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 F (FY 2018)
Case-Mix Adjusted Federal Rates For Skilled Nursing Facilities (SNFs) - FY 2018 For Services Received Prior To October 1, 2019
Revision:  C-44, December 13, 2019
Figure 8.F.2018-1  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: 82 FR 46166; Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2018.
RUX
813.20
575.75
237.45
RUL
795.48
563.20
232.28
RVX
723.81
512.46
211.35
RVL
649.38
459.76
189.62
RHX
655.79
464.30
191.49
RHL
584.90
414.11
170.79
RMX
601.56
425.90
175.66
RML
551.94
390.77
161.17
RLX
528.30
374.04
154.26
RUC
616.50
436.48
180.02
RUB
616.50
436.48
180.02
RUA
515.49
364.97
150.52
RVC
528.88
374.45
154.43
RVB
457.99
324.26
133.73
RVA
456.22
323.00
133.22
RHC
460.85
326.28
134.57
RHB
414.78
293.66
121.12
RHA
365.16
258.53
106.63
RMC
404.86
286.64
118.22
RMB
380.05
269.08
110.97
RMA
312.71
221.40
91.31
RLB
393.63
278.69
114.94
RLA
253.63
179.57
74.06
ES3
742.43
525.64
216.79
ES2
581.17
411.47
169.70
ES1
519.15
367.56
151.59
HE2
501.43
355.01
146.42
HE1
416.37
294.79
121.58
HD2
469.53
332.43
137.10
HD1
391.56
277.22
114.34
HC2
442.95
313.61
129.34
HC1
370.29
262.17
108.12
HB2
437.63
309.84
127.79
HB1
366.75
259.66
107.09
LE2
455.35
322.39
132.96
LE1
380.92
269.69
111.23
LD2
437.63
309.84
127.79
LD1
366.75
259.66
107.09
LC2
384.47
272.20
112.27
LC1
324.22
229.55
94.67
LB2
364.97
258.40
106.57
LB1
310.04
219.51
90.53
CE2
405.73
287.26
118.47
CE1
373.84
264.68
109.16
CD2
384.47
272.20
112.27
CD1
352.57
249.62
102.95
CC2
336.62
238.33
98.29
CC1
311.81
220.76
91.05
CB2
311.81
220.76
91.05
CB1
288.77
204.45
84.32
CA2
263.96
186.88
77.08
CA1
246.24
174.34
71.90
BB2
279.91
198.18
81.73
BB1
267.51
189.40
78.11
BA2
232.07
164.31
67.76
BA1
221.43
156.77
64.66
PE2
373.84
264.68
109.16
PE1
356.11
252.13
103.98
PD2
352.57
249.62
102.95
PD1
334.85
237.07
97.78
PC2
302.95
214.49
88.46
PC1
288.77
204.45
84.32
PB2
256.88
181.87
75.01
PB1
246.24
174.34
71.90
PA2
212.57
150.50
62.07
PA1
203.71
144.23
59.48
Figure 8.F.2018-2  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: 82 FR 46168; Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2018.
