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

TRICARE Reimbursement Manual 6010.61-M, April 1, 2015
Skilled Nursing Facilities (SNFs)
Chapter 8
Addendum F (FY 2019)
Case-Mix Adjusted Federal Rates For Skilled Nursing Facilities (SNFs) - FY 2019 For Services Received Prior To October 1, 2019
Revision:  C-44, December 13, 2019
Figure 8.F.2019-1  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: 83 FR 39175; Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2019.
RUX
832.61
586.99
245.62
RUL
814.47
574.20
240.27
RVX
741.10
522.48
218.62
RVL
664.89
468.75
196.14
RHX
671.44
473.37
198.07
RHL
598.87
422.20
176.67
RMX
6l15.93
434.23
181.70
RML
565.12
398.41
166.71
RLX
540.92
381.35
159.57
RUC
631.22
445.01
186.21
RUB
631.22
445.01
186.21
RUA
527.80
372.10
155.70
RVC
541.51
381.76
159.75
RVB
468.94
330.60
138.34
RVA
467.12
329.32
137.80
RHC
471.86
332.66
139.20
RHB
424.68
299.40
125.28
RHA
373.88
263.59
110.29
RMC
414.53
292.24
122.29
RMB
389.13
274.34
114.79
RMA
320.18
225.73
94.45
RLB
403.03
284.14
118.89
RLA
259.69
183.08
76.61
ES3
760.16
535.91
224.25
ES2
595.04
419.50
175.54
ES1
531.54
374.74
156.80
HE2
513.40
361.95
151.45
HE1
426.31
300.55
125.76
HD2
480.74
338.92
141.82
HD1
400.90
282.63
118.27
HC2
453.52
319.73
133.79
HC1
379.13
267.29
111.84
HB2
448.08
315.90
132.18
HB1
375.50
264.73
110.77
LE2
466.22
328.69
137.53
LE1
390.02
274.96
115.06
LD2
448.08
315.90
132.18
LD1
375.50
264.73
110.77
LC2
393.65
277.52
116.13
LC1
331.96
234.03
97.93
LB2
373.69
263.45
110.24
LB1
317.44
223.80
93.64
CE2
415.42
292.87
122.55
CE1
382.76
269.85
112.91
CD2
393.65
277.52
116.13
CD1
360.99
254.50
106.49
CC2
344.66
242.99
101.67
CC1
319.26
225.08
94.18
CB2
319.26
225.08
94.18
CB1
295.67
208.45
87.22
CA2
270.27
190.54
79.73
CA1
252.12
177.74
74.38
BB2
286.60
202.05
84.55
BB1
273.90
193.10
80.80
BA2
237.61
167.52
70.09
BA1
226.72
159.84
66.88
PE2
382.76
269.85
112.91
PE1
364.62
257.06
107.56
PD2
360.99
254.50
106.49
PD1
342.84
241.70
101.14
PC2
310.18
218.68
91.50
PC1
295.67
208.45
87.22
PB2
263.01
185.42
77.59
PB1
252.12
177.74
74.38
PA2
217.65
153.44
64.21
PA1
208.58
147.05
61.53
Figure 8.F.2019-2  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: 83 FR 39176; Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2019.
