04-14346. Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2005 Rates; Correction
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Start Preamble
Start Printed Page 35920
AGENCY:
Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION:
Correction of proposed rule.
SUMMARY:
This document corrects technical errors that occurred in the proposed rule entitled “Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2005 Rates,” including technical errors in four of the tables containing the proposed wage index values for FY 2005 (69 FR 28196, May 18, 2004).
Start Further InfoFOR FURTHER INFORMATION CONTACT:
James Hart, (410) 786-9520.
End Further Info End Preamble Start Supplemental InformationSUPPLEMENTARY INFORMATION:
I. Background
FR Doc. 04-10932 contains our proposed rule to update the Medicare hospital inpatient prospective payment system for fiscal year (FY) 2005 and to implement a number of changes made by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, Public Law 108-173 (69 FR 28196, May 18, 2004). We have identified a number of technical errors and are correcting them in sections II. and III. of this preamble. These errors include:
- On page 28223, third column, lines 57 through 60, in our discussion of drug-eluting stents under section “b. Coronary Stent Procedures” under item “16. Other DRG Issues,” we cited incorrect numbers of cases involving drug-eluting stents in DRGs 526 and 527 from the FY 2003 MedPAR file.
- On page 28224, second column, under section “d. Implantable Cardiac Defibrillators” under item “16. Other DRG Issues,” we discussed a request for a national coverage determination (NCD) we had received on potential payment mechanisms to encourage the use of simple, single-lead implantable defibrillators when medically indicated, rather than expensive, technologically complex devices. The proposed rule stated that “The requestor further added that CMS could restrict use of complex defibrillators to patients for whom they are medically necessary, that is, in the population at low-moderate risk for sudden cardiac death.” We incorrectly associated this suggestion with the requestor, a manufacturer of defibrillators. CMS staff actually made this suggestion as part of the NCD on implantable defibrillators that is currently being reviewed. We regret any incorrect impression that may have been conveyed to the public regarding the manufacturer.
- In the Addendum of the proposed rule, errors in four of the tables containing wage index values resulted from the inadvertent omission of one of the geographic statistical areas that caused a misalignment of the stated wage index values in the tables for a number of areas.
1. On pages 28525 through 28535, in Table 3A—FY 2005 and 3-Year Average Hourly Wage for Urban Areas, the average hourly wages entries in columns 2 and 3 for 42 geographic areas (the entries for Erie, PA through Greensboro-High Point, NC, the entries for Newark-Union, NJ-PA through New York-Wayne-White Plains, NY-NJ, and the entries for Portland-South Portland-Biddeford, ME through Port St. Lucie-Fort Pierce, FL) are misaligned and, therefore, incorrectly stated. We are publishing the corrected Table 3A in its entirety under section III. of this notice.
2. On page 28539 through 28579, in Table 4A—Wage Index and Capital Geographic Adjustment Factor (GAF) for Urban Areas, we inadvertently omitted four geographic areas. The geographic areas that were inadvertently omitted are as follows:
CBSA 21420, Enid, OK
CBSA 27460, Jamestown, NY
CBSA 29940, Lawrence, KS
CBSA 41140, St. Joseph, MO-KS
In CBSAs 21420 and 27460, all hospitals in these areas maintain their assignment to the geographic areas where they are currently located for the 3-year period, FY 2005, FY 2006, and FY 2007.
In CBSA 29940 and 41140, all hospitals geographically located in these areas are classified as rural under section 401 of the Medicare, Medicaid, and SCHIP [State Children's Health Insurance Program] Balanced Budget Refinement Act of 1999, Public Law 106-554. The areas are assigned the statewide rural-wide wage index values.
We are publishing the corrected Table 4A in its entirety under section III. of this notice.
3. On page 28586, in Table 4C—Wage Index and Capital Geographic Adjustment Factor (GAF) for Hospitals that are Reclassified, we incorrectly included two entries for Wilmington, NC. The first of these two entries should have been for Wilmington, DE.
4. On pages 28589 through 28628, in Table 4G—Pre-Reclassified Wage Index for Urban Areas, due to a misalignment of the CBSA code and urban area with the wage index value, we inadvertently published incorrect wage index values for 195 areas between CBSA 21420 and CBSA 41100. We are publishing the corrected Table 4G in its entirety under section III. of this notice.
We note that as soon as we discovered the errors in these four wage index tables after publication of the May 18, 2004 proposed rule, we posted the corrected tables on the CMS Web site: www.cms.hhs.gov. We also notified providers, fiscal intermediaries, and health organizations through the Internet.
- On pages 28663 through 28667, in Table 6A—New Diagnosis Codes, in the row entry for codes 521.06, through 528.79, in the “MDC” column, the MDC designations specifying “PRE” and “3” should have appeared on separate lines. For the convenience of the reader, we are publishing a corrected Table 6A in its entirety under section III. of this notice.
- On pages 28671 through 28674, in Table 6B—New Procedure Codes, we inadvertently omitted some of the MDC and DRG assignments entries in columns 4 and 5 for codes 84.59 through 84.69. For the convenience of the reader, we are publishing the corrected Table 6B in its entirety in section III. of this notice.
- On pages 28768 through 28770, in Table 9B—Hospital Reclassifications and Redesignations by Individual Hospital under Section 508 of Public Law 108-173—FY 2004, we incorrectly stated the “Wage index CBSA 508 Reclassification” entries in column 5 and the “Nearest County” designations identified in column 6 for several areas. The errors resulted from a programming error that occurred during the development of the data file. In section III. of this notice, we are publishing a corrected Table 9B in its entirety to reflect the corrected new (section 508) wage index MSA reclassifications and the identification of the nearest county.
- We are also correcting typographical, formatting, or other errors that appeared on various other pages of the FR document, as cited in sections II. and III. of this notice.
The comment period for the proposed rule ends on July 12, 2004 (69 FR 28196). Accordingly, we are correcting these technical errors in the preamble Start Printed Page 35921language and tables to assist interested parties in their review of the proposed rule. These corrections do not alter the substance of any of the proposals that were contained in the proposed rule.
II. Corrections to Errors in Preamble
In FR Doc. 04-10932 (69 FR 28196, May 18, 2004), make the following corrections:
1. On page 28205, third column, line 17, the figure “522” is corrected to read “518”.
2. On page 28212, second column, lines 12 and 13, the phrase “principal diagnosis of extensive third degree burns” is corrected to read “principal or secondary diagnosis of extensive third degree burns”.
3. On page 28223, third column, lines 57 through 60, the sentence “There have been a total of 42,356 cases in DRG 526, and 33,179 cases in DRG 527, with adjustments made for transfers to other facilities.” is corrected to read “There have been a total of approximately 11,084 cases in DRG 526 and 48,097 cases in DRG 527, with adjustments made for transfers to other facilities.”
4. On page 28224, second column, lines 13 through 21, the two sentences “The requestor indicated that, as part of CMS' coverage decisions, CMS could expand the population eligible for implantable defibrillators. The requestor further added that CMS could restrict use of complex defibrillators to patients for whom they are medically necessary, that is in the population at low-moderate risk for sudden cardiac death.” are deleted, and the sentence “As part of CMS' coverage decision, we are considering whether to restrict the use of complex defibrillators to patients for whom they are medically necessary; that is, the population at low-moderate risk for sudden cardiac death.” is added in their place.
5. On page 28269, second column, line 30, the term “FY 2004” is corrected to read “FY 2005”.
6. On page 28272, first column, line 62, the word “leans” is corrected to read “learns.”
7. On page 28273, first column, lines 12 and 24, the term “tracheostomy” is corrected to read “tracheostomy”.
8. On page 28273, first column, lines 59 and 60, the phrase “FY 2003 GROUPER Version 22.0” is corrected to read “FY 2005 GROUPER Version 22.0.”
9. On page 28317, second column, line 40, the date “2003” is corrected to read “2002”.
10. On page 28333, first column, line 59, the term “reviewer” is corrected to read “institution”.
11. On page 28353, second column, line 56, the phrase “rural area, or from a rural area to” is corrected to read “rural area, or from an urban area to”.
12. On page 28353, second column, line 66, the phrase “rural area to another urban area for the” is corrected to read “urban area to another urban area for the”.
13. On page 28369, third column, line 41, the term “reviewer” is corrected to read “institution”.
III. Corrections to Tables in the Addendum
In FR Doc. 04-10932 (69 FR 28196, May 18, 2004), make the following corrections to the specified tables in the Addendum:
1. On pages 28525 through 28535, Table 3A—FY 2005 and 3-Year Average Hourly Wage for Urban Areas is corrected to read as follows:
Table 3A.—FY 2005 and 3-Year* Average Hourly Wage for Urban Areas
[* Based on the sum of the salaries and hours computed for Federal Fiscal Years 2003, 2004, and 2005]
Urban area FY 2005 average hourly wage 3-Year average hourly wage Abilene, TX 20.7192 18.9824 Aguadilla-Isabela-San Sebastián, PR 11.2655 10.7453 Akron, OH 23.8325 22.9962 Albany, GA 29.7233 27.0817 Albany-Schenectady-Troy, NY 22.8339 21.1332 Albuquerque, NM 26.7304 23.7887 Alexandria, LA 21.5523 19.8721 Allentown-Bethlehem-Easton, PA-NJ 25.0787 23.9067 Altoona, PA 22.2721 21.8268 Amarillo, TX 24.2098 22.4647 Ames, IA 24.9835 23.3759 Anchorage, AK 32.0618 30.6014 Anderson, IN 23.0539 22.1872 Anderson, SC 22.8431 21.2369 Ann Arbor, MI 29.0908 27.7788 Anniston-Oxford, AL 20.8110 19.8344 Appleton, WI 23.9687 22.3453 Asheville, NC 24.2317 23.1925 Athens-Clarke County, GA 26.3163 24.7864 Atlanta-Sandy Springs-Marietta, GA 26.0968 24.7895 Atlantic City, NJ 28.1913 26.9178 Auburn-Opelika, AL 21.6392 20.7095 Augusta-Richmond County, GA-SC 24.1049 23.7946 Austin-Round Rock, TX 25.2889 23.8238 Bakersfield, CA 26.4694 24.5972 Baltimore-Towson, MD 26.0377 24.5999 Bangor, ME 26.1851 24.5706 Barnstable Town, MA 31.4568 31.4010 Baton Rouge, LA 21.9357 20.6202 Battle Creek, MI 24.0082 23.1843 Bay City, MI 25.2405 24.2291 Beaumont-Port Arthur, TX 22.5157 20.9402 Bellingham, WA 30.7463 29.4910 Start Printed Page 35922 Bend, OR 27.9273 26.2021 Bethesda-Frederick-Gaithersburg, MD 28.9018 27.1525 Billings, MT 23.6440 22.3010 Binghamton, NY 22.3058 20.8442 Birmingham-Hoover, AL 23.9518 22.6209 Bismarck, ND 19.7855 19.3431 Blacksburg-Christiansburg-Radford, VA 21.0452 20.0679 Bloomington, IN 22.6815 21.6305 Bloomington-Normal, IL 23.9217 22.3486 Boise City-Nampa, ID 24.6083 23.0621 Boston-Quincy, MA 30.6248 29.0263 Boulder, CO 26.4802 24.7280 Bowling Green, KY 21.4593 20.8100 Bremerton-Silverdale, WA 27.9620 26.5966 Bridgeport-Stamford-Norwalk, CT 33.8515 32.2888 Bristol, VA 20.9298 19.1025 Brownsville-Harlingen, TX 26.7592 24.2502 Brunswick, GA 31.5173 25.9538 Buffalo-Niagara Falls, NY 24.5833 23.3255 Burlington, NC 23.3479 22.3446 Burlington-South Burlington, VT 24.5519 23.9875 Cambridge-Newton-Framingham, MA 29.4435 27.2369 Camden, NJ 28.0847 26.6655 Canton-Massillon, OH 23.4424 22.2411 Cape Coral-Fort Myers, FL 24.6614 23.8158 Carson City, NV 27.2406 25.0243 Casper, WY 24.4534 23.1390 Cedar Rapids, IA 23.6258 22.2100 Champaign-Urbana, IL 25.0781 24.7625 Charleston, WV 23.3325 21.9766 Charleston-North Charleston, SC 24.6576 23.0430 Charlotte-Gastonia-Concord, NC-SC 25.6333 24.3300 Charlottesville, VA 27.1238 25.4502 Chattanooga, TNGA 24.2726 22.6360 Cheyenne, WY 23.7623 21.9411 Chicago-Naperville-Joliet, IL 28.4445 27.1142 Chico, CA 27.8014 25.3690 Cincinnati-Middletown, OH-KY-IN 25.0591 23.3569 Clarksville, TN-KY 21.1036 20.3476 Cleveland, TN 20.7027 19.6847 Cleveland-Elyria-Mentor, OH 25.4150 23.9998 Coeur d'Alene, ID 24.5700 23.4802 College Station-Bryan, TX 22.3591 21.7365 Colorado Springs, CO 25.7626 24.4544 Columbia, MO 21.9565 21.0526 Columbia, SC 23.8491 22.4081 Columbus, GA-AL 22.9004 21.3117 Columbus, IN 24.9031 23.5191 Columbus, OH 25.6517 24.0771 Corpus Christi, TX 22.7808 21.3078 Corvallis, OR 27.7295 27.6296 Cumberland, MD-WV 22.7893 20.3329 Dallas-PlanoIrving, TX 26.5316 24.9176 Dalton, GA 24.5022 23.5790 Danville, IL 22.1298 21.6265 Danville, VA 23.1139 22.0447 Davenport-Moline-Rock Island, IA-IL 23.0728 21.9290 Dayton, OH 24.5023 23.1075 Decatur, AL 23.4374 22.1047 Decatur, IL 21.2982 20.0769 Deltona-Daytona Beach-Ormond Beach, FL 22.7892 22.0973 Denver-Aurora, CO 28.6847 26.7513 Des Moines, IA 24.4196 22.5843 Detroit-Livonia-Dearborn, MI 27.2854 25.8075 Dothan, AL 19.9523 19.1936 Dover, DE 25.1831 23.7712 Dubuque, IA 22.9987 21.7824 Duluth, MN-WI 27.4696 25.6665 Start Printed Page 35923 Durham, NC 27.1096 25.6687 Eau Claire, WI 23.9598 22.4824 Edison, NJ 29.3402 27.5086 El Centro, CA 23.4586 22.4957 Elizabethtown, KY 22.9071 20.9570 Elkhart-Goshen, IN 24.4124 23.7579 Elmira, NY 22.3147 20.8650 El Paso, TX 24.2125 22.8475 Erie, PA 22.8929 21.6426 Essex County, MA 28.0402 26.1158 Eugene-Springfield, OR 28.7902 27.8766 Evansville, IN-KY 22.1001 20.6171 Fairbanks, AK 29.3199 28.0993 Fajardo, PR 10.5531 10.3744 Fargo, ND-MN 24.0221 23.5747 Farmington, NM 21.2164 21.8840 Fayetteville, NC 24.6779 22.5084 Fayetteville-Springdale-Rogers, AR-MO 22.8043 20.8321 Flagstaff, AZ 28.4041 27.6198 Flint, MI 29.4095 27.3393 Florence, AL 20.8152 19.3461 Florence, SC 22.4510 21.3335 Fond du Lac, WI 26.0821 24.1790 Fort Collins-Loveland, CO 26.6637 25.0766 Fort Lauderdale-Pompano Beach-Deerfield Beach, FL 26.7632 25.3385 Fort Smith, AR-OK 21.8487 20.2453 Fort Walton Beach-Crestview-Destin, FL 23.1492 22.6355 Fort Wayne, IN 25.8298 23.9115 Fort Worth-Arlington, TX 25.0153 23.3197 Fresno, CA 28.0138 25.8765 Gadsden, AL 21.2676 20.4740 Gainesville, FL 19.8501 21.8864 Gainesville, GA 25.1968 23.1944 Gary, IN 24.5239 23.3155 Glens Falls, NY 22.3680 20.9769 Goldsboro, NC 23.1243 21.6987 Grand Forks, ND-MN 24.1051 21.9885 Grand Junction, CO 26.1549 24.0220 Grand Rapids-Wyoming, MI 24.8623 23.4427 Great Falls, MT 23.3814 21.9663 Greeley, CO 24.9396 23.3099 Green Bay, WI 25.2440 23.6155 Greensboro-High Point, NC 24.2613 22.8768 Greenville, NC 24.1414 22.5921 Greenville, SC 24.4160 23.4426 Guayama, PR 10.5559 9.9125 Gulfport-Biloxi, MS 23.5390 22.4842 Hagerstown-Martinsburg, MD-WV 25.6718 23.1815 Hanford-Corcoran, CA 24.5762 21.7460 Harrisburg-Carlisle, PA 24.6512 23.0614 Harrisonburg, VA 24.4488 