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HomeFree Billing Tools › 2026 Medicare Physician Fee Schedule Calculator

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2026 Medicare Physician Fee Schedule Calculator

Calculate a Medicare Physician Fee Schedule estimate from RVUs and geographic practice cost indices. Choose the 2026 non-QP or qualifying APM conversion factor, or enter a custom factor.

2026 CMS conversion-factor presetsFacility/nonfacility RVUs supportedFull formula breakdown

Medicare PFS inputs

Enter RVUs for the service and setting you are calculating. Use the practice-expense RVU that corresponds to facility or nonfacility as appropriate.

Medicare PFS formula

Payment = [(Work RVU × Work GPCI) + (PE RVU × PE GPCI) + (MP RVU × MP GPCI)] × Conversion Factor × Units

CMS explains that Physician Fee Schedule payments use work, practice expense and malpractice RVUs, geographic practice cost indices and a conversion factor. Beginning in 2026, CMS uses separate conversion factors for qualifying APM participants and other clinicians.

2026 conversion factors

The CMS 2026 Physician Fee Schedule final-rule fact sheet reports a final qualifying APM conversion factor of $33.57 and a final nonqualifying APM conversion factor of $33.40. The calculator uses those rounded published values as presets and lets you enter another conversion factor when you have a more precise or updated source value.

CMS: CY 2026 Medicare Physician Fee Schedule Final Rule

Important limitation

This calculator does not determine coverage, coding, multiple-procedure rules, status indicators, sequestration, beneficiary responsibility or payer-specific edits. Use CMS fee-schedule files and your MAC/payer guidance to confirm the final amount.

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