"TABLE 10. NEW TECHNOLOGY ADD-ON PAYMENTS THRESHOLDS1,2 FOR APPLICATIONS FOR FY 2016"		
MS?DRG	Number of Cases	Threshold
1	"1,586"	"$548,931 "
2	350	"$349,607 "
3	"17,786"	"$349,959 "
4	"19,330"	"$212,072 "
5	"1,039"	"$234,250 "
6	335	"$137,999 "
7	559	"$247,042 "
8	485	"$152,522 "
10	76	"$117,665 "
11	"1,624"	"$110,639 "
12	"1,899"	"$83,740 "
13	831	"$59,490 "
14	732	"$221,958 "
16	"1,759"	"$137,451 "
17	206	"$96,428 "
20	"1,323"	"$225,567 "
21	407	"$171,103 "
22	114	"$112,668 "
23	"5,812"	"$125,076 "
24	"1,886"	"$95,710 "
25	"17,185"	"$103,961 "
26	"9,202"	"$79,687 "
27	"11,083"	"$66,101 "
28	"2,139"	"$119,272 "
29	"3,950"	"$74,558 "
30	"3,149"	"$47,287 "
31	"1,042"	"$89,426 "
32	"2,405"	"$57,294 "
33	"2,986"	"$50,449 "
34	840	"$91,460 "
35	"2,326"	"$64,669 "
36	"4,896"	"$55,253 "
37	"4,613"	"$80,751 "
38	"12,428"	"$51,550 "
39	"32,596"	"$41,014 "
40	"4,600"	"$85,832 "
41	"6,134"	"$57,001 "
42	"2,286"	"$53,316 "
52	"1,173"	"$43,920 "
53	420	"$34,486 "
54	"11,305"	"$40,575 "
55	"7,997"	"$36,666 "
56	"9,663"	"$43,554 "
57	"29,625"	"$32,805 "
58	858	"$44,486 "
59	"3,146"	"$35,697 "
60	"3,192"	"$28,970 "
61	"4,094"	"$79,199 "
62	"6,526"	"$63,635 "
63	"2,030"	"$57,558 "
64	"72,168"	"$48,026 "
65	"108,158"	"$38,955 "
66	"58,384"	"$30,958 "
67	"1,093"	"$45,075 "
68	"6,454"	"$35,221 "
69	"73,468"	"$29,452 "
70	"13,470"	"$45,122 "
71	"15,175"	"$35,135 "
72	"4,834"	"$28,493 "
73	"8,560"	"$39,495 "
74	"24,667"	"$32,455 "
75	"1,585"	"$49,104 "
76	614	"$34,296 "
77	"1,794"	"$47,474 "
78	"2,972"	"$35,996 "
79	845	"$27,425 "
80	"1,446"	"$39,059 "
81	"4,404"	"$28,410 "
82	"3,089"	"$48,620 "
83	"2,851"	"$40,520 "
84	"2,429"	"$32,940 "
85	"10,730"	"$49,594 "
86	"17,097"	"$37,695 "
87	"13,828"	"$28,429 "
88	932	"$45,155 "
89	"2,600"	"$36,750 "
90	"1,694"	"$31,018 "
91	"12,134"	"$43,909 "
92	"19,720"	"$32,668 "
93	"9,751"	"$26,935 "
94	"1,387"	"$79,359 "
95	"1,199"	"$61,866 "
96	531	"$57,433 "
97	"1,441"	"$77,740 "
98	"1,026"	"$50,525 "
99	475	"$40,689 "
100	"23,551"	"$43,076 "
101	"49,257"	"$28,932 "
102	"1,387"	"$36,405 "
103	"11,191"	"$28,491 "
113	641	"$53,486 "
114	283	"$41,810 "
115	739	"$42,053 "
116	423	"$43,815 "
117	261	"$30,857 "
121	793	"$34,240 "
122	420	"$21,534 "
123	"2,888"	"$29,241 "
124	864	"$36,172 "
125	"3,806"	"$25,337 "
129	"1,542"	"$64,644 "
130	"1,020"	"$45,675 "
131	"1,220"	"$64,989 "
132	624	"$47,206 "
133	"2,245"	"$51,411 "
134	"1,714"	"$37,564 "
135	391	"$58,152 "
