reclassified.  Hospitals that have been reclassified under section 1886(d)(10) of the Act, reclassified under section 508 of Pub. L. 108-173, or redesignated under section 1886(d)(8) of the Act for any portion of the fiscal year are designated with an asterisk.  It is important to note that the asterisked information in Table 4J may reflect withdrawal/termination decisions CMS has made on behalf of hospitals.  For example, in some cases, CMS may have withdrawn or terminated a reclassification under section 1886(d)(10) of the Act in order for a hospital to receive its home wage index plus an out-migration adjustment.  Hospitals have 30 days from this publication of the final occupation mix-adjusted data and other tables on the CMS Web site to reverse a decision CMS has made on its behalf and choose a wage index, adjustment, or reclassification for which they are otherwise eligible. Table 4J.—Out-Migration Adjustment —FY 2007
Provider No.
Reclassified between 
                                 10/1/06 and  
                                 3/31/07
Reclassified between 
                                 4/1/07 and  
                                 9/30/07
Out-migration adjustment
Qualifying county name010005
*
*
0.0259
MARSHALL010008
*
*
0.0212
CRENSHAW010009
*
*
0.0259
MARSHALL010012
*
*
0.0205
DE KALB010022
*
*
0.0714
CHEROKEE010025
*
*
0.0235
CHAMBERS010029
*
*
0.0107
LEE010035
*
*
0.0375
CULLMAN010038


0.0062
CALHOUN010045
*
*
0.0160
FAYETTE010047


0.0155
BUTLER010052


0.0103
TALLAPOOSA010054
*
*
0.0092
MORGAN010061


0.0506
JACKSON010065
*
*
0.0103
TALLAPOOSA010078


0.0062
CALHOUN010083
*
*
0.0121
BALDWIN010085
*
*
0.0092
MORGAN010100
*
*
0.0121
BALDWIN010101
*
*
0.0310
TALLADEGA010109


0.0451
PICKENS010129


0.0121
BALDWIN010143
*
*
0.0375
CULLMAN010146


0.0062
CALHOUN010150
*
*
0.0155
BUTLER010158
*
*
0.0093
FRANKLIN010164
*
*
0.0310
TALLADEGA040014
*
*
0.0159
WHITE040019
*
*
0.0697
ST. FRANCIS040047
*
*
0.0090
RANDOLPH040069
*
*
0.0140
MISSISSIPPI040071
*
*
0.0026
JEFFERSON040076
*
*
0.1075
HOT SPRING040100
*
*
0.0159
WHITE050008


0.0026
SAN FRANCISCO( print page 60005)050009
*
*
0.0478
NAPA050013
*
*
0.0478
NAPA050014
*
*
0.0131
AMADOR050016


0.0103
SAN LUIS OBISPO050042
*
*
0.0219
TEHAMA050046
*
*
0.0156
VENTURA050047


0.0026
SAN FRANCISCO050055


0.0026
SAN FRANCISCO050065
*
*
0.0029
ORANGE050069
*
*
0.0029
ORANGE050073
*
*
0.0269
SOLANO050076
*
*
0.0026
SAN FRANCISCO050082

*
0.0156
VENTURA050084


0.0555
SAN JOAQUIN050089
*
*
0.0152
SAN BERNARDINO050090
*
*
0.0308
SONOMA050099
*
*
0.0152
SAN BERNARDINO050101
*
*
0.0269
SOLANO050117


0.0463
MERCED050118


0.0555
SAN JOAQUIN050122


0.0555
SAN JOAQUIN050129
*
*
0.0152
SAN BERNARDINO050133


0.0170
YUBA050136
*
*
0.0308
SONOMA050140
*
*
0.0152
SAN BERNARDINO050150
*
*
0.0316
NEVADA050152


0.0026
SAN FRANCISCO050159

*
0.0156
VENTURA050167


0.0555
SAN JOAQUIN050168
*
*
0.0029
ORANGE050173
*
*
0.0029
ORANGE050174
*
*
0.0308
SONOMA050193
*
*
0.0029
ORANGE050194


0.0052
SANTA CRUZ050224
*
*
0.0029
ORANGE050226
*
*
0.0029
ORANGE050228
*
*
0.0026
SAN FRANCISCO050230
*
*
0.0029
ORANGE050232


0.0103
SAN LUIS OBISPO050236

*
0.0156
VENTURA050242


0.0052
SANTA CRUZ050245
*
*
0.0152
SAN BERNARDINO050272
*
*
0.0152
SAN BERNARDINO050279
*
*
0.0152
SAN BERNARDINO050291
*
*
0.0308
SONOMA050298
*
*
0.0152
SAN BERNARDINO050300
*
*
0.0152
SAN BERNARDINO050313


0.0555
SAN JOAQUIN050325


0.0176
TUOLUMNE050327
*
*
0.0152
SAN BERNARDINO050335


0.0176
TUOLUMNE050336


0.0555
SAN JOAQUIN050348
*
*
0.0029
ORANGE050367
*
*
0.0269
SOLANO050385
*
*
0.0308
SONOMA050394

*
0.0156
VENTURA050407


0.0026
SAN FRANCISCO050426
*
*
0.0029
ORANGE050444


0.0463
MERCED050454


0.0026
SAN FRANCISCO050457


0.0026
SAN FRANCISCO050469
*
*
0.0152
SAN BERNARDINO050476


0.0257
LAKE050494
*

0.0316
NEVADA050506


0.0103
SAN LUIS OBISPO050517
*
*
0.0152
SAN BERNARDINO050526
*
*
0.0029
ORANGE050528
*
*
0.0463
MERCED050535
*
*
0.0029
ORANGE( print page 60006)050543
*
*
0.0029
ORANGE050547
*
*
0.0308
SONOMA050548
*
*
0.0029
ORANGE050549
*
*
0.0156
VENTURA050550
*
*
0.0029
ORANGE050551
*
*
0.0029
ORANGE050567
*
*
0.0029
ORANGE050568


0.0062
MADERA050570
*
*
0.0029
ORANGE050580
*
*
0.0029
ORANGE050584
*
*
0.0152
SAN BERNARDINO050585
*
*
0.0029
ORANGE050586
*
*
0.0152
SAN BERNARDINO050589
*
*
0.0029
ORANGE050592
*
*
0.0029
ORANGE050594
*
*
0.0029
ORANGE050603
*
*
0.0029
ORANGE050609
*
*
0.0029
ORANGE050616

*
0.0156
VENTURA050618
*
*
0.0152
SAN BERNARDINO050633


0.0103
SAN LUIS OBISPO050667
*
*
0.0478
NAPA050668


0.0026
SAN FRANCISCO050678
*
*
0.0029
ORANGE050680
*
*
0.0269
SOLANO050690
*
*
0.0308
SONOMA050693
*
*
0.0029
ORANGE050695


0.0555
SAN JOAQUIN050714


0.0052
SANTA CRUZ050720
*
*
0.0029
ORANGE050728
*
*
0.0308
SONOMA050744


0.0029
ORANGE050745


0.0029
ORANGE050746


0.0029
ORANGE050747


0.0029
ORANGE050749

*
0.0156
VENTURA060001
*
*
0.0294
WELD060003
*
*
0.0203
BOULDER060010


0.0153
LARIMER060027
*
*
0.0203
BOULDER060030


0.0153
LARIMER060103
*
*
0.0203
BOULDER060116


0.0203
BOULDER070003
*
*
0.0009
WINDHAM070006
*
*
0.0047
FAIRFIELD070010
*
*
0.0047
FAIRFIELD070018
*
*
0.0047
FAIRFIELD070020


0.0073
MIDDLESEX070021


0.0009
WINDHAM070028
*
*
0.0047
FAIRFIELD070033
*
*
0.0047
FAIRFIELD070034
*
*
0.0047
FAIRFIELD080001


0.0063
NEW CASTLE080003


0.0063
NEW CASTLE100014


0.0118
VOLUSIA100017


0.0118
VOLUSIA100045
*
*
0.0118
VOLUSIA100047


0.0021
CHARLOTTE100062


0.0060
MARION100068


0.0118
VOLUSIA100072


0.0118
VOLUSIA100077


0.0021
CHARLOTTE100102


0.0125
COLUMBIA100118


0.0398
FLAGLER100156


0.0125
COLUMBIA100175


0.0231
DE SOTO100212


0.0060
MARION100232
*
*
0.0347
PUTNAM100236


0.0021
CHARLOTTE( print page 60007)100252
*
*
0.0233
OKEECHOBEE100290


0.0582
SUMTER110023
*
*
0.0500
GORDON110027


0.0387
FRANKLIN110029
*
*
0.0063
HALL110041
*
*
0.0777
HABERSHAM110069
*
*
0.0474
HOUSTON110124


0.0428
WAYNE110146


0.0805
CAMDEN110150
*
*
0.0261
BALDWIN110153
*
*
0.0474
HOUSTON110187
*
*
0.1172
LUMPKIN110189
*
*
0.0031
FANNIN110190


0.0182
MACON110205
*
*
0.0779
GILMER130003
*
*
0.0095
NEZ PERCE130024


0.0275
BONNER130049
*
*
0.0349
KOOTENAI130066


0.0349
KOOTENAI140012
*
*
0.0220
LEE140026


0.0346
LA SALLE140033


0.0147
LAKE140043
*
*
0.0046
WHITESIDE140058
*
*
0.0081
MORGAN140084


0.0147
LAKE140100


0.0147
LAKE140110
*
*
0.0346
LA SALLE140130


0.0147
LAKE140155
*
*
0.0027
KANKAKEE140160
*
*
0.0286
STEPHENSON140161
*
*
0.0138
LIVINGSTON140186
*
*
0.0027
KANKAKEE140202


0.0147
LAKE140205


0.0163
BOONE140234
*
*
0.0346
LA SALLE140291
*
*
0.0147
LAKE150006
*
*
0.0113
LA PORTE150015
*
*
0.0113
LA PORTE150022


0.0249
MONTGOMERY150030
*
*
0.0201
HENRY150035


0.0083
PORTER150045


0.0416
DE KALB150065
*
*
0.0139
JACKSON150076
*
*
0.0189
MARSHALL150088
*
*
0.0196
MADISON150091


0.0573
HUNTINGTON150102
*
*
0.0160
STARKE150113
*
*
0.0196
MADISON150122
*
*
0.0199
RIPLEY150146
*
*
0.0319
NOBLE160013


0.0218
MUSCATINE160030


0.0040
STORY160032


0.0272
JASPER160080
*
*
0.0049
CLINTON170137
*
*
0.0336
DOUGLAS180012
*
*
0.0083
HARDIN180066
*
*
0.0567
LOGAN180127
*
*
0.0352
FRANKLIN180128


0.0282
LAWRENCE190001
*
*
0.0645
WASHINGTON190003
*
*
0.0107
IBERIA190015
*
*
0.0401
TANGIPAHOA190017


0.0235
ST. LANDRY190054


0.0107
IBERIA190078


0.0235
ST. LANDRY190088


0.0705
WEBSTER190099
*
*
0.0390
AVOYELLES190106
*
*
0.0238
ALLEN190133


0.0238
ALLEN( print page 60008)190144


0.0705
WEBSTER190184


0.0161
CALDWELL190190


0.0161
CALDWELL190191
*
*
0.0235
ST. LANDRY190246


0.0161
CALDWELL200002


0.0129
LINCOLN200024
*
*
0.0071
ANDROSCOGGIN200032


0.0466
OXFORD200034
*
*
0.0071
ANDROSCOGGIN200050
*
*
0.0140
HANCOCK210001


0.0129
WASHINGTON210004


0.0040
MONTGOMERY210016


0.0040
MONTGOMERY210018


0.0040
MONTGOMERY210022


0.0040
MONTGOMERY210023


0.0209
ANNE ARUNDEL210028


0.0512
ST. MARYS210043


0.0209
ANNE ARUNDEL210048


0.0287
HOWARD210057


0.0040
MONTGOMERY220001
*
*
0.0056
WORCESTER220002
*
*
0.0249
MIDDLESEX220010
*
*
0.0306
ESSEX220011
*
*
0.0249
MIDDLESEX220019
*
*
0.0056
WORCESTER220025
*
*
0.0056
WORCESTER220028
*
*
0.0056
WORCESTER220029
*
*
0.0306
ESSEX220033
*
*
0.0306
ESSEX220035
*
*
0.0306
ESSEX220049
*
*
0.0249
MIDDLESEX220058
*
*
0.0056
WORCESTER220062
*
*
0.0056
WORCESTER220063
*
*
0.0249
MIDDLESEX220070
*
*
0.0249
MIDDLESEX220080
*
*
0.0306
ESSEX220082
*
*
0.0249
MIDDLESEX220084
*
*
0.0249
MIDDLESEX220089


0.0249
MIDDLESEX220090
*
*
0.0056
WORCESTER220095
*
*
0.0056
WORCESTER220098
*
*
0.0249
MIDDLESEX220101
*
*
0.0249
MIDDLESEX220105
*
*
0.0249
MIDDLESEX220163
*
*
0.0056
WORCESTER220171
*
*
0.0249
MIDDLESEX220174
*
*
0.0306
ESSEX220176


0.0056
WORCESTER230003
*
*
0.0035
OTTAWA230013
*
*
0.0091
OAKLAND230015


0.0359
ST. JOSEPH230019
*
*
0.0091
OAKLAND230021


0.0136
BERRIEN230022
*
*
0.0113
BRANCH230029
*
*
0.0091
OAKLAND230037
*
*
0.0178
HILLSDALE230041


0.0099
BAY230047
*
*
0.0082
MACOMB230069
*
*
0.0487
LIVINGSTON230071
*
*
0.0091
OAKLAND230072
*
*
0.0035
OTTAWA230075


0.0145
CALHOUN230078
*
*
0.0136
BERRIEN230092


0.0389
JACKSON230093
*
*
0.0079
MECOSTA230096
*
*
0.0359
ST. JOSEPH230099
*
*
0.0339
MONROE230106
*

0.0030
NEWAYGO230121
*
*
0.0691
SHIAWASSEE( print page 60009)230130
*
*
0.0091
OAKLAND230151
*
*
0.0091
OAKLAND230174
*
*
0.0035
OTTAWA230195
*
*
0.0082
MACOMB230204
*
*
0.0082
MACOMB230207
*
*
0.0091
OAKLAND230217
*
*
0.0145
CALHOUN230222


0.0228
MIDLAND230223
*
*
0.0091
OAKLAND230227
*
*
0.0082
MACOMB230254
*
*
0.0091
OAKLAND230257
*
*
0.0082
MACOMB230264
*
*
0.0082
MACOMB230269
*
*
0.0091
OAKLAND230277
*
*
0.0091
OAKLAND230279
*
*
0.0487
LIVINGSTON240018
*
*
0.1196
GOODHUE240044


0.0868
WINONA240064
*
*
0.0138
ITASCA240069
*
*
0.0419
STEELE240071
*
*
0.0454
RICE240187
*
*
0.0506
MC LEOD240211
*
*
0.0705
PINE250040
*
*
0.0294
JACKSON260011


