"TABLE 10. PROPOSED NEW TECHNOLOGY ADD-ON PAYMENTS THRESHOLDS1,2 FOR APPLICATIONS FOR FY 2017"				
MS?DRG	Number of Cases	Threshold		
1	"1,781"	"$570,155 "		
2	268	"$333,746 "		
3	"16,625"	"$361,680 "		
4	"18,151"	"$222,466 "		
5	"1,055"	"$246,285 "		
6	346	"$141,329 "		
7	493	"$263,825 "		
8	397	"$158,956 "		
10	62	"$125,820 "		
11	"1,730"	"$113,592 "		
12	"1,855"	"$91,376 "		
13	772	"$63,952 "		
14	768	"$243,984 "		
16	"1,691"	"$147,664 "		
17	185	"$108,299 "		
20	"1,384"	"$241,248 "		
21	394	"$177,647 "		
22	105	"$131,360 "		
23	"6,010"	"$131,604 "		
24	"1,999"	"$101,321 "		
25	"18,198"	"$107,135 "		
26	"8,629"	"$82,802 "		
27	"10,559"	"$68,894 "		
28	"2,156"	"$122,744 "		
29	"3,568"	"$77,592 "		
30	"2,713"	"$50,346 "		
31	"1,047"	"$88,753 "		
32	"2,256"	"$59,311 "		
33	"2,710"	"$52,554 "		
34	749	"$97,310 "		
35	"2,094"	"$68,129 "		
36	"3,807"	"$56,916 "		
37	"4,423"	"$82,322 "		
38	"12,164"	"$53,412 "		
39	"30,855"	"$43,421 "		
40	"4,658"	"$89,912 "		
41	"6,291"	"$59,690 "		
42	"2,165"	"$57,006 "		
52	"1,171"	"$45,496 "		
53	358	"$35,270 "		
54	"11,585"	"$43,095 "		
55	"6,585"	"$38,860 "		
56	"9,953"	"$45,506 "		
57	"28,061"	"$35,244 "		
58	961	"$47,624 "		
59	"3,215"	"$36,562 "		
60	"3,043"	"$31,191 "		
61	"4,511"	"$81,255 "		
62	"7,158"	"$67,295 "		
63	"2,305"	"$60,674 "		
64	"74,092"	"$49,712 "		
65	"104,791"	"$40,498 "		
66	"52,778"	"$32,511 "		
67	"1,027"	"$47,314 "		
68	"5,708"	"$37,427 "		
69	"62,229"	"$32,010 "		
70	"14,741"	"$46,400 "		
71	"15,896"	"$36,793 "		
72	"4,704"	"$30,769 "		
73	"8,250"	"$41,009 "		
74	"23,417"	"$34,537 "		
75	"1,455"	"$51,393 "		
76	521	"$34,573 "		
77	"2,000"	"$47,601 "		
78	"3,007"	"$38,159 "		
79	718	"$28,995 "		
80	"1,345"	"$39,229 "		
81	"3,659"	"$29,595 "		
82	"3,250"	"$52,254 "		
83	"2,677"	"$43,294 "		
84	"2,214"	"$34,574 "		
85	"11,426"	"$52,302 "		
86	"16,732"	"$39,810 "		
87	"12,755"	"$31,173 "		
88	946	"$45,420 "		
89	"2,262"	"$38,849 "		
90	"1,317"	"$31,451 "		
91	"12,498"	"$45,658 "		
92	"19,684"	"$34,470 "		
93	"8,814"	"$28,822 "		
94	"1,351"	"$82,879 "		
95	"1,098"	"$63,212 "		
96	516	"$63,997 "		
97	"1,450"	"$76,639 "		
98	"1,007"	"$54,046 "		
99	405	"$43,847 "		
100	"23,406"	"$45,439 "		
101	"45,354"	"$31,485 "		
102	"1,418"	"$38,930 "		
103	"10,385"	"$30,586 "		
113	623	"$58,198 "		
114	239	"$46,385 "		
115	688	"$43,910 "		
116	359	"$45,497 "		
117	177	"$32,146 "		
121	582	"$33,481 "		
122	265	"$20,021 "		
123	"2,576"	"$32,116 "		
124	818	"$39,217 "		
125	"3,402"	"$27,706 "		
129	"1,520"	"$65,698 "		
130	950	"$49,707 "		
131	"1,258"	"$69,273 "		
132	575	"$49,416 "		
133	"2,203"	"$53,912 "		
134	"1,468"	"$40,455 "		
135	333	"$59,926 "		
