Personal Computer (PC) Pricer and COBOL Text File Archive

The Personal Computer (PC) Pricer is a tool used to estimate Medicare Prospective Payment System (PPS) payments.  In order to successfully install and run any of the PC Pricer software (posted on the CMS website after January 2013) a one-time installation of Fujitsu NetCOBOL run time files is required. The Fujitsu NetCOBOL run time files can be found packaged with each zipped PC Pricer file for downloading. For assistance with PC Pricer installation, see these step-by-step instructions (PDF).

PC Pricer FAQs

1. How do I know which PC Pricer should be downloaded?
   Select the PC Pricer version that corresponds to the discharge date on the claim.
2. Is there a User Manual for the PC Pricer? Where is it located?
   Available User Manuals can be found in the archive section for each PC Pricer. 
3. Does the name of the network or hard drive location where the pricer will be installed matter?
   The directory can be installed to any drive of choice. However, the directory name of the PC Pricer Software should not be changed. Changing the directory name will generate the following error message, “9< Error Detected On Open Prov File” causing the PC Pricer Software to not run properly.
4. Can I change the directory name of the PC Pricer software?
   The directory name of the PC Pricer Software should not be changed because it will generate the following error message, “9< Error Detected On Open Prov File” causing the PC Pricer Software to not run properly. However, the directory can be installed to any drive of choice.
5. Can I see the computer source code that calculates claim payments?
   As part of ongoing efforts to modernize Medicare payment systems, CMS is converting all 10 Pricer applications from the COBOL programming language to the Java programming language. Starting October 2021, CMS will no longer post COBOL source code for all Pricers. CMS will only post Java source code for the converted Pricers.

These archives contain past versions of the downloadable, PPS PC Pricer applications as well as the COBOL text files prior to and including 2019. 

End Stage Renal Disease (ESRD) PPS PC Pricer 

• CY 2021.2 ESRD Main Frame Pricing Programs (ZIP) - Posted 03/17/2021 (ZIP)
• CY 2021 ESRD PC Pricer (ZIP) - Posted 04/29/2021 (ZIP)
• CY 2020.0 ESRD Main Frame Pricing Programs (ZIP) – Posted 01/27/2020 (ZIP)
• CY 2020 ESRD PC Pricer – Posted 01/29/2020 (ZIP)
• CY 2018 ESRD PC Pricer User Guide (PDF)
• CY 2017 ESRD PC Pricer User Guide (PDF (PDF)
• CY 2012 ESRD PC Pricer User Guide (PDF)
• CY 2011 ESRD PC PRICER User Guide (PDF)
• CY 2019.1 ESRD Main Frame Pricing Programs – Posted 04/17/2019 (ZIP)
• CY 2019 ESRD PC Pricer – Posted 04/22/2019 (ZIP)
• CY 2018.0 ESRD Main Frame Pricing Programs – Posted 03/09/2018 (ZIP)
• CY 2018 ESRD PC Pricer – Posted 01/19/2018 (ZIP)
• CY 2018 ESRD PC Pricer with new runtime – Posted 06/18/2018 (ZIP)
• CY 2017.1 ESRD Main Frame Pricing Programs – Posted 07/20/2017 (ZIP)
• CY 2017.1 ESRD PC Pricer – Posted 12/18/2017 (ZIP)
• CY 2017 ESRD PC Pricer – Posted 01/10/2017 (ZIP)
• CY 2017.0 ESRD Main Frame Pricing Programs – Posted 01/04/2017 (ZIP)
• CY 2016.0 ESRD Main Frame Pricing Programs – Posted 01/06/2016 (ZIP)
• CY 2016 ESRD PC Pricer – Posted 05/19/2016 (ZIP)
• CY 2015 ESRD Main Frame Pricing Programs – Posted 02/06/2015 (ZIP)
• CY 2015 ESRD PC Pricer – Posted 09/03/2015 (ZIP)
• CY 2014 ESRD Main Frame Pricing Programs – Posted 01/13/2014 (ZIP)
• CY 2014 ESRD PC Pricer – Posted 05/30/2014 (ZIP)
• CY 2013 ESRD Main Frame Pricing Programs - Posted 12/14/2012 (ZIP (ZIP))
• CY 2013 ESRD PC Pricer - Updated 05/09/2014) (ZIP)
• CY 2012 Main Frame Pricer Software - Posted 03/13/2012 (ZIP)
• CY 2012 ESRD PC Pricer - Updated 5/29/2012) (ZIP)
• CY 2011 ESRD PC PRICER - Updated 7/28/2011 (ZIP)
• CY 2011 ESRD PPS PRICER - Updated: 01/11/2010 (ZIP)

