"TABLE 8C.FINAL FY 2018 STATEWIDE AVERAGE TOTAL COST-TO-CHARGE RATIOS (CCRs) FOR LTCHs (Urban and Rural)
"		
State	Urban	Rural
Alabama	0.218	0.318
Alaska	0.277	0.564
Arizona	0.227	0.312
Arkansas	0.271	0.321
California	0.214	0.240
Colorado	0.223	0.412
Connecticut**	0.338	0.354
Delaware*	0.418	
District of Columbia*	0.289	
Florida	0.182	0.223
Georgia	0.266	0.331
Hawaii	0.384	0.491
Idaho	0.340	0.455
Illinois	0.258	0.322
Indiana	0.282	0.359
Iowa	0.296	0.374
Kansas	0.240	0.369
Kentucky	0.282	0.266
Louisiana	0.263	0.327
Maine	0.411	0.454
Maryland***	0.281	0.354
Massachusetts****	0.499	0.354
Michigan	0.342	0.394
Minnesota	0.366	0.578
Mississippi	0.244	0.311
Missouri	0.287	0.306
Montana	0.353	0.419
Nebraska	0.315	0.404
Nevada	0.158	0.282
New Hampshire	0.361	0.379
New Jersey*	0.168	
New Mexico	0.307	0.308
New York	0.299	0.479
North Carolina	0.298	0.327
North Dakota**	0.393	0.368
Ohio	0.268	0.430
Oklahoma	0.248	0.341
Oregon	0.407	0.393
Pennsylvania	0.232	0.385
Puerto Rico**	0.571	0.354
Rhode Island*	0.346	
South Carolina	0.236	0.299
South Dakota	0.256	0.370
Tennessee	0.227	0.304
Texas	0.214	0.330
Utah	0.339	0.472
Vermont	0.457	0.559
Virginia	0.301	0.281
Washington	0.304	0.378
West Virginia	0.350	0.406
Wisconsin	0.369	0.423
Wyoming	0.337	0.458
		
*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 this Addendum."		
"****The  rural statewide average for this area was over 1.0 which is not typical. Therefore, we substituted the national average IPPS total rural CCR for the rural statewide average for this area."		