22.6337 Hartford-West Hartford-East Hartford, CT 29.2036 28.2830 Hattiesburg, MS 19.4249 18.4478 Hickory-Lenoir-Morganton, NC 24.9978 22.9254 Hinesville-Fort Stewart, GA 20.3855 19.3480 Holland-Grand Haven, MI 24.9271 23.6522 Honolulu, HI 28.9110 27.6426 Hot Springs, AR 24.4130 22.4838 Houma-Bayou Cane-Thibodaux, LA 20.4523 19.7139 Houston-Baytown-Sugar Land, TX 26.2765 24.3806 Huntington-Ashland, WV-KY-OH 25.1999 24.0420 Huntsville, AL 23.2679 22.2981 Idaho Falls, ID 23.8241 22.0793 Indianapolis, IN 26.5576 24.6427 Iowa City, IA 25.4051 23.7752 Ithaca, NY 25.7515 24.3335 Jackson, MI 24.0606 22.7959 Jackson, MS 21.8345 20.7075 Start Printed Page 35924 Jackson, TN 23.4297 22.4121 Jacksonville, FL 25.1358 23.5679 Jacksonville, NC 22.1036 20.7500 Janesville, WI 25.2849 23.7717 Jefferson City, MO 21.9580 21.3716 Johnson City, TN 21.0075 19.8585 Johnstown, PA 22.0755 21.0851 Jonesboro, AR 21.0310 19.4623 Joplin, MO 22.9927 21.5121 Kalamazoo-Portage, MI 28.1681 26.8790 Kankakee-Bradley, IL 27.7396 26.1968 Kansas City, MO-KS 25.3052 23.9705 Kennewick-Richland-Pasco, WA 27.6830 26.9371 Killeen-Temple-Fort Hood, TX 24.4525 23.7215 Kingsport-Bristol, TN-VA 21.7068 20.9083 Kingston, NY 23.3310 22.8485 Knoxville, TN 22.5696 21.8145 Kokomo, IN 23.7604 22.5267 La Crosse, WI-MN 24.4486 23.0910 Lafayette, IN 23.8521 22.6294 Lafayette, LA 21.8711 20.8396 Lake Charles, LA 20.8252 19.5207 Lake County-Kenosha County, IL-WI 27.1905 25.6826 Lakeland, FL 23.5669 22.3605 Lancaster, PA 26.0776 23.4410 Lansing-East Lansing, MI 25.4363 24.0043 Laredo, TX 21.8037 20.4902 Las Cruces, NM 23.0910 21.6543 Las Vegas-Paradise, NV 29.9181 29.0021 Lawrence, KS 1 Lawton, OK 21.7250 20.5120 Lebanon, PA 22.5879 21.0978 Lewiston, ID-WA 24.5156 23.4734 Lewiston-Auburn, ME 25.2729 23.3141 Lexington-Fayette, KY 23.8558 21.9407 Lima, OH 24.5295 23.5975 Lincoln, NE 26.8321 25.2305 Little Rock-North Little Rock, AR 23.7449 22.2587 Logan, UT-ID 23.9292 23.2359 Longview, TX 23.1966 21.8904 Longview, WA 26.7652 25.5095 Los Angeles-Long Beach-Glendale, CA Metropolitan Div 30.8382 29.3226 Louisville, KY-IN 24.0460 22.8315 Lubbock, TX 23.1292 21.9599 Lynchburg, VA 23.7883 22.5784 Macon, GA 26.1161 23.3172 Madera, CA 22.4666 21.5471 Madison, WI 27.1443 25.4986 Manchester-Nashua, NH 27.7970 26.1531 Mansfield, OH 24.2494 22.8092 Mayagüez, PR 11.7074 11.2316 McAllen-Edinburg-Pharr, TX 22.6720 21.2111 Medford, OR 27.7639 26.3299 Memphis, TN-MS-AR 24.3194 22.4212 Merced, CA 27.1731 24.6543 Miami-Miami Beach-Kendall, FL 26.4073 24.6105 Michigan City-La Porte, IN 24.5851 23.6069 Midland, TX 24.7346 24.4654 Milwaukee-Waukesha-West Allis, WI 26.5679 24.7859 Minneapolis-St. Paul-Bloomington, MN-WI 29.1136 27.2452 Missoula, MT 25.2650 22.6543 Mobile, AL 21.0774 19.9429 Modesto, CA 31.5679 28.1097 Monroe, LA 20.8428 19.7851 Monroe, MI 25.0193 23.6265 Montgomery, AL 21.8534 19.6944 Morgantown, WV 22.9253 21.5156 Morristown, TN 20.4952 19.5595 Start Printed Page 35925 Mount Vernon-Anacortes, WA 27.8164 26.4332 Muncie, IN 22.6476 21.9816 Muskegon-Norton Shores, MI 25.6847 24.0160 Myrtle Beach-Conway-North Myrtle Beach, SC 22.5894 22.0416 Napa, CA 32.9951 30.3948 Naples-Marco Island, FL 27.8495 24.9735 Nashville-Davidson-Murfreesboro, TN 26.5923 24.4382 Newark-Union, NJPA 30.7799 28.6257 New Haven-Milford, CT 31.0966 29.3258 New Orleans-Metairie-Kenner, LA 23.9702 22.5635 New York-Wayne-White Plains, NY-NJ 35.0299 33.8042 Niles-Benton Harbor, MI 23.4564 22.1503 Norwich-New London, CT 30.5636 28.9104 Oakland-Fremont-Hayward, CA 40.0963 37.4101 Ocala, FL 24.1700 23.3534 Ocean City, NJ 28.5014 26.7316 Odessa, TX 25.8218 22.7836 Ogden-Clearfield, UT 24.2790 23.6339 Oklahoma City, OK 23.6748 22.2955 Olympia, WA 29.0091 27.1952 Omaha-Council Bluffs, NE-IA 25.6722 24.3668 Orlando, FL 25.7100 24.0572 Oshkosh-Neenah, WI 23.8900 22.4593 Owensboro, KY 22.2688 20.8069 Oxnard-Thousand Oaks-Ventura, CA 29.2604 27.4878 Palm Bay-Melbourne-Titusville, FL 25.3166 24.4546 Panama City-Lynn Haven, FL 21.4149 20.7673 Parkersburg-Marietta, WV-OH 22.0522 20.3637 Pascagoula, MS 21.0129 20.2767 Pensacola-Ferry Pass-Brent, FL 21.9457 21.2533 Peoria, IL 23.1144 21.7408 Philadelphia, PA 28.6035 26.8410 Phoenix-Mesa-Scottsdale, AZ 26.3143 24.7648 Pine Bluff, AR 22.9353 20.2396 Pittsburgh, PA 22.9852 22.2476 Pittsfield, MA 28.2766 25.8438 Pocatello, ID 25.2790 23.0882 Ponce, PR 13.1955 12.2999 Portland-South Portland-Biddeford, ME 26.6238 24.6954 Portland-Vancouver-Beaverton, OR-WA 29.9284 27.5978 Port St. Lucie-Fort Pierce, FL 26.4924 24.6939 Poughkeepsie-Newburgh-Middletown, NY 29.9575 27.8180 Prescott, AZ 26.0843 24.3852 Providence-New Bedford-Fall River, RI-MA 28.7646 26.9631 Provo-Orem, UT 25.2290 24.3330 Pueblo, CO 23.0560 21.7707 Punta Gorda, FL 24.9044 23.3102 Racine, WI 23.8692 22.5330 Raleigh-Cary, NC 26.4490 23.8614 Rapid City, SD 23.5206 22.0026 Reading, PA 24.1151 22.7873 Redding, CA 31.1709 28.5235 Reno-Sparks, NV 27.5368 26.3026 Richmond, VA 24.7694 23.3257 Riverside-San Bernardino-Ontario, CA 28.9108 27.8355 Roanoke, VA 21.9573 21.1792 Rochester, MN 30.2629 29.1844 Rochester, NY 24.4689 23.3450 Rockford, IL 25.3001 23.8777 Rockingham County-Strafford County, NH 26.9005 25.0922 Rocky Mount, NC 23.7044 22.4921 Rome, GA 23.3383 22.1831 Sacramento-Arden-Arcade-Roseville, CA 30.7769 28.6803 Saginaw-Saginaw Township North, MI 25.9729 24.2444 St. Cloud, MN 26.7982 24.3631 St. George, UT 24.9621 24.0247 St. Joseph, MO-KS 1 St. Louis, MO-IL 23.8362 22.2550 Start Printed Page 35926 Salem, OR 27.7944 25.9246 Salinas, CA 36.6654 35.4103 Salisbury, MD 24.0152 22.6054 Salt Lake City, UT 25.2083 24.4086 San Angelo, TX 21.5431 20.6794 San Antonio, TX 23.7158 21.9397 San Diego-Carlsbad-San Marcos, CA 29.6165 27.7504 Sandusky, OH 23.7799 22.2393 San Francisco-San Mateo-Redwood City, CA 37.8648 35.5059 San Germán-Cabo Rojo, PR 13.8117 13.3968 San Jose-Sunnyvale-Santa Clara, CA 38.2329 35.7808 San Juan-Caguas-Guaynabo, PR 12.2140 11.6037 San Luis Obispo-Paso Robles, CA 29.2883 27.9302 Santa Ana-Anaheim-Irvine, CA 30.5694 28.5166 Santa Barbara-Santa Maria-Goleta, CA 28.2108 26.2466 Santa Cruz-Watsonville, CA 38.8735 34.1822 Santa Fe, NM 28.6906 27.0247 Santa Rosa-Petaluma, CA 34.0679 32.4622 Sarasota-Bradenton-Venice, FL 25.3305 23.9836 Savannah, GA 24.8959 23.4451 Scranton-Wilkes-Barre, PA 22.4217 21.1520 Seattle-Bellevue-Everett, WA 30.2247 28.5300 Sheboygan, WI 23.6199 21.7331 Sherman-Denison, TX 25.3558 23.6878 Shreveport-Bossier City, LA 24.0625 22.4763 Sioux City, IA-NE-SD 23.8643 22.3353 Sioux Falls, SD 24.8121 23.2534 South Bend-Mishawaka, IN-MI 24.8646 23.9958 Spartanburg, SC 23.7540 22.2281 Spokane, WA 28.0624 26.7830 Springfield, IL 23.0154 21.7482 Springfield, MA 26.8243 26.0789 Springfield, MO 22.2360 20.9588 Springfield, OH 23.0371 21.8250 State College, PA 22.3097 21.5709 Stockton, CA 27.8806 26.0627 Suffolk County-Nassau County, NY 34.0869 32.5664 Sumter, SC 21.1891 20.2758 Syracuse, NY 24.9860 23.7102 Tacoma, WA 29.1965 27.4453 Tallahassee, FL 22.8474 21.2591 Tampa-St. Petersburg-Clearwater, FL 23.8900 22.4996 Terre Haute, IN 22.4475 20.9616 Texarkana, TX—Texarkana, AR 22.1678 20.3845 Toledo, OH 25.0701 23.6845 Topeka, KS 23.4381 22.4553 Trenton-Ewing, NJ 27.0639 25.7890 Tucson, AZ 23.5858 22.0873 Tulsa, OK 22.8973 21.5543 Tuscaloosa, AL 21.9743 20.2439 Tyler, TX 25.0645 23.6477 Utica-Rome, NY 21.9234 20.8668 Valdosta, GA 21.9663 20.8793 Vallejo-Fairfield, CA 37.5290 35.5583 Vero Beach, FL 25.0096 24.0705 Victoria, TX 22.3222 20.7461 Vineland-Millville-Bridgeton, NJ 27.8777 26.3280 Virginia Beach-Norfolk-Newport News, VA-NC 23.5054 21.6059 Visalia-Porterville, CA 26.4987 24.4049 Waco, TX 21.4724 20.3429 Warner Robins, GA 22.3821 21.5347 Warren-Farmington Hills-Troy, MI 26.6333 24.9325 Washington-Arlington-Alexandria, DC-VA-MD-WV 29.0848 27.2173 Waterloo-Cedar Falls, IA 22.7467 20.6136 Wausau, WI 25.3575 24.1052 Weirton-Steubenville, WV-OH 21.8008 21.0217 Wenatchee, WA 24.7862 25.4005 West Palm Beach-Boca Raton-Boynton Beach, FL 26.4844 24.6697 Start Printed Page 35927 Wheeling, WV-OH 19.6453 18.6517 Wichita, KS 24.9131 23.2912 Wichita Falls, TX 22.0290 20.6773 Williamsport, PA 22.1676 20.8109 Wilmington, DE-MD-NJ 29.2092 27.2898 Wilmington, NC 24.3139 23.5805 Winchester, VA-WV 27.6387 25.3807 Winston-Salem, NC 24.7904 22.9844 Worcester, MA 29.0090 27.6763 Yakima, WA 27.1916 25.8563 Yauco, PR 11.8434 11.5358 York-Hanover, PA 23.4402 22.3569 Youngstown-Warren-Boardman, OH-PA 24.3356 22.4714 Yuba City, CA 27.2687 25.5014 Yuma, AZ 23.5066 21.8745 1 The new MSA is empty for FY 2005. The hospital(s) in the new MSA received rural status under Section 401 of the Balanced Budget Refinement Act of 1999 (Pub. L. 106-113). The new MSA is assigned the statewide rural wage index (see Table 4B). 2. On pages 28536 through 28538, the title and subtitle of Table 3B are corrected to read as follows:
“Table 3B.—FY 2005 and 3-Year* Average Hourly Wage for Rural Areas
[*Based on the sum of the salaries and hours computed for Federal Fiscal Years 2003, 2004, and 2005.]”
In addition, the column heading for the second column is corrected to read “FY 2005 Average Hourly Wage”.
3. On pages 28539 through 28579, Table 4A—Wage Index and Capital Geographic Adjustment Factor (GAF) for Urban Areas, is corrected to read as follows:
Table 4A.—Wage Index and Capital Geographic Adjustment Factor (GAF) for Urban Areas
CBSA code Urban area (constituent counties) Wage index GAF 10180 Abilene, TX 2 0.8011 0.8591 Callahan County, TX Jones County, TX Taylor County, TX 10380 Aguadilla-Isabela-San Sebastián, PR 0.4285 0.5597 Aguada Municipio, PR Aguadilla Municipio, PR Anasco Municipio, PR Isabela Municipio, PR Lares Municipio, PR Moca Municipio, PR Rincón Municipio, PR San Sebastián Municipio, PR 10420 Akron, OH 0.9065 0.9350 Portage County, OH Summit County, OH 10500 Albany, GA 1.1306 1.0877 Baker County, GA Dougherty County, GA Lee County, GA Terrell County, GA Worth County, GA 10580 Albany-Schenectady-Troy, NY 0.8685 0.9080 Albany County, NY Rensselaer County, NY Saratoga County, NY Schenectady County, NY Schoharie County, NY 10740 Albuquerque, NM 1.0167 1.0114 Bernalillo County, NM Sandoval County, NM Torrance County, NM Valencia County, NM Start Printed Page 35928 10780 Alexandria, LA 0.8198 0.8728 Grant Parish, LA Rapides Parish, LA 10900 Allentown-Bethlehem-Easton, PA-NJ 0.9539 0.9682 Warren County, NJ Carbon County, PA Lehigh County, PA Northampton County, PA 11020 Altoona, PA 0.8472 0.8927 Blair County, PA 11100 Amarillo, TX 0.9209 0.9451 Armstrong County, TX Carson County, TX Potter County, TX Randall County, TX 11180 Ames, IA 0.9503 0.9657 Story County, IA 11260 Anchorage, AK 1.2195 1.1456 Anchorage Municipality, AK Matanuska-Susitna Borough, AK 11300 Anderson, IN 0.8790 0.9155 Madison County, IN 11340 Anderson, SC 0.8689 0.9083 Anderson County, SC 11460 Ann Arbor, MI 1.1065 1.0718 Washtenaw County, MI 11500 Anniston-Oxford, AL 0.7967 0.8559 Calhoun County, AL 11540 Appleton, WI 2 0.9485 0.9644 Calumet County, WI Outagamie County, WI 11700 Asheville, NC 0.9217 0.9457 Buncombe County, NC Haywood County, NC Henderson County, NC Madison County, NC 12020 Athens-Clarke County, GA 1.0010 1.0007 Clarke County, GA Madison County, GA Oconee County, GA Oglethorpe County, GA 12060 Atlanta-Sandy Springs-Marietta, GA 1 0.9926 0.9949 Barrow County, GA Bartow County, GA Butts County, GA Carroll County, GA Cherokee County, GA Clayton County, GA Cobb County, GA Coweta County, GA Dawson County, GA DeKalb County, GA Douglas County, GA Fayette County, GA Forsyth County, GA Fulton County, GA Gwinnett County, GA Haralson County, GA Heard County, GA Henry County, GA Jasper County, GA Lamar County, GA Meriwether County, GA Newton County, GA Paulding County, GA Pickens County, GA Pike County, GA Rockdale County, GA Spalding County, GA Walton County, GA 12100 Atlantic City, NJ 1.0723 1.0490 Start Printed Page 35929 Atlantic County, NJ 12220 Auburn-Opelika, AL 0.8231 0.8752 Lee County, AL 12260 Augusta-Richmond County, GA-SC 0.9169 0.9423 Burke County, GA Columbia County, GA McDuffie County, GA Richmond County, GA Aiken County, SC Edgefield County, SC 12420 Austin-Round Rock, TX 1 0.9619 0.9737 Bastrop County, TX Caldwell County, TX Hays County, TX Travis County, TX Williamson County, TX 12540 Bakersfield, CA 2 1.0440 1.0299 Kern County, CA 12580 Baltimore-Towson, MD 1 0.9904 0.9934 Anne Arundel County, MD Baltimore County, MD Carroll County, MD Harford County, MD Howard County, MD Queen Anne's County, MD Baltimore City, MD 12620 Bangor, ME 0.9960 0.9973 Penobscot County, ME 12700 Barnstable Town, MA 1.1965 1.1307 Barnstable County, MA 12940 Baton Rouge, LA 0.8344 0.8834 Ascension Parish, LA East Baton Rouge Parish, LA East Feliciana Parish, LA Iberville Parish, LA Livingston Parish, LA Pointe Coupee Parish, LA St. Helena Parish, LA West Baton Rouge Parish, LA West Feliciana Parish, LA 12980 Battle Creek, MI 0.9132 0.9397 Calhoun County, MI 13020 Bay City, MI 0.9601 0.9725 Bay County, MI 13140 Beaumont-Port Arthur, TX 0.8564 0.8993 Hardin County, TX Jefferson County, TX Orange County, TX 13380 Bellingham, WA 1.1695 1.1132 Whatcom County, WA 13460 Bend, OR 1.0623 1.0423 Deschutes County, OR 13644 Bethesda-Frederick-Gaithersburg, MD 1 1.0993 1.0670 Frederick County, MD Montgomery County, MD 13740 Billings, MT 0.8993 0.9299 Carbon County, MT Yellowstone County, MT 13780 Binghamton, NY 0.8484 0.8935 Broome County, NY Tioga County, NY 13820 BirminghamHoover, AL 1 0.9111 0.9382 Bibb County, AL Blount County, AL Chilton County, AL Jefferson County, AL St. Clair County, AL Shelby County, AL Walker County, AL 13900 Bismarck, ND 2 0.7741 0.8392 Burleigh County, ND Start Printed Page 35930 Morton County, ND 13980 Blacksburg-Christiansburg-Radford, VA 2 0.8065 0.8631 Giles County, VA Montgomery County, VA Pulaski County, VA Radford City, VA 14020 Bloomington, IN 2 0.8675 0.9072 Greene County, IN Monroe County, IN Owen County, IN 14060 Bloomington-Normal, IL 0.9099 0.9374 McLean County, IL 14260 Boise City-Nampa, ID 0.9360 0.9557 Ada County, ID Boise County, ID Canyon County, ID Gem County, ID Owyhee County, ID 14484 Boston-Quincy, MA 1 1.1649 1.1102 Norfolk County, MA Plymouth County, MA Suffolk County, MA 14500 Boulder, CO 1.0072 1.0049 Boulder County, CO 14540 Bowling Green, KY 0.8162 0.8702 Edmonson County, KY Warren County, KY 14740 Bremerton-Silverdale, WA 1.0636 1.0431 Kitsap County, WA 14860 Bridgeport-Stamford-Norwalk, CT 1.2876 1.1890 Fairfield County, CT 14980 Bristol, VA 2 0.8065 0.8631 Washington County, VA Bristol City, VA 15180 Brownsville-Harlingen, TX 1.0178 1.0122 Cameron County, TX 15260 Brunswick, GA 1.1988 1.1322 Brantley County, GA Glynn County, GA McIntosh County, GA 15380 Buffalo-Niagara Falls, NY 1 0.9351 0.9551 Erie County, NY Niagara County, NY 15500 Burlington, NC 0.8881 0.9219 Alamance County, NC 15540 Burlington-South Burlington, VT 2 0.9469 0.9633 Chittenden County, VT Franklin County, VT Grand Isle County, VT 15764 Cambridge-Newton-Framingham, MA 1 1.1199 1.0806 Middlesex County, MA 15804 Camden, NJ 1 1.0683 1.0463 Burlington County, NJ Camden County, NJ Gloucester County, NJ 15940 Canton-Massillon, OH 0.8917 0.9245 Carroll County, OH Stark County, OH 15980 Cape Coral-Fort Myers, FL 0.9380 0.9571 Lee County, FL 16180 Carson City, NV 