136	180	"$44,851 "		
137	953	"$44,748 "		
138	518	"$32,697 "		
139	518	"$39,718 "		
146	722	"$50,344 "		
147	"1,012"	"$38,900 "		
148	300	"$32,065 "		
149	"19,191"	"$28,748 "		
150	"1,252"	"$37,752 "		
151	"3,947"	"$23,895 "		
152	"3,759"	"$36,215 "		
153	"11,608"	"$25,853 "		
154	"2,209"	"$42,874 "		
155	"4,798"	"$32,924 "		
156	"2,055"	"$25,815 "		
157	"1,458"	"$43,168 "		
158	"3,101"	"$31,827 "		
159	"1,071"	"$24,123 "		
163	"11,594"	"$120,780 "		
164	"16,828"	"$74,292 "		
165	"9,691"	"$59,002 "		
166	"18,631"	"$87,602 "		
167	"12,392"	"$58,725 "		
168	"2,604"	"$46,942 "		
175	"18,587"	"$47,172 "		
176	"36,176"	"$35,512 "		
177	"68,806"	"$51,829 "		
178	"43,881"	"$41,971 "		
179	"9,745"	"$34,093 "		
180	"19,380"	"$49,909 "		
181	"16,548"	"$40,648 "		
182	"1,378"	"$34,864 "		
183	"3,462"	"$45,509 "		
184	"7,105"	"$38,227 "		
185	"1,958"	"$28,243 "		
186	"10,601"	"$46,639 "		
187	"8,569"	"$38,450 "		
188	"2,052"	"$30,523 "		
189	"117,029"	"$40,424 "		
190	"136,697"	"$39,171 "		
191	"114,873"	"$33,816 "		
192	"69,679"	"$26,886 "		
193	"135,720"	"$44,173 "		
194	"148,611"	"$35,328 "		
195	"54,310"	"$26,550 "		
196	"7,220"	"$46,487 "		
197	"4,286"	"$36,980 "		
198	"1,544"	"$29,691 "		
199	"4,542"	"$50,287 "		
200	"7,589"	"$37,105 "		
201	"2,351"	"$26,296 "		
202	"32,483"	"$32,630 "		
203	"15,796"	"$24,638 "		
204	"13,509"	"$29,396 "		
205	"7,365"	"$42,983 "		
206	"13,917"	"$31,452 "		
207	"28,170"	"$130,718 "		
208	"66,913"	"$64,612 "		
215	255	"$327,946 "		
216	"9,286"	"$236,900 "		
217	"4,716"	"$169,750 "		
218	625	"$153,679 "		
219	"16,993"	"$188,770 "		
220	"20,410"	"$140,024 "		
221	"4,182"	"$126,807 "		
222	"1,476"	"$220,154 "		
223	"1,348"	"$169,045 "		
224	"2,211"	"$196,102 "		
225	"2,188"	"$158,290 "		
226	"4,702"	"$170,602 "		
227	"9,456"	"$138,723 "		
228	"1,572"	"$187,292 "		
229	"2,026"	"$133,039 "		
230	476	"$129,885 "		
231	"1,136"	"$226,347 "		
232	904	"$180,621 "		
233	"12,286"	"$194,299 "		
234	"18,192"	"$145,634 "		
235	"8,700"	"$152,052 "		
236	"19,835"	"$114,084 "		
239	"9,203"	"$95,967 "		
240	"8,862"	"$63,905 "		
241	"1,065"	"$44,643 "		
242	"17,489"	"$95,756 "		
243	"28,029"	"$76,092 "		
244	"20,861"	"$65,865 "		
245	"1,811"	"$119,698 "		
246	"32,354"	"$103,138 "		
247	"84,741"	"$79,816 "		
248	"9,706"	"$97,828 "		
249	"17,184"	"$74,110 "		
250	"3,704"	"$85,782 "		
251	"6,920"	"$66,929 "		
252	"32,739"	"$82,437 "		
253	"36,883"	"$73,959 "		
254	"16,344"	"$55,979 "		
255	"2,239"	"$63,923 "		
256	"2,720"	"$48,086 "		
257	266	"$37,340 "		
258	573	"$78,639 "		
259	"1,897"	"$59,571 "		
260	"1,947"	"$90,754 "		
261	"3,201"	"$56,580 "		
262	"1,315"	"$50,146 "		
