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Welcome to the CMS Web Pricer

This tool may be used to estimate Medicare Prospective Payment System (PPS) payments beginning with calendar and fiscal year 2020.

An estimate might not match the payment amount determined by the Medicare claims processing system due to the fact that some data is factored in the Web Pricer estimate that is paid by Medicare via provider cost reports. In addition, some differences in estimates may be caused by a lag in the provider data updates. Providers should contact their Medicare Administrative Contractor (MAC) for assistance.

By continuing, I understand the limitations of this estimating tool.
Version: 7.0.0

Web Pricer

Disclaimer: This is an estimator and may not exactly match the payment amount determined by the Medicare claims processing system. By using this tool you understand the limitation in estimating a claim.

Web Pricers are a continuation of the PC Pricer experience which you may be more familiar with. These tools bring the functionality of the PC Pricer to a more accessible format which can be used across both personal computers (PC) and Apple iOS.

Some important considerations:

Any updates you make within the Web Pricers are stored locally to your browser.

Click on any of the available Web Pricers to the right to begin an estimation. Each Web Pricer also has helpful information within the experience as well as global provider directory.