Outpatient Prospective Payment Systems (OPPS)

CMS generally makes payment for hospital outpatient department services through the Hospital Outpatient Prospective Payment System (OPPS).

CMS’ Medicare outpatient hospital payment rate does not adequately take into account the financial challenges facing hospitals today. These challenges are amplified for hospitals serving rural and underserved communities, many of which are already making hard decisions about how they will maintain…
The Centers for Medicare & Medicaid Services Nov. 4 issued a final rule that increases Medicare hospital outpatient prospective payment system rates by a net 2.3% in calendar year 2027 compared to 2026.
The AHA Aug. 28 shared concerns with the Centers for Medicare & Medicaid Services regarding the calendar year 2027 hospital outpatient prospective payment system and ambulatory surgical center payment system proposed rule, explaining why the proposed net payment update of 2.4% is not adequate…
The Centers for Medicare & Medicaid Services is seeking comments on its hospital outpatient prospective payment system proposed rule for calendar year 2027. Comments are due to CMS by Aug. 31. 
The Centers for Medicare & Medicaid Services (CMS) is seeking comments on its hospital outpatient prospective payment system proposed rule for calendar year 2027. Comments are due to CMS by Aug. 31.
AHA policy staff share updates on the calendar year 2027 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) proposed rules.
The Centers for Medicare & Medicaid Services (CMS) July 7 published its calendar year (CY) 2027 outpatient prospective payment system (PPS) and ambulatory surgical center (ASC) proposed rule.
OPPS Rate Comparison Tables -- Spreadsheets and Lookup Tool for 2027 Proposed Rule