263	294	"$53,828 "		
264	"15,606"	"$66,700 "		
265	700	"$76,006 "		
266	"5,754"	"$200,855 "		
267	"6,307"	"$161,597 "		
268	"4,460"	"$154,848 "		
269	"19,314"	"$102,583 "		
270	"15,124"	"$119,903 "		
271	"10,344"	"$87,313 "		
272	"4,771"	"$67,219 "		
273	"6,598"	"$100,821 "		
274	"15,771"	"$82,829 "		
280	"65,217"	"$49,032 "		
281	"43,345"	"$38,933 "		
282	"24,808"	"$33,732 "		
283	"9,968"	"$46,799 "		
284	"1,882"	"$31,731 "		
285	694	"$22,969 "		
286	"29,190"	"$65,675 "		
287	"82,863"	"$47,904 "		
288	"1,661"	"$66,532 "		
289	847	"$48,511 "		
290	139	"$37,173 "		
291	"200,524"	"$43,478 "		
292	"193,318"	"$33,466 "		
293	"64,115"	"$24,295 "		
294	441	"$33,597 "		
295	103	"$24,330 "		
296	"2,967"	"$43,295 "		
297	534	"$27,428 "		
298	316	"$18,823 "		
299	"18,913"	"$41,522 "		
300	"36,966"	"$33,833 "		
301	"15,559"	"$24,391 "		
302	"4,775"	"$36,099 "		
303	"19,163"	"$25,539 "		
304	"3,621"	"$37,296 "		
305	"24,267"	"$26,971 "		
306	"3,497"	"$40,177 "		
307	"4,523"	"$30,119 "		
308	"69,724"	"$39,741 "		
309	"94,015"	"$29,381 "		
310	"80,630"	"$21,846 "		
311	"7,282"	"$24,867 "		
312	"88,331"	"$30,760 "		
313	"69,073"	"$28,063 "		
314	"47,561"	"$49,513 "		
315	"22,384"	"$35,025 "		
316	"5,493"	"$26,044 "		
326	"10,553"	"$123,619 "		
327	"10,093"	"$73,523 "		
328	"9,433"	"$51,734 "		
329	"38,672"	"$118,362 "		
330	"52,124"	"$72,603 "		
331	"23,684"	"$55,205 "		
332	"1,239"	"$109,897 "		
333	"3,996"	"$70,238 "		
334	"2,729"	"$53,077 "		
335	"6,673"	"$102,035 "		
336	"12,664"	"$67,741 "		
337	"6,552"	"$52,674 "		
338	"1,027"	"$83,480 "		
339	"2,903"	"$59,420 "		
340	"2,670"	"$46,318 "		
341	787	"$66,475 "		
342	"2,324"	"$50,438 "		
343	"3,722"	"$43,052 "		
344	"1,011"	"$79,015 "		
345	"3,394"	"$51,293 "		
346	"2,626"	"$43,682 "		
347	"1,512"	"$62,571 "		
348	"3,886"	"$46,610 "		
349	"2,318"	"$36,306 "		
350	"1,574"	"$67,953 "		
351	"3,810"	"$49,552 "		
352	"3,641"	"$39,528 "		
353	"3,223"	"$77,407 "		
354	"8,609"	"$54,103 "		
355	"8,068"	"$44,678 "		
356	"7,269"	"$88,990 "		
357	"6,663"	"$60,944 "		
358	"1,498"	"$47,882 "		
368	"3,547"	"$52,080 "		
369	"4,850"	"$38,909 "		
370	"1,010"	"$29,297 "		
371	"20,609"	"$47,941 "		
372	"32,161"	"$37,409 "		
373	"9,124"	"$28,397 "		
374	"8,752"	"$53,640 "		
375	"14,730"	"$40,947 "		
376	"1,409"	"$35,696 "		
377	"58,510"	"$49,409 "		
378	"140,688"	"$36,433 "		
379	"28,887"	"$26,011 "		
380	"3,014"	"$53,894 "		
381	"5,397"	"$39,428 "		
382	"1,591"	"$33,238 "		
383	"1,132"	"$46,343 "		
384	"5,477"	"$35,295 "		
385	"2,136"	"$48,987 "		
386	"8,827"	"$36,792 "		
387	"3,651"	"$29,639 "		
388	"18,087"	"$45,919 "		
389	"52,683"	"$32,674 "		
390	"36,005"	"$24,140 "		
