US · guidance
CMS Pub. 100-04, ch. 3, § 140.2.7
Use of a National Average Cost-to-Charge Ratio
A national average CCR based on the facility location of either rural or urban is applied in
the following situations:
• New IRFs that have not yet submitted their first Medicare cost report.
• IRFs whose overall CCR is in excess of the national CCR ceiling, as set forth
annually in the IRF PPS notices published in the Federal Register.
• Other IRFs for which accurate data to calculate an overall CCR are not available.
However, the policies of §140.2.6 part E and F can be applied as an alternative to the
national average CCR.
The national urban and rural CCRs for IRFs are set forth annually in the Federal
Register.
History
(Rev. 2111, Issued: 12-03-10, Effective: 04-01-11, Implementation: 04-04-11)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
dd7407916f6fda20136b8553a6a5f0a1e3174a8a7678c3fab2815c38e0ba8b78
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