1.0362 1.0247 Carson City, NV 16220 Casper, WY 0.9367 0.9562 Natrona County, WY 16300 Cedar Rapids, IA 0.8987 0.9295 Benton County, IA Jones County, IA Linn County, IA 16580 Champaign-Urbana, IL 0.9597 0.9722 Champaign County, IL Ford County, IL Start Printed Page 35931 Piatt County, IL 16620 Charleston, WV 0.8875 0.9215 Boone County, WV Clay County, WV Kanawha County, WV Lincoln County, WV Putnam County, WV 16700 Charleston-North Charleston, SC 0.9379 0.9570 Berkeley County, SC Charleston County, SC Dorchester County, SC 16740 Charlotte-Gastonia-Concord, NC-SC 1 0.9750 0.9828 Anson County, NC Cabarrus County, NC Gaston County, NC Mecklenburg County, NC Union County, NC York County, SC 16820 Charlottesville, VA 1.0317 1.0216 Albemarle County, VA Fluvanna County, VA Greene County, VA Nelson County, VA Charlottesville City, VA 16860 Chattanooga, TN-GA 0.9233 0.9468 Catoosa County, GA Dade County, GA Walker County, GA Hamilton County, TN Marion County, TN Sequatchie County, TN 16940 Cheyenne, WY 2 0.9190 0.9438 Laramie County, WY 16974 Chicago-Naperville-Joliet, IL1 1.0819 1.0554 Cook County, IL DeKalb County, IL DuPage County, IL Grundy County, IL Kane County, IL Kendall County, IL McHenry County, IL Will County, IL 17020 Chico, CA 1.0575 1.0390 Butte County, CA 17140 Cincinnati-Middletown, OH-KY-IN 1 0.9533 0.9678 Dearborn County, IN Franklin County, IN Ohio County, IN Boone County, KY Bracken County, KY Campbell County, KY Gallatin County, KY Grant County, KY Kenton County, KY Pendleton County, KY Brown County, OH Butler County, OH Clermont County, OH Hamilton County, OH Warren County, OH 17300 Clarksville, TN-KY 0.8131 0.8679 Christian County, KY Trigg County, KY Montgomery County, TN Stewart County, TN 17420 Cleveland, TN 2 0.7911 0.8517 Bradley County, TN Polk County, TN 17460 Cleveland-Elyria-Mentor, OH 1 0.9667 0.9771 Cuyahoga County, OH Geauga County, OH Start Printed Page 35932 Lake County, OH Lorain County, OH Medina County, OH 17660 Coeur d'Alene, ID 0.9346 0.9547 Kootenai County, ID 17780 College Station-Bryan, TX 0.8505 0.8950 Brazos County, TX Burleson County, TX Robertson County, TX 17820 Colorado Springs, CO 0.9799 0.9862 El Paso County, CO Teller County, CO 17860 Columbia, MO 0.8352 0.8840 Boone County, MO Howard County, MO 17900 Columbia, SC 0.9071 0.9354 Calhoun County, SC Fairfield County, SC Kershaw County, SC Lexington County, SC Richland County, SC Saluda County, SC 17980 Columbus, GA-AL 0.8711 0.9098 Russell County, AL Chattahoochee County, GA Harris County, GA Marion County, GA Muscogee County, GA 18020 Columbus, IN 0.9472 0.9635 Bartholomew County, IN 18140 Columbus, OH 1 0.9757 0.9833 Delaware County, OH Fairfield County, OH Franklin County, OH Licking County, OH Madison County, OH Morrow County, OH Pickaway County, OH Union County, OH 18580 Corpus Christi, TX 0.8665 0.9065 Aransas County, TX Nueces County, TX San Patricio County, TX 18700 Corvallis, OR 1.0547 1.0371 Benton County, OR 19060 Cumberland, MD-WV (MD Hospitals) 2 0.9248 0.9479 Allegany County, MD Mineral County, WV 19060 Cumberland, MD-WV (WV Hospitals) 0.8668 0.9067 Allegany County, MD Mineral County, WV 19124 Dallas-Plano-Irving, TX 1.0092 1.0063 Collin County, TX Dallas County, TX Delta County, TX Denton County, TX Ellis County, TX Hunt County, TX Kaufman County, TX Rockwall County, TX 19140 Dalton, GA 0.9320 0.9529 Murray County, GA Whitfield County, GA 19180 Danville, IL 0.8418 0.8888 Vermilion County, IL 19260 Danville, VA 0.8792 0.9156 Pittsylvania County, VA Danville City, VA 19340 Davenport-Moline-Rock Island, IA-IL 0.8776 0.9145 Henry County, IL Mercer County, IL Start Printed Page 35933 Rock Island County, IL Scott County, IA 19380 Dayton, OH 0.9322 0.9531 Greene County, OH Miami County, OH Montgomery County, OH Preble County, OH 19460 Decatur, AL 0.8915 0.9244 Lawrence County, AL Morgan County, AL 19500 Decatur, IL 2 0.8364 0.8848 Macon County, IL 19660 Deltona-Daytona Beach-Ormond Beach, FL 0.8685 0.9080 Volusia County, FL 19740 Denver-Aurora, CO 1 1.0911 1.0615 Adams County, CO Arapahoe County, CO Broomfield County, CO Clear Creek County, CO Denver County, CO Douglas County, CO Elbert County, CO Gilpin County, CO Jefferson County, CO Park County, CO 19780 Des Moines, IA 0.9288 0.9507 Dallas County, IA Guthrie County, IA Madison County, IA Polk County, IA Warren County, IA 19804 Detroit-Livonia-Dearborn, MI 1 1.0379 1.0258 Wayne County, MI 20020 Dothan, AL 2 0.7675 0.8343 Geneva County, AL Henry County, AL Houston County, AL 20100 Dover, DE 2 0.9651 0.9760 Kent County, DE 20220 Dubuque, IA 0.8748 0.9125 Dubuque County, IA 20260 Duluth, MN-WI 1.0449 1.0305 Carlton County, MN St. Louis County, MN Douglas County, WI 20500 Durham, NC 1.0312 1.0213 Chatham County, NC Durham County, NC Orange County, NC Person County, NC 20740 Eau Claire, WI 2 0.9485 0.9644 Chippewa County, WI Eau Claire County, WI 20764 Edison, NJ 1 1.1160 1.0781 Middlesex County, NJ Monmouth County, NJ Ocean County, NJ Somerset County, NJ 20940 El Centro, CA 2 1.0440 1.0299 Imperial County, CA 21060 Elizabethtown, KY 0.8713 0.9100 Hardin County, KY Larue County, KY 21140 Elkhart-Goshen, IN 0.9286 0.9505 Elkhart County, IN 21300 Elmira, NY 0.8488 0.8938 Chemung County, NY 21340 El Paso, TX 0.9210 0.9452 El Paso County, TX 21420 Enid, OK 0.9034 0.9328 Garfield County, OK Start Printed Page 35934 21500 Erie, PA 0.8708 0.9096 Erie County, PA 21604 Essex County, MA 1.0666 1.0451 Essex County, MA 21660 Eugene-Springfield, OR 1.0951 1.0642 Lane County, OR 21780 Evansville, IN-KY (IN Hospitals) 2 0.8675 0.9072 Gibson County, IN Posey County, IN Vanderburgh County, IN Warrick County, IN Henderson County, KY Webster County, KY 21780 Evansville, IN-KY (KY Hospitals) 0.8406 0.8879 Gibson County, IN Posey County, IN Vanderburgh County, IN Warrick County, IN Henderson County, KY Webster County, KY 21820 Fairbanks, AK 2 1.1761 1.1175 Fairbanks North Star Borough, AK 21940 Fajardo, PR 0.4014 0.5352 Ceiba Municipio, PR Fajardo Municipio, PR Luquillo Municipio, PR 22020 Fargo, ND-MN 2 0.9340 0.9543 Clay County, MN Cass County, ND 22140 Farmington, NM 2 0.8592 0.9013 San Juan County, NM 22180 Fayetteville, NC 0.9387 0.9576 Cumberland County, NC Hoke County, NC 22220 Fayetteville-Springdale-Rogers, AR-MO 0.8687 0.9081 Benton County, AR Madison County, AR Washington County, AR McDonald County, MO 22380 Flagstaff, AZ 1.0804 1.0544 Coconino County, AZ 22420 Flint, MI 1.1187 1.0798 Genesee County, MI 22460 Florence-Muscle Shoals, AL 0.7917 0.8522 Colbert County, AL Lauderdale County, AL 22500 Florence, SC 0.8540 0.8976 Darlington County, SC Florence County, SC 22540 Fond du Lac, WI 0.9921 0.9946 Fond du Lac County, WI 22660 Fort Collins-Loveland, CO 1.0214 1.0146 Larimer County, CO 22744 Fort Lauderdale-Pompano Beach 1 1.0408 1.0278 Deerfield Beach, FL Broward County, FL 22900 Fort Smith, AR-OK 0.8311 0.8810 Crawford County, AR Franklin County, AR Sebastian County, AR Le Flore County, OK Sequoyah County, OK 23020 Fort Walton Beach-Crestview-Destin, FL 0.8805 0.9165 Okaloosa County, FL 23060 Fort Wayne, IN 0.9825 0.9880 Allen County, IN Wells County, IN Whitley County, IN 23104 Fort WorthArlington, TX 1 0.9515 0.9665 Johnson County, TX Start Printed Page 35935 Parker County, TX Tarrant County, TX Wise County, TX 23420 Fresno, CA 1.0656 1.0445 Fresno County, CA 23460 Gadsden, AL 0.8182 0.8716 Etowah County, AL 23540 Gainesville, FL 2 0.8581 0.9005 Alachua County, FL Gilchrist County, FL 23580 Gainesville, GA 0.9584 0.9713 Hall County, GA 23844 Gary, IN 0.9328 0.9535 Jasper County, IN Lake County, IN Newton County, IN Porter County, IN 24020 Glens Falls, NY 0.8508 0.8953 Warren County, NY Washington County, NY 24140 Goldsboro, NC 0.8796 0.9159 Wayne County, NC 24220 Grand Forks, ND-MN (MN Hospitals) 2 0.9340 0.9543 Polk County, MN Grand Forks County, ND 24220 Grand Forks, ND-MN (ND Hospitals) 0.9169 0.9423 Polk County, MN Grand Forks County, ND 24300 Grand Junction, CO 0.9949 0.9965 Mesa County, CO 24340 Grand Rapids-Wyoming, MI 0.9457 0.9625 Barry County, MI Ionia County, MI Kent County, MI Newaygo County, MI 24500 Great Falls, MT 0.8908 0.9239 Cascade County, MT 24540 Greeley, CO 0.9758 0.9834 Weld County, CO 24580 Green Bay, WI 0.9602 0.9726 Brown County, WI Kewaunee County, WI Oconto County, WI 24660 Greensboro-High Point, NC 0.9228 0.9465 Guilford County, NC Randolph County, NC Rockingham County, NC 24780 Greenville, NC 0.9200 0.9445 Greene County, NC Pitt County, NC 24860 Greenville, SC 0.9287 0.9506 Greenville County, SC Laurens County, SC Pickens County, SC 25020 Guayama, PR 0.4015 0.5353 Arroyo Municipio, PR Guayama Municipio, PR Patillas Municipio, PR 25060 Gulfport-Biloxi, MS 0.8954 0.9271 Hancock County, MS Harrison County, MS Stone County, MS 25180 Hagerstown-Martinsburg, MD-WV 0.9765 0.9838 Washington County, MD Berkeley County, WV Morgan County, WV 25260 Hanford-Corcoran, CA 2 1.0440 1.0299 Kings County, CA 25420 Harrisburg-Carlisle, PA 0.9377 0.9569 Cumberland County, PA Dauphin County, PA Start Printed Page 35936 Perry County, PA 25500 Harrisonburg, VA 0.9300 0.9515 Rockingham County, VA Harrisonburg City, VA 25620 Hattiesburg, MS 2 0.7665 0.8335 Forrest County, MS Lamar County, MS Perry County, MS 25860 Hickory-Lenoir-Morganton, NC 0.9508 0.9660 Alexander County, NC Burke County, NC Caldwell County, NC Catawba County, NC 25980 Hinesville-Fort Stewart, GA 2 0.7774 0.8416 Liberty County, GA Long County, GA 26100 Holland-Grand Haven, MI 0.9482 0.9642 Ottawa County, MI 26180 Honolulu, HI 1.1018 1.0686 Honolulu County, HI 26300 Hot Springs, AR 0.9286 0.9505 Garland County, AR 26380 Houma-Bayou Cane-Thibodaux, LA 0.7779 0.8420 Lafourche Parish, LA Terrebonne Parish, LA 26420 Houston-Baytown-Sugar Land, TX> 1 0.9995 0.9997 Austin County, TX Brazoria County, TX Chambers County, TX Fort Bend County, TX Galveston County, TX Harris County, TX Liberty County, TX Montgomery County, TX San Jacinto County, TX Waller County, TX 26580 Huntington-Ashland, WV-KY-OH 0.9585 0.9714 Boyd County, KY Greenup County, KY Lawrence County, OH Cabell County, WV Wayne County, WV 26620 Huntsville, AL 0.8861 0.9205 Limestone County, AL Madison County, AL 26820 Idaho Falls, ID 0.9062 0.9348 Bonneville County, ID Jefferson County, ID 26900 Indianapolis, IN 1 1.0102 1.0070 Boone County, IN Brown County, IN Hamilton County, IN Hancock County, IN Hendricks County, IN Johnson County, IN Marion County, IN Morgan County, IN Putnam County, IN Shelby County, IN 26980 Iowa City, IA 0.9663 0.9768 Johnson County, IA Washington County, IA 27060 Ithaca, NY 0.9795 0.9859 Tompkins County, NY 27100 Jackson, MI 0.9152 0.9411 Jackson County, MI 27140 Jackson, MS 0.8305 0.8806 Copiah County, MS Hinds County, MS Madison County, MS Rankin County, MS Start Printed Page 35937 Simpson County, MS 27180 Jackson, TN 0.8912 0.9242 Chester County, TN Madison County, TN 27260 Jacksonville, FL 1 0.9574 0.9706 Baker County, FL Clay County, FL Duval County, FL Nassau County, FL St. Johns County, FL 27340 Jacksonville, NC 2 0.8587 0.9009 Onslow County, NC 27460 Jamestown, NY 0.8180 0.8715 Chautauqua County, NY 27500 Janesville, WI 0.9618 0.9737 Rock County, WI 27620 Jefferson City, MO 0.8352 0.8840 Callaway County, MO Cole County, MO Moniteau County, MO Osage County, MO 27740 Johnson City, TN 0.7991 0.8576 Carter County, TN Unicoi County, TN Washington County, TN 27780 Johnstown, PA 0.8397 0.8872 Cambria County, PA 27860 Jonesboro, AR 0.8078 0.8640 Craighead County, AR Poinsett County, AR 27900 Joplin, MO 0.8746 0.9123 Jasper County, MO Newton County, MO 28020 Kalamazoo-Portage, MI 1.0714 1.0484 Kalamazoo County, MI Van Buren County, MI 28100 Kankakee-Bradley, IL 1.0551 1.0374 Kankakee County, IL 28140 Kansas City, MO-KS 1 0.9625 0.9742 Franklin County, KS Johnson County, KS Leavenworth County, KS Linn County, KS Miami County, KS Wyandotte County, KS Bates County, MO Caldwell County, MO Cass County, MO Clay County, MO Clinton County, MO Jackson County, MO Lafayette County, MO Platte County, MO Ray County, MO 28420 Kennewick-Richland-Pasco, WA 1.0530 1.0360 Benton County, WA Franklin County, WA 28660 Killeen-Temple-Fort Hood, TX 0.9301 0.9516 Bell County, TX Coryell County, TX Lampasas County, TX 28700 Kingsport-Bristol-Bristol, TN-VA 0.8257 0.8771 Hawkins County, TN Sullivan County, TN Scott County, VA 28740 Kingston, NY 0.8874 0.9215 Ulster County, NY 28940 Knoxville, TN 0.8585 0.9008 Anderson County, TN Blount County, TN Knox County, TN Start Printed Page 35938 Loudon County, TN Union County, TN 29020 Kokomo, IN 0.9038 0.9331 Howard County, IN Tipton County, IN 29100 La Crosse, WI-MN (MN Hospitals) 2 0.9340 0.9543 Houston County, MN La Crosse County, WI 29100 La Crosse, WI-MN (WI Hospitals) 2 0.9485 0.9644 Houston County, MN La Crosse County, WI 29140 Lafayette, IN 0.9073 0.9356 Benton County, IN Carroll County, IN Tippecanoe County, IN 29180 Lafayette, LA 0.8319 0.8816 Lafayette Parish, LA St. Martin Parish, LA 29340 Lake Charles, LA 0.7921 0.8525 Calcasieu Parish, LA Cameron Parish, LA 29404 Lake County-Kenosha County, IL-WI 1.0342 1.0233 Lake County, IL Kenosha County, WI 29460 Lakeland, FL Polk County, FL 0.8964 0.9278 29540 Lancaster, PA 0.9919 0.9944 Lancaster County, PA 29620 Lansing-East Lansing, MI 0.9675 0.9776 Clinton County, MI Eaton County, MI Ingham County, MI 29700 Laredo, TX 0.8293 0.8797 Webb County, TX 29740 Las Cruces, NM 0.8783 0.9150 Dona Ana County, NM 29820 Las Vegas-Paradise, NV 1 1.1380 1.0926 Clark County, NV 29940 Lawrence, KS 2 0.8132 0.8680 Douglas County, KS 30020 Lawton, OK 0.8264 0.8776 Comanche County, OK 30140 Lebanon, PA 0.8592 0.9013 Lebanon County, PA 30300 Lewiston, ID-WA (ID Hospitals) 2 0.9325 0.9533 Nez Perce County, ID Asotin County, WA 30300 Lewiston, ID-WA (WA Hospitals) 1.0340 1.0232 Nez Perce County, ID Asotin County, WA 30340 Lewiston-Auburn, ME 0.9613 0.9733 Androscoggin County, ME 30460 Lexington-Fayette, KY 0.9074 0.9356 Bourbon County, KY Clark County, KY Fayette County, KY Jessamine County, KY Scott County, KY Woodford County, KY 30620 Lima, OH 0.9330 0.9536 Allen County, OH 30700 Lincoln, NE 1.0206 1.0141 Lancaster County, NE Seward County, NE 30780 Little Rock-North Little Rock, AR 0.9032 0.9327 Faulkner County, AR Grant County, AR Lonoke County, AR Perry County, AR Pulaski County, AR Saline County, AR Start Printed Page 35939 30860 Logan, UT-ID 0.9102 0.9376 Franklin County, ID Cache County, UT 30980 Longview, TX 0.8823 0.9178 Gregg County, TX Rusk County, TX Upshur County, TX 31020 Longview, WA 2 1.0340 1.0232 Cowlitz County, WA 31084 Los Angeles-Long Beach-Glendale, CA 1 1.1730 1.1155 Los Angeles County, CA 31140 Louisville, KY-IN 1 0.9146 0.9407 Clark County, IN Floyd County, IN Harrison County, IN Washington County, IN Bullitt County, KY Henry County, KY Jefferson County, KY Meade County, KY Nelson County, KY Oldham County, KY Shelby County, KY Spencer County, KY Trimble County, KY 31180 Lubbock, TX 0.8798 0.9160 Crosby County, TX Lubbock County, TX 31340 Lynchburg, VA 0.9048 0.9338 Amherst County, VA Appomattox County, VA Bedford County, VA Campbell County, VA Bedford City, VA Lynchburg City, VA 31420 Macon, GA 0.9934 0.9955 Bibb County, GA Crawford County, GA Jones County, GA Monroe County, GA Twiggs County, GA 31460 Madera, CA 2 1.0440 1.0299 Madera County, CA 