"TABLE 8A. FY 2026 STATEWIDE AVERAGE OPERATING COST-TO-CHARGE RATIOS (CCRs) FOR ACUTE CARE HOSPITALS (Urban and Rural) - FY 2026 FINAL RULE
"		
State	Urban	Rural
Alabama	0.22	0.312
Alaska	0.183	0.444
Arizona	0.191	0.24
Arkansas	0.236	0.294
California	0.189	0.228
Colorado	0.161	0.325
Connecticut	0.287	0.287
Delaware	0.314	0.355
"Washington, D.C. *"	0.242	
Florida	0.152	0.196
Georgia	0.201	0.262
Hawaii	0.281	0.388
Idaho	0.273	0.51
Illinois	0.234	0.263
Indiana	0.224	0.299
Iowa	0.272	0.327
Kansas	0.198	0.319
Kentucky	0.226	0.242
Louisiana	0.216	0.322
Maine	0.331	0.385
Maryland	0.676	0.676
Massachusetts	0.427	0.427
Michigan	0.265	0.325
Minnesota	0.334	0.45
Mississippi	0.22	0.276
Missouri	0.244	0.251
Montana	0.349	0.334
Nebraska	0.279	0.327
Nevada	0.12	0.221
New Hampshire	0.27	0.314
New Jersey *	0.164	
New Mexico	0.27	0.232
New York	0.244	0.427
North Carolina	0.261	0.31
North Dakota	0.324	0.324
Ohio	0.232	0.328
Oklahoma	0.197	0.274
Oregon	0.369	0.385
Pennsylvania	0.197	0.246
Puerto Rico	0.561	0.561
Rhode Island *	0.33	
South Carolina	0.199	0.277
South Dakota	0.226	0.306
Tennessee	0.191	0.245
Texas	0.165	0.239
Utah	0.266	0.335
Vermont	0.427	0.439
Virginia	0.263	0.241
Washington	0.259	0.367
West Virginia	0.269	0.312
Wisconsin	0.29	0.376
Wyoming	0.277	0.437
		
*All counties in the State or Territory are classified as urban.		
