Long-Term Care Hospital · Estimator

LTCH Payment Estimator

Estimate the FY 2026 LTCH payment under the standard federal rate or the site-neutral rate, with high-cost-outlier and short-stay-outlier handling. Enter the MS-LTC-DRG relative weight from the CMS DRG table.

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

Inputs

DRG + Case

Loads a sample case — every field stays editable.

Payment path

Rate

Standard rate inputs

MS-LTC-DRG relative weight

from CMS DRG table

Area wage index

IPPS wage index · default 1.0000

Covered LOS (days)

for short-stay flag

DRG geometric ALOS

from CMS DRG table

Site-neutral input

IPPS-comparable amount ($)

from the IPPS pricer

Outlier / cost (optional)

Covered charges ($)

Facility CCR

cost-to-charge ratio

Estimated LTCH payment

$0.00

Enter a DRG relative weight

Estimate only. Short-stay-outlier reduction and interrupted-stay rules are not fully computed here — the estimator flags when they apply. Excludes sequestration and budget-neutrality factors. Verify against the LTCH Pricer.