0.0007
COLE260047
*
*
0.0007
COLE260074


0.0158
RANDOLPH260097


0.0425
JOHNSON280077
*
*
0.0089
DODGE280123


0.0137
GAGE290019
*
*
0.0026
CARSON CITY290049


0.0026
CARSON CITY290051


0.0026
CARSON CITY300011


0.0069
HILLSBOROUGH300012


0.0069
HILLSBOROUGH300017


0.0361
ROCKINGHAM300020


0.0069
HILLSBOROUGH300023


0.0361
ROCKINGHAM300029


0.0361
ROCKINGHAM300034


0.0069
HILLSBOROUGH310002
*
*
0.0351
ESSEX310009
*
*
0.0351
ESSEX310010


0.0092
MERCER310011


0.0115
CAPE MAY310013
*
*
0.0351
ESSEX310018
*
*
0.0351
ESSEX310021
*
*
0.0092
MERCER310038
*
*
0.0350
MIDDLESEX310039
*
*
0.0350
MIDDLESEX310044


0.0092
MERCER310054
*
*
0.0351
ESSEX310070
*
*
0.0350
MIDDLESEX310076
*
*
0.0351
ESSEX310083
*
*
0.0351
ESSEX310092


0.0092
MERCER310093
*
*
0.0351
ESSEX310096
*
*
0.0351
ESSEX310108
*
*
0.0350
MIDDLESEX310110


0.0092
MERCER310119
*
*
0.0351
ESSEX310123


0.0351
ESSEX310124


0.0350
MIDDLESEX320003


0.0629
SAN MIGUEL320011


0.0442
RIO ARRIBA320018


0.0063
DONA ANA320085


0.0063
DONA ANA330004
*
*
0.0959
ULSTER330008
*
*
0.0470
WYOMING330027
*
*
0.0137
NASSAU( print page 60010)330094
*
*
0.0778
COLUMBIA330106
*
*
0.0137
NASSAU330126
*

0.0560
ORANGE330135
*

0.0560
ORANGE330167

*
0.0137
NASSAU330181

*
0.0137
NASSAU330182
*
*
0.0137
NASSAU330191
*
*
0.0026
WARREN330198

*
0.0137
NASSAU330205
*

0.0560
ORANGE330224
*
*
0.0959
ULSTER330225

*
0.0137
NASSAU330235
*
*
0.0270
CAYUGA330259

*
0.0137
NASSAU330264
*

0.0560
ORANGE330276


0.0063
FULTON330331

*
0.0137
NASSAU330332

*
0.0137
NASSAU330372

*
0.0137
NASSAU330386
*
*
0.1139
SULLIVAN340015


0.0267
ROWAN340020


0.0207
LEE340021
*
*
0.0216
CLEVELAND340037


0.0216
CLEVELAND340039
*
*
0.0144
IREDELL340069


0.0053
WAKE340070


0.0448
ALAMANCE340073
*

0.0053
WAKE340085


0.0377
DAVIDSON340096


0.0377
DAVIDSON340104


0.0216
CLEVELAND340114


0.0053
WAKE340126
*
*
0.0161
WILSON340127
*
*
0.0961
GRANVILLE340129
*
*
0.0144
IREDELL340133


0.0308
MARTIN340138


0.0053
WAKE340144
*
*
0.0144
IREDELL340145
*
*
0.0563
LINCOLN340173


0.0053
WAKE360013
*
*
0.0166
SHELBY360025


0.0087
ERIE360036
*
*
0.0263
WAYNE360065
*
*
0.0141
HURON360070


0.0028
STARK360078
*
*
0.0159
PORTAGE360084


0.0028
STARK360086
*
*
0.0168
CLARK360095
*
*
0.0087
HANCOCK360100


0.0028
STARK360107
*
*
0.0213
SANDUSKY360131


0.0028
STARK360151


0.0028
STARK360156


0.0213
SANDUSKY360175
*
*
0.0159
CLINTON360187
*
*
0.0168
CLARK360197
*
*
0.0092
LOGAN360270


0.0120
DEFIANCE370004
*
*
0.0193
OTTAWA370014


0.0831
BRYAN370015
*
*
0.0463
MAYES370023


0.0084
STEPHENS370065


0.0121
CRAIG370113
*
*
0.0205
DELAWARE370149


0.0356
POTTAWATOMIE370219


0.0356
POTTAWATOMIE380002


0.0130
JOSEPHINE380022
*
*
0.0201
LINN380029


0.0075
MARION( print page 60011)380051


0.0075
MARION380056


0.0075
MARION390011


0.0012
CAMBRIA390030
*
*
0.0284
SCHUYLKILL390031
*
*
0.0284
SCHUYLKILL390044
*
*
0.0200
BERKS390046
*
*
0.0098
YORK390056


0.0042
HUNTINGDON390065
*
*
0.0501
ADAMS390066
*
*
0.0259
LEBANON390096
*
*
0.0200
BERKS390101


0.0098
YORK390110


0.0012
CAMBRIA390130


0.0012
CAMBRIA390138
*
*
0.0325
FRANKLIN390146


0.0053
WARREN390150


0.0206
GREENE390151
*
*
0.0325
FRANKLIN390162


0.0200
NORTHAMPTON390181


0.0284
SCHUYLKILL390183


0.0284
SCHUYLKILL390201


0.1127
MONROE390233


0.0098
YORK420007
*
*
0.0001
SPARTANBURG420009
*
*
0.0113
OCONEE420020
*
*
0.0035
GEORGETOWN420027
*
*
0.0210
ANDERSON420030
*
*
0.0103
COLLETON420039
*
*
0.0153
UNION420043


0.0177
CHEROKEE420062


0.0109
CHESTERFIELD420068
*
*
0.0097
ORANGEBURG420070
*
*
0.0101
SUMTER420083
*
*
0.0001
SPARTANBURG420098


0.0035
GEORGETOWN440008


0.0663
HENDERSON440024
*
*
0.0387
BRADLEY440030


0.0056
HAMBLEN440035
*
*
0.0441
MONTGOMERY440047


0.0499
GIBSON440056


0.0321
JEFFERSON440060


0.0499
GIBSON440063


0.0011
WASHINGTON440067
*
*
0.0056
HAMBLEN440073
*
*
0.0513
MAURY440105


0.0011
WASHINGTON440115


0.0499
GIBSON440148
*
*
0.0568
DE KALB440153


0.0007
COCKE440174


0.0372
HAYWOOD440181


0.0407
HARDEMAN440184


0.0011
WASHINGTON440185
*
*
0.0387
BRADLEY450032
*
*
0.0416
HARRISON450039
*
*
0.0097
TARRANT450059
*
*
0.0073
COMAL450064
*
*
0.0097
TARRANT450087
*
*
0.0097
TARRANT450099
*
*
0.0180
GRAY450121
*
*
0.0097
TARRANT450135
*
*
0.0097
TARRANT450137
*
*
0.0097
TARRANT450144
*
*
0.0573
ANDREWS450163


0.0134
KLEBERG450187
*
*
0.0264
WASHINGTON450194
*
*
0.0328
CHEROKEE450214
*
*
0.0368
WHARTON450224
*
*
0.0411
WOOD450324
*
*
0.0132
GRAYSON( print page 60012)450347
*
*
0.0427
WALKER450370


0.0258
COLORADO450389
*
*
0.0881
HENDERSON450393
*
*
0.0132
GRAYSON450395
*
*
0.0484
POLK450419
*
*
0.0097
TARRANT450438
*
*
0.0258
COLORADO450447
*
*
0.0358
NAVARRO450451
*
*
0.0551
SOMERVELL450465


0.0435
MATAGORDA450469
*
*
0.0132
GRAYSON450547
*
*
0.0411
WOOD450563
*
*
0.0097
TARRANT450565


0.0486
PALO PINTO450596


0.0808
HOOD450597


0.0077
DE WITT450639
*
*
0.0097
TARRANT450672
*
*
0.0097
TARRANT450675
*
*
0.0097
TARRANT450677
*
*
0.0097
TARRANT450694
*
*
0.0368
WHARTON450747
*
*
0.0195
ANDERSON450755


0.0484
HOCKLEY450779
*
*
0.0097
TARRANT450813
*
*
0.0195
ANDERSON450872
*
*
0.0097
TARRANT450880
*
*
0.0097
TARRANT450886


0.0097
TARRANT450888


0.0097
TARRANT460017


0.0392
BOX ELDER460039
*
*
0.0392
BOX ELDER490019


0.1240
CULPEPER490038


0.0022
SMYTH490084


0.0167
ESSEX490105
*
*
0.0022
SMYTH490110


0.0082
MONTGOMERY500003
*
*
0.0208
SKAGIT500007


0.0208
SKAGIT500019


0.0213
LEWIS500021
*
*
0.0055
PIERCE500024


0.0023
THURSTON500039
*
*
0.0174
KITSAP500041
*
*
0.0118
COWLITZ500079
*
*
0.0055
PIERCE500108
*
*
0.0055
PIERCE500129
*
*
0.0055
PIERCE500139


0.0023
THURSTON500143


0.0023
THURSTON510018
*
*
0.0209
JACKSON510039


0.0112
OHIO510047
*
*
0.0275
MARION510050


0.0112
OHIO510077
*
*
0.0021
MINGO520028
*
*
0.0157
GREEN520035


0.0077
SHEBOYGAN520044


0.0077
SHEBOYGAN520057


0.0118
SAUK520059
*
*
0.0200
RACINE520071
*
*
0.0239
JEFFERSON520095
*
*
0.0118
SAUK520096
*
*
0.0200
RACINE520102
*
*
0.0298
WALWORTH520116
*
*
0.0239
JEFFERSON520132


