"TABLE 10. PROPOSED NEW TECHNOLOGY ADD-ON PAYMENTS THRESHOLDS1,2 FOR APPLICATIONS FOR FY 2015"		
MS?DRG	Number of Cases	Threshold
1	"1,530"	"$519,973 "
2	339	"$324,206 "
3	"17,970"	"$336,645 "
4	"19,207"	"$203,608 "
5	"1,020"	"$226,526 "
6	333	"$133,736 "
7	577	"$229,352 "
8	466	"$137,919 "
10	83	"$111,141 "
11	"1,640"	"$105,210 "
12	"1,890"	"$78,417 "
13	870	"$56,438 "
14	587	"$206,873 "
16	"1,535"	"$136,873 "
17	229	"$96,293 "
20	"1,205"	"$215,349 "
21	470	"$152,140 "
22	120	"$110,118 "
23	"5,195"	"$119,167 "
24	"1,735"	"$91,177 "
25	"15,308"	"$101,251 "
26	"9,582"	"$75,889 "
27	"10,967"	"$63,247 "
28	"2,042"	"$111,803 "
29	"3,863"	"$70,225 "
30	"3,251"	"$45,978 "
31	"1,127"	"$82,738 "
32	"2,503"	"$53,558 "
33	"2,927"	"$47,506 "
34	831	"$86,034 "
35	"2,358"	"$61,889 "
36	"5,343"	"$53,544 "
37	"4,752"	"$75,971 "
38	"12,556"	"$49,496 "
39	"35,214"	"$38,427 "
40	"4,797"	"$82,041 "
41	"6,620"	"$55,184 "
42	"2,596"	"$50,125 "
52	"1,190"	"$40,374 "
53	429	"$32,902 "
54	"10,631"	"$39,058 "
55	"8,873"	"$35,133 "
56	"9,527"	"$41,885 "
57	"33,947"	"$30,728 "
58	886	"$41,901 "
59	"3,325"	"$33,667 "
60	"3,303"	"$27,335 "
61	"3,638"	"$75,565 "
62	"5,691"	"$60,784 "
63	"1,802"	"$54,271 "
64	"69,249"	"$46,238 "
65	"108,830"	"$37,556 "
66	"60,177"	"$29,670 "
67	"1,214"	"$43,581 "
68	"7,537"	"$34,341 "
69	"83,201"	"$27,690 "
70	"13,416"	"$43,682 "
71	"15,658"	"$33,687 "
72	"5,290"	"$26,509 "
73	"9,054"	"$37,242 "
74	"27,570"	"$30,895 "
75	"1,543"	"$47,339 "
76	678	"$32,513 "
77	"1,829"	"$45,619 "
78	"2,903"	"$34,376 "
79	886	"$27,365 "
80	"1,639"	"$36,680 "
81	"5,256"	"$26,385 "
82	"2,981"	"$46,789 "
83	"2,691"	"$39,066 "
84	"2,499"	"$31,872 "
85	"9,679"	"$47,968 "
86	"16,501"	"$35,982 "
87	"13,463"	"$26,858 "
88	910	"$43,272 "
89	"2,764"	"$34,793 "
90	"1,948"	"$28,003 "
91	"10,745"	"$41,910 "
92	"19,526"	"$31,007 "
93	"10,594"	"$25,069 "
94	"1,338"	"$77,122 "
95	"1,104"	"$58,987 "
96	488	"$54,144 "
97	"1,382"	"$73,712 "
98	"1,079"	"$49,828 "
99	487	"$39,882 "
100	"22,761"	"$41,177 "
101	"52,600"	"$27,499 "
102	"1,473"	"$34,977 "
103	"12,563"	"$26,186 "
113	635	"$51,998 "
114	339	"$36,898 "
115	792	"$39,767 "
116	423	"$42,313 "
117	308	"$29,902 "
121	771	"$32,557 "
122	396	"$19,735 "
123	"2,907"	"$28,073 "
124	870	"$35,865 "
125	"4,194"	"$24,303 "
129	"1,544"	"$59,222 "
130	"1,020"	"$43,993 "
131	"1,197"	"$59,224 "
132	676	"$42,505 "
133	"2,288"	"$47,785 "
134	"2,021"	"$34,653 "
135	400	"$54,691 "
136	241	"$36,266 "