RUX
831.94
589.01
242.93
RUL
815.02
577.03
237.99
RVX
730.98
517.53
213.45
RVL
659.88
467.20
192.68
RHX
654.63
463.48
191.15
RHL
586.91
415.53
171.38
RMX
594.92
421.20
173.72
RML
547.52
387.64
159.88
RLX
517.81
366.61
151.20
RUC
644.03
455.97
188.06
RUB
644.03
455.97
188.06
RUA
547.54
387.66
159.88
RVC
544.76
385.69
159.07
RVB
477.04
337.74
139.30
RVA
475.35
336.55
138.80
RHC
468.41
331.63
136.78
RHB
424.40
300.48
123.92
RHA
376.99
266.91
110.08
RMC
407.00
288.16
118.84
RMB
383.30
271.38
111.92
RMA
318.97
225.83
93.14
RLB
389.15
275.52
113.63
RLA
255.41
180.83
74.58
ES3
716.95
507.60
209.35
ES2
562.89
398.53
164.36
ES1
503.64
356.58
147.06
HE2
486.71
344.59
142.12
HE1
405.45
287.06
118.39
HD2
456.24
323.02
133.22
HD1
381.75
270.28
111.47
HC2
430.85
305.04
125.81
HC1
361.44
255.90
105.54
HB2
425.77
301.45
124.32
HB1
358.05
253.50
104.55
LE2
442.70
313.43
129.27
LE1
371.60
263.09
108.51
LD2
425.77
301.45
124.32
LD1
358.05
253.50
104.55
LC2
374.98
265.49
109.49
LC1
317.42
224.73
92.69
LB2
356.36
252.30
104.06
LB1
303.88
215.15
88.73
CE2
395.30
279.87
115.43
CE1
364.83
258.30
106.53
CD2
374.98
265.49
109.49
CD1
344.51
243.91
100.60
CC2
329.27
233.12
96.15
CC1
305.57
216.34
89.23
CB2
305.57
216.34
89.23
CB1
283.57
200.77
82.80
CA2
259.87
183.99
75.88
CA1
242.94
172.00
70.94
BB2
275.10
194.77
80.33
BB1
263.25
186.38
76.87
BA2
229.39
162.41
66.98
BA1
219.24
155.22
64.02
PE2
364.83
258.30
106.53
PE1
347.90
246.31
101.59
PD2
344.51
243.91
100.60
PD1
327.58
231.93
95.65
PC2
297.11
210.35
86.76
PC1
283.57
200.77
82.80
PB2
253.09
179.19
73.90
PB1
242.94
172.00
70.94
PA2
210.77
149.23
61.54
PA1
202.31
143.24
59.07
Figure 8.F.2018-3  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: 82 FR 46164; Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2018.
RUX
2.67
1.87
473.15
249.61
. . . . . . . . . .
90.44
813.20
RUL
2.57
1.87
455.43
249.61
. . . . . . . . . .
90.44
795.48
RVX
2.61
1.28
462.52
170.85
. . . . . . . . . .
90.44
723.81
RVL
2.19
1.28
388.09
170.85
. . . . . . . . . .
90.44
649.38
RHX
2.55
0.85
451.89
113.46
. . . . . . . . . .
90.44
655.79
RHL
2.15
0.85
381.00
113.46
. . . . . . . . . .
90.44
584.90
RMX
2.47
0.55
437.71
73.41
. . . . . . . . . .
90.44
601.56
RML
2.19
0.55
388.09
73.41
. . . . . . . . . .
90.44
551.94
RLX
2.26
0.28
400.49
37.37
. . . . . . . . . .
90.44
528.30
RUC
1.56
1.87
276.45
249.61
. . . . . . . . . .
90.44
616.50
RUB
1.56
1.87
276.45
249.61
. . . . . . . . . .
90.44
616.50
RUA
0.99
1.87
175.44
249.61
. . . . . . . . . .
90.44
515.49
RVC
1.51
1.28
267.59
170.85
. . . . . . . . . .
90.44
528.88
RVB
1.11
1.28
196.70
170.85
. . . . . . . . . .
90.44
457.99
RVA
1.10
1.28
194.93
170.85
. . . . . . . . . .
90.44
456.22
RHC
1.45
0.85
256.95
113.46
. . . . . . . . . .
90.44
460.85
RHB
1.19
0.85
210.88
113.46
. . . . . . . . . .
90.44
414.78
RHA
0.91
0.85
161.26
113.46
. . . . . . . . . .
90.44
365.16
RMC
1.36
0.55
241.01
73.41
. . . . . . . . . .
90.44
404.86
RMB
1.22
0.55
216.20
73.41
. . . . . . . . . .
90.44
380.05
RMA
0.84
0.55
148.86
73.41
. . . . . . . . . .
90.44
312.71
RLB
1.50
0.28
265.82
37.37
. . . . . . . . . .