Home Health (HH) PPS PC Pricer

• HH Users Manual (PDF)
• CY 2021 HH PC Pricer (for claims dated 01/01/21 to 12/31/21) - Posted 04/27/2021 (ZIP)
• CY 2021.3 Main Frame Pricer Software - Posted 7/26/2021 (ZIP)
• CY 2021.2 Main Frame Pricer Software - Posted 3/19/2021 (ZIP)
• CY 2020.1 HH PC Pricing (30 DAY Version) for claims dated 01/01/20 to 12/30/20 - Posted 06/01/2020 (ZIP)
• CY 2020.0 HH PC Pricing (60 DAY Version) for claims spanning 01/01/2020 - Posted 05/04/2020 (ZIP)
• CY 2020.Y Main Frame Pricer Software (60 Day version – for claims spanning 1/1/2020 ) - Posted (06/10/2020) (ZIP)
• CY 2020.0 Main Frame Pricer Software (30 Day version - PDGM ) - Posted (02/21/2020) (ZIP)
• CY 2020.X Main Frame Pricer Software (60 Day version – for claims spanning 1/1/2020 ) - Posted (02/20/2020) (ZIP)
• HH PC Pricer Instructions - 2017 & Later 60 Day Versions (Updated 07/30/20) (PDF)
• HH PC Pricer Instructions - 30 day Versions (PDF)
• CY 2019 HH PC Pricer (for claims dated 01/01/19 to 12/31/19) - Posted 01/23/2019 (ZIP)
• CY 2019.0 Main Frame Pricer Software - Posted 02/20/2019 (ZIP)
• CY 2018 HH PC Pricing (for claims dated 01/01/18 to 12/31/18) - Posted 03/16/2018 (ZIP)
• CY 2018.1 Main Frame Pricer Software - Posted 07/16/2018 (ZIP)
• CY 2017 HH PC Pricer (for claims dated 01/01/2017 to 12/31/2017) - Posted 05/04/2017 (ZIP)
• CY 2017 Main Frame Pricer Software - Posted 02/13/2017 (ZIP)
• CY 2016 HH PC Pricing (for claims dated 01/01/16 to 12/31/16) - Posted 01/31/2018 (ZIP)
• CY 2016 Main Frame Pricer Software - Posted 01/28/2016 (ZIP)
• CY 2015 PC Pricer - Posted 03/08/2018 (ZIP)
• CY 2015 Main Frame Pricer Software - Posted 10/29/2015 (ZIP)
• CY 2014 Main Frame Pricer Software - Posted 02/07/2014 (ZIP)
• CY 2014 PC Pricer - Posted 03/07/2018 (ZIP)
• CY 2013 PC Pricer - Posted 05/17/2013 (ZIP)
• CY 2013 Main Frame Pricer Software - Posted 01/25/2013 (ZIP)
• CY 2012 PC Pricer - Posted 05/07/2013 (ZIP)
• CY 2011 HH PPS PC Pricer - Posted 03/22/2012 (ZIP)
• FY 2010.5 - Posted 05/05/2010 For claims from 04/01/2010 to 12/31/2010 (ZIP)
• FY 2010.A - Posted 07/30/2010 For claims from 01/01/2010 to 03/31/2010 (ZIP)
• CY 2009.4 PC Pricer - Posted 04/30/10 (ZIP)
• CY 2008.4 PC Pricer - Posted 04/30/10 (ZIP)
• CY 2002 to 2007 PC Pricer Archive - Posted 01/31/2012 (ZIP)

