"FY 2020 Cost?of?Living Adjustment Factors under the IPPS: 
 Alaska and Hawaii Hospitals"	
Alaska:	Cost of Living Adjustment Factor
City of Anchorage and 80-kilometer (50-mile) radius by road	1.25
City of Fairbanks and 80-kilometer (50-mile) radius by road	1.25
City of Juneau and 80-kilometer (50-mile) radius by road	1.25
Rest of Alaska	1.25
Hawaii:	Cost of Living Adjustment Factor
City and County of Honolulu	1.25
County of Hawaii	1.21
County of Kauai	1.25
County of Maui and County of Kalawao	1.25