31540 Madison, WI 1.0325 1.0221 Columbia County, WI Dane County, WI Iowa County, WI 31700 Manchester-Nashua, NH 1.0573 1.0389 Hillsborough County, NH 31900 Mansfield, OH 0.9224 0.9462 Richland County, OH 32420 Mayagüez, PR 0.4453 0.5746 Hormigueros Municipio, PR Mayagüez Municipio, PR 32580 McAllen-Edinburg-Pharr, TX 0.8624 0.9036 Hidalgo County, TX 32780 Medford, OR 1.0561 1.0381 Jackson County, OR 32820 Memphis, TN-MS-AR 1 0.9250 0.9480 Crittenden County, AR DeSoto County, MS Marshall County, MS Tate County, MS Tunica County, MS Fayette County, TN Shelby County, TN Tipton County, TN 32900 Merced, CA2 1.0440 1.0299 Merced County, CA 33124 Miami-Miami Beach-Kendall, FL 1 1.0045 1.0031 Miami-Dade County, FL Start Printed Page 35940 33140 Michigan City-La Porte, IN 0.9351 0.9551 LaPorte County, IN 33260 Midland, TX 0.9408 0.9591 Midland County, TX 33340 Milwaukee-Waukesha-West Allis, WI 1 1.0106 1.0072 Milwaukee County, WI Ozaukee County, WI Washington County, WI Waukesha County, WI 33460 Minneapolis-St. Paul-Bloomington, MN-WI 1 1.1074 1.0724 Anoka County, MN Carver County, MN Chisago County, MN Dakota County, MN Hennepin County, MN Isanti County, MN Ramsey County, MN Scott County, MN Sherburne County, MN Washington County, MN Wright County, MN Pierce County, WI St. Croix County, WI 33540 Missoula, MT 0.9657 0.9764 Missoula County, MT 33660 Mobile, AL 0.8017 0.8595 Mobile County, AL 33700 Modesto, CA 1.2007 1.1334 Stanislaus County, CA 33740 Monroe, LA 0.7928 0.8530 Ouachita Parish, LA Union Parish, LA 33780 Monroe, MI 0.9517 0.9667 Monroe County, MI 33860 Montgomery, AL 0.8312 0.8811 Autauga County, AL Elmore County, AL Lowndes County, AL Montgomery County, AL 34060 Morgantown, WV 0.8720 0.9105 Monongalia County WV Preston County, WV 34100 Morristown, TN 2 0.7911 0.8517 Grainger County, TN Hamblen County, TN Jefferson County, TN 34580 Mount Vernon-Anacortes, WA 1.0581 1.0394 Skagit County, WA 34620 Muncie, IN 2 0.8675 0.9072 Delaware County, IN 34740 Muskegon-Norton Shores, MI 0.9770 0.9842 Muskegon County, MI 34820 Myrtle Beach-Conway-North Myrtle Beach, SC 0.8592 0.9013 Horry County, SC 34900 Napa, CA 1.3537 1.2305 Napa County, CA 34940 Naples-Marco Island, FL 1.0593 1.0402 Collier County, FL 34980 Nashville-Davidson-Murfreesboro, TN 1.0115 1.0079 Cannon County, TN Cheatham County, TN Davidson County, TN Dickson County, TN Hickman County, TN Macon County, TN Robertson County, TN Rutherford County, TN Smith County, TN Sumner County, TN Trousdale County, TN Williamson County, TN Start Printed Page 35941 Wilson County, TN 35084 Newark-Union, NJ-PA 1 1.1708 1.1140 Essex County, NJ Hunterdon County, NJ Morris County, NJ Sussex County, NJ Union County, NJ Pike County, PA 35300 New Haven-Milford, CT 1.1828 1.1218 New Haven County, CT 35380 New Orleans-Metairie-Kenner, LA 1 0.9118 0.9387 Jefferson Parish, LA Orleans Parish, LA Plaquemines Parish, LA St. Bernard Parish, LA St. Charles Paris, LA St. John the Baptist Parish, LA St. Tammany Parish, LA 35644 New York-Wayne-White Plains, NY-NJ1 1.3324 1.2172 Bergen County, NJ Hudson County, NJ Passaic County, NJ Bronx County, NY Kings County, NY New York County, NY Putnam County, NY Queens County, NY Richmond County, NY Rockland County, NY Westchester County, NY 35660 Niles-Benton Harbor, MI 0.8922 0.9249 Berrien County, MI 35980 Norwich-New London, CT 1.1625 1.1086 New London County, CT 36084 Oakland-Fremont-Hayward, CA 1 1.5387 1.3433 Alameda County, CA Contra Costa County, CA 36100 Ocala, FL 0.9194 0.9441 Marion County, FL 36140 Ocean City, NJ 1.0841 1.0569 Cape May County, NJ 36220 Odessa, TX 0.9822 0.9878 Ector County, TX 36260 Ogden-Clearfield, UT 0.9303 0.9517 Davis County, UT Morgan County, UT Weber County, UT 36420 Oklahoma City, OK 1 0.9005 0.9307 Canadian County, OK Cleveland County, OK Grady County, OK Lincoln County, OK Logan County, OK McClain County, OK Oklahoma County, OK 36500 Olympia, WA 1.1034 1.0697 Thurston County, WA 36540 Omaha-Council Bluffs, NE-IA 0.9765 0.9838 Harrison County, IA Mills County, IA Pottawattamie County, IA Cass County, NE Douglas County, NE Sarpy County, NE Saunders County, NE Washington County, NE 36740 Orlando, FL 1 0.9779 0.9848 Lake County, FL Orange County, FL Osceola County, FL Seminole County, FL Start Printed Page 35942 36780 Oshkosh-Neenah, WI 2 0.9485 0.9644 Winnebago County, WI 36980 Owensboro, KY 0.8470 0.8925 Daviess County, KY Hancock County, KY McLean County, KY 37100 Oxnard-Thousand Oaks-Ventura, CA 1.1130 1.0761 Ventura County, CA 37340 Palm Bay-Melbourne-Titusville, FL 0.9630 0.9745 Brevard County, FL 37460 Panama City-Lynn Haven, FL 2 0.8581 0.9005 Bay County, FL 37620 Parkersburg-Marietta, WV-OH (OH Hospitals) 2 0.8708 0.9096 Washington County, OH Pleasants County, WV Wirt County, WV Wood County, W 37620 Parkersburg-Marietta, WV-OH (WV Hospitals) 0.8388 0.8866 Washington County, OH Pleasants County, WV Wirt County, WV Wood County, WV 37700 Pascagoula, MS 0.7993 0.8578 George County, MS Jackson County, MS 37860 Pensacola-Ferry Pass-Brent, FL 2 0.8581 0.9005 Escambia County, FL Santa Rosa County, FL 37900 Peoria, IL 0.8853 0.9200 Marshall County, IL Peoria County, IL Stark County, IL Tazewell County, IL Woodford County, IL 37964 Philadelphia, PA 1 1.0880 1.0595 Bucks County, PA Chester County, PA Delaware County, PA Montgomery County, PA Philadelphia County, PA 38060 Phoenix-Mesa-Scottsdale, AZ 1 1.0009 1.0006 Maricopa County, AZ Pinal County, AZ 38220 Pine Bluff, AR 0.8724 0.9108 Cleveland County, AR Jefferson County, AR Lincoln County, AR 38300 Pittsburgh, PA 1 0.8743 0.9121 Allegheny County, PA Armstrong County, PA Beaver County, PA Butler County, PA Fayette County, PA Washington County, PA Westmoreland County, PA 38340 Pittsfield, MA 1.0756 1.0512 Berkshire County, MA 38540 Pocatello, ID 0.9615 0.9735 Bannock County, ID Power County, ID 38660 Ponce, PR 0.5019 0.6237 Juana Díaz Municipio, PR Ponce Municipio, PR Villalba Municipio, PR 38860 Portland-South Portland-Biddeford, ME 1.0127 1.0087 Cumberland County, ME Sagadahoc County, ME York County, ME 38900 Portland-Vancouver-Beaverton, OR-WA 1 1.1384 1.0928 Clackamas County, OR Columbia County, OR Start Printed Page 35943 Multnomah County, OR Washington County, OR Yamhill County, OR Clark County, WA Skamania County, WA 38940 Port St. Lucie-Fort Pierce, FL 1.0117 1.0080 Martin County, FL St. Lucie County, FL 39100 Poughkeepsie-Newburgh-Middletown, NY 1.1395 1.0935 Dutchess County, NY Orange County, NY 39140 Prescott, AZ 0.9922 0.9947 Yavapai County, AZ 39300 Providence-New Bedford-Fall River, RI-MA 1 1.0941 1.0635 Bristol County, MA Bristol County, RI Kent County, RI Newport County, RI Providence County, RI Washington County, RI 39340 ProvoOrem, UT 0.9762 0.9836 Juab County, UT Utah County, UT 39380 Pueblo, CO 2 0.9374 0.9567 Pueblo County, CO 39460 Punta Gorda, FL 0.9473 0.9636 Charlotte County, FL 39540 Racine, WI 2 0.9485 0.9644 Racine County, WI 39580 RaleighCary, NC 1.0060 1.0041 Franklin County, NC Johnston County, NC Wake County, NC 39660 Rapid City, SD 0.8947 0.9266 Meade County, SD Pennington County, SD 39740 Reading, PA 0.9173 0.9426 Berks County, PA 39820 Redding, CA 1.1856 1.1237 Shasta County, CA 39900 Reno-Sparks, NV 1.0474 1.0322 Storey County, NV Washoe County, NV 40060 Richmond, VA 1 0.9422 0.9600 Amelia County, VA Caroline County, VA Charles City County, VA Chesterfield County, VA Cumberland County, VA Dinwiddie County, VA Goochland County, VA Hanover County, VA Henrico County, VA King and Queen County, VA King William County, VA Louisa County, VA New Kent County, VA Powhatan County, VA Prince George County, VA Sussex County, VA Colonial Heights City, VA Hopewell City, VA Petersburg City, VA Richmond City, VA 40140 Riverside-San Bernardino-Ontario, CA 1 1.0997 1.0672 Riverside County, CA San Bernardino County, CA 40220 Roanoke, VA 0.8390 0.8867 Botetourt County, VA Craig County, VA Franklin County, VA Start Printed Page 35944 Roanoke County, VA Roanoke City, VA Salem City, VA 40340 Rochester, MN 1.1511 1.1012 Dodge County, MN Olmsted County, MN Wabasha County, MN 40380 Rochester, NY 1 0.9307 0.9520 Livingston County, NY Monroe County, NY Ontario County, NY Orleans County, NY Wayne County, NY 40420 Rockford, IL 0.9623 0.9740 Boone County, IL Winnebago County, IL 40484 Rockingham County-Strafford County, NH 1.0232 1.0158 Rockingham County, NH Strafford County, NH 40580 Rocky Mount, NC 0.9016 0.9315 Edgecombe County, NC Nash County, NC 40660 Rome, GA 0.8877 0.9217 Floyd County, GA 40900 Sacramento-Arden-Arcade-Roseville, CA 1 1.1709 1.1141 El Dorado County, CA Placer County, CA Sacramento County, CA Yolo County, CA 40980 Saginaw-Saginaw Township North, MI 0.9879 0.9917 Saginaw County, MI 41060 St. Cloud, MN 1.0193 1.0132 Benton County, MN Stearns County, MN 41100 St. George, UT 0.9495 0.9651 Washington County, UT 41140 St. Joseph, MO-KS (MO Hospitals) 2 0.8011 0.8591 Doniphan County, KS Andrew County, MO Buchanan County, MO DeKalb County, MO 41140 St. Joseph, MO-KS (KS Hospitals) 2 0.8132 0.8680 Doniphan County, KS Andrew County, MO Buchanan County, MO DeKalb County, MO 41180 St. Louis, MO-IL 0.9067 0.9351 Bond County, IL Calhoun County, IL Clinton County, IL Jersey County, IL Macoupin County, IL Madison County, IL Monroe County, IL St. Clair County, IL Crawford County, MO Franklin County, MO Jefferson County, MO Lincoln County, MO St. Charles County, MO St. Louis County, MO Warren County, MO Washington County, MO St. Louis City, MO 41420 Salem, OR 1.0572 1.0388 Marion County, OR Polk County, OR 41500 Salinas, CA 1.3946 1.2558 Monterey County, CA 41540 Salisbury, MD 2 0.9248 0.9479 Somerset County, MD Start Printed Page 35945 Wicomico County, MD 41620 Salt Lake City, UT 0.9588 0.9716 Salt Lake County, UT Summit County, UT Tooele County, UT 41660 San Angelo, TX 0.8194 0.8725 Irion County, TX Tom Green County, TX 41700 San Antonio, TX 1 0.9021 0.9319 Atascosa County, TX Bandera County, TX Bexar County, TX Comal County, TX Guadalupe County, TX Kendall County, TX Medina County, TX Wilson County, TX 41740 San Diego-Carlsbad-San Marcos, CA 1 1.1265 1.0850 San Diego County, CA 41780 Sandusky, OH 0.9045 0.9336 Erie County, OH 41884 San Francisco-San Mateo-Redwood City, CA 1 1.4403 1.2838 Marin County, CA San Francisco County, CA San Mateo County, CA 41900 San Germán-Cabo Rojo, PR 0.5254 0.6436 Cabo Rojo Municipio, PR Lajas Municipio, PR Sabana Grande Municipio, PR San Germán Municipio, PR 41940 San Jose-Sunnyvale-Santa Clara, CA 1 1.4543 1.2924 San Benito County, CA Santa Clara County, CA 41980 San Juan-Caguas-Guaynabo, PR 1 0.4646 0.5916 Aguas Buenas Municipio, PR Aibonito Municipio, PR Arecibo Municipio, PR Barceloneta Municipio, PR Barranquitas Municipio, PR Bayamón Municipio, PR Caguas Municipio, PR Camuy Municipio, PR Canóvanas Municipio, PR Carolina Municipio, PR Cataño Municipio, PR Cayey Municipio, PR Ciales Municipio, PR Cidra Municipio, PR Comerío Municipio, PR Corozal Municipio, PR Dorado Municipio, PR Florida Municipio, PR Guaynabo Municipio, PR Gurabo Municipio, PR Hatillo Municipio, PR Humacao Municipio, PR Juncos Municipio, PR Las Piedras Municipio, PR Loíza Municipio, PR Manatí Municipio, PR Maunabo Municipio, PR Morovis Municipio, PR Naguabo Municipio, PR Naranjito Municipio, PR Orocovis Municipio, PR Quebradillas Municipio, PR Río Grande Municipio, PR San Juan Municipio, PR San Lorenzo Municipio, PR Toa Alta Municipio, PR Toa Baja Municipio, PR Start Printed Page 35946 Trujillo Alto Municipio, PR Vega Alta Municipio, PR Vega Baja Municipio, PR Yabucoa Municipio, PR 42020 San Luis Obispo-Paso Robles, CA 1.1140 1.0767 San Luis Obispo County, CA 42044 Santa Ana-Anaheim-Irvine, CA 1 1.1728 1.1153 Orange County, CA 42060 Santa Barbara-Santa Maria-Goleta, CA 1.0731 1.0495 Santa Barbara County, CA 42100 Santa Cruz-Watsonville, CA 1.4786 1.3071 Santa Cruz County, CA 42140 Santa Fe, NM 1.0913 1.0617 Santa Fe County, NM 42220 Santa Rosa-Petaluma, CA 1.2958 1.1942 Sonoma County, CA 42260 Sarasota-Bradenton-Venice, FL 0.9635 0.9749 Manatee County, FL Sarasota County, FL 42340 Savannah, GA 0.9470 0.9634 Bryan County, GA Chatham County, GA Effingham County, GA 42540 Scranton-Wilkes-Barre, PA 0.8529 0.8968 Lackawanna County, PA Luzerne County, PA Wyoming County, PA 42644 Seattle-Bellevue-Everett, WA 1 1.1497 1.1002 King County, WA Snohomish County, WA 43100 Sheboygan, WI 2 0.9485 0.9644 Sheboygan County, WI 43300 Sherman-Denison, TX 0.9645 0.9756 Grayson County, TX 43340 Shreveport-Bossier City, LA 0.9153 0.9412 Bossier Parish, LA Caddo Parish, LA De Soto Parish, LA 43580 Sioux City, IA-NE-SD 0.9077 0.9358 Woodbury County, IA Dakota County, NE Dixon County, NE Union County, SD 43620 Sioux Falls, SD 0.9438 0.9612 Lincoln County, SD McCook County, SD Minnehaha County, SD Turner County, SD 43780 South Bend-Mishawaka, IN-MI 0.9458 0.9626 St. Joseph County, IN Cass County, MI 43900 Spartanburg, SC 0.9035 0.9329 Spartanburg County, SC 44060 Spokane, WA 1.0674 1.0457 Spokane County, WA 44100 Springfield, IL 0.8754 0.9129 Menard County, IL Sangamon County, IL 44140 Springfield, MA 2 1.0432 1.0294 Franklin County, MA Hampden County, MA Hampshire County, MA 44180 Springfield, MO 0.8458 0.8916 Christian County, MO Dallas County, MO Greene County, MO Polk County, MO Webster County, MO 44220 Springfield, OH 0.8763 0.9135 Clark County, OH 44300 State College, PA 0.8486 0.8937 Start Printed Page 35947 Centre County, PA 44700 Stockton, CA 1.0605 1.0410 San Joaquin County, CA 44844 Suffolk-Nassau, NY 1 1.2966 1.1947 Nassau County, NY Suffolk County, NY 44940 Sumter, SC 2 0.8449 0.8910 Sumter County, SC 45060 Syracuse, NY 0.9504 0.9658 Madison County, NY Onondaga County, NY Oswego County, NY 45104 Tacoma, WA 1.1105 1.0744 Pierce County, WA 45220 Tallahassee, FL 0.8690 0.9083 Gadsden County, FL Jefferson County, FL Leon County, FL Wakulla County, FL 45300 Tampa-St. Petersburg-Clearwater, FL 1 0.9087 0.9365 Hernando County, FL Hillsborough County, FL Pasco County, FL Pinellas County, FL 45460 Terre Haute, IN 2 0.8675 0.9072 Clay County, IN Sullivan County, IN Vermillion County, IN Vigo County, IN 45500 Texarkana, TX-Texarkana, AR 0.8457 0.8916 Miller County, AR Bowie County, TX 45780 Toledo, OH 0.9536 0.9680 Fulton County, OH Lucas County, OH Ottawa County, OH Wood County, OH 45820 Topeka, KS 0.8915 0.9244 Jackson County, KS Jefferson County, KS Osage County, KS Shawnee County, KS Wabaunsee County, KS 45940 Trenton-Ewing, NJ 1.0294 1.0200 Mercer County, NJ 46060 Tucson, AZ 0.8971 0.9283 Pima County, AZ 46140 Tulsa, OK 0.8709 0.9097 Creek County, OK Okmulgee County, OK Osage County, OK Pawnee County, OK Rogers County, OK Tulsa County, OK Wagoner County, OK 46220 Tuscaloosa, AL 0.8358 0.8844 Greene County, AL Hale County, AL Tuscaloosa County, AL 46340 Tyler, TX 0.9534 0.9678 Smith County, TX 46540 Utica-Rome, NY 0.8339 0.8830 Herkimer County, NY Oneida County, NY 46660 Valdosta, GA 0.8355 0.8842 Brooks County, GA Echols County, GA Lanier County, GA Lowndes County, GA 46700 Vallejo-Fairfield, CA 1.4275 1.2760 Solano County, CA Start Printed Page 35948 46940 Vero Beach, FL 0.9513 0.9664 Indian River County, FL 47020 Victoria, TX 0.8491 0.8940 Calhoun County, TX Goliad County, TX Victoria County, TX 47220 Vineland-Millville-Bridgeton, NJ 1.0604 1.0410 Cumberland County, NJ 