Medicare Hospice FY2011 Final Wage Index		
Urban CBSAs		
		
CBSA	Urban1	Wage Index2
10180	"Abilene, TX"	0.8307
10380	"Aguadilla-Isabela-San Sebastin, PR"	0.3981
10420	"Akron, OH"	0.9252
10500	"Albany, GA"	0.9303
10580	"Albany-Schenectady-Troy, NY"	0.9176
10740	"Albuquerque, NM"	0.9826
10780	"Alexandria, LA"	0.8376
10900	"Allentown-Bethlehem-Easton, PA-NJ"	1.0048
11020	"Altoona, PA"	0.9266
11100	"Amarillo, TX"	0.9084
11180	"Ames, IA"	0.9924
11260	"Anchorage, AK"	1.2559
11300	"Anderson, IN"	0.9463
11340	"Anderson, SC"	0.9433
11460	"Ann Arbor, MI"	1.0761
11500	"Anniston-Oxford, AL"	0.8000
11540	"Appleton, WI"	0.9711
11700	"Asheville, NC"	0.9468
12020	"Athens-Clarke County, GA"	0.9923
12060	"Atlanta-Sandy Springs-Marietta, GA"	1.0027
12100	"Atlantic City-Hammonton, NJ"	1.2079
12220	"Auburn-Opelika, AL"	0.8508
12260	"Augusta-Richmond County, GA-SC"	0.9836
12420	"Austin-Round Rock, TX"	0.9950
12540	"Bakersfield, CA"	1.1742
12580	"Baltimore-Towson, MD"	1.0678
12620	"Bangor, ME"	1.0615
12700	"Barnstable Town, MA"	1.3191
12940	"Baton Rouge, LA"	0.8552
12980	"Battle Creek, MI"	1.0454
13020	"Bay City, MI"	0.9688
13140	"Beaumont-Port Arthur, TX"	0.8764
13380	"Bellingham, WA"	1.1913
13460	"Bend, OR"	1.1966
13644	"Bethesda-Frederick-Rockville, MD"	1.0766
13740	"Billings, MT"	0.9180
13780	"Binghamton, NY"	0.9179
13820	"Birmingham-Hoover, AL"	0.8943
13900	"Bismarck, ND"	0.8000
13980	"Blacksburg-Christiansburg-Radford, VA"	0.8775
14020	"Bloomington, IN"	0.9454
14060	"Bloomington-Normal, IL"	0.9804
14260	"Boise City-Nampa, ID"	0.9741
14484	"Boston-Quincy, MA"	1.2740
14500	"Boulder, CO"	1.0732
14540	"Bowling Green, KY"	0.8854
14600	"Bradenton-Sarasota-Venice, FL"	1.0177
14740	"Bremerton-Silverdale, WA"	1.1244
14860	"Bridgeport-Stamford-Norwalk, CT"	1.3373
15180	"Brownsville-Harlingen, TX"	0.9430
15260	"Brunswick, GA"	0.9595
15380	"Buffalo-Niagara Falls, NY"	1.0182
15500	"Burlington, NC"	0.9146
15540	"Burlington-South Burlington, VT"	1.0565
15764	"Cambridge-Newton-Framingham, MA"	1.1790
15804	"Camden, NJ"	1.0845
15940	"Canton-Massillon, OH"	0.9213
15980	"Cape Coral-Fort Myers, FL"	0.9488
16020	"Cape Girardeau-Jackson, MO-IL"	0.9458
16180	"Carson City, NV"	1.1009
16220	"Casper, WY"	0.9952
16300	"Cedar Rapids, IA"	0.9392
16580	"Champaign-Urbana, IL"	1.0567
16620	"Charleston, WV"	0.8511
16700	"Charleston-North Charleston-Summerville, SC"	0.9700
16740	"Charlotte-Gastonia-Concord, NC-SC"	0.9904
16820	"Charlottesville, VA"	0.9798
16860	"Chattanooga, TN-GA"	0.9232
16940	"Cheyenne, WY"	0.9768
16974	"Chicago-Naperville-Joliet, IL"	1.0947
17020	"Chico, CA"	1.1707
17140	"Cincinnati-Middletown, OH-KY-IN"	0.9914
17300	"Clarksville, TN-KY"	0.8342
17420	"Cleveland, TN"	0.8000
17460	"Cleveland-Elyria-Mentor, OH"	0.9319
