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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

Turn these RVU Payment insights into a practice-specific review

Are you getting paid the full RVU value of every patient encounter? Aethera eliminates downcoding and documentation gaps. Let our senior AAPC-certified billing team audit 50 of your active claims or past denials — completely free. Results in 14 days after the BAA, complete intake and agreed success criteria.

Free 50-Claim Audit Pilot

Test our scrub rules and appeal workflow on 50 real claims. Zero commitment, no credit card required.

Instant A/R Gap Analysis

Enter your aging totals for an instant planning report. Uploaded files are processed locally; clinical intake is arranged separately.

Scoped targets in writing Human review before submission HIPAA BAA Provided

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