Freemium Exhibit | Cutler Court Associates

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§1

Facility Value Per Case

National-average Medicare payment by site of service, CY2026 vs. CY2027 proposed. Shown as a range reflecting typical hospital-to-hospital variation nationally (roughly the middle 50% of U.S. hospitals by wage index). This is just an estimate. The paid version has more exact numbers to use for negotiation, built from your own hospital's wage index instead of a national range.

Site of Service	Procedure	CY2026 Range	CY2027 Range	Typical Δ

Your annual TJA case volume

Site of Service	Est. Annual Facility Value, CY2026	Est. Annual Facility Value, CY2027

Estimate, not an offer. National averages only, not specific to any hospital. DRG 469/470 figures exclude IME, DSH, uncompensated care, and outlier payments, which are hospital-specific and only available in the paid edition.

§2

wRVU Per Case, CY2026 vs. CY2027

CMS's proposed CY2027 rule cuts work RVUs for TKA and THA. Enter your own $/wRVU rate to see the dollar impact per case.

Your $/wRVU rate $/wRVU

Procedure	wRVU CY2026	wRVU CY2027	Δ wRVU	$ Impact/Case

CY2026 work RVU is a single blended figure in this model (not yet split by procedure); CY2027 is CMS's proposed procedure-specific value. Estimate, not an offer.

§3

Surgeon Share of Total Episode Payment

Matches AAHKS's published methodology: Surgeon Share = Surgeon Professional Fee ÷ (Surgeon Professional Fee + Facility Fee), both at national-average Medicare rates. Percentages only. See the disclaimer above for why dollar figures aren't the point of this argument.

Procedure	Facility Fee Type	Share CY2026	Share CY2027	Δ (pts)

Estimate, not an offer. National-average facility fees; your specific hospital's share will differ.

§4

Employed vs. Collections-Based Compensation

Two common physician compensation models, compared at your own case volume and assumptions.

Annual TJA case volume

Patients seen in office per week

Weeks worked per year

Employed model: $/wRVU rate $/wRVU

Collections-based model: % of collections %

Collections-based model: payer mix multiplier × Medicare

Ancillary income (optional, collections-based only, your own estimate) $/yr

Model	Component	Annual Comp, CY2026	Annual Comp, CY2027	Δ

Each TJA case assumes 2 post-op office visits, which are bundled into the surgical global period (not separately billable) but still occupy office schedule slots. Those slots are backed out of your weekly office volume before counting billable E/M encounters. Collections-based model = national-average Medicare RVU × conversion factor × your payer mix multiplier (1.3× approximates a typical commercial/Medicare blend; adjust to your own practice) × your chosen % share. Ancillary income (ASC ownership, imaging, DME, PT, etc.) isn't calculated. It's practice-specific and depends on ownership/buy-in status, not CMS payment data, and doesn't apply to the Employed model since ancillary ownership distributions are a private-practice/partnership structure, not something a W-2 employed physician typically holds. Enter your own figure if applicable. Estimate, not an offer.

§5

Get Your One-Page Summary

Enter your info to receive a one-page summary of the figures above by email, plus occasional updates on CY2027 rule developments.

Have an access code? Full, hospital-specific precision is available to AAHKS committee/leadership and paying subscribers only: your own wage index, IME, DSH, and payer mix, not national averages.