"TABLE 8C.FINAL FY 2019 STATEWIDE AVERAGE TOTAL COST-TO-CHARGE RATIOS (CCRs) FOR LTCHs (Urban and Rural)
"		
State	Urban	Rural
Alabama	0.221	0.314
Alaska	0.256	0.623
Arizona	0.215	0.308
Arkansas	0.267	0.317
California	0.212	0.248
Colorado	0.214	0.392
Connecticut**	0.339	0.345
Delaware*	0.418	-----
District of Columbia*	0.280	-----
Florida	0.173	0.234
Georgia	0.262	0.296
Hawaii	0.373	0.453
Idaho	0.335	0.610
Illinois	0.257	0.316
Indiana	0.277	0.342
Iowa	0.295	0.373
Kansas	0.232	0.352
Kentucky	0.280	0.259
Louisiana	0.259	0.327
Maine	0.414	0.462
Maryland***	0.277	0.345
Massachusetts****	0.488	0.345
Michigan	0.322	0.387
Minnesota	0.375	0.504
Mississippi	0.237	0.301
Missouri	0.284	0.289
Montana	0.357	0.392
Nebraska	0.309	0.396
Nevada	0.149	0.287
New Hampshire	0.359	0.382
New Jersey*	0.169	-----
New Mexico	0.278	0.265
New York	0.294	0.476
North Carolina	0.290	0.317
North Dakota	0.394	0.328
Ohio	0.263	0.415
Oklahoma	0.240	0.339
Oregon	0.379	0.387
Pennsylvania	0.228	0.370
Puerto Rico**	0.582	0.345
Rhode Island*	0.350	-----
South Carolina	0.233	0.296
South Dakota	0.251	0.371
Tennessee	0.221	0.297
Texas	0.208	0.318
Utah	0.332	0.440
Vermont	0.473	0.535
Virginia	0.298	0.270
Washington	0.293	0.373
West Virginia	0.333	0.383
Wisconsin	0.334	0.412
Wyoming	0.329	0.483
		
*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."		
