RVU Calculator

For a Medicare payment, multiply each of the three RVUs by its GPCI, add them, then multiply by the conversion factor. CPT 99214 in the office is (1.92 + 2.00 + 0.14) x $33.4009 = $135.61 at a GPCI of 1.00.

Payment = [(work RVU x work GPCI) + (practice expense RVU x PE GPCI) + (malpractice RVU x MP GPCI)] x conversion factor. CMS states that RVUs are applied to each service for work, practice expense and malpractice expense. The calculator does exactly this.

For Medicare, the CY 2026 conversion factor is $33.4009 for most clinicians and $33.5675 for qualifying APM participants, so one RVU at a GPCI of 1.00 is about $33.40 or $33.57. Physician pay per work RVU is set by contracts, not by Medicare.

One total RVU is worth the conversion factor, $33.40 for most clinicians in 2026 and $33.57 for qualifying APM participants, before the geographic adjustment. Real payments use total adjusted RVUs, so a 4.06 RVU service is $135.61. Private payers use their own rates.

Medicare reimburses the conversion factor per adjusted RVU: $33.40 for most clinicians in 2026. Private payers use their own rates, often a multiple of Medicare. The calculator takes any conversion factor, so enter the rate in your contract. Ask your payer for its schedule.

CPT 99213 has a work RVU of 1.30. With a practice expense of 1.46 and malpractice of 0.09 in the office, total RVUs are 2.85, which pays about $95.19 nationally. In a facility the total is 1.72. Check the CMS file for the year of service before you rely on these values.

CPT 99214 has a work RVU of 1.92 and total RVUs of 4.06 in the office, with practice expense 2.00 and malpractice 0.14. At the 2026 conversion factor that is about $135.61 nationally. In a facility the total is 2.53, about $84.50.

CPT 99204 has a work RVU of 2.60 in 2026. With practice expense 2.47 and malpractice 0.24, the total in the office is 5.31 RVUs, paying about $177.36 nationally. In a facility the total is 3.50. Check the CMS file for the year of service before you rely on these figures.

CPT 99215 has a work RVU of 2.80, and total office RVUs of 5.76 with practice expense 2.75 and malpractice 0.21. That pays about $192.39 nationally at the 2026 conversion factor. Check the CMS file for the year of service, and use the facility practice expense for hospital settings.

A level 4 established patient visit, CPT 99214, is 1.92 work RVUs and 4.06 total RVUs in the office. A level 4 new patient visit, 99204, is 2.60 work RVUs and 5.31 total. Check the CMS file for the year of service.

The work RVU is the physician work component of a service, reflecting time and intensity. CMS applies RVUs to each service for work, practice expense and malpractice. Work RVUs are often tracked as a productivity measure, separate from the payment.

The wRVU is only the physician work part. Total RVUs add practice expense and malpractice. Payment uses all three, adjusted by geography, while many compensation plans use only wRVUs. The calculator reports both. Use wRVUs for productivity and total RVUs for payment.

The geographic practice cost index adjusts each RVU component for local costs. Work, practice expense and malpractice each have their own GPCI, so the calculator has three boxes. At a GPCI of 1.00 the national rate applies. Look up your locality's three indexes in the CMS files.

CMS finalised $33.4009 for clinicians who are not qualifying APM participants and $33.5675 for qualifying participants, effective January 1, 2026. The calculator starts at $33.4009 and lets you change it. Use the factor that matches your clinician status and the date of service, since the two differ by about 17 cents.

CMS applied a -2.5% efficiency adjustment to work RVUs for CY 2026, based on a five year look-back. It affects work RVUs of non-time-based services. Check the CMS file for a particular code's value, since the calculator uses the RVUs you enter.

Practice expense differs. For 99214, the office (non-facility) practice expense is 2.00 and the facility figure is 0.47, making total RVUs 4.06 and 2.53. At $33.4009 that is $135.61 against $84.50. The place of service on the claim decides which one applies.

At the 2026 national rate, about $135.61 in an office and $84.50 in a facility, for most clinicians. Locality changes it through the GPCI, and private payers set their own rates. Use the calculator with your GPCIs. Private payers set their own rates, so check your own contracts.

Multiply annual work RVUs by the rate per wRVU. 6,000 wRVUs at $55 is $330,000.00. Many contracts add a base salary and pay the rate only above a threshold. Choose compensation mode and enter your contract terms. The result is annual pay before taxes and benefits are considered.

This calculator cannot say. Payment per wRVU varies by specialty, region, payer and contract, and Medicare's conversion factor is only one input. Compare your offer with published benchmarks from a reliable source and ask an adviser. Nothing in the calculator ranks a rate as good or bad, so compare carefully.

It depends on the specialty, employer and contract, so no single figure applies. This calculator turns your own rate per wRVU and your volume into annual pay. Use the rate in your agreement or an offer you are weighing. Compare any offer with the terms of your own agreement.

A threshold is the wRVU total below which no incentive is paid. With a $150,000 base, 4,500 threshold and $60 rate, 5,800 wRVUs earns an incentive on 1,300 wRVUs, $78,000.00, for total pay of $228,000.00. The threshold and rate come from your agreement, not from this calculator, so enter your own terms.

No. Medicare payment is the amount allowed for a service, paid to the practice or provider organisation. Physician pay is set by an employment or contractor agreement, which may use wRVUs, a base salary, bonuses or other terms. Ask your employer or billing team how the two are connected in your case.

Look the code up in the CMS Physician Fee Schedule relative value files for the year of service. The calculator takes the work, practice expense and malpractice RVUs as inputs and does not look codes up, so there is no stale code list.

Yes. CMS publishes updated RVUs and a new conversion factor each year, and the 2026 final rule changed both, including a -2.5% efficiency adjustment on work RVUs. Use the values for the year of service and update them annually. That is why the example values here are labelled 2026 and should be refreshed.

Yes. Enter the conversion factor your contract uses. Many private payers pay a multiple of Medicare, so for example a conversion factor of 1.2 times $33.4009 is about $40.08. The calculator then shows payments at that rate. Use the exact factor from your contract, since the multiple varies by payer.

Enter the number of services. Twenty 99214 office visits are 20 x $135.61 = $2,712.15 at the 2026 national rate, and 38.4 work RVUs. The calculator shows both the payment per service and the total. Change the code values for each different service you bill and add the totals.

No. It does not apply modifiers, multiple procedure reductions, the Medicare sequester, copayments or any payer-specific adjustment. It computes the formula from the RVUs, GPCIs and conversion factor you enter, so adjust the inputs for those factors. Ask your billing team how to account for them.

No. The calculator is an educational estimate. It does not replace the CMS fee schedule, a billing professional or a contract review. Confirm payments with your payer and speak to a qualified adviser before relying on a figure. It is not a substitute for professional guidance.

Choose payment or compensation. For payment, enter the work, practice expense and malpractice RVUs, the GPCIs, the conversion factor and the number of services. For compensation, enter annual wRVUs, the rate, any base salary and a threshold. Results update with the inputs, and every figure is an estimate.