"TABLE 8C.FY 2022 STATEWIDE AVERAGE TOTAL COST-TO-CHARGE RATIOS (CCRs) FOR LTCHs (Urban and Rural)
"														
State	Urban	Rural												
Alabama	0.219	0.308												
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	0.325												
Delaware*	0.405													
District of Columbia*	0.253													
Florida	0.164	0.192												
Georgia	0.242	0.272												
Hawaii	0.336	0.436												
Idaho	0.305	0.620												
Illinois	0.247	0.290												
Indiana	0.259	0.327												
Iowa	0.275	0.356												
Kansas	0.218	0.336												
Kentucky	0.252	0.232												
Louisiana	0.250	0.321												
Maine	0.367	0.434												
Maryland***	0.262	0.325												
Massachusetts****	0.459	0.325												
Michigan	0.308	0.356												
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	0.239												
New York	0.278	0.478												
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	0.325												
Rhode Island*	0.331													
South Carolina	0.222	0.292												
South Dakota	0.256	0.346												
Tennessee	0.199	0.286												
Texas	0.190	0.285												
Utah	0.305	0.365												
Vermont	0.480	0.546												
Virginia	0.277	0.252												
Washington	0.277	0.361												
West Virginia	0.312	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 Proposed 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."														
