[Federal Register Volume 69, Number 122 (Friday, June 25, 2004)] [Proposed Rules] [Pages 35920-35979] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 04-14346] [[Page 35919]] ----------------------------------------------------------------------- Part V Department of Health and Human Services ----------------------------------------------------------------------- Centers for Medicare & Medicaid Services ----------------------------------------------------------------------- 42 CFR Parts 403, 412, et al. Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2005 Rates; Correction; Proposed Rule Federal Register / Vol. 69 , No. 122 / Friday, June 25, 2004 / Proposed Rules [[Page 35920]] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Parts 403, 412, 413, 418, 460, 480, 482, 483, 485, and 489 [CMS-1428-CN] RIN 0938-AL23 Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2005 Rates; Correction 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). FOR FURTHER INFORMATION CONTACT: James Hart, (410) 786-9520. SUPPLEMENTARY INFORMATION: I. Background FR Doc. 04-10932 contains our proposed rule to update the Medicare hospital inpatient prospective payment system for fiscal year (FY) 2005 and to implement a number of changes made by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, Public Law 108-173 (69 FR 28196, May 18, 2004). We have identified a number of technical errors and are correcting them in sections II. and III. of this preamble. These errors include:On page 28223, third column, lines 57 through 60, in our discussion of drug-eluting stents under section ``b. Coronary Stent Procedures'' under item ``16. Other DRG Issues,'' we cited incorrect numbers of cases involving drug-eluting stents in DRGs 526 and 527 from the FY 2003 MedPAR file. On page 28224, second column, under section ``d. Implantable Cardiac Defibrillators'' under item ``16. Other DRG Issues,'' we discussed a request for a national coverage determination (NCD) we had received on potential payment mechanisms to encourage the use of simple, single-lead implantable defibrillators when medically indicated, rather than expensive, technologically complex devices. The proposed rule stated that ``The requestor further added that CMS could restrict use of complex defibrillators to patients for whom they are medically necessary, that is, in the population at low-moderate risk for sudden cardiac death.'' We incorrectly associated this suggestion with the requestor, a manufacturer of defibrillators. CMS staff actually made this suggestion as part of the NCD on implantable defibrillators that is currently being reviewed. We regret any incorrect impression that may have been conveyed to the public regarding the manufacturer. In the Addendum of the proposed rule, errors in four of the tables containing wage index values resulted from the inadvertent omission of one of the geographic statistical areas that caused a misalignment of the stated wage index values in the tables for a number of areas. 1. On pages 28525 through 28535, in Table 3A--FY 2005 and 3-Year Average Hourly Wage for Urban Areas, the average hourly wages entries in columns 2 and 3 for 42 geographic areas (the entries for Erie, PA through Greensboro-High Point, NC, the entries for Newark-Union, NJ-PA through New York-Wayne-White Plains, NY-NJ, and the entries for Portland-South Portland-Biddeford, ME through Port St. Lucie-Fort Pierce, FL) are misaligned and, therefore, incorrectly stated. We are publishing the corrected Table 3A in its entirety under section III. of this notice. 2. On page 28539 through 28579, in Table 4A--Wage Index and Capital Geographic Adjustment Factor (GAF) for Urban Areas, we inadvertently omitted four geographic areas. The geographic areas that were inadvertently omitted are as follows: CBSA 21420, Enid, OK CBSA 27460, Jamestown, NY CBSA 29940, Lawrence, KS CBSA 41140, St. Joseph, MO-KS In CBSAs 21420 and 27460, all hospitals in these areas maintain their assignment to the geographic areas where they are currently located for the 3-year period, FY 2005, FY 2006, and FY 2007. In CBSA 29940 and 41140, all hospitals geographically located in these areas are classified as rural under section 401 of the Medicare, Medicaid, and SCHIP [State Children's Health Insurance Program] Balanced Budget Refinement Act of 1999, Public Law 106-554. The areas are assigned the statewide rural-wide wage index values. We are publishing the corrected Table 4A in its entirety under section III. of this notice. 3. On page 28586, in Table 4C--Wage Index and Capital Geographic Adjustment Factor (GAF) for Hospitals that are Reclassified, we incorrectly included two entries for Wilmington, NC. The first of these two entries should have been for Wilmington, DE. 4. On pages 28589 through 28628, in Table 4G--Pre-Reclassified Wage Index for Urban Areas, due to a misalignment of the CBSA code and urban area with the wage index value, we inadvertently published incorrect wage index values for 195 areas between CBSA 21420 and CBSA 41100. We are publishing the corrected Table 4G in its entirety under section III. of this notice. We note that as soon as we discovered the errors in these four wage index tables after publication of the May 18, 2004 proposed rule, we posted the corrected tables on the CMS Web site: www.cms.hhs.gov. We also notified providers, fiscal intermediaries, and health organizations through the Internet. On pages 28663 through 28667, in Table 6A--New Diagnosis Codes, in the row entry for codes 521.06, through 528.79, in the ``MDC'' column, the MDC designations specifying ``PRE'' and ``3'' should have appeared on separate lines. For the convenience of the reader, we are publishing a corrected Table 6A in its entirety under section III. of this notice. On pages 28671 through 28674, in Table 6B--New Procedure Codes, we inadvertently omitted some of the MDC and DRG assignments entries in columns 4 and 5 for codes 84.59 through 84.69. For the convenience of the reader, we are publishing the corrected Table 6B in its entirety in section III. of this notice. On pages 28768 through 28770, in Table 9B--Hospital Reclassifications and Redesignations by Individual Hospital under Section 508 of Public Law 108-173--FY 2004, we incorrectly stated the ``Wage index CBSA 508 Reclassification'' entries in column 5 and the ``Nearest County'' designations identified in column 6 for several areas. The errors resulted from a programming error that occurred during the development of the data file. In section III. of this notice, we are publishing a corrected Table 9B in its entirety to reflect the corrected new (section 508) wage index MSA reclassifications and the identification of the nearest county. We are also correcting