> ## Documentation Index
> Fetch the complete documentation index at: https://docs.rcintell.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Payment Calculator

> Interactive RVU/GPCI payment calculator — see expected Medicare reimbursement for any CPT at any facility

> Paste a CCN and CPT. See the math. Free.

The Payment Calculator is RCI's public tool for estimating Medicare reimbursement. Enter a facility and procedure code — get the full MPFS breakdown with GPCI adjustments.

**Try it at [rcintell.com/tools](https://rcintell.com/tools)**

## How it works

Enter:

* **CCN** — the facility's Medicare Provider Number (e.g., `170001`)
* **CPT** — the procedure code (e.g., `99213`)

Get:

```
CCN: 170001 (Sunflower Medical Center, Kansas)
CPT: 99213 (Office/outpatient visit, established, low complexity)

┌─────────────────────────────────────────────────────┐
│  Component     │  RVU    │  GPCI   │  Adjusted      │
│────────────────│─────────│─────────│────────────────│
│  Work          │  1.30   │  1.000  │  1.300         │
│  PE (facility) │  0.99   │  0.891  │  0.882         │
│  Malpractice   │  0.10   │  0.407  │  0.041         │
│────────────────│─────────│─────────│────────────────│
│  Total         │  2.39   │         │  2.223         │
└─────────────────────────────────────────────────────┘

Conversion Factor (2026): $32.35

Estimated Payment:  $71.91 (facility rate)
                    $100.53 (non-facility rate)
```

## Features

* **Facility vs non-facility** — toggle to see both rates
* **GPCI breakdown** — see how geography affects each component
* **Year selector** — compare across conversion factor years
* **Share link** — generate a URL to share a specific calculation
* **Bulk mode** — paste multiple CPT codes, get a fee schedule for a facility
* **Compare facilities** — side-by-side comparison of the same CPT at two locations

## Use cases

| Who                      | Why they use it                                       |
| ------------------------ | ----------------------------------------------------- |
| **Billers**              | Verify expected payment before submission             |
| **Providers**            | Estimate reimbursement for patient cost conversations |
| **Contract negotiators** | Benchmark payer rates against MPFS                    |
| **Payer analysts**       | Validate fee schedule accuracy                        |
| **Students**             | Learn how Medicare payment works                      |

## Formula

```
Payment = (Work RVU × Work GPCI + PE RVU × PE GPCI + MP RVU × MP GPCI) × CF
```

Where:

* **RVU** = Relative Value Units from the CMS MPFS Relative Value File
* **GPCI** = Geographic Practice Cost Index for the facility's location
* **CF** = Conversion Factor (\$32.35 for 2026)
* **PE RVU** = facility or non-facility rate depending on care setting

## API equivalent

```bash theme={null}
curl -X POST https://api-dev.rcintell.com/v1/knowledge/payment-calc \
  -H "X-API-Key: kp_test_..." \
  -H "Content-Type: application/json" \
  -d '{"ccn": "170001", "cpt": "99213"}'
```

## Free to use

The Payment Calculator is free at [rcintell.com/tools](https://rcintell.com/tools). No account required. API access for programmatic use requires a free API key.