Hospice PPS PC Pricer

• Hospice PC Pricer User Instructions (PDF)
• FY 2022 HOSPICE PC Software (V22.0 effective 10/01/21 to 09/30/22) (ZIP) - Posted 04/22/2022
• FY 2021.1 HOSPICE PC Software (V21.1 effective 10/01/20 to 09/30/21) – Posted 03/25/2021 (ZIP)
• FY 2021.0 HOSPICE MF Software (V21.0 for claims dated 10/01/20 to 09/30/21) - Posted 11/17/2020 (ZIP)
• FY 2020.0 HOSPICE PC Pricing (V20.0 for claims dated 10/01/19 to 09/30/20) - Posted 09/10/2020 (ZIP)
• FY 2020.0 HOSPICE MF Software (V20.0 for claims dated 10/01/19 to 09/30/20) - Posted 04/02/2020 (ZIP)
• FY 2019.1 Hospice PC Pricing (V19.1 for claims dated 10/01/18 to 09/30/19) - Posted 03/20/2020 (ZIP)
• FY 2019 Hospice MF Software (V19.1 - effective 10/01/18) - Posted 10/16/2018 (ZIP)
• FY 2018 Hospice PC Pricing (for claims dated 10/01/17 to 09/30/18) - Posted 08/31/2018 (ZIP (ZIP))
• FY 2018 Hospice MF Software (V18.0 - effective 10/01/17) - Posted 11/28/2017 (ZIP)
• FY 2017 Hospice PC Pricing (for claims dated 10/01/16 to 09/30/17) - Posted 9/25/2017 (ZIP)
• FY 2017 Hospice MF Software (V17.0 - effective 10/01/16) - Posted 11/14/2016 (ZIP)
• FY 2016 Hospice PC Pricer (V16.2 for claims dated 10/01/15 to 09/30/16) - Posted 07/15/2016 (ZIP)
• FY 2016 Hospice MF Software (V16.2 - effective 01/01/16 ) - Posted 01/06/2016 (ZIP)
• FY 2016 Hospice PC Pricing (for claims dated 10/01/15 to 12/31/15) - Posted 12/18/2015 (ZIP)
• FY 2016 HOSPICE MF Software (V16.0 – effective 10/01/15) Posted 11/13/2015 (ZIP)
• FY 2015 HOSPICE Mainframe Pricing Software - Posted 11/05/2014 (ZIP)
• FY 2014 HOSPICE Mainframe Pricing Software - Posted 11/05/2013 (ZIP)
• FY 2013 Main Frame Pricer Software - Posted 12/11/2012 (ZIP)

Inpatient PPS PC Pricer

• IPPS Users Manual (updated 1/16/2020) (ZIP)
• FY2021.5 – (For claims 10/1/2020-9/30/2021) (ZIP) 
• FY2020.2 (For claims for 10/01/2019 to 09/30/20) (ZIP) - Updated 01/21/2021
• FY 2019.1 - (For claims for 10/01/2018 to 09/30/2019) - Updated 08/19/19 (ZIP)
• FY 2018.2 - (For claims from 10/01/2017 to 09/30/2018) - Updated 08/10/18 (ZIP)
• FY 2017.0 - (For claims from 10/01/2016 to 09/30/2017) - Updated 09/06/17 (ZIP)
• FY 2016.2 - (For claims from 10/01/2015 to 09/30/2016) - Updated 05/11/17 (ZIP)
• FY 2015.4 - (For claims from 10/01/2014 to 09/30/2015) - Updated 10/29/15 (ZIP)
• FY 2014.8 - (For claims from 10/01/2013 to 09/30/2014) - Updated 03/10/15 (ZIP)
• FY 2013.2 - (For claims from 10/01/2012 to 09/30/2013) - Updated 12/03/13 (ZIP)
• FY 2012.N - (For claims from 10/01/2011 to 09/30/2012) - Updated 10/23/13 (ZIP)
• FY 2012.2 - (For claims from 10/01/2011 to 09/30/2012) - Updated 08/20/12 (ZIP)
• FY 2011.3 – (For claims from 10/01/2010 to 09/30/2011) - Updated 03/22/12 (ZIP)
• FY 2010.7 – (For claims from 04/01/2010 to 09/30/2010) (ZIP)
• FY 2010.A – (For claims from 10/01/2009 to 03/31/2010) (ZIP)
• FY 2009.6 (ZIP)
• FY 2008.6 (ZIP)
• FY 2007.4 (ZIP)
• FY 2006.3 (ZIP)
• FY 2005 (ZIP)
• FY 2004 (ZIP)
• FY 2003 (ZIP)
• FY 2002 (ZIP)

