FY26 IPPS Final Rule -  Impact of Wage Index Policies on Operating Payments						
						
		 Number of Hospitals 	"FY 2026 Wage Data  with Application of Wage Budget Neutrality
(1)"	"FY 2026
MGCRB Reclassifications 
(2)"	"Rural Floor with Application of National Rural Floor Budget Neutrality
(3)"	"Application of Imputed Floor, the Frontier Wage Index, and Outmigration Adjustment  
(4)"
1	All Hospitals 	" 3,033 "	0.0	0.0	0.0	0.3
	By Geographic Location: 					
2	Urban hospitals 	" 2,372 "	0.0	-0.2	0.1	0.3
3	Rural hospitals 	 661 	0.3	2.7	-0.9	0.1
	Bed Size (Urban): 					
4	0-99 beds 	 647 	0.2	-2.4	1.4	0.5
5	100-199 beds 	 673 	0.0	-1.3	1.5	0.3
6	200-299 beds 	 406 	0.0	-0.5	0.8	0.3
7	300-499 beds 	 392 	-0.1	0.4	0.0	0.2
8	500 or more beds 	 252 	0.1	0.2	-0.8	0.3
	Bed Size (Rural): 					
9	0-49 beds 	 313 	0.1	2.3	-0.9	0.1
10	50-99 beds 	 180 	0.3	3.3	-0.9	0.2
11	100-149 beds 	 95 	0.2	2.8	-0.9	0.1
12	150-199 beds 	 42 	0.9	1.8	-0.8	0.3
13	200 or more beds 	 31 	0.0	2.9	-1.1	0.0
	Urban by Region:					
14	New England 	 104 	1.0	3.8	0.2	0.6
15	Middle Atlantic 	 274 	-0.3	1.2	-0.4	0.6
16	East North Central 	 366 	0.3	-0.7	-0.5	0.0
17	West North Central 	 156 	0.8	-1.4	-0.5	0.5
18	South Atlantic 	 393 	0.4	-0.4	-0.2	0.3
19	East South Central 	 141 	0.6	-2.0	-1.1	0.0
20	West South Central 	 355 	-0.4	-1.3	-0.2	0.0
21	Mountain 	 180 	0.0	-0.4	-0.1	0.4
22	Pacific 	 351 	-1.1	-0.5	2.2	0.1
	Rural by Region:					
23	New England 	 19 	0.8	1.4	-1.1	0.0
24	Middle Atlantic 	 48 	-0.5	7.6	-1.3	0.0
25	East North Central 	 106 	0.6	3.3	-0.9	0.0
26	West North Central 	 74 	0.3	1.8	-0.5	0.4
27	South Atlantic 	 108 	0.1	1.9	-0.9	0.0
28	East South Central 	 127 	-0.2	2.1	-1.0	0.1
29	West South Central 	 116 	0.3	3.4	-1.1	0.0
30	Mountain 	 39 	1.8	-1.9	-0.3	0.8
31	Pacific 	 24 	0.1	2.1	-0.5	0.0
	Puerto Rico 					
32	Puerto Rico Hospitals	 52 	1.0	-2.2	-0.5	0.2
	By Payment Classification:					
33	Urban hospitals 	" 1,611 "	-0.2	-2.8	2.1	0.6
34	Rural areas 	" 1,422 "	0.2	1.8	-1.3	0.1
	Teaching Status:					
35	Nonteaching 	" 1,756 "	0.2	-0.9	1.4	0.2
36	Fewer than 100 residents 	 986 	0.0	-0.1	0.1	0.3
37	100 or more residents 	 291 	-0.1	0.6	-1.0	0.3
	Urban DSH:					
38	Non-DSH 	 346 	0.3	-3.2	1.6	0.6
39	100 or more beds 	 909 	-0.3	-2.8	2.2	0.6
40	Less than 100 beds 	 356 	0.2	-2.6	1.8	0.3
	Rural DSH:					
41	Non-DSH 	 93 	0.3	2.7	-1.4	0.1
42	SCH 	 227 	0.0	1.1	-0.4	0.1
43	RRC 	 863 	0.1	1.8	-1.3	0.1
44	100 or more beds 	 41 	0.1	0.8	-1.3	0.1
45	Less than 100 beds 	 198 	0.4	3.4	-1.3	0.2
	Urban teaching and DSH:					
46	Both teaching and DSH 	 527 	-0.3	-2.7	1.6	0.7
47	Teaching and no DSH 	 58 	-0.1	-3.3	1.1	0.8
48	No teaching and DSH 	 738 	-0.2	-2.9	3.2	0.2
49	No teaching and no DSH 	 288 	0.6	-3.2	2.0	0.5
	Special Hospital Types:					
50	RRC	 131 	0.3	1.4	-0.6	0.3
51	RRC with Section 401 Reclassification	 657 	0.1	1.9	-1.4	0.1
52	SCH	 218 	0.1	1.2	-0.3	0.0
53	SCH with Section 401 Reclassification	 37 	0.0	0.6	-0.2	0.2
54	SCH and RRC	 119 	0.3	1.3	-0.6	0.1
55	SCH and RRC with Section 401 Reclassification	 49 	0.3	-0.1	-0.2	0.0
 	Type of Ownership:					
60	Voluntary 	" 1,902 "	0.1	0.2	-0.2	0.3
61	Proprietary 	 724 	-0.2	-0.3	1.3	0.2
62	Government 	 406 	-0.2	-0.5	-0.2	0.1
	Medicare Utilization as a Percent of Inpatient Days:					
63	0-25 	" 1,548 "	0.0	-0.1	-0.2	0.1
64	25-50 	" 1,388 "	0.0	0.2	0.2	0.4
65	50-65 	 65 	-0.2	-2.0	3.0	0.6
66	Over 65 	 13 	0.0	-2.6	0.1	1.3
	Medicaid Utilization as a Percent of Inpatient Days:					
67	0-25 	" 1,917 "	0.1	0.0	-0.1	0.3
68	25-50 	 992 	-0.1	0.1	0.0	0.3
69	50-65 	 91 	-0.9	-1.1	2.3	0.1
70	Over 65 	 32 	-0.9	-0.9	3.3	0.1
	FY 2025 Reclassifications:  					
71	All Reclassified Hospitals	" 1,093 "	0.2	2.0	-1.0	0.1
72	Non-Reclassified Hospitals	" 1,940 "	-0.2	-2.5	1.4	0.5
73	Urban Hospitals Reclassified 	 979 	0.1	1.6	-1.1	0.1
74	Urban Nonreclassified  Hospitals	" 1,407 "	-0.3	-3.4	2.2	0.6
75	Rural Hospitals Reclassified Full Year 	 268 	0.0	3.1	-0.9	0.0
76	Rural Nonreclassified Hospitals Full Year 	 379 	0.6	2.0	-0.9	0.3
77	All Section 401 Reclassified Hospitals:	 811 	0.1	1.8	-1.3	0.1
78	Other Reclassified Hospitals (Section 1886(d)(8)(B)) 	 50 	0.4	6.0	-1.4	0.0