391	"45,838"	"$39,940 "		
392	"191,451"	"$30,036 "		
393	"22,573"	"$46,368 "		
394	"44,097"	"$35,715 "		
395	"14,370"	"$27,428 "		
405	"4,528"	"$125,023 "		
406	"5,269"	"$78,601 "		
407	"1,905"	"$62,504 "		
408	901	"$94,938 "		
409	865	"$70,515 "		
410	277	"$51,307 "		
411	351	"$98,914 "		
412	398	"$74,882 "		
413	235	"$60,527 "		
414	"3,082"	"$90,597 "		
415	"3,851"	"$62,600 "		
416	"2,280"	"$47,560 "		
417	"15,851"	"$73,874 "		
418	"24,627"	"$58,754 "		
419	"19,013"	"$49,186 "		
420	575	"$90,567 "		
421	642	"$55,088 "		
422	151	"$48,493 "		
423	"1,263"	"$97,646 "		
424	647	"$63,935 "		
425	96	"$51,565 "		
432	"12,385"	"$47,738 "		
433	"7,389"	"$35,037 "		
434	192	"$26,009 "		
435	"12,419"	"$51,107 "		
436	"9,480"	"$40,670 "		
437	"1,222"	"$36,465 "		
438	"14,157"	"$47,636 "		
439	"27,507"	"$34,720 "		
440	"17,159"	"$26,701 "		
441	"20,318"	"$48,876 "		
442	"20,406"	"$34,160 "		
443	"3,935"	"$25,800 "		
444	"11,961"	"$48,360 "		
445	"17,460"	"$39,580 "		
446	"8,254"	"$32,516 "		
453	"1,569"	"$258,105 "		
454	"4,744"	"$185,401 "		
455	"4,313"	"$145,090 "		
456	"1,447"	"$215,482 "		
457	"4,004"	"$160,393 "		
458	"1,708"	"$123,446 "		
459	"4,582"	"$145,244 "		
460	"74,716"	"$98,765 "		
461	459	"$119,944 "		
462	"9,533"	"$86,493 "		
463	"4,921"	"$99,876 "		
464	"8,517"	"$74,080 "		
465	"2,202"	"$55,883 "		
466	"4,176"	"$114,770 "		
467	"22,778"	"$87,919 "		
468	"17,264"	"$73,825 "		
469	"27,666"	"$84,182 "		
470	"444,854"	"$62,696 "		
471	"3,501"	"$117,653 "		
472	"12,293"	"$79,263 "		
473	"28,435"	"$66,710 "		
474	"3,198"	"$79,971 "		
475	"4,035"	"$55,657 "		
476	"1,025"	"$41,047 "		
477	"2,664"	"$81,424 "		
478	"6,563"	"$66,459 "		
479	"2,237"	"$56,799 "		
480	"26,961"	"$79,992 "		
481	"81,410"	"$61,184 "		
482	"25,542"	"$53,517 "		
483	"43,086"	"$70,007 "		
485	"1,308"	"$84,556 "		
486	"2,956"	"$63,640 "		
487	968	"$51,555 "		
488	"3,326"	"$53,334 "		
489	"3,847"	"$45,496 "		
492	"5,820"	"$82,839 "		
493	"20,403"	"$62,512 "		
494	"17,898"	"$52,061 "		
495	"1,679"	"$74,441 "		
496	"4,726"	"$53,748 "		
497	"3,167"	"$44,170 "		
498	"1,263"	"$61,982 "		
499	497	"$39,849 "		
500	"1,796"	"$74,455 "		
501	"4,834"	"$50,246 "		
502	"3,480"	"$42,211 "		
503	"1,050"	"$62,077 "		
504	"2,994"	"$50,017 "		
505	"1,443"	"$43,295 "		
506	550	"$44,540 "		
507	575	"$55,710 "		
508	355	"$52,270 "		
509	161	"$49,819 "		
510	984	"$69,878 "		
511	"3,392"	"$56,113 "		
512	"3,411"	"$48,570 "		
513	"1,317"	"$47,850 "		
514	659	"$34,935 "		
515	"3,699"	"$82,747 "		
516	"9,148"	"$63,000 "		
517	"6,225"	"$56,168 "		
518	"3,981"	"$79,119 "		
519	"13,678"	"$54,656 "		
520	"24,515"	"$44,480 "		
533	841	"$41,123 "		