136	195	"$39,839 "
137	974	"$40,914 "
138	523	"$29,833 "
139	626	"$38,215 "
146	733	"$48,511 "
147	"1,093"	"$37,822 "
148	332	"$29,779 "
149	"22,113"	"$26,053 "
150	"1,329"	"$36,827 "
151	"4,735"	"$21,860 "
152	"5,328"	"$34,122 "
153	"19,283"	"$24,043 "
154	"2,443"	"$40,605 "
155	"5,360"	"$31,858 "
156	"2,510"	"$24,371 "
157	"1,535"	"$43,285 "
158	"3,434"	"$30,389 "
159	"1,206"	"$22,025 "
163	"12,506"	"$117,513 "
164	"17,241"	"$72,216 "
165	"9,876"	"$56,899 "
166	"19,710"	"$84,704 "
167	"14,012"	"$57,360 "
168	"2,811"	"$45,389 "
175	"18,156"	"$46,439 "
176	"39,024"	"$34,865 "
177	"72,846"	"$50,760 "
178	"52,512"	"$41,201 "
179	"12,093"	"$32,877 "
180	"20,011"	"$48,704 "
181	"18,293"	"$38,635 "
182	"1,579"	"$32,158 "
183	"3,189"	"$44,873 "
184	"6,552"	"$36,407 "
185	"2,128"	"$25,276 "
186	"10,722"	"$44,748 "
187	"9,390"	"$36,919 "
188	"2,317"	"$28,226 "
189	"113,523"	"$38,778 "
190	"152,324"	"$37,910 "
191	"136,146"	"$32,734 "
192	"90,576"	"$25,451 "
193	"145,178"	"$42,914 "
194	"180,887"	"$33,913 "
195	"70,392"	"$25,114 "
196	"7,383"	"$45,704 "
197	"5,012"	"$35,913 "
198	"1,952"	"$29,950 "
199	"4,439"	"$49,598 "
200	"8,614"	"$35,196 "
201	"2,564"	"$24,560 "
202	"40,528"	"$30,823 "
203	"21,448"	"$23,058 "
204	"15,832"	"$27,181 "
205	"7,402"	"$40,485 "
206	"15,150"	"$29,451 "
207	"31,186"	"$126,357 "
208	"71,775"	"$61,925 "
215	266	"$305,014 "
216	"9,537"	"$229,490 "
217	"4,978"	"$164,519 "
218	808	"$150,307 "
219	"16,773"	"$182,986 "
220	"20,045"	"$136,429 "
221	"4,433"	"$124,719 "
222	"1,636"	"$209,901 "
223	"1,737"	"$156,363 "
224	"2,229"	"$188,652 "
225	"2,565"	"$150,777 "
226	"4,950"	"$162,647 "
227	"13,856"	"$131,576 "
228	"1,633"	"$185,699 "
229	"2,183"	"$126,631 "
230	523	"$119,147 "
231	"1,225"	"$211,693 "
232	940	"$165,889 "
233	"12,735"	"$186,925 "
234	"19,332"	"$139,320 "
235	"8,556"	"$143,490 "
236	"19,733"	"$109,349 "
237	"19,027"	"$121,759 "
238	"35,938"	"$87,585 "
239	"9,271"	"$92,498 "
240	"9,161"	"$62,548 "
241	"1,142"	"$41,985 "
242	"17,905"	"$91,356 "
243	"29,566"	"$73,074 "
244	"24,111"	"$62,675 "
245	"1,967"	"$113,327 "
246	"32,575"	"$97,749 "
247	"100,503"	"$73,617 "
248	"11,546"	"$92,184 "
249	"23,110"	"$69,325 "
250	"9,799"	"$87,467 "
251	"27,803"	"$71,488 "
252	"34,088"	"$78,389 "
253	"41,455"	"$70,010 "
254	"20,753"	"$54,180 "
255	"2,236"	"$60,583 "
256	"2,811"	"$47,368 "
257	239	"$35,380 "
258	634	"$74,007 "
259	"2,150"	"$58,127 "
