TABLE 4C.--PROPOSED WAGE INDEX AND CAPITAL GEOGRAPHIC ADJUSTMENT 				
FACTOR (GAF) FOR HOSPITALS THAT ARE RECLASSIFIED BY CBSA AND BY STATE??FY 2011				
CBSA Code	Area	State	Wage Index	GAF
04	Arkansas	AR	0.7483	0.8199
05	California	CA	1.2247	1.1489
07	Connecticut	CT	1.1257	1.0845
10	Florida	FL	0.8432	0.8898
14	Illinois	IL	0.8342	0.8833
14	Illinois	MO	0.8342	0.8833
17	Kansas	KS	0.799	0.8576
18	Kentucky	KY	0.7957	0.8551
22	Massachusetts	MA	0.9627	0.9743
23	Michigan	MI	0.8566	0.8994
24	Minnesota	IA	0.9104	0.9377
26	Missouri	AR	0.8109	0.8663
26	Missouri	MO	0.8109	0.8663
28	Nebraska	KS	0.8845	0.9194
33	New York	NH	1.0008	1.0005
33	New York	NY	0.8381	0.8861
34	North Carolina	NC	0.8438	0.8902
34	North Carolina	TN	0.8438	0.8902
36	Ohio	OH	0.8528	0.8967
37	Oklahoma	OK	0.8017	0.8595
38	Oregon	OR	1.0046	1.0031
39	Pennsylvania	PA	0.8509	0.8953
44	Tennessee	KY	0.7957	0.8551
45	Texas	LA	0.7985	0.8572
45	Texas	OK	0.8017	0.8595
45	Texas	TX	0.7985	0.8572
47	Vermont	NY	0.9285	0.9505
49	Virginia	KY	0.8025	0.8601
49	Virginia	VA	0.8025	0.8601
49	Virginia	WV	0.8025	0.8601
50	Washington	WA	1.0072	1.0049
10500	"Albany, GA"	AL	0.8508	0.8953
10500	"Albany, GA"	GA	0.8508	0.8953
10580	"Albany-Schenectady-Troy, NY"	NY	0.8668	0.9067
10740	"Albuquerque, NM"	NM	0.9462	0.9628
10780	"Alexandria, LA"	LA	0.8127	0.8676
10900	"Allentown-Bethlehem-Easton, PA-NJ"	PA	0.9405	0.9589
11100	"Amarillo, TX"	KS	0.8399	0.8874
11100	"Amarillo, TX"	TX	0.8399	0.8874
11180	"Ames, IA"	IA	0.9235	0.947
11260	"Anchorage, AK"	AK	1.2578	1.1701
11300	"Anderson, IN"	IN	0.8696	0.9088
11460	"Ann Arbor, MI"	MI	0.9804	0.9865
12020	"Athens-Clarke County, GA"	GA	0.9305	0.9519
12060	"Atlanta-Sandy Springs-Marietta, GA"	AL	0.9528	0.9674
12060	"Atlanta-Sandy Springs-Marietta, GA"	GA	0.9528	0.9674
12260	"Augusta-Richmond County, GA-SC"	SC	0.9527	0.9674
12420	"Austin-Round Rock-San Marcos, TX"	TX	0.9483	0.9643
12620	"Bangor, ME"	ME	0.9651	0.976
12940	"Baton Rouge, LA"	MS	0.8541	0.8976
12980	"Battle Creek, MI"	MI	0.9714	0.9803
13020	"Bay City, MI"	MI	0.885	0.9197
13644	"Bethesda-Rockville-Frederick, MD"	DC	1.0496	1.0337
13644	"Bethesda-Rockville-Frederick, MD"	PA	1.0496	1.0337
13644	"Bethesda-Rockville-Frederick, MD"	VA	1.0496	1.0337
13780	"Binghamton, NY"	PA	0.875	0.9126
13820	"Birmingham-Hoover, AL"	AL	0.8396	0.8872
13900	"Bismarck, ND"	ND	1	1
13980	"Blacksburg-Christiansburg-Radford, VA"	WV	0.7751	0.8399
