"TABLE 8C.FINAL FY 2024 STATEWIDE AVERAGE TOTAL COST-TO-CHARGE RATIOS (CCRs) FOR LTCHs (Urban and Rural)
"			
State	Urban	Rural	
Alabama	0.240	0.313	
Alaska	0.203	0.485	
Arizona	0.207	0.242	
Arkansas	0.263	0.321	
California	0.208	0.242	
Colorado	0.184	0.356	
Connecticut**	0.318	0.330	
Delaware*	0.397		
District of Columbia*	0.283		
Florida	0.167	0.198	
Georgia	0.235	0.277	
Hawaii	0.328	0.412	
Idaho	0.298	0.545	
Illinois	0.246	0.292	
Indiana	0.255	0.323	
Iowa	0.280	0.382	
Kansas	0.215	0.362	
Kentucky	0.262	0.244	
Louisiana	0.256	0.343	
Maine	0.352	0.447	
Maryland***	0.262	0.330	
Massachusetts****	0.460	0.330	
Michigan	0.298	0.368	
Minnesota	0.351	0.497	
Mississippi	0.221	0.315	
Missouri	0.276	0.284	
Montana	0.358	0.421	
Nebraska	0.299	0.363	
Nevada	0.135	0.247	
New Hampshire	0.300	0.401	
New Jersey*	0.178		
New Mexico	0.301	0.271	
New York	0.267	0.451	
North Carolina	0.275	0.310	
North Dakota	0.382	0.336	
Ohio	0.250	0.374	
Oklahoma	0.228	0.306	
Oregon	0.384	0.378	
Pennsylvania	0.218	0.335	
Puerto Rico**	0.606	0.330	
Rhode Island*	0.362		
South Carolina	0.219	0.274	
South Dakota	0.249	0.346	
Tennessee	0.212	0.289	
Texas	0.190	0.269	
Utah	0.308	0.352	
Vermont	0.495	0.514	
Virginia	0.281	0.256	
Washington	0.276	0.354	
West Virginia	0.299	0.337	
Wisconsin	0.315	0.406	
Wyoming	0.344	0.464	
			
*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 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."			
