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RVU payment calculator

Turn RVUs into dollars. Enter the work, practice-expense, and malpractice RVUs for a CPT/HCPCS code with your locality’s GPCI and the Medicare conversion factor to estimate the allowed amount.

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Medicare PFS formula GPCI locality Facility & non-facility

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RVU components

Enter the RVU values for your CPT/HCPCS code from the CMS Physician Fee Schedule Relative Value File.

Work RVUPractice Expense RVUFacility or non-facilityMalpractice RVU

Locality adjustment (GPCI)

Work GPCI1.000 = nationalPE GPCIMP GPCI

Medicare conversion factor ($)Update to the current CMS conversion factor for the year you’re estimating.

Adjusted total RVU

2.92

Estimated Medicare allowed

$94.46

Payment = [(wRVU×GPCIw) + (peRVU×GPCIpe) + (mpRVU×GPCImp)] × CF. Non-facility PE RVUs give the office rate; facility PE RVUs give the hospital rate. Estimation only — verify against the current CMS fee schedule.

Estimation only. RVU values, GPCI, and the conversion factor come from the public CMS Physician Fee Schedule and change annually — pull the current values from the CMS Relative Value File for the code and locality you’re pricing. Commercial payer rates differ from Medicare.

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