"TABLE 10. THE CONSOLIDATED APPROPRIATIONS ACT OF 2016; NEW TECHNOLOGY ADD-ON PAYMENTS THRESHOLDS1,2 FOR APPLICATIONS FOR FY 2017"				
MS?DRG	Number of Cases	Threshold		
1	1821	"$575,723"		
2	278	"$338,474"		
3	16842	"$363,025"		
4	18285	"$222,696"		
5	1088	"$248,571"		
6	356	"$141,219"		
7	498	"$264,129"		
8	410	"$159,047"		
10	64	"$125,353"		
11	1732	"$113,664"		
12	1866	"$91,543"		
13	781	"$64,183"		
14	797	"$246,212"		
16	1707	"$147,704"		
17	187	"$108,339"		
20	1387	"$241,189"		
21	395	"$178,020"		
22	104	"$130,356"		
23	6046	"$131,768"		
24	2018	"$101,261"		
25	18285	"$107,187"		
26	8676	"$82,915"		
27	10648	"$68,988"		
28	2158	"$123,414"		
29	3586	"$77,851"		
30	2738	"$50,490"		
31	1046	"$88,986"		
32	2268	"$59,375"		
33	2724	"$52,647"		
34	760	"$97,548"		
35	2119	"$68,129"		
36	3856	"$56,985"		
37	4426	"$82,463"		
38	12220	"$53,473"		
39	30970	"$43,583"		
40	4631	"$90,311"		
41	6251	"$59,968"		
42	2179	"$57,156"		
52	1180	"$45,727"		
53	364	"$35,407"		
54	11648	"$43,189"		
55	6617	"$39,007"		
56	9924	"$45,656"		
57	28199	"$35,087"		
58	963	"$47,660"		
59	3230	"$35,159"		
60	3069	"$30,636"		
61	4518	"$81,274"		
62	7188	"$67,326"		
63	2316	"$60,783"		
64	74338	"$49,804"		
65	105208	"$40,276"		
66	53062	"$33,258"		
67	1033	"$47,425"		
68	5721	"$37,540"		
69	62405	"$32,894"		
70	14723	"$46,494"		
71	15996	"$35,497"		
72	4721	"$31,739"		
73	8291	"$40,993"		
74	23541	"$32,940"		
75	1464	"$51,402"		
76	528	"$33,662"		
77	2013	"$47,784"		
78	3018	"$37,766"		
79	722	"$30,008"		
80	1333	"$39,289"		
81	3682	"$29,531"		
82	3285	"$52,472"		
83	2707	"$43,307"		
84	2241	"$33,939"		
85	11494	"$52,412"		
86	16853	"$39,901"		
87	12839	"$29,940"		
88	960	"$45,529"		
89	2300	"$38,968"		
90	1339	"$33,192"		
91	12558	"$45,760"		
92	19780	"$33,999"		
93	8860	"$29,956"		
94	1350	"$83,220"		
95	1107	"$63,188"		
96	517	"$64,264"		
97	1457	"$76,660"		
98	1017	"$54,188"		
99	406	"$43,938"		
100	23512	"$45,526"		
101	45593	"$29,991"		
102	1433	"$39,043"		
103	10455	"$30,924"		
113	624	"$58,034"		
114	242	"$46,448"		
115	694	"$44,133"		
116	358	"$45,577"		
117	179	"$34,914"		
121	584	"$29,386"		
122	269	"$20,353"		
123	2584	"$32,515"		
124	822	"$38,490"		
125	3421	"$27,923"		
129	1524	"$66,013"		
130	956	"$49,880"		
131	1272	"$69,495"		
132	585	"$49,562"		
133	2210	"$54,184"		
134	1479	"$40,611"		
135	335	"$59,893"		
136	183	"$44,980"		
137	959	"$44,720"		
138	520	"$35,382"		
139	518	"$39,986"		
146	725	"$50,363"		
147	1016	"$38,962"		
148	303	"$31,079"		
149	19248	"$29,491"		
150	1255	"$35,902"		
151	3967	"$22,516"		
152	3773	"$32,805"		
153	11645	"$24,671"		
154	2225	"$42,927"		
155	4814	"$31,607"		
156	2066	"$25,956"		
157	1465	"$43,324"		
158	3116	"$29,707"		
