"TABLE 10. NEW TECHNOLOGY ADD-ON PAYMENTS THRESHOLDS1,2 FOR APPLICATIONS FOR FY 2018"				
MS?DRG	Number of Cases	Threshold		
1	"1,926"	"$609,935 "		
2	276	"$387,533 "		
3	"16,108"	"$380,327 "		
4	"17,457"	"$231,728 "		
5	"1,169"	"$247,141 "		
6	360	"$148,534 "		
7	552	"$269,295 "		
8	448	"$162,088 "		
10	56	"$116,698 "		
11	"1,730"	"$123,159 "		
12	"1,883"	"$96,519 "		
13	668	"$67,924 "		
14	967	"$260,090 "		
16	"1,955"	"$151,681 "		
17	179	"$106,392 "		
20	"1,321"	"$249,840 "		
21	371	"$188,690 "		
22	90	"$122,856 "		
23	"6,936"	"$136,768 "		
24	"2,636"	"$111,510 "		
25	"19,271"	"$109,582 "		
26	"8,185"	"$85,731 "		
27	"10,515"	"$72,585 "		
28	"2,077"	"$130,614 "		
29	"3,557"	"$83,681 "		
30	"2,623"	"$54,399 "		
31	"1,043"	"$97,304 "		
32	"2,211"	"$62,143 "		
33	"2,722"	"$55,471 "		
34	786	"$104,966 "		
35	"1,945"	"$71,336 "		
36	"3,561"	"$58,739 "		
37	"4,346"	"$86,648 "		
38	"11,631"	"$56,032 "		
39	"29,563"	"$45,988 "		
40	"4,806"	"$90,954 "		
41	"6,560"	"$62,617 "		
42	"2,294"	"$59,292 "		
52	"1,257"	"$47,932 "		
53	352	"$35,907 "		
54	"12,749"	"$44,359 "		
55	"6,074"	"$39,766 "		
56	"10,259"	"$47,527 "		
57	"27,485"	"$37,401 "		
58	975	"$48,563 "		
59	"3,161"	"$38,203 "		
60	"2,952"	"$32,737 "		
61	"4,714"	"$86,787 "		
62	"7,615"	"$70,909 "		
63	"2,486"	"$64,511 "		
64	"77,534"	"$52,092 "		
65	"104,563"	"$42,001 "		
66	"51,366"	"$33,806 "		
67	"1,035"	"$48,094 "		
68	"5,062"	"$38,736 "		
69	"55,937"	"$33,954 "		
70	"15,639"	"$48,129 "		
71	"17,166"	"$37,503 "		
72	"4,774"	"$32,047 "		
73	"8,175"	"$42,361 "		
74	"22,466"	"$36,214 "		
75	"1,376"	"$53,280 "		
76	454	"$39,213 "		
77	"2,157"	"$50,271 "		
78	"3,282"	"$39,350 "		
79	683	"$30,742 "		
80	"1,176"	"$41,713 "		
81	"3,199"	"$30,593 "		
82	"3,443"	"$55,346 "		
83	"2,753"	"$45,518 "		
84	"2,147"	"$37,751 "		
85	"12,880"	"$54,716 "		
86	"17,344"	"$41,476 "		
87	"12,750"	"$33,259 "		
88	960	"$49,366 "		
89	"2,214"	"$41,165 "		
90	"1,228"	"$34,339 "		
91	"13,605"	"$46,925 "		
92	"20,251"	"$35,968 "		
93	"8,521"	"$30,446 "		
94	"1,398"	"$85,252 "		
95	"1,166"	"$65,692 "		
96	471	"$65,012 "		
97	"1,475"	"$79,533 "		
98	"1,050"	"$55,508 "		
99	382	"$47,788 "		
100	"24,693"	"$47,597 "		
101	"43,663"	"$32,789 "		
102	"1,344"	"$40,731 "		
103	"9,927"	"$32,776 "		
113	622	"$62,829 "		
114	234	"$47,204 "		
115	603	"$49,525 "		
116	346	"$49,422 "		
117	172	"$35,682 "		
121	537	"$35,266 "		
122	211	"$22,443 "		
123	"2,541"	"$33,858 "		
124	875	"$40,328 "		
125	"3,217"	"$30,112 "		
129	"1,510"	"$71,279 "		
130	948	"$55,103 "		
131	"1,201"	"$73,727 "		
132	581	"$52,431 "		
133	"2,247"	"$56,707 "		
134	"1,356"	"$42,129 "		
135	347	"$64,020 "		
