"TABLE 8A.FY 2027 STATEWIDE AVERAGE OPERATING COST-TO-CHARGE RATIOS (CCRs) FOR ACUTE CARE HOSPITALS (Urban and Rural) - FINAL RULE
"		
State	Urban	Rural
Alabama	0.208	0.321
Alaska	0.182	0.433
Arizona	0.19	0.225
Arkansas	0.225	0.271
California	0.19	0.23
Colorado	0.154	0.322
Connecticut	0.264	0.264
Delaware*	0.311	0.344
District of Columbia*	0.223	
Florida	0.145	0.179
Georgia	0.194	0.259
Hawaii	0.274	0.369
Idaho	0.252	0.506
Illinois	0.227	0.251
Indiana	0.222	0.299
Iowa	0.273	0.334
Kansas	0.19	0.329
Kentucky	0.216	0.24
Louisiana	0.214	0.321
Maine	0.299	0.366
Maryland	0.679	0.679
Massachusetts	0.414	0.414
Michigan	0.261	0.31
Minnesota	0.321	0.44
Mississippi	0.207	0.282
Missouri	0.234	0.24
Montana	0.361	0.329
Nebraska	0.271	0.306
Nevada	0.117	0.197
New Hampshire	0.258	0.292
New Jersey*	0.157	
New Mexico	0.273	0.24
New York	0.238	0.406
North Carolina	0.25	0.31
North Dakota	0.302	0.302
Ohio	0.218	0.306
Oklahoma	0.188	0.251
Oregon	0.35	0.363
Pennsylvania	0.194	0.218
Puerto Rico	0.566	0.566
Rhode Island*	0.325	
South Carolina	0.19	0.268
South Dakota	0.227	0.282
Tennessee	0.181	0.248
Texas	0.159	0.22
Utah	0.253	0.333
Vermont	0.42	0.425
Virginia	0.249	0.23
Washington	0.261	0.36
West Virginia	0.262	0.307
Wisconsin	0.276	0.333
Wyoming	0.263	0.443
		
*All counties in the State or Territory are classified as urban.		