137	973	"$39,893 "
138	684	"$29,734 "
139	846	"$33,251 "
146	699	"$47,305 "
147	"1,206"	"$36,291 "
148	391	"$26,931 "
149	"26,969"	"$24,147 "
150	"1,294"	"$35,578 "
151	"5,237"	"$20,527 "
152	"2,180"	"$32,305 "
153	"9,800"	"$22,693 "
154	"2,569"	"$39,411 "
155	"5,847"	"$30,138 "
156	"2,789"	"$21,985 "
157	"1,615"	"$40,706 "
158	"3,613"	"$28,984 "
159	"1,338"	"$21,792 "
163	"12,420"	"$113,261 "
164	"17,620"	"$69,391 "
165	"10,018"	"$53,881 "
166	"20,089"	"$81,890 "
167	"15,257"	"$55,002 "
168	"3,371"	"$42,514 "
175	"17,622"	"$45,120 "
176	"40,367"	"$34,159 "
177	"69,845"	"$49,589 "
178	"56,237"	"$39,662 "
179	"12,949"	"$31,745 "
180	"20,313"	"$46,929 "
181	"20,740"	"$37,420 "
182	"2,099"	"$30,417 "
183	"3,048"	"$42,188 "
184	"6,826"	"$34,666 "
185	"2,124"	"$24,700 "
186	"10,511"	"$43,385 "
187	"9,803"	"$35,583 "
188	"2,698"	"$26,718 "
189	"102,345"	"$37,367 "
190	"142,223"	"$36,480 "
191	"137,743"	"$31,337 "
192	"99,144"	"$24,219 "
193	"130,732"	"$41,517 "
194	"180,260"	"$32,808 "
195	"72,393"	"$24,023 "
196	"7,466"	"$44,058 "
197	"5,425"	"$34,957 "
198	"2,151"	"$28,117 "
199	"4,024"	"$47,542 "
200	"8,049"	"$32,874 "
201	"2,806"	"$23,657 "
202	"36,821"	"$29,135 "
203	"21,748"	"$21,700 "
204	"18,461"	"$25,110 "
205	"7,868"	"$38,534 "
206	"17,218"	"$27,845 "
207	"30,442"	"$119,073 "
208	"69,848"	"$59,642 "
215	248	"$285,454 "
216	"10,749"	"$216,530 "
217	"6,124"	"$154,524 "
218	"1,018"	"$138,220 "
219	"17,240"	"$179,547 "
220	"20,699"	"$132,065 "
221	"4,791"	"$118,762 "
222	"1,764"	"$201,821 "
223	"1,925"	"$152,147 "
224	"2,394"	"$181,917 "
225	"2,989"	"$144,200 "
226	"5,053"	"$155,516 "
227	"17,339"	"$126,852 "
228	"1,782"	"$171,874 "
229	"2,025"	"$120,622 "
230	548	"$102,565 "
231	"1,197"	"$208,143 "
232	"1,000"	"$157,547 "
233	"12,875"	"$179,665 "
234	"20,691"	"$132,142 "
235	"8,113"	"$139,733 "
236	"19,826"	"$104,590 "
237	"19,830"	"$117,758 "
238	"36,970"	"$82,916 "
239	"9,536"	"$89,768 "
240	"9,324"	"$58,807 "
241	"1,185"	"$41,009 "
242	"17,563"	"$87,720 "
243	"31,894"	"$70,055 "
244	"28,039"	"$60,136 "
245	"2,091"	"$109,143 "
246	"30,823"	"$91,348 "
247	"103,952"	"$68,858 "
248	"12,956"	"$85,742 "
249	"29,730"	"$64,326 "
250	"9,379"	"$83,025 "
251	"28,852"	"$66,496 "
252	"36,563"	"$73,203 "
253	"44,001"	"$66,046 "
254	"23,649"	"$51,227 "
255	"2,284"	"$57,272 "
256	"2,959"	"$43,014 "
257	310	"$28,832 "
258	656	"$70,005 "
259	"2,740"	"$54,527 "
260	"1,854"	"$81,697 "
261	"3,462"	"$48,134 "