0.0077
SHEBOYGAN
 
 
 Table 5.— List of Diagnosis-Related Groups (DRGS), Relative Weighting Factors, and Geometric and Arithmetic Mean Length of Stay (LOS)
DRG
FY 07 final rule post-acute care DRG
FY 07 final rule special pay DRG
MDC
TYPE
DRG title
Weights
Geometric mean LOS
Arithmetic mean LOS1
Yes
No
01
SURG
Craniotomy Age >17 W CC
3.4651
7.3
9.82
Yes
No
01
SURG
Craniotomy Age >17 W/O CC
1.9525
3.4
4.43
No
No
01
SURG *
Craniotomy Age 0-17
2.0113
12.7
12.74
No
No
01
SURG
No Longer Valid
0.0000
0.0
0.05
No
No
01
SURG
No Longer Valid
0.0000
0.0
0.06
No
No
01
SURG
Carpal Tunnel Release
0.7910
2.1
3.17
Yes
Yes
01
SURG
Periph & Cranial Nerve & Other Nerv Syst Proc W CC
2.6609
6.5
9.48
Yes
Yes
01
SURG
Periph & Cranial Nerve & Other Nerv Syst Proc W/O CC
1.5953
2.0
2.89
No
No
01
MED
Spinal Disorders & Injuries
1.3647
4.4
6.210
Yes
No
01
MED
Nervous System Neoplasms W CC
1.2556
4.6
6.011
Yes
No
01
MED
Nervous System Neoplasms W/O CC
0.8592
2.7
3.612
Yes
No
01
MED
Degenerative Nervous System Disorders
0.9322
4.3
5.513
Yes
No
01
MED
Multiple Sclerosis & Cerebellar Ataxia
0.8541
4.0
4.914
Yes
No
01
MED
Intracranial Hemorrhage or Cerebral Infarction
1.2118
4.3
5.515
Yes
No
01
MED
Nonspecific CVA & Precerebral Occlusion w/o Infarct
0.9442
3.1
4.016
Yes
No
01
MED
Nonspecific Cerebrovascular Disorders w CC
1.3579
5.0
6.517
Yes
No
01
MED
Nonspecific Cerebrovascular Disorders w/o CC
0.7141
2.4
3.018
Yes
No
01
MED
Cranial & Peripheral Nerve Disorders w CC
1.0038
4.1
5.219
Yes
No
01
MED
Cranial & Peripheral Nerve Disorders w/o CC
0.7194
2.7
3.420
No
No
01
MED
No Longer Valid
0.0000
0.0
0.021
No
No
01
MED
Viral Meningitis
1.4130
4.7
6.222
No
No
01
MED
Hypertensive Encephalopathy
1.1652
3.9
5.023
No
No
01
MED
Nontraumatic Stupor & Coma
0.8015
3.0
3.924
No
No
01
MED
No Longer Valid
0.0000
0.0
0.025
No
No
01
MED
No Longer Valid
0.0000
0.0
0.026
No
No
01
MED
Seizure & Headache Age 0-17
1.0076
2.7
3.827
No
No
01
MED
Traumatic Stupor & Coma, Coma >1 Hr
1.3499
3.1
4.728
Yes
No
01
MED
Traumatic Stupor & Coma, Coma <1 Hr Age >17 w CC
1.3357
4.2
5.729
Yes
No
01
MED
Traumatic Stupor & Coma, Coma <1 Hr Age >17 w/o CC
0.7401
2.6
3.230
No
No
01
MED *
Traumatic Stupor & Coma, Coma <1 Hr Age 0-17
0.340231
No
No
01
MED
Concussion Age >17 w CC
0.9796
3.0
3.932
No
No
01
MED
Concussion Age >17 w/o CC
0.6408
1.9
2.333
No
No
01
MED *
Concussion Age 0-17
0.213634
Yes
No
01
MED
Other Disorders Of Nervous System w CC
1.0175
3.6
4.835
Yes
No
01
MED
Other Disorders Of Nervous System w/o CC
0.6587
2.5
3.136
No
No
02
SURG
Retinal Procedures
0.8056
1.4
1.937
No
No
02
SURG
Orbital Procedures
1.2064
2.7
4.138
No
No
02
SURG
Primary Iris Procedures
0.6195
2.2
2.839
No
No
02
SURG
Lens Procedures With Or Without Vitrectomy
0.6461
1.6
2.140
No
No
02
SURG
Extraocular Procedures Except Orbit Age >17
1.0309
3.1
4.241
No
No
02
SURG *
Extraocular Procedures Except Orbit Age 0-17
0.346242
No
No
02
SURG
Intraocular Procedures Except Retina, Iris & Lens
0.7717
1.7
2.543
No
No
02
MED
Hyphema
0.6192
2.4
3.044
No
No
02
MED
Acute Major Eye Infections
0.7186
3.8
4.845
No
No
02
MED
Neurological Eye Disorders
0.7434
2.5
3.046
No
No
02
MED
Other Disorders Of The Eye Age >17 w CC
0.7915
3.2
4.247
No
No
02
MED
Other Disorders Of The Eye Age >17 w/o CC
0.5520
2.4
3.048
No
No
02
MED *
Other Disorders Of The Eye Age 0-17
0.305049
No
No
03
SURG
Major Head & Neck Procedures
1.6684
3.2
4.5( print page 60014)50
No
No
03
SURG
Sialoadenectomy
0.8800
1.5
1.951
No
No
03
SURG
Salivary Gland Procedures Except Sialoadenectomy
0.8788
1.9
2.752
No
No
03
SURG
Cleft Lip & Palate Repair
0.6498
1.3
1.553
No
No
03
SURG
Sinus & Mastoid Procedures Age >17
1.3540
2.5
4.054
No
No
03
SURG *
Sinus & Mastoid Procedures Age 0-17
0.494455
No
No
03
SURG
Miscellaneous Ear, Nose, Mouth & Throat Procedures
0.9652
1.9
2.956
No
No
03
SURG
Rhinoplasty
0.8936
1.9
2.757
No
No
03
SURG
T&A Proc, Except Tonsillectomy &/Or Adenoidectomy Only, Age >17
0.9975
2.1
3.358
No
No
03
SURG *
T&A Proc, Except Tonsillectomy &/Or Adenoidectomy Only, Age 0-17
0.280759
No
No
03
SURG
Tonsillectomy &/Or Adenoidectomy Only, Age >17
0.6812
1.8
2.460
No
No
03
SURG *
Tonsillectomy &/Or Adenoidectomy Only, Age 0-17
0.2137
1.5
1.561
No
No
03
SURG
Myringotomy W Tube Insertion Age >17
1.5987
3.7
6.162
No
No
03
SURG *
Myringotomy W Tube Insertion Age 0-17
0.3027
1.3
1.363
No
No
03
SURG
Other Ear, Nose, Mouth & Throat O.R. Procedures
1.3959
3.0
4.564
No
No
03
MED
Ear, Nose, Mouth & Throat Malignancy
1.2498
4.2
6.265
No
No
03
MED
Dysequilibrium
0.6159
2.3
2.866
No
No
03
MED
Epistaxis
0.6280
2.4
3.167
No
No
03
MED
Epiglottitis
0.8242
2.8
3.768
No
No
03
MED
Otitis Media & Uri Age &>17 w CC
0.6605
3.2
3.969
No
No
03
MED
Otitis Media & Uri Age &>17 w/o CC
0.4910
2.5
3.070
No
No
03
MED
Otitis Media & Uri Age 0-17
0.3579
2.1
2.471
No
No
03
MED
Laryngotracheitis
0.7758
3.4
4.472
No
No
03
MED
Nasal Trauma & Deformity
0.7784
2.6
3.373
Yes
No
03
MED
Other Ear, Nose, Mouth & Throat Diagnoses Age >17
0.8500
3.3
4.374
No
No
03
MED *
Other Ear, Nose, Mouth & Throat Diagnoses Age 0-17
0.3441
2.1
2.175
Yes
No
04
SURG
Major Chest Procedures
3.0350
7.4
9.776
Yes
No
04
SURG
Other Resp System O.R. Procedures w CC
2.8386
8.2
10.777
Yes
No
04
SURG
Other Resp System O.R. Procedures w/o CC
1.1886
3.3
4.578
Yes
No
04
MED
Pulmonary Embolism
1.2357
5.3
6.279
Yes
No
04
MED
Respiratory Infections & Inflammations Age >17 w CC
1.6268
6.7
8.380
Yes
No
04
MED
Respiratory Infections & Inflammations Age >17 w/o CC
0.8943
4.3
5.381
No
No
04
MED *
Respiratory Infections & Inflammations Age 0-17
1.5579
6.1
6.182
Yes
No
04
MED
Respiratory Neoplasms
1.4121
5.1
6.883
Yes
No
04
MED
Major Chest Trauma w CC
1.0308
4.2
5.384
Yes
No
04
MED
Major Chest Trauma w/o CCc
0.6028
2.6
3.185
Yes
No
04
MED
Pleural Effusion w CC
1.2459
4.7
6.286
Yes
No
04
MED
Pleural Effusion w/o CC
0.7132
2.7
3.587
No
No
04
MED
Pulmonary Edema & Respiratory Failure
1.3838
4.9
6.488
No
No
04
MED
Chronic Obstructive Pulmonary Disease
0.8878
4.0
4.989
Yes
No
04
MED
Simple Pneumonia & Pleurisy Age >17 w CC
1.0376
4.6
5.690
Yes
No
04
MED
Simple Pneumonia & Pleurisy Age >17 w/o CCc
0.6148
3.2
3.791
No
No
04
MED
Simple Pneumonia & Pleurisy Age 0-17
0.5598
2.5
3.492
Yes
No
04
MED
Interstitial Lung Disease w CC
1.1979
4.8
6.093
Yes
No
04
MED
Interstitial Lung Disease w/o CC
0.7437
3.0
3.894
No
No
04
MED
Pneumothorax w CC
1.1474
4.5
5.995
No
No
04
MED
Pneumothorax w/o CC
0.5871
2.7
3.496
No
No
04
MED
Bronchitis & Asthma Age >17 w CC
0.7350
3.5
4.397
No
No
04
MED
Bronchitis & Asthma Age >17 w/o CC
0.5429
2.8
3.498
No
No
04
MED
Bronchitis & Asthma Age 0-17
0.5870
2.8
3.199
No
No
04
MED
Respiratory Signs & Symptoms w CC
0.7155
2.4
3.1100
No
No
04
MED
Respiratory Signs & Symptoms w/o CC
0.5411
1.7
2.1( print page 60015)101
Yes
No
04
MED
Other Respiratory System Diagnoses w CC
0.8614
3.2
4.2102
Yes
No
04
MED
Other Respiratory System Diagnoses w/o CC
0.5622
2.0
2.5103
No
No
PRE
SURG
Heart Transplant Or Implant Of Heart Assist System
18.8653
22.2
35.4104
Yes
No
05
SURG
Cardiac Valve & Oth Major Cardiothoracic Proc w Card Cath
8.2903
12.8
15.1105
Yes
No
05
SURG
Cardiac Valve & Oth Major Cardiothoracic Proc w/o Card Cath
6.0567
8.4
10.2106
No
No
05
SURG
Coronary Bypass w Ptca
6.7383
9.3
10.9107
No
No
05
SURG
No Longer Valid
0.0000
0.0
0.0108
Yes
No
05
SURG
Other Cardiothoracic Procedures
5.7544
8.8
10.9109
No
No
05
SURG
No Longer Valid
0.0000
0.0
0.0110
No
No
05
SURG
Major Cardiovascular Procedures w CC
3.8064
5.4
8.1111
No
No
05
SURG
Major Cardiovascular Procedures w/o CC
2.4879
2.3
3.1112
No
No
05
SURG
No Longer Valid
0.0000
0.0
0.0113
Yes
No
05
SURG
Amputation For Circ System Disorders Except Upper Limb & Toe
3.2646
10.8
13.7114
Yes
No
05
SURG
Upper Limb & Toe Amputation For Circ System Disorders
1.7527
6.6
8.7115
No
No
05
SURG
No Longer Valid
0.0000
0.0
0.0116
No
No
05
SURG
No Longer Valid
0.0000
0.0
0.0117
No
No
05
SURG
Cardiac Pacemaker Revision Except Device Replacement
1.3713
2.6
4.3118
No
No
05
SURG
Cardiac Pacemaker Device Replacement
1.6687
2.0
3.0119
No
No
05
SURG
Vein Ligation & Stripping
1.4554
3.3
5.4120
Yes
No
05
SURG
Other Circulatory System O.R. Procedures
2.4173
6.0
9.2121
Yes
No
05
MED
Circulatory Disorders w AMI & Major Comp, Discharged Alive
1.6166
5.2
6.5122
No
No
05
MED
Circulatory Disorders w AMI w/o Major Comp, Discharged Alive
0.9621
2.7
3.4123
No
No
05
MED
Circulatory Disorders w AMI, Expired
1.4902
2.9
4.7124
No
No
05
MED
Circulatory Disorders Except AMI, w Card Cath & Complex Diag
1.4099
3.3
4.4125
No
No
05
MED
Circulatory Disorders Except Ami, w Card Cath w/o Complex Diag
1.0530
2.1
2.7126
Yes
No
05
MED
Acute & Subacute Endocarditis
2.6653
9.0
11.2127
Yes
No
05
MED
Heart Failure & Shock
1.0490
4.1
5.2128
No
No
05
MED
Deep Vein Thrombophlebitis
0.7499
4.4
5.2129
No
No
05
MED
Cardiac Arrest, Unexplained
1.0118
1.6
2.5130
Yes
No
05
MED
Peripheral Vascular Disorders w CC
0.9712
4.3
5.5131
Yes
No
05
MED
Peripheral Vascular Disorders w/o CC
0.5755
3.1
3.7132
No
No
05
MED
Atherosclerosis w CC
0.6318
2.2
2.8133
No
No
05
MED
Atherosclerosis w/o CC
0.5494
1.8
2.1134
No
No
05
MED
Hypertension
0.6189
2.5
3.1135
No
No
05
MED
Cardiac Congenital & Valvular Disorders Age >17w CC
0.9405
3.3
4.3136
No
No
05
MED
Cardiac Congenital & Valvular Disorders Age >17 w/o CC
0.6580
2.1
2.7137
No
No
05
MED *
Cardiac Congenital & Valvular Disorders Age 0-17
0.8393138
No
No
05
MED
Cardiac Arrhythmia & Conduction Disorders w CC
0.8365
3.0
3.9139
No
No
05
MED
Cardiac Arrhythmia & Conduction Disorders w/o CC
0.5297
2.0
2.4140
No
No
05
MED
Angina Pectoris
0.5041
1.9
2.4141
No
No
05
MED
Syncope & Collapse w CC
0.7633
2.7
3.4142
No
No
05
MED
Syncope & Collapse w/o CC
0.6012
2.1
2.5143
No
No
05
MED
Chest Pain
0.5637
1.7
2.1144
Yes
No
05
MED
Other Circulatory System Diagnoses w CC
1.3381
4.3
5.9145
Yes
No
05
MED
Other Circulatory System Diagnoses w/o CC
0.5834
2.0
2.6146
Yes
No
06
SURG
Rectal Resection w CC
2.7431
8.4
9.9147
Yes
No
06
SURG
Rectal Resection w/o CC
1.5124
4.9
5.6( print page 60016)148
No
No
06
SURG
No Longer Valid
0.0000
0.0
0.0149
Yes
No
06
SURG
Major Small & Large Bowel Procedures w/o CC
1.4357
5.1
5.7150
Yes
No
06
SURG
Peritoneal Adhesiolysis w CC
2.7871
8.7
10.8151
Yes
No
06
SURG
Peritoneal Adhesiolysis w/o CC
1.2863
4.0
5.0152
No
No
06
SURG
Minor Small & Large Bowel Procedures w CC
1.8859
6.5
7.9153
No
No
06
SURG
Minor Small & Large Bowel Procedures w/o CC
1.0983
4.4
4.9154
No
No
06
SURG
No Longer Valid
0.0000
0.0
0.0155
Yes
No
06
SURG
Stomach, Esophageal & Duodenal Procedures Age >17 w/o CC
1.2948
3.0
4.0156
No
No
06
SURG *
Stomach, Esophageal & Duodenal Procedures Age 0-17
0.8644
6.0
6.0157
Yes
No
06
SURG
Anal & Stomal Procedures w CC
1.3430
4.1
5.8158
Yes
No
06
SURG
Anal & Stomal Procedures w/o CC
0.6577
2.1
2.7159
No
No
06
SURG
Hernia Procedures Except Inguinal & Femoral Age >17 w CC
1.4316
3.7
5.1160
No
No
06
SURG
Hernia Procedures Except Inguinal & Femoral Age >17 w/o CC
0.8675
2.2
2.7161
No
No
06
SURG