typographical, formatting, or other errors that appeared on various other pages of the FR document, as cited in sections II. and III. of this notice. The comment period for the proposed rule ends on July 12, 2004 (69 FR 28196). Accordingly, we are correcting these technical errors in the preamble [[Page 35921]] language 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] ------------------------------------------------------------------------ FY 2005 3-Year average average Urban area hourly hourly wage wage ------------------------------------------------------------------------ Abilene, TX......................................... 20.7192 18.9824 Aguadilla-Isabela-San Sebasti[aacute]n, 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 [[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 [[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 [[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 Mayag[uuml]ez, 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 [[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 [[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 Germ[aacute]n-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 [[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 ------------------------------------------------------------------------ Urban area (constituent Wage CBSA code counties) index GAF ------------------------------------------------------------------------ 10180................. Abilene, TX \2\............. 0.8011 0.8591 Callahan County, TX Jones County, TX Taylor County, TX 10380................. Aguadilla-Isabela-San 0.4285 0.5597 Sebasti[aacute]n, PR. Aguada Municipio, PR Aguadilla Municipio, PR Anasco Municipio, PR Isabela Municipio, PR Lares Municipio, PR Moca Municipio, PR Rinc[oacute]n Municipio, PR San Sebasti[aacute]n 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 [[Page 35928]] 10780................. Alexandria, LA.............. 0.8198 0.8728 Grant Parish, LA Rapides Parish, LA 10900................. Allentown-Bethlehem-Easton, 0.9539 0.9682 PA-NJ. 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- 0.9926 0.9949 Marietta, GA \1\. 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 [[Page 35929]] Atlantic County, NJ 12220................. Auburn-Opelika, AL.......... 0.8231 0.8752 Lee County, AL 12260................. Augusta-Richmond County, GA- 0.9169 0.9423 SC. 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- 1.0993 1.0670 Gaithersburg, MD \1\. 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 [[Page 35930]] Morton County, ND 13980................. Blacksburg-Christiansburg- 0.8065 0.8631 Radford, VA \2\. 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, 1.2876 1.1890 CT. 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 0.9351 0.9551 \1\. Erie County, NY Niagara County, NY 15500................. Burlington, NC.............. 0.8881 0.9219 Alamance County, NC 15540................. Burlington-South Burlington, 0.9469 0.9633 VT \2\. Chittenden County, VT Franklin County, VT Grand Isle County, VT 15764................. Cambridge-Newton-Framingham, 1.1199 1.0806 MA \1\. 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 [[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, 0.9379 0.9570 SC. Berkeley County, SC Charleston County, SC Dorchester County, SC 16740................. Charlotte-Gastonia-Concord, 0.9750 0.9828 NC-SC \1\. 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, 1.0819 1.0554 IL\1\. 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- 0.9533 0.9678 IN \1\. 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 0.9667 0.9771 \1\. Cuyahoga County, OH Geauga County, OH [[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 0.9248 0.9479 Hospitals) \2\. Allegany County, MD Mineral County, WV 19060................. Cumberland, MD-WV (WV 0.8668 0.9067 Hospitals). 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 0.8776 0.9145 Island, IA-IL. Henry County, IL Mercer County, IL [[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 0.8685 0.9080 Beach, FL. 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 1.0379 1.0258 \1\. 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 [[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 0.8675 0.9072 Hospitals) \2\. Gibson County, IN Posey County, IN Vanderburgh County, IN Warrick County, IN Henderson County, KY Webster County, KY 21780................. Evansville, IN-KY (KY 0.8406 0.8879 Hospitals). 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- 0.8687 0.9081 Rogers, AR-MO. 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 1.0408 1.0278 Beach \1\. 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- 0.8805 0.9165 Destin, FL. 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 [[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 0.9340 0.9543 Hospitals) \2\. Polk County, MN Grand Forks County, ND 24220................. Grand Forks, ND-MN (ND 0.9169 0.9423 Hospitals). 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- 0.9765 0.9838 WV. 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 [[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 0.7774 0.8416 \2\. 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, 0.7779 0.8420 LA. Lafourche Parish, LA Terrebonne Parish, LA 26420................. Houston-Baytown-Sugar Land, 0.9995 0.9997 TX> \1\. 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 [[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, 0.8257 0.8771 TN-VA. 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 [[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 0.9340 0.9543 Hospitals) \2\. Houston County, MN La Crosse County, WI 29100................. La Crosse, WI-MN (WI 0.9485 0.9644 Hospitals) \2\. 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, 1.0342 1.0233 IL-WI. 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 0.9325 0.9533 Hospitals) \2\. Nez Perce County, ID Asotin County, WA 30300................. Lewiston, ID-WA (WA 1.0340 1.0232 Hospitals). 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 0.9032 0.9327 Rock, AR. Faulkner County, AR Grant County, AR Lonoke County, AR Perry County, AR Pulaski County, AR Saline County, AR [[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- 1.1730 1.1155 Glendale, CA \1\. 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................. Mayag[uuml]ez, PR........... 0.4453 0.5746 Hormigueros Municipio, PR Mayag[uuml]ez 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, CA\2\............... 1.0440 1.0299 Merced County, CA 33124................. Miami-Miami Beach-Kendall, 1.0045 1.0031 FL \1\. Miami-Dade County, FL [[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 1.0106 1.0072 Allis, WI \1\. Milwaukee County, WI Ozaukee County, WI Washington County, WI Waukesha County, WI 33460................. Minneapolis-St. Paul- 1.1074 1.0724 Bloomington, MN-WI \1\. 