136	169	"$45,375 "		
137	908	"$46,189 "		
138	455	"$34,519 "		
139	431	"$42,190 "		
146	794	"$52,936 "		
147	981	"$41,297 "		
148	284	"$35,306 "		
149	"18,235"	"$30,176 "		
150	"1,292"	"$40,926 "		
151	"3,776"	"$24,949 "		
152	"8,944"	"$35,927 "		
153	"24,294"	"$26,039 "		
154	"2,176"	"$44,547 "		
155	"4,736"	"$34,691 "		
156	"1,974"	"$26,720 "		
157	"1,596"	"$46,013 "		
158	"3,012"	"$32,592 "		
159	936	"$25,638 "		
163	"11,016"	"$124,709 "		
164	"16,601"	"$77,538 "		
165	"9,915"	"$60,658 "		
166	"17,858"	"$89,794 "		
167	"11,647"	"$61,307 "		
168	"2,472"	"$49,629 "		
175	"20,769"	"$48,385 "		
176	"36,061"	"$36,083 "		
177	"72,789"	"$52,818 "		
178	"41,889"	"$42,996 "		
179	"9,385"	"$34,230 "		
180	"19,268"	"$52,228 "		
181	"14,912"	"$41,871 "		
182	"1,240"	"$35,666 "		
183	"3,876"	"$48,043 "		
184	"7,236"	"$39,324 "		
185	"2,174"	"$30,028 "		
186	"10,828"	"$48,098 "		
187	"8,424"	"$39,590 "		
188	"1,954"	"$31,300 "		
189	"134,505"	"$41,692 "		
190	"144,300"	"$40,469 "		
191	"114,738"	"$34,404 "		
192	"64,721"	"$27,734 "		
193	"147,266"	"$45,045 "		
194	"149,738"	"$35,528 "		
195	"54,440"	"$27,197 "		
196	"7,561"	"$48,197 "		
197	"4,046"	"$38,631 "		
198	"1,378"	"$31,415 "		
199	"4,889"	"$52,360 "		
200	"8,498"	"$38,781 "		
201	"2,281"	"$27,783 "		
202	"35,367"	"$33,510 "		
203	"15,765"	"$25,667 "		
204	"13,373"	"$31,083 "		
205	"7,737"	"$44,761 "		
206	"13,307"	"$33,059 "		
207	"26,314"	"$134,365 "		
208	"64,355"	"$67,267 "		
215	267	"$355,132 "		
216	"9,417"	"$249,216 "		
217	"4,265"	"$177,505 "		
218	599	"$164,645 "		
219	"17,368"	"$197,402 "		
220	"19,991"	"$145,567 "		
221	"3,932"	"$132,171 "		
222	"1,615"	"$221,391 "		
223	"1,152"	"$174,876 "		
224	"2,266"	"$202,020 "		
225	"2,253"	"$159,802 "		
226	"4,812"	"$176,308 "		
227	"8,346"	"$142,591 "		
228	"2,275"	"$187,299 "		
229	"3,493"	"$136,589 "		
231	"1,100"	"$238,494 "		
232	885	"$185,557 "		
233	"12,746"	"$205,315 "		
234	"17,706"	"$152,057 "		
235	"9,544"	"$157,199 "		
236	"20,005"	"$118,528 "		
239	"9,056"	"$99,396 "		
240	"8,195"	"$66,991 "		
241	930	"$47,196 "		
242	"17,812"	"$97,703 "		
243	"26,584"	"$78,244 "		
244	"19,256"	"$68,121 "		
245	"1,577"	"$126,284 "		
246	"35,519"	"$106,446 "		
247	"84,982"	"$82,176 "		
248	"8,615"	"$101,131 "		
249	"13,873"	"$77,285 "		
250	"4,026"	"$88,805 "		
251	"6,774"	"$69,394 "		
252	"32,220"	"$86,387 "		
253	"35,326"	"$77,589 "		
254	"14,999"	"$59,264 "		
255	"2,254"	"$66,085 "		
256	"2,801"	"$50,583 "		
257	195	"$39,225 "		
258	650	"$83,406 "		
259	"1,885"	"$63,576 "		
260	"2,113"	"$96,021 "		
261	"3,353"	"$61,176 "		
262	"1,590"	"$55,157 "		
263	297	"$56,114 "		
264	"15,252"	"$71,552 "		
