"TABLE 10. PROPOSED NEW TECHNOLOGY ADD-ON PAYMENTS THRESHOLDS1,2 FOR APPLICATIONS FOR FY 2016"		
MS?DRG	Number of Cases	Threshold
1	"1,489"	"$543,265 "
2	340	"$347,369 "
3	"17,540"	"$347,793 "
4	"19,178"	"$211,583 "
5	989	"$230,679 "
6	323	"$137,782 "
7	552	"$244,727 "
8	467	"$152,815 "
10	74	"$116,893 "
11	"1,612"	"$110,479 "
12	"1,881"	"$83,485 "
13	827	"$59,414 "
14	709	"$216,908 "
16	"1,735"	"$137,055 "
17	204	"$95,806 "
20	"1,319"	"$224,333 "
21	406	"$170,301 "
22	113	"$111,778 "
23	"5,775"	"$124,666 "
24	"1,870"	"$95,471 "
25	"17,075"	"$103,750 "
26	"9,124"	"$79,428 "
27	"11,035"	"$65,859 "
28	"2,135"	"$118,584 "
29	"3,895"	"$74,244 "
30	"3,131"	"$47,131 "
31	"1,041"	"$89,201 "
32	"2,382"	"$56,934 "
33	"2,968"	"$50,208 "
34	823	"$91,308 "
35	"2,286"	"$64,394 "
36	"4,788"	"$55,141 "
37	"4,604"	"$80,394 "
38	"12,399"	"$51,337 "
39	"32,481"	"$40,979 "
40	"4,619"	"$85,087 "
41	"6,118"	"$56,776 "
42	"2,291"	"$53,084 "
52	"1,160"	"$43,748 "
53	413	"$34,333 "
54	"11,213"	"$40,397 "
55	"7,991"	"$36,411 "
56	"9,666"	"$43,294 "
57	"29,425"	"$32,754 "
58	859	"$44,274 "
59	"3,122"	"$35,441 "
60	"3,170"	"$29,013 "
61	"4,094"	"$78,946 "
62	"6,484"	"$63,477 "
63	"2,021"	"$57,341 "
64	"71,955"	"$47,830 "
65	"107,547"	"$38,780 "
66	"58,151"	"$30,939 "
67	"1,095"	"$44,655 "
68	"6,486"	"$35,030 "
69	"72,804"	"$29,450 "
70	"13,451"	"$44,924 "
71	"15,080"	"$35,160 "
72	"4,800"	"$28,462 "
73	"8,499"	"$39,316 "
74	"24,489"	"$32,472 "
75	"1,572"	"$48,934 "
76	613	"$34,318 "
77	"1,789"	"$47,213 "
78	"2,952"	"$35,992 "
79	835	"$27,326 "
80	"1,441"	"$38,804 "
81	"4,370"	"$28,414 "
82	"3,062"	"$48,347 "
83	"2,818"	"$40,288 "
84	"2,398"	"$32,903 "
85	"10,675"	"$49,386 "
86	"16,932"	"$37,497 "
87	"13,713"	"$28,380 "
88	928	"$44,731 "
89	"2,557"	"$36,442 "
90	"1,647"	"$30,526 "
91	"12,080"	"$43,706 "
92	"19,613"	"$32,641 "
93	"9,715"	"$26,962 "
94	"1,379"	"$79,123 "
95	"1,192"	"$61,912 "
96	529	"$57,013 "
97	"1,437"	"$77,469 "
98	"1,022"	"$50,308 "
99	475	"$40,367 "
100	"23,418"	"$42,889 "
101	"49,022"	"$28,886 "
102	"1,378"	"$36,148 "
103	"11,098"	"$28,535 "
113	635	"$53,248 "
114	284	"$41,331 "
115	744	"$41,564 "
116	419	"$43,723 "
117	265	"$30,731 "
121	788	"$33,991 "
122	418	"$21,506 "
123	"2,875"	"$29,123 "
124	863	"$35,936 "
125	"3,789"	"$25,309 "
129	"1,534"	"$64,377 "
130	"1,021"	"$45,297 "
131	"1,205"	"$64,658 "
132	640	"$46,456 "
133	"2,251"	"$51,101 "
134	"1,774"	"$37,274 "