RUX
851.84
600.55
251.29
RUL
834.50
588.32
246.18
RVX
748.46
527.66
220.80
RVL
675.65
476.33
199.32
RHX
670.29
472.55
197.74
RHL
600.95
423.67
177.28
RMX
609.14
429.44
179.70
RML
560.60
395.22
165.38
RLX
530.19
373.78
156.41
RUC
659.43
464.90
194.53
RUB
659.43
464.90
194.53
RUA
560.63
395.24
165.39
RVC
557.78
393.23
164.55
RVB
488.45
344.36
144.09
RVA
486.71
343.13
143.58
RHC
479.61
338.13
141.48
RHB
434.54
306.35
128.19
RHA
386.01
272.14
113.87
RMC
416.73
293.79
122.94
RMB
392.46
276.68
115.78
RMA
326.60
230.25
96.35
RLB
398.45
280.91
117.54
RLA
261.51
184.36
77.15
ES3
734.10
517.54
216.56
ES2
576.36
406.33
170.03
ES1
515.69
363.56
152.13
HE2
498.35
351.34
147.01
HE1
415.15
292.68
122.47
HD2
467.15
329.34
137.81
HD1
390.88
275.57
115.31
HC2
441.15
311.01
130.14
HC1
370.08
260.91
109.17
HB2
435.95
307.34
128.61
HB1
366.62
258.47
108.15
LE2
453.29
319.57
133.72
LE1
380.48
268.24
112.24
LD2
435.95
307.34
128.61
LD1
366.62
258.47
108.15
LC2
383.95
270.68
113.27
LC1
325.01
229.13
95.88
LB2
364.88
257.24
107.64
LB1
311.15
219.36
91.79
CE2
404.75
285.35
119.40
CE1
373.55
263.35
110.20
CD2
383.95
270.68
113.27
CD1
352.75
248.69
104.06
CC2
337.15
237.69
99.46
CC1
312.88
220.58
92.30
CB2
312.88
220.58
92.30
CB1
290.35
204.70
85.65
CA2
266.08
187.59
78.49
CA1
248.75
175.37
73.38
BB2
281.68
198.58
83.10
BB1
269.55
190.03
79.52
BA2
234.88
165.59
69.29
BA1
224.48
158.26
66.22
PE2
373.55
263.35
110.20
PE1
356.22
251.14
105.08
PD2
352.75
248.69
104.06
PD1
335.42
236.47
98.95
PC2
304.21
214.47
89.74
PC1
290.35
204.70
85.65
PB2
259.15
182.70
76.45
PB1
248.75
175.37
73.38
PA2
215.81
152.15
63.66
PA1
207.14
146.03
61.11
Figure 8.F.2019-3  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: 83 FR 39170; Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2019.
RUX
2.67
1.87
484.44
255.57
. . . . . . . . . .
92.60
832.89
RUL
2.57
1.87
466.30
255.57
. . . . . . . . . .
92.60
814.74
RVX
2.61
1.28
473.56
174.94
. . . . . . . . . .
92.60
741.34
RVL
2.19
1.28
397.35
174.94
. . . . . . . . . .
92.60
665.11
RHX
2.55
0.85
462.67
116.17
. . . . . . . . . .
92.60
671.66
RHL
2.15
0.85
390.10
116.17
. . . . . . . . . .
92.60
599.06
RMX
2.47
0.55
448.16
75.17
. . . . . . . . . .
92.60
616.13
RML
2.19
0.55
397.35
75.17
. . . . . . . . . .
92.60
565.31
RLX
2.26
0.28
410.05
38.27
. . . . . . . . . .
92.60
541.10
RUC
1.56
1.87
283.05
255.57
. . . . . . . . . .
92.60
631.42
RUB
1.56
1.87
283.05
255.57
. . . . . . . . . .
92.60
631.42
RUA
0.99
1.87
179.63
255.57
. . . . . . . . . .
92.60
527.97
RVC
1.51
1.28
273.97
174.94
. . . . . . . . . .
92.60
541.69
RVB
1.11
1.28
201.40
174.94
. . . . . . . . . .
92.60
469.09
RVA
1.10
1.28
199.58
174.94
. . . . . . . . . .
92.60
467.27
RHC
1.45
0.85
263.09
116.17
. . . . . . . . . .
92.60
472.01
RHB
1.19
0.85
215.91
116.17
. . . . . . . . . .
92.60
424.82
RHA
0.91
0.85
165.11
116.17
. . . . . . . . . .
92.60
374.00
RMC
1.36
0.55
246.76
75.17
. . . . . . . . . .
92.60
414.66
RMB
1.22
0.55
221.36
75.17
. . . . . . . . . .
92.60
389.25
RMA
0.84
0.55
152.41
75.17
. . . . . . . . . .
