2026 Skilled Nursing Facility PDPM PPS Rate Calculator
CMS projects 2026 payments to increase by $1.16 billion. Use CLA’s calculator to help identify your reimbursement rates.
Request 2026 Calculator
Request 2026 Calculator
TRANSLATE NUMBERS INTO ACTIONABLE INSIGHTS
Learn the rule
CMS’s 2025 final skilled nursing facility (SNF) rule projects payments to SNFs will increase by $1.4 billion in 2025 (FY25).
Understand the provisions
The final rule updates the FY25 payment rates for the SNF Prospective Payment System (PPS), which will impact all facilities nationwide.
Determine your rates
CLA’s SNF Medicare Patient-Driven Payment Model (PDPM) PPS rate listing and calculator makes it easier to identify your reimbursement rates.
Need additional guidance on the proper coding for PDPM?
Get personalized support and clarification on complex coding issues to help maintain compliance while improving health care delivery and decision-making.
Get accurate reimbursement
With a comprehensive look by county, you can determine your facility’s rates by case-mix index and component groups, including PT, OT, SLP, NTA, nursing, and non-case mix.
Download the 2026 PDPM rate listing and calculator
Access the county-based PDPM calculator for 2026 by filling out the short form below. After the form is submitted, you’ll receive an email with a link to download.