265	652	"$83,239 "		
266	"8,546"	"$201,832 "		
267	"9,912"	"$164,429 "		
268	"4,279"	"$159,470 "		
269	"19,105"	"$107,461 "		
270	"15,315"	"$124,993 "		
271	"10,321"	"$90,026 "		
272	"4,711"	"$70,413 "		
273	"6,611"	"$107,119 "		
274	"14,648"	"$88,664 "		
280	"68,354"	"$50,765 "		
281	"44,250"	"$40,183 "		
282	"24,044"	"$34,669 "		
283	"10,318"	"$49,293 "		
284	"1,806"	"$32,052 "		
285	578	"$23,292 "		
286	"30,804"	"$68,787 "		
287	"78,901"	"$50,130 "		
288	"1,625"	"$68,097 "		
289	801	"$47,648 "		
290	113	"$43,342 "		
291	"223,885"	"$45,156 "		
292	"194,527"	"$34,219 "		
293	"60,010"	"$24,843 "		
294	466	"$37,070 "		
295	76	"$23,264 "		
296	"3,243"	"$46,335 "		
297	523	"$26,469 "		
298	306	"$18,848 "		
299	"19,430"	"$42,999 "		
300	"35,002"	"$35,421 "		
301	"13,254"	"$26,222 "		
302	"4,188"	"$37,314 "		
303	"16,219"	"$26,662 "		
304	"3,909"	"$39,108 "		
305	"23,535"	"$28,675 "		
306	"3,352"	"$41,822 "		
307	"4,044"	"$31,244 "		
308	"75,693"	"$41,094 "		
309	"95,537"	"$30,282 "		
310	"76,393"	"$22,902 "		
311	"7,203"	"$26,473 "		
312	"82,436"	"$32,432 "		
313	"62,562"	"$29,813 "		
314	"46,908"	"$51,911 "		
315	"22,328"	"$36,523 "		
316	"4,996"	"$27,857 "		
326	"10,355"	"$126,124 "		
327	"9,874"	"$75,603 "		
328	"9,344"	"$54,829 "		
329	"37,157"	"$120,407 "		
330	"49,836"	"$75,362 "		
331	"23,275"	"$57,912 "		
332	"1,111"	"$115,310 "		
333	"3,809"	"$74,478 "		
334	"2,811"	"$54,696 "		
335	"6,406"	"$105,793 "		
336	"12,121"	"$70,798 "		
337	"6,235"	"$55,797 "		
338	997	"$82,593 "		
339	"2,937"	"$60,128 "		
340	"2,721"	"$49,380 "		
341	790	"$70,419 "		
342	"2,280"	"$53,403 "		
343	"3,410"	"$45,221 "		
344	949	"$81,653 "		
345	"3,374"	"$53,614 "		
346	"2,695"	"$45,738 "		
347	"1,441"	"$66,448 "		
348	"3,712"	"$48,543 "		
349	"2,004"	"$39,346 "		
350	"1,460"	"$71,899 "		
351	"3,635"	"$51,780 "		
352	"3,277"	"$42,588 "		
353	"3,089"	"$79,975 "		
354	"8,229"	"$56,377 "		
355	"7,128"	"$47,637 "		
356	"7,019"	"$93,645 "		
357	"6,528"	"$63,237 "		
358	"1,444"	"$50,072 "		
368	"3,531"	"$54,413 "		
369	"4,617"	"$40,712 "		
370	902	"$31,281 "		
371	"20,409"	"$49,117 "		
372	"32,532"	"$38,320 "		
373	"9,049"	"$29,287 "		
374	"8,811"	"$55,424 "		
375	"14,118"	"$42,639 "		
376	"1,361"	"$36,314 "		
377	"61,365"	"$51,633 "		
378	"140,942"	"$37,777 "		
379	"26,944"	"$26,694 "		
380	"3,051"	"$56,455 "		
381	"5,132"	"$41,441 "		
382	"1,494"	"$32,451 "		
383	"1,152"	"$46,459 "		
384	"5,143"	"$37,401 "		
385	"2,215"	"$48,854 "		
386	"8,915"	"$38,084 "		
387	"3,339"	"$30,786 "		
388	"18,673"	"$47,151 "		
389	"52,830"	"$33,445 "		
390	"34,910"	"$25,002 "		
391	"46,895"	"$41,579 "		
392	"184,838"	"$31,208 "		
