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.
Data statusEstimator
- Status
- Estimator
- Data year / effective
- FY2026
- Last reviewed
- June 2026
- Last updated
- June 2026
- Primary source
- CMS Hospice Wage Index & Rate Update, FY2026
- Known exclusions
- Wage-index adjustment by CBSA not applied
- SIA and cap nuances vary
- Sequestration not applied
Estimate only — wage index, sequestration, and payer/MAC edits are not applied. Validate against CMS and your MAC before billing.
Loads a sample stay — every field stays editable.
Wage index
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)
Other levels of care
Service Intensity Add-on (SIA)
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.