Inpatient Psychiatric Facility (IPF) PPS PC Pricer

• IPF Users Manual (ZIP)
• FY2022.2 IPF Pricer Software (Updated 11/23/21) (ZIP)
• FY2021.0 IPF Pricer Software (Updated 01/05/21) (ZIP)
• FY2020.1 IPF Pricer Software (Updated 04/24/20) (ZIP)
• FY2019.0 Pricer Software (Updated 10/02/18) (ZIP)
• FY 2018 Pricer Software and IPF Files (ZIP)
• FY 2017 Pricer Software and IPF Files (ZIP)
• Inpatient Psych FY2021.0 (for claims dates from 10/01/20 to 09/30/21) - Posted 04/14/2021 (ZIP)
• Inpatient Psych FY2020.0 (for claims dates from 10/01/19 to 09/30/20) - Posted 07/14/2020 (ZIP)
• Inpatient Psych FY2019.0 (for claims dates from 10/01/18 to 09/30/19) - Posted 07/15/19
• Inpatient Psych FY2018.0 (for claims dates from 10/01/17 to 09/30/18) - Posted 07/17/18
• Inpatient Psych FY2017.0 (for claims dates from 10/01/16 to 09/30/17) - Posted 08/03/17 (ZIP)
• Inpatient Psych FY2016.0 (for claims dates from 10/01/15 to 09/30/16) - Posted 07/13/16 (ZIP)
• Inpatient Psych FY2015.0 (for claims dates from 10/01/14 to 09/30/15) - Posted 05/01/15 (ZIP)
• Inpatient Psych FY2014.0 (for claims dates from 10/01/13 to 09/30/14) - Posted 07/21/14 (ZIP)
• Inpatient Psych RY2013.0 (for claims dates from 10/01/12 to 09/30/13) - Posted 08/14/13 (ZIP)
• Inpatient Psych RY2012.0 (for claims dates from 10/01/11 to 09/30/12) – Posted 05/15/13 (ZIP)
• Inpatient Psych RY2012.A (for claims dates from 07/01/11 to 09/30/11) - Posted 12/01/11 (ZIP)
• Inpatient Psych RY2011.2 (for claims dates from 10/01/10 to 06/30/11) - Posted 09/09/11 (ZIP)
• Inpatient Psych RY2011.C (for claims dates from 07/01/10 to 09/30/10) - Posted 11/08/10 (ZIP)
• Inpatient Psych RY2010.A (for claims dates from 07/01/09 to 09/30/09) - Posted 04/28/10 (ZIP)
• Inpatient Psych RY2010.2 (for claims dates frim 10/01/09 to 06/30/10) - Posted 07/23/10 (ZIP)
• Inpatient Psych RY2009.4 (for claims dates from 10/01/08 to 06/30/09) - Posted 03/05/10 (ZIP)
• Inpatient Psych RY2009.A (for claims dates from 07/01/08 to 09/30/08) - Posted 03/05/10 (ZIP)
• Inpatient Psych RY2008.A, RY 2008.6 and RY 2007 (for claims dated for multiple years from 07/01/06 to 06/30/08) - Posted 09/01/11 (ZIP)