393	"22,922"	"$48,554 "		
394	"43,288"	"$36,692 "		
395	"13,525"	"$28,029 "		
405	"4,301"	"$127,918 "		
406	"5,192"	"$81,561 "		
407	"1,934"	"$65,744 "		
408	979	"$97,269 "		
409	857	"$67,219 "		
410	290	"$56,486 "		
411	310	"$102,808 "		
412	332	"$78,055 "		
413	195	"$64,791 "		
414	"2,640"	"$93,766 "		
415	"3,342"	"$66,145 "		
416	"2,064"	"$49,219 "		
417	"15,777"	"$75,795 "		
418	"23,518"	"$61,047 "		
419	"17,862"	"$51,590 "		
420	591	"$88,683 "		
421	669	"$57,226 "		
422	155	"$51,406 "		
423	"1,304"	"$100,032 "		
424	592	"$67,851 "		
425	73	"$54,461 "		
432	"12,614"	"$50,376 "		
433	"7,594"	"$36,810 "		
434	197	"$25,949 "		
435	"12,967"	"$52,920 "		
436	"9,228"	"$41,958 "		
437	"1,141"	"$38,108 "		
438	"14,403"	"$49,435 "		
439	"28,268"	"$35,689 "		
440	"16,769"	"$27,431 "		
441	"21,371"	"$51,070 "		
442	"20,896"	"$34,894 "		
443	"3,754"	"$26,733 "		
444	"11,934"	"$50,180 "		
445	"17,558"	"$40,910 "		
446	"8,116"	"$34,188 "		
453	"1,645"	"$253,779 "		
454	"5,331"	"$190,192 "		
455	"4,862"	"$152,356 "		
456	"1,441"	"$231,699 "		
457	"4,005"	"$164,599 "		
458	"1,675"	"$125,423 "		
459	"4,826"	"$148,737 "		
460	"75,814"	"$101,907 "		
461	415	"$126,692 "		
462	"8,879"	"$90,768 "		
463	"4,937"	"$105,652 "		
464	"8,553"	"$76,918 "		
465	"2,076"	"$60,739 "		
466	"4,313"	"$118,324 "		
467	"21,654"	"$90,395 "		
468	"17,622"	"$76,507 "		
469	"27,608"	"$86,644 "		
470	"453,644"	"$64,355 "		
471	"3,617"	"$121,377 "		
472	"12,875"	"$81,215 "		
473	"29,501"	"$69,584 "		
474	"3,346"	"$84,931 "		
475	"3,873"	"$58,655 "		
476	996	"$40,530 "		
477	"2,784"	"$82,756 "		
478	"6,551"	"$69,725 "		
479	"2,125"	"$59,917 "		
480	"28,143"	"$82,860 "		
481	"81,250"	"$64,015 "		
482	"25,292"	"$55,804 "		
483	"46,503"	"$72,031 "		
485	"1,459"	"$85,310 "		
486	"2,915"	"$65,344 "		
487	"1,069"	"$54,106 "		
488	"3,222"	"$55,590 "		
489	"3,795"	"$47,432 "		
492	"6,020"	"$86,675 "		
493	"19,832"	"$66,130 "		
494	"16,588"	"$55,015 "		
495	"1,743"	"$79,094 "		
496	"4,553"	"$56,912 "		
497	"3,024"	"$46,227 "		
498	"1,220"	"$66,886 "		
499	448	"$43,335 "		
500	"1,892"	"$77,293 "		
501	"4,781"	"$52,421 "		
502	"3,244"	"$44,645 "		
503	"1,008"	"$67,132 "		
504	"2,861"	"$51,490 "		
505	"1,343"	"$46,585 "		
506	518	"$47,034 "		
507	515	"$60,316 "		
508	308	"$53,598 "		
509	153	"$54,534 "		
510	"1,057"	"$72,834 "		
511	"3,342"	"$59,880 "		
512	"2,960"	"$51,774 "		
513	"1,404"	"$50,951 "		
514	589	"$38,760 "		
515	"3,871"	"$84,402 "		
516	"9,233"	"$65,695 "		
517	"6,111"	"$58,767 "		
518	"4,369"	"$81,080 "		
519	"13,077"	"$57,716 "		
520	"21,656"	"$47,425 "		
533	928	"$41,444 "		
534	"2,945"	"$26,372 "		
535	"7,931"	"$39,853 "		