534	"2,942"	"$24,827 "		
535	"7,523"	"$38,705 "		
536	"26,636"	"$25,166 "		
537	715	"$32,427 "		
538	413	"$23,199 "		
539	"2,754"	"$46,720 "		
540	"3,670"	"$39,050 "		
541	928	"$31,827 "		
542	"5,138"	"$50,153 "		
543	"12,400"	"$38,185 "		
544	"3,448"	"$28,313 "		
545	"3,586"	"$54,473 "		
546	"4,958"	"$37,331 "		
547	"2,019"	"$29,362 "		
548	492	"$49,444 "		
549	"1,247"	"$37,914 "		
550	468	"$28,725 "		
551	"12,411"	"$46,073 "		
552	"56,461"	"$32,986 "		
553	"2,223"	"$38,018 "		
554	"12,537"	"$25,690 "		
555	"3,069"	"$39,341 "		
556	"14,719"	"$28,833 "		
557	"4,352"	"$43,999 "		
558	"14,473"	"$31,031 "		
559	"2,310"	"$46,959 "		
560	"4,692"	"$35,252 "		
561	"2,907"	"$24,613 "		
562	"5,924"	"$41,027 "		
563	"24,938"	"$27,956 "		
564	"2,108"	"$43,312 "		
565	"3,850"	"$34,268 "		
566	"1,126"	"$26,375 "		
570	"4,084"	"$54,669 "		
571	"4,917"	"$43,493 "		
572	"1,962"	"$36,861 "		
573	"2,205"	"$76,142 "		
574	881	"$65,939 "		
575	321	"$45,689 "		
576	423	"$101,451 "		
577	"1,519"	"$62,791 "		
578	"1,275"	"$45,809 "		
579	"5,391"	"$64,011 "		
580	"8,080"	"$49,434 "		
581	"5,456"	"$42,498 "		
582	"2,169"	"$46,720 "		
583	"2,667"	"$43,087 "		
584	689	"$53,385 "		
585	954	"$50,365 "		
592	"5,058"	"$38,946 "		
593	"4,551"	"$31,931 "		
594	526	"$23,101 "		
595	"1,167"	"$46,497 "		
596	"3,704"	"$31,364 "		
597	822	"$48,990 "		
598	"1,381"	"$37,041 "		
599	90	"$26,874 "		
600	"1,038"	"$34,231 "		
601	618	"$23,765 "		
602	"27,219"	"$41,356 "		
603	"128,502"	"$27,956 "		
604	"2,734"	"$42,984 "		
605	"12,987"	"$31,001 "		
606	"1,617"	"$38,845 "		
607	"6,088"	"$24,713 "		
614	"1,417"	"$70,245 "		
615	"1,026"	"$52,474 "		
616	"2,002"	"$88,615 "		
617	"9,977"	"$56,082 "		
618	115	"$40,350 "		
619	"1,021"	"$77,775 "		
620	"4,062"	"$60,395 "		
621	"13,185"	"$54,193 "		
622	"1,011"	"$70,824 "		
623	"3,201"	"$49,183 "		
624	175	"$37,695 "		
625	989	"$70,114 "		
626	"1,676"	"$49,599 "		
627	"3,326"	"$38,017 "		
628	"3,565"	"$81,231 "		
629	"5,111"	"$60,031 "		
630	282	"$47,956 "		
637	"22,650"	"$41,983 "		
638	"48,412"	"$30,080 "		
639	"13,920"	"$22,452 "		
640	"63,535"	"$36,601 "		
641	"110,868"	"$26,366 "		
642	"1,528"	"$37,638 "		
643	"7,976"	"$46,011 "		
644	"12,437"	"$35,835 "		
645	"4,842"	"$27,124 "		
652	"9,952"	"$95,361 "		
653	"1,663"	"$135,439 "		
654	"3,796"	"$85,516 "		
655	"1,278"	"$70,064 "		
656	"3,310"	"$90,806 "		
657	"8,069"	"$64,252 "		
658	"6,504"	"$54,605 "		
659	"4,176"	"$82,104 "		
660	"8,381"	"$57,353 "		
661	"3,297"	"$50,793 "		
662	740	"$74,152 "		
663	"1,417"	"$51,184 "		
664	837	"$43,187 "		
665	555	"$80,694 "		
666	"1,428"	"$53,877 "		
667	807	"$37,724 "		
668	"3,644"	"$66,965 "		
