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.
Data statusEstimator
- Status
- Estimator
- Data year / effective
- FY2026
- Last reviewed
- June 2026
- Last updated
- June 2026
- Primary source
- CMS IPPS/LTCH PPS Final Rule, FY2026
- Known exclusions
- Wage index varies by CBSA
- Site-neutral vs standard-rate determination is case-specific
- High-cost-outlier and short-stay-outlier adjustments vary
- Sequestration and MAC edits not applied
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; 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
Standard rate inputs
Site-neutral input
Outlier / cost (optional)
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.
