Stateless contract workbench

What does this payer offer pay across your mix?

Enter annual volume for the codes you actually bill. Contract Check weights the offer by that mix, compares it with locality-adjusted Medicare and available Medicaid FFS prices, and turns the difference into annual dollars.

Your contract inputs are not stored

Your codes, volumes, and offer terms are processed for this calculation and are not saved. They are not placed in the page URL.

1. Contract context

ZIP resolves the Medicare locality. State selects the Medicaid comparison.

Practice ZIP

State

Defaults from the ZIP when left blank.

Default setting

2. Offer terms

Current Medicare Tracks today’s schedule Vintage Medicare Pegged to an older release Medicaid FFS Percentage of the state schedule Flat schedule Amount entered per code

Offer percentage

Annual-delta anchor

Defaults to Medicare parity.

3. Your annual code mix

One to 50 completed rows. Blank rows are ignored.

#	CPT / HCPCS	Annual volume	Modifier	Setting override	Remove
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Paste CSV instead +

Required headers: code,volume. Optional: modifier,setting,amount. A valid import replaces the grid; errors leave it untouched.

Resolving reference prices…

Did Contract Check behave as expected?

Report a result that looked wrong, a code or contract term the workbench could not represent, or anything that made the analysis hard to trust.

This form saves only your note and optional email. Please describe the behavior without pasting contract rates, patient information, or other sensitive data.

Payer fee schedule analysis

Compare the contract across the work your practice actually does

A headline such as “110% of Medicare” does not describe the value of a payer contract by itself. The result depends on the Medicare release, payment locality, site of service, codes covered by the agreement, and how often your practice bills each service. Contract Check combines those inputs into one volume-weighted comparison.

Weight the offer by CPT volume

Low-volume wins cannot hide a cut to a code billed thousands of times. The blended percentage and annual-dollar difference use the volume entered for every comparable CPT or HCPCS line.

Test current and vintage Medicare terms

Model an offer tied to today’s Medicare schedule or an older year and quarter. Vintage drift shows what the contract’s stated multiplier is worth against current locality-adjusted rates.

Keep gaps visible

Missing or manually priced lines are explained and excluded instead of silently treated as zero. Where state data is available, the same mix is also compared with Medicaid FFS.

What should you prepare?

Use five to fifty representative codes, their annual service volume, the applicable facility or office setting, and the proposed fee-schedule terms. Start with your highest-volume services; they usually explain more of the contract’s financial effect than a long unweighted code list.

For the reasoning behind the calculation, read why 110% of Medicare does not tell you what a payer contract is worth.