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Using GPCI values in conjunction with the RVU values for each CPT® fee to automatically calculate your Medicare fee schedule, solutions such as CGM APRIMA EHR and Practice Management and ARIA RCM Services make it easy to update fees, model the impact of changes on practices, and automate charge entry.
The Medicare fee schedule can also be copied and adjusted for other contracts based on Medicare, such as percentage or fixed changes for all or ranges of codes. We advise that you check this page at the start of each quarter to see if there have been changes to the Conversion Factor or GPCIs. And depending upon your system, GPCI, charge, and RVU content is automatically updated or is easily downloaded to keep your data current. Instructions for updating CompuGroup Medical systems can be found in your system documentation.
Scroll down for the 2024 GPCI Value Table.
Addendum CY 2024 Geographic Practice Cost Indices (GPCIs) by State and Medicare Locality
| Medicare Admin Contractor (MAC) | State | Locality Number | Locality Name | 2024 PW GPCI (with 1.0 Floor) | 2024 PE GPCI | 2024 MP GPCI | 2024 ANES-THESIA CONVER-SION FACTOR |
|---|---|---|---|---|---|---|---|
| 10112 | AL | 00 | ALABAMA | 1.000 | 0.869 | 0.575 | 19.10 |
| 02102 | AK | 01 | ALASKA* | 1.500 | 1.081 | 0.592 | 20.26 |
| 03102 | AZ | 00 | ARIZONA | 1.000 | 0.975 | 0.854 | 19.86 |
| 07102 | AR | 13 | ARKANSAS | 1.000 | 0.860 | 0.518 | 18.63 |
| 01112 | CA | 54 | BAKERSFIELD | 1.017 | 1.093 | 0.662 | 22.49 |
| 01112 | CA | 55 | CHICO | 1.014 | 1.093 | 0.560 | 22.70 |
| 01182 | CA | 71 | EL CENTRO | 1.014 | 1.093 | 0.570 | 21.00 |
| 01112 | CA | 56 | FRESNO | 1.014 | 1.093 | 0.560 | 21.34 |
| 01112 | CA | 57 | HANFORD-CORCORAN | 1.014 | 1.093 | 0.560 | 21.14 |
| 01182 | CA | 18 | LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | 1.042 | 1.194 | 0.690 | 22.49 |
| 01112 | CA | 58 | MADERA | 1.014 | 1.093 | 0.560 | 21.15 |
| 01112 | CA | 59 | MERCED | 1.014 | 1.093 | 0.560 | 20.23 |
| 01112 | CA | 60 | MODESTO | 1.014 | 1.093 | 0.560 | 19.39 |
| 01112 | CA | 51 | NAPA | 1.058 | 1.310 | 0.521 | 19.55 |
| 01182 | CA | 17 | OXNARD-THOUSAND OAKS-VENTURA | 1.026 | 1.183 | 0.651 | 19.75 |
| 01112 | CA | 61 | REDDING | 1.014 | 1.093 | 0.560 | 19.37 |
| 01112 | CA | 62 | RIVERSIDE-SAN BERNARDINO-ONTARIO | 1.014 | 1.093 | 0.892 | 19.67 |
| 01112 | CA | 63 | SACRAMENTO-ROSEVILLE-FOLSOM | 1.034 | 1.156 | 0.560 | 19.85 |