135	388	"$57,882 "
136	202	"$39,640 "
137	978	"$40,571 "
138	540	"$29,597 "
139	716	"$37,572 "
146	735	"$48,339 "
147	"1,087"	"$37,610 "
148	333	"$29,257 "
149	"22,054"	"$26,049 "
150	"1,320"	"$36,551 "
151	"4,711"	"$21,840 "
152	"5,310"	"$33,922 "
153	"19,224"	"$24,027 "
154	"2,431"	"$40,457 "
155	"5,311"	"$31,917 "
156	"2,508"	"$24,357 "
157	"1,524"	"$43,096 "
158	"3,410"	"$30,324 "
159	"1,202"	"$21,943 "
163	"12,472"	"$117,172 "
164	"17,163"	"$71,998 "
165	"9,821"	"$56,689 "
166	"19,669"	"$84,351 "
167	"13,923"	"$57,056 "
168	"2,831"	"$45,023 "
175	"18,060"	"$46,277 "
176	"38,750"	"$34,867 "
177	"72,977"	"$50,555 "
178	"52,075"	"$41,008 "
179	"12,012"	"$32,844 "
180	"19,926"	"$48,503 "
181	"18,195"	"$38,439 "
182	"1,593"	"$31,755 "
183	"3,139"	"$44,621 "
184	"6,375"	"$36,106 "
185	"2,075"	"$25,102 "
186	"10,676"	"$44,560 "
187	"9,356"	"$36,713 "
188	"2,321"	"$28,102 "
189	"113,010"	"$38,601 "
190	"151,888"	"$37,722 "
191	"135,746"	"$32,716 "
192	"90,305"	"$25,435 "
193	"145,075"	"$42,712 "
194	"179,892"	"$33,887 "
195	"70,167"	"$25,089 "
196	"7,372"	"$45,465 "
197	"4,979"	"$35,762 "
198	"1,945"	"$29,912 "
199	"4,420"	"$49,488 "
200	"8,565"	"$34,957 "
201	"2,557"	"$24,441 "
202	"40,425"	"$30,802 "
203	"21,380"	"$23,025 "
204	"15,751"	"$27,112 "
205	"7,379"	"$40,294 "
206	"15,043"	"$29,390 "
207	"31,032"	"$126,082 "
208	"71,475"	"$61,755 "
215	267	"$300,819 "
216	"9,479"	"$228,998 "
217	"4,943"	"$164,151 "
218	796	"$149,945 "
219	"16,690"	"$182,573 "
220	"19,914"	"$136,188 "
221	"4,417"	"$124,454 "
222	"1,619"	"$209,361 "
223	"1,727"	"$155,839 "
224	"2,218"	"$188,527 "
225	"2,555"	"$150,513 "
226	"4,921"	"$162,469 "
227	"13,879"	"$131,349 "
228	"1,633"	"$185,801 "
229	"2,166"	"$126,182 "
230	516	"$118,958 "
231	"1,221"	"$211,375 "
232	934	"$165,629 "
233	"12,724"	"$186,411 "
234	"19,162"	"$138,969 "
235	"8,556"	"$143,010 "
236	"19,583"	"$109,160 "
237	"18,966"	"$121,469 "
238	"35,812"	"$87,314 "
239	"9,206"	"$92,231 "
240	"9,107"	"$62,299 "
241	"1,141"	"$41,823 "
242	"17,804"	"$91,124 "
243	"29,358"	"$72,854 "
244	"23,983"	"$62,441 "
245	"1,978"	"$112,593 "
246	"32,510"	"$97,415 "
247	"99,566"	"$73,427 "
248	"11,503"	"$91,936 "
249	"22,922"	"$69,136 "
250	"9,778"	"$87,225 "
251	"27,897"	"$71,169 "
252	"34,002"	"$78,115 "
253	"41,251"	"$69,770 "
254	"20,667"	"$53,922 "
255	"2,244"	"$60,130 "
256	"2,815"	"$46,906 "
257	248	"$34,991 "
258	629	"$73,553 "
259	"2,162"	"$57,846 "
