"TABLE 8C.FY 2026 STATEWIDE AVERAGE TOTAL COST-TO-CHARGE RATIOS (CCRs) FOR LTCHs (Urban and Rural) - FY 2026 FINAL RULE
"		
State	Urban	Rural
Alabama	0.233	0.339
Alaska	0.196	0.467
Arizona	0.206	0.259
Arkansas	0.251	0.315
California	0.202	0.241
Colorado	0.174	0.356
Connecticut**	0.303	0.326
Delaware	0.331	0.383
"Washington, D.C.*"	0.255	
Florida	0.164	0.216
Georgia	0.215	0.285
Hawaii	0.294	0.408
Idaho	0.295	0.557
Illinois	0.250	0.281
Indiana	0.241	0.323
Iowa	0.288	0.348
Kansas	0.213	0.343
Kentucky	0.242	0.259
Louisiana	0.232	0.343
Maine	0.350	0.407
Maryland***	0.252	0.326
Massachusetts**	0.453	0.326
Michigan	0.282	0.352
Minnesota	0.350	0.475
Mississippi	0.233	0.299
Missouri	0.259	0.269
Montana	0.372	0.353
Nebraska	0.298	0.357
Nevada	0.130	0.270
New Hampshire	0.285	0.327
New Jersey*	0.175	
New Mexico	0.286	0.253
New York	0.261	0.452
North Carolina	0.278	0.330
North Dakota**	0.346	0.326
Ohio	0.247	0.352
Oklahoma	0.211	0.292
Oregon	0.389	0.404
Pennsylvania	0.211	0.260
Puerto Rico**	0.602	0.326
Rhode Island*	0.347	
South Carolina	0.214	0.298
South Dakota	0.234	0.324
Tennessee	0.204	0.260
Texas	0.179	0.258
Utah	0.285	0.358
Vermont	0.451	0.461
Virginia	0.281	0.258
Washington	0.273	0.393
West Virginia	0.286	0.334
Wisconsin	0.310	0.399
Wyoming	0.300	0.474
		
*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."		
		