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 0.8592 0.9013 Myrtle Beach, SC. 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- 1.0115 1.0079 Murfreesboro, TN. 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 [[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, 0.9118 0.9387 LA \1\. 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, 1.3324 1.2172 NY-NJ\1\. 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 1.5387 1.3433 \1\. 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 [[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- 1.1130 1.0761 Ventura, CA. Ventura County, CA 37340................. Palm Bay-Melbourne- 0.9630 0.9745 Titusville, FL. Brevard County, FL 37460................. Panama City-Lynn Haven, FL 0.8581 0.9005 \2\. Bay County, FL 37620................. Parkersburg-Marietta, WV-OH 0.8708 0.9096 (OH Hospitals) \2\. Washington County, OH Pleasants County, WV Wirt County, WV Wood County, W 37620................. Parkersburg-Marietta, WV-OH 0.8388 0.8866 (WV Hospitals). 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, 0.8581 0.9005 FL \2\. 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 1.0009 1.0006 \1\. 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 D[iacute]az Municipio, PR Ponce Municipio, PR Villalba Municipio, PR 38860................. Portland-South Portland- 1.0127 1.0087 Biddeford, ME. Cumberland County, ME Sagadahoc County, ME York County, ME 38900................. Portland-Vancouver- 1.1384 1.0928 Beaverton, OR-WA \1\. Clackamas County, OR Columbia County, OR [[Page 35943]] Multnomah County, OR Washington County, OR Yamhill County, OR Clark County, WA Skamania County, WA 38940................. Port St. Lucie-Fort Pierce, 1.0117 1.0080 FL. Martin County, FL St. Lucie County, FL 39100................. Poughkeepsie-Newburgh- 1.1395 1.0935 Middletown, NY. Dutchess County, NY Orange County, NY 39140................. Prescott, AZ................ 0.9922 0.9947 Yavapai County, AZ 39300................. Providence-New Bedford-Fall 1.0941 1.0635 River, RI-MA \1\. 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- 1.0997 1.0672 Ontario, CA \1\. Riverside County, CA San Bernardino County, CA 40220................. Roanoke, VA................. 0.8390 0.8867 Botetourt County, VA Craig County, VA Franklin County, VA [[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 1.0232 1.0158 County, NH. 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- 1.1709 1.1141 Roseville, CA \1\. El Dorado County, CA Placer County, CA Sacramento County, CA Yolo County, CA 40980................. Saginaw-Saginaw Township 0.9879 0.9917 North, MI. 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 0.8011 0.8591 Hospitals) \2\. Doniphan County, KS Andrew County, MO Buchanan County, MO DeKalb County, MO 41140................. St. Joseph, MO-KS (KS 0.8132 0.8680 Hospitals) \2\. 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 [[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 1.1265 1.0850 Marcos, CA \1\. San Diego County, CA 41780................. Sandusky, OH................ 0.9045 0.9336 Erie County, OH 41884................. San Francisco-San Mateo- 1.4403 1.2838 Redwood City, CA \1\. Marin County, CA San Francisco County, CA San Mateo County, CA 41900................. San Germ[aacute]n-Cabo Rojo, 0.5254 0.6436 PR. Cabo Rojo Municipio, PR Lajas Municipio, PR Sabana Grande Municipio, PR San Germ[aacute]n Municipio, PR 41940................. San Jose-Sunnyvale-Santa 1.4543 1.2924 Clara, CA \1\. San Benito County, CA Santa Clara County, CA 41980................. San Juan-Caguas-Guaynabo, PR 0.4646 0.5916 \1\. Aguas Buenas Municipio, PR Aibonito Municipio, PR Arecibo Municipio, PR Barceloneta Municipio, PR Barranquitas Municipio, PR Bayam[oacute]n Municipio, PR Caguas Municipio, PR Camuy Municipio, PR Can[oacute]vanas Municipio, PR Carolina Municipio, PR Cata[ntilde]o Municipio, PR Cayey Municipio, PR Ciales Municipio, PR Cidra Municipio, PR Comer[iacute]o 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 Lo[iacute]za Municipio, PR Manat[iacute] Municipio, PR Maunabo Municipio, PR Morovis Municipio, PR Naguabo Municipio, PR Naranjito Municipio, PR Orocovis Municipio, PR Quebradillas Municipio, PR R[iacute]o Grande Municipio, PR San Juan Municipio, PR San Lorenzo Municipio, PR Toa Alta Municipio, PR Toa Baja Municipio, PR [[Page 35946]] Trujillo Alto Municipio, PR Vega Alta Municipio, PR Vega Baja Municipio, PR Yabucoa Municipio, PR 42020................. San Luis Obispo-Paso Robles, 1.1140 1.0767 CA. San Luis Obispo County, CA 42044................. Santa Ana-Anaheim-Irvine, CA 1.1728 1.1153 \1\. Orange County, CA 42060................. Santa Barbara-Santa Maria- 1.0731 1.0495 Goleta, CA. 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, 0.9635 0.9749 FL. 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 1.1497 1.1002 \1\. 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 [[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- 0.9087 0.9365 Clearwater, FL \1\. 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 [[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- 1.0604 1.0410 Bridgeton, NJ. Cumberland County, NJ 47260................. Virginia Beach-Norfolk- 0.8941 0.9262 Newport News, VA-NC \1\. 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- 1.0131 1.0090 Troy, MI \1\. Lapeer County, MI Livingston County, MI Macomb County, MI Oakland County, MI St. Clair County, MI 47894................. Washington-Arlington- 1.1063 1.0716 Alexandria, DC-VA-MD-WV \1\. 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 0.8708 0.9096 (OH Hospitals) \2\. Jefferson County, OH Brooke County, WV Hancock County, WV 48260................. Weirton-Steubenville, WV-OH 0.8292 0.8796 (WV Hospitals). Jefferson County, OH Brooke County, WV [[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- 1.0074 1.0051 Boynton Beach, FL \1\. Palm Beach County, FL 48540................. Wheeling, WV-OH (OH 0.8708 0.9096 Hospitals) \2\. Belmont County, OH Marshall County, WV Ohio County, WV 48540................. Wheeling, WV-OH (WV 0.7903 0.8512 Hospitals) \2\. 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 Gu[aacute]nica Municipio, PR Guayanilla Municipio, PR Pe[ntilde]uelas Municipio, PR Yauco Municipio, PR 49620................. York-Hanover, PA............ 0.8916 0.9244 York County, PA 49660................. Youngstown-Warren-Boardman, 0.9257 0.9485 OH-PA. 