260	"1,857"	"$86,739 "
261	"3,094"	"$52,690 "
262	"1,507"	"$44,880 "
263	313	"$47,350 "
264	"17,070"	"$64,527 "
265	978	"$69,545 "
266	"3,963"	"$199,346 "
267	"4,376"	"$156,582 "
280	"68,647"	"$47,656 "
281	"46,002"	"$37,482 "
282	"28,056"	"$31,904 "
283	"10,946"	"$44,908 "
284	"2,288"	"$29,565 "
285	861	"$20,814 "
286	"28,264"	"$62,278 "
287	"92,116"	"$45,306 "
288	"1,828"	"$64,078 "
289	955	"$47,849 "
290	168	"$38,697 "
291	"194,469"	"$42,327 "
292	"197,840"	"$32,690 "
293	"72,070"	"$23,406 "
294	689	"$33,144 "
295	131	"$21,729 "
296	"2,773"	"$40,699 "
297	556	"$26,890 "
298	329	"$16,657 "
299	"20,095"	"$40,072 "
300	"40,039"	"$31,878 "
301	"18,750"	"$22,213 "
302	"5,269"	"$34,430 "
303	"25,062"	"$23,404 "
304	"3,489"	"$35,576 "
305	"28,627"	"$24,521 "
306	"3,411"	"$38,384 "
307	"4,788"	"$27,443 "
308	"70,959"	"$38,124 "
309	"104,084"	"$28,341 "
310	"100,487"	"$20,613 "
311	"8,573"	"$22,003 "
312	"102,745"	"$28,506 "
313	"81,769"	"$24,598 "
314	"49,572"	"$47,223 "
315	"24,471"	"$33,449 "
316	"6,491"	"$23,904 "
326	"10,814"	"$119,454 "
327	"10,148"	"$70,896 "
328	"8,788"	"$49,387 "
329	"40,996"	"$115,088 "
330	"54,124"	"$69,872 "
331	"23,676"	"$53,142 "
332	"1,259"	"$109,403 "
333	"4,182"	"$68,442 "
334	"2,892"	"$50,244 "
335	"6,982"	"$102,417 "
336	"12,866"	"$65,821 "
337	"6,847"	"$50,343 "
338	"1,043"	"$82,752 "
339	"2,969"	"$56,823 "
340	"2,798"	"$45,830 "
341	856	"$66,051 "
342	"2,622"	"$48,322 "
343	"4,795"	"$38,863 "
344	947	"$78,407 "
345	"3,313"	"$50,432 "
346	"2,616"	"$41,008 "
347	"1,583"	"$62,687 "
348	"3,979"	"$43,747 "
349	"2,503"	"$33,887 "
350	"1,583"	"$66,210 "
351	"3,827"	"$47,116 "
352	"4,126"	"$35,700 "
353	"3,337"	"$73,599 "
354	"8,769"	"$52,073 "
355	"8,135"	"$42,967 "
356	"7,525"	"$86,956 "
357	"7,046"	"$59,258 "
358	"1,680"	"$46,866 "
368	"3,520"	"$51,034 "
369	"5,049"	"$37,690 "
370	"1,208"	"$28,232 "
371	"22,487"	"$47,173 "
372	"34,812"	"$36,448 "
373	"10,301"	"$27,864 "
374	"8,604"	"$51,823 "
375	"15,592"	"$39,700 "
376	"1,597"	"$34,336 "
377	"56,873"	"$47,803 "
378	"141,062"	"$35,089 "
379	"32,747"	"$24,925 "
380	"2,985"	"$51,370 "
381	"5,636"	"$38,373 "
382	"1,756"	"$29,507 "
383	"1,101"	"$43,913 "
384	"5,463"	"$33,925 "
385	"2,159"	"$47,562 "
386	"8,784"	"$35,684 "
387	"3,676"	"$28,668 "
388	"18,536"	"$44,674 "
389	"53,649"	"$31,713 "
390	"37,898"	"$23,248 "
391	"47,502"	"$38,367 "
392	"198,796"	"$28,608 "
393	"22,596"	"$45,233 "
394	"45,577"	"$34,331 "
