Reimbursement Calculator

This calculator includes two tabs: one for fee-for-service estimates and one for value-based cost savings. It helps you estimate how much your practice could earn by consistently billing for tobacco cessation services—or how much you might save under a value-based care model. Whether you’re in a fee-for-service or value-based setting, tobacco counseling supports better outcomes and cost control.

  1. Why This Matters
    Tobacco cessation improves patient health—and it pays off. When billed consistently, even brief counseling generates revenue in a fee-for-service model. In value-based contracts, the return on investment is even greater due to reductions in long-term care costs.

  2. How to Use This Tool
    To estimate your practice’s potential revenue, enter the number of adult ambulatory visits, local tobacco use prevalence, payor mix (Medicare/Medicaid/Commercial), and reimbursement rates for each.
    Shortcut: For a quick estimate, use the standard Medicare payment rate of $15.50 per counseling visit.

  3. Open the Estimator Tool

  • Try the Calculator (Google Sheet — View-Only)
    ✓ Input your numbers
    ✓ Formulas are locked
    ✓ Make a copy to use the tool freely

Make a copy to input your own data.