"TABLE 8C.PROPOSED FY 2026 STATEWIDE AVERAGE TOTAL COST-TO-CHARGE RATIOS (CCRs) FOR LTCHs (Urban and Rural)
"		
State	Urban	Rural
Alabama	0.233	0.338
Alaska	0.196	0.480
Arizona	0.208	0.259
Arkansas	0.246	0.317
California	0.204	0.249
Colorado	0.178	0.362
Connecticut**	0.301	0.334
Delaware	0.393	0.414
"Washington, D.C.*"	0.260	
Florida	0.165	0.215
Georgia	0.221	0.287
Hawaii	0.303	0.384
Idaho	0.306	0.511
Illinois	0.250	0.286
Indiana	0.244	0.325
Iowa	0.291	0.368
Kansas	0.215	0.361
Kentucky	0.246	0.263
Louisiana	0.243	0.345
Maine	0.350	0.414
Maryland***	0.256	0.334
Massachusetts**	0.464	0.334
Michigan	0.288	0.362
Minnesota	0.348	0.491
Mississippi	0.233	0.296
Missouri	0.263	0.267
Montana	0.379	0.353
Nebraska	0.305	0.356
Nevada**	0.130	0.334
New Hampshire	0.287	0.367
New Jersey*	0.177	
New Mexico	0.294	0.291
New York	0.261	0.454
North Carolina	0.279	0.334
North Dakota**	0.340	0.334
Ohio	0.249	0.361
Oklahoma	0.218	0.296
Oregon	0.387	0.419
Pennsylvania	0.223	0.277
Puerto Rico**	0.609	0.334
Rhode Island*	0.347	
South Carolina	0.212	0.291
South Dakota	0.245	0.338
Tennessee	0.208	0.274
Texas	0.181	0.269
Utah	0.287	0.367
Vermont	0.451	0.466
Virginia	0.284	0.260
Washington	0.276	0.393
West Virginia	0.294	0.352
Wisconsin	0.312	0.394
Wyoming	0.312	0.508
		
*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."		
		