17660	"Coeur d'Alene, ID"	0.9654
17780	"College Station-Bryan, TX"	0.9929
17820	"Colorado Springs, CO"	1.0267
17860	"Columbia, MO"	0.9009
17900	"Columbia, SC"	0.9188
17980	"Columbus, GA-AL"	0.9120
18020	"Columbus, IN"	0.9969
18140	"Columbus, OH"	1.0560
18580	"Corpus Christi, TX"	0.9088
18700	"Corvallis, OR"	1.1502
19060	"Cumberland, MD-WV"	0.8410
19124	"Dallas-Plano-Irving, TX"	1.0301
19140	"Dalton, GA"	0.9060
19180	"Danville, IL"	0.9135
19260	"Danville, VA"	0.8701
19340	"Davenport-Moline-Rock Island, IA-IL"	0.8660
19380	"Dayton, OH"	0.9629
19460	"Decatur, AL"	0.8153
19500	"Decatur, IL"	0.8358
19660	"Deltona-Daytona Beach-Ormond Beach, FL"	0.9268
19740	"Denver-Aurora-Broomfield, CO"	1.1218
19780	"Des Moines-West Des Moines,IA"	1.0087
19804	"Detroit-Livonia-Dearborn, MI"	1.0171
20020	"Dothan, AL"	0.8000
20100	"Dover, DE"	1.0382
20220	"Dubuque, IA"	0.9272
20260	"Duluth, MN-WI"	1.0923
20500	"Durham-Chapel Hill, NC"	1.0055
20740	"Eau Claire, WI"	1.0002
20764	"Edison-New Brunswick, NJ"	1.1563
20940	"El Centro, CA"	0.9164
21060	"Elizabethtown, KY"	0.8769
21140	"Elkhart-Goshen, IN"	0.9920
21300	"Elmira, NY"	0.8720
21340	"El Paso, TX"	0.8929
21500	"Erie, PA"	0.9178
21660	"Eugene-Springfield, OR"	1.1535
21780	"Evansville, IN-KY"	0.8909
21820	"Fairbanks, AK"	1.1619
21940	"Fajardo, PR"	0.4359
22020	"Fargo, ND-MN"	0.8543
22140	"Farmington, NM"	0.8247
22180	"Fayetteville, NC"	0.9783
22220	"Fayetteville-Springdale-Rogers, AR-MO"	0.9174
22380	"Flagstaff, AZ"	1.3042
22420	"Flint, MI"	1.1744
22500	"Florence, SC"	0.8483
22520	"Florence-Muscle Shoals, AL"	0.8361
22540	"Fond du Lac, WI"	1.0099
22660	"Fort Collins-Loveland, CO"	1.0637
22744	"Ft Lauderdale-Pompano Beach-Deerfield Beach, FL"	1.0855
22900	"Fort Smith, AR-OK"	0.8218
23020	"Fort Walton Beach-Crestview-Destin, FL"	0.9156
23060	"Fort Wayne, IN"	0.9421
23104	"Fort Worth-Arlington, TX"	0.9930
23420	"Fresno, CA"	1.1779
23460	"Gadsden, AL"	0.8641
23540	"Gainesville, FL"	0.9386
23580	"Gainesville, GA"	0.9537
23844	"Gary, IN"	0.9710
24020	"Glens Falls, NY"	0.8840
24140	"Goldsboro, NC"	0.9467
24220	"Grand Forks, ND-MN"	0.8128
24300	"Grand Junction, CO"	1.0163
24340	"Grand Rapids-Wyoming, MI"	0.9595
24500	"Great Falls, MT"	0.8733
24540	"Greeley, CO"	1.0013
24580	"Green Bay, WI"	1.0058
24660	"Greensboro-High Point, NC"	0.9474
24780	"Greenville, NC"	0.9828
24860	"Greenville-Mauldin-Easley, SC"	1.0433
25020	"Guayama, PR"	0.4068
25060	"Gulfport-Biloxi, MS"	0.9182
25180	"Hagerstown-Martinsburg, MD-WV"	0.9372
25260	"Hanford-Corcoran, CA"	1.1510
25420	"Harrisburg-Carlisle, PA"	0.9708
25500	"Harrisonburg, VA"	0.9435
25540	"Hartford-West Hartford-East Hartford, CT"	1.1702
25620	"Hattiesburg, MS"	0.8012
25860	"Hickory-Lenoir-Morganton, NC"	0.9409
25980	"Hinesville-Fort Stewart, GA3"	0.9438