Inpatient Rehabilitation Facility (IRF) PPS PC Pricer

• IRF Users Manual (updated 12/18/2017) (PDF)  
• FY2020.0 IRF Pricer Software (Updated 11/05/19) (ZIP)
• FY2019.0 Pricer Software (Updated 10/02/18) (ZIP)
• FY2018.0 Pricer Software (Updated 10/30/17) (ZIP)
• FY2017.0 Pricer Software (Updated 10/20/16) (ZIP)
• Inpatient Rehab FY 2020 (for claims dates from 10/01/19 to 09/30/20) - Posted 04/16/2020 (ZIP) - Opens in a new window  
• Inpatient Rehab FY 2019 (for claims dates from 10/01/18 to 09/30/19) - Posted 07/16/2019  
• Inpatient Rehab FY 2018 (for claims dates from 10/01/17 to 09/30/18) - Posted 07/18/2018  
• Inpatient Rehab FY 2017 (for claims dates from 10/01/16 to 09/30/17) - Posted 08/02/2017 (ZIP)  
• Inpatient Rehab FY 2016 (for claims dates from 10/01/15 to 09/30/16) - Posted 07/14/2016 (ZIP)  
• Inpatient Rehab FY 2015 (for claims dates from 10/01/14 to 09/30/15) - Posted 06/29/16 (ZIP)  
• Inpatient Rehab FY 2014 (for claims dates from 10/01/13 to 09/30/14) - Posted 07/21/14 (ZIP)  
• Inpatient Rehab FY 2013 (for claims dates from 10/01/12 to 09/30/13) - Posted 12/04/13 (ZIP)  
• Inpatient Rehab FY 2012 (for claims dates from 10/01/11 to 09/30/12) - Posted 06/13/13 (ZIP)  
• Inpatient Rehab FY 2011 - Updated 12/03/2011 (ZIP)  
• Inpatient Rehab FY 2010 (ZIP)  
• Inpatient Rehab FY 2009 (ZIP)  
• Inpatient Rehab FY 2008 (ZIP)  
• Inpatient Rehab FY 2007 (ZIP)  
• Inpatient Rehab FY 2006.5 (ZIP)  
• Inpatient Rehab FY 2005 (ZIP)  

Long-Term Care Hospital (LTCH) PPS PC Pricer

• FY 2021 LTCH PC Pricer (ZIP) - Updated 04/30/2021
• FY 2021.2 LTCH Mainframe Pricing Programs (ZIP) - Posted 01/20/2021
• FY 2020 LTCH PC Pricer (ZIP) -  Posted 08/14/2020
• FY 2020.2 LTCH Mainframe Pricing Programs (ZIP) - Posted 04/24/2020  
• FY 2019 LTCH PC Pricer - Posted 09/26/19
• FY 2019.0 LTCH Mainframe Pricing Programs - Posted 11/16/2018 (ZIP)  
• FY 2018 LTCH PC Pricer– Posted 07/19/2018  
• FY 2018.3 LTCH Mainframe Pricing Programs - Posted 05/02/2018 (ZIP)  
• FY 2017 LTCH PC Pricer– Posted 09/26/2017 (ZIP)  
• FY 2017.0 LTCH Mainframe Pricing Programs - Posted 11/10/2016 (ZIP)  
• FY 2016 LTCH PC Pricer– Posted 07/01/2016 (ZIP)  
• FY 2016.1 LTCH Mainframe Pricing Programs – Posted 05/05/2016 (ZIP)  
• FY 2015 - Posted 08/20/2015 (ZIP)  
• FY 2015.2 LTCH Mainframe Pricing Programs – Posted 03/04/2015 (ZIP)  
• FY 2014 - Posted 08/27/2014 (ZIP)  
• FY 2014 LTCH Pricer Software Release (ZIP)  
• FY 2013 - Posted 09/30/2013 (ZIP)  
• FY 2013 LTCH Pricer Software Release (ZIP)  
• FY 2012 - Re-posted 08/17/2012 (ZIP)  
• FY 2011 - Re-posted 08/25/11 (ZIP)
• FY 2010 - Re-posted 07/30/10 (ZIP)
• FY 2009 - Re-posted 08/24/09 (ZIP)
• FY 2008 - Re-posted 09/23/08 (ZIP)
• FY 2007 - Re-posted 04/02/08 (ZIP)
• FY 2006 - Re-posted 07/25/06 (ZIP)
• FY 2005 (ZIP)
• FY 2004 (ZIP)