14020	"Bloomington, IN"	IN	0.8687	0.9081
14260	"Boise City-Nampa, ID"	ID	0.9027	0.9323
14484	"Boston-Quincy, MA"	MA	1.156	1.1044
14484	"Boston-Quincy, MA"	RI	1.156	1.1044
14540	"Bowling Green, KY"	KY	0.8311	0.881
14740	"Bremerton-Silverdale, WA"	WA	1.0362	1.0247
15260	"Brunswick, GA"	GA	0.9309	0.9521
15380	"Buffalo-Niagara Falls, NY"	NY	0.9584	0.9713
15540	"Burlington-South Burlington, VT"	NY	1.0025	1.0017
15540	"Burlington-South Burlington, VT"	VT	1.0025	1.0017
15764	"Cambridge-Newton-Framingham, MA"	NH	1.094	1.0635
15940	"Canton-Massillon, OH"	OH	0.8585	0.9008
16020	"Cape Girardeau-Jackson, MO-IL"	IL	0.8342	0.8833
16020	"Cape Girardeau-Jackson, MO-IL"	KY	0.8325	0.882
16020	"Cape Girardeau-Jackson, MO-IL"	MO	0.8325	0.882
16180	"Carson City, NV"	NV	1	1
16580	"Champaign-Urbana, IL"	IL	0.9112	0.9383
16620	"Charleston, WV"	WV	0.8098	0.8655
16700	"Charleston-North Charleston-Summerville, SC"	SC	0.9252	0.9482
16740	"Charlotte-Gastonia-Rock Hill, NC-SC"	NC	0.9099	0.9374
16740	"Charlotte-Gastonia-Rock Hill, NC-SC"	SC	0.9099	0.9374
16820	"Charlottesville, VA"	VA	0.9203	0.9447
16860	"Chattanooga, TN-GA"	AL	0.8563	0.8992
16860	"Chattanooga, TN-GA"	GA	0.8563	0.8992
16860	"Chattanooga, TN-GA"	TN	0.8563	0.8992
16974	"Chicago-Joliet-Naperville, IL"	IL	1.0323	1.022
16974	"Chicago-Joliet-Naperville, IL"	IN	1.0323	1.022
16974	"Chicago-Joliet-Naperville, IL"	WI	1.0323	1.022
17140	"Cincinnati-Middletown, OH-KY-IN"	IN	0.9593	0.9719
17140	"Cincinnati-Middletown, OH-KY-IN"	KY	0.9593	0.9719
17140	"Cincinnati-Middletown, OH-KY-IN"	OH	0.9593	0.9719
17300	"Clarksville, TN-KY"	KY	0.7957	0.8551
17460	"Cleveland-Elyria-Mentor, OH"	OH	0.9052	0.9341
17780	"College Station-Bryan, TX"	TX	0.9206	0.9449
17860	"Columbia, MO"	MO	0.8223	0.8746
17900	"Columbia, SC"	SC	0.8759	0.9133
17980	"Columbus, GA-AL"	AL	0.8582	0.9006
17980	"Columbus, GA-AL"	GA	0.8582	0.9006
18140	"Columbus, OH"	OH	0.9993	0.9995
18580	"Corpus Christi, TX"	TX	0.8541	0.8976
18700	"Corvallis, OR"	OR	1.0106	1.0072
18880	"Crestview-Fort Walton Beach-Destin, FL"	FL	0.8539	0.8975
19124	"Dallas-Plano-Irving, TX"	TX	0.9547	0.9688
19340	"Davenport-Moline-Rock Island, IA-IL"	IL	0.8618	0.9032
19340	"Davenport-Moline-Rock Island, IA-IL"	IA	0.8618	0.9032
19380	"Dayton, OH"	OH	0.9142	0.9404
19460	"Decatur, AL"	AL	0.7555	0.8253
19740	"Denver-Aurora-Broomfield, CO"	CO	1.0393	1.0267