26100	"Holland-Grand Haven, MI"	0.9091
26180	"Honolulu, HI"	1.2192
26300	"Hot Springs, AR"	0.9413
26380	"Houma-Bayou Cane-Thibodaux, LA"	0.8233
26420	"Houston-Sugar Land-Baytown, TX"	1.0288
26580	"Huntington-Ashland, WV-KY-OH"	0.9510
26620	"Huntsville, AL"	0.9476
26820	"Idaho Falls, ID"	0.9865
26900	"Indianapolis-Carmel, IN"	1.0185
26980	"Iowa City, IA"	0.9982
27060	"Ithaca, NY"	1.0571
27100	"Jackson, MI"	0.9116
27140	"Jackson, MS"	0.8558
27180	"Jackson, TN"	0.8971
27260	"Jacksonville, FL"	0.9519
27340	"Jacksonville, NC"	0.8391
27500	"Janesville, WI"	0.9619
27620	"Jefferson City, MO"	0.9105
27740	"Johnson City, TN"	0.8073
27780	"Johnstown, PA"	0.8607
27860	"Jonesboro, AR"	0.8073
27900	"Joplin, MO"	0.8661
28020	"Kalamazoo-Portage, MI"	1.0730
28100	"Kankakee-Bradley, IL"	1.0636
28140	"Kansas City, MO-KS"	1.0119
28420	"Kennewick-Pasco-Richland, WA"	1.0923
28660	"Killeen-Temple-Fort Hood, TX"	0.9097
28700	"Kingsport-Bristol-Bristol, TN-VA"	0.8362
28740	"Kingston, NY"	0.9792
28940	"Knoxville, TN"	0.8239
29020	"Kokomo, IN"	1.0310
29100	"La Crosse, WI-MN"	1.0365
29140	"Lafayette, IN"	0.9598
29180	"Lafayette, LA"	0.8903
29340	"Lake Charles, LA"	0.8348
29404	"Lake County-Kenosha County, IL-WI"	1.0951
29420	"Lake Havasu City-Kingman, AZ"	1.1047
29460	"Lakeland-Winter Haven, FL"	0.8771
29540	"Lancaster, PA"	0.9622
29620	"Lansing-East Lansing, MI"	1.0214
29700	"Laredo, TX"	0.8445
29740	"Las Cruces, NM"	0.9345
29820	"Las Vegas-Paradise, NV"	1.2681
29940	"Lawrence, KS"	0.8970
30020	"Lawton, OK"	0.8203
30140	"Lebanon, PA"	0.8488
30300	"Lewiston, ID-WA"	1.0005
30340	"Lewiston-Auburn, ME"	0.9498
30460	"Lexington-Fayette, KY"	0.9293
30620	"Lima, OH"	0.9805
30700	"Lincoln, NE"	0.9997
30780	"Little Rock-N.Little Rock-Conway, AR"	0.8948
30860	"Logan, UT-ID"	0.9401
30980	"Longview, TX"	0.8415
31020	"Longview, WA"	1.1193
31084	"Los Angeles-Long Beach-Santa Ana, CA"	1.2586
31140	"Louisville-Jefferson County, KY-IN"	0.9371
31180	"Lubbock, TX"	0.9148
31340	"Lynchburg, VA"	0.8908
31420	"Macon, GA"	1.0272
31460	"Madera-Chowchilla, CA"	0.8319
31540	"Madison, WI"	1.1744
31700	"Manchester-Nashua, NH"	1.0633
31740	"Mahattan, KS"	0.8236
31860	"Mankato-North Mankato, MN"	0.9594
31900	"Mansfield, OH"	0.9513
32420	"Mayagez, PR"	0.4260
32580	"McAllen-Edinburg-Mission, TX"	0.9254
32780	"Medford, OR"	1.0527
32820	"Memphis, TN-MS-AR"	0.9689
32900	"Merced, CA"	1.2674
33124	"Miami-Miami Beach-Kendall, FL"	1.0406
33140	"Michigan City-La Porte, IN"	0.9734
33260	"Midland, TX"	0.9980
33340	"Milwaukee-Waukesha-West Allis, WI"	1.0612
33460	"Minneapolis-St. Paul-Bloomington, MN-WI"	1.1599
33540	"Missoula, MT"	0.9624
33660	"Mobile, AL"	0.8139
33700	"Modesto, CA"	1.3070
33740	"Monroe, LA"	0.8104
33780	"Monroe, MI"	0.9289
33860	"Montgomery, AL"	0.8681
