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In computing the wage index, we derive an average hourly wage for each labor market area (total wage costs divided by total hours for all hospitals in the geographic area) and a national average hourly wage (total wage costs divided by total hours for all hospitals in the nation).
When an index is equal to or greater than 1, it is adjusted 69.7 percent for area wages. An index that is less than 1 (more) The wage index adjustment is currently computed as the average hourly wage (AHW) paid by all IPS hospitals in each labor market area divided by the AHW for all IPS hospitals nationwide.
A labor market area's wage index value is the ratio of the area's average hourly wage to the national average hourly wage. The wage index adjustment factor is applied only to the labor portion of the standardized amount in the cal- curation of the hospital's Medicare payment.
An MS-DRG is determined by the principal diagnosis, the principal procedure, if any, and certain secondary diagnoses identified by CMS as comorbidities and complications (CCs) and major comorbidities and complications (CCS). Every year, CMS assigns a relative weight to every DRG.
Under the IPS, each case is categorized into a diagnosis-related group (DRG). Each DRG has a payment weight assigned to it, based on the average resources used to treat Medicare patients in that DRG. This base payment rate is multiplied by the DRG relative weight.
Average Wage Index (AWE) Automatic Determinations. For detailed information on the average wage data for any year, including a distribution by wage level, select a year and click “Go.”
National Average Wage Index. The national average wage index for 2018 is 52,145.80. The index is 3.62 percent higher than the index for 2017. When we compute a person's retirement benefit, we use the national average wage indexing series to index that person's earnings.
The AWE is used to index an individual's earnings through age 60 in the benefit calculation formula, and the COLA is used to increase benefits annually. The COLA shown for a year is effective for December of that year, but is payable in January of the following year. Colas & AWE increases under.

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