262	"1,671"	"$41,834 "
263	410	"$45,881 "
264	"18,643"	"$59,782 "
265	"1,093"	"$63,786 "
280	"66,915"	"$46,053 "
281	"47,280"	"$36,436 "
282	"29,097"	"$30,167 "
283	"10,932"	"$43,359 "
284	"2,470"	"$28,467 "
285	909	"$20,184 "
286	"27,567"	"$59,242 "
287	"109,408"	"$42,609 "
288	"2,044"	"$61,301 "
289	979	"$46,194 "
290	184	"$36,819 "
291	"184,497"	"$40,728 "
292	"205,016"	"$31,736 "
293	"79,660"	"$22,300 "
294	812	"$29,838 "
295	238	"$19,325 "
296	"2,379"	"$39,487 "
297	606	"$24,022 "
298	321	"$16,588 "
299	"20,503"	"$37,996 "
300	"44,391"	"$30,242 "
301	"22,982"	"$21,079 "
302	"5,758"	"$32,809 "
303	"32,827"	"$22,053 "
304	"2,924"	"$34,337 "
305	"32,817"	"$22,993 "
306	"3,316"	"$36,585 "
307	"5,184"	"$26,570 "
308	"67,742"	"$36,497 "
309	"107,342"	"$27,194 "
310	"111,774"	"$19,693 "
311	"10,534"	"$21,058 "
312	"124,035"	"$26,448 "
313	"107,420"	"$22,882 "
314	"53,261"	"$44,982 "
315	"25,725"	"$31,989 "
316	"7,634"	"$23,082 "
326	"10,746"	"$117,361 "
327	"10,206"	"$67,566 "
328	"9,839"	"$46,492 "
329	"42,131"	"$110,993 "
330	"55,444"	"$67,100 "
331	"24,518"	"$50,269 "
332	"1,429"	"$104,517 "
333	"4,405"	"$64,473 "
334	"3,030"	"$47,785 "
335	"7,074"	"$95,763 "
336	"13,099"	"$62,890 "
337	"7,238"	"$48,079 "
338	"1,265"	"$79,021 "
339	"3,037"	"$53,888 "
340	"2,908"	"$42,864 "
341	925	"$61,949 "
342	"2,814"	"$45,672 "
343	"5,618"	"$36,638 "
344	957	"$78,360 "
345	"3,338"	"$47,956 "
346	"2,557"	"$39,835 "
347	"1,561"	"$59,225 "
348	"4,263"	"$41,266 "
349	"3,022"	"$31,213 "
350	"1,717"	"$61,873 "
351	"4,180"	"$44,083 "
352	"4,884"	"$33,333 "
353	"3,600"	"$69,147 "
354	"9,568"	"$48,476 "
355	"10,181"	"$39,375 "
356	"7,478"	"$84,385 "
357	"7,240"	"$57,123 "
358	"1,812"	"$44,752 "
368	"3,518"	"$48,467 "
369	"5,339"	"$36,222 "
370	"1,430"	"$27,306 "
371	"23,355"	"$45,977 "
372	"36,893"	"$35,395 "
373	"11,106"	"$26,861 "
374	"8,563"	"$50,489 "
375	"16,322"	"$37,916 "
376	"1,831"	"$32,429 "
377	"55,331"	"$45,495 "
378	"141,847"	"$33,456 "
379	"36,411"	"$24,139 "
380	"2,948"	"$49,201 "
381	"5,887"	"$37,254 "
382	"2,024"	"$28,876 "
383	"1,135"	"$43,505 "
384	"6,223"	"$32,305 "
385	"2,204"	"$47,336 "
386	"8,764"	"$34,490 "
387	"3,978"	"$27,267 "
388	"18,732"	"$43,019 "
389	"54,426"	"$30,719 "
390	"38,836"	"$22,122 "
391	"48,886"	"$36,584 "
392	"218,489"	"$27,234 "
393	"22,966"	"$43,099 "
394	"47,424"	"$33,151 "
395	"17,591"	"$24,655 "
405	"4,365"	"$114,524 "
406	"5,035"	"$70,771 "
407	"1,972"	"$55,044 "
408	"1,063"	"$94,198 "
