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.