If you have a New Provider Number you can expect Changes To Your CCR Your CCR or cost to charge ratio will still be used with the surviving provider number if your hospital merges with another one. Your Medicare fiscal intermediary will continue to use the old CCR instead of a new one if there is a merger. However, If Medicare issues the hospitals a new provider number after a merger then there will be a different outcome. In the event of a new provider number your Medicare fiscal intermediary will use the average CCR for the state because according to them a new provider number means that there has …