The whole engine in 60 seconds — group a claim, price it under the IPPS, and watch it reconcile to CMS to the dollar. Scroll down for the full walkthrough.
Group any inpatient claim, price it under the IPPS, and verify it live against the official CMS pricer — the authoritative source. Here is one real claim, priced three ways.
These are real claims run through our engine and cross-checked against CMS and a third-party pricer. Same DRG, same relative weight, totals within a rounding cent.
The residual cents are input precision, not formula — CMS carries the provider's HRRP/VBP factors to more decimals than the published PSF. The operating base matches to the penny.
Three moves take a coded claim to a payment you can defend — the last one is a live call to CMS, so you are never guessing.
A self-contained grouper on the CMS v43.1 tables — MDC, CC/MCC severity, surgical hierarchy.
Operating + capital, wage index, IME & DSH, uncompensated care, and high-cost outliers.
One click prices the same claim through the official CMS pricer, side by side.
Eight ways into the same FY2026 pricing core — from a quick single-DRG estimate to a coded claim grouped, priced, and checked against the official pricer, live.
Pick an MS-DRG and a hospital: the full IPPS build — wage index, IME & DSH (each toggleable), capital, uncompensated care, outliers, transfer per-diems — plus the CC/MCC severity family so documentation gaps are visible.
Open →Find any of 3,200+ IPPS hospitals by name, city, state, or CCN — or look up a provider by NPI, full or partial. Profiles benchmark the wage index against state and national averages.
Open →Paste a claim as JSON — our format or a structured export — and get the priced breakdown back, with a payment worksheet you can download as PDF or Excel.
Open →ICD-10 diagnoses and procedures in, MS-DRG out — with the MDC, the medical/surgical path, and the exact CC or MCC that drove the severity flagged on every code.
Open →The whole pipeline in one shot: a coded claim is grouped to its MS-DRG and priced at the billing hospital in a single run.
Open → LIVEThe one nobody else has: any claim, priced by our engine and by CMS's own pricer in the same view — live, side by side, with a match verdict. $23,394.65 vs $23,394.67 on the sample case.
Compare a claim → LIVEThe grouper as a glass box: toggle a diagnosis on or off and watch the real decision path re-run — MDC, medical vs surgical, CC/MCC screening — with the DRG and payment moving live. Includes a self-playing demo of two examples.
Play with it →Twelve connectors for core admin, contract modeling, and clearinghouse platforms — each with a working sandbox that groups and prices for real until credentials go live.
See connectors →Add a secondary diagnosis or an OR procedure and the grouper shows exactly which code moved the DRG — the CC/MCC that carries the weight is marked, with the base DRG range it selects within.
Drop the MCC and the same claim falls to DRG 872 — a different weight, a different payment. This card is read-only; the live sandbox re-runs the real decision path — and the real dollars — as you toggle each code.
Twelve connectors for the platforms that price and adjudicate DRG claims — core admin, contract modeling, and clearinghouses. Each goes live on its own credentials; until then it runs a real sandbox that still groups and prices for real.
Bearer-authed POST over the connector framework; the vendor's reply is normalized alongside our reference. Point the URL at your tenant and it goes live — no code change.
The whole point is trust, so nothing is guessed. Where a case needs logic we haven't modeled yet, the tool flags it rather than inventing a number.
Independent estimator built on real FY2026 IPPS reference data (CMS-1833-F) and the CMS MS-DRG v43.1 tables. Not affiliated with or endorsed by CMS or any payer/vendor; product names shown for integration reference only. Estimates are verified against CMS but are not a substitute for official adjudication.