159	1075	"$23,932"		
163	11628	"$120,979"		
164	16932	"$74,410"		
165	9741	"$59,089"		
166	18601	"$87,935"		
167	12459	"$58,874"		
168	2625	"$47,013"		
175	18636	"$47,246"		
176	36361	"$33,441"		
177	68776	"$51,912"		
178	44076	"$41,077"		
179	9793	"$31,344"		
180	19502	"$50,018"		
181	16653	"$40,735"		
182	1380	"$33,097"		
183	3501	"$45,698"		
184	7279	"$37,729"		
185	2012	"$28,858"		
186	10627	"$46,739"		
187	8607	"$36,874"		
188	2063	"$30,004"		
189	117500	"$38,722"		
190	137057	"$36,859"		
191	115285	"$31,338"		
192	69948	"$25,819"		
193	135687	"$43,835"		
194	149374	"$32,108"		
195	54520	"$25,345"		
196	7230	"$46,612"		
197	4309	"$34,088"		
198	1556	"$28,149"		
199	4565	"$50,390"		
200	7651	"$35,284"		
201	2364	"$25,607"		
202	32595	"$30,388"		
203	15871	"$24,111"		
204	13593	"$28,177"		
205	7401	"$43,091"		
206	14021	"$30,327"		
207	28283	"$130,923"		
208	67150	"$64,632"		
215	259	"$324,461"		
216	9323	"$237,184"		
217	4750	"$169,772"		
218	628	"$153,762"		
219	17056	"$188,960"		
220	20512	"$140,148"		
221	4194	"$127,090"		
222	1485	"$220,022"		
223	1354	"$169,396"		
224	2220	"$196,214"		
225	2208	"$158,060"		
226	4723	"$170,705"		
227	9467	"$138,823"		
228	1582	"$187,544"		
229	2039	"$133,064"		
230	477	"$129,829"		
231	1138	"$226,904"		
232	908	"$180,300"		
233	12313	"$194,529"		
234	18303	"$145,780"		
235	8736	"$152,253"		
236	19951	"$114,203"		
239	9225	"$96,134"		
240	8920	"$64,009"		
241	1076	"$44,765"		
242	17558	"$95,830"		
243	28127	"$76,199"		
244	20913	"$65,969"		
245	1795	"$120,078"		
246	32489	"$103,208"		
247	85126	"$79,900"		
248	9713	"$97,952"		
249	17242	"$74,192"		
250	3713	"$86,027"		
251	6951	"$66,994"		
252	32873	"$82,523"		
253	37019	"$74,023"		
254	16383	"$56,049"		
255	2270	"$63,922"		
256	2746	"$48,108"		
257	267	"$36,901"		
258	576	"$78,814"		
259	1888	"$59,817"		
260	1953	"$90,780"		
261	3220	"$56,683"		
262	1327	"$50,270"		
263	294	"$53,969"		
264	15659	"$66,862"		
265	705	"$75,999"		
266	5822	"$200,756"		
267	6422	"$161,691"		
268	4356	"$154,333"		
269	19338	"$102,690"		
270	15324	"$120,262"		
271	10430	"$87,394"		
272	4799	"$67,348"		
273	6612	"$101,035"		
274	15842	"$83,001"		
280	65399	"$49,113"		
281	43544	"$39,005"		
282	24900	"$33,777"		
283	10014	"$46,823"		
284	1888	"$30,439"		
285	698	"$22,651"		
286	29263	"$65,779"		
287	83218	"$47,981"		
288	1666	"$66,677"		
289	849	"$48,632"		
290	140	"$36,116"		
291	201085	"$43,546"		
292	194084	"$31,141"		
293	64364	"$23,889"		
294	442	"$31,060"		
295	104	"$24,366"		
296	2989	"$43,358"		
297	540	"$26,279"		
298	318	"$18,268"		
299	19016	"$41,586"		
300	37106	"$31,318"		
301	15640	"$23,748"		
302	4796	"$34,699"		
303	19222	"$25,144"		
