Medicare payment tool

RVU Calculator (2026)

Enter a CPT or HCPCS code to see its relative value units and the Medicare Physician Fee Schedule payment, adjusted for your locality and place of service. Data comes from the CMS 2026 PFS relative value file (rvu26c.zip); the standard conversion factor is $33.4009 ($33.5675 for qualifying APM participants).

2026 Physician Fee Schedule

CPT / HCPCS code

Medicare locality

Place of service

Non-facility (office) Facility

Conversion factor

Standard ($33.4009) Qualifying APM ($33.5675)

How the payment is calculated

Every service payable under the Physician Fee Schedule has three RVU components: work (the clinician's time and intensity), practice expense (staff, rent, equipment — different for facility and non-facility settings), and malpractice (professional liability). Each component is multiplied by the geographic practice cost index (GPCI) for the Medicare locality, summed, and multiplied by the conversion factor:

payment = (work RVU × work GPCI + PE RVU × PE GPCI + MP RVU × MP GPCI) × conversion factor

Worked example: code 99214, national, non-facility

Work RVU	1.92 × 1.000
Practice expense RVU (non-facility)	2.00 × 1.000
Malpractice RVU	0.14 × 1.000
Total RVUs	4.06
× conversion factor $33.4009	$135.61

Browse pre-calculated pages for common codes in the RVU & payment reference, or read how the conversion factor works.

Frequently asked questions

How is a Medicare payment calculated from RVUs?

Payment = (work RVU × work GPCI + practice expense RVU × PE GPCI + malpractice RVU × MP GPCI) × conversion factor. For 2026 the conversion factor is $33.4009 ($33.5675 for qualifying APM participants).

What is the difference between facility and non-facility rates?

The practice expense RVU differs by setting. Non-facility (office, POS 11) rates are usually higher because the practice bears the overhead; facility rates (hospital, ASC) are lower because the facility bills its own overhead separately.

Why is my code not found?

This calculator covers services payable under the Medicare Physician Fee Schedule. Clinical lab tests (paid under the CLFS), drugs, and anesthesia codes (which use a separate anesthesia conversion factor) are priced differently and are not included.

Are these the exact amounts Medicare pays?

They match the published PFS formula before claim-level adjustments. Actual payment can differ due to sequestration, the 2% assignment differential, MIPS adjustments, multiple-procedure reductions, and payer-specific rules. Commercial payers often pay a multiple of the Medicare rate.

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). This tool displays CMS-published RVU values, GPCIs, and conversion factors with original service descriptions; it does not reproduce CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates for information only — verify with your MAC before relying on them.