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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.

Medicare PFS formula GPCI locality Facility & non-facility
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Quick CPT Presets (CMS Relative Value File)

Select to auto-populate components

RVU Components & Geographic Adjustments

Geographic Practice Cost Index (GPCI) Presets

Custom Locality GPCI Overrides

Adjusted Total RVU

3.60

Estimated Medicare Allowed

$120.24

Commercial Payer Benchmarks
Conservative PPO (125%):$150.30
Standard In-Network (140%):$168.34
Top-Tier / OON (160%):$192.38
Formula: [(wRVU×GPCIw) + (peRVU×GPCIpe) + (mpRVU×GPCImp)] × CF. Non-facility PE RVUs reflect in-office rates.

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.

Next Step For Your Practice

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