"TABLE 8C.FY 2027 STATEWIDE AVERAGE TOTAL COST-TO-CHARGE RATIOS (CCRs) FOR LTCHs (Urban and Rural) - FINAL RULE
"		
State	Urban	Rural
Alabama	0.221	0.355
Alaska	0.195	0.461
Arizona	0.203	0.244
Arkansas	0.238	0.287
California	0.201	0.243
Colorado	0.166	0.352
Connecticut**	0.279	0.314
Delaware	0.324	0.369
"Washington, D.C.*"	0.238	
Florida	0.157	0.198
Georgia	0.207	0.280
Hawaii	0.284	0.387
Idaho	0.269	0.554
Illinois	0.242	0.268
Indiana	0.239	0.324
Iowa	0.287	0.353
Kansas	0.204	0.348
Kentucky	0.230	0.256
Louisiana	0.230	0.342
Maine	0.315	0.384
Maryland***	0.244	0.314
Massachusetts**	0.440	0.314
Michigan	0.275	0.333
Minnesota	0.338	0.463
Mississippi	0.219	0.303
Missouri	0.249	0.256
Montana	0.381	0.364
Nebraska	0.288	0.332
Nevada	0.126	0.240
New Hampshire	0.272	0.304
New Jersey*	0.167	
New Mexico	0.287	0.263
New York	0.254	0.426
North Carolina	0.267	0.331
North Dakota**	0.322	0.314
Ohio	0.232	0.327
Oklahoma	0.203	0.268
Oregon	0.367	0.378
Pennsylvania	0.207	0.230
Puerto Rico**	0.605	0.314
Rhode Island*	0.340	
South Carolina	0.203	0.285
South Dakota	0.236	0.298
Tennessee	0.193	0.263
Texas	0.172	0.237
Utah	0.269	0.355
Vermont	0.443	0.446
Virginia	0.267	0.245
Washington	0.274	0.382
West Virginia	0.278	0.328
Wisconsin	0.294	0.354
Wyoming	0.283	0.485
		
*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 Proposed Rule."		
		