34060	"Morgantown, WV"	0.8843
34100	"Morristown, TN"	0.8000
34580	"Mount Vernon-Anacortes, WA"	1.0927
34620	"Muncie, IN"	0.8767
34740	"Muskegon-Norton Shores, MI"	1.0269
34820	"Myrtle Beach-North Myrtle Beach-Conway, SC"	0.9127
34900	"Napa, CA"	1.5109
34940	"Naples-Marco Island, FL"	1.0101
34980	"Nashville-Davidson-Murfreesboro-Franklin, TN"	1.0129
35004	"Nassau-Suffolk, NY"	1.3044
35084	"Newark-Union, NJ-PA"	1.1938
35300	"New Haven-Milford, CT"	1.2069
35380	"New Orleans-Metairie-Kenner, LA"	0.9505
35644	"New York-White Plains-Wayne, NY-NJ"	1.3596
35660	"Niles-Benton Harbor, MI"	0.9307
35980	"Norwich-New London, CT"	1.1917
36084	"Oakland-Fremont-Hayward, CA"	1.7149
36100	"Ocala, FL"	0.8945
36140	"Ocean City, NJ"	1.0621
36220	"Odessa, TX"	1.0310
36260	"Ogden-Clearfield, UT"	0.9786
36420	"Oklahoma City, OK"	0.9304
36500	"Olympia, WA"	1.2055
36540	"Omaha-Council Bluffs, NE-IA"	1.0044
36740	"Orlando-Kissimmee, FL"	0.9358
36780	"Oshkosh-Neenah, WI"	0.9568
36980	"Owensboro, KY"	0.8737
37100	"Oxnard-Thousand Oaks-Ventura, CA"	1.2860
37340	"Palm Bay-Melbourne-Titusville, FL"	0.9472
37380	"Palm Coast, FL"	1.0039
37460	"Panama City-Lynn Haven-Panama City Beach, FL"	0.8702
37620	"Parkersburg-Marietta-Vienna, WV-OH"	0.8066
37700	"Pascagoula, MS"	0.8816
37764	"Peabody, MA"	1.1365
37860	"Pensacola-Ferry Pass-Brent, FL"	0.8690
37900	"Peoria, IL"	0.9571
37964	"Philadelphia, PA"	1.1227
38060	"Phoenix-Mesa-Scottsdale, AZ"	1.1113
38220	"Pine Bluff, AR"	0.8000
38300	"Pittsburgh, PA"	0.9017
38340	"Pittsfield, MA"	1.1142
38540	"Pocatello, ID"	0.9659
38660	"Ponce, PR"	0.4853
38860	"Portland-South Portland-Biddeford, ME"	1.0650
38900	"Portland-Vancouver-Beaverton, OR-WA"	1.2020
38940	"Port St. Lucie, FL"	1.0345
39100	"Poughkeepsie-Newburgh-Middletown, NY"	1.1725
39140	"Prescott, AZ"	1.0581
39300	"Providence-New Bedford-Fall River, RI-MA"	1.1272
39340	"Provo-Orem, UT"	0.9982
39380	"Pueblo, CO"	0.8959
39460	"Punta Gorda, FL"	0.9173
39540	"Racine, WI"	0.9799
39580	"Raleigh-Cary, NC"	1.0102
39660	"Rapid City, SD"	1.0502
39740	"Reading, PA"	0.9684
39820	"Redding, CA"	1.4677
39900	"Reno-Sparks, NV"	1.0752
40060	"Richmond, VA"	0.9953
40140	"Riverside-San Bernardino-Ontario, CA"	1.1798
40220	"Roanoke, VA"	0.9065
40340	"Rochester, MN"	1.1642
40380	"Rochester, NY"	0.9120
40420	"Rockford, IL"	1.0613
40484	"Rockingham County, NH"	1.0585
40580	"Rocky Mount, NC"	0.9247
40660	"Rome, GA"	0.9320
40900	"Sacramento-Arden-Arcade-Roseville, CA"	1.4712
40980	"Saginaw-Saginaw Township North, MI"	0.9536
41060	"St. Cloud, MN"	1.1612
41100	"St. George, UT"	0.9656
41140	"St. Joseph, MO-KS"	1.0652
41180	"St. Louis, MO-IL"	0.9515
41420	"Salem, OR"	1.1472
41500	"Salinas, CA"	1.5898
41540	"Salisbury, MD"	0.9524
41620	"Salt Lake City, UT"	0.9804
