"TABLE 8C.FY 2023 STATEWIDE AVERAGE TOTAL COST-TO-CHARGE RATIOS (CCRs) FOR LTCHs (Urban and Rural)
"			
State	Urban	Rural	
Alabama	0.233	0.312	
Alaska	0.214	0.499	
Arizona	0.202	0.271	
Arkansas	0.256	0.325	
California	0.217	0.257	
Colorado	0.184	0.380	
Connecticut**	0.346	0.329	
Delaware*	0.410		
District of Columbia*	0.259		
Florida	0.166	0.194	
Georgia	0.234	0.278	
Hawaii	0.350	0.453	
Idaho	0.299	0.590	
Illinois	0.259	0.287	
Indiana	0.257	0.324	
Iowa	0.268	0.354	
Kansas	0.216	0.336	
Kentucky	0.254	0.236	
Louisiana	0.255	0.351	
Maine	0.377	0.449	
Maryland***	0.266	0.329	
Massachusetts****	0.484	0.329	
Michigan	0.305	0.370	
Minnesota	0.367	0.525	
Mississippi	0.231	0.284	
Missouri	0.268	0.281	
Montana	0.357	0.379	
Nebraska	0.293	0.365	
Nevada	0.144	0.241	
New Hampshire	0.330	0.378	
New Jersey*	0.183		
New Mexico	0.293	0.279	
New York	0.300	0.479	
North Carolina	0.275	0.315	
North Dakota	0.388	0.328	
Ohio	0.250	0.380	
Oklahoma	0.224	0.300	
Oregon	0.381	0.400	
Pennsylvania	0.216	0.330	
Puerto Rico**	0.619	0.329	
Rhode Island*	0.348		
South Carolina	0.223	0.288	
South Dakota	0.252	0.348	
Tennessee	0.210	0.281	
Texas	0.192	0.286	
Utah	0.310	0.392	
Vermont	0.487	0.579	
Virginia	0.281	0.268	
Washington	0.280	0.367	
West Virginia	0.301	0.368	
Wisconsin	0.321	0.414	
Wyoming	0.330	0.463	
			
*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 over 1.0 which is not typical. Therefore, we substituted the national average IPPS total rural CCR for the rural statewide average for this area."			