92.60
320.28
RLB
1.50
0.28
272.16
38.27
. . . . . . . . . .
92.60
403.16
RLA
0.71
0.28
128.82
38.27
. . . . . . . . . .
92.60
259.78
ES3
3.58
. . . . . . .
649.56
. . . . . . . . . .
18.00
92.60
760.41
ES2
2.67
. . . . . . .
484.44
. . . . . . . . . .
18.00
92.60
595.25
ES1
2.32
. . . . . . .
420.94
. . . . . . . . . .
18.00
92.60
531.72
HE2
2.22
. . . . . . .
402.80
. . . . . . . . . .
18.00
92.60
513.57
HE1
1.74
. . . . . . .
315.71
. . . . . . . . . .
18.00
92.60
426.45
HD2
2.04
. . . . . . .
370.14
. . . . . . . . . .
18.00
92.60
480.90
HD1
1.60
. . . . . . .
290.30
. . . . . . . . . .
18.00
92.60
401.04
HC2
1.89
. . . . . . .
342.92
. . . . . . . . . .
18.00
92.60
453.68
HC1
1.48
. . . . . . .
268.53
. . . . . . . . . .
18.00
92.60
379.26
HB2
1.86
. . . . . . .
337.48
. . . . . . . . . .
18.00
92.60
448.23
HB1
1.46
. . . . . . .
264.90
. . . . . . . . . .
18.00
92.60
375.63
LE2
1.96
. . . . . . .
355.62
. . . . . . . . . .
18.00
92.60
466.38
LE1
1.54
. . . . . . .
279.42
. . . . . . . . . .
18.00
92.60
390.15
LD2
1.86
. . . . . . .
337.48
. . . . . . . . . .
18.00
92.60
448.23
LD1
1.46
. . . . . . .
264.90
. . . . . . . . . .
18.00
92.60
375.63
LC2
1.56
. . . . . . .
283.05
. . . . . . . . . .
18.00
92.60
393.78
LC1
1.22
. . . . . . .
221.36
. . . . . . . . . .
18.00
92.60
332.07
LB2
1.45
. . . . . . .
263.09
. . . . . . . . . .
18.00
92.60
373.82
LB1
1.14
. . . . . . .
206.84
. . . . . . . . . .
18.00
92.60
317.55
CE2
1.68
. . . . . . .
304.82
. . . . . . . . . .
18.00
92.60
415.56
CE1
1.50
. . . . . . .
272.16
. . . . . . . . . .
18.00
92.60
382.89
CD2
1.56
. . . . . . .
283.05
. . . . . . . . . .
18.00
92.60
393.78
CD1
1.38
. . . . . . .
250.39
. . . . . . . . . .
18.00
92.60
361.11
CC2
1.29
. . . . . . .
234.06
. . . . . . . . . .
18.00
92.60
344.78
CC1
1.15
. . . . . . .
208.66
. . . . . . . . . .
18.00
92.60
319.37
CB2
1.15
. . . . . . .
208.66
. . . . . . . . . .
18.00
92.60
319.37
CB1
1.02
. . . . . . .
185.07
. . . . . . . . . .
18.00
92.60
295.77
CA2
0.88
. . . . . . .
159.67
. . . . . . . . . .
18.00
92.60
270.36
CA1
0.78
. . . . . . .
141.52
. . . . . . . . . .
18.00
92.60
252.21
BB2
0.97
. . . . . . .
176.00
. . . . . . . . . .
18.00
92.60
286.70
BB1
0.90
. . . . . . .
163.30
. . . . . . . . . .
18.00
92.60
273.99
BA2
0.70
. . . . . . .
127.01
. . . . . . . . . .
18.00
92.60
237.69
BA1
0.64
. . . . . . .
116.12
. . . . . . . . . .
18.00
92.60
226.80
PE2
1.50
. . . . . . .
272.16
. . . . . . . . . .
18.00
92.60
382.89
PE1
1.40
. . . . . . .
254.02
. . . . . . . . . .
18.00
92.60
364.74
PD2
1.38
. . . . . . .
