"SUPPLEMENTAL TABLE. NEW TECHNOLOGY ADD-ON PAYMENTS THRESHOLDS1,2 FOR APPLICATIONS FOR FY 2016"		
MS?DRG	Number of Cases	Threshold
1	"1,586"	"$548,948 "
2	350	"$349,625 "
3	"17,786"	"$349,976 "
4	"19,330"	"$212,089 "
5	"1,039"	"$234,267 "
6	335	"$138,016 "
7	559	"$247,059 "
8	485	"$152,540 "
10	76	"$117,682 "
11	"1,624"	"$110,656 "
12	"1,899"	"$83,758 "
13	831	"$59,507 "
14	732	"$221,976 "
16	"1,759"	"$137,468 "
17	206	"$96,446 "
20	"1,323"	"$225,584 "
21	407	"$171,120 "
22	114	"$112,685 "
23	"5,812"	"$125,093 "
24	"1,886"	"$95,727 "
25	"17,185"	"$103,978 "
26	"9,202"	"$79,704 "
27	"11,083"	"$66,118 "
28	"2,139"	"$119,289 "
29	"3,950"	"$74,575 "
30	"3,149"	"$47,305 "
31	"1,042"	"$89,443 "
32	"2,405"	"$57,311 "
33	"2,986"	"$50,467 "
34	840	"$91,478 "
35	"2,326"	"$64,686 "
36	"4,896"	"$55,270 "
37	"4,613"	"$80,768 "
38	"12,428"	"$51,567 "
39	"32,596"	"$41,014 "
40	"4,600"	"$85,849 "
41	"6,134"	"$57,018 "
42	"2,286"	"$53,333 "
52	"1,173"	"$43,938 "
53	420	"$34,503 "
54	"11,305"	"$40,592 "
55	"7,997"	"$36,683 "
56	"9,663"	"$43,572 "
57	"29,625"	"$32,805 "
58	858	"$44,503 "
59	"3,146"	"$35,714 "
60	"3,192"	"$28,970 "
61	"4,094"	"$79,216 "
62	"6,526"	"$63,652 "
63	"2,030"	"$57,575 "
64	"72,168"	"$48,043 "
65	"108,158"	"$38,972 "
66	"58,384"	"$30,958 "
67	"1,093"	"$45,092 "
68	"6,454"	"$35,221 "
69	"73,468"	"$29,452 "
70	"13,470"	"$45,140 "
71	"15,175"	"$35,135 "
72	"4,834"	"$28,493 "
73	"8,560"	"$39,512 "
74	"24,667"	"$32,455 "
75	"1,585"	"$49,121 "
76	614	"$34,296 "
77	"1,794"	"$47,491 "
78	"2,972"	"$35,996 "
79	845	"$27,425 "
80	"1,446"	"$39,076 "
81	"4,404"	"$28,410 "
82	"3,089"	"$48,637 "
83	"2,851"	"$40,538 "
84	"2,429"	"$32,940 "
85	"10,730"	"$49,611 "
86	"17,097"	"$37,712 "
87	"13,828"	"$28,429 "
88	932	"$45,172 "
89	"2,600"	"$36,768 "
90	"1,694"	"$31,018 "
91	"12,134"	"$43,926 "
92	"19,720"	"$32,668 "
93	"9,751"	"$26,935 "
94	"1,387"	"$79,376 "
95	"1,199"	"$61,883 "
96	531	"$57,450 "
97	"1,441"	"$77,758 "
98	"1,026"	"$50,542 "
99	475	"$40,706 "
100	"23,551"	"$43,093 "
101	"49,257"	"$28,932 "
102	"1,387"	"$36,422 "
103	"11,191"	"$28,491 "
113	641	"$53,503 "
114	283	"$41,827 "
115	739	"$42,070 "
116	423	"$43,832 "
117	261	"$30,857 "
121	793	"$34,257 "
122	420	"$21,534 "
123	"2,888"	"$29,241 "
124	864	"$36,189 "
125	"3,806"	"$25,337 "
129	"1,542"	"$64,661 "
130	"1,020"	"$45,692 "
131	"1,220"	"$65,006 "
132	624	"$47,224 "
133	"2,245"	"$51,429 "
