RSE ESRD PPS Calculator
The RSE ESRD PPS Calculator is designed to show monthly payments and costs. Users can reconcile actual Medicare payments via the calculator to ensure they are being reimbursed appropriately.
Developed by Mark Stephens of Prima Analytics, this valuable business tool provides key reports such as monthly facility revenue, cost and profit analysis, case-mix analysis, and a three-year forecast.
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4Q 2025 UPDATES:
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Q4 2025 TDAPA Payment rate updates for Vadadustat, DEFENCATH and phosphate binders.
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Updated average sales prices (ASPs) for Part B drugs, reflecting Q225 actual prices from the October 2025 pricing file.
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Updates per the Q4 2025 Outlier Services tables, including updated payment limits for calcimimetics and difelikefalin.
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Updated trend factors for 2025-2027 for the Three-Year Forecast module from the latest (Q225) ESRD Market Basket Forecast.
ACCESS
The ESRD PPS Calculator is accessible only to Renal Healthcare Association members, it is a complementary tool that members receive as a member benefit. If you are an RHA Member visit the Tools & Resources Library on the online member community Voices to download the latest version (Renal Healthcare Association member login is required).
Not a Member? Join today and enjoy all the member benefits including complimentary access to the RSE Bundle PPS Calculator.
Learn more about how to use this tool to benefit their facility by viewing a previously recorded webinar on Education Station.
This tool is updated periodically to reflect the most recent industry data set.