Back to Top Skip to main content

Health.mil: the official website of the Military Health System (MHS) and the Defense Health Agency (DHA)

Utility Navigation Links

Need larger text?
TRICARE Reimbursement Manual 6010.61-M, April 1, 2015
Skilled Nursing Facilities (SNFs)
Chapter 8
Addendum D (FY 2017)
Case-Mix Adjusted Federal Rates For Skilled Nursing Facilities (SNFs) - FY 2017
Revision:  C-2, May 17, 2017
Figure 8.D.2017-1  Case-Mix Adjusted Federal Rates For Urban SNFs By Labor And Non-Labor Component (RUG-66 Rates)
RUG-IV Category
Total rate
Labor Portion
Non-Labor Portion
Source: 81 FR 51981; Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2017.
RUX
804.36
553.40
250.96
RUL
786.83
541.34
245.49
RVX
715.94
492.57
223.37
RVL
642.32
441.92
200.40
RHX
648.65
446.27
202.38
RHL
578.54
398.04
180.50
RMX
595.02
409.37
185.65
RML
545.94
375.61
170.33
RLX
522.56
359.52
163.04
RUC
609.80
419.54
190.26
RUB
609.80
419.54
190.26
RUA
509.89
350.80
159.09
RVC
523.13
359.91
163.22
RVB
453.02
311.68
141.34
RVA
451.27
310.47
140.80
RHC
455.85
313.62
142.23
RHB
410.27
282.27
128.00
RHA
361.19
248.50
112.69
RMC
400.46
275.52
124.94
RMB
375.92
258.63
117.29
RMA
309.32
212.81
96.51
RLB
389.35
267.87
121.48
RLA
250.88
172.61
78.27
ES3
734.35
505.23
229.12
ES2
574.85
395.50
179.35
ES1
513.50
353.29
160.21
HE2
495.97
341.23
154.74
HE1
411.84
283.35
128.49
HD2
464.42
319.52
144.90
HD1
387.30
266.46
120.84
HC2
438.13
301.43
136.70
HC1
366.26
251.99
114.27
HB2
432.87
297.81
135.06
HB1
362.76
249.58
113.18
LE2
450.40
309.88
140.52
LE1
376.78
259.22
117.56
LD2
432.87
297.81
135.06
LD1
362.76
249.58
113.18
LC2
380.29
261.64
118.65
LC1
320.69
220.63
100.06
LB2
361.01
248.37
112.64
LB1
306.67
210.99
95.68
CE2
401.32
276.11
125.21
CE1
369.77
254.40
115.37
CD2
380.29
261.64
118.65
CD1
348.74
239.93
108.81
CC2
332.96
229.08
103.88
CC1
308.42
212.19
96.23
CB2
308.42
212.19
96.23
CB1
285.64
196.52
89.12
CA2
261.10
179.64
81.46
CA1
243.57
167.58
75.99
BB2
276.87
190.49
86.38
BB1
264.60
182.04
82.56
BA2
229.55
157.93
71.62
BA1
219.03
150.69
68.34
PE2
369.77
254.40
115.37
PE1
352.24
242.34
109.90
PD2
348.74
239.93
108.81
PD1
331.21
227.87
103.34
PC2
299.66
206.17
93.49
PC1
285.64
196.52
89.12
PB2
254.09
174.81
79.28
PB1
243.57
167.58
75.99
PA2
210.27
144.67
65.60
PA1
201.50
138.63
62.87
Figure 8.D.2017-2  Case-Mix Adjusted Federal Rates For Rural SNFs By Labor And Non-Labor Component (RUG-66 Rates)
RUG-IV Category
Total rate
Labor Portion
Non-Labor Portion
Source: 81 FR 51982; Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2017.
RUX
822.89
566.15
256.74
RUL
806.15
554.63
251.52
RVX
723.02
497.44
225.58
RVL
652.70
449.06
203.64
RHX
647.51
445.49
202.02
RHL
580.53
399.40
181.13
RMX
588.44
404.85
183.59
RML
541.56
372.59
168.97
RLX
512.18
352.38
159.80
RUC
637.02
438.27
198.75
RUB
637.02
438.27
198.75
RUA
541.58
372.61
168.97
RVC
538.83
370.72
168.11
RVB
471.85
324.63
147.22
RVA
470.18
323.48
146.70
RHC
463.31
318.76
144.55
RHB
419.78
288.81
130.97
RHA
372.89
256.55
116.34
RMC
402.57
276.97
125.60