669	"13,960"	"$46,682 "		
670	"3,452"	"$36,392 "		
671	679	"$50,573 "		
672	368	"$34,307 "		
673	"9,605"	"$80,504 "		
674	"6,508"	"$64,322 "		
675	830	"$50,844 "		
682	"112,589"	"$43,247 "		
683	"146,074"	"$33,414 "		
684	"24,840"	"$23,632 "		
685	"2,012"	"$33,292 "		
686	"1,312"	"$47,268 "		
687	"2,504"	"$36,892 "		
688	359	"$28,437 "		
689	"74,947"	"$36,934 "		
690	"160,755"	"$28,469 "		
691	871	"$51,818 "		
692	143	"$43,739 "		
693	"2,357"	"$44,709 "		
694	"14,659"	"$31,334 "		
695	"1,427"	"$38,195 "		
696	"8,561"	"$24,962 "		
697	422	"$35,117 "		
698	"37,600"	"$43,123 "		
699	"30,706"	"$35,049 "		
700	"5,503"	"$25,826 "		
707	"3,996"	"$59,075 "		
708	"13,060"	"$51,562 "		
709	553	"$55,180 "		
710	429	"$45,182 "		
711	534	"$56,409 "		
712	186	"$36,347 "		
713	"4,729"	"$47,681 "		
714	"4,778"	"$31,397 "		
715	424	"$57,846 "		
716	111	"$45,908 "		
717	787	"$51,201 "		
718	204	"$34,918 "		
722	534	"$47,583 "		
723	"1,282"	"$37,947 "		
724	108	"$27,257 "		
725	643	"$40,975 "		
726	"2,978"	"$27,076 "		
727	"1,552"	"$43,015 "		
728	"5,584"	"$28,595 "		
729	778	"$36,535 "		
730	156	"$22,409 "		
734	"1,479"	"$69,699 "		
735	955	"$47,225 "		
736	764	"$109,639 "		
737	"2,795"	"$63,421 "		
738	600	"$50,151 "		
739	641	"$87,354 "		
740	"2,931"	"$57,183 "		
741	"2,772"	"$46,973 "		
742	"6,492"	"$51,567 "		
743	"11,571"	"$40,181 "		
744	"1,347"	"$50,456 "		
745	425	"$38,041 "		
746	"1,553"	"$45,850 "		
747	"2,155"	"$36,207 "		
748	"3,625"	"$41,311 "		
749	945	"$68,390 "		
750	259	"$47,842 "		
754	"1,266"	"$51,027 "		
755	"2,988"	"$37,603 "		
756	220	"$24,321 "		
757	"1,376"	"$43,225 "		
758	"1,799"	"$36,032 "		
759	699	"$28,205 "		
760	"1,855"	"$31,666 "		
761	530	"$22,068 "		
765	"3,941"	"$34,144 "		
766	"2,598"	"$24,067 "		
767	88	"$33,952 "		
768	16	"$39,806 "		
769	100	"$57,160 "		
770	99	"$31,878 "		
774	"2,164"	"$19,882 "		
775	"6,128"	"$15,190 "		
776	646	"$23,581 "		
777	110	"$37,352 "		
778	364	"$14,264 "		
779	85	"$21,941 "		
780	19	"$5,323 "		
781	"2,814"	"$24,073 "		
782	123	"$17,071 "		
793	2	"$14,615 "		
794	1	"$14,615 "		
799	459	"$118,789 "		
800	440	"$76,136 "		
801	258	"$55,839 "		
802	777	"$79,993 "		
803	996	"$56,353 "		
804	489	"$45,305 "		
808	"7,747"	"$55,780 "		
809	"16,666"	"$39,235 "		
810	"2,359"	"$31,855 "		
811	"31,253"	"$40,293 "		
812	"74,906"	"$30,684 "		
813	"8,233"	"$44,845 "		
814	"1,483"	"$46,279 "		
815	"2,883"	"$36,273 "		
816	872	"$29,205 "		
820	"1,109"	"$136,405 "		
821	"1,489"	"$67,220 "		
822	"1,209"	"$47,361 "		
823	"1,789"	"$105,356 "		
824	"2,268"	"$68,426 "		
825	795	"$50,060 "		
826	722	"$124,035 "		
827	"1,297"	"$67,296 "		
828	780	"$52,003 "		