Inguinal & Femoral Hernia Procedures Age >17 w CC
1.2403
3.2
4.5162
No
No
06
SURG
Inguinal & Femoral Hernia Procedures Age >17 w/o CCc
0.6916
1.7
2.1163
No
No
06
SURG *
Hernia Procedures Age 0-17
0.6809
2.1
2.1164
No
No
06
SURG
Appendectomy w Complicated Principal Diag w CC
2.1474
6.4
7.7165
No
No
06
SURG
Appendectomy w Complicated Principal Diag w/o CC
1.1843
3.4
4.0166
No
No
06
SURG
Appendectomy w/o Complicated Principal Diag w CC
1.4035
3.2
4.3167
No
No
06
SURG
Appendectomy w/o Complicated Principal Diag w/o CC
0.9001
1.8
2.1168
No
No
03
SURG
Mouth Procedures w CC
1.2827
3.3
4.8169
No
No
03
SURG
Mouth Procedures w/o CC
0.7679
1.8
2.3170
Yes
No
06
SURG
Other Digestive System O.R. Procedures w CC
2.9921
7.8
10.9171
Yes
No
06
SURG
Other Digestive System O.R. Procedures w/o CC
1.2242
3.1
4.2172
Yes
No
06
MED
Digestive Malignancy w CC
1.4293
5.1
6.9173
Yes
No
06
MED
Digestive Malignancy w/o CC
0.7645
2.7
3.6174
No
No
06
MED
G.I. Hemorrhage w CC
1.0296
3.8
4.7175
No
No
06
MED
G.I. Hemorrhage w/o CC
0.5808
2.4
2.9176
Yes
No
06
MED
Complicated Peptic Ulcer
1.1275
4.0
5.1177
No
No
06
MED
Uncomplicated Peptic Ulcer w CC
0.9333
3.6
4.4178
No
No
06
MED
Uncomplicated Peptic Ulcer w/o CCc
0.6900
2.6
3.1179
No
No
06
MED
Inflammatory Bowel Disease
1.0804
4.5
5.8180
Yes
No
06
MED
G.I. Obstruction w CC
0.9930
4.1
5.3181
Yes
No
06
MED
G.I. Obstruction w/o CC
0.5784
2.8
3.3182
No
No
06
MED
Esophagitis, Gastroent & Misc Digest Disorders Age >17 w CC
0.7853
3.2
4.1183
No
No
06
MED
Esophagitis, Gastroent & Misc Digest Disorders Age >17 w/o CC
0.5841
2.3
2.8184
No
No
06
MED
Esophagitis, Gastroent & Misc Digest Disorders Age 0-17
0.6192
2.5
3.7185
No
No
03
MED
Dental & Oral Dis Except Extractions & Restorations, Age >17
0.8886
3.3
4.5186
No
No
03
MED *
Dental & Oral Dis Except Extractions & Restorations, Age 0-17
0.3294
2.9
2.9187
No
No
03
MED
Dental Extractions & Restorations
0.8421
3.1
4.2188
Yes
No
06
MED
Other Digestive System Diagnoses Age >17w CC
1.0931
4.0
5.4189
Yes
No
06
MED
Other Digestive System Diagnoses Age >17 w/o CC
0.5916
2.4
3.0190
No
No
06
MED
Other Digestive System Diagnoses Age 0-17
0.6351
2.3
3.0191
Yes
No
07
SURG
Pancreas, Liver & Shunt Procedures w CC
3.9384
8.8
12.5( print page 60017)192
Yes
No
07
SURG
Pancreas, Liver & Shunt Procedures w/o CC
1.6740
4.2
5.5193
No
No
07
SURG
Biliary Tract Proc Except Only Cholecyst w or w/o C.D.E. w CC
3.3831
10.1
12.6194
No
No
07
SURG
Biliary Tract Proc Except Only Cholecyst w or w/o C.D.E. w/o CC
1.5879
5.4
6.3195
No
No
07
SURG
Cholecystectomy w C.D.E. w CC
3.0501
8.8
10.6196
No
No
07
SURG
Cholecystectomy w C.D.E. w/o CC
1.5412
4.5
5.3197
Yes
No
07
SURG
Cholecystectomy Except By Laparoscope w/o C.D.E. w CC
2.5518
7.4
9.1198
Yes
No
07
SURG
Cholecystectomy Except By Laparoscope w/o C.D.E. w/o CC
1.1781
3.7
4.3199
No
No
07
SURG
Hepatobiliary Diagnostic Procedure For Malignancy
2.2350
6.4
9.0200
No
No
07
SURG
Hepatobiliary Diagnostic Procedure For Non-Malignancy
2.8402
6.5
10.4201
No
No
07
SURG
Other Hepatobiliary or Pancreas O.R. Procedures
3.7905
10.0
13.6202
No
No
07
MED
Cirrhosis & Alcoholic Hepatitis
1.3396
4.6
6.2203
No
No
07
MED
Malignancy of Hepatobiliary System or Pancreas
1.3672
4.8
6.5204
No
No
07
MED
Disorders of Pancreas Except Malignancy
1.0989
4.1
5.4205
Yes
No
07
MED
Disorders of Liver Except Malig,Cirr,Alc Hepa w CC
1.2013
4.4
5.9206
Yes
No
07
MED
Disorders of Liver Except Malig,Cirr,Alc Hepa w/o CC
0.7287
3.0
3.8207
No
No
07
MED
Disorders of The Biliary Tract w CC
1.1839
4.1
5.3208
No
No
07
MED
Disorders of The Biliary Tract w/o CC
0.6890
2.4
3.0209
No
No
08
SURG
No Longer Valid
0.0000
0.0
0.0210
Yes
Yes
08
SURG
Hip & Femur Procedures Except Major Joint Age >17 w CC
1.9022
5.9
6.7211
Yes
Yes
08
SURG
Hip & Femur Procedures Except Major Joint Age >17 w/o CC
1.2939
4.3
4.6212
No
No
08
SURG
Hip & Femur Procedures Except Major Joint Age 0-17
0.9164
2.2
2.5213
Yes
No
08
SURG
Amputation for Musculoskeletal System & Conn Tissue Disorders
2.1174
7.1
9.5214
No
No
08
SURG
No Longer Valid
0.0000
0.0
0.0215
No
No
08
SURG
No Longer Valid
0.0000
0.0
0.0216
Yes
No
08
SURG
Biopsies of Musculoskeletal System & Connective Tissue
1.8744
3.1
5.4217
Yes
No
08
SURG
Wnd Debrid & Skn Grft Except Hand,for Muscskelet & Conn Tiss Dis
3.0499
9.0
12.9218
Yes
No
08
SURG
Lower Extrem & Humer Proc Except Hip,Foot,Femur Age >17 w CC
1.7053
4.4
5.5219
Yes
No
08
SURG
Lower Extrem & Humer Proc Except Hip,Foot,Femur Age >17 w/o CC
1.1033
2.7
3.2220
No
No
08
SURG *
Lower Extrem & Humer Proc Except Hip,Foot,Femur Age 0-17
0.5988
5.3
5.3221
No
No
08
SURG
No Longer Valid
0.0000
0.0
0.0222
No
No
08
SURG
No Longer Valid
0.0000
0.0
0.0223
No
No
08
SURG
Major Shoulder/Elbow Proc, or Other Upper Extremity Proc w CC
1.1726
2.4
3.3224
No
No
08
SURG
Shoulder,Elbow or Forearm Proc,Exc Major Joint Proc, w/o CC
0.8574
1.6
1.9225
Yes
No
08
SURG
Foot Procedures
1.2775
3.8
5.4226
Yes
No
08
SURG
Soft Tissue Procedures w CCc
1.6340
4.6
6.5227
Yes
No
08
SURG
Soft Tissue Procedures w/o CC
0.8618
2.1
2.6228
No
No
08
SURG
Major Thumb or Joint Proc,or Oth Hand or Wrist Proc w CC
1.1528
2.9
4.2229
No
No
08
SURG
Hand or Wrist Proc, Except Major Joint Proc, w/o CC
0.7208
2.0
2.5230
No
No
08
SURG
Local Excision & Removal of Int Fix Devices of Hip & Femur
1.3385
3.6
5.4231
No
No
08
SURG
No Longer Valid
0.0000
0.0
0.0232
No
No
08
SURG
Arthroscopy
0.9732
1.9
2.7( print page 60018)233
Yes
Yes
08
SURG
Other Musculoskelet Sys & Conn Tiss O.R. Proc w CC
1.9033
4.3
6.4234
Yes
Yes
08
SURG
Other Musculoskelet Sys & Conn Tiss O.R. Proc w/o CC
1.2565
1.9
2.7235
Yes
No
08
MED
Fractures of Femur
0.8226
3.8
4.8236
Yes
No
08
MED
Fractures of Hip & Pelvis
0.7688
3.8
4.5237
No
No
08
MED
Sprains, Strains, & Dislocations of Hip, Pelvis & Thigh
0.6573
3.0
3.8238
Yes
No
08
MED
Osteomyelitis
1.4100
6.5
8.3239
Yes
No
08
MED
Pathological Fractures & Musculoskeletal & Conn Tiss Malignancy
1.1203
4.9
6.2240
Yes
No
08
MED
Connective Tissue Disorders w CC
1.3807
4.9
6.5241
Yes
No
08
MED
Connective Tissue Disorders w/o CC
0.6637
3.0
3.7242
No
No
08
MED
Septic Arthritis
1.1045
5.1
6.5243
No
No
08
MED
Medical Back Problems
0.7970
3.6
4.5244
Yes
No
08
MED
Bone Diseases & Specific Arthropathies w CC
0.7394
3.6
4.5245
Yes
No
08
MED
Bone Diseases & Specific Arthropathies w/o CC
0.4943
2.5
3.1246
No
No
08
MED
Non-Specific Arthropathies
0.6311
2.8
3.6247
No
No
08
MED
Signs & Symptoms of Musculoskeletal System & Conn Tissue
0.5934
2.6
3.3248
No
No
08
MED
Tendonitis, Myositis & Bursitis
0.8876
3.8
4.8249
No
No
08
MED
Aftercare, Musculoskeletal System & Connective Tissue
0.7506
2.8
4.0250
Yes
No
08
MED
Fx, Sprn, Strn & Disl of Forearm, Hand, Foot Age >17 w CC
0.7230
3.2
3.9251
Yes
No
08
MED
Fx, Sprn, Strn & Disl of Forearm, Hand, Foot Age >17 w/o CC
0.5122
2.3
2.8252
No
No
08
MED *
Fx, Sprn, Strn & Disl of Forearm, Hand, Foot Age 0-17
0.2600253
Yes
No
08
MED
Fx, Sprn, Strn & Disl of Uparm,Lowleg Ex Foot Age >17 w CC
0.8180
3.8
4.6254
Yes
No
08
MED
Fx, Sprn, Strn & Disl of Uparm,Lowleg Ex Foot Age >17 w/o CC
0.4978
2.6
3.1255
No
No
08
MED *
Fx, Sprn, Strn & Disl of Uparm,Lowleg Ex Foot Age 0-17
0.3028256
Yes
No
08
MED
Other Musculoskeletal System & Connective Tissue Diagnoses
0.8714
3.9
5.0257
No
No
09
SURG
Total Mastectomy For Malignancy w CC
0.9123
2.0
2.6258
No
No
09
SURG
Total Mastectomy For Malignancy w/o CC
0.7130
1.5
1.7259
No
No
09
SURG
Subtotal Mastectomy For Malignancy w CC
1.0060
1.8
2.8260
No
No
09
SURG
Subtotal Mastectomy For Malignancy w/o CC
0.6819
1.2
1.4261
No
No
09
SURG
Breast Proc for Non-Malignancy Except Biopsy & Local Excision
0.9535
1.6
2.2262
No
No
09
SURG
Breast Biopsy & Local Excision for Non-Malignancy
0.9621
3.3
4.7263
Yes
No
09
SURG
Skin Graft &/or Debrid for Skn Ulcer or Cellulitis w CC
2.1230
8.3
11.1264
Yes
No
09
SURG
Skin Graft &/or Debrid for Skn Ulcer or Cellulitis w/o CC
1.0980
4.9
6.4265
Yes
No
09
SURG
Skin Graft &/or Debrid Except for Skin Ulcer or Cellulitis w CC
1.6951
4.2
6.7266
Yes
No
09
SURG
Skin Graft &/or Debrid Except for Skin Ulcer or Cellulitis w/o CC
0.9136
2.3
3.0267
No
No
09
SURG
Perianal & Pilonidal Procedures
0.9444
2.9
4.2268
No
No
09
SURG
Skin, Subcutaneous Tissue & Breast Plastic Procedures
1.2219
2.4
3.6269
Yes
No
09
SURG
Other Skin, Subcut Tiss & Breast Proc w CC
1.7920
6.0
8.3270
Yes
No
09
SURG
Other Skin, Subcut Tiss & Breast Proc w/o CCc
0.8209
2.7
3.6271
Yes
No
09
MED
Skin Ulcers
1.0763
5.6
7.1272
Yes
No
09
MED
Major Skin Disorders w CC
1.0356
4.5
5.9273
Yes
No
09
MED
Major Skin Disorders w/o CC
0.5853
2.9
3.7( print page 60019)274
No
No
09
MED
Malignant Breast Disorders w CC
1.1315
4.5
6.2275
No
No
09
MED
Malignant Breast Disorders w/o CC
0.5954
2.4
3.3276
No
No
09
MED
Non-Maligant Breast Disorders
0.7430
3.6
4.6277
Yes
No
09
MED
Cellulitis Age >17 w CC
0.8958
4.5
5.5278
Yes
No
09
MED
Cellulitis Age >17 w/o CC
0.5649
3.4
4.0279
No
No
09
MED *
Cellulitis Age 0-17
0.7922
4.2
4.2280
Yes
No
09
MED
Trauma to the Skin, Subcut Tiss & Breast Age >17 w CC
0.7716
3.2
4.0281
Yes
No
09
MED
Trauma to the Skin, Subcut Tiss & Breast Age >17 w/o CC
0.5207
2.3
2.8282
No
No
09
MED *
Trauma to the Skin, Subcut Tiss & Breast Age 0-17
0.2633283
Yes
No
09
MED
Minor Skin Disorders w CCc
0.7605
3.4
4.6284
Yes
No
09
MED
Minor Skin Disorders w/o CC
0.4584
2.3
2.9285
Yes
No
10
SURG
Amputat of Lower Limb For Endocrine,Nutrit,& Metabol Disorders
2.1774
8.1
10.3286
No
No
10
SURG
Adrenal & Pituitary Procedures
1.9098
3.8
5.2287
Yes
No
10
SURG
Skin Grafts & Wound Debrid for Endoc, Nutrit & Metab Disorders
1.9507
7.6
9.9288
No
No
10
SURG
O.R. Procedures for Obesity
1.9130
2.9
3.7289
No
No
10
SURG
Parathyroid Procedures
0.9245
1.6
2.4290
No
No
10
SURG
Thyroid Procedures
0.8806
1.5
2.0291
No
No
10
SURG
Thyroglossal Procedures
0.5849
1.3
1.5292
Yes
No
10
SURG
Other Endocrine, Nutrit & Metab O.R. Proc w CC
2.6985
7.3
10.2293
Yes
No
10
SURG
Other Endocrine, Nutrit & Metab O.R. Proc w/o CC
1.3912
3.5
4.8294
Yes
No
10
MED
Diabetes Age >35
0.7869
3.3
4.3295
No
No
10
MED
Diabetes Age 0-35
0.7655
2.8
3.7296
Yes
No
10
MED
Nutritional & Misc Metabolic Disorders Age >17 w CC
0.8334
3.6
4.7297
Yes
No
10
MED
Nutritional & Misc Metabolic Disorders Age >17 w/o CC
0.5090
2.5
3.0298
No
No
10
MED
Nutritional & Misc Metabolic Disorders Age 0-17
0.5753
2.5
3.5299
No
No
10
MED
Inborn Errors of Metabolism
1.0490
3.7
5.1300
Yes
No
10
MED
Endocrine Disorders w CC
1.1193
4.6
5.9301
Yes
No
10
MED
Endocrine Disorders w/o CC
0.6209
2.7
3.4302
No
No
11
SURG
Kidney Transplant
3.1152
6.7
7.9303
No
No
11
SURG
Kidney And Ureter Procedures for Neoplasm
1.9776
5.0
6.3304
Yes
No
11
SURG
Kidney And Ureter Procedures for Non-Neoplasm W CC
2.3473
5.8
8.3305
Yes
No
11
SURG
Kidney And Ureter Procedures for Non-Neoplasm W/o CC
1.1520
2.5
3.0306
No
No
11
SURG
Prostatectomy w CC
1.3390
3.6
5.6307
No
No
11
SURG
Prostatectomy w/o CC
0.6411
1.7
2.0308
No
No
11
SURG
Minor Bladder Procedures w CC
1.4594
3.3
5.3309
No
No
11
SURG
Minor Bladder Procedures w/o CC
0.9022
1.4
1.7310
No
No
