Medicare Pricing and Contract Management Solutions Made Easy

Most Accurate, Highly Secure and Lowest Cost Solutions on the Market

Why use CMSPricer to re-price and edit your Medicare claims?

No Set Up

Web-based with results returned in seconds priced at 100% of Medicare rates. Hand Key Entry or Auto Batch/EDI Uploads, Easy imports/exports. 

No Hassle

No contracts, No sales people…..pre-pay purchase with volume discounting and easy online payment processing.

Accurate

Frequent engine updates with latest CMS policies and rates to ensure accurate claims pricing. The CMS.Gov typically has a 3 month lag time and incomplete pricing results. We price all PPS types of Institutional and Professional claims including claim editing for Referenced Based pricing.

Security

No PHI or claims data stored. Utilizes contemporary cloud-based security, including EV SSL Certificate, 5HA2, and 2048 bit encryption (strongest on the market). Fully HIPAA and ANSI 837 version 5010 compliant. Every user has their secure login and account. 

Availability

As long as you have access to the Internet, you can run 24/7/365 securely *excluding short windows for system maintenance.

Our Clients

We serve Payers, PPOs, TPA’s, BPO’s, Self-Funded Employers and Auditing Firms.

New Users 5 Claims FREE no commitments

NO SOFTWARE TO INSTALL

NO COMPLEX CONTRACT TO SIGN

USA OWNED AND OPERATED

100% ON-SHORE RESOURCES

ACCURATE SaaS CLAIMS PROCESSING

EASY MANUAL, BATCH OR API Claims Integration Claims ENTRY

Why our clients value us:

Our latest blog update

How Automated Medicare Repricing and Contract Management Help Payers and Employers Save Time and Money

By pwsadmin | August 6, 2025

Managing Medicare repricing and contracts can be a daunting task for Payers, PPOs, TPA’s, BPO’s, Self-Funded Employers, and Auditing Firms. The traditional, manual processes not only take up valuable time but also introduce significant risks, such as delayed payments, overpayments, and downstream denials. That’s where CMSPricer comes in. Why Manual Medicare Repricing Doesn’t Work For…

Contract manager benefits overview

Eliminating Administrative Burdens: The Benefits of Automated Contract Management in Healthcare 

By pwsadmin | July 9, 2025

Do you recall the last time you had to sift through a mountain of binders or navigate a maze of spreadsheets just to verify a reimbursement rate? That unsettling feeling in your stomach? The hours wasted? The constant anxiety that an error could end up costing you thousands? If your healthcare organization is still handling…

Why CMSPricer Is the Smarter Choice for Medicare Repricing: Fast, Accurate, No Contracts

By pwsadmin | July 9, 2025

Accuracy and speed are essential in today’s fast-paced healthcare billing and payment environment. Payers, PPOs, TPAs, BPOs, self-funded employers, and auditing firms need a dependable Medicare CPT code reimbursement calculator now more than ever. CMSPricer is a SaaS tool that simplifies Medicare repricing, eliminating common friction, delays, and confusion. CMSPricer focuses on delivering simplicity and…