260	"1,840"	"$86,441 "
261	"3,085"	"$52,443 "
262	"1,507"	"$44,615 "
263	317	"$47,131 "
264	"17,091"	"$63,921 "
265	978	"$69,530 "
266	"3,923"	"$198,769 "
267	"4,301"	"$155,671 "
280	"68,436"	"$47,458 "
281	"45,831"	"$37,300 "
282	"27,954"	"$31,900 "
283	"10,894"	"$44,693 "
284	"2,275"	"$29,417 "
285	856	"$20,874 "
286	"28,165"	"$61,978 "
287	"91,516"	"$45,063 "
288	"1,823"	"$63,944 "
289	950	"$47,667 "
290	166	"$38,365 "
291	"193,873"	"$42,156 "
292	"196,608"	"$32,655 "
293	"71,806"	"$23,398 "
294	685	"$32,909 "
295	131	"$21,652 "
296	"2,761"	"$40,504 "
297	552	"$26,885 "
298	328	"$16,765 "
299	"20,020"	"$39,863 "
300	"39,876"	"$31,872 "
301	"18,739"	"$22,190 "
302	"5,245"	"$34,258 "
303	"24,963"	"$23,391 "
304	"3,472"	"$35,409 "
305	"28,523"	"$24,482 "
306	"3,408"	"$38,205 "
307	"4,799"	"$27,407 "
308	"70,711"	"$37,945 "
309	"103,653"	"$28,332 "
310	"100,157"	"$20,589 "
311	"8,571"	"$21,925 "
312	"101,993"	"$28,513 "
313	"81,090"	"$24,601 "
314	"49,348"	"$47,013 "
315	"24,382"	"$33,226 "
316	"6,484"	"$23,881 "
326	"10,791"	"$119,040 "
327	"10,087"	"$70,496 "
328	"9,004"	"$48,792 "
329	"40,920"	"$114,694 "
330	"53,719"	"$69,651 "
331	"23,608"	"$52,891 "
332	"1,262"	"$108,955 "
333	"4,159"	"$68,293 "
334	"2,888"	"$50,014 "
335	"6,962"	"$102,130 "
336	"12,797"	"$65,603 "
337	"6,888"	"$50,026 "
338	"1,041"	"$82,196 "
339	"2,952"	"$56,625 "
340	"2,785"	"$45,609 "
341	854	"$65,633 "
342	"2,596"	"$48,113 "
343	"4,735"	"$38,749 "
344	949	"$78,141 "
345	"3,296"	"$50,153 "
346	"2,608"	"$41,009 "
347	"1,587"	"$62,354 "
348	"3,988"	"$43,370 "
349	"2,554"	"$33,522 "
350	"1,586"	"$65,681 "
351	"3,849"	"$46,733 "
352	"4,265"	"$35,255 "
353	"3,341"	"$73,015 "
354	"8,822"	"$51,601 "
355	"8,437"	"$42,439 "
356	"7,486"	"$86,483 "
357	"6,994"	"$59,030 "
358	"1,694"	"$46,487 "
368	"3,520"	"$50,825 "
369	"5,011"	"$37,510 "
370	"1,204"	"$28,336 "
371	"22,426"	"$46,988 "
372	"34,642"	"$36,271 "
373	"10,262"	"$27,861 "
374	"8,600"	"$51,623 "
375	"15,513"	"$39,437 "
376	"1,604"	"$33,967 "
377	"56,660"	"$47,608 "
378	"140,417"	"$35,078 "
379	"32,603"	"$24,896 "
380	"2,987"	"$51,153 "
381	"5,604"	"$38,130 "
382	"1,750"	"$29,493 "
383	"1,095"	"$43,714 "
384	"5,444"	"$33,931 "
385	"2,159"	"$47,412 "
386	"8,740"	"$35,486 "
387	"3,655"	"$28,621 "
388	"18,493"	"$44,451 "
389	"53,424"	"$31,687 "
390	"37,736"	"$23,253 "
391	"47,282"	"$38,189 "
392	"197,607"	"$28,599 "
393	"22,530"	"$44,990 "