536	"27,194"	"$26,198 "		
537	866	"$34,967 "		
538	437	"$26,873 "		
539	"2,628"	"$49,368 "		
540	"3,393"	"$41,378 "		
541	891	"$34,218 "		
542	"5,512"	"$50,701 "		
543	"12,502"	"$39,427 "		
544	"3,478"	"$28,693 "		
545	"3,705"	"$56,138 "		
546	"4,770"	"$38,598 "		
547	"1,772"	"$30,214 "		
548	523	"$51,525 "		
549	"1,203"	"$39,278 "		
550	400	"$31,423 "		
551	"12,866"	"$48,057 "		
552	"57,696"	"$34,647 "		
553	"2,336"	"$39,906 "		
554	"12,357"	"$26,764 "		
555	"3,352"	"$42,047 "		
556	"15,013"	"$29,945 "		
557	"4,807"	"$44,535 "		
558	"15,093"	"$31,614 "		
559	"2,576"	"$48,663 "		
560	"4,809"	"$36,416 "		
561	"2,761"	"$27,560 "		
562	"6,390"	"$42,405 "		
563	"25,662"	"$29,297 "		
564	"2,238"	"$45,230 "		
565	"4,038"	"$35,596 "		
566	"1,062"	"$28,190 "		
570	"4,058"	"$57,076 "		
571	"4,905"	"$45,104 "		
572	"1,788"	"$38,638 "		
573	"2,115"	"$76,102 "		
574	910	"$69,368 "		
575	283	"$47,297 "		
576	402	"$98,750 "		
577	"1,516"	"$66,559 "		
578	"1,200"	"$48,933 "		
579	"5,277"	"$66,607 "		
580	"7,785"	"$52,141 "		
581	"4,970"	"$46,028 "		
582	"1,777"	"$51,134 "		
583	"2,049"	"$47,693 "		
584	680	"$58,155 "		
585	884	"$54,601 "		
592	"5,135"	"$40,194 "		
593	"4,126"	"$32,922 "		
594	568	"$24,214 "		
595	"1,128"	"$49,448 "		
596	"3,555"	"$32,809 "		
597	821	"$50,888 "		
598	"1,321"	"$40,545 "		
599	83	"$28,966 "		
600	"1,080"	"$35,125 "		
601	564	"$23,988 "		
602	"27,587"	"$43,096 "		
603	"122,954"	"$28,970 "		
604	"2,923"	"$44,248 "		
605	"13,392"	"$32,820 "		
606	"1,684"	"$40,882 "		
607	"6,087"	"$27,021 "		
614	"1,420"	"$72,412 "		
615	"1,001"	"$54,471 "		
616	"2,268"	"$93,721 "		
617	"11,343"	"$58,305 "		
618	82	"$43,626 "		
619	"1,081"	"$83,161 "		
620	"4,232"	"$61,171 "		
621	"13,971"	"$55,673 "		
622	"1,229"	"$77,081 "		
623	"3,390"	"$51,981 "		
624	183	"$38,430 "		
625	992	"$76,162 "		
626	"1,429"	"$54,677 "		
627	"2,325"	"$44,002 "		
628	"3,469"	"$82,767 "		
629	"5,363"	"$61,801 "		
630	284	"$51,401 "		
637	"24,875"	"$43,279 "		
638	"48,984"	"$31,043 "		
639	"13,143"	"$23,351 "		
640	"67,306"	"$38,387 "		
641	"106,112"	"$27,346 "		
642	"1,670"	"$38,348 "		
643	"8,803"	"$46,843 "		
644	"12,391"	"$36,792 "		
645	"4,963"	"$28,197 "		
652	"10,475"	"$101,816 "		
653	"1,595"	"$135,441 "		
654	"3,685"	"$90,656 "		
655	"1,319"	"$70,988 "		
656	"3,535"	"$93,557 "		
657	"8,297"	"$67,042 "		
658	"6,515"	"$57,001 "		
659	"4,307"	"$83,004 "		
660	"8,267"	"$59,653 "		
661	"3,262"	"$53,531 "		
662	770	"$73,396 "		
663	"1,321"	"$50,806 "		
664	750	"$44,496 "		
665	535	"$84,489 "		
666	"1,352"	"$56,893 "		
667	719	"$40,143 "		
668	"3,876"	"$70,456 "		
669	"13,815"	"$48,883 "		
