Impact calculator

What does the 2027 cut cost your practice?

Enter your Medicare fee schedule revenue, or build it from visit volume. The estimate applies the final 2027 conversion factor change, plus an optional specialty-specific adjustment from CMS's impact file. Nothing you enter leaves your browser.

Specialty

How do you want to enter volume?

Visits and clinicians Annual Medicare revenue

Billing clinicians

Medicare visits per clinician per week

Average allowed per visit ($)

Working weeks per year

I am a qualifying APM participant (QP). Most physicians are not.

Specialty-specific RVU change (%) optional

From the CMS "CY 2027 PFS Estimated Impact on Total Allowed Charges by Specialty" file for Physical Medicine and Rehabilitation. Leave at 0 to model the conversion factor cut alone. Where to find it.

Other payer revenue tied to the Medicare fee schedule (% of Medicare revenue) optional

Many commercial and Medicare Advantage contracts pay a percentage of the Medicare fee schedule and follow it down.

Estimated annual loss in 2027

$6,320

Medicare PFS base: $273,600
Modeled payment change: -2.31%
Medicare loss: $6,320
Pegged payer loss: $0
Per clinician: $6,320
Over 5 years if never restored: $31,601

Measured against the 2021 conversion factor, the same Medicare work pays 6.5% less in 2027, about $17,756 a year on this volume, before inflation.

Estimate only. Assumes 2027 volume and service mix match today, and ignores geographic adjustments, sequestration, and MIPS adjustments. Conversion factor change: CMS fact sheet and 91 FR 70992.

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