2026 Rate Tables by Specialty
Compare 6+ high-volume specialties with wRVU, non-facility rate, and facility rate columns for the codes your team checks most often.
2026 Edition — Instant PDF Download
The 2026 Medicare Fee Schedule Handbook
A practical reference for auditing Medicare rates, spotting underpayments, and turning fee schedule data into operational decisions.
- 47-page PDF
- Instant download
- CMS 2026 Final Rule
Buy Now — $27
$99$27
One-time PDF purchase
A practical Medicare reimbursement reference for $27.
2026 Edition
Many practices lose Medicare revenue in the same three places. Here's how to check.
Looking up a single rate takes 20 minutes in the official CMS files
National averages don't reflect what your locality actually pays
The wrong place-of-service code costs you money on every claim
Many practices discover rate changes months after they happened
What's inside the handbook
Locality Comparison Tables
99214 pays $135 in Boston and $98 in rural Mississippi — same code, same physician, different ZIP. See the full market comparison.
Underpayment Review Guide
Includes the underpayment worksheet and a worked example: a wrong POS code on a joint injection code costing a practice $15,500 per year — plus the vendor/MAC email template to start the review.
Facility vs. Non-Facility Mistake Finder
Compare the $31 per-claim gap between facility and non-facility payment on common procedures, then use the worksheet to flag the same mistake.
Contract Negotiation Benchmarks
At 140% of Medicare, 99214 goes from $135 to $189. See the full table across your top codes.
Top 25 Checklist + 30-Day Action Plan
Includes a Top 25 code review checklist, vendor/MAC email templates, and a MedFeeSchedule.com companion workflow your billing team can run every quarter.
Real example from the handbook
A practice billing 20610 (joint injection) with the wrong place-of-service code was receiving $62 per claim instead of $93 — a $31 gap. At 500 injections per year that's $15,500 in recoverable annual underpayment. This handbook shows you exactly how to find it in your own payments.
Written for the people who work with Medicare data every day
- Practice administrators
- Medical billers and coders
- Revenue cycle managers
- Healthcare consultants
- Clinicians and providers
You don't need to be a billing expert to use it. Each chapter builds on the last, but you can jump directly to the section most relevant to your role.
Why this handbook exists
“Your MAC doesn't send an alert when rates change. Your billing software doesn't either. This handbook does the job they don't.”
The 2026 Medicare Fee Schedule Handbook pays for itself the first time it helps you catch an underpayment or correct a place-of-service error.
A professional Medicare reimbursement reference for $27 — here's what's inside
A concrete operational preview from the handbook's Top 25 review workflow, including the underpayment worksheet, vendor/MAC email templates, and MedFeeSchedule.com companion checks.
Pull your top 25 CPT/HCPCS codes by annual Medicare volume.
Verify the 2026 non-facility rate for each top code.
Verify the 2026 facility rate for each top code.
Use the underpayment worksheet to compare ERA paid amounts against expected locality-adjusted rates.
Flag every claim paid below the expected Medicare benchmark and document the variance.
Check whether the place-of-service code matches where care was actually delivered.
Calculate the annualized underpayment impact for each recurring variance.
Review your highest-volume codes at 100%, 120%, 140%, and 200% of Medicare.
Use the vendor/MAC email templates to request clarification when a variance appears.
Run the MedFeeSchedule.com companion workflow before each quarterly billing review.
Get the handbook
$99$27
One-time PDF purchase
One-time payment. Instant PDF download.
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PDF — works on any device
Educational use — not legal or billing advice
Based on CMS 2026 MPFS Final Rule. All rates are national averages unless noted. Verify locality-adjusted rates at MedFeeSchedule.com. Educational purposes only.