11
SURG
Transurethral Procedures w CC
1.2131
3.1
4.5311
No
No
11
SURG
Transurethral Procedures w/o CC
0.6552
1.5
1.9312
No
No
11
SURG
Urethral Procedures, Age >17 w CC
1.1767
3.3
4.9313
No
No
11
SURG
Urethral Procedures, Age >17 w/o CC
0.7465
1.8
2.4314
No
No
11
SURG *
Urethral Procedures, Age 0-17
0.5076
2.3
2.3315
No
No
11
SURG
Other Kidney & Urinary Tract O.R. Procedures
2.1173
3.7
6.8316
Yes
No
11
MED
Renal Failure
1.2602
4.8
6.3317
No
No
11
MED
Admit for Renal Dialysis
0.8067
2.4
3.5318
No
No
11
MED
Kidney & Urinary Tract Neoplasms w CC
1.2376
4.4
6.0319
No
No
11
MED
Kidney & Urinary Tract Neoplasms w/o CC
0.6084
1.9
2.6320
Yes
No
11
MED
Kidney & Urinary Tract Infections Age >17 w CC
0.8769
4.1
5.1321
Yes
No
11
MED
Kidney & Urinary Tract Infections Age >17 w/o CC
0.5793
3.0
3.6322
No
No
11
MED
Kidney & Urinary Tract Infections Age 0-17
0.6160
3.1
3.6( print page 60020)323
No
No
11
MED
Urinary Stones w CC, &/or ESW Lithotripsy
0.8259
2.3
3.1324
No
No
11
MED
Urinary Stones w/o CC
0.5049
1.6
1.8325
No
No
11
MED
Kidney & Urinary Tract Signs & Symptoms Age >17 w CC
0.6904
2.9
3.7326
No
No
11
MED
Kidney & Urinary Tract Signs & Symptoms Age >17 w/o CCc
0.4544
2.1
2.6327
No
No
11
MED
Kidney & Urinary Tract Signs & Symptoms Age 0-17
0.2109
1.8
2.0328
No
No
11
MED
Urethral Stricture Age >17 w CC
0.7294
2.6
3.4329
No
No
11
MED
Urethral Stricture Age >17 w/o CC
0.5198
1.4
1.7330
No
No
11
MED *
Urethral Stricture Age 0-17
0.3268331
Yes
No
11
MED
Other Kidney & Urinary Tract Diagnoses Age >17 w CC
1.0960
4.2
5.5332
Yes
No
11
MED
Other Kidney & Urinary Tract Diagnoses Age >17 w/o CC
0.6255
2.4
3.1333
No
No
11
MED
Other Kidney & Urinary Tract Diagnoses Age 0-17
1.0170
3.7
5.4334
No
No
12
SURG
Major Male Pelvic Procedures w CC
1.4202
3.3
4.0335
No
No
12
SURG
Major Male Pelvic Procedures w/o CC
1.1174
2.2
2.5336
No
No
12
SURG
Transurethral Prostatectomy w CC
0.8576
2.4
3.2337
No
No
12
SURG
Transurethral Prostatectomy w/o CC
0.5877
1.6
1.8338
No
No
12
SURG
Testes Procedures, For Malignancy
1.3797
3.8
5.8339
No
No
12
SURG
Testes Procedures, Non-Malignancy Age >17
1.2553
3.3
5.2340
No
No
12
SURG *
Testes Procedures, Non-Malignancy Age 0-17
0.2904341
No
No
12
SURG
Penis Procedures
1.3419
1.9
3.2342
No
No
12
SURG
Circumcision Age >17
0.8103
2.3
3.0343
No
No
12
SURG *
Circumcision Age 0-17
0.1579344
No
No
12
SURG
Other Male Reproductive System O.R. Procedures for Malignancy
1.2124
1.7
2.7345
No
No
12
SURG
Other Male Reproductive System O.R. Proc Except for Malignancy
1.2987
3.4
5.4346
No
No
12
MED
Malignancy, Male Reproductive System, w CC
1.0716
4.5
5.9347
No
No
12
MED
Malignancy, Male Reproductive System, w/o CC
0.5385
2.0
2.7348
No
No
12
MED
Benign Prostatic Hypertrophy w CC
0.7429
3.1
4.0349
No
No
12
MED
Benign Prostatic Hypertrophy w/o CC
0.4615
2.1
2.6350
No
No
12
MED
Inflammation of the Male Reproductive System
0.7748
3.6
4.5351
No
No
12
MED *
Sterilization, Male
0.2422352
No
No
12
MED
Other Male Reproductive System Diagnoses
0.7819
3.0
4.2353
No
No
13
SURG
Pelvic Evisceration, Radical Hysterectomy & Radical Vulvectomy
1.8192
4.5
6.0354
No
No
13
SURG
Uterine,Adnexa Proc for Non-Ovarian/Adnexal Malig w CC
1.4966
4.5
5.6355
No
No
13
SURG
Uterine,Adnexa Proc for Non-Ovarian/Adnexal Malig w/o CC
0.9074
2.8
3.0356
No
No
13
SURG
Female Reproductive System Reconstructive Procedures
0.7571
1.6
1.9357
No
No
13
SURG
Uterine & Adnexa Proc for Ovarian Or Adnexal Malignancy
2.2250
6.4
8.0358
No
No
13
SURG
Uterine & Adnexa Proc for Non-Malignancy w CC
1.1418
3.1
3.9359
No
No
13
SURG
Uterine & Adnexa Proc for Non-Malignancy w/o CC
0.8053
2.1
2.3360
No
No
13
SURG
Vagina, Cervix & Vulva Procedures
0.8811
2.0
2.5361
No
No
13
SURG
Laparoscopy & Incisional Tubal Interruption
1.0626
2.1
2.9362
No
No
13
SURG *
Endoscopic Tubal Interruption
0.3096
1.4
1.4363
No
No
13
SURG
D&C, Conization & Radio-Implant, for Malignancy
1.1028
2.9
4.2364
No
No
13
SURG
D&C, Conization Except for Malignancy
0.8936
2.7
3.8365
No
No
13
SURG
Other Female Reproductive System O.R. Procedures
2.0508
5.3
7.9( print page 60021)366
No
No
13
MED
Malignancy, Female Reproductive System w CC
1.2466
4.6
6.3367
No
No
13
MED
Malignancy, Female Reproductive System w/o CC
0.5865
2.3
3.0368
No
No
13
MED
Infections, Female Reproductive System
1.1697
5.0
6.4369
No
No
13
MED
Menstrual & Other Female Reproductive System Disorders
0.6598
2.5
3.3370
No
No
14
SURG
Cesarean Section w CC
0.9002
4.1
5.0371
No
No
14
SURG
Cesarean Section w/o CC
0.6565
3.1
3.4372
No
No
14
MED
Vaginal Delivery w Complicating Diagnoses
0.5660
2.6
3.4373
No
No
14
MED
Vaginal Delivery w/o Complicating Diagnoses
0.3911
2.1
2.2374
No
No
14
SURG
Vaginal Delivery w Sterilization &/or D&C
0.6505
2.4
3.0375
No
No
14
SURG
Vaginal Delivery w O.R. Proc Except Steril &/or D&C
1.1252
4.1
6.5376
No
No
14
MED
Postpartum & Post Abortion Diagnoses w/o O.R. Procedure
0.6150
2.5
3.3377
No
No
14
SURG
Postpartum & Post Abortion Diagnoses w O.R. Procedure
1.2457
3.2
4.5378
No
No
14
MED
Ectopic Pregnancy
0.7163
1.8
2.2379
No
No
14
MED
Threatened Abortion
0.4138
2.2
3.3380
No
No
14
MED
Abortion w/o D&C
0.4430
1.5
2.0381
No
No
14
SURG
Abortion w D&C, Aspiration Curettage or Hysterotomy
0.7070
1.7
2.5382
No
No
14
MED
False Labor
0.1817
1.3
1.5383
No
No
14
MED
Other Antepartum Diagnoses w Medical Complications
0.5103
2.6
3.7384
No
No
14
MED
Other Antepartum Diagnoses w/o Medical Complications
0.3790
1.7
2.6385
No
No
15
MED *
Neonates, Died or Transferred to Another Acute Care Facility
1.4107386
No
No
15
MED *
Extreme Immaturity or Respiratory Distress Syndrome, Neonate
4.6519387
No
No
15
MED *
Prematurity w Major Problems
3.1771388
No
No
15
MED *
Prematurity w/o Major Problems
1.9170389
No
No
15
MED *
Full Term Neonate w Major Problems
3.2636
4.7
4.7390
No
No
15
MED *
Neonate w Other Significant Problems
1.1551391
No
No
15
MED *
Normal Newborn
0.1564392
No
No
16
SURG
Splenectomy Age >17
3.0202
6.3
8.9393
No
No
16
SURG *
Splenectomy Age 0-17
1.3819394
No
No
16
SURG
Other O.R. Procedures of the Blood and Blood Forming Organs
1.9299
4.5
7.3395
Yes
No
16
MED
Red Blood Cell Disorders Age >17
0.7992
3.1
4.1396
No
No
16
MED
Red Blood Cell Disorders Age 0-17
0.6654
2.6
3.1397
No
No
16
MED
Coagulation Disorders
1.3267
3.7
5.1398
Yes
No
16
MED
Reticuloendothelial & Immunity Disorders w CC
1.1269
4.1
5.5399
Yes
No
16
MED
Reticuloendothelial & Immunity Disorders w/o CC
0.6720
2.6
3.2400
No
No
17
SURG
No Longer Valid
0.0000
0.0
0.0401
Yes
No
17
SURG
Lymphoma & Non-Acute Leukemia w Other O.R. Proc w CC
2.9652
8.1
11.3402
Yes
No
17
SURG
Lymphoma & Non-Acute Leukemia w Other O.R. Proc w/o CC
1.1612
2.8
3.9403
Yes
No
17
MED
Lymphoma & Non-Acute Leukemia w CC
1.8625
5.7
8.0404
Yes
No
17
MED
Lymphoma & Non-Acute Leukemia w/o CC
0.9224
3.0
4.1405
No
No
17
MED *
Acute Leukemia w/o Major O.R. Procedure Age 0-17
1.9592406
No
No
17
SURG
Myeloprolif Disord or Poorly Diff Neopl w Maj O.R.Proc w CC
2.7201
6.7
9.4407
No
No
17
SURG
Myeloprolif Disord or Poorly Diff Neopl w Maj O.R.Proc w/o CC
1.1545
2.8
3.5408
No
No
17
SURG
Myeloprolif Disord or Poorly Diff Neopl w Other O.R.Proc
2.1651
5.1
8.2409
No
No
17
MED
Radiotherapy
1.2948
4.5
6.0( print page 60022)410
No
No
17
MED
Chemotherapy w/o Acute Leukemia as Secondary Diagnosis
1.0908
2.9
3.8411
No
No
17
MED *
History of Malignancy w/o Endoscopy
0.3681
4.7
4.7412
No
No
17
MED *
History of Malignancy w Endoscopy
0.8559
2.0
2.0413
No
No
17
MED
Other Myeloprolif Dis or Poorly Diff Neopl Diag w CC
1.3347
5.0
6.7414
No
No
17
MED
Other Myeloprolif Dis or Poorly Diff Neopl Diag w/o CC
0.7678
3.0
4.1415
No
No
18
SURG
No Longer Valid
0.0000
0.0
0.0416
No
No
18
MED
No Longer Valid
0.0000
0.0
0.0417
No
No
18
MED
Septicemia Age 0-17
1.8841
5.2
6.5418
Yes
No
18
MED
Postoperative & Post-Traumatic Infections
1.0993
4.7
6.1419
No
No
18
MED
Fever of Unknown Origin Age >17 w CC
0.8614
3.4
4.4420
No
No
18
MED
Fever of Unknown Origin Age >17 w/o CC
0.5957
2.6
3.2421
No
No
18
MED
Viral Illness Age >17
0.7747
3.1
4.0422
No
No
18
MED
Viral Illness & Fever of Unknown Origin Age 0-17
0.6176
2.6
3.7423
Yes
No
18
MED
Other Infectious & Parasitic Diseases Diagnoses
1.8379
6.0
8.2424
No
No
19
SURG
O.R. Procedure w Principal Diagnoses of Mental Illness
2.2487
7.4
11.5425
No
No
19
MED
Acute Adjustment Reaction & Psychosocial Dysfunction
0.6299
2.6
3.5426
No
No
19
MED
Depressive Neuroses
0.5122
3.1
4.3427
No
No
19
MED
Neuroses Except Depressive
0.5580
3.1
4.6428
No
No
19
MED
Disorders of Personality & Impulse Control
0.7797
4.5
7.3429
Yes
No
19
MED
Organic Disturbances & Mental Retardation
0.8388
4.3
5.6430
Yes
No
19
MED
Psychoses
0.7261
5.8
7.9431
No
No
19
MED
Childhood Mental Disorders
0.6729
4.2
6.7432
No
No
19
MED
Other Mental Disorder Diagnoses
0.6611
2.7
4.0433
No
No
20
MED
Alcohol/Drug Abuse or Dependence, Left AMA
0.3284
2.1
2.8434
No
No
20
MED
No Longer Valid
0.0000
0.0
0.0435
No
No
20
MED
No Longer Valid
0.0000
0.0
0.0436
No
No
20
MED
No Longer Valid
0.0000
0.0
0.0437
No
No
20
MED
No Longer Valid
0.0000
0.0
0.0438
No
No
20
MED
No Longer Valid
0.0000
0.0
0.0439
No
No
21
SURG
Skin Grafts For Injuries
1.9071
5.4
8.3440
Yes
No
21
SURG
Wound Debridements For Injuries
1.9291
5.6
8.5441
No
No
21
SURG
Hand Procedures For Injuries
0.9920
2.3
3.4442
Yes
No
21
SURG
Other O.R. Procedures For Injuries w CC
2.5533
6.0
8.9443
Yes
No
21
SURG
Other O.R. Procedures For Injuries w/o CC
1.0498
2.7
3.5444
Yes
No
21
MED
Traumatic Injury Age >17 w CC
0.7795
3.2
4.1445
Yes
No
21
MED
Traumatic Injury Age >17 w/o CC
0.5301
2.3
2.8446
No
No
21
MED *
Traumatic Injury Age 0-17
0.3037447
No
No
21
MED
Allergic Reactions Age >17
0.5738
1.9
2.6448
No
No
21
MED *
Allergic Reactions Age 0-17
0.1000449
No
No
21
MED
Poisoning & Toxic Effects of Drugs Age >17 w CC
0.8732
2.7
3.7450
No
No
21
MED
Poisoning & Toxic Effects of Drugs Age >17 w/o CC
0.4420
1.6
2.0451
No
No
21
MED *
Poisoning & Toxic Effects of Drugs Age 0-17
0.2697
2.1
2.1452
No
No
21
MED
Complications of Treatment w CC
1.0686
3.5
5.0453
No
No
21
MED
Complications of Treatment w/o CC
0.5297
2.2
2.8454
No
No
21
MED
Other Injury, Poisoning & Toxic Effect Diag w CC
0.8616
3.0
4.1455
No
No
21
MED
Other Injury, Poisoning & Toxic Effect Diag w/o CC
0.4864
1.8
2.3456
No
No
22
MED
No Longer Valid
0.0000
0.0
0.0457
No
No
22
MED
No Longer Valid
0.0000
0.0
0.0458
No
No
22
SURG
No Longer Valid
0.0000
0.0
0.0459
No
No
22
SURG
No Longer Valid
0.0000
0.0
0.0( print page 60023)460
No
No
22
MED
No Longer Valid
0.0000
0.0
0.0461
No
No
23
SURG
O.R. Proc w Diagnoses of Other Contact w Health Services
1.5707
3.3
5.6462
Yes
No
23
MED
Rehabilitation
0.9460
8.4
10.0463
Yes
No
23
MED
Signs & Symptoms w CC
0.7158
3.1
3.9464
Yes
No
23
MED
Signs & Symptoms w/o CC
0.5271
2.4
2.9465
No
No
23
MED
Aftercare w History Of Malignancy As Secondary Diagnosis
0.5954
2.4
3.5466
No
No
23
MED
Aftercare w/o History of Malignancy as Secondary Diagnosis
0.7634
2.7
4.9467
No
No
23
MED
Other Factors Influencing Health Status
0.4759
1.9
2.7468
Yes
No