134	"1,714"	"$37,581 "
135	391	"$58,169 "
136	195	"$39,857 "
137	974	"$40,931 "
138	523	"$29,833 "
139	626	"$38,232 "
146	733	"$48,529 "
147	"1,093"	"$37,839 "
148	332	"$29,779 "
149	"22,113"	"$26,053 "
150	"1,329"	"$36,844 "
151	"4,735"	"$21,860 "
152	"5,328"	"$34,129 "
153	"19,283"	"$24,043 "
154	"2,443"	"$40,622 "
155	"5,360"	"$31,858 "
156	"2,510"	"$24,371 "
157	"1,535"	"$43,302 "
158	"3,434"	"$30,389 "
159	"1,206"	"$22,025 "
163	"12,506"	"$117,530 "
164	"17,241"	"$72,233 "
165	"9,876"	"$56,916 "
166	"19,710"	"$84,721 "
167	"14,012"	"$57,378 "
168	"2,811"	"$45,407 "
175	"18,156"	"$46,457 "
176	"39,024"	"$34,865 "
177	"72,846"	"$50,777 "
178	"52,512"	"$41,218 "
179	"12,093"	"$32,877 "
180	"20,011"	"$48,722 "
181	"18,293"	"$38,652 "
182	"1,579"	"$32,175 "
183	"3,189"	"$44,890 "
184	"6,552"	"$36,424 "
185	"2,128"	"$25,276 "
186	"10,722"	"$44,765 "
187	"9,390"	"$36,936 "
188	"2,317"	"$28,226 "
189	"113,523"	"$38,795 "
190	"152,324"	"$37,928 "
191	"136,146"	"$32,734 "
192	"90,576"	"$25,451 "
193	"145,178"	"$42,931 "
194	"180,887"	"$33,913 "
195	"70,392"	"$25,114 "
196	"7,383"	"$45,721 "
197	"5,012"	"$35,930 "
198	"1,952"	"$29,950 "
199	"4,439"	"$49,615 "
200	"8,614"	"$35,213 "
201	"2,564"	"$24,560 "
202	"40,528"	"$30,823 "
203	"21,448"	"$23,058 "
204	"15,832"	"$27,181 "
205	"7,402"	"$40,502 "
206	"15,150"	"$29,451 "
207	"31,186"	"$126,374 "
208	"71,775"	"$61,942 "
215	266	"$305,031 "
216	"9,537"	"$229,507 "
217	"4,978"	"$164,536 "
218	808	"$150,325 "
219	"16,773"	"$183,003 "
220	"20,045"	"$136,446 "
221	"4,433"	"$124,736 "
222	"1,636"	"$209,919 "
223	"1,737"	"$156,380 "
224	"2,229"	"$188,669 "
225	"2,565"	"$150,794 "
226	"4,950"	"$162,664 "
227	"13,856"	"$131,594 "
228	"1,633"	"$185,717 "
229	"2,183"	"$126,648 "
230	523	"$119,164 "
231	"1,225"	"$211,710 "
232	940	"$165,906 "
233	"12,735"	"$186,942 "
234	"19,332"	"$139,337 "
235	"8,556"	"$143,507 "
236	"19,733"	"$109,366 "
237	"19,027"	"$121,777 "
238	"35,938"	"$87,602 "
239	"9,271"	"$92,515 "
240	"9,161"	"$62,565 "
241	"1,142"	"$42,003 "
242	"17,905"	"$91,373 "
243	"29,566"	"$73,091 "
244	"24,111"	"$62,692 "
245	"1,967"	"$113,344 "
246	"32,297"	"$97,504 "
247	"100,209"	"$73,562 "
248	"11,402"	"$91,782 "
249	"23,008"	"$69,231 "
250	"3,928"	"$79,479 "
251	"8,348"	"$61,166 "
252	"34,088"	"$78,407 "
253	"41,455"	"$70,027 "
254	"20,753"	"$54,198 "
255	"2,236"	"$60,600 "
256	"2,811"	"$47,385 "
