DMEPOS Fee Schedule
Medicare DMEThe Medicare fee schedule for DME, prosthetics, orthotics & supplies. Look up any HCPCS — the allowed fee varies by area, so we show the national average with the floor and ceiling. Check your own allowed amount against it. No PHI.
Most DME rates follow this fee schedule, not payer negotiation. The floor is the competitive-bid / lower-area rate; the ceiling is the rural / higher-area rate; the national average sits between. Capped-rental (CR) items pay a monthly amount. Commercial and Medicare Advantage plans negotiate separately.
Entered here only, never stored. No PHI.
Source: CMS DMEPOS fee schedule · public, updated quarterly · your actual area rate depends on your DMEPOS jurisdiction and any competitive-bid area. Commercial / Medicare Advantage negotiate separately. Modeled, never a guarantee.
Pair this with DME Radar — it scans your 835s for unit reductions and same-or-similar denials against exactly these fee-schedule amounts. Roll up every client NPI into one ranked book. Book a call to set up your whole-book roll-up.
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