RMB
379.13
260.84
118.29
RMA
315.50
217.06
98.44
RLB
384.92
264.82
120.10
RLA
252.63
173.81
78.82
ES3
709.16
487.90
221.26
ES2
556.78
383.06
173.72
ES1
498.17
342.74
155.43
HE2
481.43
331.22
150.21
HE1
401.05
275.92
125.13
HD2
451.29
310.49
140.80
HD1
377.61
259.80
117.81
HC2
426.17
293.20
132.97
HC1
357.52
245.97
111.55
HB2
421.15
289.75
131.40
HB1
354.17
243.67
110.50
LE2
437.89
301.27
136.62
LE1
367.56
252.88
114.68
LD2
421.15
289.75
131.40
LD1
354.17
243.67
110.50
LC2
370.91
255.19
115.72
LC1
313.98
216.02
97.96
LB2
352.49
242.51
109.98
LB1
300.58
206.80
93.78
CE2
391.01
269.01
122.00
CE1
360.87
248.28
112.59
CD2
370.91
255.19
115.72
CD1
340.77
234.45
106.32
CC2
325.70
224.08
101.62
CC1
302.26
207.95
94.31
CB2
302.26
207.95
94.31
CB1
280.49
192.98
87.51
CA2
257.05
176.85
80.20
CA1
240.30
165.33
74.97
BB2
272.12
187.22
84.90
BB1
260.40
179.16
81.24
BA2
226.91
156.11
70.80
BA1
216.86
149.20
67.66
PE2
360.87
248.28
112.59
PE1
344.12
236.75
107.37
PD2
340.77
234.45
106.32
PD1
324.03
222.93
101.10
PC2
293.89
202.20
91.69
PC1
280.49
192.98
87.51
PB2
250.35
172.24
78.11
PB1
240.30
165.33
74.97
PA2
208.49
143.44
65.05
PA1
200.11
137.68
62.43
Figure 8.D.2017-3  Case-Mix Adjusted Federal Rates And Associated Indexes - Urban (RUG-66 Rates)
RUG-iv Category
Nursing Index
Therapy Index
Nursing Component
Therapy Component
Non-Case Mix Therapy Component
Non-Case Mix Component
Total Rate
Source: 81 FR 51976; Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2017.
RUX
2.67
1.87
468.00
246.90
. . . . . . . . . .
89.46
804.36
RUL
2.57
1.87
450.47
246.90
. . . . . . . . . .
89.46
786.83
RVX
2.61
1.28
457.48
169.00
. . . . . . . . . .
89.46
715.94
RVL
2.19
1.28
383.86
169.00
. . . . . . . . . .
89.46
642.32
RHX
2.55
0.85
446.96
112.23
. . . . . . . . . .
89.46
648.65
RHL
2.15
0.85
376.85
112.23
. . . . . . . . . .
89.46
578.54
RMX
2.47
0.55
432.94
72.62
. . . . . . . . . .
89.46
595.02
RML
2.19
0.55
383.86
72.62
. . . . . . . . . .
89.46
545.94
RLX
2.26
0.28
396.13
36.97
. . . . . . . . . .
89.46
522.56
RUC
1.56
1.87
273.44
246.90
. . . . . . . . . .
89.46
609.80
RUB
1.56
1.87
273.44
246.90
. . . . . . . . . .
89.46
609.80
RUA
0.99
1.87
173.53
246.90
. . . . . . . . . .
89.46
509.89
RVC
1.51
1.28
264.67
169.00
. . . . . . . . . .
89.46
523.13
RVB
1.11
1.28
194.56
169.00
. . . . . . . . . .
89.46
453.02
RVA
1.10
1.28
192.81
169.00
. . . . . . . . . .
89.46
451.27
RHC
1.45
0.85
254.16
112.23
. . . . . . . . . .
89.46
455.85
RHB
1.19
0.85
208.58
112.23
. . . . . . . . . .
89.46
410.27
RHA
0.91
0.85
159.50
112.23
. . . . . . . . . .
89.46
361.19
RMC
1.36
0.55
238.38
72.62
. . . . . . . . . .
89.46
400.46
RMB
1.22
0.55
213.84
72.62
. . . . . . . . . .
89.46
375.92
RMA
0.84
0.55
147.24
72.62
. . . . . . . . . .
89.46
309.32
RLB
1.50
0.28
262.92
36.97
. . . . . . . . . .
89.46
389.35
RLA
0.71
0.28
124.45
36.97
. . . . . . . . . .
89.46
250.88
ES3
3.58
. . . . . . .
627.50
. . . . . . . . . .
17.39
89.46
734.35
ES2
2.67
. . . . . . .
468.00
. . . . . . . . . .
17.39
89.46
574.85
ES1
2.32
