"FY 2027 Cost?of?Living Adjustment Factors under the LTCH PPS: 
 Alaska and Hawaii Hospitals"	
Alaska:	Cost of Living Adjustment Factor
City of Anchorage and 80-kilometer (50-mile) radius by road	1.28
City of Fairbanks and 80-kilometer (50-mile) radius by road	1.32
City of Juneau and 80-kilometer (50-mile) radius by road	1.36
Rest of Alaska	1.44
Hawaii:	Cost of Living Adjustment Factor
City and County of Honolulu	1.20
County of Hawaii	1.32
County of Kauai	1.26
County of Maui and County of Kalawao	1.24