SURG
Extensive O.R. Procedure Unrelated to Principal Diagnosis
3.9925
9.6
13.0469
No
No

**
Principal Diagnosis Invalid as Discharge Diagnosis
0.0000
0.0
0.0470
No
No

**
Ungroupable
0.0000
0.0
0.0471
Yes
Yes
08
SURG
Bilateral or Multiple Major Joint Procs of Lower Extremity
3.0424
4.1
4.6472
No
No
22
SURG
No Longer Valid
0.0000
0.0
0.0473
No
No
17
MED
Acute Leukemia w/o Major O.R. Procedure Age >17
3.3623
7.3
12.7474
No
No
04
SURG
No Longer Valid
0.0000
0.0
0.0475
No
No
04
MED
No Longer Valid
0.0000
0.0
0.0476
No
No

SURG
Prostatic O.R. Procedure Unrelated to Principal Diagnosis
2.1654
6.9
9.9477
Yes
No

SURG
Non-Extensive O.R. Procedure Unrelated to Principal Diagnosis
2.0910
5.9
8.7478
No
No
05
SURG
No Longer Valid
0.0000
0.0
0.0479
No
No
05
SURG
Other Vascular Procedures w/o CC
1.4401
1.9
2.6480
No
No
PRE
SURG
Liver Transplant &/or Intestinal Transplant
9.4096
14.0
19.1481
No
No
PRE
SURG
Bone Marrow Transplant
6.3929
18.7
22.0482
Yes
No
PRE
SURG
Tracheostomy for Face, Mouth & Neck Diagnoses
3.3490
9.4
11.8483
No
No
PRE
SURG
No Longer Valid
0.0000
0.0
0.0484
No
No
24
SURG
Craniotomy For Multiple Significant Trauma
5.0967
8.5
12.8485
Yes
No
24
SURG
Limb Reattachment, Hip And Femur Proc for Multiple Significant Trauma
3.5048
8.1
10.0486
No
No
24
SURG
Other O.R. Procedures for Multiple Significant Trauma
4.8346
8.5
12.3487
Yes
No
24
MED
Other Multiple Significant Trauma
1.8930
5.2
7.0488
No
No
25
SURG
HIV w Extensive O.R. Procedure
5.1298
12.2
17.7489
No
No
25
MED
HIV w Major Related Condition
1.7921
5.8
8.2490
No
No
25
MED
HIV w or w/o Other Related Condition
1.0408
3.9
5.3491
No
No
08
SURG
Major Joint & Limb Reattachment Procedures of Upper Extremity
1.7203
2.5
3.0492
No
No
17
MED
Chemotherapy w Acute Leukemia or w Use of Hi Dose Chemoagent
3.4892
8.9
13.8493
No
No
07
SURG
Laparoscopic Cholecystectomy w/o C.D.E. w CC
1.8280
4.6
6.0494
No
No
07
SURG
Laparoscopic Cholecystectomy w/o C.D.E. w/o CC
1.0320
2.1
2.7495
No
No
PRE
SURG
Lung Transplant
8.4182
14.2
17.3496
No
No
08
SURG
Combined Anterior/Posterior Spinal Fusion
6.3782
6.4
8.8497
Yes
Yes
08
SURG
Spinal Fusion Except Cervical w CC
3.8192
4.8
5.7498
Yes
Yes
08
SURG
Spinal Fusion Except Cervical w/o CC
2.9896
3.3
3.7499
No
No
08
SURG
Back & Neck Procedures Except Spinal Fusion w CC
1.3887
3.0
4.2500
No
No
08
SURG
Back & Neck Procedures Except Spinal Fusion w/o CC
0.9223
1.8
2.2501
Yes
No
08
SURG
Knee Procedures w PDX of Infection w CC
2.6427
8.4
10.4502
Yes
No
08
SURG
Knee Procedures w PDX of Infection w/o CC
1.4274
4.9
5.8503
No
No
08
SURG
Knee Procedures w/o PDX of Infection
1.2450
3.1
3.9( print page 60024)504
No
No
22
SURG
Exten. Burns or Full Thickness Burn w/MV 96+Hrs w/Skin Gft
11.2524
20.7
28.0505
No
No
22
MED
Exten. Burns Or Full Thickness Burn w/MV 96+Hrs w/o Skin Gft
2.6330
2.8
6.9506
No
No
22
SURG
Full Thickness Burn w Skin Graft or Inhal Inj w CC or Sig Trauma
3.7856
10.8
15.2507
No
No
22
SURG
Full Thickness Burn w Skin Grft or Inhal Inj w/o CC or Sig Trauma
1.9328
5.4
7.7508
No
No
22
MED
Full Thickness Burn w/o Skin Grft or Inhal Inj w CC or Sig Trauma
1.4157
5.3
7.4509
No
No
22
MED
Full Thickness Burn w/o Skin Grft Or Inh Inj w/o CC or Sig Trauma
0.8347
3.7
5.3510
No
No
22
MED
Non-Extensive Burns w CC or Significant Trauma
1.2477
4.1
6.1511
No
No
22
MED
Non-Extensive Burns w/o CC or Significant Trauma
0.6819
2.6
3.6512
No
No
PRE
SURG
Simultaneous Pancreas/Kidney Transplant
6.2588
11.1
13.6513
No
No
PRE
SURG
Pancreas Transplant
3.9771
8.9
10.6514
No
No
05
SURG
No Longer Valid
0.0000
0.0
0.0515
No
No
05
SURG
Cardiac Defibrillator Implant w/o Cardiac Cath
5.2293
2.2
3.8516
No
No
05
SURG
No Longer Valid
0.0000
0.0
0.0517
No
No
05
SURG
No Longer Valid
0.0000
0.0
0.0518
No
No
05
SURG
Perc Cardio Proc w/o Coronary Artery Stent or AMI
1.6388
1.8
2.5519
No
No
08
SURG
Cervical Spinal Fusion w CC
2.5439
2.9
4.7520
No
No
08
SURG
Cervical Spinal Fusion w/o CC
1.7569
1.6
1.9521
Yes
No
20
MED
Alcohol/Drug Abuse or Dependence w CC
0.7338
4.0
5.3522
Yes
No
20
MED
Alc/Drug Abuse or Depend w Rehabilitation Therapy w/o CC
0.5993
8.0
10.4523
No
No
20
MED
Alc/Drug Abuse or Depend w/o Rehabilitation Therapy w/o CC
0.4196
3.1
3.8524
No
No
01
MED
Transient Ischemia
0.7373
2.6
3.1525
No
No
05
SURG
Other Heart Assist System Implant 1
2.2268
7.7
14.3526
No
No
05
SURG
No Longer Valid
0.0000
0.0
0.0527
No
No
05
SURG
No Longer Valid
0.0000
0.0
0.0528
No
No
01
SURG
Intracranial Vascular Proc w PDX Hemorrhage
7.0626
13.3
16.4529
Yes
No
01
SURG
Ventricular Shunt Procedures w CC
2.1737
4.6
7.4530
Yes
No
01
SURG
Ventricular Shunt Procedures w/o CC
1.2186
2.3
2.9531
Yes
No
01
SURG
Spinal Procedures w CC
3.1169
6.4
9.3532
Yes
No
01
SURG
Spinal Procedures w/o CC
1.4577
2.8
3.7533
No
No
01
SURG
Extracranial Procedures w CC
1.5463
2.4
3.7534
No
No
01
SURG
Extracranial Procedures w/o CC
0.9926
1.4
1.7535
No
No
05
SURG
Cardiac Defib Implant w Cardiac Cath w AMI/HF/Shock
7.3741
6.9
9.3536
No
No
05
SURG
Cardiac Defib Implant w Cardiac Cath w/o AMI/HF/Shock
6.6043
5.5
7.3537
Yes
No
08
SURG
Local Excis & Remov of Int Fix Dev Except Hip & Femur w CC
1.8360
4.7
6.6538
Yes
No
08
SURG
Local Excis & Remov of Int Fix Dev Except Hip & Femur w/o CC
1.0282
2.2
2.9539
No
No
17
SURG
Lymphoma & Leukemia w Major or Procedure w CC
3.1907
6.8
10.6540
No
No
17
SURG
Lymphoma & Leukemia w Major or Procedure w/o CC
1.1759
2.6
3.5541
Yes
No
PRE
SURG
Ecmo or Trach w MV 96+Hrs or PDX Exc Face, Mouth & Neck w Maj O.R.
19.2551
37.0
44.3542
Yes
No
PRE
SURG
Trach w MV 96+Hrs or PDX Exc Face, Mouth & Neck w/o Maj O.R.
11.6440
27.2
32.6543
Yes
No
01
SURG
Craniotomy w Major Device Implant or Acute Complex CNS Principal Diagnosis
4.3557
7.9
11.6544
Yes
No
08
SURG
Major Joint Replacement or Reattachment of Lower Extremity
1.9878
4.0
4.4545
Yes
Yes
08
SURG
Revision of Hip or Knee Replacement
2.5337
4.4
5.2( print page 60025)546
No
No
08
SURG
Spinal Fusion Exc Cerv with Curvature of the Spine or Malig
5.3812
7.0
8.8547
Yes
No
05
SURG
Coronary Bypass w Cardiac Cath w Major CV Dx
6.1390
10.9
12.4548
Yes
No
05
SURG
Coronary Bypass w Cardiac Cath w/o Major CV Dx
4.6440
8.1
8.9549
Yes
Yes
05
SURG
Coronary Bypass w/o Cardiac Cath w Major CV Dx
5.0246
8.6
10.2550
Yes
Yes
05
SURG
Coronary Bypass w/o Cardiac Cath w/o Major CV Dx
3.5904
6.2
6.8551
No
No
05
SURG
Permanent Cardiac Pacemaker Impl w Maj CV Dx or Aicd Lead or Gnrtr
3.0364
4.2
6.1552
No
No
05
SURG
Other Permanent Cardiac Pacemaker Implant w/o Major CV Dx
2.0860
2.5
3.5553
Yes
No
05
SURG
Other Vascular Procedures w CC w Major CV Dx
3.0124
6.2
9.2554
Yes
No
05
SURG
Other Vascular Procedures w CC w/o Major CV Dx
2.0773
3.7
5.6555
No
No
05
SURG
Percutaneous Cardiovascular Proc w Major CV Dx
2.3066
3.4
4.8556
No
No
05
SURG
Percutaneous Cardiovasc Proc w Non-Drug-Eluting Stent w/o Maj Cv Dx
1.7747
1.6
2.0557
No
No
05
SURG
Percutaneous Cardiovascular Proc w Drug-Eluting Stent w Major Cv Dx
2.7616
3.0
4.1558
No
No
05
SURG
Percutaneous Cardiovascular Proc w Drug-Eluting Stent w/o Maj Cv Dx
2.0814
1.5
1.8559
No
No
01
MED
Acute Ischemic Stroke With Use of Thrombolytic Agent
2.2524
5.4
6.9560
No
No
01
MED
Bacterial & Tuberculous Infections of Nervous System
2.9066
8.2
10.6561
No
No
01
MED
Non-Bacterial Infections of Nervous System Except Viral Meningitis
2.2187
7.4
9.5562
Yes
No
01
MED
Seizure Age > 17 w CC
1.0586
3.7
4.9563
Yes
No
01
MED
Seizure Age > 17 w/o CC
0.6440
2.6
3.2564
No
No
01
MED
Headaches Age >17
0.6931
2.6
3.4565
Yes
No
04
MED
Respiratory System Diagnosis with Ventilator Support 96+ Hours
5.2430
13.4
15.8566
Yes
No
04
MED
Respiratory System Diagnosis with Ventilator Support < 96 Hours
2.3355
5.6
7.8567
Yes
No
06
SURG
Stomach, Esophageal & Duodenal Proc Age > 17 w CC w Major GI Dx
5.2210
12.7
16.0568
Yes
No
06
SURG
Stomach, Esophageal & Duodenal Procedures Proc Age > 17 w CC w/o Major GI Dx
3.3666
8.3
11.5569
Yes
No
06
SURG
Major Small & Large Bowel Procedures w CC w Major GI Dx
4.3427
11.9
14.6570
Yes
No
06
SURG
Major Small & Large Bowel Procedures w CC w/o Major GI Dx
2.6997
8.4
10.1571
No
No
06
MED
Major Esophageal Disorders
1.1109
3.8
4.8572
Yes
No
08
MED
Major Gastrointestinal Disorders And Peritoneal Infections
1.3378
5.6
7.1573
Yes
No
11
SURG
Major Bladder Procedures
3.3489
9.1
11.1574
No
No
16
MED
Major Hematologic/Immunologic Diag Exc Sickle Cell Crisis & Coagul
1.2703
4.3
5.7575
Yes
No
18
MED
Septicemia w MV96+ Hours Age >17
5.9714
13.2
16.0576
Yes
No
18
MED
Septicemia w/o MV96+ Hours Age >17
1.5996
5.5
7.3577
No
No
01
SURG
Carotid Artery Stent Procedure
1.7859
1.6
2.3578
Yes
No
18
SURG
Infectious & Parasitic Diseases w O.R. Procedure
4.8650
12.7
16.6579
Yes
No
18
SURG
Postoperative O.R. Post-Traumatic Infections w O.R. Procedure
2.8408
8.4
11.5DRGs 469 and 470 contain cases which could not be assigned to valid drgs.**Note:**
                             Arithmetic mean is presented for informational purposes only.**Note:**
                             Geometric mean is used only to determine payment for transfer cases.**Note:**
                             Relative weights are based on Medicare patient data and may not be appropriate for other patients.
 
