[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]]

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Part V





Department of Health and Human Services





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Centers for Medicare & Medicaid Services



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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]]


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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.

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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