Inpatient PPS PC Pricer
Now Available: Fiscal Year 2021 Inpatient Prospective Payment System (IPPS) Web Pricer
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.
The IPPS Web Pricer may be accessed via the following link: https://webpricer.cms.gov/#/
Please Note: The 'HMO paid claim' field is a new feature that will be added to a future release of the IPPS Web Pricer. In the interim, the FY 2021 IPPS PC Pricer can be used to access this field.
For the best user experience, access the IPPS Web Pricer through Google Chrome. You may also access it through Microsoft Edge, or Mozilla Firefox. Microsoft Internet Explorer is not supported.
We need your feedback, please email PCPricers@cms.hhs.gov, with the subject line "IPPS Web Pricer Feedback" with your comments or suggestions for the new IPPS Web Pricer.
The Social Security Amendments of 1983 (Public Law 98-21) established the Prospective Payment System (PPS) for hospital inpatient services provided to Medicare beneficiaries. Under this system, a hospital is paid a fixed amount for each patient discharged in a particular treatment category or Diagnosis Related Group (DRG). This fixed amount is intended to cover the cost of treating a typical patient for a particular DRG. The PPS Pricer software, which will be released on a quarterly basis, calculates discharges from October 1 through September 30 for a given fiscal year.
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- FY2020.2 (For claims for 10/01/2019 to 09/30/20) (ZIP) - Updated 01/21/2021
- FY 2012.N - (For claims from 10/01/2011 to 09/30/2012) updated 10/23/13 (ZIP)
- FY 2012.2 - (For claims from 10/01/2011 to 09/30/2012) - updated 08/20/12 (ZIP)
- FY 2010.A – (For claims from 10/01/2009 to 03/31/2010) (ZIP)
- FY 2010.7 – (For claims from 04/01/2010 to 09/30/2010) (ZIP)