47260 Virginia Beach-Norfolk-Newport News, VA-NC 1 0.8941 0.9262 Currituck County, NC Gloucester County, VA Isle of Wight County, VA James City County, VA Mathews County, VA Surry County, VA York County, VA Chesapeake City, VA Hampton City, VA Newport News City, VA Norfolk City, VA Poquoson City, VA Portsmouth City, VA Suffolk City, VA Virginia Beach City, VA Williamsburg City, VA 47300 Visalia-Porterville, CA 2 1.0440 1.0299 Tulare County, CA 47380 Waco, TX 0.8167 0.8705 McLennan County, TX 47580 Warner Robins, GA 0.8513 0.8956 Houston County, GA 47644 Warren-Farmington Hills-Troy, MI 1 1.0131 1.0090 Lapeer County, MI Livingston County, MI Macomb County, MI Oakland County, MI St. Clair County, MI 47894 Washington-Arlington-Alexandria, DC-VA-MD-WV 1 1.1063 1.0716 District of Columbia, DC Calvert County, MD Charles County, MD Prince George's County, MD Arlington County, VA Clarke County, VA Fairfax County, VA Fauquier County, VA Loudoun County, VA Prince William County, VA Spotsylvania County, VA Stafford County, VA Warren County, VA Alexandria City, VA Fairfax City, VA Falls Church City, VA Fredericksburg City, VA Manassas City, VA Manassas Park City, VA Jefferson County, WV 47940 Waterloo-Cedar Falls, IA 0.8652 0.9056 Black Hawk County, IA Bremer County, IA Grundy County, IA 48140 Wausau, WI 1.0121 1.0083 Marathon County, WI 48260 Weirton-Steubenville, WV-OH (OH Hospitals) 2 0.8708 0.9096 Jefferson County, OH Brooke County, WV Hancock County, WV 48260 Weirton-Steubenville, WV-OH (WV Hospitals) 0.8292 0.8796 Jefferson County, OH Brooke County, WV Start Printed Page 35949 Hancock County, WV 48300 Wenatchee, WA 2 1.0340 1.0232 Chelan County, WA Douglas County, WA 48424 West Palm Beach-Boca Raton-Boynton Beach, FL 1 1.0074 1.0051 Palm Beach County, FL 48540 Wheeling, WV-OH (OH Hospitals) 2 0.8708 0.9096 Belmont County, OH Marshall County, WV Ohio County, WV 48540 Wheeling, WV-OH (WV Hospitals) 2 0.7903 0.8512 Belmont County, OH Marshall County, WV Ohio County, WV 48620 Wichita, KS 0.9476 0.9638 Butler County, KS Harvey County, KS Sedgwick County, KS Sumner County, KS 48660 Wichita Falls, TX 0.8379 0.8859 Archer County, TX Clay County, TX Wichita County, TX 48700 Williamsport, PA 0.8432 0.8898 Lycoming County, PA 48864 Wilmington, DE-MD-NJ 1.1110 1.0747 New Castle County, DE Cecil County, MD Salem County, NJ 48900 Wilmington, NC 0.9248 0.9479 Brunswick County, NC New Hanover County, NC Pender County, NC 49020 Winchester, VA-WV 1.0513 1.0349 Frederick County, VA Winchester City, VA Hampshire County, WV 49180 Winston-Salem, NC 0.9430 0.9606 Davie County, NC Forsyth County, NC Stokes County, NC Yadkin County, NC 49340 Worcester, MA 1.1034 1.0697 Worcester County, MA 49420 Yakima, WA 1.0343 1.0234 Yakima County, WA 49500 Yauco, PR 0.4505 0.5792 Guánica Municipio, PR Guayanilla Municipio, PR Peñuelas Municipio, PR Yauco Municipio, PR 49620 York-Hanover, PA 0.8916 0.9244 York County, PA 49660 Youngstown-Warren-Boardman, OH-PA 0.9257 0.9485 Mahoning County, OH Trumbull County, OH Mercer County, PA 49700 Yuba City, CA 2 1.0440 1.0299 Sutter County, CA Yuba County, CA 49740 Yuma, AZ 2 0.8967 0.9281 Yuma County, AZ 1 Large urban area. 2 Hospitals geographically located in the area are assigned the statewide rural wage index for FY 2005. 5. On page 28586, in Table 4C—Wage Index and Capital Geographic Adjustment Factor (GAF) for Hospitals that are Reclassified, we incorrectly included two entries for Wilmington, N.C., the two entries for Wilmington, NC are deleted and the following two entries are added in their place:Start Printed Page 35950
Area Wage index GAF Wilmington, DE 1.0817 1.0553 Wilmington, NC 0.9092 0.9369 6. On pages 28589 through 28628, Table 4G—Pre-Reclassified Wage Index for Urban Areas, is corrected to read as follows:
Start Printed Page 35972Table 4G—Pre-Reclassified Wage Index For Urban Areas
CBSA code Urban area (constituent counties) Wage index 10180 Abilene, TX 0.8011 Callahan County, TX Jones County, TX Taylor County, TX 10380 Aguadilla-Isabela-San Sebastián, PR 0.4285 Aguada Municipio, PR Aguadilla Municipio, PR Añasco Municipio, PR Isabela Municipio, PR Lares Municipio, PR Moca Municipio, PR Rincón Municipio, PR San Sebastián Municipio, PR 10420 Akron, OH 0.9065 Portage County, OH Summit County, OH 10500 Albany, GA 1.1306 Baker County, GA Dougherty County, GA Lee County, GA Terrell County, GA Worth County, GA 10580 Albany-Schenectady-Troy, NY 0.8685 Albany County, NY Rensselaer County, NY Saratoga County, NY Schenectady County, NY Schoharie County, NY 10740 Albuquerque, NM 1.0167 Bernalillo County, NM Sandoval County, NM Torrance County, NM Valencia County, NM 10780 Alexandria, LA 0.8198 Grant Parish, LA Rapides Parish, LA 10900 Allentown-Bethlehem-Easton, PA-NJ 0.9539 Warren County, NJ Carbon County, PA Lehigh County, PA Northampton County, PA 11020 Altoona, PA 0.8472 Blair County, PA 11100 Amarillo, TX 0.9209 Armstrong County, TX Carson County, TX Potter County, TX Randall County, TX 11180 Ames, IA 0.9503 Story County, IA 11260 Anchorage, AK 1.2195 Anchorage Municipality, AK Matanuska-Susitna Borough, AK 11300 Anderson, IN 0.8769 Madison County, IN 11340 Anderson, SC 0.8689 Anderson County, SC 11460 Ann Arbor, MI 1.1065 Washtenaw County, MI 11500 Anniston-Oxford, AL 0.7916 Calhoun County, AL 11540 Appleton, WI 0.9485 Calumet County, WI Outagamie County, WI 11700 Asheville, NC 0.9217 Buncombe County, NC Start Printed Page 35951 Haywood County, NC Henderson County, NC Madison County, NC 12020 Athens-Clarke County, GA 1.0010 Clarke County, GA Madison County, GA Oconee County, GA Oglethorpe County, GA 12060 Atlanta-Sandy Springs-Marietta, GA 0.9926 Barrow County, GA Bartow County, GA Butts County, GA Carroll County, GA Cherokee County, GA Clayton County, GA Cobb County, GA Coweta County, GA Dawson County, GA DeKalb County, GA Douglas County, GA Fayette County, GA Forsyth County, GA Fulton County, GA Gwinnett County, GA Haralson County, GA Heard County, GA Henry County, GA Jasper County, GA Lamar County, GA Meriwether County, GA Newton County, GA Paulding County, GA Pickens County, GA Pike County, GA Rockdale County, GA Spalding County, GA Walton County, GA 12100 Atlantic City, NJ 1.0723 Atlantic County, NJ 12220 Auburn-Opelika, AL 0.8231 Lee County, AL 12260 Augusta-Richmond County, GA-SC 0.9169 Burke County, GA Columbia County, GA McDuffie County, GA Richmond County, GA Aiken County, SC Edgefield County, SC 12420 Austin-Round Rock, TX 0.9619 Bastrop County, TX Caldwell County, TX Hays County, TX Travis County, TX Williamson County, TX 12540 Bakersfield, CA 1.0440 Kern County, CA 12580 Baltimore-Towson, MD 0.9904 Anne Arundel County, MD Baltimore County, MD Carroll County, MD Harford County, MD Howard County, MD Queen Anne's County, MD Baltimore City, MD 12620 Bangor, ME 0.9960 Penobscot County, ME 12700 Barnstable Town, MA 1.1965 Barnstable County, MA 12940 Baton Rouge, LA 0.8344 Ascension Parish, LA East Baton Rouge Parish, LA Start Printed Page 35952 East Feliciana Parish, LA Iberville Parish, LA Livingston Parish, LA Pointe Coupee Parish, LA St. Helena Parish, LA West Baton Rouge Parish, LA West Feliciana Parish, LA 12980 Battle Creek, MI 0.9132 Calhoun County, MI 13020 Bay City, MI 0.9601 Bay County, MI 13140 Beaumont-Port Arthur, TX 0.8564 Hardin County, TX Jefferson County, TX Orange County, TX 13380 Bellingham, WA 1.1695 Whatcom County, WA 13460 Bend, OR 1.0623 Deschutes County, OR 13644 Bethesda-Frederick-Gaithersburg, MD 1.0993 Frederick County, MD Montgomery County, MD 13740 Billings, MT 0.8993 Carbon County, MT Yellowstone County, MT 13780 Binghamton, NY 0.8484 Broome County, NY Tioga County, NY 13820 Birmingham-Hoover, AL 0.9111 Bibb County, AL Blount County, AL Chilton County, AL Jefferson County, AL St. Clair County, AL Shelby County, AL Walker County, AL 13900 Bismarck, ND 0.7741 Burleigh County, ND Morton County, ND 13980 Blacksburg-Christiansburg-Radford, VA 0.8065 Giles County, VA Montgomery County, VA Pulaski County, VA Radford City, VA 14020 Bloomington, IN 0.8675 Greene County, IN Monroe County, IN Owen County, IN 14060 Bloomington-Normal, IL 0.9099 McLean County, IL 14260 Boise City-Nampa, ID 0.9360 Ada County, ID Boise County, ID Canyon County, ID Gem County, ID Owyhee County, ID 14484 Boston-Quincy, MA 1.1649 Norfolk County, MA Plymouth County, MA Suffolk County, MA 14500 Boulder, CO 1.0072 Boulder County, CO 14540 Bowling Green, KY 0.8162 Edmonson County, KY Warren County, KY 14740 Bremerton-Silverdale, WA 1.0636 Kitsap County, WA 14860 Bridgeport-Stamford-Norwalk, CT 1.2876 Fairfield County, CT 14980 Bristol, VA 0.8065 Washington County, VA Start Printed Page 35953 Bristol City, VA 15180 Brownsville-Harlingen, TX 1.0178 Cameron County, TX 15260 Brunswick, GA 1.1988 Brantley County, GA Glynn County, GA McIntosh County, GA 15380 Buffalo-Niagara Falls, NY 0.9351 Erie County, NY Niagara County, NY 15500 Burlington, NC 0.8881 Alamance County, NC 15540 Burlington-South Burlington, VT 0.9378 Chittenden County, VT Franklin County, VT Grand Isle County, VT 15764 Cambridge-Newton-Framingham, MA 1.1199 Middlesex County, MA 15804 Camden, NJ 1.0683 Burlington County, NJ Camden County, NJ Gloucester County, NJ 15940 Canton-Massillon, OH 0.8917 Carroll County, OH Stark County, OH 15980 Cape Coral-Fort Myers, FL 0.9380 Lee County, FL 16180 Carson City, NV 1.0362 Carson City, NV 16220 Casper, WY 0.9301 Natrona County, WY 16300 Cedar Rapids, IA 0.8987 Benton County, IA Jones County, IA Linn County, IA 16580 Champaign-Urbana, IL 0.9539 Champaign County, IL Ford County, IL Piatt County, IL 16620 Charleston, WV 0.8875 Boone County, WV Clay County, WV Kanawha County, WV Lincoln County, WV Putnam County, WV 16700 Charleston-North Charleston, SC 0.9379 Berkeley County, SC Charleston County, SC Dorchester County, SC 16740 Charlotte-Gastonia-Concord, NC-SC 0.9750 Anson County, NC Cabarrus County, NC Gaston County, NC Mecklenburg County, NC Union County, NC York County, SC 16820 Charlottesville, VA 1.0317 Albemarle County, VA Fluvanna County, VA Greene County, VA Nelson County, VA Charlottesville City, VA 16860 Chattanooga, TN-GA 0.9233 Catoosa County, GA Dade County, GA Walker County, GA Hamilton County, TN Marion County, TN Sequatchie County, TN 16940 Cheyenne, WY 0.9190 Laramie County, WY Start Printed Page 35954 16974 Chicago-Naperville Joliet, IL 1.0819 Cook County, IL DeKalb County, IL DuPage County, IL Grundy County, IL Kane County, IL Kendall County, IL McHenry County, IL Will County, IL 17020 Chico, CA 1.0575 Butte County, CA 17140 Cincinnati-Middletown, OH-KY-IN 0.9532 Dearborn County, IN Franklin County, IN Ohio County, IN Boone County, KY Bracken County, KY Campbell County, KY Gallatin County, KY Grant County, KY Kenton County, KY Pendleton County, KY Brown County, OH Butler County, OH Clermont County, OH Hamilton County, OH Warren County, OH 17300 Clarksville, TN-KY 0.8027 Christian County, KY Trigg County, KY Montgomery County, TN Stewart County, TN 17420 Cleveland, TN 0.7911 Bradley County, TN Polk County, TN 17460 Cleveland-Elyria-Mentor, OH 0.9667 Cuyahoga County, OH Geauga County, OH Lake County, OH Lorain County, OH Medina County, OH 17660 Coeur d'Alene, ID 0.9346 Kootenai County, ID 17780 College Station-Bryan, TX 0.8505 Brazos County, TX Burleson County, TX Robertson County, TX 17820 Colorado Springs, CO 0.9799 El Paso County, CO Teller County, CO 17860 Columbia, MO 0.8352 Boone County, MO Howard County, MO 17900 Columbia, SC 0.9071 Calhoun County, SC Fairfield County, SC Kershaw County, SC Lexington County, SC Richland County, SC Saluda County, SC 17980 Columbus, GA-AL 0.8711 Russell County, AL Chattahoochee County, GA Harris County, GA Marion County, GA Muscogee County, GA 18020 Columbus, IN 0.9472 Bartholomew County, IN 18140 Columbus, OH 0.9757 Delaware County, OH Fairfield County, OH Start Printed Page 35955 Franklin County, OH Licking County, OH Madison County, OH Morrow County, OH Pickaway County, OH Union County, OH 18580 Corpus Christi, TX 0.8665 Aransas County, TX Nueces County, TX San Patricio County, TX 18700 Corvallis, OR 1.0547 Benton County, OR 19060 Cumberland, MD-WV 0.9248 Allegany County, MD Mineral County, WV 19124 Dallas-Plano-Irving, TX 1.0092 Collin County, TX Dallas County, TX Delta County, TX Denton County, TX Ellis County, TX Hunt County, TX Kaufman County, TX Rockwall County, TX 19140 Dalton, GA 0.9320 Murray County, GA Whitfield County, GA 19180 Danville, IL 0.8418 Vermilion County, IL 19260 Danville, VA 0.8792 Pittsylvania County, VA Danville City, VA 19340 Davenport-Moline-Rock Island, IA-IL 0.8776 Henry County, IL Mercer County, IL Rock Island County, IL Scott County, IA 19380 Dayton, OH 0.9320 Greene County, OH Miami County, OH Montgomery County, OH Preble County, OH 19460 Decatur, AL 0.8915 Lawrence County, AL Morgan County, AL 19500 Decatur, IL 0.8364 Macon County, IL 19660 Deltona-Daytona Beach-Ormond Beach, FL 0.8668 Volusia County, FL 19740 Denver-Aurora, CO 1.0911 Adams County, CO Arapahoe County, CO Broomfield County, CO Clear Creek County, CO Denver County, CO Douglas County, CO Elbert County, CO Gilpin County, CO Jefferson County, CO Park County, CO 19780 Des Moines, IA 0.9288 Dallas County, IA Guthrie County, IA Madison County, IA Polk County, IA Warren County, IA 19804 Detroit-Livonia-Dearborn, MI 1.0379 Wayne County, MI 20020 Dothan, AL 0.7675 Geneva County, AL Henry County, AL Start Printed Page 35956 Houston County, AL 20100 Dover, DE 0.9579 Kent County, DE 20220 Dubuque, IA 0.8748 Dubuque County, IA 20260 Duluth, MN-WI 1.0449 Carlton County, MN St. Louis County, MN Douglas County, WI 20500 Durham, NC 1.0312 Chatham County, NC Durham County, NC Orange County, NC Person County, NC 20740 Eau Claire, WI 0.9485 Chippewa County, WI Eau Claire County, WI 20764 Edison, NJ 1.1160 Middlesex County, NJ Monmouth County, NJ Ocean County, NJ Somerset County, NJ 20940 El Centro, CA 1.0440 Imperial County, CA 21060 Elizabethtown, KY 0.8713 Hardin County, KY Larue County, KY 21140 Elkhart-Goshen, IN 0.9286 Elkhart County, IN 21300 Elmira, NY 0.8488 Chemung County, NY 21340 El Paso, TX 0.9210 El Paso County, TX 21420 Enid, OK 0.9034 Garfield County, OK 21500 Erie, PA 0.8708 Erie County, PA 21604 Essex County, MA 1.0666 Essex County, MA 21660 Eugene-Springfield, OR 1.0951 Lane County, OR 21780 Evansville, IN-KY 0.8675 Gibson County, IN Posey County, IN Vanderburgh County, IN Warrick County, IN Henderson County, KY Webster County, KY 21820 Fairbanks, AK 1.1761 Fairbanks North Star Borough, AK 21940 Fajardo, PR 0.4014 Ceiba Municipio, PR Fajardo Municipio, PR Luquillo Municipio, PR 22020 Fargo, ND-MN 0.9340 Clay County, MN Cass County, ND 22140 Farmington, NM 0.8592 San Juan County, NM 22180 Fayetteville, NC 0.9387 Cumberland County, NC Hoke County, NC 22220 Fayetteville-Springdale-Rogers, AR-MO 0.8674 Benton County, AR Madison County, AR Washington County, AR McDonald County, MO 22380 Flagstaff, AZ 1.0804 Coconino County, AZ 22420 Flint, MI 1.1187 Genesee County, MI Start Printed Page 35957 22460 Florence-Muscle Shoals, AL 0.7917 Colbert County, AL Lauderdale County, AL 22500 Florence, SC 0.8540 Darlington County, SC Florence County, SC 22540 Fond du Lac, WI 0.9921 Fond du Lac County, WI 22660 Fort Collins-Loveland, CO 1.0142 Larimer County, CO 22744 