250.39
. . . . . . . . . .
18.00
92.60
361.11
PD1
1.28
. . . . . . .
232.24
. . . . . . . . . .
18.00
92.60
342.96
PC2
1.10
. . . . . . .
199.58
. . . . . . . . . .
18.00
92.60
310.29
PC1
1.02
. . . . . . .
185.07
. . . . . . . . . .
18.00
92.60
295.77
PB2
0.84
. . . . . . .
152.41
. . . . . . . . . .
18.00
92.60
263.10
PB1
0.78
. . . . . . .
141.52
. . . . . . . . . .
18.00
92.60
252.21
PA2
0.59
. . . . . . .
107.05
. . . . . . . . . .
18.00
92.60
217.73
PA1
0.54
. . . . . . .
97.98
. . . . . . . . . .
18.00
92.60
208.65
Figure 8.F.2019-4  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: 83 FR 39171; Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2019.
RUX
2.67
1.87
462.82
294.71
. . . . . . . . . .
94.31
852.10
RUL
2.57
1.87
445.48
294.71
. . . . . . . . . .
94.31
834.76
RVX
2.61
1.28
452.42
201.73
. . . . . . . . . .
94.31
748.68
RVL
2.19
1.28
379.61
201.73
. . . . . . . . . .
94.31
675.85
RHX
2.55
0.85
442.02
133.96
. . . . . . . . . .
94.31
670.48
RHL
2.15
0.85
372.68
133.96
. . . . . . . . . .
94.31
601.13
RMX
2.47
0.55
428.15
86.68
. . . . . . . . . .
94.31
609.32
RML
2.19
0.55
379.61
86.68
. . . . . . . . . .
94.31
560.77
RLX
2.26
0.28
391.75
44.13
. . . . . . . . . .
94.31
530.34
RUC
1.56
1.87
270.41
294.71
. . . . . . . . . .
94.31
659.64
RUB
1.56
1.87
270.41
294.71
. . . . . . . . . .
94.31
659.64
RUA
0.99
1.87
171.61
294.71
. . . . . . . . . .
94.31
560.81
RVC
1.51
1.28
261.74
201.73
. . . . . . . . . .
94.31
557.95
RVB
1.11
1.28
192.41
201.73
. . . . . . . . . .
94.31
488.59
RVA
1.10
1.28
190.67
201.73
. . . . . . . . . .
94.31
486.86
RHC
1.45
0.85
251.34
133.96
. . . . . . . . . .
94.31
479.76
RHB
1.19
0.85
206.27
133.96
. . . . . . . . . .
94.31
434.67
RHA
0.91
0.85
157.74
133.96
. . . . . . . . . .
94.31
386.12
RMC
1.36
0.55
235.74
86.68
. . . . . . . . . .
94.31
416.86
RMB
1.22
0.55
211.47
86.68
. . . . . . . . . .
94.31
392.59
RMA
0.84
0.55
145.61
86.68
. . . . . . . . . .
94.31
326.70
RLB
1.50
0.28
260.01
44.13
. . . . . . . . . .
94.31
398.57
RLA
0.71
0.28
123.07
44.13
. . . . . . . . . .
94.31
261.59
ES3
3.58
. . . . . . .
620.56
. . . . . . . . . .
19.23
94.31
734.31
ES2
2.67
. . . . . . .
462.82
. . . . . . . . . .
19.23
94.31
576.52
ES1
2.32
. . . . . . .
402.15
. . . . . . . . . .
19.23
94.31
515.83
HE2
2.22
. . . . . . .
384.81
. . . . . . . . . .
19.23
94.31
498.50
HE1
1.74
. . . . . . .
301.61
. . . . . . . . . .
19.23
94.31
415.27
HD2
2.04
. . . . . . .
353.61
. . . . . . . . . .
19.23
94.31
467.29
HD1
1.60
. . . . . . .
277.34
. . . . . . . . . .
19.23
94.31
390.99
HC2
1.89
. . . . . . .