Skilled Nursing Facility (SNF) PPS PC Pricer

• Users Manual Eff. 10/01/2019 (PDF)
• Users Manual Eff. 10/01/2018 (PDF)
• Users Manual Eff. 10/01/2017 (PDF)
• Users Manual Eff. 10/01/2016 (PDF)
• Users Manual Eff. 10/01/2015 (PDF)
• Users Manual through 09/30/2015 (ZIP)
• FY 2021.0 SNF PDPM PC Pricing (V21.0 for claims dated 10/01/20 to 09/30/21) - Posted 05/05/2021 (ZIP)
• FY 2021.1 SNF PDPM MF Software (V21.1 effective 10/01/20 to 09/30/21) - Posted 02/08/21 (ZIP)
• FY 2020 SNF PDPM PC Pricing (V20.4 for claims dated 10/01/19 to 09/30/20) - Posted 01/13/2020 (ZIP)
• FY 2020.5 SNF PDPM MF Software (V20.5 effective 1/01/19 to 09/30/20) - Posted 01/29/21 (ZIP)
• FY 2019 SNF MF Software (V19.1 - effective 10/01/18) - Posted 10/16/2018 (ZIP)
• FY 2019 SNF PC Pricing (V19.2 for claims dated 10/01/18 to 09/30/19 - Posted 01/08/2020 (ZIP)
• FY 2018 SNF MF Software (V18.1 - effective 10/01/17) - Posted 01/19/2018 (ZIP)
• FY 2018 SNF PC Pricing (V18.2 for claims dated 10/01/17 to 09/30/18) - Posted 01/09/2020 (ZIP)
• FY 2017 SNF MF Software (V17.0 - effective 10/01/16) - Posted 11/14/2016 (ZIP)
• FY 2017 SNF PC Pricing (for claims dated 10/01/16 to 09/30/17) - Posted 10/20/2017 (ZIP)
• FY 2016 SNF Mainframe Pricing Programs - Posted 11/13/2015 (ZIP)
• FY 2016 SNF PC Pricing (for claims dated 10/01/15 to 09/30/16) - Posted 08/26/2016 (ZIP)
• FY 2015 SNF Mainframe Pricing Programs - Posted 11/04/2014 (ZIP)
• FY 2015 SNF PC Pricing (for claims dated 10/01/14 to 09/30/15) - Posted 07/13/2015 (ZIP)
• FY 2014 SNF Mainframe Pricing Programs - Posted 11/01/2013 (ZIP)
• FY 2014 SNF PC Pricing (for claims dated 10/01/13 to 09/30/14) - Posted 08/18/2014 (ZIP)
• FY 2013 SNF Main Frame Pricing Programs - Posted 12/11/2012 (ZIP)
• FY 2013 SNF PC Pricing (for claims dated 10/01/12 to 09/30/13) - Posted 07/12/2013 (ZIP)
• FY 2012 SNF PC Pricing (for claims dated 10/01/11 to 09/30/12) - Posted 07/17/2013 (ZIP)
• FY 2011.0 - Posted 09/08/11 (ZIP)
• FY 2010.2 - Posted 05/06/11 (ZIP)
• FY 2009.0 – Posted  02/02/10 (ZIP)
• FY 2008.2 - Posted 08/11/08 (ZIP)
• FY 2007 - Posted 8/2/07 (ZIP)
• FY 2006.2 - Posted 04/04/08 (ZIP)
• FY 2005 (ZIP)
• FY 2004 (ZIP)
• FY 2003 (ZIP)
• FY 2002 (ZIP)