Hospice · Calculator

Hospice Per-Diem Calculator

Enter the days and hours at each level of care for a stay, apply the hospice wage index, and add qualifying last-7-days visits to estimate the wage-adjusted Medicare payment with the Service Intensity Add-on.

Wage index

Hospice wage index

CBSA · default 1.0000

Only the labor share of each rate is wage-adjusted (RHC 66% · CHC 75.2% · IRC 61% · GIP 63.5%). Find the CBSA value in the CMS FY 2026 hospice wage index file.

Routine Home Care (RHC)

Days 1–60

$230.83 base

Days 61+

$181.94 base

Other levels of care

Continuous Home Care — hours

$69.76/hr

Inpatient Respite — days

$532.48

General Inpatient — days

$1,199.86

Service Intensity Add-on (SIA)

RN / MSW hours, last 7 days

max 4 hrs/day

Paid at the CHC hourly rate on RHC days in the last 7 days of life, capped at 4 hours per day.

Estimated payment

$0.00

Enter the level-of-care days

Estimate only. Excludes the inpatient cap (GIP+IRC days ≤ 20% of total) and the aggregate cap (cap calculator →), physician services, and any sequestration. Verify against your MAC's pricer.