Medicare Skilled Nursing Facility Reimbursement Rates Calculator
Compute your estimated Medicare per-diem rates for skilled nursing services paid under the Medicare prospective payment system with our SNF PPS rate calculator.
Part A
SNF Part A rates are effective October 1, 2024 through September 30, 2025.
Rates are based on the final rule published August 6, 2024. Technical corrections could be released resulting in further rate changes. Forvis Mazars will continue monitoring and updating rates as necessary.
We understand skilled nursing facility (SNF) payment rates are critical to your business operations. The Part A rate calculator reflects estimated SNF Medicare rates under the Patient-Driven Payment Model, including variable payments over a 100-day stay. Providers can view rates by location after entering their Medicare provider number, selecting a volume indicator for Value-Based Purchasing (VBP) adjustment, and indicating whether they are subject to the Quality Reporting Program (QRP) penalties. Please note the template does not include the 2% sequestration reduction.
Rates can be viewed for specific Health Insurance Prospective Payment System (HIPPS) codes calculated by each resident’s Minimum Data Set (MDS) assessment, on the Rate Summary tab. The Rate Components tab reflects total rates for each case mix group.
Part B
SNF Part B rates are effective January 1, 2024 through February 29, 2024.
The Part B rate calculator includes commonly used therapy procedure codes that SNFs are paid for under the physician fee schedule.