90.44
393.63
RLA
0.71
0.28
125.82
37.37
. . . . . . . . . .
90.44
253.63
ES3
3.58
. . . . . . .
634.41
. . . . . . . . . .
17.58
90.44
742.43
ES2
2.67
. . . . . . .
473.15
. . . . . . . . . .
17.58
90.44
581.17
ES1
2.32
. . . . . . .
411.13
. . . . . . . . . .
17.58
90.44
519.15
HE2
2.22
. . . . . . .
393.41
. . . . . . . . . .
17.58
90.44
501.43
HE1
1.74
. . . . . . .
308.35
. . . . . . . . . .
17.58
90.44
416.37
HD2
2.04
. . . . . . .
361.51
. . . . . . . . . .
17.58
90.44
469.53
HD1
1.60
. . . . . . .
283.54
. . . . . . . . . .
17.58
90.44
391.56
HC2
1.89
. . . . . . .
334.93
. . . . . . . . . .
17.58
90.44
442.95
HC1
1.48
. . . . . . .
262.27
. . . . . . . . . .
17.58
90.44
370.29
HB2
1.86
. . . . . . .
329.61
. . . . . . . . . .
17.58
90.44
437.63
HB1
1.46
. . . . . . .
258.73
. . . . . . . . . .
17.58
90.44
366.75
LE2
1.96
. . . . . . .
347.33
. . . . . . . . . .
17.58
90.44
455.35
LE1
1.54
. . . . . . .
272.90
. . . . . . . . . .
17.58
90.44
380.92
LD2
1.86
. . . . . . .
329.61
. . . . . . . . . .
17.58
90.44
437.63
LD1
1.46
. . . . . . .
258.73
. . . . . . . . . .
17.58
90.44
366.75
LC2
1.56
. . . . . . .
276.45
. . . . . . . . . .
17.58
90.44
384.47
LC1
1.22
. . . . . . .
216.20
. . . . . . . . . .
17.58
90.44
324.22
LB2
1.45
. . . . . . .
256.95
. . . . . . . . . .
17.58
90.44
364.97
LB1
1.14
. . . . . . .
202.02
. . . . . . . . . .
17.58
90.44
310.04
CE2
1.68
. . . . . . .
297.71
. . . . . . . . . .
17.58
90.44
405.73
CE1
1.50
. . . . . . .
265.82
. . . . . . . . . .
17.58
90.44
373.84
CD2
1.56
. . . . . . .
276.45
. . . . . . . . . .
17.58
90.44
384.47
CD1
1.38
. . . . . . .
244.55
. . . . . . . . . .
17.58
90.44
352.57
CC2
1.29
. . . . . . .
228.60
. . . . . . . . . .
17.58
90.44
336.62
CC1
1.15
. . . . . . .
203.79
. . . . . . . . . .
17.58
90.44
311.81
CB2
1.15
. . . . . . .
203.79
. . . . . . . . . .
17.58
90.44
311.81
CB1
1.02
. . . . . . .
180.75
. . . . . . . . . .
17.58
90.44
288.77
CA2
0.88
. . . . . . .
155.94
. . . . . . . . . .
17.58
90.44
263.96
CA1
0.78
. . . . . . .
138.22
. . . . . . . . . .
17.58
90.44
246.24
BB2
0.97
. . . . . . .
171.89
. . . . . . . . . .
17.58
90.44
279.91
BB1
0.90
. . . . . . .
159.49
. . . . . . . . . .
17.58
90.44
267.51
BA2
0.70
. . . . . . .
124.05
. . . . . . . . . .
17.58
90.44
232.07
BA1
0.64
. . . . . . .
113.41
. . . . . . . . . .
17.58
90.44
221.43
PE2
1.50
. . . . . . .
265.82
. . . . . . . . . .
17.58
90.44
373.84
PE1
1.40
. . . . . . .
248.09
. . . . . . . . . .
17.58
90.44
356.11
PD2
1.38
. . . . . . .
