Statutory Rules - Medicare Cost Report
Statutory Rates
Effective July 1, 2006
Source Data - June 30, 2005 Medicare Cost Report
| Other LT Care | Adults & Peds | Subprovider | Totals | |
|---|---|---|---|---|
| Total Cost | 16,665,990 | 1,899,191 | 4,879,045 | 23,444,226 |
| Total Days | 34,690 | 3,537 | 11,289 | 49,516 |
| Routine Cost Per Day | 480.43 | 536.95 | 432.19 | 473.47 |
| Ancillary Cost Per Day | ||||
| X-Ray | 1.81 | 1.81 | 1.81 | |
| Lab | 1.14 | 1.14 | 1.14 | |
| OT | 17.58 | 17.58 | 17.58 | |
| Rehab Therapy | 22.70 | 22.70 | 22.70 | |
| Dental Services | 3.30 | 3.30 | 3.30 | |
| Total Ancillary Cost Per Day | 46.53 | 46.53 | 46.53 | 46.53 |
| Statutory Per Diem | 526.96 | 583.48 | 478.73 | 520.00 |
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