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.
Data statusEstimator
- Status
- Estimator
- Data year / effective
- FY2026
- Last reviewed
- June 2026
- Last updated
- June 2026
- Primary source
- CMS IRF PPS Final Rule, FY2026
- Known exclusions
- Wage index and facility CCRs vary by provider
- Outlier, transfer, and short-stay adjustments are case-specific
- Sequestration and MAC edits not applied
- Validate against the IRF Pricer and your MAC
Estimate only — wage index, sequestration, and payer/MAC edits are not applied. Validate against CMS and your MAC before billing.
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
Facility adjustments
High-cost outlier (optional)
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.