395	"15,957"	"$25,639 "
405	"4,437"	"$121,081 "
406	"5,098"	"$75,679 "
407	"1,838"	"$58,490 "
408	884	"$97,591 "
409	915	"$63,970 "
410	301	"$52,672 "
411	430	"$96,215 "
412	491	"$71,535 "
413	260	"$58,077 "
414	"3,401"	"$87,500 "
415	"4,221"	"$60,721 "
416	"2,585"	"$45,724 "
417	"16,541"	"$70,985 "
418	"25,258"	"$56,307 "
419	"20,830"	"$46,482 "
420	573	"$82,264 "
421	680	"$53,310 "
422	193	"$45,433 "
423	"1,403"	"$95,140 "
424	703	"$62,179 "
425	94	"$46,122 "
432	"11,645"	"$46,394 "
433	"7,392"	"$33,632 "
434	227	"$25,320 "
435	"12,162"	"$49,569 "
436	"10,025"	"$38,838 "
437	"1,472"	"$34,842 "
438	"14,889"	"$46,573 "
439	"27,405"	"$34,469 "
440	"17,883"	"$25,746 "
441	"20,538"	"$47,144 "
442	"21,098"	"$32,674 "
443	"4,391"	"$24,726 "
444	"12,271"	"$46,692 "
445	"17,766"	"$38,230 "
446	"9,045"	"$30,823 "
453	"1,557"	"$240,813 "
454	"4,322"	"$176,069 "
455	"3,915"	"$142,208 "
456	"1,445"	"$205,266 "
457	"3,800"	"$150,472 "
458	"1,639"	"$118,054 "
459	"4,501"	"$140,718 "
460	"72,219"	"$95,474 "
461	468	"$119,505 "
462	"9,353"	"$88,310 "
463	"4,869"	"$99,349 "
464	"8,549"	"$70,902 "
465	"2,199"	"$54,474 "
466	"4,195"	"$111,561 "
467	"23,337"	"$84,406 "
468	"16,771"	"$70,889 "
469	"27,713"	"$82,190 "
470	"436,303"	"$60,924 "
471	"3,421"	"$113,456 "
472	"11,683"	"$76,154 "
473	"28,763"	"$63,904 "
474	"3,091"	"$76,208 "
475	"3,856"	"$53,406 "
476	"1,070"	"$38,562 "
477	"2,608"	"$80,039 "
478	"6,829"	"$65,186 "
479	"2,335"	"$55,453 "
480	"26,276"	"$77,024 "
481	"81,474"	"$58,839 "
482	"25,994"	"$51,373 "
483	"39,375"	"$67,259 "
485	"1,224"	"$80,189 "
486	"2,847"	"$61,191 "
487	"1,058"	"$49,205 "
488	"3,380"	"$50,906 "
489	"3,955"	"$43,975 "
492	"5,742"	"$79,904 "
493	"20,136"	"$59,587 "
494	"18,240"	"$48,979 "
495	"1,784"	"$71,853 "
496	"4,736"	"$51,764 "
497	"3,390"	"$41,655 "
498	"1,261"	"$59,131 "
499	434	"$38,782 "
500	"1,871"	"$73,394 "
501	"4,911"	"$48,185 "
502	"3,672"	"$40,114 "
503	990	"$60,704 "
504	"2,814"	"$47,647 "
505	"1,520"	"$41,199 "
506	637	"$42,155 "
507	653	"$55,612 "
508	442	"$46,818 "
509	171	"$48,721 "
510	"1,014"	"$64,102 "
511	"3,508"	"$52,881 "
512	"4,121"	"$44,782 "
513	"1,338"	"$44,850 "
514	756	"$33,376 "
515	"3,635"	"$79,315 "
516	"8,990"	"$60,281 "
517	"6,087"	"$52,869 "
518	"3,696"	"$77,121 "
519	"14,438"	"$51,724 "
520	"26,938"	"$41,795 "
533	883	"$39,599 "
534	"2,935"	"$24,323 "
535	"7,522"	"$37,532 "
536	"26,731"	"$24,028 "
537	742	"$31,701 "