394	"45,353"	"$34,150 "
395	"15,933"	"$25,606 "
405	"4,412"	"$120,439 "
406	"5,068"	"$75,318 "
407	"1,833"	"$58,237 "
408	887	"$97,487 "
409	908	"$63,805 "
410	300	"$52,364 "
411	433	"$95,067 "
412	489	"$71,365 "
413	258	"$57,897 "
414	"3,401"	"$87,279 "
415	"4,188"	"$60,462 "
416	"2,577"	"$45,557 "
417	"16,564"	"$70,693 "
418	"25,208"	"$55,971 "
419	"20,847"	"$46,183 "
420	570	"$82,005 "
421	689	"$52,693 "
422	195	"$44,789 "
423	"1,395"	"$94,902 "
424	698	"$61,972 "
425	93	"$45,581 "
432	"11,603"	"$46,145 "
433	"7,346"	"$33,595 "
434	228	"$25,161 "
435	"12,115"	"$49,367 "
436	"9,999"	"$38,586 "
437	"1,489"	"$34,725 "
438	"14,811"	"$46,374 "
439	"27,217"	"$34,286 "
440	"17,761"	"$25,758 "
441	"20,401"	"$46,951 "
442	"20,979"	"$32,648 "
443	"4,360"	"$24,740 "
444	"12,234"	"$46,478 "
445	"17,716"	"$38,040 "
446	"9,049"	"$30,765 "
453	"1,544"	"$240,119 "
454	"4,285"	"$175,808 "
455	"3,904"	"$141,600 "
456	"1,438"	"$205,341 "
457	"3,800"	"$149,406 "
458	"1,648"	"$117,197 "
459	"4,492"	"$140,386 "
460	"71,701"	"$95,190 "
461	471	"$118,939 "
462	"9,298"	"$88,118 "
463	"4,895"	"$98,469 "
464	"8,555"	"$70,555 "
465	"2,201"	"$54,004 "
466	"4,178"	"$111,313 "
467	"23,228"	"$84,114 "
468	"16,658"	"$70,678 "
469	"27,610"	"$81,940 "
470	"434,025"	"$60,722 "
471	"3,424"	"$112,997 "
472	"11,606"	"$75,873 "
473	"28,528"	"$63,706 "
474	"3,066"	"$75,939 "
475	"3,831"	"$53,137 "
476	"1,068"	"$38,522 "
477	"2,597"	"$79,700 "
478	"6,819"	"$64,872 "
479	"2,374"	"$54,770 "
480	"26,190"	"$76,818 "
481	"81,041"	"$58,619 "
482	"25,884"	"$51,166 "
483	"39,401"	"$66,977 "
485	"1,214"	"$79,987 "
486	"2,826"	"$60,880 "
487	"1,056"	"$48,941 "
488	"3,364"	"$50,602 "
489	"3,987"	"$43,590 "
492	"5,700"	"$79,555 "
493	"20,049"	"$59,256 "
494	"18,420"	"$48,676 "
495	"1,774"	"$71,462 "
496	"4,753"	"$51,357 "
497	"3,475"	"$41,251 "
498	"1,265"	"$58,571 "
499	473	"$38,233 "
500	"1,861"	"$72,884 "
501	"4,893"	"$47,832 "
502	"3,766"	"$39,752 "
503	980	"$60,373 "
504	"2,813"	"$47,392 "
505	"1,562"	"$41,038 "
506	646	"$41,461 "
507	667	"$54,940 "
508	453	"$46,613 "
509	175	"$47,988 "
510	"1,005"	"$63,429 "
511	"3,497"	"$52,585 "
512	"4,197"	"$44,457 "
513	"1,329"	"$44,381 "
514	753	"$33,601 "
515	"3,628"	"$79,106 "
516	"8,947"	"$60,063 "
517	"6,128"	"$52,440 "
518	"3,695"	"$76,772 "
519	"14,401"	"$51,479 "
520	"27,258"	"$41,470 "
533	883	"$39,433 "
534	"2,923"	"$24,282 "
535	"7,480"	"$37,353 "