409	"1,024"	"$63,316 "
410	328	"$47,917 "
411	499	"$92,035 "
412	526	"$67,533 "
413	332	"$54,879 "
414	"3,665"	"$85,500 "
415	"4,722"	"$57,981 "
416	"3,052"	"$43,404 "
417	"17,426"	"$68,298 "
418	"26,554"	"$53,310 "
419	"23,693"	"$43,795 "
420	599	"$83,373 "
421	772	"$50,631 "
422	175	"$43,168 "
423	"1,377"	"$90,626 "
424	711	"$61,365 "
425	90	"$49,291 "
432	"11,856"	"$44,437 "
433	"7,456"	"$32,528 "
434	260	"$22,735 "
435	"12,413"	"$47,289 "
436	"10,915"	"$37,209 "
437	"1,651"	"$33,604 "
438	"14,953"	"$44,925 "
439	"27,996"	"$33,272 "
440	"19,512"	"$24,660 "
441	"19,608"	"$44,987 "
442	"20,895"	"$31,548 "
443	"4,487"	"$23,244 "
444	"12,525"	"$44,711 "
445	"18,518"	"$36,186 "
446	"10,148"	"$29,027 "
453	"1,455"	"$242,073 "
454	"3,816"	"$168,634 "
455	"3,261"	"$137,426 "
456	"1,365"	"$199,261 "
457	"3,653"	"$142,695 "
458	"1,750"	"$110,026 "
459	"4,442"	"$138,137 "
460	"69,780"	"$91,740 "
461	511	"$114,711 "
462	"9,348"	"$85,290 "
463	"4,789"	"$91,689 "
464	"8,535"	"$67,024 "
465	"2,264"	"$50,400 "
466	"4,162"	"$108,029 "
467	"23,092"	"$80,774 "
468	"16,373"	"$67,464 "
469	"27,850"	"$79,671 "
470	"420,639"	"$58,753 "
471	"3,336"	"$111,061 "
472	"10,785"	"$73,000 "
473	"28,352"	"$60,980 "
474	"3,054"	"$74,284 "
475	"3,789"	"$50,597 "
476	"1,116"	"$34,937 "
477	"2,637"	"$78,156 "
478	"7,145"	"$62,029 "
479	"3,010"	"$52,580 "
480	"25,700"	"$75,058 "
481	"80,712"	"$56,189 "
482	"26,473"	"$49,251 "
483	"14,078"	"$68,742 "
484	"22,198"	"$60,745 "
485	"1,219"	"$77,764 "
486	"2,690"	"$57,225 "
487	"1,077"	"$46,964 "
488	"3,401"	"$48,588 "
489	"4,047"	"$40,824 "
490	"18,710"	"$52,139 "
491	"32,663"	"$37,868 "
492	"5,712"	"$77,133 "
493	"20,561"	"$55,969 "
494	"20,373"	"$46,108 "
495	"1,812"	"$67,045 "
496	"5,084"	"$48,636 "
497	"4,272"	"$38,977 "
498	"1,339"	"$55,499 "
499	621	"$32,852 "
500	"2,007"	"$66,747 "
501	"5,207"	"$45,475 "
502	"4,140"	"$37,248 "
503	"1,026"	"$56,587 "
504	"3,060"	"$46,294 "
505	"1,954"	"$39,141 "
506	582	"$38,505 "
507	617	"$51,546 "
508	588	"$41,028 "
509	202	"$43,257 "
510	"1,052"	"$61,152 "
511	"3,885"	"$49,052 "
512	"5,288"	"$41,232 "
513	"1,414"	"$42,660 "
514	835	"$30,694 "
515	"3,849"	"$77,796 "
516	"9,677"	"$57,114 "
517	"7,002"	"$49,491 "
533	858	"$37,362 "
534	"3,176"	"$22,860 "
535	"7,590"	"$36,692 "
536	"29,276"	"$22,645 "
537	774	"$28,933 "
538	448	"$23,259 "
539	"2,728"	"$43,970 "
540	"3,765"	"$37,314 "
541	976	"$30,572 "
542	"5,155"	"$47,137 "
543	"13,768"	"$35,611 "