Fort Lauderdale-Pompano Beach-Deerfield Beach, FL 1.0180 Broward County, FL 22900 Fort Smith, AR-OK 0.8311 Crawford County, AR Franklin County, AR Sebastian County, AR Le Flore County, OK Sequoyah County, OK 23020 Fort Walton Beach-Crestview-Destin, FL 0.8805 Okaloosa County, FL 23060 Fort Wayne, IN 0.9825 Allen County, IN Wells County, IN Whitley County, IN 23104 Fort Worth-Arlington, TX 0.9515 Johnson County, TX Parker County, TX Tarrant County, TX Wise County, TX 23420 Fresno, CA 1.0656 Fresno County, CA 23460 Gadsden, AL 0.8090 Etowah County, AL 23540 Gainesville, FL 0.8581 Alachua County, FL Gilchrist County, FL 23580 Gainesville, GA 0.9584 Hall County, GA 23844 Gary, IN 0.9328 Jasper County, IN Lake County, IN Newton County, IN Porter County, IN 24020 Glens Falls, NY 0.8508 Warren County, NY Washington County, NY 24140 Goldsboro, NC 0.8796 Wayne County, NC 24220 Grand Forks, ND-MN 0.9340 Polk County, MN Grand Forks County, ND 24300 Grand Junction, CO 0.9949 Mesa County, CO 24340 Grand Rapids-Wyoming, MI 0.9457 Barry County, MI Ionia County, MI Kent County, MI Newaygo County, MI 24500 Great Falls, MT 0.8894 Cascade County, MT 24540 Greeley, CO 0.9486 Weld County, CO 24580 Green Bay, WI 0.9602 Brown County, WI Kewaunee County, WI Oconto County, WI 24660 Greensboro-High Point, NC 0.9228 Guilford County, NC Randolph County, NC Rockingham County, NC 24780 Greenville, NC 0.9183 Start Printed Page 35958 Greene County, NC Pitt County, NC 24860 Greenville, SC 0.9287 Greenville County, SC Laurens County, SC Pickens County, SC 25020 Guayama, PR 0.4015 Arroyo Municipio, PR Guayama Municipio, PR Patillas Municipio, PR 25060 Gulfport-Biloxi, MS 0.8954 Hancock County, MS Harrison County, MS Stone County, MS 25180 Hagerstown-Martinsburg, MD-WV 0.9765 Washington County, MD Berkeley County, WV Morgan County, WV 25260 Hanford-Corcoran, CA 1.0440 Kings County, CA 25420 Harrisburg-Carlisle, PA 0.9377 Cumberland County, PA Dauphin County, PA Perry County, PA 25500 Harrisonburg, VA 0.9300 Rockingham County, VA Harrisonburg City, VA 25540 Hartford-West Hartford-East Hartford, CT 1.1312 Hartford County, CT Middlesex County, CT Tolland County, CT 25620 Hattiesburg, MS 0.7665 Forrest County, MS Lamar County, MS Perry County, MS 25860 Hickory-Lenoir-Morganton, NC 0.9508 Alexander County, NC Burke County, NC Caldwell County, NC Catawba County, NC 25980 Hinesville-Fort Stewart, GA 0.7774 Liberty County, GA Long County, GA 26100 Holland-Grand Haven, MI 0.9482 Ottawa County, MI 26180 Honolulu, HI 1.0997 Honolulu County, HI 26300 Hot Springs, AR 0.9286 Garland County, AR 26380 Houma-Bayou Cane-Thibodaux, LA 0.7779 Lafourche Parish, LA Terrebonne Parish, LA 26420 Houston-Baytown-Sugar Land, TX 0.9995 Austin County, TX Brazoria County, TX Chambers County, TX Fort Bend County, TX Galveston County, TX Harris County, TX Liberty County, TX Montgomery County, TX San Jacinto County, TX Waller County, TX 26580 Huntington-Ashland, WV-KY-OH 0.9585 Boyd County, KY Greenup County, KY Lawrence County, OH Cabell County, WV Wayne County, WV 26620 Huntsville, AL 0.8850 Limestone County, AL Start Printed Page 35959 Madison County, AL 26820 Idaho Falls, ID 0.9062 Bonneville County, ID Jefferson County, ID 26900 Indianapolis, IN 1.0102 Boone County, IN Brown County, IN Hamilton County, IN Hancock County, IN Hendricks County, IN Johnson County, IN Marion County, IN Morgan County, IN Putnam County, IN Shelby County, IN 26980 Iowa City, IA 0.9663 Johnson County, IA Washington County, IA 27060 Ithaca, NY 0.9795 Tompkins County, NY 27100 Jackson, MI 0.9152 Jackson County, MI 27140 Jackson, MS 0.8305 Copiah County, MS Hinds County, MS Madison County, MS Rankin County, MS Simpson County, MS 27180 Jackson, TN 0.8912 Chester County, TN Madison County, TN 27260 Jacksonville, FL 0.9561 Baker County, FL Clay County, FL Duval County, FL Nassau County, FL St. Johns County, FL 27340 Jacksonville, NC 0.8587 Onslow County, NC 27460 Jamestown-Dunkirk-Fredonia, NY 0.8180 Chautauqua County, NY 27500 Janesville, WI 0.9618 Rock County, WI 27620 Jefferson City, MO 0.8352 Callaway County, MO Cole County, MO Moniteau County, MO Osage County, MO 27740 Johnson City, TN 0.7991 Carter County, TN Unicoi County, TN Washington County, TN 27780 Johnstown, PA 0.8397 Cambria County, PA 27860 Jonesboro, AR 0.8000 Craighead County, AR Poinsett County, AR 27900 Joplin, MO 0.8746 Jasper County, MO Newton County, MO 28020 Kalamazoo-Portage, MI 1.0714 Kalamazoo County, MI Van Buren County, MI 28100 Kankakee-Bradley, IL 1.0551 Kankakee County, IL 28140 Kansas City, MO-KS 0.9625 Franklin County, KS Johnson County, KS Leavenworth County, KS Linn County, KS Miami County, KS Start Printed Page 35960 Wyandotte County, KS Bates County, MO Caldwell County, MO Cass County, MO Clay County, MO Clinton County, MO Jackson County, MO Lafayette County, MO Platte County, MO Ray County, MO 28420 Kennewick-Richland-Pasco, WA 1.0530 Benton County, WA Franklin County, WA 28660 Killeen-Temple-Fort Hood, TX 0.9301 Bell County, TX Coryell County, TX Lampasas County, TX 28700 Kingsport-Bristol-Bristol, TN-VA 0.8257 Hawkins County, TN Sullivan County, TN Scott County, VA 28740 Kingston, NY 0.8874 Ulster County, NY 28940 Knoxville, TN 0.8585 Anderson County, TN Blount County, TN Knox County, TN Loudon County, TN Union County, TN 29020 Kokomo, IN 0.9038 Howard County, IN Tipton County, IN 29100 La Crosse, WI-MN 0.9340 Houston County, MN La Crosse County, WI 29140 Lafayette, IN 0.9073 Benton County, IN Carroll County, IN Tippecanoe County, IN 29180 Lafayette, LA 0.8319 Lafayette Parish, LA St. Martin Parish, LA 29340 Lake Charles, LA 0.7921 Calcasieu Parish, LA Cameron Parish, LA 29404 Lake County-Kenosha County, IL-WI 1.0342 Lake County, IL Kenosha County, WI 29460 Lakeland, FL 0.8964 Polk County, FL 29540 Lancaster, PA 0.9919 Lancaster County, PA 29620 Lansing-East Lansing, MI 0.9675 Clinton County, MI Eaton County, MI Ingham County, MI 29700 Laredo, TX 0.8293 Webb County, TX 29740 Las Cruces, NM 0.8783 Dona Ana County, NM 29820 Las Vegas-Paradise, NV 1.1380 Clark County, NV 29940 Lawrence, KS 0.8132 Douglas County, KS 30020 Lawton, OK 0.8264 Comanche County, OK 30140 Lebanon, PA 0.8592 Lebanon County, PA 30300 Lewiston, ID-WA 0.9325 Nez Perce County, ID Asotin County, WA Start Printed Page 35961 30340 Lewiston-Auburn, ME 0.9613 Androscoggin County, ME 30460 Lexington-Fayette, KY 0.9074 Bourbon County, KY Clark County, KY Fayette County, KY Jessamine County, KY Scott County, KY Woodford County, KY 30620 Lima, OH 0.9330 Allen County, OH 30700 Lincoln, NE 1.0206 Lancaster County, NE Seward County, NE 30780 Little Rock-North Little Rock, AR 0.9032 Faulkner County, AR Grant County, AR Lonoke County, AR Perry County, AR Pulaski County, AR Saline County, AR 30860 Logan, UT-ID 0.9102 Franklin County, ID Cache County, UT 30980 Longview, TX 0.8823 Gregg County, TX Rusk County, TX Upshur County, TX 31020 Longview, WA 1.0340 Cowlitz County, WA 31084 Los Angeles-Long Beach-Glendale, CA 1.1730 Los Angeles County, CA 31140 Louisville, KY-IN 0.9146 Clark County, IN Floyd County, IN Harrison County, IN Washington County, IN Bullitt County, KY Henry County, KY Jefferson County, KY Meade County, KY Nelson County, KY Oldham County, KY Shelby County, KY Spencer County, KY Trimble County, KY 31180 Lubbock, TX 0.8798 Crosby County, TX Lubbock County, TX 31340 Lynchburg, VA 0.9048 Amherst County, VA Appomattox County, VA Bedford County, VA Campbell County, VA Bedford City, VA Lynchburg City, VA 31420 Macon, GA 0.9934 Bibb County, GA Crawford County, GA Jones County, GA Monroe County, GA Twiggs County, GA 31460 Madera, CA 1.0440 Madera County, CA 31540 Madison, WI 1.0325 Columbia County, WI Dane County, WI Iowa County, WI 31700 Manchester-Nashua, NH 1.0573 Hillsborough County, NH 31900 Mansfield, OH 0.9224 Start Printed Page 35962 Richland County, OH 32420 Mayagüez, PR 0.4453 Hormigueros Municipio, PR Mayagüez Municipio, PR 32580 McAllen-Edinburg-Pharr, TX 0.8624 Hidalgo County, TX 32780 Medford, OR 1.0561 Jackson County, OR 32820 Memphis, TN-MS-AR 0.9250 Crittenden County, AR DeSoto County, MS Marshall County, MS Tate County, MS Tunica County, MS Fayette County, TN Shelby County, TN Tipton County, TN 32900 Merced, CA 1.0440 Merced County, CA 33124 Miami-Miami Beach-Kendall, FL 1.0045 Miami-Dade County, FL 33140 Michigan City-La Porte, IN 0.9351 LaPorte County, IN 33260 Midland, TX 0.9408 Midland County, TX 33340 Milwaukee-Waukesha-West Allis, WI 1.0106 Milwaukee County, WI Ozaukee County, WI Washington County, WI Waukesha County, WI 33460 Minneapolis-St. Paul-Bloomington, MN-WI 1.1074 Anoka County, MN Carver County, MN Chisago County, MN Dakota County, MN Hennepin County, MN Isanti County, MN Ramsey County, MN Scott County, MN Sherburne County, MN Washington County, MN Wright County, MN Pierce County, WI St. Croix County, WI 33540 Missoula, MT 0.9610 Missoula County, MT 33660 Mobile, AL 0.8017 Mobile County, AL 33700 Modesto, CA 1.2007 Stanislaus County, CA 33740 Monroe, LA 0.7928 Ouachita Parish, LA Union Parish, LA 33780 Monroe, MI 0.9517 Monroe County, MI 33860 Montgomery, AL 0.8312 Autauga County, AL Elmore County, AL Lowndes County, AL Montgomery County, AL 34060 Morgantown, WV 0.8720 Monongalia County, WV Preston County, WV 34100 Morristown, TN 0.7911 Grainger County, TN Hamblen County, TN Jefferson County, TN 34580 Mount Vernon-Anacortes, WA 1.0581 Skagit County, WA 34620 Muncie, IN 0.8675 Delaware County, IN Start Printed Page 35963 34740 Muskegon-Norton Shores, MI 0.9770 Muskegon County, MI 34820 Myrtle Beach-Conway-North Myrtle Beach, SC 0.8592 Horry County, SC 34900 Napa, CA 1.2550 Napa County, CA 34940 Naples-Marco Island, FL 1.0593 Collier County, FL 34980 Nashville-Davidson-Murfreesboro, TN 1.0115 Cannon County, TN Cheatham County, TN Davidson County, TN Dickson County, TN Hickman County, TN Macon County, TN Robertson County, TN Rutherford County, TN Smith County, TN Sumner County, TN Trousdale County, TN Williamson County, TN Wilson County, TN 35084 Newark-Union, NJ-PA 1.1708 Essex County, NJ Hunterdon County, NJ Morris County, NJ Sussex County, NJ Union County, NJ Pike County, PA 35300 New Haven-Milford, CT 1.1828 New Haven County, CT 35380 New Orleans-Metairie-Kenner, LA 0.9118 Jefferson Parish, LA Orleans Parish, LA Plaquemines Parish, LA St. Bernard Parish, LA St. Charles Parish, LA St. John the Baptist Parish, LA St. Tammany Parish, LA 35644 New York-Wayne-White Plains, NY-NJ 1.3324 Bergen County, NJ Hudson County, NJ Passaic County, NJ Bronx County, NY Kings County, NY New York County, NY Putnam County, NY Queens County, NY Richmond County, NY Rockland County, NY Westchester County, NY 35660 Niles-Benton Harbor, MI 0.8922 Berrien County, MI 35980 Norwich-New London, CT 1.1625 New London County, CT 36084 Oakland-Fremont-Hayward, CA 1.5251 Alameda County, CA Contra Costa County, CA 36100 Ocala, FL 0.9194 Marion County, FL 36140 Ocean City, NJ 1.0841 Cape May County, NJ 36220 Odessa, TX 0.9822 Ector County, TX 36260 Ogden-Clearfield, UT 0.9235 Davis County, UT Morgan County, UT Weber County, UT 36420 Oklahoma City, OK 0.9005 Canadian County, OK Cleveland County, OK Start Printed Page 35964 Grady County, OK Lincoln County, OK Logan County, OK McClain County, OK Oklahoma County, OK 36500 Olympia, WA 1.1034 Thurston County, WA 36540 Omaha-Council Bluffs, NE-IA 0.9765 Harrison County, IA Mills County, IA Pottawattamie County, IA Cass County, NE Douglas County, NE Sarpy County, NE Saunders County, NE Washington County, NE 36740 Orlando, FL 0.9779 Lake County, FL Orange County, FL Osceola County, FL Seminole County, FL 36780 Oshkosh-Neenah, WI 0.9485 Winnebago County, WI 36980 Owensboro, KY 0.8470 Daviess County, KY Hancock County, KY McLean County, KY 37100 Oxnard-Thousand Oaks-Ventura, CA 1.1130 Ventura County, CA 37340 Palm Bay-Melbourne-Titusville, FL 0.9630 Brevard County, FL 37460 Panama City-Lynn Haven, FL 0.8581 Bay County, FL 37620 Parkersburg-Marietta, WV-OH 0.8708 Washington County, OH Pleasants County, WV Wirt County, WV Wood County, WV 37700 Pascagoula, MS 0.7993 George County, MS Jackson County, MS 37860 Pensacola-Ferry Pass-Brent, FL 0.8581 Escambia County, FL Santa Rosa County, FL 37900 Peoria, IL 0.8792 Marshall County, IL Peoria County, IL Stark County, IL Tazewell County, IL Woodford County, IL 37964 Philadelphia, PA 1.0880 Bucks County, PA Chester County, PA Delaware County, PA Montgomery County, PA Philadelphia County, PA 38060 Phoenix-Mesa-Scottsdale, AZ 1.0009 Maricopa County, AZ Pinal County, AZ 38220 Pine Bluff, AR 0.8724 Cleveland County, AR Jefferson County, AR Lincoln County, AR 38300 Pittsburgh, PA 0.8743 Allegheny County, PA Armstrong County, PA Beaver County, PA Butler County, PA Fayette County, PA Washington County, PA Westmoreland County, PA Start Printed Page 35965 38340 Pittsfield, MA 1.0756 Berkshire County, MA 38540 Pocatello, ID 0.9615 Bannock County, ID Power County, ID 38660 Ponce, PR 0.5019 Juana Díaz Municipio, PR Ponce Municipio, PR Villalba Municipio, PR 38860 Portland-South Portland-Biddeford, ME 1.0127 Cumberland County, ME Sagadahoc County, ME York County, ME 38900 Portland-Vancouver-Beaverton, OR-WA 1.1384 Clackamas County, OR Columbia County, OR Multnomah County, OR Washington County, OR Yamhill County, OR Clark County, WA Skamania County, WA 38940 Port St. Lucie-Fort Pierce, FL 1.0077 Martin County, FL St. Lucie County, FL 39100 Poughkeepsie-Newburgh-Middletown, NY 1.1395 Dutchess County, NY Orange County, NY 39140 Prescott, AZ 0.9922 Yavapai County, AZ 39300 Providence-New Bedford-Fall River, RI-MA 1.0941 Bristol County, MA Bristol County, RI Kent County, RI Newport County, RI Providence County, RI Washington County, RI 39340 Provo-Orem, UT 0.9596 Juab County, UT Utah County, UT 39380 Pueblo, CO 0.9374 Pueblo County, CO 39460 Punta Gorda, FL 0.9473 Charlotte County, FL 39540 Racine, WI 0.9485 Racine County, WI 39580 Raleigh-Cary, NC 1.0060 Franklin County, NC Johnston County, NC Wake County, NC 39660 Rapid City, SD 0.8947 Meade County, SD Pennington County, SD 39740 Reading, PA 0.9173 Berks County, PA 39820 Redding, CA 1.1856 Shasta County, CA 39900 Reno-Sparks, NV 1.0474 Storey County, NV Washoe County, NV 40060 Richmond, VA 0.9422 Amelia County, VA Caroline County, VA Charles City County, VA Chesterfield County, VA Cumberland County, VA Dinwiddie County, VA Goochland County, VA Hanover County, VA Henrico County, VA King and Queen County, VA King William County, VA Start Printed Page 35966 Louisa County, VA New Kent County, VA Powhatan County, VA Prince George County, VA Sussex County, VA Colonial Heights City, VA Hopewell City, VA Petersburg City, VA Richmond City, VA 40140 Riverside-San Bernardino-Ontario, CA 1.0997 Riverside County, CA San Bernardino County, CA 40220 Roanoke, VA 0.8352 Botetourt County, VA Craig County, VA Franklin County, VA Roanoke County, VA Roanoke City, VA Salem City, VA 40340 Rochester, MN 1.1511 Dodge County, MN Olmsted County, MN Wabasha County, MN 40380 Rochester, NY 0.9307 Livingston County, NY Monroe County, NY Ontario County, NY Orleans County, NY Wayne County, NY 40420 Rockford, IL 0.9623 Boone County, IL Winnebago County, IL 40484 Rockingham County-Strafford County, NH 1.0232 Rockingham County, NH Strafford County, NH 40580 Rocky Mount, NC 0.9016 