257	239	"$35,380 "
258	634	"$74,024 "
259	"2,150"	"$58,145 "
260	"1,857"	"$86,756 "
261	"3,094"	"$52,707 "
262	"1,507"	"$44,897 "
263	313	"$47,367 "
264	"17,070"	"$64,544 "
265	978	"$69,563 "
266	"3,963"	"$199,363 "
267	"4,376"	"$156,600 "
273	"6,268"	"$95,542 "
274	"19,862"	"$77,230 "
280	"68,647"	"$47,673 "
281	"46,002"	"$37,500 "
282	"28,056"	"$31,904 "
283	"10,946"	"$44,926 "
284	"2,288"	"$29,565 "
285	861	"$20,814 "
286	"28,264"	"$62,296 "
287	"92,116"	"$45,324 "
288	"1,828"	"$64,095 "
289	955	"$47,866 "
290	168	"$38,715 "
291	"194,469"	"$42,344 "
292	"197,840"	"$32,690 "
293	"72,070"	"$23,406 "
294	689	"$33,161 "
295	131	"$21,729 "
296	"2,773"	"$40,716 "
297	556	"$26,890 "
298	329	"$16,657 "
299	"20,095"	"$40,089 "
300	"40,039"	"$31,878 "
301	"18,750"	"$22,213 "
302	"5,269"	"$34,447 "
303	"25,062"	"$23,404 "
304	"3,489"	"$35,593 "
305	"28,627"	"$24,521 "
306	"3,411"	"$38,401 "
307	"4,788"	"$27,443 "
308	"70,959"	"$38,142 "
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"	"$47,240 "
315	"24,471"	"$33,466 "
316	"6,491"	"$23,904 "
326	"10,814"	"$119,471 "
327	"10,148"	"$70,913 "
328	"8,788"	"$49,404 "
329	"40,996"	"$115,105 "
330	"54,124"	"$69,890 "
331	"23,676"	"$53,159 "
332	"1,259"	"$109,420 "
333	"4,182"	"$68,459 "
334	"2,892"	"$50,261 "
335	"6,982"	"$102,434 "
336	"12,866"	"$65,838 "
337	"6,847"	"$50,361 "
338	"1,043"	"$82,769 "
339	"2,969"	"$56,840 "
340	"2,798"	"$45,847 "
341	856	"$66,068 "
342	"2,622"	"$48,340 "
343	"4,795"	"$38,863 "
344	947	"$78,424 "
345	"3,313"	"$50,449 "
346	"2,616"	"$41,008 "
347	"1,583"	"$62,704 "
348	"3,979"	"$43,765 "
349	"2,503"	"$33,887 "
350	"1,583"	"$66,227 "
351	"3,827"	"$47,133 "
352	"4,126"	"$35,700 "
353	"3,337"	"$73,617 "
354	"8,769"	"$52,091 "
355	"8,135"	"$42,984 "
356	"7,525"	"$86,973 "
357	"7,046"	"$59,275 "
358	"1,680"	"$46,883 "
368	"3,520"	"$51,051 "
369	"5,049"	"$37,707 "
370	"1,208"	"$28,232 "
371	"22,487"	"$47,191 "
372	"34,812"	"$36,465 "
373	"10,301"	"$27,864 "
374	"8,604"	"$51,840 "
375	"15,592"	"$39,717 "
376	"1,597"	"$34,353 "
377	"56,873"	"$47,820 "
378	"141,062"	"$35,089 "
379	"32,747"	"$24,925 "
380	"2,985"	"$51,387 "
381	"5,636"	"$38,390 "
382	"1,756"	"$29,507 "
383	"1,101"	"$43,930 "
384	"5,463"	"$33,925 "
385	"2,159"	"$47,580 "
386	"8,784"	"$35,702 "
387	"3,676"	"$28,668 "
388	"18,536"	"$44,691 "
389	"53,649"	"$31,713 "
390	"37,898"	"$23,248 "