829	"1,140"	"$77,533 "		
830	257	"$47,822 "		
834	"3,908"	"$98,936 "		
835	"2,532"	"$50,601 "		
836	792	"$36,225 "		
837	"1,809"	"$117,279 "		
838	"1,142"	"$60,455 "		
839	"1,067"	"$39,520 "		
840	"7,467"	"$70,144 "		
841	"7,878"	"$46,968 "		
842	"2,012"	"$38,522 "		
843	"1,603"	"$51,164 "		
844	"2,318"	"$38,984 "		
845	419	"$32,858 "		
846	"2,876"	"$59,225 "		
847	"14,981"	"$40,146 "		
848	510	"$33,302 "		
849	552	"$48,444 "		
853	"59,468"	"$114,513 "		
854	"13,611"	"$66,077 "		
855	307	"$48,876 "		
856	"6,198"	"$95,059 "		
857	"8,602"	"$55,281 "		
858	"1,430"	"$43,456 "		
862	"10,292"	"$48,887 "		
863	"16,416"	"$34,305 "		
864	"13,761"	"$31,997 "		
865	"3,085"	"$41,792 "		
866	"5,768"	"$29,313 "		
867	"4,782"	"$59,411 "		
868	"2,050"	"$35,294 "		
869	492	"$26,066 "		
870	"33,952"	"$141,703 "		
871	"435,893"	"$50,010 "		
872	"136,300"	"$36,974 "		
876	578	"$68,098 "		
880	"6,009"	"$28,121 "		
881	"4,568"	"$18,069 "		
882	"1,854"	"$19,772 "		
883	872	"$29,962 "		
884	"18,775"	"$34,322 "		
885	"92,212"	"$25,744 "		
886	440	"$23,822 "		
887	389	"$31,876 "		
894	"4,602"	"$15,202 "		
895	"5,233"	"$28,085 "		
896	"8,515"	"$42,868 "		
897	"34,490"	"$22,985 "		
901	843	"$79,014 "		
902	"1,668"	"$49,536 "		
903	593	"$39,430 "		
904	"1,936"	"$72,692 "		
905	603	"$45,034 "		
906	590	"$45,534 "		
907	"9,086"	"$87,165 "		
908	"8,857"	"$56,273 "		
909	"3,598"	"$43,977 "		
913	865	"$41,884 "		
914	"3,840"	"$29,108 "		
915	"2,009"	"$45,446 "		
916	"4,499"	"$19,948 "		
917	"28,870"	"$42,541 "		
918	"26,348"	"$25,150 "		
919	"12,401"	"$47,080 "		
920	"14,099"	"$35,087 "		
921	"4,412"	"$25,981 "		
922	"1,226"	"$44,205 "		
923	"2,098"	"$28,172 "		
927	187	"$310,971 "		
928	"1,152"	"$106,919 "		
929	376	"$59,828 "		
933	131	"$49,047 "		
934	573	"$38,228 "		
935	"1,924"	"$36,368 "		
939	673	"$72,369 "		
940	"1,368"	"$54,392 "		
941	791	"$45,762 "		
945	"4,511"	"$28,586 "		
946	"1,416"	"$22,037 "		
947	"12,692"	"$37,352 "		
948	"40,852"	"$27,788 "		
949	380	"$31,934 "		
950	132	"$19,066 "		
951	797	"$29,977 "		
955	442	"$144,128 "		
956	"5,012"	"$86,216 "		
957	"1,850"	"$158,770 "		
958	"1,348"	"$102,501 "		
959	163	"$69,323 "		
963	"2,181"	"$67,983 "		
964	"3,249"	"$46,152 "		
965	795	"$36,305 "		
969	557	"$119,211 "		
970	55	"$74,291 "		
974	"5,171"	"$62,488 "		
975	"2,923"	"$41,665 "		
976	797	"$34,183 "		
977	"2,208"	"$37,755 "		
981	"22,617"	"$111,527 "		
982	"14,774"	"$73,719 "		
983	"3,195"	"$55,155 "		
984	455	"$83,717 "		
985	729	"$57,061 "		
986	293	"$44,447 "		
987	"6,920"	"$76,448 "		
988	"7,485"	"$52,701 "		
989	"2,110"	"$40,046 "		
				
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.				