Edgecombe County, NC Nash County, NC 40660 Rome, GA 0.8877 Floyd County, GA 40900 Sacramento-Arden-Arcade-Roseville, CA 1.1707 El Dorado County, CA Placer County, CA Sacramento County, CA Yolo County, CA 40980 Saginaw-Saginaw Township North, MI 0.9879 Saginaw County, MI 41060 St. Cloud, MN 1.0193 Benton County, MN Stearns County, MN 41100 St. George, UT 0.9495 Washington County, UT 41140 St. Joseph, MO-KS Doniphan County, KS 0.8010 Andrew County, MO 0.8132 Buchanan County, MO DeKalb County, MO Hospitals located in Missouri Hospitals located in Kansas 41180 St. Louis, MO-IL 0.9067 Bond County, IL Calhoun County, IL Clinton County, IL Jersey County, IL Macoupin County, IL Madison County, IL Monroe County, IL St. Clair County, IL Crawford County, MO Franklin County, MO Jefferson County, MO Start Printed Page 35967 Lincoln County, MO St. Charles County, MO St. Louis County, MO Warren County, MO Washington County, MO St. Louis City, MO 41420 Salem, OR 1.0572 Marion County, OR Polk County, OR 41500 Salinas, CA 1.3946 Monterey County, CA 41540 Salisbury, MD 0.9248 Somerset County, MD Wicomico County, MD 41620 Salt Lake City, UT 0.9588 Salt Lake County, UT Summit County, UT Tooele County, UT 41660 San Angelo, TX 0.8194 Irion County, TX Tom Green County, TX 41700 San Antonio, TX 0.9021 Atascosa County, TX Bandera County, TX Bexar County, TX Comal County, TX Guadalupe County, TX Kendall County, TX Medina County, TX Wilson County, TX 41740 San Diego-Carlsbad-San Marcos, CA 1.1265 San Diego County, CA 41780 Sandusky, OH 0.9045 Erie County, OH 41884 San Francisco-San Mateo-Redwood City, CA 1.4403 Marin County, CA San Francisco County, CA San Mateo County, CA 41900 San Germán-Cabo Rojo, PR 0.5254 Cabo Rojo Municipio, PR Lajas Municipio, PR Sabana Grande Municipio, PR San German Municipio, PR 41940 San Jose-Sunnyvale-Santa Clara, CA 1.4543 San Benito County, CA Santa Clara County, CA 41980 San Juan-Caguas-Guaynabo, PR 0.4646 Aguas Buenas Municipio, PR Aibonito Municipio, PR Arecibo Municipio, PR Barceloneta Municipio, PR Barranquitas Municipio, PR Bayamon Municipio, PR Caguas Municipio, PR Camuy Municipio, PR Canovanas Municipio, PR Carolina Municipio, PR Catano Municipio, PR Cayey Municipio, PR Ciales Municipio, PR Cidra Municipio, PR Comerio Municipio, PR Corozal Municipio, PR Dorado Municipio, PR Florida Municipio, PR Guaynabo Municipio, PR Gurabo Municipio, PR Hatillo Municipio, PR Humacao Municipio, PR Juncos Municipio, PR Las Piedras Municipio, PR Start Printed Page 35968 Loiza Municipio, PR Manati Municipio, PR Maunabo Municipio, PR Morovis Municipio, PR Naguabo Municipio, PR Naranjito Municipio, PR Orocovis Municipio, PR Quebradillas Municipio, PR Rio Grande Municipio, PR San Juan Municipio, PR San Lorenzo Municipio, PR Toa Alta Municipio, PR Toa Baja Municipio, PR Trujillo Alto Municipio, PR Vega Alta Municipio, PR Vega Baja Municipio, PR Yabucoa Municipio, PR 42020 San Luis Obispo-Paso Robles, CA 1.1140 San Luis Obispo County, CA 42044 Santa Ana-Anaheim-Irvine, CA 1.1628 Orange County, CA 42060 Santa Barbara-Santa Maria-Goleta, CA 1.0731 Santa Barbara County, CA 42100 Santa Cruz-Watsonville, CA 1.4786 Santa Cruz County, CA 42140 Santa Fe, NM 1.0913 Santa Fe County, NM 42220 Santa Rosa-Petaluma, CA 1.2958 Sonoma County, CA 42260 Sarasota-Bradenton-Venice, FL 0.9635 Manatee County, FL Sarasota County, FL 42340 Savannah, GA 0.9470 Bryan County, GA Chatham County, GA Effingham County, GA 42540 Scranton-Wilkes-Barre, PA 0.8529 Lackawanna County, PA Luzerne County, PA Wyoming County, PA 42644 Seattle-Bellevue-Everett, WA 1.1497 King County, WA Snohomish County, WA 43100 Sheboygan, WI 0.9485 Sheboygan County, WI 43300 Sherman-Denison, TX 0.9645 Grayson County, TX 43340 Shreveport-Bossier City, LA 0.9153 Bossier Parish, LA Caddo Parish, LA De Soto Parish, LA 43580 Sioux City, IA-NE-SD 0.9077 Woodbury County, IA Dakota County, NE Dixon County, NE Union County, SD 43620 Sioux Falls, SD 0.9438 Lincoln County, SD McCook County, SD Minnehaha County, SD Turner County, SD 43780 South Bend-Mishawaka, IN-MI 0.9458 St. Joseph County, IN Cass County, MI 43900 Spartanburg, SC 0.9035 Spartanburg County, SC 44060 Spokane, WA 1.0674 Spokane County, WA 44100 Springfield, IL 0.8754 Menard County, IL Sangamon County, IL Start Printed Page 35969 44140 Springfield, MA 1.0432 Franklin County, MA Hampden County, MA Hampshire County, MA 44180 Springfield, MO 0.8458 Christian County, MO Dallas County, MO Greene County, MO Polk County, MO Webster County, MO 44220 Springfield, OH 0.8763 Clark County, OH 44300 State College, PA 0.8486 Centre County, PA 44700 Stockton, CA 1.0605 San Joaquin County, CA 44844 Suffolk-Nassau, NY 1.2966 Nassau County, NY Suffolk County, NY 44940 Sumter, SC 0.8449 Sumter County, SC 45060 Syracuse, NY 0.9504 Madison County, NY Onondaga County, NY Oswego County, NY 45104 Tacoma, WA 1.1105 Pierce County, WA 45220 Tallahassee, FL 0.8690 Gadsden County, FL Jefferson County, FL Leon County, FL Wakulla County, FL 45300 Tampa-St. Petersburg-Clearwater, FL 0.9087 Hernando County, FL Hillsborough County, FL Pasco County, FL Pinellas County, FL 45460 Terre Haute, IN 0.8675 Clay County, IN Sullivan County, IN Vermillion County, IN Vigo County, IN 45500 Texarkana, TX-Texarkana, AR 0.8432 Miller County, AR Bowie County, TX 45780 Toledo, OH 0.9536 Fulton County, OH Lucas County, OH Ottawa County, OH Wood County, OH 45820 Topeka, KS 0.8915 Jackson County, KS Jefferson County, KS Osage County, KS Shawnee County, KS Wabaunsee County, KS 45940 Trenton-Ewing, NJ 1.0294 Mercer County, NJ 46060 Tucson, AZ 0.8971 Pima County, AZ 46140 Tulsa, OK 0.8709 Creek County, OK Okmulgee County, OK Osage County, OK Pawnee County, OK Rogers County, OK Tulsa County, OK Wagoner County, OK 46220 Tuscaloosa, AL 0.8358 Greene County, AL Hale County, AL Start Printed Page 35970 Tuscaloosa County, AL 46340 Tyler, TX 0.9534 Smith County, TX 46540 Utica-Rome, NY 0.8339 Herkimer County, NY Oneida County, NY 46660 Valdosta, GA 0.8355 Brooks County, GA Echols County, GA Lanier County, GA Lowndes County, GA 46700 Vallejo-Fairfield, CA 1.4275 Solano County, CA 46940 Vero Beach, FL 0.9513 Indian River County, FL 47020 Victoria, TX 0.8491 Calhoun County, TX Goliad County, TX Victoria County, TX 47220 Vineland-Millville-Bridgeton, NJ 1.0604 Cumberland County, NJ 47260 Virginia Beach-Norfolk-Newport News, VA-NC 0.8941 Currituck County, NC Gloucester County, VA Isle of Wight County, VA James City County, VA Mathews County, VA Surry County, VA York County, VA Chesapeake City, VA Hampton City, VA Newport News City, VA Norfolk City, VA Poquoson City, VA Portsmouth City, VA Suffolk City, VA Virginia Beach City, VA Williamsburg City, VA 47300 Visalia-Porterville, CA 1.0440 Tulare County, CA 47380 Waco, TX 0.8167 McLennan County, TX 47580 Warner Robins, GA 0.8513 Houston County, GA 47644 Warren-Farmington Hills-Troy, MI 1.0131 Lapeer County, MI Livingston County, MI Macomb County, MI Oakland County, MI St. Clair County, MI 47894 Washington-Arlington-Alexandria, DC-VA-MD-WV 1.1063 District of Columbia, DC Calvert County, MD Charles County, MD Prince George's County, MD Arlington County, VA Clarke County, VA Fairfax County, VA Fauquier County, VA Loudoun County, VA Prince William County, VA Spotsylvania County, VA Stafford County, VA Warren County, VA Alexandria City, VA Fairfax City, VA Falls Church City, VA Fredericksburg City, VA Manassas City, VA Manassas Park City, VA Jefferson County, WV Start Printed Page 35971 47940 Waterloo-Cedar Falls, IA 0.8652 Black Hawk County, IA Bremer County, IA Grundy County, IA 48140 Wausau, WI 0.9645 Marathon County, WI 48260 Weirton-Steubenville, WV-OH 0.8708 Jefferson County, OH Brooke County, WV Hancock County, WV 48300 Wenatchee, WA 1.0340 Chelan County, WA Douglas County, WA 48424 West Palm Beach-Boca Raton-Boynton Beach, FL 1.0074 Palm Beach County, FL 48540 Wheeling, WV-OH 0.8708 Belmont County, OH Marshall County, WV Ohio County, WV 48620 Wichita, KS 0.9476 Butler County, KS Harvey County, KS Sedgwick County, KS Sumner County, KS 48660 Wichita Falls, TX 0.8379 Archer County, TX Clay County, TX Wichita County, TX 48700 Williamsport, PA 0.8432 Lycoming County, PA 48864 Wilmington, DE-MD-NJ 1.1110 New Castle County, DE Cecil County, MD Salem County, NJ 48900 Wilmington, NC 0.9248 Brunswick County, NC New Hanover County, NC Pender County, NC 49020 Winchester, VA-WV 1.0513 Frederick County, VA Winchester City, VA Hampshire County, WV 49180 Winston-Salem, NC 0.9430 Davie County, NC Forsyth County, NC Stokes County, NC Yadkin County, NC 49340 Worcester, MA 1.1034 Worcester County, MA 49420 Yakima, WA 1.0343 Yakima County, WA 49500 Yauco, PR 0.4505 Guánica Municipio, PR Guayanilla Municipio, PR Peñuelas Municipio, PR Yauco Municipio, PR 49620 York-Hanover, PA 0.8916 York County, PA 49660 Youngstown-Warren-Boardman, OH-PA 0.9257 Mahoning County, OH Trumbull County, OH Mercer County, PA 49700 Yuba City, CA 1.0440 Sutter County, CA Yuba County, CA 49740 Yuma, AZ 0.8967 Yuma County, AZ 7. On page 28658, in Table 5—List of Diagnosis Related Groups (DRGs), Relative Weighting Factors, Geometric and Arithmetic Mean Length of Stay (LOS), correct the entry for DRG 483 to read as follows:
DRG MDC Type DRG title Relative weights Geometric mean LOS Arithmetic mean LOS 483 PRE SURG No longer valid 0.0000 0.0 0.0 8. On page 28660, in Table 5—List of Diagnosis Related Groups (DRGs), Relative Weighting Factors, Geometric and Arithmetic Mean Length of Stay (LOS), correct the entry for DRG 541 to read as follows:
DRG MDC Type DRG Title Relative weights Geometric mean LOS Arithmetic mean LOS 541 PRE SURG TRACH W MV 96+ HRS OR PDX EXC FACE, MTH, & NECK DX W/MAJOR OR 19.3416 37.7 44.9 9. On page 28662 through 28667, Table 6A.—New Diagnosis Codes is corrected to read as follows:
Table 6A.—New Diagnosis codes
Diagnosis Code Description CC MDC DRG 066.40 West Nile Fever, unspecified N 18 421, 422 066.41 West Nile Fever with encephalitis N 18 421, 422 066.42 West Nile Fever with other neurologic manifestation N 18 421, 422 066.49 West Nile Fever with other complications N 18 421, 422 070.70 Unspecified viral hepatitis C without hepatic coma Y 7 205, 206 070.71 Unspecified viral hepatitis C with hepatic coma Y 7 205, 206 252.00 Hyperparathyroidism, unspecified N 10 300, 301 252.01 Primary hyperparathyroidism N 10 300, 301 252.02 Secondary hyperparathyroidism, non-renal N 10 300, 301 252.08 Other hyperparathyroidism N 10 300, 301 273.4 Alpha-1-antitrypsin deficiency N 10 299 277.85 Disorders of fatty acid oxidation N 10 299 277.86 Peroxisomal disorders N 10 299 277.87 Disorders of mitochondrial metabolism N 10 299 347.00 Narcolepsy, without cataplexy N 1 34, 35 347.01 Narcolepsy, with cataplexy N 1 34, 35 347.10 Narcolepsy in conditions classified elsewhere, without cataplexy N 1 34, 35 347.11 Narcolepsy in conditions classified elsewhere, with cataplexy N 1 34, 35 380.03 Chondritis of pinna N 8 256 453.40 Venous embolism and thrombosis of unspecified deep vessels of lower extremity Y 5 130, 131 453.41 Venous embolism and thrombosis of deep vessels of proximal lower extremity Y 5 130, 131 453.42 Venous embolism and thrombosis of deep vessels of distal lower extremity Y 5 130, 131 477.2 Allergic rhinitis, due to animal (cat) (dog) hair and dander N 3 68, 69, 70 491.22 Obstructive chronic bronchitis with acute bronchitis Y 4 88 521.06 Dental caries pit and fissure N PRE 3 482 185, 186, 187 521.07 Dental caries of smooth surface N PRE 3 482 185, 186, 187 521.08 Dental caries of root surface N PRE 3 482 185, 186, 187 521.10 Excessive attrition, unspecified N PRE 3 482 185, 186, 187 521.11 Excessive attrition, limited to enamel N PRE 3 482 185, 186, 187 521.12 Excessive attrition, extending into dentine N PRE 3 482 185, 186, 187 521.13 Excessive attrition, extending into pulp N PRE 3 482 185, 186, 187 521.14 Excessive attrition, localized N PRE 3 482 185, 186, 187 521.15 Excessive attrition, generalized N PRE 3 482 185, 186, 187 521.20 Abrasion, unspecified N PRE 3 482 185, 186, 187 Start Printed Page 35973 521.21 Abrasion, limited to enamel N PRE 3 482 185, 186, 187 521.22 Abrasion, extending into dentine N PRE 3 482 185, 186, 187 521.23 Abrasion, extending into pulp N PRE 3 482 185, 186, 187 521.24 Abrasion, localized N PRE 3 482 185, 186, 187 521.25 Abrasion, generalized N PRE 3 482 185, 186, 187 521.30 Erosion, unspecified N PRE 3 482 185, 186, 187 521.31 Erosion, limited to enamel N PRE 3 482 185, 186, 187 521.32 Erosion, extending into dentine N PRE 3 482 185, 186, 187 521.33 Erosion, extending into pulp N PRE 3 482 185, 186, 187 521.34 Erosion, localized N PRE 3 482 185, 186, 187 521.35 Erosion, generalized N PRE 3 482 185, 186, 187 521.40 Pathological resorption, unspecified N PRE 3 482 185, 186, 187 521.41 Pathological resorption, internal N PRE 3 482 185, 186, 187 521.42 Pathological resorption, external N PRE 3 482 185, 186, 187 521.49 Other pathological resorption N PRE 3 482 185, 186, 187 523.20 Gingival recession, unspecified N PRE 3 482 185, 186, 187 523.21 Gingival recession, minimal N PRE 3 482 185, 186, 187 523.22 Gingival recession, moderate N PRE 3 482 185, 186, 187 523.23 Gingival recession, severe N PRE 3 482 185, 186, 187 523.24 Gingival recession, localized N PRE 3 482 185, 186, 187 523.25 Gingival recession, generalized N PRE 3 482 185, 186, 187 524.07 Excessive tuberosity of jaw N PRE 3 482 185, 186, 187 524.20 Unspecified anomaly of dental arch relationship N PRE 3 482 185, 186, 187 524.21 Angle's class I N PRE 3 482 185, 186, 187 524.22 Angle's class II N PRE 3 482 185, 186, 187 524.23 Angle's class III N PRE 3 482 185, 186, 187 524.24 Open anterior occlusal relationship N PRE 3 482 185, 186, 187 524.25 Open posterior occlusal relationship N PRE 3 482 185, 186, 187 524.26 Excessive horizontal overlap N PRE 3 482 185, 186, 187 524.27 Reverse articulation N PRE 3 482 185, 186, 187 524.28 Anomalies of interarch distance N PRE 3 482 185, 186, 187 524.29 Other anomalies of dental arch relationship N PRE 3 482 185, 186, 187 524.30 Unspecified anomaly of tooth position N PRE 3 482 185, 186, 187 524.31 Crowding of teeth N PRE 3 482 185, 186, 187 524.32 Excessive spacing of teeth N PRE 3 482 185, 186, 187 Start Printed Page 35974 524.33 Horizontal displacement of teeth N PRE 3 482 185, 186, 187 524.34 Vertical displacement of teeth N PRE 3 482 185, 186, 187 524.35 Rotation of teeth N PRE 3 482 185, 186, 187 524.36 Insufficient interocclusal distance of teeth (ridge) N PRE 3 482 185, 186, 187 524.37 Excessive interocclusal distance of teeth N PRE 3 482 185, 186, 187 524.39 Other anomalies of tooth position N PRE 3 482 185, 186, 187 524.50 Dentofacial functional abnormality, unspecified N PRE 3 482 185, 186, 187 524.51 Abnormal jaw closure N PRE 3 482 185, 186, 187 524.52 Limited mandibular range of motion N PRE 3 482 185, 186, 187 524.53 Deviation in opening and closing of the mandible N PRE 3 482 185, 186, 187 524.54 Insufficient anterior guidance N PRE 3 482 185, 186, 187 524.55 Centric occlusion maximum intercuspation discrepancy N PRE 3 482 185, 186, 187 524.56 Nonworking side interference N PRE 3 482 185, 186, 187 524.57 Lack of posterior occlusal support N PRE 3 482 185, 186, 187 524.59 Other dentofacial functional abnormalities N PRE 3 482 185, 186, 