TABLE 8A.STATEWIDE AVERAGE OPERATING COST-TO-CHARGE RATIOSJuly 2009		
State	Urban	Rural
Alabama	0.25	0.318
Alaska	0.365	0.66
Arizona	0.277	0.381
Arkansas	0.314	0.336
California	0.22	0.3
Colorado	0.274	0.422
Connecticut	0.39	0.51
Delaware	0.498	0.45
District of Columbia*	0.337	---
Florida	0.233	0.265
Georgia	0.313	0.376
Hawaii	0.375	0.474
Idaho	0.467	0.595
Illinois	0.3	0.371
Indiana	0.376	0.437
Iowa	0.342	0.427
Kansas	0.298	0.409
Kentucky	0.366	0.363
Louisiana	0.3	0.34
Maine	0.494	0.471
Maryland	0.718	0.767
Massachusetts*	0.462	1.12
Michigan	0.365	0.446
Minnesota	0.385	0.506
Mississippi	0.29	0.354
Missouri	0.334	0.354
Montana	0.419	0.463
Nebraska	0.329	0.449
Nevada	0.207	0.453
New Hampshire	0.418	0.407
New Jersey*	0.175	---
New Mexico	0.354	0.361
New York	0.347	0.522
North Carolina	0.385	0.384
North Dakota	0.441	0.385
Ohio	0.324	0.5
Oklahoma	0.292	0.376
Oregon	0.443	0.409
Pennsylvania	0.257	0.408
Puerto Rico*	0.477	---
Rhode Island*	0.391	---
South Carolina	0.284	0.307
South Dakota	0.323	0.398
Tennessee	0.283	0.355
Texas	0.25	0.328
Utah	0.415	0.541
Vermont	0.557	0.622
Virginia	0.348	0.346
Washington	0.362	0.437
West Virginia	0.461	0.456
Wisconsin	0.402	0.445
Wyoming	0.394	0.539
		
"*All counties in the State or Territory are classified as urban, with the exception of Massachusetts, which has areas designated as rural.  "		
"However, no short-term acute care IPPS hospitals are located in those areas as of July 2009."		