19780	"Des Moines-West Des Moines, IA"	IA	0.9485	0.9644
19804	"Detroit-Livonia-Dearborn, MI"	MI	0.9731	0.9815
20100	"Dover, DE"	DE	1.0044	1.003
20500	"Durham-Chapel Hill, NC"	NC	0.9619	0.9737
20500	"Durham-Chapel Hill, NC"	VA	0.9619	0.9737
20764	"Edison-New Brunswick, NJ"	NJ	1.1249	1.0839
21060	"Elizabethtown, KY"	KY	0.8353	0.8841
21140	"Elkhart-Goshen, IN"	IN	0.9414	0.9595
21500	"Erie, PA"	NY	0.8381	0.8861
21500	"Erie, PA"	PA	0.8509	0.8953
21660	"Eugene-Springfield, OR"	OR	1.0985	1.0664
21780	"Evansville, IN-KY"	KY	0.8116	0.8668
22180	"Fayetteville, NC"	NC	0.9197	0.9443
22220	"Fayetteville-Springdale-Rogers, AR-MO"	AR	0.8462	0.8919
22220	"Fayetteville-Springdale-Rogers, AR-MO"	OK	0.8462	0.8919
22380	"Flagstaff, AZ"	AZ	1.2093	1.139
22420	"Flint, MI"	MI	1.0088	1.006
22520	"Florence-Muscle Shoals, AL"	MS	0.7998	0.8581
22540	"Fond du Lac, WI"	WI	0.9136	0.94
22660	"Fort Collins-Loveland, CO"	CO	0.9665	0.9769
22744	"Fort Lauderdale-Pompano Beach-Deerfield Beach, FL"	FL	1.0333	1.0227
23060	"Fort Wayne, IN"	IN	0.9203	0.9447
23104	"Fort Worth-Arlington, TX"	TX	0.9388	0.9577
23540	"Gainesville, FL"	FL	0.9377	0.9569
23844	"Gary, IN"	IN	0.9028	0.9324
24300	"Grand Junction, CO"	CO	1.0138	1.0094
24340	"Grand Rapids-Wyoming, MI"	MI	0.9272	0.9496
24500	"Great Falls, MT"	MT	1	1
24540	"Greeley, CO"	NE	0.9375	0.9568
24540	"Greeley, CO"	WY	1	1
24580	"Green Bay, WI"	MI	0.9207	0.945
24580	"Green Bay, WI"	WI	0.9207	0.945
24660	"Greensboro-High Point, NC"	NC	0.8807	0.9167
24660	"Greensboro-High Point, NC"	VA	0.8807	0.9167
24780	"Greenville, NC"	NC	0.9151	0.9411
24860	"Greenville-Mauldin-Easley, SC"	NC	0.9086	0.9365
24860	"Greenville-Mauldin-Easley, SC"	SC	0.9086	0.9365
25060	"Gulfport-Biloxi, MS"	MS	0.8312	0.8811
25420	"Harrisburg-Carlisle, PA"	PA	0.9161	0.9418
25540	"Hartford-West Hartford-East Hartford, CT"	CT	1.1257	1.0845
25540	"Hartford-West Hartford-East Hartford, CT"	MA	1.1066	1.0718
25860	"Hickory-Lenoir-Morganton, NC"	NC	0.8499	0.8946
26300	"Hot Springs, AR"	AR	0.903	0.9325
26420	"Houston-Sugar Land-Baytown, TX"	TX	0.9904	0.9934
26580	"Huntington-Ashland, WV-KY-OH"	KY	0.8729	0.9111
26580	"Huntington-Ashland, WV-KY-OH"	NC	0.8729	0.9111
26580	"Huntington-Ashland, WV-KY-OH"	OH	0.8729	0.9111
26580	"Huntington-Ashland, WV-KY-OH"	WV	0.8729	0.9111
26620	"Huntsville, AL"	AL	0.8614	0.9029
26620	"Huntsville, AL"	TN	0.8614	0.9029
26820	"Idaho Falls, ID"	ID	0.9632	0.9747
