Fee Schedules & Pricers
Fee Schedules
A fee schedule is a comprehensive listing of fee maximums used to reimburse a physician or other providers on a fee-for-service basis.
Note: Most Part A facilities only receive fee schedule payments for certain Part B services that aren't paid based on a Prospective Payment System (PPS) or other payment method.
- Ambulance Fee Schedule & ZIP Code Files | CMS

- Clinical Laboratory Fee Schedule | CMS

- DMEPOS Fee Schedule Files | CMS

- Kentucky & Ohio Part B Fees
- Physician Fee Schedule | CMS

Other Payments
- ACCESS Model HCPCS Code Allowed Amounts – FQHC & RHC
- Critical Access Hospitals | CMS

- Medicare Part B Drug Payment Limit Files | CMS

- Opioid Treatment Program (OTP) Billing & Payment | CMS

- Rural Health Clinics | CMS

- Vaccine Pricing | CMS

Prospective Payment Systems
A Prospective Payment System (PPS) is a method of reimbursement in which Medicare determines a fixed payment amount for a particular service based on a classification system.
- Acute Inpatient PPS | CMS

- End Stage Renal Disease (ESRD) PPS | CMS

- Federally Qualified Health Center (FQHC) PPS | CMS

- Hospital Outpatient PPS | CMS

- Inpatient Psychiatric Facility PPS | CMS

- Inpatient Rehabilitation Facility PPS | CMS

- Long-Term Care Hospital PPS | CMS

- Skilled Nursing Facility (SNF) PPS | CMS

Web Pricers
A Web Pricer is a tool used to estimate Medicare PPS payments.
- End Stage Renal Disease (ESRD) PPS Web Pricer | CMS

- Inpatient PPS Web Pricer | CMS

- Inpatient Psychiatric Facility (IPF) PPS Web Pricer | CMS

- Inpatient Rehabilitation Facility (IRF) PPS Web Pricer | CMS

- Long-Term Care Hospital (LTCH) PPS Web Pricer | CMS

- Skilled Nursing Facility (SNF) PPS Web Pricer | CMS

Updated: 10.08.2026

