"TABLE 8C.FINAL FY 2021 STATEWIDE AVERAGE TOTAL COST-TO-CHARGE RATIOS (CCRs) FOR LTCHs (Urban and Rural)
"		
State	Urban	Rural
Alabama	0.220	0.295
Alaska	0.225	0.502
Arizona	0.193	0.323
Arkansas	0.254	0.328
California	0.208	0.240
Colorado	0.195	0.375
Connecticut**	0.347	0.324
Delaware*	0.405	
District of Columbia*	0.253	
Florida	0.164	0.198
Georgia	0.241	0.274
Hawaii	0.336	0.436
Idaho	0.305	0.620
Illinois	0.247	0.290
Indiana	0.259	0.325
Iowa	0.275	0.356
Kansas	0.218	0.336
Kentucky	0.252	0.232
Louisiana	0.249	0.316
Maine	0.367	0.434
Maryland***	0.262	0.324
Massachusetts****	0.459	0.324
Michigan	0.308	0.363
Minnesota	0.353	0.479
Mississippi	0.243	0.287
Missouri	0.275	0.280
Montana	0.336	0.364
Nebraska	0.295	0.351
Nevada	0.139	0.305
New Hampshire	0.334	0.357
New Jersey*	0.166	
New Mexico	0.281	0.256
New York	0.278	0.457
North Carolina	0.278	0.308
North Dakota	0.384	0.299
Ohio	0.252	0.387
Oklahoma	0.224	0.294
Oregon	0.363	0.372
Pennsylvania	0.217	0.329
Puerto Rico**	0.585	0.324
Rhode Island*	0.331	
South Carolina	0.221	0.294
South Dakota	0.256	0.346
Tennessee	0.199	0.286
Texas	0.190	0.282
Utah	0.305	0.365
Vermont	0.480	0.546
Virginia	0.277	0.252
Washington	0.277	0.361
West Virginia	0.309	0.371
Wisconsin	0.312	0.457
Wyoming	0.302	0.453
		
*All counties within the State or Territory are classified as urban.		
**There was no data from hospitals paid under the IPPS located within these rural areas with which to calculate a rural statewide average. 		
We used the national average IPPS total rural CCR for the rural statewide average for these areas.		
"***National average IPPS total CCRs, as discussed in section V.D.2. of the Addendum to the Final Rule."		
"****The rural statewide average for this area was nearly 1.0 which is not typical. Therefore, we substituted the national average IPPS total rural CCR for the rural statewide average for this area."		