187 524.64 Temporomandibular joint sounds on opening and/or closing the jaw N PRE 3 482 185, 186, 187 524.75 Vertical displacement of alveolus and teeth N PRE 3 482 185, 186, 187 524.76 Occlusal plane deviation N PRE 3 482 185, 186, 187 524.81 Anterior soft tissue impingement N PRE 3 482 185, 186, 187 524.82 Posterior soft tissue impingement N PRE 3 482 185, 186, 187 524.89 Other specified dentofacial anomalies N PRE 3 482 185, 186, 187 525.20 Unspecified atrophy of edentulous alveolar ridge N PRE 3 482 185, 186, 187 525.21 Minimal atrophy of the mandible N PRE 3 482 185, 186, 187 525.22 Moderate atrophy of the mandible N PRE 3 482 185, 186, 187 525.23 Severe atrophy of the mandible N PRE 3 482 185, 186, 187 525.24 Minimal atrophy of the maxilla N PRE 3 482 185, 186, 187 525.25 Moderate atrophy of the maxilla N PRE 3 482 185, 186, 187 525.26 Severe atrophy of the maxilla N PRE 3 482 185, 186, 187 528.71 Minimal keratinized residual ridge mucosa N PRE 3 482 185, 186, 187 528.72 Excessive keratinized residual ridge mucosa N PRE 3 482 185, 186, 187 528.79 Other disturbances of oral epithelium, including tongue N PRE 3 482 185, 186, 187 530.86 Infection of esophagostomy Y 6 188, 189, 190 530.87 Mechanical complication of esophagostomy Y 6 188, 189, 190 588.81 Secondary hyperparathyroidism (of renal origin) N 11 331, 332, 333 588.89 Other specified disorders resulting from impaired renal function N 11 331, 332, 333 618.00 Unspecified prolapse of vaginal walls N 13 358, 359, 369 618.01 Cystocele, midline N 13 358, 359, 369 618.02 Cystocele, lateral N 13 358, 359, 369 618.03 Urethrocele N 13 358, 359, 369 618.04 Rectocele N 13 358, 359, 369 Start Printed Page 35975 618.05 Perineocele N 13 358, 359, 369 618.09 Other prolapse of vaginal walls without mention of uterine prolapse N 13 358, 359, 369 618.81 Incompetence or weakening of pubocervical tissue N 13 358, 359, 369 618.82 Incompetence or weakening of rectovaginal tissue N 13 358, 359, 369 618.83 Pelvic muscle wasting N 13 358, 359, 369 618.89 Other specified genital prolapse N 13 358, 359, 369 621.30 Endometrial hyperplasia, unspecified N 13 358, 359, 369 621.31 Simple endometrial hyperplasia without atypia N 13 358, 359, 369 621.32 Complex endometrial hyperplasia without atypia N 13 358, 359, 369 621.33 Endometrial hyperplasia with atypia N 13 358, 359, 369 622.10 Dysplasia of cervix, unspecified N 13 358, 359, 369 622.11 Mild dysplasia of cervix N 13 358, 359, 369 622.12 Moderate dysplasia of cervix N 13 358, 359, 369 629.20 Female genital mutilation status, unspecified N 13 358, 359, 369 629.21 Female genital mutilation Type I status N 13 358, 359, 369 629.22 Female genital mutilation Type II status N 13 358, 359, 369 629.23 Female genital mutilation Type III status N 13 358, 359, 369 692.84 Contact dermatitis and other eczema due to animal (cat) (dog) dander N 9 283, 284 705.21 Primary focal hyperhidrosis N 9 283, 284 705.22 Secondary focal hyperhidrosis N 9 283, 284 707.00 Decubitus ulcer, unspecified site Y 5 9 121 1 263, 264, 271 707.01 Decubitus ulcer, elbow Y 5 9 121 1 263, 264, 271 707.02 Decubitus ulcer, upper back Y 5 9 121 1 263, 264, 271 707.03 Decubitus ulcer, lower back Y 5 9 121 1 263, 264, 271 707.04 Decubitus ulcer, hip Y 5 9 121 1 263, 264, 271 707.05 Decubitus ulcer, buttock Y 5 9 121 1 263, 264, 271 707.06 Decubitus ulcer, ankle Y 5 9 121 1 263, 264, 271 707.07 Decubitus ulcer, heel Y 5 9 121 1 263, 264, 271 707.09 Decubitus ulcer, other site Y 5 9 121 1 263, 264, 271 758.31 Cri-du-chat syndrome N 19 429 758.32 Velo-cardio-facial syndrome N 19 429 758.33 Other microdeletions N 19 429 758.39 Other autosomal deletions N 19 429 780.58 Sleep related movement disorder N 19 432 788.38 Overflow incontinence N 11 325, 326, 327 790.95 Elevated C-reactive protein (CRP) N 23 463, 464 795.03 Papanicolaou smear of cervix with low grade squamous intraepithelial lesion (LGSIL) N 13 358, 359, 369 795.04 Papanicolaou smear of cervix with high grade squamous intraepithelial lesion (HGSIL) N 13 358, 359, 369 795.05 Cervical high risk human papillomavirus (HPV) DNA test positive N 13 358, 359, 369 795.08 Nonspecific abnormal papanicolaou smear of cervix, unsatisfactory smear N 13 358, 359, 369 796.6 Nonspecific abnormal findings on neonatal screening N 23 463, 464 V01.71 Contact or exposure to varicella N 23 467 V01.79 Contact or exposure to other viral diseases N 23 467 V01.83 Contact or exposure to escherichia coli (E. coli) N 23 467 V01.84 Contact or exposure to meningococcus N 23 467 V46.11 Dependence on respirator, status Y 23 467 V46.12 Encounter for respirator dependence during power failure Y 23 467 V49.83 Awaiting organ transplant status Y 23 467 V58.44 Aftercare following organ transplant N 23 465-466 V58.66 Longterm (current) use of aspirin N 23 465-466 V58.67 Longterm (current) use of insulin N 23 465-466 V69.4 Lack of adequate sleep N 23 467 V72.31 Routine gynecological examination N 23 467 V72.32 Encounter for Papanicolaou cervical smear to confirm findings of recent normal smear following initial abnormal smear N 23 467 V72.40 Pregnancy examination or test, pregnancy unconfirmed N 23 467 V72.41 Pregnancy examination or test, negative result N 23 467 V84.01 Genetic susceptibility to malignant neoplasm of breast N 23 467 V84.02 Genetic susceptibility to malignant neoplasm of ovary N 23 467 V84.03 Genetic susceptibility to malignant neoplasm of prostate N 23 467 Start Printed Page 35976 V84.04 Genetic susceptibility to malignant neoplasm of endometrium N 23 467 V84.09 Genetic susceptibility to other malignant neoplasm N 23 467 V84.8 Genetic susceptibility to other disease N 23 467 1 Assigned to the secondary diagnosis list that defines a major complication. 10. On page 28671 through 28674, Table 6B—New Procedure Codes is corrected to read as follows:
Table 6B.—New Procedures Codes
Procedure code Description OR MDC DRG 00.16 Pressurized treatment of venous bypass graft [conduit] with pharmaceutical substance N 00.17 Infusion of vasopressor agent N 00.21 Intravascular imaging of extracranial cerebral vessels N 00.22 Intravascular imaging of intrathoracic vessels N 00.23 Intravascular imaging of peripheral vessels N 00.24 Intravascular imaging of coronary vessels N 00.25 Intravascular imaging of renal vessels N 00.28 Intravascular imaging, other specified vessels(s) N 00.29 Intravascular imaging, unspecified vessels(s) N 00.31 Computer assisted surgery with CT/CTA N 00.32 Computer assisted surgery with MR/MRA N 00.33 Computer assisted surgery with fluoroscopy N 00.34 Imageless computer assisted surgery N 00.35 Computer assisted surgery with multiple datasets N 00.39 Other computer assisted surgery N 00.61 Percutaneous angioplasty or atherectomy precerebral (extracranial) vessel(s) Y 1 5 21 24 533, 534 478, 479 442, 443 486 00.62 Percutaneous angioplasty or atherectomy of intracranial vessel(s) Y 1 5 21 24 533, 534 478, 479 442, 443 486 00.63 Percutaneous insertion of carotid artery stent(s) N 00.64 Percutaneous insertion of other precerebral (extracranial) artery stent(s) N 00.65 Percutaneous insertion of intracranial vascular stent(s) N 00.91 Transplant from live related donor N 00.92 Transplant from live nonrelated donor N 00.93 Transplant from cadaver N 27.64 Insertion of palatal implant N 37.68 Insertion of percutaneous external heart assist device Y 5 104, 105 37.90 Insertion of left atrial appendage N* 5 518 44.38 Laparoscopic gastroenterostomy Y 5 6 7 10 17 120 154, 155, 156 201 288 406, 407, 539, 540 44.67 Laparoscopic procedures for creation of esophagogastric sphincteric competene Y 6 21 24 154, 155, 156 442, 443 486 44.68 Laparoscopic gastroplasty Y 6 10 21 24 154, 155, 156 288 442, 443 486 44.95 Laparoscopic gastric restrictive procedure Y 10 288 44.96 Laparoscopic revision of gastric Y 10 288 44.97 Laparoscopic removal of gastric restrictive device(s) Y 10 288 44.98 (Laparoscopic) adjustment of size of adjustable gastric restrictive device Y 10 288 81.65 Vertebroplasty Y 8 21 24 233, 234 442, 443 486 Start Printed Page 35977 81.66 Kyphoplasty Y 8 21 24 233, 234 442, 443 486 84.53 Implantation of internal limb lenthening device with kinetic distraction N 84.54 Implantation of other internal limb lengthening device N 84.55 Insertion of bone void filler N 84.59 Insertion of other spinal devices Y 1 8 21 24 531, 532 499, 500 442, 443 486 84.60 Insertion of spinal disc prosthesis, not ohterwise specified Y 1 8 21 24 531, 532 499, 500 442, 443 486 84.61 Insertion of partial spinal disc prosthesis, cervical Y 1 8 21 24 531, 532 499, 500 442, 443 486 84.62 Insertion of total spinal disc prosthesis, cervical Y 1 8 21 24 531, 532 499, 500 442, 443 486 84.63 Insertion of spinal disc prosthesis, thoracic Y 1 8 21 24 531, 532 499, 500 442, 443 486 84.64 Insertion of partial spinal disc prosthesis, lumbosacral Y 1 8 21 24 531, 532 499, 500 442, 443 4861 84.65 Insertion of total spinal disc prosthesis, lumbosacral Y 1 8 21 24 531, 532 499, 500 442, 443 486 84.66 Revision or replacement of artificial spinal disc prosthesis, cervical Y 1 8 21 24 531, 532 499, 500 442, 443 486 84.67 Revision or replacement of artificial spinal disc prosthesis, thoracic Y 1 8 21 24 531, 532 499, 500 442, 443 486 84.68 Revision or replacement of artifical spinal disc prosthesis, lumbosacral Y 1 8 21 24 531, 532 499, 500 442, 443 486 84.69 Revision or replacement of artificial spinal disc prosthesis, not otherwise specified Y 1 8 21 24 531, 532 499, 500 442, 443 486 86.94 Insertion or replacement of single array neurostimulator pulse generator Y 1 7, 8 86.95 Insertion or replacement of dual array neurostimulator pulse generator Y 1 7, 8 86.96 Insertion or replacement of other neurostimulator pulse generator Y 1 7, 8 89.49 Automatic implantable cardioverter/defibrillator (AICD) check N 99.78 Aquapheresis N * Non-operating room procedure, but affects DRG assignment. 11. On page 28680, in the Table 6E.—Revised Diagnosis Code Titles, in the fourth row, the entry codes for diagnosis code 250.63 should read:
Start Printed Page 35978Diagnosis code Description CC MDC DRG 250.63 Diabetes with neurological manifestations, type I [juvenile type],uncontrolled Y PRE 1 512, 513 18, 19 12. On pages 28768 through 28770, Table 9B.—Hospital Reclassifications and Redesignations by Individual Hospital under Section 508 of Pub. L. 108-173—FY 2004, is Corrected to read as follows:
Start SignatureTable 9B.—Hospital Reclassifications and Redesignations by Individual Hospital Under Section 508 of Public Law 108-173—FY 2004
Provider No. Actual MSA or rural area Wage index MSA 508 reclassification Actual CBSA or rural area Wage index CBSA 508 reclassification Nearest county Own wage index 020008 02 1.3157 060075 06 1.1681 070036 25540 1.2954 160064 16 1.0504 330106 44844 1.5152 380090 38 1.2808 410010 39300 1.1702 530015 53 1.0064 010150 01 1800 01 17980 050494 05 7500 05 42220 050549 8735 7500 37100 42220 060057 06 2080 06 19740 070001 5483 5380 35300 44844 070005 5483 5380 35300 44844 070010 5483 5600 14860 35644 070016 5483 5380 35300 44844 070017 5483 5380 35300 44844 070019 5483 5380 35300 44844 070022 5483 5380 35300 44844 070028 5483 5600 14860 35644 070031 5483 5380 35300 44844 070039 5483 5380 35300 44844 120025 12 3320 12 26180 150034 2960 1600 23844 16974 Cook 160040 8920 1360 47940 16300 160067 8920 1360 47940 16300 160110 8920 1360 47940 16300 190218 19 7680 19 43340 Caddo 220046 6323 1123 38340 49340 Worcester 230003 3000 3720 26100 28020 Van Buren 230004 3000 3720 34740 28020 Van Buren 230013 2160 2640 47644 22420 230019 2160 2640 47644 22420 230020 2160 0440 19804 11460 Washtenaw 230024 2160 0440 19804 11460 Washtenaw 230029 2160 2640 47644 22420 230036 23 2640 23 22420 230038 3000 3720 24340 28020 Kalamazoo 230053 2160 0440 19804 11460 Washtenaw 230059 3000 3720 24340 28020 Kalamazoo 230066 3000 3720 34740 28020 Van Buren 230071 2160 2640 47644 22420 230072 3000 3720 26100 28020 Van Buren 230089 2160 0440 19804 11460 Washtenaw 230092 3520 3000 27100 24340 Kent 230097 23 3720 23 28020 Kalamazoo 230104 2160 0440 19804 11460 Washtenaw 230106 23 3720 24340 28020 Van Buren 230119 2160 0440 19804 11460 Washtenaw 230130 2160 2640 47644 22420 230135 2160 0440 19804 11460 Washtenaw 230146 2160 0440 19804 11460 Washtenaw 230151 2160 2640 47644 22420 230165 2160 0440 19804 11460 Washtenaw 230174 3000 3720 26100 28020 Van Buren 230176 2160 0440 19804 11460 Washtenaw 230207 2160 2640 47644 22420 230223 2160 2640 47644 22420 230236 3000 3720 24340 28020 Kalamazoo 230254 2160 2640 47644 22420 230269 2160 2640 47644 22420 230270 2160 0440 19804 11460 Washtenaw 230273 2160 0440 19804 11460 Washtenaw 230277 2160 2640 47644 22420 250002 25 0920 25 37700 Jackson 250122 25 0920 25 25060 Hancock Start Printed Page 35979 270014 27 0880 33540 13740 270021 27 0880 27 13740 270023 5140 0880 33540 13740 270032 27 0880 27 13740 270050 27 0880 27 13740 270057 27 0880 27 13740 310021 8480 0875 45940 35644 310028 5640 5600 35084 35644 310050 5640 5600 35084 35644 310051 5640 5600 35084 35644 310060 5640 5600 10900 35644 310115 5640 5600 10900 35644 310120 5640 5600 35084 35644 330049 2281 5600 39100 35644 330067 2281 5600 39100 35644 330126 5660 5600 39100 35644 330135 5660 5600 39100 35644 330205 5660 5600 39100 35644 330264 5660 5380 39100 44844 340002 0480 1520 11700 16740 Gaston 350002 1010 2520 13900 22020 350003 1010 2520 35 22020 350006 1010 2520 35 22020 350010 1010 2520 35 22020 350014 1010 2520 35 22020 350015 1010 2520 13900 22020 350017 1010 2520 35 22020 350030 1010 2520 35 22020 350061 1010 2520 35 22020 390001 7560 0240 42540 10900 390003 7560 0240 39 10900 390054 7560 4000 42540 29540 390072 7560 0240 39 10900 390095 7560 0240 42540 10900 390109 7560 0240 42540 10900 390119 7560 0240 42540 10900 390137 7560 0240 42540 10900 390169 7560 0240 42540 10900 390185 7560 0240 42540 10900 390192 7560 0240 42540 10900 390237 7560 0240 42540 10900 390270 7560 4000 42540 29540 430003 43 6660 39660 430015 43 7760 43 43620 430048 43 7760 43 43620 430060 43 7760 43 43620 430064 43 7760 43 43620 430077 6660 7760 39660 43620 430091 6660 7760 39660 43620 450010 9080 4880 48660 32580 450072 1145 3360 26420 26420 450591 1145 3360 26420 26420 470003 1303 1123 15540 40484 Strafford 490001 49 4640 49 31340 490024 6800 1950 40220 19260 End Signature End Supplemental Information(Catalog of Federal Domestic Assistance Program No. 93.773, Medicare—Hospital Insurance; Program No. 93.774, Medicare—Supplementary Medical Insurance Program; and Program No. 93.778, Medical Assistance Program)
Dated: June 8,2004.
Ann C. Agnew,
Executive Secretary to the Department.
[FR Doc. 04-14346 Filed 6-24-04;8:45 am]
BILLING CODE 4120-03-P
Document Information
- Published:
- 06/25/2004
- Department:
- Centers for Medicare & Medicaid Services
- Entry Type:
- Proposed Rule
- Action:
- Correction of proposed rule.
- Document Number:
- 04-14346
- Pages:
- 35919-35979 (61 pages)
- Docket Numbers:
- CMS-1428-CN
- RINs:
- 0938-AL23: Hospital Inpatient Prospective Payment System for FY 2003 (CMS-1203-P)
- RIN Links:
- https://www.federalregister.gov/regulations/0938-AL23/hospital-inpatient-prospective-payment-system-for-fy-2003-cms-1203-p-
- PDF File:
- 04-14346.pdf
- CFR: (10)
- 42 CFR 403
- 42 CFR 412
- 42 CFR 413
- 42 CFR 418
- 42 CFR 460
- More ...