26900	"Indianapolis-Carmel, IN"	IN	0.9511	0.9662
26980	"Iowa City, IA"	IA	0.9383	0.9573
27060	"Ithaca, NY"	NY	0.9145	0.9406
27140	"Jackson, MS"	MS	0.8088	0.8647
27180	"Jackson, TN"	MS	0.8341	0.8832
27620	"Jefferson City, MO"	MO	0.8566	0.8994
27860	"Jonesboro, AR"	AR	0.7797	0.8433
27900	"Joplin, MO"	KS	0.8409	0.8881
27900	"Joplin, MO"	OK	0.8409	0.8881
28020	"Kalamazoo-Portage, MI"	MI	0.9933	0.9954
28140	"Kansas City, MO-KS"	KS	0.9514	0.9665
28140	"Kansas City, MO-KS"	MO	0.9514	0.9665
28420	"Kennewick-Pasco-Richland, WA"	ID	0.9615	0.9735
28700	"Kingsport-Bristol-Bristol, TN-VA"	KY	0.7957	0.8551
28700	"Kingsport-Bristol-Bristol, TN-VA"	TN	0.7948	0.8545
28940	"Knoxville, TN"	KY	0.7957	0.8551
28940	"Knoxville, TN"	TN	0.7948	0.8545
29180	"Lafayette, LA"	LA	0.8434	0.8899
29404	"Lake County-Kenosha County, IL-WI"	IL	1.0467	1.0317
29460	"Lakeland-Winter Haven, FL"	FL	0.8601	0.9019
29540	"Lancaster, PA"	PA	0.9746	0.9825
29620	"Lansing-East Lansing, MI"	MI	1.0098	1.0067
29700	"Laredo, TX"	TX	0.8278	0.8786
29740	"Las Cruces, NM"	NM	0.9141	0.9403
29820	"Las Vegas-Paradise, NV"	AZ	1.1757	1.1172
30020	"Lawton, OK"	OK	0.827	0.878
30460	"Lexington-Fayette, KY"	KY	0.8626	0.9037
30620	"Lima, OH"	OH	0.9225	0.9463
30700	"Lincoln, NE"	NE	0.9447	0.9618
30780	"Little Rock-North Little Rock-Conway, AR"	AR	0.8451	0.8911
30980	"Longview, TX"	TX	0.8558	0.8989
31084	"Los Angeles-Long Beach-Glendale, CA"	CA	1.2247	1.1489
31140	"Louisville-Jefferson County, KY-IN"	KY	0.881	0.9169
31420	"Macon, GA"	GA	0.8929	0.9254
31540	"Madison, WI"	WI	1.1045	1.0704
31900	"Mansfield, OH"	OH	0.8888	0.9224
32780	"Medford, OR"	OR	1.0046	1.0031
32820	"Memphis, TN-MS-AR"	AR	0.8871	0.9212
32820	"Memphis, TN-MS-AR"	MS	0.8871	0.9212
32820	"Memphis, TN-MS-AR"	TN	0.8871	0.9212
33124	"Miami-Miami Beach-Kendall, FL"	FL	1.0191	1.013
33260	"Midland, TX"	TX	0.9514	0.9665
33340	"Milwaukee-Waukesha-West Allis, WI"	WI	1.0179	1.0122
33460	"Minneapolis-St. Paul-Bloomington, MN-WI"	MN	1.0976	1.0659
33460	"Minneapolis-St. Paul-Bloomington, MN-WI"	WI	1.0976	1.0659
33540	"Missoula, MT"	MT	1	1
33660	"Mobile, AL"	AL	0.787	0.8487
33700	"Modesto, CA"	CA	1.2247	1.1489
33740	"Monroe, LA"	AR	0.8085	0.8645
33740	"Monroe, LA"	LA	0.8085	0.8645
33780	"Monroe, MI"	OH	0.9622	0.974
33860	"Montgomery, AL"	AL	0.8475	0.8929
34060	"Morgantown, WV"	WV	0.8271	0.8781
34740	"Muskegon-Norton Shores, MI"	MI	0.9343	0.9545