. . . . . . .
406.65
. . . . . . . . . .
17.39
89.46
513.50
HE2
2.22
. . . . . . .
389.12
. . . . . . . . . .
17.39
89.46
495.97
HE1
1.74
. . . . . . .
304.99
. . . . . . . . . .
17.39
89.46
411.84
HD2
2.04
. . . . . . .
357.57
. . . . . . . . . .
17.39
89.46
464.42
HD1
1.60
. . . . . . .
280.45
. . . . . . . . . .
17.39
89.46
387.30
HC2
1.89
. . . . . . .
331.28
. . . . . . . . . .
17.39
89.46
438.13
HC1
1.48
. . . . . . .
259.41
. . . . . . . . . .
17.39
89.46
366.26
HB2
1.86
. . . . . . .
326.02
. . . . . . . . . .
17.39
89.46
432.87
HB1
1.46
. . . . . . .
255.91
. . . . . . . . . .
17.39
89.46
362.76
LE2
1.96
. . . . . . .
343.55
. . . . . . . . . .
17.39
89.46
450.40
LE1
1.54
. . . . . . .
269.93
. . . . . . . . . .
17.39
89.46
376.78
LD2
1.86
. . . . . . .
326.02
. . . . . . . . . .
17.39
89.46
432.87
LD1
1.46
. . . . . . .
255.91
. . . . . . . . . .
17.39
89.46
362.76
LC2
1.56
. . . . . . .
273.44
. . . . . . . . . .
17.39
89.46
380.29
LC1
1.22
. . . . . . .
213.84
. . . . . . . . . .
17.39
89.46
320.69
LB2
1.45
. . . . . . .
254.16
. . . . . . . . . .
17.39
89.46
361.01
LB1
1.14
. . . . . . .
199.82
. . . . . . . . . .
17.39
89.46
306.67
CE2
1.68
. . . . . . .
294.47
. . . . . . . . . .
17.39
89.46
401.32
CE1
1.50
. . . . . . .
262.92
. . . . . . . . . .
17.39
89.46
369.77
CD2
1.56
. . . . . . .
273.44
. . . . . . . . . .
17.39
89.46
380.29
CD1
1.38
. . . . . . .
241.89
. . . . . . . . . .
17.39
89.46
348.74
CC2
1.29
. . . . . . .
226.11
. . . . . . . . . .
17.39
89.46
332.96
CC1
1.15
. . . . . . .
201.57
. . . . . . . . . .
17.39
89.46
308.42
CB2
1.15
. . . . . . .
201.57
. . . . . . . . . .
17.39
89.46
308.42
CB1
1.02
. . . . . . .
178.79
. . . . . . . . . .
17.39
89.46
285.64
CA2
0.88
. . . . . . .
154.25
. . . . . . . . . .
17.39
89.46
261.10
CA1
0.78
. . . . . . .
136.72
. . . . . . . . . .
17.39
89.46
243.57
BB2
0.97
. . . . . . .
170.02
. . . . . . . . . .
17.39
89.46
276.87
BB1
0.90
. . . . . . .
157.75
. . . . . . . . . .
17.39
89.46
264.60
BA2
0.70
. . . . . . .
122.70
. . . . . . . . . .
17.39
89.46
229.55
BA1
0.64
. . . . . . .
112.18
. . . . . . . . . .
17.39
89.46
219.03
PE2
1.50
. . . . . . .
262.92
. . . . . . . . . .
17.39
89.46
369.77
PE1
1.40
. . . . . . .
245.39
. . . . . . . . . .
17.39
89.46
352.24
PD2
1.38
. . . . . . .
241.89
. . . . . . . . . .
17.39
89.46
348.74
PD1
1.28
. . . . . . .
224.36
. . . . . . . . . .
17.39
89.46
331.21
PC2
1.10
. . . . . . .
192.81
. . . . . . . . . .
17.39
89.46
299.66
PC1
1.02
. . . . . . .
178.79
. . . . . . . . . .
17.39
89.46
285.64
PB2
0.84
. . . . . . .
147.24
. . . . . . . . . .
17.39
89.46
254.09
PB1
0.78
. . . . . . .
136.72
. . . . . . . . . .
17.39
89.46
243.57
PA2
0.59
. . . . . . .
103.42
. . . . . . . . . .
17.39
89.46
210.27
PA1
0.54
. . . . . . .
94.65
. . . . . . . . . .
17.39
89.46
201.50
Figure 8.D.2017-4  Case-Mix Adjusted Federal Rates And Associated Indexes - Rural (RUG-66 Rates)
RUG-iv Category
Nursing Index
Therapy Index
Nursing Component
Therapy Component
Non-Case Mix Therapy Component
