Inpatient Rehabilitation · Estimator

IRF Payment Estimator

Estimate the FY 2026 IRF federal prospective payment from a CMG relative weight and area wage index, with rural, low-income, teaching, and high-cost-outlier adjustments. Enter the CMG weight from Table 2 of the final rule.

No PHIEstimator · BetaRuns entirely in your browser — no data leaves the page. Rates are CMS FY 2026 final-rule values; CMG weights come from CMS Table 2; this is an estimate — verify against the IRF Pricer and your MAC.

Inputs

CMG + Facility

Loads a sample case — every field stays editable.

Case

CMG relative weight

from CMS Table 2

Area wage index

IRF wage index · default 1.0000

Facility adjustments

Location

LIP factor

low-income %, ≥1.0

Teaching factor

≥1.0

High-cost outlier (optional)

Covered charges ($)

Facility CCR

cost-to-charge ratio

Outlier adds 80% of estimated cost (charges × CCR) above the payment plus the $10,062 threshold. Leave blank to skip.

Estimated IRF payment

$0.00

Enter a CMG relative weight

Estimate only. Excludes interrupted-stay, transfer, short-stay and death adjustments, sequestration, and any budget-neutrality wage factor. Verify against the IRF Pricer.