Printer-friendly version

Medicare Rate Calculator

2015 Final Medicare Rate Calculator

This calculator shows your national and local payment rates for 2015. Simply look up your local wage index from the easy to use chart and type it into the calculator and the calculator does the rest.

2014 Final Medicare Rate Calculator

This calculator shows your national and local payment rates for 2014. Simply look up your local wage index from the easy to use chart and type it into the calculator and the calculator does the rest.

Additional Medicare Payment Resources

2015 Final Medicare Payment Resources

   

2014 Final Medicare Payment Resources

2015 Medicare Rate Calculator
This calculator shows your national and local payment rates for 2015. Simply look up your local wage index from the easy to use chart and type it into the calculator and the calculator does the rest.

   

2014 Medicare Rate Calculator
This calculator shows your national and local payment rates for 2014. Simply look up your local wage index from the easy to use chart and type it into the calculator and the calculator does the rest.

2015 Separately Payable Procedures
This chart lists all surgical and ancillary codes for which a separate payment will be made in 2015. The CPT code and 2015 national ASC payment rate are provided. This list does not include deleted/discontinued codes or packaged procedures.

   

2014 Separately Payable Procedures Codes
This document provides the list of procedures that are payable in an ASC in 2014 and for which there is a separate payment made. The CPT code and the 2014 national ASC rate are provided. This list does not include packaged procedures.


2015 Packaged Procedures
This chart shows the surgical and ancillary codes that will be packaged with other procedures for 2015 and thus receive no separate reimbursement.



   

2014 Packaged Codes
This chart lists the procedures that are on the 2014 ASC list, but for which there are no separate payments because payments for these packaged procedures are included in the payments made for other procedures.

2015 Ancillary Services
This chart provides the list of covered ancillary services for 2015. ASCs may bill for ancillary services when provided in conjunction with covered surgical procedures. This list does not include packaged services.

   

2014 Ancillary Services
This chart provides the list of covered ancillary services for 2014. ASCs may bill for ancillary services when provided in conjunction with covered surgical procedures. This list will be updated quarterly to reflect changes made by Medicare.

2015 Device Intensive Procedures
This chart lists the procedures that CMS is classifying as device intensive in 2015 and their 2015 ASC payment rate.

   

2014 Device Intensive Procedures
This chart lists the procedures classified as device intensive in 2014 and their 2014 ASC payment rate.


2015 Office Based Procedures
This chart lists the procedures that are classified as office based in 2015, the 2015 payment rates and whether these rates are based on the hospital outpatient department rates or on the physician's practice expense rate.

   

2014 Office Based Procedures
This chart lists the procedures classified as office based for 2014, their 2014 payment rates, and whether the rates are based on the hospital outpatient department rates or on the physician's practice expense rates.

2015 Multiple-Procedure Discounting Exempt
This chart shows the procedures that are exempt from multiple-procedure discounting in 2015 and their 2015 ASC payment rate.

   

2014 Multiple-Procedure Discounting Exempt
This chart shows the procedures exempt from multiple-procedure discounting in 2014 and their 2014 ASC payment rate.

2015 Patient Cost Sharing Waived Services
This chart shows the services for which the patient copayment and deductible will be waived for 2015.

   

2014 Patient Cost Sharing Waived Services
This chart shows the services for which the patient copayment and deductible are waived for 2014.

       

2014 ASC Rates Compared to HOPD Rates
This chart compares the 2014 ASC rates with the 2014 HOPD rates for the same surgical procedures.


   

Procedures Subject to CMS Device Adjustment Policy
This is the list of ASC Procedures to which the No Cost/Full Credit and Partial Credit Device Adjustment Policy Applies.


   

2014 New Packaged Codes
This chart shows only the procedures that are newly packaged this year that were separately payable last year.


   

2014 ASC List Changes
This chart lists codes that have been added to and deleted from the ASC list of payable procedures and the reason for addition/deletion.


- - - - -


While there is no substitute for receiving a legal opinion regarding the specific facts in a particular case from qualified counsel that practice in this specialized area of law, the Federal Regulations section of ASCA’s website provides a starting point for understanding the federal rules impacting ASCs. For questions or more information, contact Kara Newbury at knewbury@ascassociation.org.


Reproduction in whole or in part without written permission from ASCA is prohibited.