304	3624	"$35,348"		
305	24351	"$26,805"		
306	3494	"$40,161"		
307	4536	"$28,367"		
308	69942	"$38,631"		
309	94364	"$27,871"		
310	80881	"$21,762"		
311	7334	"$24,800"		
312	88727	"$30,581"		
313	69408	"$27,722"		
314	47579	"$49,631"		
315	22434	"$32,520"		
316	5535	"$25,209"		
326	10602	"$123,717"		
327	10118	"$73,738"		
328	9514	"$51,795"		
329	38789	"$118,489"		
330	52408	"$72,708"		
331	23794	"$55,316"		
332	1239	"$110,149"		
333	4006	"$70,310"		
334	2747	"$53,196"		
335	6687	"$102,119"		
336	12732	"$67,835"		
337	6584	"$52,756"		
338	1028	"$83,524"		
339	2916	"$59,448"		
340	2690	"$46,420"		
341	792	"$66,344"		
342	2343	"$50,538"		
343	3743	"$44,141"		
344	1021	"$79,055"		
345	3403	"$51,368"		
346	2642	"$43,383"		
347	1521	"$62,829"		
348	3914	"$46,663"		
349	2335	"$36,965"		
350	1576	"$68,037"		
351	3816	"$49,647"		
352	3656	"$40,255"		
353	3247	"$77,416"		
354	8650	"$54,144"		
355	8105	"$44,787"		
356	7293	"$89,301"		
357	6692	"$61,075"		
358	1516	"$47,972"		
368	3566	"$52,054"		
369	4889	"$37,541"		
370	1015	"$28,410"		
371	20641	"$48,025"		
372	32310	"$34,784"		
373	9151	"$27,258"		
374	8761	"$53,810"		
375	14830	"$41,010"		
376	1411	"$35,562"		
377	58688	"$49,491"		
378	141289	"$33,830"		
379	29010	"$24,970"		
380	3027	"$53,846"		
381	5426	"$38,286"		
382	1595	"$32,825"		
383	1137	"$46,414"		
384	5505	"$35,584"		
385	2139	"$49,029"		
386	8871	"$34,419"		
387	3675	"$28,956"		
388	18152	"$46,005"		
389	52896	"$30,458"		
390	36141	"$23,831"		
391	45982	"$39,472"		
392	192296	"$29,389"		
393	22650	"$46,466"		
394	44250	"$33,117"		
395	14427	"$26,481"		
405	4518	"$125,469"		
406	5321	"$78,811"		
407	1905	"$62,450"		
408	905	"$95,095"		
409	866	"$70,696"		
410	278	"$51,308"		
411	348	"$99,608"		
412	401	"$74,784"		
413	239	"$60,641"		
414	3092	"$90,848"		
415	3877	"$62,795"		
416	2290	"$47,582"		
417	15751	"$74,057"		
418	24835	"$58,851"		
419	19145	"$49,278"		
420	577	"$90,410"		
421	647	"$55,247"		
422	151	"$48,523"		
423	1275	"$97,727"		
424	652	"$64,034"		
425	96	"$51,731"		
432	12356	"$47,915"		
433	7441	"$33,048"		
434	197	"$26,333"		
435	12478	"$51,218"		
436	9548	"$40,746"		
437	1226	"$36,552"		
438	14225	"$47,707"		
439	27642	"$32,040"		
440	17250	"$26,007"		
441	20443	"$48,954"		
442	20586	"$30,838"		
443	3962	"$24,396"		
444	12000	"$48,421"		
445	17524	"$39,656"		
446	8296	"$31,646"		
453	1575	"$258,565"		
454	4779	"$185,534"		
455	4324	"$144,945"		
456	1444	"$215,507"		
457	4013	"$160,978"		
458	1697	"$123,309"		
459	4585	"$145,596"		
460	75165	"$98,947"		
461	459	"$120,475"		
462	9575	"$86,654"		
463	4880	"$100,568"		
464	8346	"$74,701"		
465	2188	"$56,269"		
466	4192	"$114,837"		
467	22863	"$88,004"		
468	17359	"$73,902"		