391	"47,502"	"$38,384 "
392	"198,796"	"$28,608 "
393	"22,596"	"$45,250 "
394	"45,577"	"$34,348 "
395	"15,957"	"$25,639 "
405	"4,437"	"$121,098 "
406	"5,098"	"$75,696 "
407	"1,838"	"$58,507 "
408	884	"$97,609 "
409	915	"$63,988 "
410	301	"$52,690 "
411	430	"$96,232 "
412	491	"$71,552 "
413	260	"$58,095 "
414	"3,401"	"$87,518 "
415	"4,221"	"$60,739 "
416	"2,585"	"$45,741 "
417	"16,541"	"$71,002 "
418	"25,258"	"$56,325 "
419	"20,830"	"$46,499 "
420	573	"$82,281 "
421	680	"$53,327 "
422	193	"$45,450 "
423	"1,403"	"$95,157 "
424	703	"$62,197 "
425	94	"$46,140 "
432	"11,645"	"$46,412 "
433	"7,392"	"$33,632 "
434	227	"$25,320 "
435	"12,162"	"$49,586 "
436	"10,025"	"$38,856 "
437	"1,472"	"$34,859 "
438	"14,889"	"$46,590 "
439	"27,405"	"$34,487 "
440	"17,883"	"$25,746 "
441	"20,538"	"$47,161 "
442	"21,098"	"$32,674 "
443	"4,391"	"$24,726 "
444	"12,271"	"$46,709 "
445	"17,766"	"$38,248 "
446	"9,045"	"$30,823 "
453	"1,557"	"$240,830 "
454	"4,322"	"$176,086 "
455	"3,915"	"$142,225 "
456	"1,445"	"$205,283 "
457	"3,800"	"$150,489 "
458	"1,639"	"$118,071 "
459	"4,501"	"$140,735 "
460	"72,219"	"$95,491 "
461	468	"$119,522 "
462	"9,353"	"$88,328 "
463	"4,869"	"$99,366 "
464	"8,549"	"$70,919 "
465	"2,199"	"$54,492 "
466	"4,195"	"$111,579 "
467	"23,337"	"$84,423 "
468	"16,771"	"$70,907 "
469	"27,713"	"$82,208 "
470	"436,303"	"$60,941 "
471	"3,421"	"$113,473 "
472	"11,683"	"$76,172 "
473	"28,763"	"$63,921 "
474	"3,091"	"$76,225 "
475	"3,856"	"$53,423 "
476	"1,070"	"$38,562 "
477	"2,608"	"$80,057 "
478	"6,829"	"$65,204 "
479	"2,335"	"$55,470 "
480	"26,276"	"$77,041 "
481	"81,474"	"$58,857 "
482	"25,994"	"$51,390 "
483	"39,375"	"$67,276 "
485	"1,224"	"$80,206 "
486	"2,847"	"$61,208 "
487	"1,058"	"$49,223 "
488	"3,380"	"$50,923 "
489	"3,955"	"$43,992 "
492	"5,742"	"$79,921 "
493	"20,136"	"$59,605 "
494	"18,240"	"$48,997 "
495	"1,784"	"$71,870 "
496	"4,736"	"$51,781 "
497	"3,390"	"$41,673 "
498	"1,261"	"$59,149 "
499	434	"$38,799 "
500	"1,871"	"$73,411 "
501	"4,911"	"$48,203 "
502	"3,672"	"$40,131 "
503	990	"$60,721 "
504	"2,814"	"$47,665 "
505	"1,520"	"$41,216 "
506	637	"$42,172 "
507	653	"$55,629 "
508	442	"$46,835 "
509	171	"$48,738 "
510	"1,014"	"$64,120 "
511	"3,508"	"$52,898 "
512	"4,121"	"$44,799 "
513	"1,338"	"$44,867 "
514	756	"$33,376 "
515	"3,635"	"$79,332 "
516	"8,990"	"$60,298 "
517	"6,087"	"$52,886 "
518	"3,696"	"$77,138 "
519	"14,438"	"$51,741 "