538	410	"$24,419 "
539	"2,763"	"$46,002 "
540	"3,633"	"$38,348 "
541	996	"$31,041 "
542	"5,175"	"$49,496 "
543	"12,346"	"$37,012 "
544	"3,526"	"$27,683 "
545	"3,793"	"$53,931 "
546	"5,088"	"$36,258 "
547	"2,043"	"$28,062 "
548	491	"$49,430 "
549	"1,187"	"$36,358 "
550	438	"$28,927 "
551	"11,663"	"$44,495 "
552	"53,952"	"$31,779 "
553	"2,178"	"$36,986 "
554	"11,992"	"$24,206 "
555	"3,164"	"$38,602 "
556	"15,448"	"$26,828 "
557	"4,738"	"$42,367 "
558	"15,854"	"$29,917 "
559	"2,093"	"$45,408 "
560	"4,796"	"$34,032 "
561	"3,272"	"$23,060 "
562	"5,906"	"$39,878 "
563	"24,315"	"$26,545 "
564	"1,821"	"$41,903 "
565	"3,964"	"$32,486 "
566	"1,131"	"$24,617 "
570	"4,121"	"$52,442 "
571	"4,883"	"$41,900 "
572	"2,070"	"$34,188 "
573	"2,211"	"$71,003 "
574	990	"$59,399 "
575	348	"$41,896 "
576	414	"$89,337 "
577	"1,557"	"$55,559 "
578	"1,404"	"$42,360 "
579	"5,693"	"$61,697 "
580	"8,572"	"$46,851 "
581	"6,007"	"$39,795 "
582	"2,491"	"$43,638 "
583	"2,927"	"$39,138 "
584	723	"$52,303 "
585	989	"$45,148 "
592	"5,174"	"$37,336 "
593	"4,896"	"$31,321 "
594	602	"$22,148 "
595	"1,112"	"$45,373 "
596	"3,884"	"$30,325 "
597	819	"$45,715 "
598	"1,535"	"$36,609 "
599	135	"$27,170 "
600	"1,149"	"$32,909 "
601	658	"$22,098 "
602	"27,030"	"$40,047 "
603	"133,740"	"$27,025 "
604	"2,742"	"$39,595 "
605	"14,399"	"$28,566 "
606	"1,617"	"$37,000 "
607	"6,147"	"$23,848 "
614	"1,597"	"$67,960 "
615	"1,161"	"$50,634 "
616	"1,842"	"$88,412 "
617	"9,337"	"$53,853 "
618	98	"$41,933 "
619	896	"$79,819 "
620	"3,463"	"$58,211 "
621	"10,762"	"$52,149 "
622	"1,055"	"$70,042 "
623	"2,966"	"$47,670 "
624	214	"$38,009 "
625	"1,074"	"$65,637 "
626	"2,173"	"$45,761 "
627	"5,756"	"$34,319 "
628	"3,593"	"$77,083 "
629	"5,039"	"$57,969 "
630	307	"$46,020 "
637	"23,189"	"$40,404 "
638	"51,554"	"$28,450 "
639	"17,159"	"$20,897 "
640	"64,147"	"$34,664 "
641	"121,099"	"$24,798 "
642	"1,606"	"$34,924 "
643	"7,562"	"$45,064 "
644	"12,830"	"$34,850 "
645	"5,234"	"$25,872 "
652	"9,921"	"$90,995 "
653	"1,598"	"$127,132 "
654	"3,730"	"$83,608 "
655	"1,291"	"$66,669 "
656	"3,271"	"$87,080 "
657	"8,097"	"$61,498 "
658	"6,450"	"$52,358 "
659	"4,209"	"$77,878 "
660	"8,519"	"$54,996 "
661	"3,301"	"$47,429 "
662	764	"$72,761 "
663	"1,511"	"$46,840 "
664	"1,088"	"$40,876 "
665	508	"$78,221 "
666	"1,522"	"$51,291 "
667	"1,014"	"$35,282 "
668	"3,558"	"$64,893 "
669	"14,826"	"$43,833 "
670	"4,385"	"$33,485 "
671	679	"$48,136 "
