"TABLE 8C.PROPOSED FY 2024 STATEWIDE AVERAGE TOTAL COST-TO-CHARGE RATIOS (CCRs) FOR LTCHs (Urban and Rural)
"			
State	Urban	Rural	
Alabama	0.238	0.310	
Alaska	0.203	0.504	
Arizona	0.207	0.242	
Arkansas	0.263	0.325	
California	0.208	0.231	
Colorado	0.182	0.354	
Connecticut**	0.322	0.324	
Delaware*	0.400		
District of Columbia*	0.261		
Florida	0.166	0.199	
Georgia	0.230	0.274	
Hawaii	0.332	0.449	
Idaho	0.298	0.552	
Illinois	0.245	0.285	
Indiana	0.252	0.322	
Iowa	0.274	0.351	
Kansas	0.212	0.348	
Kentucky	0.258	0.234	
Louisiana	0.252	0.351	
Maine	0.352	0.435	
Maryland***	0.260	0.324	
Massachusetts****	0.455	0.324	
Michigan	0.294	0.365	
Minnesota	0.348	0.498	
Mississippi	0.241	0.312	
Missouri	0.269	0.280	
Montana	0.353	0.404	
Nebraska	0.299	0.340	
Nevada**	0.133	0.324	
New Hampshire	0.305	0.363	
New Jersey*	0.178		
New Mexico	0.294	0.274	
New York	0.268	0.450	
North Carolina	0.273	0.308	
North Dakota	0.379	0.328	
Ohio	0.245	0.371	
Oklahoma	0.224	0.294	
Oregon	0.378	0.383	
Pennsylvania	0.215	0.321	
Puerto Rico**	0.606	0.324	
Rhode Island*	0.350		
South Carolina	0.219	0.274	
South Dakota	0.246	0.335	
Tennessee	0.209	0.272	
Texas	0.190	0.269	
Utah	0.307	0.352	
Vermont	0.495	0.514	
Virginia	0.281	0.262	
Washington	0.277	0.354	
West Virginia	0.295	0.346	
Wisconsin	0.312	0.400	
Wyoming	0.329	0.458	
			
*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."			