Non-Case Mix Component
Total Rate
Source: 81 FR 51977; Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2017.
RUX
2.67
1.87
447.09
284.69
. . . . . . . . . .
91.11
822.89
RUL
2.57
1.87
430.35
284.69
. . . . . . . . . .
91.11
806.15
RVX
2.61
1.28
437.04
194.87
. . . . . . . . . .
91.11
723.02
RVL
2.19
1.28
366.72
194.87
. . . . . . . . . .
91.11
652.70
RHX
2.55
0.85
427.00
129.40
. . . . . . . . . .
91.11
647.51
RHL
2.15
0.85
360.02
129.40
. . . . . . . . . .
91.11
580.53
RMX
2.47
0.55
413.60
83.73
. . . . . . . . . .
91.11
588.44
RML
2.19
0.55
366.72
83.73
. . . . . . . . . .
91.11
541.56
RLX
2.26
0.28
378.44
42.63
. . . . . . . . . .
91.11
512.18
RUC
1.56
1.87
261.22
284.69
. . . . . . . . . .
91.11
637.02
RUB
1.56
1.87
261.22
284.69
. . . . . . . . . .
91.11
637.02
RUA
0.99
1.87
165.78
284.69
. . . . . . . . . .
91.11
541.58
RVC
1.51
1.28
252.85
194.87
. . . . . . . . . .
91.11
538.83
RVB
1.11
1.28
185.87
194.87
. . . . . . . . . .
91.11
471.85
RVA
1.10
1.28
184.20
194.87
. . . . . . . . . .
91.11
470.18
RHC
1.45
0.85
242.80
129.40
. . . . . . . . . .
91.11
463.31
RHB
1.19
0.85
199.27
129.40
. . . . . . . . . .
91.11
419.78
RHA
0.91
0.85
152.38
129.40
. . . . . . . . . .
91.11
372.89
RMC
1.36
0.55
227.73
83.73
. . . . . . . . . .
91.11
402.57
RMB
1.22
0.55
204.29
83.73
. . . . . . . . . .
91.11
379.13
RMA
0.84
0.55
140.66
83.73
. . . . . . . . . .
91.11
315.50
RLB
1.50
0.28
251.18
42.63
. . . . . . . . . .
91.11
384.92
RLA
0.71
0.28
118.89
42.63
. . . . . . . . . .
91.11
252.63
ES3
3.58
. . . . . . .
599.47
. . . . . . . . . .
18.58
91.11
709.16
ES2
2.67
. . . . . . .
447.09
. . . . . . . . . .
18.58
91.11
556.78
ES1
2.32
. . . . . . .
388.48
. . . . . . . . . .
18.58
91.11
498.17
HE2
2.22
. . . . . . .
371.74
. . . . . . . . . .
18.58
91.11
481.43
HE1
1.74
. . . . . . .
291.36
. . . . . . . . . .
18.58
91.11
401.05
HD2
2.04
. . . . . . .
341.60
. . . . . . . . . .
18.58
91.11
451.29
HD1
1.60
. . . . . . .
267.92
. . . . . . . . . .
18.58
91.11
377.61
HC2
1.89
. . . . . . .
316.48
. . . . . . . . . .
18.58
91.11
426.17
HC1
1.48
. . . . . . .
247.83
. . . . . . . . . .
18.58
91.11
357.52
HB2
1.86
. . . . . . .
311.46
. . . . . . . . . .
18.58
91.11
421.15
HB1
1.46
. . . . . . .
244.48
. . . . . . . . . .
18.58
91.11
354.17
LE2
1.96
. . . . . . .
328.20
. . . . . . . . . .
18.58
91.11
437.89
LE1
1.54
. . . . . . .
257.87
. . . . . . . . . .
18.58
91.11
367.56
LD2
1.86
. . . . . . .
311.46
. . . . . . . . . .
18.58
91.11
421.15
LD1
1.46
. . . . . . .
244.48
. . . . . . . . . .
18.58
91.11
354.17
LC2
1.56
. . . . . . .
261.22
. . . . . . . . . .
18.58
91.11
370.91
LC1
1.22
. . . . . . .
204.29
. . . . . . . . . .
18.58
91.11
313.98
LB2
1.45
. . . . . . .
242.80
. . . . . . . . . .
18.58
91.11
352.49
LB1
1.14
. . . . . . .
190.89
. . . . . . . . . .
18.58
91.11
300.58
CE2
1.68
. . . . . . .
281.32
. . . . . . . . . .
18.58
91.11
391.01
CE1
1.50
. . . . . . .
251.18
. . . . . . . . . .
18.58
91.11
360.87
CD2
1.56
. . . . . . .
261.22
. . . . . . . . . .
18.58
91.11
370.91