| 01112 | CA | 64 | SALINAS | 1.035 | 1.165 | 0.560 | 19.57 |
| 01182 | CA | 72 | SAN DIEGO-CHULA VISTA-CARLSBAD | 1.028 | 1.191 | 0.572 | 20.75 |
| 01112 | CA | 05 | SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) | 1.088 | 1.419 | 0.445 | 20.84 |
| 01112 | CA | 52 | SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) | 1.088 | 1.419 | 0.470 | 20.74 |
| 01112 | CA | 65 | SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) | 1.100 | 1.435 | 0.560 | 22.70 |
| 01182 | CA | 73 | SAN LUIS OBISPO-PASO ROBLES | 1.014 | 1.132 | 0.560 | 20.57 |
| 01112 | CA | 09 | SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) | 1.100 | 1.435 | 0.420 | 20.95 |
| 01112 | CA | 66 | SANTA CRUZ-WATSONVILLE | 1.017 | 1.209 | 0.560 | 20.08 |
| 01182 | CA | 74 | SANTA MARIA-SANTA BARBARA | 1.022 | 1.175 | 0.560 | 19.45 |
| 01112 | CA | 67 | SANTA ROSA-PETALUMA | 1.027 | 1.232 | 0.560 | 19.59 |
| 01112 | CA | 68 | STOCKTON | 1.014 | 1.093 | 0.560 | 19.61 |
| 01112 | CA | 53 | VALLEJO | 1.058 | 1.310 | 0.470 | 20.95 |
| 01112 | CA | 69 | VISALIA | 1.014 | 1.093 | 0.560 | 20.17 |
| 01112 | CA | 70 | YUBA CITY | 1.014 | 1.093 | 0.560 | 20.70 |
| 01112 | CA | 75 | REST OF CALIFORNIA | 1.014 | 1.093 | 0.560 | 19.47 |
| 04112 | CO | 01 | COLORADO | 1.008 | 1.053 | 0.827 | 20.51 |
| 13102 | CT | 00 | CONNECTICUT | 1.022 | 1.091 | 1.207 | 21.35 |
| 12202 | DC | 01 | DC + MD/VA SUBURBS | 1.057 | 1.192 | 1.168 | 20.48 |
| 12102 | DE | 01 | DELAWARE | 1.009 | 0.992 | 0.949 | 22.19 |
| 09102 | FL | 03 | FORT LAUDERDALE | 1.000 | 0.998 | 1.770 | 21.10 |
| 09102 | FL | 04 | MIAMI | 1.000 | 1.027 | 2.500 | 22.23 |
| 09102 | FL | 99 | REST OF FLORIDA | 1.000 | 0.940 | 1.467 | 20.36 |
| 10212 | GA | 01 | ATLANTA | 1.000 | 0.997 | 1.128 | 20.54 |
| 10212 | GA | 99 | REST OF GEORGIA | 1.000 | 0.883 | 1.125 | 19.70 |
| 01212 | HI | 01 | HAWAII, GUAM | 1.000 | 1.149 | 0.561 | 20.29 |
| 02202 | ID | 00 | IDAHO | 1.000 | 0.908 | 0.461 | 18.75 |
| 06102 | IL | 16 | CHICAGO | 1.007 | 1.023 | 2.018 | 20.87 |
| 06102 | IL | 12 | EAST ST. LOUIS | 1.000 | 0.918 | 1.784 | 21.43 |
| 06102 | IL | 15 | SUBURBAN CHICAGO | 1.007 | 1.048 | 1.556 | 21.95 |
| 06102 | IL | 99 | REST OF ILLINOIS | 1.000 | 0.912 | 1.381 | 20.20 |
| 08102 | IN | 00 | INDIANA | 1.000 | 0.922 | 0.485 | 19.08 |
| 05102 | IA | 00 | IOWA | 1.000 | 0.913 | 0.457 | 18.93 |
| 05202 | KS | 00 | KANSAS | 1.000 | 0.906 | 0.540 | 18.97 |
| 15102 | KY | 00 | KENTUCKY | 1.000 | 0.877 | 0.913 | 19.30 |
