What the FY2026 Medicare rates do to your inpatient revenue

We take the Medicare cases your hospital actually treated in 2024 and price them twice: once at FY2025 rates, once at FY2026 rates. Same cases both years, so every dollar of change is CMS policy, not your volume.

Caseload: CMS Medicare Inpatient Hospitals by Provider and Service, 2024. Rates: FY2025 and FY2026 IPPS final rule standardized amounts, Table 5 relative weights, and per-provider factors from the CMS impact files (wage index, teaching, DSH, capital, uncompensated care, hospital-specific rates). Payments are modeled gross amounts and exclude outlier, transfer, new-technology and pass-through payments. Traditional Medicare fee-for-service only. Estimates, not advice; verify against primary sources. Independent analysis by A3HCS. Not affiliated with CMS. Read the full methodology, validation and terms →