672	437	"$31,998 "
673	"9,941"	"$77,806 "
674	"7,080"	"$61,615 "
675	"1,153"	"$47,385 "
682	"111,245"	"$41,754 "
683	"153,721"	"$32,506 "
684	"27,406"	"$21,978 "
685	"2,431"	"$30,977 "
686	"1,212"	"$46,622 "
687	"2,636"	"$35,697 "
688	348	"$26,815 "
689	"74,184"	"$36,056 "
690	"174,501"	"$27,236 "
691	871	"$50,185 "
692	209	"$38,764 "
693	"2,325"	"$42,913 "
694	"16,385"	"$28,409 "
695	"1,448"	"$37,310 "
696	"9,242"	"$23,108 "
697	501	"$32,254 "
698	"33,804"	"$41,854 "
699	"31,802"	"$33,585 "
700	"5,830"	"$24,814 "
707	"4,153"	"$58,183 "
708	"13,904"	"$49,488 "
709	600	"$53,660 "
710	491	"$41,138 "
711	565	"$57,162 "
712	221	"$36,913 "
713	"5,068"	"$45,480 "
714	"4,919"	"$28,871 "
715	382	"$57,697 "
716	152	"$44,909 "
717	763	"$49,352 "
718	224	"$35,101 "
722	528	"$46,733 "
723	"1,397"	"$35,917 "
724	126	"$24,279 "
725	654	"$37,032 "
726	"3,287"	"$25,124 "
727	"1,557"	"$41,424 "
728	"5,390"	"$27,968 "
729	849	"$33,561 "
730	196	"$24,222 "
734	"1,470"	"$67,507 "
735	940	"$44,697 "
736	759	"$104,527 "
737	"2,804"	"$60,865 "
738	613	"$46,613 "
739	708	"$82,753 "
740	"3,322"	"$52,716 "
741	"3,308"	"$44,556 "
742	"7,313"	"$48,740 "
743	"13,392"	"$37,641 "
744	"1,447"	"$48,658 "
745	493	"$36,564 "
746	"1,753"	"$43,864 "
747	"2,625"	"$33,391 "
748	"4,503"	"$38,799 "
749	"1,036"	"$66,229 "
750	245	"$42,327 "
754	"1,260"	"$48,810 "
755	"3,003"	"$36,005 "
756	228	"$24,936 "
757	"1,392"	"$43,965 "
758	"1,988"	"$35,593 "
759	766	"$25,020 "
760	"1,948"	"$29,782 "
761	640	"$19,814 "
765	"3,979"	"$31,782 "
766	"2,814"	"$22,408 "
767	93	"$26,045 "
768	6	"$14,146 "
769	100	"$47,512 "
770	119	"$29,741 "
774	"2,100"	"$18,980 "
775	"6,393"	"$14,299 "
776	632	"$26,704 "
777	135	"$38,000 "
778	402	"$14,487 "
779	84	"$19,739 "
780	40	"$7,560 "
781	"3,203"	"$22,319 "
782	149	"$12,602 "
793	1	"$14,146 "
794	1	"$14,146 "
799	485	"$118,332 "
800	514	"$71,702 "
801	269	"$51,497 "
802	810	"$76,964 "
803	991	"$52,887 "
804	497	"$44,146 "
808	"8,114"	"$54,050 "
809	"18,009"	"$37,330 "
810	"2,638"	"$29,923 "
811	"32,114"	"$37,967 "
812	"82,976"	"$28,167 "
813	"8,914"	"$41,301 "
814	"1,425"	"$45,740 "
815	"3,086"	"$35,296 "
816	"1,003"	"$27,401 "
820	"1,076"	"$126,691 "
821	"1,657"	"$64,467 "
822	"1,304"	"$44,617 "
823	"1,798"	"$104,577 "
824	"2,394"	"$65,282 "
825	808	"$46,894 "
826	685	"$115,559 "
827	"1,321"	"$65,037 "
828	839	"$50,048 "
829	"1,196"	"$76,054 "
830	268	"$43,620 "
834	"3,890"	"$92,318 "
