Estimated Payor Mix

CMS Estimated Payor Mix

A critical part of understanding what the CMS Reimbursement will be for Surgical NIOSH approved N95 Respirators to Hospitals and Surgery Centers is to know what the CMS Payor Mix. The Payor Mix listed below is from the most recent public information in 2021, this percentage will vary slightly from year to year. The formula to determine the Payor Mix for this Program is as follows: Outpatient Claim % + Inpatient Claim % = CMS Payor Mix