327.61
. . . . . . . . . .
19.23
94.31
441.28
HC1
1.48
. . . . . . .
256.54
. . . . . . . . . .
19.23
94.31
370.19
HB2
1.86
. . . . . . .
322.41
. . . . . . . . . .
19.23
94.31
436.08
HB1
1.46
. . . . . . .
253.08
. . . . . . . . . .
19.23
94.31
366.72
LE2
1.96
. . . . . . .
339.75
. . . . . . . . . .
19.23
94.31
453.41
LE1
1.54
. . . . . . .
266.94
. . . . . . . . . .
19.23
94.31
380.59
LD2
1.86
. . . . . . .
322.41
. . . . . . . . . .
19.23
94.31
436.08
LD1
1.46
. . . . . . .
253.08
. . . . . . . . . .
19.23
94.31
366.72
LC2
1.56
. . . . . . .
270.41
. . . . . . . . . .
19.23
94.31
384.06
LC1
1.22
. . . . . . .
211.47
. . . . . . . . . .
19.23
94.31
325.11
LB2
1.45
. . . . . . .
251.34
. . . . . . . . . .
19.23
94.31
364.99
LB1
1.14
. . . . . . .
197.61
. . . . . . . . . .
19.23
94.31
311.23
CE2
1.68
. . . . . . .
291.21
. . . . . . . . . .
19.23
94.31
404.87
CE1
1.50
. . . . . . .
260.01
. . . . . . . . . .
19.23
94.31
373.66
CD2
1.56
. . . . . . .
270.41
. . . . . . . . . .
19.23
94.31
384.06
CD1
1.38
. . . . . . .
239.21
. . . . . . . . . .
19.23
94.31
352.85
CC2
1.29
. . . . . . .
223.61
. . . . . . . . . .
19.23
94.31
337.24
CC1
1.15
. . . . . . .
199.34
. . . . . . . . . .
19.23
94.31
312.97
CB2
1.15
. . . . . . .
199.34
. . . . . . . . . .
19.23
94.31
312.97
CB1
1.02
. . . . . . .
176.81
. . . . . . . . . .
19.23
94.31
290.43
CA2
0.88
. . . . . . .
152.54
. . . . . . . . . .
19.23
94.31
266.15
CA1
0.78
. . . . . . .
135.21
. . . . . . . . . .
19.23
94.31
248.81
BB2
0.97
. . . . . . .
168.14
. . . . . . . . . .
19.23
94.31
281.76
BB1
0.90
. . . . . . .
156.01
. . . . . . . . . .
19.23
94.31
269.62
BA2
0.70
. . . . . . .
121.34
. . . . . . . . . .
19.23
94.31
234.94
BA1
0.64
. . . . . . .
110.94
. . . . . . . . . .
19.23
94.31
224.54
PE2
1.50
. . . . . . .
260.01
. . . . . . . . . .
19.23
94.31
373.66
PE1
1.40
. . . . . . .
242.68
. . . . . . . . . .
19.23
94.31
356.32
PD2
1.38
. . . . . . .
239.21
. . . . . . . . . .
19.23
94.31
352.85
PD1
1.28
. . . . . . .
221.88
. . . . . . . . . .
19.23
94.31
335.51
PC2
1.10
. . . . . . .
190.67
. . . . . . . . . .
19.23
94.31
304.30
PC1
1.02
. . . . . . .
176.81
. . . . . . . . . .
19.23
94.31
290.43
PB2
0.84
. . . . . . .
145.61
. . . . . . . . . .
19.23
94.31
259.22
PB1
0.78
. . . . . . .
135.21
. . . . . . . . . .
19.23
94.31
248.81
PA2
0.59
. . . . . . .
102.27
. . . . . . . . . .
19.23
94.31
215.87
PA1
0.54
. . . . . . .
93.60
. . . . . . . . . .
19.23
94.31
207.20
- END -

Utility Navigation Links

DoD Seal

tricare.mil is the offical 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 Resources 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.

v4.5.7082.22297

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.