34820	"Myrtle Beach-North Myrtle Beach-Conway, SC"	NC	0.8641	0.9048
34980	"Nashville-Davidson-Murfreesboro-Franklin, TN"	KY	0.928	0.9501
34980	"Nashville-Davidson-Murfreesboro-Franklin, TN"	TN	0.928	0.9501
35004	"Nassau-Suffolk, NY"	CT	1.2242	1.1486
35084	"Newark-Union, NJ-PA"	NJ	1.128	1.086
35084	"Newark-Union, NJ-PA"	NY	1.128	1.086
35084	"Newark-Union, NJ-PA"	PA	1.128	1.086
35300	"New Haven-Milford, CT"	CT	1.1661	1.111
35380	"New Orleans-Metairie-Kenner, LA"	LA	0.8964	0.9278
35644	"New York-White Plains-Wayne, NY-NJ"	CT	1.2825	1.1858
35644	"New York-White Plains-Wayne, NY-NJ"	NJ	1.2825	1.1858
35644	"New York-White Plains-Wayne, NY-NJ"	NY	1.2825	1.1858
35840	"North Port-Bradenton-Sarasota-Venice, FL"	FL	0.9237	0.9471
35980	"Norwich-New London, CT"	RI	1.136	1.0912
36084	"Oakland-Fremont-Hayward, CA"	CA	1.5742	1.3644
36140	"Ocean City, NJ"	DE	1.0853	1.0577
36220	"Odessa, TX"	NM	0.9233	0.9468
36220	"Odessa, TX"	TX	0.9233	0.9468
36260	"Ogden-Clearfield, UT"	UT	0.9311	0.9523
36420	"Oklahoma City, OK"	OK	0.8861	0.9205
36500	"Olympia, WA"	WA	1.0977	1.0659
36740	"Orlando-Kissimmee-Sanford, FL"	FL	0.915	0.941
37460	"Panama City-Lynn Haven-Panama City Beach, FL"	AL	0.7972	0.8562
37764	"Peabody, MA"	NH	1.0971	1.0655
37860	"Pensacola-Ferry Pass-Brent, FL"	AL	0.8114	0.8667
37900	"Peoria, IL"	IL	0.9137	0.9401
37964	"Philadelphia, PA"	NJ	1.1249	1.0839
37964	"Philadelphia, PA"	PA	1.053	1.036
38220	"Pine Bluff, AR"	MS	0.8273	0.8782
38300	"Pittsburgh, PA"	OH	0.8528	0.8967
38300	"Pittsburgh, PA"	PA	0.8509	0.8953
38300	"Pittsburgh, PA"	WV	0.8446	0.8908
38340	"Pittsfield, MA"	NY	1.0112	1.0077
38340	"Pittsfield, MA"	VT	1.0112	1.0077
38860	"Portland-South Portland-Biddeford, ME"	ME	0.9465	0.963
38900	"Portland-Vancouver-Hillsboro, OR-WA"	OR	1.1173	1.0789
38900	"Portland-Vancouver-Hillsboro, OR-WA"	WA	1.1173	1.0789
38940	"Port St. Lucie, FL"	FL	1.0252	1.0172
39100	"Poughkeepsie-Newburgh-Middletown, NY"	NY	1.1022	1.0689
39340	"Provo-Orem, UT"	UT	0.923	0.9466
39580	"Raleigh-Cary, NC"	NC	0.967	0.9773
39740	"Reading, PA"	PA	0.8843	0.9192
39820	"Redding, CA"	CA	1.3547	1.2311
39900	"Reno-Sparks, NV"	NV	1.0391	1.0266
40060	"Richmond, VA"	VA	0.9494	0.9651
40140	"Riverside-San Bernardino-Ontario, CA"	AZ	1.1377	1.0924
40220	"Roanoke, VA"	VA	0.8825	0.918
40220	"Roanoke, VA"	WV	0.8825	0.918
40380	"Rochester, NY"	NY	0.8668	0.9067
40420	"Rockford, IL"	IL	0.9829	0.9883
