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PC Pricer: Outpatient PPS Pricer Code

Guidance for logic, rates, wage index, and off-set amounts used by the OPPS PRICER program to calculate APC rates, coinsurance and deductibles.

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: January 29, 2014

There is no PC Pricer application for Outpatient PPS at this time. The files contain the logic, rates, wage index, and off-set amounts used by the OPPS PRICER program to calculate APC rates, coinsurance and deductibles.

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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.