670	"2,937"	"$39,822 "		
671	609	"$53,028 "		
672	301	"$40,387 "		
673	"9,532"	"$83,293 "		
674	"6,109"	"$66,508 "		
675	682	"$52,494 "		
682	"120,320"	"$44,704 "		
683	"150,319"	"$33,974 "		
684	"25,219"	"$24,426 "		
685	"2,147"	"$34,501 "		
686	"1,373"	"$49,287 "		
687	"2,499"	"$39,235 "		
688	294	"$31,200 "		
689	"80,752"	"$38,027 "		
690	"152,613"	"$29,374 "		
691	807	"$54,584 "		
692	119	"$44,548 "		
693	"2,363"	"$45,883 "		
694	"14,323"	"$33,025 "		
695	"1,526"	"$39,781 "		
696	"8,583"	"$26,046 "		
697	423	"$33,838 "		
698	"44,285"	"$44,993 "		
699	"31,911"	"$36,648 "		
700	"5,299"	"$27,796 "		
707	"4,261"	"$62,668 "		
708	"14,184"	"$54,508 "		
709	546	"$60,021 "		
710	337	"$47,663 "		
711	487	"$61,132 "		
712	160	"$43,415 "		
713	"4,470"	"$51,778 "		
714	"3,944"	"$33,954 "		
715	392	"$61,913 "		
716	122	"$48,535 "		
717	738	"$52,441 "		
718	207	"$40,611 "		
722	600	"$49,250 "		
723	"1,251"	"$38,973 "		
724	93	"$30,007 "		
725	657	"$42,251 "		
726	"2,787"	"$27,563 "		
727	"1,665"	"$43,772 "		
728	"5,315"	"$30,278 "		
729	795	"$37,336 "		
730	158	"$25,929 "		
734	"1,493"	"$75,562 "		
735	896	"$48,808 "		
736	682	"$111,535 "		
737	"2,674"	"$64,880 "		
738	572	"$53,279 "		
739	611	"$94,838 "		
740	"2,796"	"$59,308 "		
741	"2,478"	"$49,300 "		
742	"5,846"	"$54,561 "		
743	"9,602"	"$42,282 "		
744	"1,366"	"$52,745 "		
745	369	"$42,601 "		
746	"1,500"	"$48,913 "		
747	"1,703"	"$38,808 "		
748	"2,546"	"$44,091 "		
749	900	"$72,866 "		
750	219	"$48,746 "		
754	"1,325"	"$52,098 "		
755	"2,709"	"$39,302 "		
756	189	"$27,486 "		
757	"1,211"	"$45,732 "		
758	"1,633"	"$37,878 "		
759	590	"$27,583 "		
760	"1,871"	"$33,368 "		
761	461	"$23,226 "		
765	"3,948"	"$35,584 "		
766	"2,494"	"$25,997 "		
767	97	"$27,665 "		
768	8	"$15,317 "		
769	91	"$55,087 "		
770	81	"$37,991 "		
774	"2,261"	"$21,265 "		
775	"5,745"	"$16,023 "		
776	651	"$25,976 "		
777	110	"$40,979 "		
778	293	"$16,624 "		
779	57	"$22,046 "		
780	16	"$11,875 "		
781	"2,617"	"$25,771 "		
782	102	"$14,609 "		
793	1	"$15,317 "		
799	491	"$125,455 "		
800	378	"$80,867 "		
801	205	"$57,226 "		
802	806	"$79,951 "		
803	948	"$58,116 "		
804	480	"$48,614 "		
808	"7,786"	"$56,517 "		
809	"16,158"	"$40,278 "		
810	"2,117"	"$35,277 "		
811	"30,503"	"$42,236 "		
812	"70,737"	"$32,221 "		
813	"7,282"	"$47,701 "		
814	"1,478"	"$48,782 "		
815	"2,818"	"$37,644 "		
816	833	"$30,482 "		
820	994	"$141,347 "		
821	"1,349"	"$70,670 "		
822	"1,120"	"$48,403 "		
823	"1,811"	"$109,552 "		
824	"2,240"	"$69,154 "		
825	698	"$51,078 "		
826	631	"$122,104 "		
827	"1,317"	"$71,190 "		
828	805	"$54,061 "		
829	"1,192"	"$83,122 "		
830	261	"$51,549 "		
834	"3,812"	"$101,620 "		