41660	"San Angelo, TX"	0.8273
41700	"San Antonio, TX"	0.9259
41740	"San Diego-Carlsbad-San Marcos, CA"	1.2286
41780	"Sandusky, OH"	0.9292
41884	"San Francisco-San Mateo-Redwood City,CA"	1.6595
41900	"San Germn-Cabo Rojo, PR"	0.5451
41940	"San Jose-Sunnyvale-Santa Clara, CA"	1.7149
41980	"San Juan-Caguas-Guaynabo, PR"	0.5017
42020	"San Luis Obispo-Paso Robles, CA"	1.3120
42044	"Santa Ana-Anaheim-Irvine, CA"	1.2516
42060	"Santa Barbara-Santa Maria-Goleta, CA"	1.2768
42100	"Santa Cruz-Watsonville, CA"	1.7495
42140	"Santa Fe, NM"	1.1180
42220	"Santa Rosa-Petaluma, CA"	1.6613
42340	"Savannah, GA"	0.9454
42540	"Scranton--Wilkes-Barre, PA"	0.8755
42644	"Seattle-Bellevue-Everett, WA"	1.2103
42680	"Sebastian-Vero Beach,FL"	0.9787
43100	"Sheboygan, WI"	0.9582
43300	"Sherman-Denison, TX"	0.8430
43340	"Shreveport-Bossier City, LA"	0.8764
43580	"Sioux City, IA-NE-SD"	0.9507
43620	"Sioux Falls, SD"	0.9391
43780	"South Bend-Mishawaka, IN-MI"	1.0130
43900	"Spartanburg, SC"	0.9765
44060	"Spokane, WA"	1.0918
44100	"Springfield, IL"	0.9979
44140	"Springfield, MA"	1.0844
44180	"Springfield, MO"	0.8837
44220	"Springfield, OH"	0.9613
44300	"State College, PA"	0.9509
44700	"Stockton, CA"	1.2891
44940	"Sumter, SC"	0.8522
45060	"Syracuse, NY"	1.0229
45104	"Tacoma, WA"	1.1703
45220	"Tallahassee, FL"	0.8788
45300	"Tampa-St. Petersburg-Clearwater, FL"	0.9390
45460	"Terre Haute, IN"	0.9473
45500	"Texarkana, TX-Texarkana, AR"	0.8482
45780	"Toledo, OH"	0.9974
45820	"Topeka, KS"	0.9436
45940	"Trenton-Ewing, NJ"	1.1031
46060	"Tucson, AZ"	0.9937
46140	"Tulsa, OK"	0.9055
46220	"Tuscaloosa, AL"	0.9093
46340	"Tyler, TX"	0.8690
46540	"Utica-Rome, NY"	0.8844
46660	"Valdosta, GA"	0.8305
46700	"Vallejo-Fairfield, CA"	1.5612
47020	"Victoria, TX"	0.8420
47220	"Vineland-Millville-Bridgeton, NJ"	1.0671
47260	"Virginia Beach-Norfolk-Newport News, VA"	0.9367
47300	"Visalia-Porterville, CA"	1.0685
47380	"Waco, TX"	0.8758
47580	"Warner Robins, GA"	0.9152
47644	"Warren-Troy-Farmington-Hills, MI"	1.0251
47894	Washington-Arlington-Alexandria DC-VA	1.1376
47940	"Waterloo-Cedar Falls, IA"	0.8905
48140	"Wausau, WI"	0.9869
48260	"Weirton-Steubenville, WV-OH"	0.8000
48300	"Wenatchee-East Wenatchee, WA"	1.0160
48424	West Palm Beach-Boca Raton-Boynton FL	1.0328
48540	"Wheeling, WV-OH"	0.7899
48620	"Wichita, KS"	0.9428
48660	"Wichita Falls, TX"	0.9615
48700	"Williamsport, PA"	0.8235
48864	"Wilmington, DE-MD-NJ"	1.1034
48900	"Wilmington, NC"	0.9394
49020	"Winchester, VA-WV"	1.0221
49180	"Winston-Salem, NC"	0.9360
49340	"Worcester, MA"	1.1593
49420	"Yakima, WA"	1.0401
49500	"Yauco, PR"	0.3850
49620	"York-Hanover, PA"	0.9721
49660	"Youngstown-Warren-Boardman, OH-PA"	0.9073
49700	"Yuba City, CA"	1.1777
49740	"Yuma, AZ"	0.9558
		
1This column lists each CBSA area name.		
