"TABLE 4D.STATES DESIGNATED AS FRONTIER, WITH ACUTE CARE HOSPITALS RECEIVING AT A MINIMUM THE FRONTIER STATE FLOOR WAGE INDEX1; URBAN AREAS WITH ACUTE CARE HOSPITALS RECEIVING THE PROPOSED STATEWIDE RURAL FLOOR WAGE INDEX  FY 2012
"			
[*Only hospitals that are geographically located in the specified Statereceive the States frontier or rural floor wage index.] (Wage Index Includes Rural Floor Budget Neutrality Adjustment Unless a Frontier State Floor Wage Index)			
CBSA Code	State or Urban Area	State*	"Proposed Frontier or Rural Floor Wage Index
"
27	Montana	MT	1.0000
29	Nevada	NV	1.0000
35	North Dakota	ND	1.0000
43	South Dakota	SD	1.0000
53	Wyoming	WY	1.0000
10380	"Aguadilla-Isabela-San Sebastin, PR"	PR	0.3934
11260	"Anchorage, AK"	AK	1.2798
12700	"Barnstable Town, MA"	MA	1.3530
13740	"Billings, MT"	MT	1.0000
13900	"Bismarck, ND"	ND	1.0000
14484	"Boston-Quincy, MA"	MA	1.3530
15764	"Cambridge-Newton-Framingham, MA"	MA	1.3530
16220	"Casper, WY"	WY	1.0000
16940	"Cheyenne, WY"	WY	1.0000
17020	"Chico, CA"	CA	1.1238
17420	"Cleveland, TN"	TN	0.7805
17820	"Colorado Springs, CO"	CO	0.9826
17860	"Columbia, MO"	MO	0.8088
19060	"Cumberland, MD-WV"	MD	0.9378
19260	"Danville, VA"	VA	0.7996
19460	"Decatur, AL"	AL	0.7286
19500	"Decatur, IL"	IL	0.8421
20020	"Dothan, AL"	AL	0.7286
20100	"Dover, DE"	DE	1.0072
20220	"Dubuque, IA"	IA	0.8541
20940	"El Centro, CA"	CA	1.1238
21500	"Erie, PA"	PA	0.8461
21820	"Fairbanks, AK"	AK	1.2798
21940	"Fajardo, PR"	PR	0.3934
22020	"Fargo, ND-MN"	MN	0.9139
22020	"Fargo, ND-MN"	ND	1.0000
22660	"Fort Collins-Loveland, CO"	CO	0.9826
22900	"Fort Smith, AR-OK"	AR	0.7451
22900	"Fort Smith, AR-OK"	OK	0.7988
23420	"Fresno, CA"	CA	1.1238
24220	"Grand Forks, ND-MN"	MN	0.9139
24220	"Grand Forks, ND-MN"	ND	1.0000
24500	"Great Falls, MT"	MT	1.0000
24540	"Greeley, CO"	CO	0.9826
25020	"Guayama, PR"	PR	0.3934
25180	"Hagerstown-Martinsburg, MD-WV"	MD	0.9378
25260	"Hanford-Corcoran, CA"	CA	1.1238
25540	"Hartford-West Hartford-East Hartford, CT"	CT	1.1416
27340	"Jacksonville, NC"	NC	0.8332
27740	"Johnson City, TN"	TN	0.7805
28420	"Kennewick-Pasco-Richland, WA"	WA	1.0107
28700	"Kingsport-Bristol-Bristol, TN-VA"	TN	0.7805
28700	"Kingsport-Bristol-Bristol, TN-VA"	VA	0.7996
29700	"Laredo, TX"	TX	0.8113
30140	"Lebanon, PA"	PA	0.8461
30300	"Lewiston, ID-WA"	WA	1.0107
30860	"Logan, UT-ID"	UT	0.8741
31460	"Madera-Chowchilla, CA"	CA	1.1238
31700	"Manchester-Nashua, NH"	NH	1.0939
31740	"Manhattan, KS"	KS	0.8080
32420	"Mayagez, PR"	PR	0.3934
32780	"Medford, OR"	OR	1.0277
33540	"Missoula, MT"	MT	1.0000
34100	"Morristown, TN"	TN	0.7805
34580	"Mount Vernon-Anacortes, WA"	WA	1.0107
34620	"Muncie, IN"	IN	0.8584
35980	"Norwich-New London, CT"	CT	1.1416
37620	"Parkersburg-Marietta-Vienna, WV-OH"	OH	0.8452
37764	"Peabody, MA"	MA	1.3530
37860	"Pensacola-Ferry Pass-Brent, FL"	FL	0.8391
38340	"Pittsfield, MA"	MA	1.3530
39300	"Providence-New Bedford-Fall River, RI-MA"	MA	1.3530
39380	"Pueblo, CO"	CO	0.9826
39540	"Racine, WI"	WI	0.8983
40484	"Rockingham County-Strafford County, NH"	NH	1.0939
41540	"Salisbury, MD"	MD	0.9378
41780	"Sandusky, OH"	OH	0.8452
42540	"Scranton--Wilkes-Barre, PA"	PA	0.8461
43580	"Sioux City, IA-NE-SD"	SD	1.0000
43620	"Sioux Falls, SD"	SD	1.0000
44140	"Springfield, MA"	MA	1.3530
44600	"Steubenville-Weirton, OH-WV"	OH	0.8452
44600	"Steubenville-Weirton, OH-WV"	WV	0.7437
44940	"Sumter, SC"	SC	0.8269
45500	"Texarkana, TX-Texarkana, AR"	TX	0.8113
47300	"Visalia-Porterville, CA"	CA	1.1238
47940	"Waterloo-Cedar Falls, IA"	IA	0.8541
48540	"Wheeling, WV-OH"	OH	0.8452
48540	"Wheeling, WV-OH"	WV	0.7437
48700	"Williamsport, PA"	PA	0.8461
49180	"Winston-Salem, NC"	NC	0.8332
49340	"Worcester, MA"	MA	1.3530
49500	"Yauco, PR"	PR	0.3934
49660	"Youngstown-Warren-Boardman, OH-PA"	OH	0.8452
49660	"Youngstown-Warren-Boardman, OH-PA"	PA	0.8461
			
1 Hospitals in frontier States cannot be assigned a wage index of less than 1.0000 under section 10324 of the Affordable Care Act (Pub. L. 111-148).			
