ESRD PC Pricer
COBOL Personal Computer (PC) Pricers Conversion To Java Web Based Applications
Please advise. Providers and other payers use PC Pricer applications to estimate Medicare payments. Over the next year, CMS will stop producing new versions of the downloadable PC Pricers and issue them as web-based applications. CMS will continue to communicate the status of each PC Pricer conversion with our users as each Web based Pricer becomes available.
FY2021 ESRD PC Pricer Temporarily Unavailable For Download
Users should be advised that the FY2021 ESRD PC Pricer is temporarily unavailable for downloading at this time. CMS will continue to communicate the release status of FY 2021 ESRD PC Pricer when it's available for public use.
Section 1881 (b)(12) of the Social Security Act, as amended by section 623 of the Medicare Prescription Drug Improvement and Modernization Act of 2003, establishes the End Stage Renal Disease (ESRD) composite rate payment method for most dialysis related services provided by renal dialysis facilities to Medicare beneficiaries with end stage renal disease.
This PC Pricer software allows users to enter information to predict reimbursement to a renal dialysis facility based on the type of dialysis and various patient characteristics. It contains the same payment logic used to calculate composite rate payments for type of bill 72x in the Medicare mainframe system.
User Guide
2021
- CY 2021.2 ESRD Main Frame Pricing Programs (ZIP) - Posted 03/17/2021
2020
- CY 2020.0 ESRD Main Frame Pricing Programs (ZIP) – Posted 01/27/2020
- CY 2020 ESRD PC Pricer – Posted 01/29/2020 (ZIP)
2019
- CY 2019.1 ESRD Main Frame Pricing Programs – Posted 04/17/2019 (ZIP)
- CY 2019 ESRD PC Pricer – Posted 04/22/2019 - Opens in a new window
2018
- CY 2018.0 ESRD Main Frame Pricing Programs – Posted 03/09/2018 (ZIP)
- CY 2018 ESRD PC Pricer – Posted 01/19/2018 (ZIP)
- CY 2018 ESRD PC Pricer with new runtime – Posted 06/18/2018 - Opens in a new window
2017
- CY 2017.1 ESRD Main Frame Pricing Programs – Posted 07/20/2017 (ZIP)
- CY 2017.1 ESRD PC Pricer – Posted 12/18/2017 (ZIP)
- CY 2017 ESRD PC Pricer – Posted 01/10/2017 (ZIP)
- CY 2017.0 ESRD Main Frame Pricing Programs – Posted 01/04/2017 (ZIP)
2016
- CY 2016.0 ESRD Main Frame Pricing Programs – Posted 01/06/2016 (ZIP)
- CY 2016 ESRD PC Pricer – Posted 05/19/2016 (ZIP)
2015
- CY 2015 ESRD Main Frame Pricing Programs – Posted 02/06/2015 (ZIP)
- CY 2015 ESRD PC Pricer – Posted 09/03/2015 (ZIP)
2014
- CY 2014 ESRD Main Frame Pricing Programs – Posted 01/13/2014 (ZIP)
- CY 2014 ESRD PC Pricer – Posted 05/30/2014 (ZIP)
2013
- CY 2013 ESRD Main Frame Pricing Programs - Posted 12/14/2012 (ZIP)
- CY 2013 ESRD PC Pricer (Updated 05/09/2014) (ZIP)
2012
- CY 2012 Main Frame Pricer Software - Posted 03/13/2012 (ZIP)
- 2012 ESRD PC Pricer (updated 5/29/2012) (ZIP)
- 2012 ESRD PC Pricer User Guide (PDF)