"TABLE 8C.PROPOSED 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	0.566
Arizona	0.216	0.309
Arkansas	0.267	0.318
California	0.215	0.244
Colorado	0.227	0.403
Connecticut**	0.348	0.346
Delaware*	0.417	------
District of Columbia*	0.286	------
Florida	0.175	0.254
Georgia	0.263	0.296
Hawaii	0.381	0.488
Idaho	0.332	0.458
Illinois	0.258	0.313
Indiana	0.279	0.352
Iowa	0.298	0.366
Kansas	0.234	0.377
Kentucky	0.288	0.258
Louisiana	0.259	0.338
Maine	0.416	0.464
Maryland***	0.280	0.346
Massachusetts****	0.488	0.346
Michigan	0.331	0.390
Minnesota	0.375	0.509
Mississippi	0.239	0.299
Missouri	0.285	0.290
Montana	0.362	0.407
Nebraska	0.308	0.407
Nevada	0.153	0.280
New Hampshire	0.354	0.383
New Jersey*	0.170	
New Mexico	0.298	0.287
New York	0.298	0.476
North Carolina	0.293	0.318
North Dakota**	0.398	0.346
Ohio	0.265	0.418
Oklahoma	0.248	0.333
Oregon	0.399	0.397
Pennsylvania	0.234	0.386
Puerto Rico**	0.588	0.346
Rhode Island*	0.350	------
South Carolina	0.235	0.296
South Dakota	0.283	0.368
Tennessee	0.223	0.297
Texas	0.213	0.326
Utah	0.335	0.448
Vermont	0.481	0.526
Virginia	0.302	0.272
Washington	0.299	0.373
West Virginia	0.340	0.391
Wisconsin	0.340	0.415
Wyoming	0.337	0.463
		
*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."		
