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Describe a service in plain words, or type a CPT/HCPCS code.

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Medicare expected-payment calculator

Enter a code, service location, and date to calculate an allowed amount with CMS evidence.

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CPT / HCPCS code
Location
ZIP
Locality
Date of service
Date of service
CMS release

CMS release: 2026 C

Place of service Office (non-facility) Facility
Modifiers: None
Supplied modifier

Select a supplied modifier. Click it again to remove it.

Code does not support a professional/technical split (PCTC indicator 0).
Code does not support a professional/technical split (PCTC indicator 0).
Bilateral procedure
Assistant surgeon (physician)
Minimum assistant surgeon (physician)
Assistant surgeon (no qualified resident)
Assistant at surgery (PA, NP, or CNS)
Payable only if supporting documentation establishing the medical necessity of two co-surgeons is submitted.
Team surgery is not permitted for this code.

Single-line modifiers only. Pricing -51? Use the MPPR calculator.

50840 Save this calculation
Release:
2026 C
Locality:
National (GPCI 1.000)
Date of service:
Not supplied
Setting:
Office (non-facility)
Participation:
Participating provider
National PFS baseline
$1,103.57
in a doctor’s own office or clinic
Medicare payment
$882.86
Sequestration (−2%)
−$17.66
Net Medicare payment
$865.20
Patient / secondary
$220.71
Expected total to provider
$1,085.91

Patient / secondary and expected total to provider assume the Part B annual deductible is already met. If it isn't, the patient owes more than the amount shown here.

Compare a remittance
Allowed amount on remittance
Payer paid
Optional: compare allocation, not just the allowed amount. Patient responsibility
Optional. If allowed is blank, payer paid + patient responsibility becomes the remittance allowed.
Use a commercial contract based on Medicare

Commercial payer contracts usually price off the Medicare amount above ("BCBS pays 115% of Medicare"). Enter your contract's percentage to see what 50840 pays at that rate.

Your contract's % of Medicare For commercial contracts priced as a percentage of Medicare (for example, 115%).

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