2Wage index values are based on FY 2006 hospital cost report data before reclassification. 		
" These data form the basis for the pre-floor, pre-reclassified hospital wage index. "		
 The budget neutrality adjustment factor (BNAF) or the hospice floor is then applied to 		
" the pre-floor, pre-reclassified hospital wage index to derive the hospice wage index.  "		
 Wage index values greater than or equal to 0.8 are subject to a BNAF.  The hospice 		
 floor calculation is as follows: wage index values below 0.8 are adjusted to be the greater 		
" of a) the 25 percent reduced BNAF OR b) the minimum of the pre-floor, pre-reclassified"		
" hospital wage index value x 1.15, or 0.8000.  For the FY 2011 hospice wage index, the"		
 the BNAF was reduced by a total of 25 percent.		
"3Because there are no hospitals in CBSA 25980, the wage index value is calculated"		
 by taking the average of all other urban CBSAs in Georgia.		
		
Medicare Hospice FY2011 Final Wage Index		
Rural CBSAs		
		
CBSA	Rural	Wage Index
1	ALABAMA	0.8000
2	ALASKA	1.2199
3	ARIZONA	0.9189
4	ARKANSAS	0.8000
5	CALIFORNIA	1.2598
6	COLORADO	1.0380
7	CONNECTICUT	1.1597
8	DELAWARE	1.0360
9	DISTRICT OF COLUMBIA2	------
10	FLORIDA	0.8955
11	GEORGIA	0.8000
12	HAWAII	1.1618
13	IDAHO	0.8084
14	ILLINOIS	0.8690
15	INDIANA	0.8916
16	IOWA	0.9016
17	KANSAS	0.8538
18	KENTUCKY	0.8168
19	LOUISIANA	0.8000
20	MAINE	0.8969
21	MARYLAND	0.9546
22	MASSACHUSETTS1	1.2231
23	MICHIGAN	0.9177
24	MINNESOTA	0.9576
25	MISSISSIPPI	0.8000
26	MISSOURI	0.8019
27	MONTANA	0.8780
28	NEBRASKA	0.9100
29	NEVADA	1.0113
30	NEW HAMPSHIRE	1.0409
31	NEW JERSEY2	------
32	NEW MEXICO	0.9344
33	NEW YORK	0.8645
34	NORTH CAROLINA	0.8923
35	NORTH DAKOTA	0.8168
36	OHIO	0.8892
37	OKLAHOMA	0.8002
38	OREGON	1.0701
39	PENNSYLVANIA	0.8683
40	PUERTO RICO3	0.4654
41	RHODE ISLAND2	------
42	SOUTH CAROLINA	0.8775
43	SOUTH DAKOTA	0.8897
44	TENNESSEE	0.8163
45	TEXAS	0.8111
46	UTAH	0.8743
47	VERMONT	1.0206
48	VIRGIN ISLANDS	0.8000
49	VIRGINIA	0.8226
50	WASHINGTON	1.0688
51	WEST VIRGINIA	0.8000
52	WISCONSIN	0.9624
53	WYOMING	0.9968
65	GUAM	1.0048
		
"1There are no hospitals in the rural areas of Massachusetts, so the wage "		
   index value used is the average of the contiguous Counties.		
2There are no rural areas in this State or District.		
3Wage index values are obtained using the methodology described in the		
" July 22, 2010 Hospice Wage Index for FY 2011 notice with comment period."		