536	"26,565"	"$24,016 "
537	742	"$31,559 "
538	411	"$24,418 "
539	"2,758"	"$45,749 "
540	"3,615"	"$38,141 "
541	987	"$30,989 "
542	"5,158"	"$49,190 "
543	"12,286"	"$36,820 "
544	"3,523"	"$27,592 "
545	"3,785"	"$53,727 "
546	"5,058"	"$36,102 "
547	"2,036"	"$28,058 "
548	494	"$49,222 "
549	"1,177"	"$36,141 "
550	433	"$28,945 "
551	"11,563"	"$44,253 "
552	"53,494"	"$31,726 "
553	"2,178"	"$36,706 "
554	"12,030"	"$24,139 "
555	"3,154"	"$38,381 "
556	"15,379"	"$26,806 "
557	"4,715"	"$42,065 "
558	"15,792"	"$29,898 "
559	"2,076"	"$45,350 "
560	"4,773"	"$33,864 "
561	"3,295"	"$22,999 "
562	"5,862"	"$39,681 "
563	"24,190"	"$26,511 "
564	"1,805"	"$41,694 "
565	"3,937"	"$32,426 "
566	"1,128"	"$24,618 "
570	"4,154"	"$52,076 "
571	"4,923"	"$41,685 "
572	"2,075"	"$33,932 "
573	"2,208"	"$70,135 "
574	985	"$59,055 "
575	352	"$41,587 "
576	423	"$87,379 "
577	"1,573"	"$54,930 "
578	"1,482"	"$41,799 "
579	"5,669"	"$61,451 "
580	"8,654"	"$46,450 "
581	"6,286"	"$39,524 "
582	"2,684"	"$42,947 "
583	"3,329"	"$38,757 "
584	730	"$51,644 "
585	"1,049"	"$44,537 "
592	"5,140"	"$37,108 "
593	"4,886"	"$31,302 "
594	601	"$22,087 "
595	"1,109"	"$45,337 "
596	"3,871"	"$30,244 "
597	818	"$45,512 "
598	"1,523"	"$36,425 "
599	137	"$27,264 "
600	"1,143"	"$32,777 "
601	659	"$22,232 "
602	"26,913"	"$39,874 "
603	"133,067"	"$26,989 "
604	"2,724"	"$39,398 "
605	"14,267"	"$28,503 "
606	"1,611"	"$36,899 "
607	"6,129"	"$23,792 "
614	"1,586"	"$67,806 "
615	"1,149"	"$50,286 "
616	"1,828"	"$88,275 "
617	"9,290"	"$53,515 "
618	105	"$41,437 "
619	887	"$78,935 "
620	"3,449"	"$57,819 "
621	"10,750"	"$51,772 "
622	"1,052"	"$69,536 "
623	"2,970"	"$47,401 "
624	217	"$37,609 "
625	"1,067"	"$65,399 "
626	"2,158"	"$45,569 "
627	"5,738"	"$34,328 "
628	"3,563"	"$76,719 "
629	"5,002"	"$57,666 "
630	309	"$45,967 "
637	"23,054"	"$40,226 "
638	"51,185"	"$28,446 "
639	"17,063"	"$20,897 "
640	"63,863"	"$34,470 "
641	"120,436"	"$24,791 "
642	"1,603"	"$34,796 "
643	"7,534"	"$44,842 "
644	"12,759"	"$34,679 "
645	"5,235"	"$25,888 "
652	"9,758"	"$90,717 "
653	"1,593"	"$126,458 "
654	"3,708"	"$83,262 "
655	"1,287"	"$66,337 "
656	"3,271"	"$86,593 "
657	"8,072"	"$61,315 "
658	"6,458"	"$52,066 "
659	"4,187"	"$77,599 "
660	"8,493"	"$54,709 "
661	"3,348"	"$47,179 "
662	763	"$72,169 "
663	"1,516"	"$46,484 "
664	"1,106"	"$40,615 "
665	510	"$77,824 "
666	"1,511"	"$51,050 "
667	"1,046"	"$34,683 "
668	"3,526"	"$64,635 "
669	"14,752"	"$43,629 "