835	"2,201"	"$52,390 "		
836	652	"$39,026 "		
837	"1,843"	"$117,696 "		
838	"1,125"	"$59,879 "		
839	"1,129"	"$41,518 "		
840	"6,971"	"$72,307 "		
841	"7,290"	"$50,328 "		
842	"1,729"	"$40,761 "		
843	"1,694"	"$52,441 "		
844	"2,217"	"$41,525 "		
845	345	"$35,543 "		
846	"3,130"	"$61,418 "		
847	"14,145"	"$42,891 "		
848	448	"$33,564 "		
849	592	"$54,925 "		
853	"67,138"	"$117,689 "		
854	"15,954"	"$68,307 "		
855	310	"$53,871 "		
856	"6,202"	"$98,299 "		
857	"8,271"	"$57,996 "		
858	"1,382"	"$47,249 "		
862	"10,977"	"$50,345 "		
863	"14,785"	"$35,439 "		
864	"12,851"	"$33,208 "		
865	"4,748"	"$41,006 "		
866	"6,008"	"$29,628 "		
867	"4,880"	"$61,844 "		
868	"2,155"	"$36,771 "		
869	468	"$25,684 "		
870	"36,313"	"$147,634 "		
871	"521,509"	"$51,396 "		
872	"152,001"	"$38,247 "		
876	540	"$74,945 "		
880	"5,921"	"$29,876 "		
881	"4,568"	"$18,821 "		
882	"1,721"	"$21,119 "		
883	"1,126"	"$29,717 "		
884	"19,367"	"$36,228 "		
885	"85,861"	"$27,516 "		
886	418	"$24,123 "		
887	363	"$33,265 "		
894	"4,448"	"$16,281 "		
895	"4,620"	"$30,257 "		
896	"9,306"	"$45,262 "		
897	"33,640"	"$24,503 "		
901	787	"$86,911 "		
902	"1,696"	"$52,108 "		
903	610	"$41,413 "		
904	"1,927"	"$78,222 "		
905	597	"$45,910 "		
906	557	"$48,391 "		
907	"9,314"	"$91,037 "		
908	"8,592"	"$59,284 "		
909	"3,355"	"$46,251 "		
913	888	"$42,451 "		
914	"3,723"	"$31,263 "		
915	"2,197"	"$47,471 "		
916	"4,243"	"$22,201 "		
917	"30,719"	"$44,380 "		
918	"24,283"	"$26,825 "		
919	"12,964"	"$49,448 "		
920	"14,380"	"$36,729 "		
921	"4,019"	"$26,982 "		
922	"1,345"	"$44,894 "		
923	"2,025"	"$29,634 "		
927	184	"$295,385 "		
928	"1,110"	"$105,365 "		
929	323	"$64,150 "		
933	117	"$56,554 "		
934	509	"$38,978 "		
935	"1,912"	"$39,327 "		
939	597	"$79,245 "		
940	"1,127"	"$58,289 "		
941	701	"$49,231 "		
945	"4,217"	"$28,174 "		
946	"1,257"	"$23,825 "		
947	"12,779"	"$39,038 "		
948	"40,580"	"$29,242 "		
949	384	"$31,676 "		
950	126	"$19,053 "		
951	733	"$30,373 "		
955	418	"$142,295 "		
956	"5,273"	"$91,106 "		
957	"2,008"	"$171,372 "		
958	"1,391"	"$106,360 "		
959	200	"$77,087 "		
963	"2,568"	"$70,184 "		
964	"3,406"	"$48,201 "		
965	852	"$38,253 "		
969	533	"$125,396 "		
970	64	"$66,926 "		
974	"5,295"	"$65,132 "		
975	"2,667"	"$42,428 "		
976	662	"$34,984 "		
977	"1,982"	"$40,618 "		
981	"22,267"	"$116,561 "		
982	"14,253"	"$76,148 "		
983	"2,978"	"$56,865 "		
984	457	"$85,481 "		
985	726	"$57,378 "		
986	235	"$43,064 "		
987	"6,759"	"$81,208 "		
988	"7,083"	"$54,585 "		
989	"1,909"	"$42,326 "		
				
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 2015 MedPAR file; MS-DRGs are from GROUPER Version34.0.				