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: [[Page 35950]] ------------------------------------------------------------------------ Wage Area 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: Table 4G--Pre-Reclassified Wage Index For Urban Areas ------------------------------------------------------------------------ Wage CBSA code Urban area (constituent counties) index ------------------------------------------------------------------------ 10180...................... Abilene, TX...................... 0.8011 Callahan County, TX Jones County, TX Taylor County, TX 10380...................... Aguadilla-Isabela-San 0.4285 Sebasti[aacute]n, PR. Aguada Municipio, PR Aguadilla Municipio, PR A[ntilde]asco Municipio, PR Isabela Municipio, PR Lares Municipio, PR Moca Municipio, PR Rinc[oacute]n Municipio, PR San Sebasti[aacute]n 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 [[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, 0.9926 GA. 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 [[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, 1.0993 MD. 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- 0.8065 Radford, VA. 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 [[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 [[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 [[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- 0.8776 IL. 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 0.8668 Beach, FL. 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 [[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, 0.8674 AR-MO. 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 [[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- 1.0180 Deerfield Beach, FL. 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- 0.8805 Destin, FL. 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 [[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 1.1312 Hartford, CT. 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 [[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 [[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 [[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, 1.1730 CA. 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 [[Page 35962]] Richland County, OH 32420...................... Mayag[uuml]ez, PR................ 0.4453 Hormigueros Municipio, PR Mayag[uuml]ez 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, 1.1074 MN-WI. 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 [[Page 35963]] 34740...................... Muskegon-Norton Shores, MI....... 0.9770 Muskegon County, MI 34820...................... Myrtle Beach-Conway-North Myrtle 0.8592 Beach, SC. 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, 1.0115 TN. 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- 1.3324 NJ. 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 [[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 [[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 D[iacute]az Municipio, PR Ponce Municipio, PR Villalba Municipio, PR 38860...................... Portland-South Portland- 1.0127 Biddeford, ME. Cumberland County, ME Sagadahoc County, ME York County, ME 38900...................... Portland-Vancouver-Beaverton, OR- 1.1384 WA. 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, 1.1395 NY. Dutchess County, NY Orange County, NY 39140...................... Prescott, AZ..................... 0.9922 Yavapai County, AZ 39300...................... Providence-New Bedford-Fall 1.0941 River, RI-MA. 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 [[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, 1.0997 CA. 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 1.0232 County, NH. 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- 1.1707 Roseville, CA. El Dorado County, CA Placer County, CA Sacramento County, CA Yolo County, CA 40980...................... Saginaw-Saginaw Township North, 0.9879 MI. 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 [[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 1.4403 City, CA. Marin County, CA San Francisco County, CA San Mateo County, CA 41900...................... San Germ[aacute]n-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, 1.4543 CA. 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 [[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, 1.0731 CA. 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 [[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, 0.9087 FL. 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 [[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 0.8941 News, VA-NC. 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, 1.1063 DC-VA-MD-WV. 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 [[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- 1.0074 Boynton Beach, FL. 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 Gu[aacute]nica Municipio, PR Guayanilla Municipio, PR Pe[ntilde]uelas 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 ------------------------------------------------------------------------ [[Page 35972]] 7. On page 28658, in Table 5--List of Diagnosis Related Groups (DRGs), Relative Weighting Factors, Geometric and Arithmetic Mean Length of Stay (LOS), correct the entry for DRG 483 to read as follows: ---------------------------------------------------------------------------------------------------------------- Relative Geometric Arithmetic DRG MDC Type DRG title weights mean LOS 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: ---------------------------------------------------------------------------------------------------------------- Relative Geometric Arithmetic DRG MDC Type DRG Title weights mean LOS mean LOS ---------------------------------------------------------------------------------------------------------------- 541............ PRE............ SURG........... TRACH W MV 96+ HRS OR 19.3416 37.7 44.9 PDX EXC FACE, MTH, & NECK DX W/MAJOR OR. ---------------------------------------------------------------------------------------------------------------- 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, N............... 18.............. 421, 422 unspecified. 066.41............ West Nile Fever with N............... 18.............. 421, 422 encephalitis. 066.42............ West Nile Fever with N............... 18.............. 421, 422 other neurologic manifestation. 066.49............ West Nile Fever with N............... 18.............. 421, 422 other complications. 070.70............ Unspecified viral Y............... 7............... 205, 206 hepatitis C without hepatic coma. 070.71............ Unspecified viral Y............... 7............... 205, 206 hepatitis C with hepatic coma. 252.00............ Hyperparathyroidism, N............... 10.............. 300, 301 unspecified. 252.01............ Primary N............... 10.............. 300, 301 hyperparathyroidism. 252.02............ Secondary N............... 10.............. 300, 301 hyperparathyroidism, non-renal. 252.08............ Other N............... 10.............. 300, 301 hyperparathyroidism. 273.4............. Alpha-1-antitrypsin N............... 10.............. 299 deficiency. 277.85............ Disorders of fatty acid N............... 10.............. 299 oxidation. 277.86............ Peroxisomal disorders... N............... 10.............. 299 277.87............ Disorders of N............... 10.............. 299 mitochondrial metabolism. 347.00............ Narcolepsy, without N............... 1............... 34, 35 cataplexy. 347.01............ Narcolepsy, with N............... 1............... 34, 35 cataplexy. 347.10............ Narcolepsy in conditions N............... 1............... 34, 35 classified elsewhere, without cataplexy. 347.11............ Narcolepsy in conditions N............... 1............... 34, 35 classified elsewhere, with cataplexy. 380.03............ Chondritis of pinna..... N............... 8............... 256 453.40............ Venous embolism and Y............... 5............... 130, 131 thrombosis of unspecified deep vessels of lower extremity. 453.41............ Venous embolism and Y............... 5............... 130, 131 thrombosis of deep vessels of proximal lower extremity. 453.42............ Venous embolism and Y............... 5............... 130, 131 thrombosis of deep vessels of distal lower extremity. 477.2............. Allergic rhinitis, due N............... 3............... 68, 69, 70 to animal (cat) (dog) hair and dander. 491.22............ Obstructive chronic Y............... 4............... 88 bronchitis with acute bronchitis. 521.06............ Dental caries pit and N............... PRE............. 482 fissure. 3............... 185, 186, 187 521.07............ Dental caries of smooth N............... PRE............. 482 surface. 3............... 185, 186, 187 521.08............ Dental caries of root N............... PRE............. 482 surface. 3............... 185, 186, 187 521.10............ Excessive attrition, N............... PRE............. 482 unspecified. 3............... 185, 186, 187 521.11............ Excessive attrition, N............... PRE............. 482 limited to enamel. 3............... 185, 186, 187 521.12............ Excessive attrition, N............... PRE............. 482 extending into dentine. 3............... 185, 186, 187 521.13............ Excessive attrition, N............... PRE............. 482 extending into pulp. 3............... 185, 186, 187 521.14............ Excessive attrition, N............... PRE............. 482 localized. 3............... 185, 186, 187 521.15............ Excessive attrition, N............... PRE............. 482 generalized. 3............... 185, 186, 187 521.20............ Abrasion, unspecified... N............... PRE............. 482 3............... 185, 186, 187 [[Page 35973]] 521.21............ Abrasion, limited to N............... PRE............. 482 enamel. 3............... 185, 186, 187 521.22............ Abrasion, extending into N............... PRE............. 482 dentine. 3............... 185, 186, 187 521.23............ Abrasion, extending into N............... PRE............. 482 pulp. 3............... 185, 186, 187 521.24............ Abrasion, localized..... N............... PRE............. 482 3............... 185, 186, 187 521.25............ Abrasion, generalized... N............... PRE............. 482 3............... 185, 186, 187 521.30............ Erosion, unspecified.... N............... PRE............. 482 3............... 185, 186, 187 521.31............ Erosion, limited to N............... PRE............. 482 enamel. 3............... 185, 186, 187 521.32............ Erosion, extending into N............... PRE............. 482 dentine. 3............... 185, 186, 187 521.33............ Erosion, extending into N............... PRE............. 482 pulp. 3............... 185, 186, 187 521.34............ Erosion, localized...... N............... PRE............. 482 3............... 185, 186, 187 521.35............ Erosion, generalized.... N............... PRE............. 482 3............... 185, 186, 187 521.40............ Pathological resorption, N............... PRE............. 482 unspecified. 3............... 185, 186, 187 521.41............ Pathological resorption, N............... PRE............. 482 internal. 3............... 185, 186, 187 521.42............ Pathological resorption, N............... PRE............. 482 external. 3............... 185, 186, 187 521.49............ Other pathological N............... PRE............. 482 resorption. 3............... 185, 186, 187 523.20............ Gingival recession, N............... PRE............. 482 unspecified. 3............... 185, 186, 187 523.21............ Gingival recession, N............... PRE............. 482 minimal. 3............... 185, 186, 187 523.22............ Gingival recession, N............... PRE............. 482 moderate. 3............... 185, 186, 187 523.23............ Gingival recession, N............... PRE............. 482 severe. 3............... 185, 186, 187 523.24............ Gingival recession, N............... PRE............. 482 localized. 3............... 185, 186, 187 523.25............ Gingival recession, N............... PRE............. 482 generalized. 3............... 185, 186, 187 524.07............ Excessive tuberosity of N............... PRE............. 482 jaw. 3............... 185, 186, 187 524.20............ Unspecified anomaly of N............... PRE............. 482 dental arch 3............... 185, 186, 187 relationship. 524.21............ Angle's class I......... N............... PRE............. 482 3............... 185, 186, 187 524.22............ Angle's class II........ N............... PRE............. 482 3............... 185, 186, 187 524.23............ Angle's class III....... N............... PRE............. 482 3............... 185, 186, 187 524.24............ Open anterior occlusal N............... PRE............. 482 relationship. 3............... 185, 186, 187 524.25............ Open posterior occlusal N............... PRE............. 482 relationship. 3............... 185, 186, 187 524.26............ Excessive horizontal N............... PRE............. 482 overlap. 3............... 185, 186, 187 524.27............ Reverse articulation.... N............... PRE............. 482 3............... 185, 186, 187 524.28............ Anomalies of interarch N............... PRE............. 482 distance. 3............... 185, 186, 187 524.29............ Other anomalies of N............... PRE............. 482 dental arch 3............... 185, 186, 187 relationship. 524.30............ Unspecified anomaly of N............... PRE............. 482 tooth position. 3............... 185, 186, 187 524.31............ Crowding of teeth....... N............... PRE............. 482 3............... 185, 186, 187 524.32............ Excessive spacing of N............... PRE............. 482 teeth. 3............... 185, 186, 187 [[Page 35974]] 524.33............ Horizontal displacement N............... PRE............. 482 of teeth. 3............... 185, 186, 187 524.34............ Vertical displacement of N............... PRE............. 482 teeth. 3............... 185, 186, 187 524.35............ Rotation of teeth....... N............... PRE............. 482 3............... 185, 186, 187 524.36............ Insufficient N............... PRE............. 482 interocclusal distance 3............... 185, 186, 187 of teeth (ridge). 524.37............ Excessive interocclusal N............... PRE............. 482 distance of teeth. 3............... 185, 186, 187 524.39............ Other anomalies of tooth N............... PRE............. 482 position. 3............... 185, 186, 187 524.50............ Dentofacial functional N............... PRE............. 482 abnormality, 3............... 185, 186, 187 unspecified. 524.51............ Abnormal jaw closure.... N............... PRE............. 482 3............... 185, 186, 187 524.52............ Limited mandibular range N............... PRE............. 482 of motion. 3............... 185, 186, 187 524.53............ Deviation in opening and N............... PRE............. 482 closing of the mandible. 3............... 185, 186, 187 524.54............ Insufficient anterior N............... PRE............. 482 guidance. 3............... 185, 186, 187 524.55............ Centric occlusion N............... PRE............. 482 maximum intercuspation 3............... 185, 186, 187 discrepancy. 524.56............ Nonworking side N............... PRE............. 482 interference. 3............... 185, 186, 187 524.57............ Lack of posterior N............... PRE............. 482 occlusal support. 3............... 185, 186, 187 524.59............ Other dentofacial N............... PRE............. 482 functional 3............... 185, 186, 187 abnormalities. 524.64............ Temporomandibular joint N............... PRE............. 482 sounds on opening and/ 3............... 185, 186, 187 or closing the jaw. 524.75............ Vertical displacement of N............... PRE............. 482 alveolus and teeth. 3............... 185, 186, 187 524.76............ Occlusal plane deviation N............... PRE............. 482 3............... 185, 186, 187 524.81............ Anterior soft tissue N............... PRE............. 482 impingement. 3............... 185, 186, 187 524.82............ Posterior soft tissue N............... PRE............. 482 impingement. 3............... 185, 186, 187 524.89............ Other specified N............... PRE............. 482 dentofacial anomalies. 3............... 185, 186, 187 525.20............ Unspecified atrophy of N............... PRE............. 482 edentulous alveolar 3............... 185, 186, 187 ridge. 525.21............ Minimal atrophy of the N............... PRE............. 482 mandible. 3............... 185, 186, 187 525.22............ Moderate atrophy of the N............... PRE............. 482 mandible. 3............... 185, 186, 187 525.23............ Severe atrophy of the N............... PRE............. 482 mandible. 3............... 185, 186, 187 525.24............ Minimal atrophy of the N............... PRE............. 482 maxilla. 3............... 185, 186, 187 525.25............ Moderate atrophy of the N............... PRE............. 482 maxilla. 3............... 185, 186, 187 525.26............ Severe atrophy of the N............... PRE............. 482 maxilla. 3............... 185, 186, 187 528.71............ Minimal keratinized N............... PRE............. 482 residual ridge mucosa. 3............... 185, 186, 187 528.72............ Excessive keratinized N............... PRE............. 482 residual ridge mucosa. 3............... 185, 186, 187 528.79............ Other disturbances of N............... PRE............. 482 oral epithelium, 3............... 185, 186, 187 including tongue. 530.86............ Infection of Y............... 6............... 188, 189, 190 esophagostomy. 530.87............ Mechanical complication Y............... 6............... 188, 189, 190 of esophagostomy. 588.81............ Secondary N............... 11.............. 331, 332, 333 hyperparathyroidism (of renal origin). 588.89............ Other specified N............... 11.............. 331, 332, 333 disorders resulting from impaired renal function. 618.00............ Unspecified prolapse of N............... 13.............. 358, 359, 369 vaginal walls. 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 [[Page 35975]] 618.05............ Perineocele............. N............... 13.............. 358, 359, 369 618.09............ Other prolapse of N............... 13.............. 358, 359, 369 vaginal walls without mention of uterine prolapse. 618.81............ Incompetence or N............... 13.............. 358, 359, 369 weakening of pubocervical tissue. 618.82............ Incompetence or N............... 13.............. 358, 359, 369 weakening of rectovaginal tissue. 618.83............ Pelvic muscle wasting... N............... 13.............. 358, 359, 369 618.89............ Other specified genital N............... 13.............. 358, 359, 369 prolapse. 621.30............ Endometrial hyperplasia, N............... 13.............. 358, 359, 369 unspecified. 621.31............ Simple endometrial N............... 13.............. 358, 359, 369 hyperplasia without atypia. 621.32............ Complex endometrial N............... 13.............. 358, 359, 369 hyperplasia without atypia. 621.33............ Endometrial hyperplasia N............... 13.............. 358, 359, 369 with atypia. 622.10............ Dysplasia of cervix, N............... 13.............. 358, 359, 369 unspecified. 622.11............ Mild dysplasia of cervix N............... 13.............. 358, 359, 369 622.12............ Moderate dysplasia of N............... 13.............. 358, 359, 369 cervix. 629.20............ Female genital N............... 13.............. 358, 359, 369 mutilation status, unspecified. 629.21............ Female genital N............... 13.............. 358, 359, 369 mutilation Type I status. 629.22............ Female genital N............... 13.............. 358, 359, 369 mutilation Type II status. 629.23............ Female genital N............... 13.............. 358, 359, 369 mutilation Type III status. 692.84............ Contact dermatitis and N............... 9............... 283, 284 other eczema due to animal (cat) (dog) dander. 705.21............ Primary focal N............... 9............... 283, 284 hyperhidrosis. 705.22............ Secondary focal N............... 9............... 283, 284 hyperhidrosis. 707.00............ Decubitus ulcer, Y............... 5............... 121 \1\ unspecified site. 9............... 263, 264, 271 707.01............ Decubitus ulcer, elbow.. Y............... 5............... 121 \1\ 9............... 263, 264, 271 707.02............ Decubitus ulcer, upper Y............... 5............... 121 \1\ back. 9............... 263, 264, 271 707.03............ Decubitus ulcer, lower Y............... 5............... 121 \1\ back. 9............... 263, 264, 271 707.04............ Decubitus ulcer, hip.... Y............... 5............... 121 \1\ 9............... 263, 264, 271 707.05............ Decubitus ulcer, buttock Y............... 5............... 121 \1\ 9............... 263, 264, 271 707.06............ Decubitus ulcer, ankle.. Y............... 5............... 121 \1\ 9............... 263, 264, 271 707.07............ Decubitus ulcer, heel... Y............... 5............... 121 \1\ 9............... 263, 264, 271 707.09............ Decubitus ulcer, other Y............... 5............... 121 \1\ site. 9............... 263, 264, 271 758.31............ Cri-du-chat syndrome.... N............... 19.............. 429 758.32............ Velo-cardio-facial N............... 19.............. 429 syndrome. 758.33............ Other microdeletions.... N............... 19.............. 429 758.39............ Other autosomal N............... 19.............. 429 deletions. 780.58............ Sleep related movement N............... 19.............. 432 disorder. 788.38............ Overflow incontinence... N............... 11.............. 325, 326, 327 790.95............ Elevated C-reactive N............... 23.............. 463, 464 protein (CRP). 795.03............ Papanicolaou smear of N............... 13.............. 358, 359, 369 cervix with low grade squamous intraepithelial lesion (LGSIL). 795.04............ Papanicolaou smear of N............... 13.............. 358, 359, 369 cervix with high grade squamous intraepithelial lesion (HGSIL). 795.05............ Cervical high risk human N............... 13.............. 358, 359, 369 papillomavirus (HPV) DNA test positive. 795.08............ Nonspecific abnormal N............... 13.............. 358, 359, 369 papanicolaou smear of cervix, unsatisfactory smear. 796.6............. Nonspecific abnormal N............... 23.............. 463, 464 findings on neonatal screening. V01.71............ Contact or exposure to N............... 23.............. 467 varicella. V01.79............ Contact or exposure to N............... 23.............. 467 other viral diseases. V01.83............ Contact or exposure to N............... 23.............. 467 escherichia coli (E. coli). V01.84............ Contact or exposure to N............... 23.............. 467 meningococcus. V46.11............ Dependence on Y............... 23.............. 467 respirator, status. V46.12............ Encounter for respirator Y............... 23.............. 467 dependence during power failure. V49.83............ Awaiting organ Y............... 23.............. 467 transplant status. V58.44............ Aftercare following N............... 23.............. 465-466 organ transplant. V58.66............ Longterm (current) use N............... 23.............. 465-466 of aspirin. V58.67............ Longterm (current) use N............... 23.............. 465-466 of insulin. V69.4............. Lack of adequate sleep.. N............... 23.............. 467 V72.31............ Routine gynecological N............... 23.............. 467 examination. V72.32............ Encounter for N............... 23.............. 467 Papanicolaou cervical smear to confirm findings of recent normal smear following initial abnormal smear. V72.40............ Pregnancy examination or N............... 23.............. 467 test, pregnancy unconfirmed. V72.41............ Pregnancy examination or N............... 23.............. 467 test, negative result. V84.01............ Genetic susceptibility N............... 23.............. 467 to malignant neoplasm of breast. V84.02............ Genetic susceptibility N............... 23.............. 467 to malignant neoplasm of ovary. V84.03............ Genetic susceptibility N............... 23.............. 467 to malignant neoplasm of prostate. [[Page 35976]] V84.04............ Genetic susceptibility N............... 23.............. 467 to malignant neoplasm of endometrium. V84.09............ Genetic susceptibility N............... 23.............. 467 to other malignant neoplasm. V84.8............. Genetic susceptibility N............... 23.............. 467 to other disease. ---------------------------------------------------------------------------------------------------------------- \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 N...................... .......... ................. venous bypass graft [conduit] with pharmaceutical substance. 00.17................... Infusion of vasopressor agent. N...................... .......... ................. 00.21................... Intravascular imaging of N...................... .......... ................. extracranial cerebral vessels. 00.22................... Intravascular imaging of N...................... .......... ................. intrathoracic vessels. 00.23................... Intravascular imaging of N...................... .......... ................. peripheral vessels. 00.24................... Intravascular imaging of N...................... .......... ................. coronary vessels. 00.25................... Intravascular imaging of renal N...................... .......... ................. vessels. 00.28................... Intravascular imaging, other N...................... .......... ................. specified vessels(s). 00.29................... Intravascular imaging, N...................... .......... ................. unspecified vessels(s). 00.31................... Computer assisted surgery with N...................... .......... ................. CT/CTA. 00.32................... Computer assisted surgery with N...................... .......... ................. MR/MRA. 00.33................... Computer assisted surgery with N...................... .......... ................. fluoroscopy. 00.34................... Imageless computer assisted N...................... .......... ................. surgery. 00.35................... Computer assisted surgery with N...................... .......... ................. multiple datasets. 00.39................... Other computer assisted N...................... .......... ................. surgery. 