469	27723	"$84,226"		
470	447204	"$62,794"		
471	3496	"$118,164"		
472	12375	"$79,393"		
473	28649	"$66,796"		
474	3219	"$80,189"		
475	4057	"$55,773"		
476	1036	"$41,190"		
477	2690	"$81,192"		
478	6581	"$66,582"		
479	2257	"$56,920"		
480	27057	"$80,125"		
481	81732	"$61,266"		
482	25655	"$53,606"		
483	43241	"$70,112"		
485	1311	"$84,509"		
486	2971	"$63,751"		
487	977	"$51,693"		
488	3352	"$53,452"		
489	3866	"$45,601"		
492	5886	"$83,026"		
493	20580	"$62,658"		
494	18048	"$52,172"		
495	1697	"$74,684"		
496	4776	"$53,864"		
497	3196	"$44,178"		
498	1273	"$62,119"		
499	499	"$41,049"		
500	1827	"$74,649"		
501	4909	"$50,365"		
502	3512	"$42,331"		
503	1053	"$62,185"		
504	3041	"$50,040"		
505	1467	"$43,445"		
506	553	"$44,608"		
507	575	"$55,913"		
508	359	"$52,143"		
509	162	"$49,923"		
510	995	"$69,983"		
511	3427	"$56,178"		
512	3451	"$48,616"		
513	1334	"$48,066"		
514	661	"$37,878"		
515	3715	"$82,900"		
516	9205	"$63,064"		
517	6260	"$56,275"		
518	4008	"$79,163"		
519	13722	"$54,753"		
520	24612	"$44,562"		
533	848	"$41,157"		
534	2961	"$23,573"		
535	7578	"$37,204"		
536	26757	"$24,154"		
537	718	"$31,708"		
538	413	"$24,158"		
539	2774	"$46,775"		
540	3689	"$37,995"		
541	941	"$28,526"		
542	5141	"$50,303"		
543	12462	"$37,094"		
544	3460	"$28,057"		
545	3607	"$54,535"		
546	4980	"$36,114"		
547	2028	"$28,374"		
548	492	"$49,467"		
549	1252	"$35,853"		
550	469	"$26,379"		
551	12490	"$46,177"		
552	56853	"$32,725"		
553	2230	"$37,231"		
554	12572	"$23,454"		
555	3091	"$39,389"		
556	14794	"$28,466"		
557	4366	"$44,053"		
558	14541	"$29,823"		
559	2323	"$46,907"		
560	4717	"$32,962"		
561	2918	"$24,533"		
562	5972	"$41,148"		
563	25091	"$27,653"		
564	2127	"$43,403"		
565	3894	"$32,206"		
566	1135	"$26,107"		
570	3997	"$54,661"		
571	4778	"$43,527"		
572	1958	"$35,707"		
573	2214	"$76,320"		
574	882	"$66,193"		
575	321	"$45,879"		
576	423	"$101,165"		
577	1528	"$63,069"		
578	1283	"$45,929"		
579	5483	"$63,975"		
580	8174	"$49,627"		
581	5463	"$42,686"		
582	2175	"$46,800"		
583	2676	"$43,234"		
584	697	"$53,301"		
585	969	"$50,228"		
592	5089	"$37,766"		
593	4493	"$29,134"		
594	531	"$21,450"		
595	1171	"$46,455"		
596	3724	"$28,528"		
597	827	"$48,956"		
598	1389	"$36,484"		
599	91	"$23,122"		
600	1037	"$31,019"		
601	620	"$22,278"		
602	27363	"$40,337"		
603	129349	"$25,544"		
604	2734	"$43,093"		
605	13084	"$31,354"		
606	1625	"$37,546"		
607	6120	"$22,624"		
614	1423	"$70,254"		
615	1037	"$52,460"		
616	2007	"$88,778"		
617	10079	"$56,186"		
618	115	"$38,533"		
619	1037	"$78,526"		
620	4123	"$60,592"		
621	13361	"$54,320"		
622	1003	"$71,075"		
623	3217	"$49,510"		
624	177	"$37,363"		
625	990	"$70,284"		