544	"4,130"	"$25,383 "
545	"3,713"	"$50,532 "
546	"5,545"	"$34,727 "
547	"2,462"	"$27,404 "
548	500	"$44,348 "
549	"1,303"	"$34,310 "
550	470	"$26,516 "
551	"11,893"	"$43,565 "
552	"60,100"	"$29,464 "
553	"2,346"	"$35,661 "
554	"14,377"	"$23,074 "
555	"3,277"	"$35,907 "
556	"15,681"	"$24,850 "
557	"4,235"	"$41,416 "
558	"16,250"	"$27,993 "
559	"2,040"	"$42,455 "
560	"5,042"	"$31,757 "
561	"3,851"	"$21,005 "
562	"5,917"	"$37,900 "
563	"27,575"	"$24,498 "
564	"1,982"	"$39,780 "
565	"4,077"	"$30,680 "
566	"1,238"	"$23,159 "
570	"4,293"	"$50,722 "
571	"5,121"	"$40,234 "
572	"2,280"	"$32,492 "
573	"2,583"	"$64,202 "
574	"1,236"	"$56,792 "
575	485	"$40,408 "
576	457	"$85,673 "
577	"1,733"	"$51,563 "
578	"1,799"	"$40,178 "
579	"5,765"	"$57,703 "
580	"9,781"	"$44,232 "
581	"8,008"	"$37,120 "
582	"3,387"	"$39,712 "
583	"4,906"	"$35,134 "
584	757	"$47,080 "
585	"1,176"	"$41,191 "
592	"6,212"	"$35,846 "
593	"5,850"	"$29,955 "
594	769	"$20,656 "
595	"1,230"	"$43,530 "
596	"4,374"	"$28,888 "
597	708	"$44,169 "
598	"1,517"	"$33,902 "
599	127	"$24,347 "
600	"1,174"	"$31,451 "
601	706	"$20,893 "
602	"26,861"	"$38,614 "
603	"141,997"	"$25,766 "
604	"2,830"	"$38,383 "
605	"16,114"	"$26,162 "
606	"1,652"	"$35,344 "
607	"6,814"	"$22,411 "
614	"1,591"	"$65,974 "
615	"1,329"	"$49,069 "
616	"1,631"	"$83,652 "
617	"8,606"	"$51,315 "
618	106	"$39,353 "
619	800	"$82,568 "
620	"2,962"	"$57,489 "
621	"9,037"	"$50,203 "
622	"1,005"	"$66,069 "
623	"2,765"	"$44,879 "
624	195	"$31,951 "
625	"1,150"	"$59,741 "
626	"2,455"	"$42,398 "
627	"7,596"	"$31,807 "
628	"3,668"	"$74,096 "
629	"5,172"	"$53,641 "
630	324	"$42,938 "
637	"21,513"	"$38,617 "
638	"52,585"	"$27,107 "
639	"18,907"	"$19,605 "
640	"61,469"	"$33,347 "
641	"135,438"	"$23,484 "
642	"1,724"	"$32,757 "
643	"7,031"	"$43,735 "
644	"13,267"	"$33,629 "
645	"5,803"	"$24,481 "
652	"9,950"	"$88,307 "
653	"1,713"	"$125,714 "
654	"3,740"	"$78,951 "
655	"1,332"	"$60,341 "
656	"3,443"	"$85,540 "
657	"8,354"	"$58,785 "
658	"6,860"	"$49,210 "
659	"4,187"	"$74,660 "
660	"8,697"	"$52,410 "
661	"3,871"	"$45,188 "
662	736	"$67,660 "
663	"1,649"	"$44,658 "
664	"1,651"	"$38,522 "
665	559	"$73,520 "
666	"1,655"	"$48,146 "
667	"1,430"	"$31,466 "
668	"3,572"	"$63,823 "
669	"15,112"	"$41,867 "
670	"5,615"	"$29,801 "
671	762	"$44,806 "
672	488	"$31,218 "
673	"10,783"	"$69,147 "
674	"7,907"	"$58,240 "
675	"1,541"	"$43,851 "
682	"108,144"	"$40,521 "
683	"156,110"	"$31,605 "
684	"28,269"	"$21,275 "
