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Free beta tool

Payment Calculator

CPT, HCPCS, and Inpatient MS-DRG reimbursement context from public CMS and state fee schedule files.

CY 2026
Payer
LocalityNational
RCI
Beta release. Payment results are estimates from public fee schedule data and are not a reimbursement guarantee. Confirm final payment policy with the payer and current source files.

Payment Lookup

Select a provider result

CMS Certification Number or hospital name

CPT or HCPCS procedure code

Optional modifier

Drives file version (defaults to current date)

Overrides PE RVU selection (fac vs non-fac)

Selects QPP or Non-QPP RVU file

Used to determine DME rural/non-rural rate