520	"26,938"	"$41,812 "
533	883	"$39,616 "
534	"2,935"	"$24,323 "
535	"7,522"	"$37,550 "
536	"26,731"	"$24,028 "
537	742	"$31,701 "
538	410	"$24,419 "
539	"2,763"	"$46,020 "
540	"3,633"	"$38,366 "
541	996	"$31,041 "
542	"5,175"	"$49,513 "
543	"12,346"	"$37,029 "
544	"3,526"	"$27,683 "
545	"3,793"	"$53,949 "
546	"5,088"	"$36,275 "
547	"2,043"	"$28,062 "
548	491	"$49,447 "
549	"1,187"	"$36,376 "
550	438	"$28,927 "
551	"11,663"	"$44,512 "
552	"53,952"	"$31,779 "
553	"2,178"	"$37,003 "
554	"11,992"	"$24,206 "
555	"3,164"	"$38,619 "
556	"15,448"	"$26,828 "
557	"4,738"	"$42,385 "
558	"15,854"	"$29,917 "
559	"2,093"	"$45,425 "
560	"4,796"	"$34,049 "
561	"3,272"	"$23,060 "
562	"5,906"	"$39,895 "
563	"24,315"	"$26,545 "
564	"1,821"	"$41,920 "
565	"3,964"	"$32,486 "
566	"1,131"	"$24,617 "
570	"4,121"	"$52,459 "
571	"4,883"	"$41,918 "
572	"2,070"	"$34,188 "
573	"2,211"	"$71,020 "
574	990	"$59,417 "
575	348	"$41,913 "
576	414	"$89,354 "
577	"1,557"	"$55,576 "
578	"1,404"	"$42,377 "
579	"5,693"	"$61,714 "
580	"8,572"	"$46,868 "
581	"6,007"	"$39,812 "
582	"2,491"	"$43,656 "
583	"2,927"	"$39,155 "
584	723	"$52,320 "
585	989	"$45,166 "
592	"5,174"	"$37,353 "
593	"4,896"	"$31,321 "
594	602	"$22,148 "
595	"1,112"	"$45,390 "
596	"3,884"	"$30,325 "
597	819	"$45,732 "
598	"1,535"	"$36,626 "
599	135	"$27,170 "
600	"1,149"	"$32,909 "
601	658	"$22,098 "
602	"27,030"	"$40,064 "
603	"133,740"	"$27,025 "
604	"2,742"	"$39,612 "
605	"14,399"	"$28,566 "
606	"1,617"	"$37,018 "
607	"6,147"	"$23,848 "
614	"1,597"	"$67,978 "
615	"1,161"	"$50,651 "
616	"1,842"	"$88,429 "
617	"9,337"	"$53,870 "
618	98	"$41,950 "
619	896	"$79,837 "
620	"3,463"	"$58,228 "
621	"10,762"	"$52,166 "
622	"1,055"	"$70,059 "
623	"2,966"	"$47,688 "
624	214	"$38,026 "
625	"1,074"	"$65,654 "
626	"2,173"	"$45,778 "
627	"5,756"	"$34,319 "
628	"3,593"	"$77,100 "
629	"5,039"	"$57,986 "
630	307	"$46,038 "
637	"23,189"	"$40,422 "
638	"51,554"	"$28,450 "
639	"17,159"	"$20,897 "
640	"64,147"	"$34,681 "
641	"121,099"	"$24,798 "
642	"1,606"	"$34,942 "
643	"7,562"	"$45,082 "
644	"12,830"	"$34,867 "
645	"5,234"	"$25,872 "
652	"9,921"	"$91,012 "
653	"1,598"	"$127,149 "
654	"3,730"	"$83,625 "
655	"1,291"	"$66,686 "
656	"3,271"	"$87,097 "
657	"8,097"	"$61,515 "
658	"6,450"	"$52,375 "
659	"4,209"	"$77,895 "
660	"8,519"	"$55,013 "
661	"3,301"	"$47,447 "
662	764	"$72,778 "
663	"1,511"	"$46,857 "
664	"1,088"	"$40,894 "