 
 It is important to note that in some cases this Table reflects withdrawal or termination decisions CMS has made on a hospital's behalf.  For example, if CMS withdrew or terminated a hospital's reclassification(s) or redesignation on the hospital's behalf, such hospital would not be shown on this Table.  Requests to reverse a decision made on behalf of a hospital by CMS and to choose another wage index, reclassification, or adjustment for which the hospital is otherwise eligible must be 
                        *received*
                         by CMS no later than 5 p.m., e.s.t., with a copy sent to the MGCRB, by October 30, 2006 (30 days from the date that information appears on the CMS Web site at 
                        *http://www.cms.hhs.gov/​AcuteInpatientPPS/​WIFN/​list.asp.*) Table 9A.—Hospital Reclassifications and Redesignations by Individual Hospitals and CBSA for FY 2007
Provider No.
Geographic CBSA
Reclassified CBSA 
                                 10/1/2006- 
                                 3/31/2007
Reclassified CBSA 
                                 4/1/2007- 
                                 9/30/2007
LUGAR010005
01
13820
13820010008
01
33860
33860010009
19460
26620
26620010012
01
16860
16860010022
01
40660
40660
LUGAR010025
01
17980
17980010029
12220
17980
17980010035
01
13820
13820010044
01
13820
13820010045
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33860
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13820010150
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19460010164
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LUGAR020008
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11260030007
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22380030033
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22380
22380040014
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30780
30780040017
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22220
22220040019
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27860
32820
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44180040039
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30780
30780040047
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32820
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30780
30780040076
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30780
30780040078
26300
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30780040080
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27860
27860040088
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43340
43340040091
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45500
45500040100
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30780040119
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30780
30780050006
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39820050009
34900
46700
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34900
46700
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40900
40900050022
40140
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36084
36084050082
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31084050089
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31084
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42220
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41884050099
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31084
31084( print page 60027)050101
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31084050291
42220
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41884050292
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31084
31084050300
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31084050680
46700
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36084050684
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41884( print page 60028)050693
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24540
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19740060003
14500
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24300
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14500
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06
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22660
22660060075
06

24300060096
06
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35004070003
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LUGAR070005
35300

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14860

35644070010
14860

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35644070019
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35004070022
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35004070033
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08
36140
36140100022
33124
22744
22744100023
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33124
33124100045
19660
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36740100049
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29460
29460100081
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23020
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27260
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10
10110040
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12060
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12020
12020110052
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16860
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LUGAR110054
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12060
12060110069
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31420
31420110075
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42340
42340( print page 60029)110088
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LUGAR110095
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46660
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12060
LUGAR110122
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45220
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31420
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47580
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12060
12060
LUGAR110189
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12060
12060110205
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12060
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50
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28100
LUGAR140291
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23844
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43780
43780150008
23844
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33140
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26900
26900
LUGAR150034
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16974
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17140
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26900
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17140
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43780
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26900
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16974150102
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23844
23844
LUGAR150112
18020
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26900
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26900
26900150125
23844
16974
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23844
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23060
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26980
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24160080
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19340
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19780( print page 60030)170006
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LUGAR190164
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10780
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4
4190218
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12940
LUGAR200020
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14484( print page 60031)220033
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14484230002
19804

11460230003
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19804230019
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19804230020
19804

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23
29620
29620230024
19804

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47644

19804230030
23
40980
40980230035
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24340
24340
LUGAR230036
23

13020230037
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11460
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47644
19804
19804230053
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13020
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23
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LUGAR230135
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LUGAR230217
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19804
19804( print page 60032)230244
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19804230279
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26100
LUGAR240018
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33460240030
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LUGAR240187
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33460
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22520250004
25
32820
32820250006
25
32820
32820250009
25
27180
27180250023
25
25060
25060
LUGAR250031
25
27140
27140250034
25
32820
32820250040
37700
25060
25060250042
25
32820
32820250044
25
22520
22520250069
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46220
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27140250081
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38220
38220250094
25620
25060
25060250097
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12940
12940250099
25
27140
27140250100
25
46220
46220250104
25
27140
27140250117
25
25060
25060
LUGAR260009
26
28140
28140260015
26
27860
27860260017
26
41180
41180260022
26
16
16260025
26
41180
41180260049
26
44180
44180
LUGAR260050
26
41140
41140260064
26
17860
17860260094
26
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14
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14
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27860260175
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28140260183
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41180260186
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17860270003
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24500
24500270011
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24500270017
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33540
33540270051
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33540280009
28
30700
30700280023
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30700
30700280032
28
30700
30700280061
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53
53280065
28
24540
24540( print page 60033)280077
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36540280125
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43580290002
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16180
LUGAR290006
29
39900
39900290008
29
41620
41620290019
16180
39900
39900300005
30
31700
31700300014
40484
31700
31700300018
40484
31700
31700300019
30
49340
49340310002
35084
35644
35644310009
35084
35644
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35084
35644
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15804
37964
37964310015
35084
35644
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35084
35644
35644310018
35084
35644
35644310021
45940

35084310031
15804
20764
20764310038
20764
35644
35644310039
20764
35644
35644310048
20764
35084
35084310050
35084
35644
35644310054
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35644
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20764
35644
35644310076
35084
35644
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35084
35644
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15804
37964
37964310083
35084
35644
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35084
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35084
35644
35644310108
20764
35644
35644310119
35084
35644
35644320005
22140
10740
10740320006
32
42140
42140320013
32
42140
42140320014
32
29740
29740320033
32
42140
42140
LUGAR320063
32
36220
36220320065
32
36220
36220330004
28740
39100
39100330008
33
15380
15380
LUGAR330027
35004
35644
35644330038
33
40380
40380
LUGAR330073
33
40380
40380
LUGAR330079
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47
47330085
33
45060
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24020
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10580330198
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35644330224
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27460
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33
45060
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21500
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15540
15540330259
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27060
27060330331
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35644330332
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39100
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LUGAR( print page 60034)330372
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39100
39100340004
24660
49180
49180340008
34
16740
16740340010
24140
39580
39580340013
34
16740
16740340021
34
16740
16740340027
34
24780
24780340039
34
16740
16740340050
34
22180
22180340051
34
25860
25860340068
34
48900
48900340071
34
39580
39580
LUGAR340091
24660
49180
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34
47260
47260340115
34
20500
20500340124
34
39580
39580
LUGAR340126
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39580
39580340127
34
20500
20500340129
34
16740
16740340131
34
24780
24780340136
34
20500
20500
LUGAR340144
34
16740
16740340145
34
16740
16740
LUGAR340147
40580
39580
39580350003
35

13900350006
35

13900350009
35
22020
22020360008
36
26580
26580360010
36
10420
10420360011
36
18140
18140360013
36
30620
30620360014
36
18140
18140360019
10420
17460
17460360020
10420
17460
17460360027
10420
17460
17460360036
36
17460
17460360039
36
18140
18140360054
36
26580
26580360065
36
17460
17460360078
10420
17460
17460360079
19380
17140
17140360086
44220
19380
19380360095
36
45780
45780360096
36
49660
49660
LUGAR360107
36
45780
45780360121
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11460
11460360150
10420
17460
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18140
18140360175
36
18140
18140360185
36
49660
49660
LUGAR360187
44220
19380
19380360197
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18140
18140360211
48260
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38300360238
36
49660
49660
LUGAR360241
10420
17460
17460360245
36
17460
17460
LUGAR360253
19380
17140
17140370004
37
27900
27900370006
37
17
17370015
37
46140
46140370016
37
36420
36420370018
37
46140
46140370022
37
30020
30020370025
37
46140
46140370026
37
36420
36420370034
37
22900
22900370047
37
43300
43300( print page 60035)370049
37
36420
36420370099
37
46140
46140370103
37
45
45370113
37
22220
22220380001
38
38900
38900380022
38
18700
18700
LUGAR380027
38
21660
21660380050
38
32780
32780380090
38

21660390006
39
25420
25420390013
39
25420
25420390030
39
10900
10900390031
39
39740
39740
LUGAR390046
49620
29540
29540390048
39
25420
25420390052
39
11020
11020390065
39
47894
47894390066
30140
25420
25420390071
39
48700
48700
LUGAR390079
39
13780
13780390086
39
44300
44300390091
39
49660
49660390093
39
38300
38300390113
39
36
36390133
10900
37964
37964390138
39
47894
47894390151
39
13644
13644390246
39
48700
48700400048
25020
41980
41980410010
39300
14484
14484410012
39300
14484
14484410013
39300
35980
35980420007
43900
24860
24860420009
42
24860
24860
LUGAR420020
42
16700
16700420027
11340
24860
24860420028
42
44940
44940
LUGAR420030
42
16700
16700420036
42
16740
16740420039
42
43900
43900
LUGAR420067
42
42340
42340420068
42
12260
12260420069
42
44940
44940
LUGAR420070
44940
17900
17900420071
42
24860
24860420080
42
42340
42340420083
43900
24860
24860420085
34820
48900
48900430012
43
43620
43620430014
43
22020
22020430094
43
53
53440002
27180
32820
32820440020
44
26620
26620440024
17420
16860
16860440025
44
34
34440035
17300
34980
34980440050
44
11700
11700440058
44
16860
16860440059
44
34980
34980440067
34100
28940
28940440068
44
16860
16860440072
44
32820
32820440073
44
34980
34980440148
44
34980
34980440151
44
34980
34980440175
44
34980
34980440180
44
28940
28940440185
17420
16860
16860( print page 60036)440192
44
34980
34980450007
45
41700
41700450032
45
43340
43340450039
23104
19124
19124450059
41700
12420
12420450064
23104
19124
19124450073
45
10180
10180450080
45
30980
30980450087
23104
19124
19124450099
45
11100
11100450121
23104
19124
19124450135
23104
19124
19124450137
23104
19124
19124450144
45
36220
36220450148
23104
19124
19124450187
45
26420
26420450192
45
19124
19124450194
45
19124
19124450196
45
19124
19124450211
45
26420
26420450214
45
26420
26420450224
45
46340
46340450283
45
19124
19124
LUGAR450286
45
17780
17780
LUGAR450324
43300
19124
19124450347
45
26420
26420450351
45
23104
23104450389
45
19124
19124
LUGAR450393
43300
19124
19124450395
45
26420
26420450400
45
47380
47380450419
23104
19124
19124450438
45
26420
26420450447
45
19124
19124450451
45
23104
23104450469
43300
19124
19124450484
45
30980
30980450508
45
46340
46340450547
45
19124
19124450563
23104
19124
19124450639
23104
19124
19124450653
45
33260
33260450656
45
46340
46340450672
23104
19124
19124450675
23104
19124
19124450677
23104
19124
19124450694
45
26420
26420450747
45
19124
19124450770
45
12420
12420
LUGAR450779
23104
19124
19124450813
45
41700
41700450830
45
36220
36220450839
45
43340
43340450858
23104
19124
19124450872
23104
19124
19124450880
23104
19124
19124460004
36260
41620
41620460005
36260
41620
41620460007
46
41100
41100460011
46
39340
39340460021
41100
29820
29820460039
46
36260
36260460041
36260
41620
41620460042
36260
41620
41620470001
47
30
30470011
47
15764
15764470012
47
38340
38340490004
25500
16820
16820( print page 60037)490005
49020
47894
47894490013
49
31340
31340490018
49
16820
16820490042
13980
40220
40220490079
49
49180
49180490092
49
40060
40060490105
49
28700
28700490106
49
16820
16820490109
47260
40060
40060500002
50
28420
28420500003
34580
42644
42644500016
48300
42644
42644500021
45104
42644
42644500039
14740
42644
42644500041
31020
38900
38900500072
50
42644
42644500079
45104
42644
42644500108
45104
42644
42644500129
45104
42644
42644510001
34060
38300
38300510002
51
40220
40220510006
51
38300
38300510018
51
16620
16620
LUGAR510024
34060
38300
38300510030
51
34060
34060510046
51
16620
16620510047
51
38300
38300510062
51
16620
16620510070
51
16620
16620510071
51
16620
16620510077
51
26580
26580520002
52
48140
48140520028
52
31540
31540520037
52
48140
48140520059
39540
29404
29404520060
52
22540
22540
LUGAR520066
27500
31540
31540520071
52
33340
33340
LUGAR520076
52
31540
31540520094
39540
33340
33340520095
52
31540
31540520096
39540
33340
33340520102
52
33340
33340
LUGAR520107
52
24580
24580520113
52
24580
24580520116
52
33340
33340
LUGAR520173
52
20260
20260530015
53

26820530025
53
22660
22660
 It is important to note that in some cases this Table reflects termination decisions CMS has made on a hospital's behalf.  For example, if CMS terminated a hospital's section 1886(d)(10) reclassification on the hospital's behalf to allow the hospital to receive a section 508 reclassification, it would  be shown on this Table.  Requests to reverse a decision made on behalf of a hospital by CMS and to choose another wage index, reclassification, or adjustment for which the hospital is otherwise eligible must be received by CMS no later than 5 p.m., e.s.t, with a copy sent to the MGCRB, by October 30, 2006 (30 days from the date the information appears on the CMS Web site at: 
                            *http://www.cms.hhs.gov/​AcuteInpatientPPS/​WIFN/​list.asp.*) TABLE 9B.—Hospital Reclassifications and Redesignations by Individual Hospital Under Section 508 of Pub. L. 108-173—FY 2007
Provider No.
Note
Geographic CBSA
Wage Index CBSA—
                                 10/1/2006- 
                                 3/31/2007
Wage Index CBSA—
                                 4/1/2007- 
                                 9/30/2007 *
Own Wage Index—
                                 10/1/2006- 
                                 3/31/2007010150

01
17980( print page 60038)020008

02


1.2183050494

05
42220050549

37100
42220060075

06


1.0877070001

35300
35004070005

35300
35004070006
*
14860
35644070010

14860
35644070016

35300
35004070017

35300
35004070018
*
14860
35644070019

35300
35004070022

35300
35004070028

14860
35644070031

35300
35004070034
*
14860
35644070036

25540


1.2930070039

35300
35004140155
*
28100
16974
16974140186
*
28100
16974
16974160040

47940
16300160064

16


0.9701160067

47940
16300160110

47940
16300220046

38340
14484230003

26100
28020230004

34740
28020230013

47644
22420230019

47644
22420230020

19804
11460230024

19804
11460230029

47644
22420230036

23
22420230038

24340
28020230053

19804
11460230059

24340
28020230066

34740
28020230071

47644
22420230072

26100
28020230089

19804
11460230097

23
28020230104

19804
11460230106

24340
28020230119

19804
11460230130

47644
22420230135

19804
11460230146

19804
11460230151

47644
22420230165

19804
11460230174

26100
28020230176

19804
11460230207

47644
22420230223

47644
22420230236

24340
28020230254

47644
22420230269

47644
22420230270

19804
11460230273

19804
11460230277

47644
22420250002

25
25060250078
*
25620
25060
25060250122

25
25060270002
*
27
33540
33540270012
*
24500
33540
33540270023

33540
13740270032

27
13740270057

27
13740310021

45940
35644( print page 60039)310028

35084
35644310051

35084
35644310060

10900
35644310115

10900
35644310120

35084
35644330023
*
39100
35644
35644330049

39100
35644330067
*
39100
35644
35644330106

35004
-- -- --

1.4779330126

39100
35644330135

39100
35644330205

39100
35644330209

39100
35004330264

39100
35004340002

11700
16740350002

13900
22020350003

35
22020350006

35
22020350010

35
22020350014

35
22020350015

13900
22020350017

35
22020350019
*
24220
22020
22020350030

35
22020380090

38


1.1162390001

42540
10900390003

39
10900390044
***
39
37964
37964390045
**
39
10900390096
***
39
37964
37964390054

42540
29540390072

39
10900390095

42540
10900390119

42540
10900390137

42540
10900390169

42540
10900390185

42540
29540390192

42540
10900390237

42540
10900390270

42540
29540430005

43
39660430008
*
43
43620
43620430013
*
43
43620
43620430015

43
43620430048

43
43620430060

43
43620430064

43
43620430077

39660
43620430091

39660
43620450010

48660
32580450072

26420
26420450591

26420
26420470003

15540
14484490001

49
31340490024

40220
19260530008
*
53
16220
16220530010
*
53
16220
16220530015

53


1.006* These hospitals are assigned a wage index value under a special exceptions policy (see the FY 2005 IPPS final rule, 69 FR 49105).** This hospital has been assigned a wage index for the 1st half of FY 2007 under a special exceptions policy (71 FR 48070).*** These hospitals are receiving the same wage index for FY 2007 as hospitals reclassified to the wage index CBSA under a special exceptions policy (71 FR 48072).
 