670	"4,444"	"$33,262 "
671	676	"$47,979 "
672	433	"$31,999 "
673	"9,955"	"$76,965 "
674	"7,065"	"$61,147 "
675	"1,180"	"$47,077 "
682	"111,015"	"$41,563 "
683	"152,911"	"$32,471 "
684	"27,311"	"$21,947 "
685	"2,433"	"$30,715 "
686	"1,212"	"$46,330 "
687	"2,625"	"$35,430 "
688	355	"$26,502 "
689	"73,883"	"$35,879 "
690	"173,765"	"$27,218 "
691	871	"$49,903 "
692	215	"$38,187 "
693	"2,326"	"$42,755 "
694	"16,345"	"$28,372 "
695	"1,449"	"$37,165 "
696	"9,211"	"$23,087 "
697	497	"$32,053 "
698	"33,657"	"$41,642 "
699	"31,635"	"$33,365 "
700	"5,811"	"$24,758 "
707	"4,137"	"$57,977 "
708	"13,863"	"$49,296 "
709	611	"$53,070 "
710	540	"$42,089 "
711	568	"$56,644 "
712	228	"$36,349 "
713	"5,150"	"$44,940 "
714	"5,373"	"$28,395 "
715	383	"$57,366 "
716	157	"$45,169 "
717	758	"$49,153 "
718	229	"$34,715 "
722	525	"$46,664 "
723	"1,392"	"$35,761 "
724	129	"$23,985 "
725	648	"$36,916 "
726	"3,271"	"$25,103 "
727	"1,558"	"$41,113 "
728	"5,363"	"$27,946 "
729	848	"$33,400 "
730	196	"$24,262 "
734	"1,472"	"$67,177 "
735	964	"$44,370 "
736	761	"$103,870 "
737	"2,784"	"$60,570 "
738	617	"$46,440 "
739	713	"$82,325 "
740	"3,356"	"$52,450 "
741	"3,422"	"$44,365 "
742	"7,388"	"$48,430 "
743	"14,055"	"$37,669 "
744	"1,449"	"$48,322 "
745	520	"$36,017 "
746	"1,768"	"$43,557 "
747	"2,829"	"$32,933 "
748	"4,956"	"$38,291 "
749	"1,034"	"$65,987 "
750	247	"$42,237 "
754	"1,259"	"$48,507 "
755	"2,984"	"$35,718 "
756	226	"$24,466 "
757	"1,386"	"$43,715 "
758	"1,971"	"$35,452 "
759	765	"$24,979 "
760	"1,943"	"$29,723 "
761	635	"$19,894 "
765	"3,898"	"$31,635 "
766	"2,758"	"$22,357 "
767	89	"$26,370 "
768	6	"$13,975 "
769	99	"$47,450 "
770	114	"$30,198 "
774	"2,068"	"$18,952 "
775	"6,323"	"$14,282 "
776	629	"$27,004 "
777	135	"$37,892 "
778	398	"$14,345 "
779	82	"$19,975 "
780	40	"$7,557 "
781	"3,200"	"$22,249 "
782	148	"$12,537 "
793	1	"$13,975 "
794	1	"$13,975 "
799	485	"$117,745 "
800	508	"$71,245 "
801	275	"$51,209 "
802	810	"$76,853 "
803	992	"$52,655 "
804	502	"$43,728 "
808	"8,082"	"$53,766 "
809	"17,907"	"$37,120 "
810	"2,640"	"$29,960 "
811	"32,082"	"$37,724 "
812	"83,009"	"$28,083 "
813	"8,931"	"$41,012 "
814	"1,420"	"$45,530 "
815	"3,070"	"$35,099 "
816	"1,001"	"$27,367 "
820	"1,068"	"$125,664 "
821	"1,655"	"$63,959 "
822	"1,309"	"$44,394 "
823	"1,793"	"$103,872 "
824	"2,389"	"$64,793 "
825	829	"$46,280 "
826	684	"$115,055 "
827	"1,312"	"$64,626 "
828	838	"$49,707 "
829	"1,204"	"$75,589 "
