"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."			
			
