"TABLE 8C.—FY 2013 STATEWIDE AVERAGE TOTAL COST-TO-CHARGE RATIOS (CCRs) FOR LTCHs (Urban and Rural) " State Urban Rural Alabama 0.264 0.337 Alaska 0.339 0.679 Arizona 0.259 0.314 Arkansas 0.319 0.365 California 0.224 0.283 Colorado 0.272 0.428 Connecticut 0.370 0.573 Delaware 0.492 0.457 District of Columbia* 0.328 --- Florida 0.217 0.244 Georgia 0.307 0.368 Hawaii 0.383 0.469 Idaho 0.424 0.549 Illinois 0.295 0.360 Indiana 0.357 0.456 Iowa 0.348 0.417 Kansas 0.293 0.420 Kentucky 0.364 0.356 Louisiana 0.294 0.332 Maine 0.490 0.489 Maryland*** 0.307 0.393 Massachusetts** 0.498 0.393 Michigan 0.383 0.449 Minnesota 0.383 0.539 Mississippi 0.274 0.349 Missouri 0.322 0.344 Montana 0.410 0.471 Nebraska 0.338 0.445 Nevada 0.193 0.428 New Hampshire 0.441 0.430 New Jersey* 0.179 --- New Mexico 0.342 0.369 New York 0.352 0.565 North Carolina 0.361 0.382 North Dakota 0.428 0.375 Ohio 0.321 0.498 Oklahoma 0.277 0.368 Oregon 0.414 0.404 Pennsylvania 0.256 0.415 Puerto Rico 0.529 0.529 Rhode Island* 0.378 --- South Carolina 0.286 0.307 South Dakota 0.310 0.402 Tennessee 0.278 0.345 Texas 0.253 0.350 Utah 0.394 0.547 Vermont 0.583 0.571 Virginia 0.354 0.368 Washington 0.339 0.432 West Virginia 0.462 0.458 Wisconsin 0.403 0.436 Wyoming 0.409 0.502 *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."