665	508	"$78,238 "
666	"1,522"	"$51,308 "
667	"1,014"	"$35,282 "
668	"3,558"	"$64,910 "
669	"14,826"	"$43,850 "
670	"4,385"	"$33,485 "
671	679	"$48,153 "
672	437	"$31,998 "
673	"9,941"	"$77,823 "
674	"7,080"	"$61,633 "
675	"1,153"	"$47,402 "
682	"111,245"	"$41,771 "
683	"153,721"	"$32,506 "
684	"27,406"	"$21,978 "
685	"2,431"	"$30,994 "
686	"1,212"	"$46,639 "
687	"2,636"	"$35,714 "
688	348	"$26,815 "
689	"74,184"	"$36,073 "
690	"174,501"	"$27,236 "
691	871	"$50,203 "
692	209	"$38,764 "
693	"2,325"	"$42,930 "
694	"16,385"	"$28,409 "
695	"1,448"	"$37,328 "
696	"9,242"	"$23,108 "
697	501	"$32,271 "
698	"33,804"	"$41,872 "
699	"31,802"	"$33,602 "
700	"5,830"	"$24,814 "
707	"4,153"	"$58,200 "
708	"13,904"	"$49,506 "
709	600	"$53,677 "
710	491	"$41,155 "
711	565	"$57,179 "
712	221	"$36,930 "
713	"5,068"	"$45,497 "
714	"4,919"	"$28,871 "
715	382	"$57,714 "
716	152	"$44,927 "
717	763	"$49,369 "
718	224	"$35,101 "
722	528	"$46,750 "
723	"1,397"	"$35,934 "
724	126	"$24,279 "
725	654	"$37,049 "
726	"3,287"	"$25,124 "
727	"1,557"	"$41,441 "
728	"5,390"	"$27,968 "
729	849	"$33,578 "
730	196	"$24,222 "
734	"1,470"	"$67,524 "
735	940	"$44,715 "
736	759	"$104,544 "
737	"2,804"	"$60,882 "
738	613	"$46,630 "
739	708	"$82,770 "
740	"3,322"	"$52,733 "
741	"3,308"	"$44,573 "
742	"7,313"	"$48,757 "
743	"13,392"	"$37,641 "
744	"1,447"	"$48,675 "
745	493	"$36,581 "
746	"1,753"	"$43,882 "
747	"2,625"	"$33,391 "
748	"4,503"	"$38,817 "
749	"1,036"	"$66,246 "
750	245	"$42,345 "
754	"1,260"	"$48,828 "
755	"3,003"	"$36,023 "
756	228	"$24,936 "
757	"1,392"	"$43,982 "
758	"1,988"	"$35,611 "
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	"$14,164 "
769	100	"$47,529 "
770	119	"$29,741 "
774	"2,100"	"$18,980 "
775	"6,393"	"$14,299 "
776	632	"$26,704 "
777	135	"$38,017 "
778	402	"$14,487 "
779	84	"$19,739 "
780	40	"$7,560 "
781	"3,203"	"$22,319 "
782	149	"$12,602 "
793	1	"$14,164 "
794	1	"$14,164 "
799	485	"$118,349 "
800	514	"$71,720 "
801	269	"$51,515 "
802	810	"$76,981 "
803	991	"$52,904 "
804	497	"$44,163 "
808	"8,114"	"$54,068 "
809	"18,009"	"$37,347 "
810	"2,638"	"$29,923 "
811	"32,114"	"$37,984 "
812	"82,976"	"$28,167 "
813	"8,914"	"$41,318 "
814	"1,425"	"$45,757 "
815	"3,086"	"$35,314 "
816	"1,003"	"$27,401 "
820	"1,076"	"$126,708 "
821	"1,657"	"$64,484 "
822	"1,304"	"$44,634 "
823	"1,798"	"$104,594 "
824	"2,394"	"$65,299 "
825	808	"$46,911 "
826	685	"$115,576 "