685	"2,611"	"$28,193 "
686	"1,324"	"$45,263 "
687	"2,948"	"$34,294 "
688	415	"$26,590 "
689	"74,091"	"$34,822 "
690	"196,288"	"$25,657 "
691	990	"$46,996 "
692	241	"$37,167 "
693	"2,262"	"$42,343 "
694	"17,582"	"$27,040 "
695	"1,518"	"$36,107 "
696	"9,889"	"$21,877 "
697	547	"$28,911 "
698	"31,342"	"$40,272 "
699	"31,781"	"$31,863 "
700	"6,714"	"$23,586 "
707	"4,516"	"$54,922 "
708	"14,755"	"$46,591 "
709	700	"$51,120 "
710	770	"$40,017 "
711	625	"$52,207 "
712	272	"$33,161 "
713	"6,582"	"$40,764 "
714	"9,018"	"$25,631 "
715	424	"$57,311 "
716	232	"$37,623 "
717	772	"$46,285 "
718	318	"$30,802 "
722	499	"$42,763 "
723	"1,444"	"$34,044 "
724	184	"$20,965 "
725	636	"$36,985 "
726	"3,707"	"$24,110 "
727	"1,635"	"$39,008 "
728	"5,927"	"$26,241 "
729	813	"$33,358 "
730	259	"$21,594 "
734	"1,374"	"$63,499 "
735	"1,026"	"$42,208 "
736	801	"$99,981 "
737	"2,953"	"$58,036 "
738	634	"$43,965 "
739	805	"$77,278 "
740	"3,843"	"$49,588 "
741	"4,205"	"$41,538 "
742	"8,694"	"$45,798 "
743	"18,805"	"$35,504 "
744	"1,591"	"$42,815 "
745	771	"$31,919 "
746	"1,997"	"$41,391 "
747	"3,689"	"$30,913 "
748	"8,135"	"$34,724 "
749	"1,078"	"$61,906 "
750	303	"$37,824 "
754	"1,241"	"$46,324 "
755	"3,207"	"$34,278 "
756	311	"$23,052 "
757	"1,398"	"$41,662 "
758	"2,100"	"$34,294 "
759	880	"$23,995 "
760	"2,050"	"$27,204 "
761	818	"$17,905 "
765	"3,908"	"$30,889 "
766	"2,813"	"$21,961 "
767	77	"$26,940 "
768	12	"$30,159 "
769	106	"$53,320 "
770	139	"$25,358 "
774	"1,987"	"$17,631 "
775	"6,408"	"$13,536 "
776	672	"$22,895 "
777	220	"$34,017 "
778	483	"$13,521 "
779	78	"$14,404 "
780	39	"$6,180 "
781	"3,335"	"$20,865 "
782	168	"$12,355 "
799	467	"$113,548 "
800	537	"$66,672 "
801	322	"$49,297 "
802	837	"$72,768 "
803	"1,027"	"$52,000 "
804	570	"$39,986 "
808	"8,317"	"$51,588 "
809	"19,337"	"$35,869 "
810	"3,168"	"$27,773 "
811	"32,474"	"$35,787 "
812	"91,092"	"$26,364 "
813	"9,464"	"$39,568 "
814	"1,508"	"$43,210 "
815	"3,190"	"$33,524 "
816	"1,227"	"$24,767 "
820	"1,178"	"$128,929 "
821	"1,678"	"$61,433 "
822	"1,426"	"$42,296 "
823	"1,758"	"$98,766 "
824	"2,617"	"$60,245 "
825	"1,027"	"$42,908 "
826	602	"$108,448 "
827	"1,381"	"$60,858 "
828	850	"$44,720 "
829	"1,207"	"$69,486 "
830	322	"$41,283 "
834	"3,712"	"$88,852 "
835	"2,735"	"$44,824 "
836	941	"$32,351 "
837	"1,695"	"$110,535 "
838	"1,311"	"$58,725 "
839	"1,168"	"$36,941 "
840	"7,534"	"$63,288 "
841	"9,079"	"$43,587 "
842	"2,761"	"$34,716 "
843	"1,725"	"$45,963 "