244.55
. . . . . . . . . .
17.58
90.44
352.57
PD1
1.28
. . . . . . .
226.83
. . . . . . . . . .
17.58
90.44
334.85
PC2
1.10
. . . . . . .
194.93
. . . . . . . . . .
17.58
90.44
302.95
PC1
1.02
. . . . . . .
180.75
. . . . . . . . . .
17.58
90.44
288.77
PB2
0.84
. . . . . . .
148.86
. . . . . . . . . .
17.58
90.44
256.88
PB1
0.78
. . . . . . .
138.22
. . . . . . . . . .
17.58
90.44
246.24
PA2
0.59
. . . . . . .
104.55
. . . . . . . . . .
17.58
90.44
212.57
PA1
0.54
. . . . . . .
95.69
. . . . . . . . . .
17.58
90.44
203.71
Figure 8.F.2018-4  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: 82 FR 46165; Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2018.
RUX
2.67
1.87
452.00
287.83
. . . . . . . . . .
92.11
831.94
RUL
2.57
1.87
435.08
287.83
. . . . . . . . . .
92.11
815.02
RVX
2.61
1.28
441.85
197.02
. . . . . . . . . .
92.11
730.98
RVL
2.19
1.28
370.75
197.02
. . . . . . . . . .
92.11
659.88
RHX
2.55
0.85
431.69
130.83
. . . . . . . . . .
92.11
654.63
RHL
2.15
0.85
363.97
130.83
. . . . . . . . . .
92.11
586.91
RMX
2.47
0.55
418.15
84.66
. . . . . . . . . .
92.11
594.92
RML
2.19
0.55
370.75
84.66
. . . . . . . . . .
92.11
547.52
RLX
2.26
0.28
382.60
43.10
. . . . . . . . . .
92.11
517.81
RUC
1.56
1.87
264.09
287.83
. . . . . . . . . .
92.11
644.03
RUB
1.56
1.87
264.09
287.83
. . . . . . . . . .
92.11
644.03
RUA
0.99
1.87
167.60
287.83
. . . . . . . . . .
92.11
547.54
RVC
1.51
1.28
255.63
197.02
. . . . . . . . . .
92.11
544.76
RVB
1.11
1.28
187.91
197.02
. . . . . . . . . .
92.11
477.04
RVA
1.10
1.28
186.22
197.02
. . . . . . . . . .
92.11
475.35
RHC
1.45
0.85
245.47
130.83
. . . . . . . . . .
92.11
468.41
RHB
1.19
0.85
201.46
130.83
. . . . . . . . . .
92.11
424.40
RHA
0.91
0.85
154.05
130.83
. . . . . . . . . .
92.11
376.99
RMC
1.36
0.55
230.23
84.66
. . . . . . . . . .
92.11
407.00
RMB
1.22
0.55
206.53
84.66
. . . . . . . . . .
92.11
383.30
RMA
0.84
0.55
142.20
84.66
. . . . . . . . . .
92.11
318.97
RLB
1.50
0.28
253.94
43.10
. . . . . . . . . .
92.11
389.15
RLA
0.71
0.28
120.20
43.10
. . . . . . . . . .
92.11
255.41
ES3
3.58
. . . . . . .
606.06
. . . . . . . . . .
18.78
92.11
716.95
ES2
2.67
. . . . . . .
452.00
. . . . . . . . . .
18.78
92.11
562.89
ES1
2.32
. . . . . . .
392.75
. . . . . . . . . .
18.78
92.11
503.64
HE2
2.22
. . . . . . .
375.82
. . . . . . . . . .
18.78
92.11
486.71
HE1
1.74
. . . . . . .
294.56
. . . . . . . . . .
18.78
92.11
405.45
HD2
2.04
. . . . . . .
345.35
. . . . . . . . . .
18.78
92.11
456.24
HD1
1.60
. . . . . . .
270.86
. . . . . . . . . .
18.78
92.11
381.75
HC2
1.89
. . . . . . .