835	"2,599"	"$47,297 "
836	872	"$34,059 "
837	"1,767"	"$119,434 "
838	"1,182"	"$60,524 "
839	"1,208"	"$37,537 "
840	"7,641"	"$67,575 "
841	"8,590"	"$45,606 "
842	"2,385"	"$36,768 "
843	"1,650"	"$48,200 "
844	"2,600"	"$38,559 "
845	468	"$32,946 "
846	"2,602"	"$55,594 "
847	"15,637"	"$38,490 "
848	702	"$30,254 "
849	695	"$45,214 "
853	"53,096"	"$111,423 "
854	"11,528"	"$63,985 "
855	306	"$50,341 "
856	"6,125"	"$93,542 "
857	"8,891"	"$53,311 "
858	"1,646"	"$42,284 "
862	"10,147"	"$46,956 "
863	"17,989"	"$32,673 "
864	"15,696"	"$30,745 "
865	"2,952"	"$39,929 "
866	"6,941"	"$27,045 "
867	"5,166"	"$59,222 "
868	"2,345"	"$34,634 "
869	586	"$23,923 "
870	"32,989"	"$136,043 "
871	"396,937"	"$48,389 "
872	"127,219"	"$35,818 "
876	568	"$65,116 "
880	"6,582"	"$25,147 "
881	"4,687"	"$16,950 "
882	"1,722"	"$18,786 "
883	869	"$28,097 "
884	"18,631"	"$31,691 "
885	"94,864"	"$24,457 "
886	445	"$21,577 "
887	418	"$29,454 "
894	"4,610"	"$13,554 "
895	"5,827"	"$26,993 "
896	"8,402"	"$40,730 "
897	"36,467"	"$21,227 "
901	741	"$77,880 "
902	"1,640"	"$46,597 "
903	595	"$36,673 "
904	"1,891"	"$70,969 "
905	665	"$42,869 "
906	707	"$38,926 "
907	"8,967"	"$83,305 "
908	"9,172"	"$53,216 "
909	"3,913"	"$41,597 "
913	871	"$37,044 "
914	"4,174"	"$26,462 "
915	"2,058"	"$41,933 "
916	"5,441"	"$17,662 "
917	"28,256"	"$40,782 "
918	"31,976"	"$22,812 "
919	"11,859"	"$44,170 "
920	"14,554"	"$33,475 "
921	"5,134"	"$24,003 "
922	"1,142"	"$41,683 "
923	"2,193"	"$25,477 "
927	179	"$292,569 "
928	"1,067"	"$98,661 "
929	340	"$55,953 "
933	132	"$45,334 "
934	494	"$35,289 "
935	"2,026"	"$34,152 "
939	716	"$66,679 "
940	"1,441"	"$51,311 "
941	792	"$42,773 "
945	"4,694"	"$27,384 "
946	"1,557"	"$22,477 "
947	"13,138"	"$35,971 "
948	"46,954"	"$25,970 "
949	434	"$31,465 "
950	143	"$17,638 "
951	"1,022"	"$27,524 "
955	447	"$135,061 "
956	"4,903"	"$82,274 "
957	"1,813"	"$156,047 "
958	"1,388"	"$98,525 "
959	202	"$69,536 "
963	"2,170"	"$66,714 "
964	"3,173"	"$45,818 "
965	828	"$34,766 "
969	527	"$123,118 "
970	75	"$61,391 "
974	"5,177"	"$60,882 "
975	"3,163"	"$39,790 "
976	909	"$32,023 "
977	"2,365"	"$35,961 "
981	"23,053"	"$108,782 "
982	"15,646"	"$71,818 "
983	"3,484"	"$52,718 "
984	456	"$83,165 "
985	767	"$53,611 "
986	356	"$38,739 "
987	"7,059"	"$74,580 "
988	"8,124"	"$51,411 "
989	"2,286"	"$38,139 "
		
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 2013 MedPAR file; MS-DRGs are from GROUPER Version32.0.		
		