 
 Table 9C.—Hospitals Redesignated as Rural Under Section 1886(d)(8)(E) of the Act—FY 2007
Provider Number
Geographic CBSA
Redesignated Rural Area50192
23420
05050469
40140
05050528
32900
05050618
40140
05070004
25540
07100048
37860
10100134
27260
10140167
14
14170137
29940
17230078
35660
23250126
32820
25260006
41140
26260047
27620
26260195
44180
26330044
46540
33330245
46540
33330268
10580
33360125
36
36370054
36420
37380040
13460
38440135
34980
44440144
44
44450052
45
45450078
10180
45450243
10180
45450348
45
45500148
48300
50520060
52
52
 This Table represents decisions CMS has made on a hospital's behalf to withdraw a redesignation under 1886(d)(8)(B) in order for the hospital to receive an out-migration adjustment. Because such withdrawal removes the hospital's urban status, we have published this separate Table 9D. Requests to reverse a decision made on behalf of a hospital by CMS and to choose another wage index, reclassification, or adjustment for which the hospital is otherwise eligible must be 
                        *received*
                         by CMS from the date the information appears on the CMS Web site at no later than 5 p.m., e.s.t, with a copy sent to the MGCRB, by October 30, 2006 (30 days from the date the information appears on the CMS Web site at: 
                        *http://www.cms.hhs.gov/​AcuteInpatientPPS/​WIFN/​list.asp.)* TABLE 9D.—HOSPITALS WHO WAIVED LUGAR STATUS TO RECEIVE OUT-MIGRATION ADJUSTMENT
Provider No.
Lugar CBSA
Geographic CBSA070021
25540
07390150
38300
39
 Table 10.—Geometric Mean Plus the Lesser of 0.75 of the National Adjusted Operating Standardized Payment Amount (Increased to Reflect the Difference Between Costs and Charges) or 0.75 of One Standard Deviation of Mean Charges by Diagnosis-Related Group (DRG)—September 2006 1
DRG
Number of cases
Threshold1
24,393
$53,9362
10,183
$37,1163
3
$58,1516
288
$16,7617
15,032
$41,3058
3,441
$31,2189
1,775
$25,44810
19,625
$25,06411
3,083
$19,01512
55,944
$18,88513
7,525
$17,70914
278,664
$24,94915
19,988
$20,86816
17,297
$26,48517
2,973
$15,69018
33,443
$21,28119
8,461
$15,79721
2,220
$26,88222
3,168
$23,89323
10,670
$17,13026
25
$20,79427
5,971
$25,13328
19,908
$25,47929
6,522
$15,83931
5,039
$21,15132
1,903
$14,22534
27,626
$21,19635
7,908
$14,37836
307
$17,80937
1,219
$24,78338
50
$12,36239
328
$14,78340
1,187
$22,55242
1,636
$17,15243
125
$12,94544
1,290
$14,83245
2,770
$16,51546
3,929
$16,80147
1,309
$12,12749
2,415
$31,29950
2,024
$19,21551
193
$19,09352
234
$14,09453
2,145
$26,68855
1,368
$20,10556
451
$19,42857
742
$20,31759
126
$14,90660
3
$18,89561
222
$28,83362
4
$7,23163
2,827
$26,80764
3,234
$23,21465
40,485
$13,51866
8,195
$12,93267
379
$17,20968
18,913
$14,13369
5,146
$10,68670
25
$7,49671
70
$15,63472
1,326
$16,70673
9,957
$18,05974
3
$8,07775
46,852
$48,04776
48,155
$43,56877
2,111
$25,94478
49,690
$26,25079
160,357
$29,33880
7,158
$18,89081
6
$26,04082
63,188
$26,60683
7,153
$21,61984
1,403
$12,79485
22,222
$25,17386
1,717
$15,48987
96,688
$26,94188
427,043
$19,07989
553,977
$22,01590
43,487
$13,14191
53
$11,53292
16,513
$24,87193
1,440
$16,32594
13,655
$23,73995
1,577
$12,58296
59,616
$15,88697
26,688
$11,79298
13
$12,38599
21,386
$15,725100
6,410
$12,207101
23,368
$18,532102
4,930
$12,464103
886
$234,790104
20,120
$123,941105
32,626
$93,509106
3,440
$110,979108
8,757
$89,257110
57,708
$59,154111
10,783
$45,072113
34,728
$45,319114
7,959
$30,164117
5,349
$25,616118
7,619
$33,285119
963
$25,968120
33,555
$36,452121
150,046
$29,680122
54,522
$20,942123
29,563
$25,710124
120,511
$29,663125
92,405
$23,754126
5,422
$40,934127
667,286
$21,971128
4,210
$15,620129
3,521
$21,831130
87,464
$20,073131
22,952
$12,066132
101,373
$13,642133
5,853
$12,329134
39,815
$13,569135
7,164
$19,619( print page 60041)136
943
$14,096138
206,123
$17,779139
74,037
$11,515140
31,103
$11,148141
123,084
$16,561142
49,143
$13,263143
237,810
$12,620144
104,876
$24,607145
5,742
$12,887146
10,269
$45,085147
2,614
$31,236149
19,522
$30,220150
22,971
$44,985151
5,403
$27,722152
5,011
$33,345153
1,951
$23,305155
6,015
$27,713156
4
$42,483157
8,316
$25,978158
3,718
$14,380159
19,222
$28,297160
11,939
$18,842161
10,145
$25,543162
4,950
$15,310163
5
$14,037164
5,996
$38,812165
2,457
$25,557166
5,154
$29,283167
4,909
$19,618168
1,640
$25,297169
895
$16,754170
17,930
$44,495171
1,408
$26,705172
33,048
$26,386173
2,225
$17,067174
253,126
$21,935175
29,235
$12,619176
14,648
$23,980177
7,654
$20,567178
2,557
$15,456179
14,726
$22,991180
91,333
$20,898181
25,350
$12,543182
255,695
$17,111183
79,006
$13,062184
72
$12,788185
6,251
$18,891186
7
$5,682187
646
$18,329188
87,004
$22,793189
12,389
$13,014190
10
$13,844191
10,586
$54,763192
1,379
$32,585193
4,041
$51,627194
461
$32,149195
2,846
$50,151196
594
$32,373197
16,420
$41,918198
4,109
$26,007199
1,481
$37,168200
1,017
$39,819201
2,717
$52,822202
27,495
$25,144203
32,424
$26,193204
69,425
$23,001205
32,781
$23,350206
2,069
$16,175207
38,290
$24,723208
9,444
$15,567210
126,742
$36,048211
25,766
$26,709212
10
$18,640213
9,549
$33,765216
19,882
$35,321217
15,719
$41,774218
30,183
$32,723219
21,169
$23,471220
2
$23,950223
12,680
$25,338224
9,900
$18,613225
6,275
$26,106226
6,770
$29,359227
4,857
$18,625228
2,678
$24,536229
1,121
$15,636230
2,473
$26,449232
570
$20,932233
18,488
$34,645234
9,054
$27,557235
4,763
$16,225236
41,768
$15,378237
1,924
$13,851238
9,693
$26,241239
40,335
$23,048240
12,890
$24,453241
2,848
$14,337242
2,722
$22,539243
100,966
$17,005244
16,921
$15,401245
5,808
$10,457246
1,393
$13,422247
21,347
$12,738248
16,397
$18,895249
13,488
$15,481250
4,164
$15,047251
2,060
$10,726253
24,800
$16,488254
10,027
$10,231256
7,605
$17,982257
13,112
$19,590258
11,382
$15,403259
2,660
$21,569260
2,420
$15,136261
1,569
$20,684262
602
$20,906263
22,523
$32,388264
3,924
$22,371265
4,035
$28,311266
2,229
$19,608267
276
$20,117268
1,007
$25,617269
11,061
$30,458270
2,581
$17,775271
21,574
$21,522272
6,063
$20,960273
1,268
$12,686274
2,214
$22,741275
181
$13,452276
1,611
$15,546277
118,986
$18,413278
33,859
$11,767279
6
$9,146280
19,325
$16,074281
6,587
$11,105283
6,750
$15,606284
1,860
$9,719285
8,075
$35,310286
2,868
$34,890287
5,459
$31,321288
11,449
$36,433289
6,343
$19,733290
11,873
$18,847291
60
$12,885292
7,589
$41,617293
318
$27,403294
96,809
$16,328295
4,384
$16,246296
247,066
$17,313297
42,865
$10,814298
111
$11,206299
1,529
$21,388300
21,667
$23,240301
3,928
$13,559302
10,492
$53,338303
19,976
$35,840304
13,647
$37,446305
2,957
$25,330306
5,818
$25,924307
1,947
$13,770308
5,453
$27,143309
2,963
$19,770310
25,376
$25,325311
5,890
$14,282312
1,328
$24,333313
505
$16,723314
2
$63,668315
34,913
$34,744316
205,564
$24,392317
2,713
$17,237318
5,910
$24,034319
386
$13,859320
224,863
$18,222321
31,969
$12,283322
67
$13,256323
20,412
$18,199324
4,635
$11,384( print page 60042)325
9,919
$14,511326
2,592
$9,803327
11
$4,287328
574
$15,451329
54
$11,775331
56,121
$22,455332
3,962
$13,809333
244
$18,783334
9,525
$29,895335
12,194
$24,054336
28,188
$18,058337
21,485
$12,514338
674
$26,937339
1,237
$24,400341
3,131
$26,325342
457
$16,760344
2,341
$26,264345
1,390
$24,260346
3,961
$22,442347
235
$12,271348
4,262
$15,658349
554
$10,030350
7,276
$16,403352
1,177
$16,583353
3,089
$31,220354
7,566
$29,704355
4,987
$19,286356
22,032
$16,331357
5,537
$37,764358
20,928
$24,273359
28,584
$17,298360
13,855
$18,950361
287
$23,686362
2
$6,796363
2,155
$23,016364
1,799
$19,267365
1,617
$32,699366
4,645
$23,868367
446
$12,998368
4,145
$23,496369
3,723
$14,363370
2,249
$17,564371
2,705
$12,728372
1,376
$10,829373
5,273
$7,559374
153
$13,086375
12
$22,690376
476
$12,879377
109
$24,191378
201
$16,303379
499
$8,235380
111
$9,375381
169
$15,153382
48
$3,957383
2,806
$10,566384
151
$7,395389
3
$47,550392
2,139
$45,748394
2,759
$31,095395
101,473
$16,889396
18
$13,731397
16,392
$23,042398
6,706
$23,195399
1,080
$14,886401
6,451
$43,898402
1,356
$25,234403
31,326
$29,951404
3,820
$20,323406
2,303
$42,395407
615
$24,808408
1,948
$33,924409
1,748
$25,090410
29,053
$23,878411
5
$9,689412
9
$9,325413
5,741
$25,503414
487
$16,459417
33
$28,277418
29,977
$22,170419
17,634
$18,501420
3,100
$12,987421
13,255
$16,161422
79
$11,719423
8,962
$28,700424
1,041
$36,317425
13,096
$13,579426
4,235
$10,364427
1,579
$11,172428
845
$13,787429
23,937
$16,841430
75,525
$13,560431
333
$12,622432
402
$14,045433
4,471
$6,874439
1,759
$29,662440
5,216
$29,532441
686
$20,412442
18,596
$37,581443
3,589
$22,657444
6,012
$16,341445
2,242
$11,493447
6,323
$11,529449
40,846
$18,259450
7,445
$9,450451
2
$19,075452
28,815
$21,740453
5,394
$11,430454
4,738
$17,873455
887
$10,736461
2,290
$27,973462
7,863
$17,177463
32,884
$15,102464
7,661
$11,329465
163
$12,758466
1,204
$14,616467
1,026
$10,056468
52,034
$57,130470
128
$25,337471
15,630
$55,525473
8,578
$38,344476
2,850
$35,320477
28,197
$34,214479
27,646
$30,661480
908
$128,375481
1,198
$89,005482
5,081
$49,252484
472
$75,143485
3,713
$51,989486
2,712
$69,289487
5,016
$32,012488
828
$63,441489
13,547
$28,616490
5,252
$21,801491
22,663
$35,766492
3,924
$44,487493
61,082
$34,534494
24,547
$22,726495
342
$121,280496
3,726
$96,585497
31,201
$62,709498
21,280
$52,054499
35,237
$28,358500
46,425
$19,847501
3,200
$42,457502
764
$29,384503
5,910
$26,642504
192
$146,686505
180
$28,342506
963
$50,252507
323
$31,921508
654
$23,708509
155
$16,122510
1,782
$21,231511
627
$13,442512
550
$90,296513
226
$67,441515
58,659
$86,726518
23,762
$34,527519
12,586
$44,237520
16,525
$35,867521
29,364
$15,479522
3,423
$12,533523
14,462
$8,530524
109,013
$16,166525
205
$156,390528
1,845
$107,946529
5,026
$36,171530
3,360
$25,619531
4,993
$45,629532
2,882
$28,150533
43,711
$29,870534
40,201
$21,434535
8,826
$119,455536
8,259
$109,010537
8,983
$32,598538
5,459
$22,345539
4,973
$44,611( print page 60043)540
1,504
$25,501541
25,104
$251,059542
23,115
$151,522543
5,718
$64,397544
445,799
$39,439545
44,802
$44,851546
2,360
$83,437547
32,710
$97,734548
32,249
$79,397549
13,141
$80,495550
34,566
$63,327551
53,869
$51,351552
82,058
$40,481553
39,292
$46,800554
77,351
$36,871555
37,378
$42,659556
18,973
$37,602557
124,154
$51,160558
192,637
$42,298559
2,894
$40,731560
3,457
$44,405561
2,952
$35,694562
52,954
$22,156563
21,145
$14,021564
16,327
$15,310565
46,823
$78,345566
73,082
$39,133567
10,363
$72,728568
16,695
$48,820569
60,814
$63,237570
72,247
$44,163571
11,153
$23,681572
48,983
$25,165573
6,683
$51,724574
26,619
$24,474575
10,978
$86,104576
277,472
$28,309577
5,596
$35,353578
35,312
$65,007579
20,665
$39,5831
                             Cases taken from the FY 2005 MedPAR file; DRGs are from GROUPER Version 24.0.


[FR Doc. 06-8471 Filed 9-29-06; 4:00 pm] BILLING CODE 4120-01-P