319.96
. . . . . . . . . .
18.78
92.11
430.85
HC1
1.48
. . . . . . .
250.55
. . . . . . . . . .
18.78
92.11
361.44
HB2
1.86
. . . . . . .
314.88
. . . . . . . . . .
18.78
92.11
425.77
HB1
1.46
. . . . . . .
247.16
. . . . . . . . . .
18.78
92.11
358.05
LE2
1.96
. . . . . . .
331.81
. . . . . . . . . .
18.78
92.11
442.70
LE1
1.54
. . . . . . .
260.71
. . . . . . . . . .
18.78
92.11
371.60
LD2
1.86
. . . . . . .
314.88
. . . . . . . . . .
18.78
92.11
425.77
LD1
1.46
. . . . . . .
247.16
. . . . . . . . . .
18.78
92.11
358.05
LC2
1.56
. . . . . . .
264.09
. . . . . . . . . .
18.78
92.11
374.98
LC1
1.22
. . . . . . .
206.53
. . . . . . . . . .
18.78
92.11
317.42
LB2
1.45
. . . . . . .
245.47
. . . . . . . . . .
18.78
92.11
356.36
LB1
1.14
. . . . . . .
192.99
. . . . . . . . . .
18.78
92.11
303.88
CE2
1.68
. . . . . . .
284.41
. . . . . . . . . .
18.78
92.11
395.30
CE1
1.50
. . . . . . .
253.94
. . . . . . . . . .
18.78
92.11
364.83
CD2
1.56
. . . . . . .
264.09
. . . . . . . . . .
18.78
92.11
374.98
CD1
1.38
. . . . . . .
233.62
. . . . . . . . . .
18.78
92.11
344.51
CC2
1.29
. . . . . . .
218.38
. . . . . . . . . .
18.78
92.11
329.27
CC1
1.15
. . . . . . .
194.68
. . . . . . . . . .
18.78
92.11
305.57
CB2
1.15
. . . . . . .
194.68
. . . . . . . . . .
18.78
92.11
305.57
CB1
1.02
. . . . . . .
172.68
. . . . . . . . . .
18.78
92.11
283.57
CA2
0.88
. . . . . . .
148.98
. . . . . . . . . .
18.78
92.11
259.87
CA1
0.78
. . . . . . .
132.05
. . . . . . . . . .
18.78
92.11
242.94
BB2
0.97
. . . . . . .
164.21
. . . . . . . . . .
18.78
92.11
275.10
BB1
0.90
. . . . . . .
152.36
. . . . . . . . . .
18.78
92.11
263.25
BA2
0.70
. . . . . . .
118.50
. . . . . . . . . .
18.78
92.11
229.39
BA1
0.64
. . . . . . .
108.35
. . . . . . . . . .
18.78
92.11
219.24
PE2
1.50
. . . . . . .
253.94
. . . . . . . . . .
18.78
92.11
364.83
PE1
1.40
. . . . . . .
237.01
. . . . . . . . . .
18.78
92.11
347.90
PD2
1.38
. . . . . . .
233.62
. . . . . . . . . .
18.78
92.11
344.51
PD1
1.28
. . . . . . .
216.69
. . . . . . . . . .
18.78
92.11
327.58
PC2
1.10
. . . . . . .
186.22
. . . . . . . . . .
18.78
92.11
297.11
PC1
1.02
. . . . . . .
172.68
. . . . . . . . . .
18.78
92.11
283.57
PB2
0.84
. . . . . . .
142.20
. . . . . . . . . .
18.78
92.11
253.09
PB1
0.78
. . . . . . .
132.05
. . . . . . . . . .
18.78
92.11
242.94
PA2
0.59
. . . . . . .
99.88
. . . . . . . . . .
18.78
92.11
210.77
PA1
0.54
. . . . . . .
91.42
. . . . . . . . . .
18.78
92.11
202.31
- END -

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 Help 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.

v4.11.8372.15705

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