830	281	"$42,763 "
834	"3,889"	"$91,548 "
835	"2,592"	"$47,111 "
836	868	"$33,826 "
837	"1,750"	"$118,388 "
838	"1,167"	"$60,256 "
839	"1,200"	"$37,263 "
840	"7,659"	"$67,181 "
841	"8,555"	"$45,390 "
842	"2,383"	"$36,500 "
843	"1,647"	"$47,933 "
844	"2,590"	"$38,354 "
845	469	"$32,761 "
846	"2,608"	"$55,051 "
847	"15,887"	"$38,125 "
848	731	"$29,939 "
849	700	"$44,884 "
853	"52,797"	"$111,046 "
854	"11,495"	"$63,735 "
855	305	"$50,349 "
856	"6,087"	"$92,927 "
857	"8,841"	"$53,053 "
858	"1,667"	"$41,860 "
862	"10,079"	"$46,765 "
863	"17,900"	"$32,470 "
864	"15,622"	"$30,710 "
865	"2,948"	"$39,725 "
866	"6,902"	"$27,040 "
867	"5,152"	"$58,997 "
868	"2,322"	"$34,386 "
869	579	"$23,892 "
870	"32,826"	"$135,866 "
871	"395,014"	"$48,207 "
872	"126,605"	"$35,643 "
876	564	"$64,860 "
880	"6,541"	"$25,097 "
881	"4,636"	"$16,968 "
882	"1,712"	"$18,768 "
883	858	"$27,986 "
884	"18,562"	"$31,615 "
885	"94,296"	"$24,436 "
886	445	"$21,640 "
887	408	"$29,290 "
894	"4,618"	"$13,499 "
895	"5,798"	"$26,935 "
896	"8,374"	"$40,532 "
897	"36,182"	"$21,209 "
901	749	"$77,545 "
902	"1,653"	"$46,023 "
903	621	"$36,089 "
904	"1,885"	"$70,252 "
905	670	"$42,335 "
906	704	"$38,698 "
907	"8,902"	"$82,792 "
908	"9,152"	"$52,744 "
909	"3,925"	"$41,351 "
913	860	"$36,833 "
914	"4,139"	"$26,348 "
915	"2,048"	"$41,740 "
916	"5,406"	"$17,658 "
917	"28,088"	"$40,590 "
918	"31,686"	"$22,825 "
919	"11,773"	"$43,981 "
920	"14,506"	"$33,273 "
921	"5,155"	"$23,926 "
922	"1,132"	"$41,532 "
923	"2,178"	"$25,463 "
927	180	"$292,097 "
928	"1,063"	"$97,834 "
929	340	"$55,290 "
933	133	"$44,948 "
934	492	"$35,199 "
935	"2,007"	"$33,918 "
939	717	"$66,258 "
940	"1,444"	"$50,694 "
941	817	"$42,008 "
945	"4,685"	"$27,287 "
946	"1,563"	"$22,404 "
947	"13,077"	"$35,788 "
948	"46,633"	"$25,951 "
949	436	"$31,282 "
950	144	"$17,620 "
951	"1,018"	"$27,098 "
955	439	"$134,435 "
956	"4,820"	"$81,292 "
957	"1,707"	"$156,210 "
958	"1,319"	"$97,839 "
959	194	"$69,103 "
963	"2,096"	"$66,246 "
964	"3,102"	"$45,520 "
965	815	"$34,400 "
969	518	"$122,939 "
970	76	"$60,341 "
974	"5,138"	"$60,681 "
975	"3,150"	"$39,564 "
976	903	"$31,851 "
977	"2,350"	"$35,774 "
981	"23,091"	"$108,244 "
982	"15,566"	"$71,531 "
983	"3,514"	"$52,386 "
984	459	"$82,634 "
985	759	"$53,164 "
986	362	"$38,482 "
987	"7,050"	"$74,354 "
988	"8,068"	"$51,070 "
989	"2,299"	"$37,887 "
		
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.		
		