626	1680	"$49,706"		
627	3321	"$38,969"		
628	3606	"$81,384"		
629	5173	"$59,995"		
630	286	"$48,131"		
637	22796	"$41,836"		
638	48736	"$27,787"		
639	14003	"$21,779"		
640	63986	"$34,480"		
641	110938	"$25,171"		
642	1529	"$37,714"		
643	7997	"$46,121"		
644	12481	"$32,884"		
645	4869	"$26,261"		
652	10132	"$95,264"		
653	1669	"$135,312"		
654	3818	"$85,811"		
655	1287	"$70,431"		
656	3317	"$90,872"		
657	8103	"$64,334"		
658	6531	"$54,722"		
659	4197	"$82,258"		
660	8435	"$57,422"		
661	3314	"$50,915"		
662	748	"$74,433"		
663	1425	"$51,145"		
664	842	"$43,425"		
665	555	"$80,778"		
666	1431	"$54,013"		
667	813	"$38,227"		
668	3654	"$67,028"		
669	14021	"$46,758"		
670	3474	"$37,968"		
671	683	"$50,670"		
672	369	"$37,309"		
673	9554	"$80,673"		
674	6530	"$64,627"		
675	840	"$50,790"		
682	112780	"$43,318"		
683	146958	"$30,443"		
684	25233	"$22,983"		
685	2053	"$29,340"		
686	1315	"$47,330"		
687	2512	"$36,190"		
688	362	"$27,355"		
689	75289	"$34,186"		
690	161358	"$27,507"		
691	872	"$51,900"		
692	144	"$43,923"		
693	2368	"$44,685"		
694	14739	"$31,089"		
695	1431	"$36,671"		
696	8604	"$23,598"		
697	423	"$34,244"		
698	37768	"$42,979"		
699	30881	"$32,120"		
700	5532	"$25,205"		
707	4018	"$59,137"		
708	13148	"$51,647"		
709	557	"$55,031"		
710	430	"$45,207"		
711	537	"$56,395"		
712	186	"$38,834"		
713	4753	"$47,781"		
714	4770	"$33,282"		
715	427	"$58,018"		
716	115	"$44,800"		
717	787	"$51,339"		
718	206	"$37,576"		
722	534	"$47,751"		
723	1287	"$37,307"		
724	109	"$27,365"		
725	643	"$40,979"		
726	2988	"$25,958"		
727	1561	"$42,964"		
728	5619	"$27,011"		
729	781	"$34,519"		
730	161	"$21,605"		
734	1485	"$69,866"		
735	959	"$47,289"		
736	766	"$109,619"		
737	2806	"$63,621"		
738	604	"$50,224"		
739	641	"$87,483"		
740	2941	"$57,258"		
741	2790	"$47,089"		
742	6530	"$51,623"		
743	11612	"$41,011"		
744	1356	"$50,526"		
745	429	"$38,253"		
746	1557	"$45,973"		
747	2172	"$37,451"		
748	3622	"$41,440"		
749	947	"$68,814"		
750	262	"$47,805"		
754	1261	"$51,147"		
755	3003	"$36,784"		
756	221	"$22,994"		
757	1380	"$43,306"		
758	1801	"$32,731"		
759	702	"$25,927"		
760	1866	"$29,343"		
761	529	"$21,184"		
765	3997	"$31,147"		
766	2640	"$24,481"		
767	92	"$30,273"		
768	16	"$35,733"		
769	101	"$57,130"		
770	102	"$31,190"		
774	2179	"$18,195"		
775	6211	"$15,060"		
776	651	"$20,541"		
777	110	"$37,474"		
778	367	"$12,300"		
779	90	"$19,667"		
780	19	"$5,163"		
781	2849	"$20,462"		
782	129	"$14,689"		
789	1	"$14,705"		
793	2	"$14,705"		
794	1	"$14,705"		
799	462	"$119,168"		
800	444	"$76,393"		
801	259	"$55,897"		
802	778	"$80,704"		
803	996	"$56,548"		
804	490	"$45,515"		
808	7786	"$55,959"		
809	16786	"$37,484"		
810	2371	"$29,238"		