00.61................... Percutaneous angioplasty or Y...................... 1 533, 534 atherectomy precerebral 5 478, 479 (extracranial) vessel(s). 21 442, 443 24 486 00.62................... Percutaneous angioplasty or Y...................... 1 533, 534 atherectomy of intracranial 5 478, 479 vessel(s). 21 442, 443 24 486 00.63................... Percutaneous insertion of N...................... .......... ................. carotid artery stent(s). 00.64................... Percutaneous insertion of N...................... .......... ................. other precerebral (extracranial) artery stent(s). 00.65................... Percutaneous insertion of N...................... .......... ................. intracranial vascular stent(s). 00.91................... Transplant from live related N...................... .......... ................. donor. 00.92................... Transplant from live N...................... .......... ................. nonrelated donor. 00.93................... Transplant from cadaver....... N...................... .......... ................. 27.64................... Insertion of palatal implant.. N...................... .......... ................. 37.68................... Insertion of percutaneous Y...................... 5 104, 105 external heart assist device. 37.90................... Insertion of left atrial N*..................... 5 518 appendage. 44.38................... Laparoscopic gastroenterostomy Y...................... 5 120 6 154, 155, 156 7 201 10 288 17 406, 407, 539, 540 44.67................... Laparoscopic procedures for Y...................... 6 154, 155, 156 creation of esophagogastric 21 442, 443 sphincteric competene. 24 486 44.68................... Laparoscopic gastroplasty..... Y...................... 6 154, 155, 156 10 288 21 442, 443 24 486 44.95................... Laparoscopic gastric Y...................... 10 288 restrictive procedure. 44.96................... Laparoscopic revision of Y...................... 10 288 gastric. 44.97................... Laparoscopic removal of Y...................... 10 288 gastric restrictive device(s). 44.98................... (Laparoscopic) adjustment of Y...................... 10 288 size of adjustable gastric restrictive device. 81.65................... Vertebroplasty................ Y...................... 8 233, 234 21 442, 443 24 486 [[Page 35977]] 81.66................... Kyphoplasty................... Y...................... 8 233, 234 21 442, 443 24 486 84.53................... Implantation of internal limb N...................... .......... ................. lenthening device with kinetic distraction. 84.54................... Implantation of other internal N...................... .......... ................. limb lengthening device. 84.55................... Insertion of bone void filler. N...................... .......... ................. 84.59................... Insertion of other spinal Y...................... 1 531, 532 devices. 8 499, 500 21 442, 443 24 486 84.60................... Insertion of spinal disc Y...................... 1 531, 532 prosthesis, not ohterwise 8 499, 500 specified. 21 442, 443 24 486 84.61................... Insertion of partial spinal Y...................... 1 531, 532 disc prosthesis, cervical. 8 499, 500 21 442, 443 24 486 84.62................... Insertion of total spinal disc Y...................... 1 531, 532 prosthesis, cervical. 8 499, 500 21 442, 443 24 486 84.63................... Insertion of spinal disc Y...................... 1 531, 532 prosthesis, thoracic. 8 499, 500 21 442, 443 24 486 84.64................... Insertion of partial spinal Y...................... 1 531, 532 disc prosthesis, lumbosacral. 8 499, 500 21 442, 443 24 4861 84.65................... Insertion of total spinal disc Y...................... 1 531, 532 prosthesis, lumbosacral. 8 499, 500 21 442, 443 24 486 84.66................... Revision or replacement of Y...................... 1 531, 532 artificial spinal disc 8 499, 500 prosthesis, cervical. 21 442, 443 24 486 84.67................... Revision or replacement of Y...................... 1 531, 532 artificial spinal disc 8 499, 500 prosthesis, thoracic. 21 442, 443 24 486 84.68................... Revision or replacement of Y...................... 1 531, 532 artifical spinal disc 8 499, 500 prosthesis, lumbosacral. 21 442, 443 24 486 84.69................... Revision or replacement of Y...................... 1 531, 532 artificial spinal disc 8 499, 500 prosthesis, not otherwise 21 442, 443 specified. 24 486 86.94................... Insertion or replacement of Y...................... 1 7, 8 single array neurostimulator pulse generator. 86.95................... Insertion or replacement of Y...................... 1 7, 8 dual array neurostimulator pulse generator. 86.96................... Insertion or replacement of Y...................... 1 7, 8 other neurostimulator pulse generator. 89.49................... Automatic implantable N...................... .......... ................. cardioverter/defibrillator (AICD) check. 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: ---------------------------------------------------------------------------------------------------------------- Diagnosis code Description CC MDC DRG ---------------------------------------------------------------------------------------------------------------- 250.63............... Diabetes with neurological Y................... PRE 1.............. 512, 513 18, 19 manifestations, type I [juvenile type],uncontrolled. ---------------------------------------------------------------------------------------------------------------- [[Page 35978]] 12. On pages 28768 through 28770, Table 9B.--Hospital Reclassifications and Redesignations by Individual Hospital under Section 508 of Pub. L. 108-173--FY 2004, is Corrected to read as follows: Table 9B.--Hospital Reclassifications and Redesignations by Individual Hospital Under Section 508 of Public Law 108-173--FY 2004 -------------------------------------------------------------------------------------------------------------------------------------------------------- Wage index MSA Wage index CBSA Provider No. Actual MSA or 508 Actual CBSA 508 Nearest county Own wage index rural area reclassification or rural area reclassification -------------------------------------------------------------------------------------------------------------------------------------------------------- 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................... [[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 -------------------------------------------------------------------------------------------------------------------------------------------------------- (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