Hospice Aggregate Cap
A hospice's aggregate cap for the year.
Open the tool → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Cap year, federal fiscal year
- 2026
- Medicare beneficiaries for the cap year
- 100
- Medicare hospice payments for the cap year
- 3700000 USD
Result: Over the cap by $163,856.00: FY2026 cap $3,536,144.00 ($35,361.44 × 100) against payments of $3,700,000.00.
The tool opens with these values already filled in. Replace them with your own.
What you enter
- Cap year, federal fiscal year (blank for the current one)
- Medicare beneficiaries for the cap year (may be fractional)
- Counting method
- Medicare hospice payments for the cap year
How this is calculated
Citation
42 CFR 418.309: aggregate cap = cap amount × Medicare beneficiaries for the cap year (October 1 to September 30); 418.308: payments over it are refunded. Cap amount $35,361.44 for FY2026 and $36,174.75 for FY2027 (CMS-1851-F). Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.