40484	"Rockingham County-Strafford County, NH"	ME	1.0171	1.0117
40900	"Sacramento-Arden-Arcade-Roseville, CA"	CA	1.3486	1.2273
40980	"Saginaw-Saginaw Township North, MI"	MI	0.906	0.9346
41060	"St. Cloud, MN"	MN	1.1001	1.0675
41100	"St. George, UT"	UT	0.9268	0.9493
41180	"St. Louis, MO-IL"	IL	0.8914	0.9243
41180	"St. Louis, MO-IL"	MO	0.8914	0.9243
41620	"Salt Lake City, UT"	UT	0.9319	0.9528
41700	"San Antonio-New Braunfels, TX"	TX	0.9033	0.9327
41940	"San Jose-Sunnyvale-Santa Clara, CA"	CA	1.6178	1.3902
42044	"Santa Ana-Anaheim-Irvine, CA"	CA	1.2247	1.1489
42100	"Santa Cruz-Watsonville, CA"	CA	1.6386	1.4024
42140	"Santa Fe, NM"	NM	1.0352	1.024
42220	"Santa Rosa-Petaluma, CA"	CA	1.5482	1.3489
42340	"Savannah, GA"	GA	0.8817	0.9174
42340	"Savannah, GA"	SC	0.8817	0.9174
42644	"Seattle-Bellevue-Everett, WA"	WA	1.1232	1.0828
43300	"Sherman-Denison, TX"	OK	0.8408	0.888
43340	"Shreveport-Bossier City, LA"	LA	0.8611	0.9027
43580	"Sioux City, IA-NE-SD"	NE	0.8927	0.9252
43620	"Sioux Falls, SD"	SD	1	1
43780	"South Bend-Mishawaka, IN-MI"	IN	0.9445	0.9617
43900	"Spartanburg, SC"	SC	0.8929	0.9254
44060	"Spokane, WA"	ID	1.0336	1.0229
44100	"Springfield, IL"	IL	0.8907	0.9238
44140	"Springfield, MA"	NH	1.0211	1.0144
44180	"Springfield, MO"	AR	0.8375	0.8856
44180	"Springfield, MO"	MO	0.8375	0.8856
44940	"Sumter, SC"	SC	0.8399	0.8874
45060	"Syracuse, NY"	NY	0.9666	0.977
45220	"Tallahassee, FL"	GA	0.8755	0.913
45300	"Tampa-St. Petersburg-Clearwater, FL"	FL	0.9066	0.9351
45780	"Toledo, OH"	OH	0.9217	0.9457
45820	"Topeka, KS"	KS	0.8907	0.9238
46140	"Tulsa, OK"	OK	0.876	0.9133
46220	"Tuscaloosa, AL"	AL	0.7985	0.8572
46220	"Tuscaloosa, AL"	MS	0.7985	0.8572
46340	"Tyler, TX"	TX	0.8225	0.8748
46540	"Utica-Rome, NY"	NY	0.8697	0.9088
46660	"Valdosta, GA"	GA	0.7804	0.8438
46700	"Vallejo-Fairfield, CA"	CA	1.4295	1.2772
47260	"Virginia Beach-Norfolk-Newport News, VA"	NC	0.8914	0.9243
47580	"Warner Robins, GA"	GA	0.8431	0.8897
47894	"Washington-Arlington-Alexandria, DC-VA"	VA	1.0513	1.0349
48140	"Wausau, WI"	WI	0.9071	0.9354
48620	"Wichita, KS"	KS	0.8716	0.9102
48700	"Williamsport, PA"	PA	0.8509	0.8953
48864	"Wilmington, DE-MD-NJ"	DE	1.0641	1.0435
48900	"Wilmington, NC"	SC	0.9223	0.9461
49180	"Winston-Salem, NC"	NC	0.8976	0.9287
49660	"Youngstown-Warren-Boardman, OH-PA"	OH	0.8528	0.8967
49660	"Youngstown-Warren-Boardman, OH-PA"	PA	0.8509	0.8953