CD1
1.38
. . . . . . .
231.08
. . . . . . . . . .
18.58
91.11
340.77
CC2
1.29
. . . . . . .
216.01
. . . . . . . . . .
18.58
91.11
325.70
CC1
1.15
. . . . . . .
192.57
. . . . . . . . . .
18.58
91.11
302.26
CB2
1.15
. . . . . . .
192.57
. . . . . . . . . .
18.58
91.11
302.26
CB1
1.02
. . . . . . .
170.80
. . . . . . . . . .
18.58
91.11
280.49
CA2
0.88
. . . . . . .
147.36
. . . . . . . . . .
18.58
91.11
257.05
CA1
0.78
. . . . . . .
130.61
. . . . . . . . . .
18.58
91.11
240.30
BB2
0.97
. . . . . . .
162.43
. . . . . . . . . .
18.58
91.11
272.12
BB1
0.90
. . . . . . .
150.71
. . . . . . . . . .
18.58
91.11
260.40
BA2
0.70
. . . . . . .
117.22
. . . . . . . . . .
18.58
91.11
226.91
BA1
0.64
. . . . . . .
107.17
. . . . . . . . . .
18.58
91.11
216.86
PE2
1.50
. . . . . . .
251.18
. . . . . . . . . .
18.58
91.11
360.87
PE1
1.40
. . . . . . .
234.43
. . . . . . . . . .
18.58
91.11
344.12
PD2
1.38
. . . . . . .
231.08
. . . . . . . . . .
18.58
91.11
340.77
PD1
1.28
. . . . . . .
214.34
. . . . . . . . . .
18.58
91.11
324.03
PC2
1.10
. . . . . . .
184.20
. . . . . . . . . .
18.58
91.11
293.89
PC1
1.02
. . . . . . .
170.80
. . . . . . . . . .
18.58
91.11
280.49
PB2
0.84
. . . . . . .
140.66
. . . . . . . . . .
18.58
91.11
250.35
PB1
0.78
. . . . . . .
130.61
. . . . . . . . . .
18.58
91.11
240.30
PA2
0.59
. . . . . . .
98.80
. . . . . . . . . .
18.58
91.11
208.49
PA1
0.54
. . . . . . .
90.42
. . . . . . . . . .
18.58
91.11
200.11
- END -
View this document in PDF format

Utility Navigation Links

DoD Seal

tricare.mil is the official website of the Defense Health Agency (DHA) a component of the Military Health System

TRICARE is a registered trademark of the Department of Defense (DoD), DHA. All rights reserved.

CPT only © 2006 American Medical Association (or such other date of publication of CPT). All Rights Reserved.

If you have a question regarding TRICARE benefits, please go to the TRICARE Contact Us page page.
If you need help with technical/operational issues, please go to the TRICARE Manuals Online Frequently Asked Questions page.

The appearance of hyperlinks to external websites does not constitute endorsement by the DHA of these websites or the information, products or services contained therein. For other than authorized government activities, the DHA does not exercise any editorial control over the information you may find at other locations. Such links are provided consistent with the stated purpose of this DoD website.

v4.9.8182.28566

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.
You are leaving Health.mil

The appearance of hyperlinks does not constitute endorsement by the Defense Health Agency of non-U.S. Government sites or the information, products, or services contained therein. Although the Defense Health Agency may or may not use these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations. Such links are provided consistent with the stated purpose of this website.

 You are leaving Health.mil View the external links disclaimer. OK Cancel