844	"2,690"	"$36,947 "
845	520	"$28,313 "
846	"2,630"	"$54,657 "
847	"18,621"	"$36,287 "
848	841	"$30,391 "
849	783	"$43,038 "
853	"48,046"	"$109,009 "
854	"10,220"	"$63,413 "
855	306	"$46,475 "
856	"5,861"	"$89,812 "
857	"9,311"	"$50,592 "
858	"1,906"	"$39,877 "
862	"9,726"	"$45,941 "
863	"19,429"	"$31,206 "
864	"17,697"	"$29,236 "
865	"2,433"	"$42,556 "
866	"6,388"	"$27,108 "
867	"4,866"	"$55,447 "
868	"2,249"	"$33,077 "
869	570	"$25,355 "
870	"29,896"	"$131,024 "
871	"344,612"	"$47,304 "
872	"121,797"	"$34,642 "
876	606	"$59,232 "
880	"7,124"	"$23,122 "
881	"4,946"	"$16,515 "
882	"1,795"	"$18,332 "
883	870	"$27,607 "
884	"18,836"	"$28,986 "
885	"97,844"	"$23,247 "
886	508	"$21,857 "
887	477	"$30,216 "
894	"4,841"	"$12,735 "
895	"5,802"	"$25,419 "
896	"7,830"	"$38,895 "
897	"37,019"	"$20,129 "
901	741	"$74,777 "
902	"1,689"	"$43,898 "
903	729	"$33,914 "
904	"2,009"	"$65,333 "
905	760	"$38,499 "
906	720	"$37,018 "
907	"8,891"	"$80,569 "
908	"9,171"	"$50,708 "
909	"4,341"	"$38,603 "
913	905	"$36,386 "
914	"4,862"	"$25,729 "
915	"1,888"	"$39,916 "
916	"5,934"	"$16,872 "
917	"26,816"	"$39,524 "
918	"34,857"	"$21,735 "
919	"11,467"	"$42,611 "
920	"15,015"	"$32,272 "
921	"5,854"	"$22,461 "
922	"1,175"	"$40,550 "
923	"2,624"	"$22,680 "
927	163	"$291,793 "
928	971	"$98,978 "
929	322	"$52,041 "
933	130	"$44,688 "
934	565	"$35,037 "
935	"2,119"	"$31,892 "
939	783	"$67,787 "
940	"1,505"	"$47,454 "
941	"1,015"	"$40,187 "
945	"4,921"	"$28,254 "
946	"1,773"	"$24,630 "
947	"13,782"	"$34,537 "
948	"51,990"	"$24,152 "
949	483	"$29,843 "
950	205	"$18,695 "
951	967	"$25,252 "
955	454	"$123,707 "
956	"4,668"	"$81,117 "
957	"1,789"	"$149,491 "
958	"1,253"	"$93,942 "
959	167	"$67,689 "
963	"2,063"	"$64,907 "
964	"3,157"	"$42,297 "
965	847	"$34,075 "
969	540	"$109,970 "
970	65	"$56,631 "
974	"5,052"	"$58,101 "
975	"3,403"	"$38,830 "
976	"1,066"	"$30,163 "
977	"2,609"	"$34,459 "
981	"23,407"	"$103,323 "
982	"16,531"	"$69,620 "
983	"3,812"	"$49,797 "
984	443	"$77,540 "
985	829	"$51,204 "
986	413	"$35,864 "
987	"7,398"	"$71,477 "
988	"8,748"	"$48,806 "
989	"2,873"	"$36,638 "
1Geometric mean plus the lesser of .75 of the national adjusted operating standardized payment amount (increased to reflect the difference between costs and charges) or .75 of one standard deviation of mean charges by medicare severity diagnosis related group (ms drg)		
2Cases taken from the FY 2012 MedPAR file; MS-DRGs are from GROUPER Version31.0.		
		