827	"1,321"	"$65,054 "
828	839	"$50,065 "
829	"1,196"	"$76,071 "
830	268	"$43,637 "
834	"3,890"	"$92,336 "
835	"2,599"	"$47,315 "
836	872	"$34,077 "
837	"1,767"	"$119,451 "
838	"1,182"	"$60,541 "
839	"1,208"	"$37,554 "
840	"7,641"	"$67,592 "
841	"8,590"	"$45,623 "
842	"2,385"	"$36,785 "
843	"1,650"	"$48,217 "
844	"2,600"	"$38,577 "
845	468	"$32,963 "
846	"2,602"	"$55,611 "
847	"15,637"	"$38,507 "
848	702	"$30,254 "
849	695	"$45,231 "
853	"53,096"	"$111,440 "
854	"11,528"	"$64,003 "
855	306	"$50,359 "
856	"6,125"	"$93,560 "
857	"8,891"	"$53,328 "
858	"1,646"	"$42,301 "
862	"10,147"	"$46,973 "
863	"17,989"	"$32,690 "
864	"15,696"	"$30,745 "
865	"2,952"	"$39,946 "
866	"6,941"	"$27,045 "
867	"5,166"	"$59,239 "
868	"2,345"	"$34,651 "
869	586	"$23,923 "
870	"32,989"	"$136,060 "
871	"396,937"	"$48,407 "
872	"127,219"	"$35,835 "
876	568	"$65,134 "
880	"6,582"	"$25,147 "
881	"4,687"	"$16,950 "
882	"1,722"	"$18,786 "
883	869	"$28,114 "
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"	"$40,748 "
897	"36,467"	"$21,227 "
901	741	"$77,898 "
902	"1,640"	"$46,614 "
903	595	"$36,691 "
904	"1,891"	"$70,987 "
905	665	"$42,886 "
906	707	"$38,943 "
907	"8,967"	"$83,322 "
908	"9,172"	"$53,233 "
909	"3,913"	"$41,615 "
913	871	"$37,061 "
914	"4,174"	"$26,462 "
915	"2,058"	"$41,951 "
916	"5,441"	"$17,662 "
917	"28,256"	"$40,799 "
918	"31,976"	"$22,812 "
919	"11,859"	"$44,188 "
920	"14,554"	"$33,492 "
921	"5,134"	"$24,003 "
922	"1,142"	"$41,700 "
923	"2,193"	"$25,477 "
927	179	"$292,587 "
928	"1,067"	"$98,679 "
929	340	"$55,970 "
933	132	"$45,352 "
934	494	"$35,306 "
935	"2,026"	"$34,169 "
939	716	"$66,697 "
940	"1,441"	"$51,328 "
941	792	"$42,790 "
945	"4,694"	"$27,384 "
946	"1,557"	"$22,477 "
947	"13,138"	"$35,988 "
948	"46,954"	"$25,970 "
949	434	"$31,482 "
950	143	"$17,638 "
951	"1,022"	"$27,524 "
955	447	"$135,078 "
956	"4,903"	"$82,291 "
957	"1,813"	"$156,064 "
958	"1,388"	"$98,542 "
959	202	"$69,554 "
963	"2,170"	"$66,731 "
964	"3,173"	"$45,835 "
965	828	"$34,783 "
969	527	"$123,135 "
970	75	"$61,408 "
974	"5,177"	"$60,899 "
975	"3,163"	"$39,808 "
976	909	"$32,041 "
977	"2,365"	"$35,979 "
981	"23,053"	"$108,799 "
982	"15,646"	"$71,835 "
983	"3,484"	"$52,735 "
984	456	"$83,182 "
985	767	"$53,628 "
986	356	"$38,756 "
987	"7,059"	"$74,597 "
988	"8,124"	"$51,428 "
989	"2,286"	"$38,156 "
		
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.		
		