811	31310	"$39,657"		
812	75238	"$28,661"		
813	8192	"$44,959"		
814	1493	"$46,329"		
815	2889	"$34,280"		
816	880	"$28,249"		
820	1102	"$137,077"		
821	1499	"$67,527"		
822	1223	"$47,417"		
823	1791	"$105,519"		
824	2276	"$68,557"		
825	802	"$50,245"		
826	730	"$123,314"		
827	1298	"$67,424"		
828	780	"$52,063"		
829	1145	"$78,015"		
830	261	"$48,219"		
834	3909	"$99,551"		
835	2552	"$50,654"		
836	797	"$34,963"		
837	1816	"$117,492"		
838	1149	"$60,638"		
839	1074	"$39,563"		
840	7436	"$70,504"		
841	7907	"$47,055"		
842	2030	"$38,718"		
843	1602	"$51,199"		
844	2324	"$38,342"		
845	422	"$30,564"		
846	2885	"$59,523"		
847	15071	"$40,239"		
848	511	"$33,204"		
849	556	"$48,697"		
853	59724	"$114,672"		
854	13664	"$66,182"		
855	312	"$48,903"		
856	6200	"$95,326"		
857	8617	"$55,442"		
858	1439	"$43,582"		
862	10383	"$49,029"		
863	16571	"$30,755"		
864	13844	"$29,213"		
865	3098	"$41,711"		
866	5802	"$27,812"		
867	4803	"$59,600"		
868	2063	"$31,755"		
869	495	"$23,856"		
870	34104	"$141,862"		
871	438395	"$50,069"		
872	137022	"$34,011"		
876	581	"$68,015"		
880	6046	"$28,488"		
881	4607	"$16,466"		
882	1873	"$18,157"		
883	879	"$23,656"		
884	18857	"$33,378"		
885	92663	"$22,162"		
886	444	"$21,613"		
887	387	"$28,716"		
894	4627	"$14,497"		
895	5271	"$22,412"		
896	8559	"$42,952"		
897	34701	"$22,797"		
901	811	"$81,013"		
902	1616	"$50,144"		
903	577	"$39,759"		
904	1951	"$72,677"		
905	609	"$45,120"		
906	598	"$45,683"		
907	9149	"$87,287"		
908	8970	"$56,316"		
909	3619	"$43,967"		
913	870	"$42,011"		
914	3872	"$29,094"		
915	2011	"$45,552"		
916	4518	"$18,530"		
917	29069	"$42,606"		
918	26563	"$24,308"		
919	12510	"$47,144"		
920	14203	"$33,189"		
921	4453	"$25,391"		
922	1236	"$44,467"		
923	2117	"$27,898"		
927	187	"$310,617"		
928	1160	"$107,198"		
929	376	"$60,011"		
933	132	"$48,675"		
934	579	"$37,239"		
935	1937	"$36,417"		
939	664	"$72,307"		
940	1378	"$54,501"		
941	795	"$45,642"		
945	4528	"$22,712"		
946	1420	"$18,779"		
947	12656	"$36,201"		
948	41119	"$27,297"		
949	384	"$29,442"		
950	132	"$17,760"		
951	802	"$26,226"		
955	451	"$144,924"		
956	5091	"$86,908"		
957	1935	"$159,540"		
958	1406	"$103,292"		
959	170	"$69,572"		
963	2232	"$68,336"		
964	3323	"$46,401"		
965	816	"$36,521"		
969	559	"$119,311"		
970	55	"$74,438"		
974	5201	"$62,596"		
975	2944	"$41,758"		
976	796	"$31,093"		
977	2220	"$37,234"		
981	22644	"$111,866"		
982	14852	"$73,742"		
983	3197	"$55,291"		
984	459	"$83,861"		
985	731	"$57,154"		
986	294	"$44,499"		
987	6937	"$76,708"		
988	7565	"$52,760"		
989	2141	"$40,133"		
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 2014 MedPAR file; MS-DRGs are from GROUPER Version33.0.				