| 07202 | LA | 01 | NEW ORLEANS | 1.000 | 0.935 | 1.156 | 20.06 |
| 07202 | LA | 99 | REST OF LOUISIANA | 1.000 | 0.881 | 0.982 | 19.48 |
| 14112 | ME | 03 | SOUTHERN MAINE | 1.000 | 1.012 | 0.656 | 19.69 |
| 14112 | ME | 99 | REST OF MAINE | 1.000 | 0.913 | 0.650 | 19.10 |
| 12302 | MD | 01 | BALTIMORE/SURR. CNTYS | 1.020 | 1.078 | 1.309 | 21.41 |
| 12302 | MD | 99 | REST OF MARYLAND | 1.012 | 1.016 | 0.973 | 20.64 |
| 14212 | MA | 01 | METROPOLITAN BOSTON | 1.042 | 1.197 | 0.894 | 21.61 |
| 14212 | MA | 99 | REST OF MASSACHUSETTS | 1.017 | 1.061 | 0.796 | 20.64 |
| 08202 | MI | 01 | DETROIT | 1.003 | 0.986 | 1.718 | 21.38 |
| 08202 | MI | 99 | REST OF MICHIGAN | 1.000 | 0.911 | 1.173 | 19.97 |
| 06202 | MN | 00 | MINNESOTA | 1.000 | 1.025 | 0.300 | 19.54 |
| 07302 | MS | 00 | MISSISSIPPI | 1.000 | 0.852 | 0.768 | 18.85 |
| 05302 | MO | 02 | METROPOLITAN KANSAS CITY | 1.000 | 0.948 | 0.992 | 19.98 |
| 05302 | MO | 01 | METROPOLITAN ST. LOUIS | 1.000 | 0.952 | 0.994 | 19.98 |
| 05302 | MO | 99 | REST OF MISSOURI | 1.000 | 0.859 | 0.974 | 19.24 |
| 03202 | MT | 01 | MONTANA** | 1.000 | 1.000 | 0.978 | 19.55 |
| 05402 | NE | 00 | NEBRASKA | 1.000 | 0.917 | 0.304 | 18.79 |
| 01312 | NV | 00 | NEVADA** | 1.000 | 1.000 | 0.844 | 20.02 |
| 14312 | NH | 40 | NEW HAMPSHIRE | 1.000 | 1.034 | 0.898 | 20.30 |
| 12402 | NJ | 01 | NORTHERN NJ | 1.064 | 1.172 | 1.032 | 22.06 |
| 12402 | NJ | 99 | REST OF NEW JERSEY | 1.042 | 1.106 | 1.069 | 21.54 |
| 04212 | NM | 05 | NEW MEXICO | 1.000 | 0.908 | 1.172 | 19.96 |
| 13202 | NY | 01 | MANHATTAN | 1.065 | 1.166 | 1.656 | 22.87 |
| 13202 | NY | 02 | NYC SUBURBS/LONG ISLAND | 1.065 | 1.200 | 1.911 | 23.32 |
| 13202 | NY | 03 | POUGHKPSIE/N NYC SUBURBS | 1.046 | 1.106 | 1.269 | 21.87 |
| 13292 | NY | 04 | QUEENS | 1.065 | 1.195 | 1.462 | 22.71 |
| 13282 | NY | 99 | REST OF NEW YORK | 1.000 | 0.949 | 0.732 | 19.77 |
| 11502 | NC | 00 | NORTH CAROLINA | 1.000 | 0.926 | 0.665 | 19.48 |
| 03302 | ND | 01 | NORTH DAKOTA** | 1.000 | 1.000 | 0.517 | 19.27 |
| 15202 | OH | 00 | OHIO | 1.000 | 0.911 | 1.033 | 19.91 |
| 04312 | OK | 00 | OKLAHOMA | 1.000 | 0.891 | 0.813 | 19.28 |
| 02302 | OR | 01 | PORTLAND | 1.013 | 1.103 | 0.688 | 20.57 |
| 02302 | OR | 99 | REST OF OREGON | 1.000 | 0.986 | 0.643 | 19.57 |
| 12502 | PA | 01 | METROPOLITAN PHILADELPHIA | 1.024 | 1.053 | 1.177 | 21.22 |
| 12502 | PA | 99 | REST OF PENNSYLVANIA | 1.000 | 0.927 | 0.925 | 19.91 |
| 09202 | PR | 20 | PUERTO RICO | 1.000 | 1.007 | 0.982 | 20.76 |
| 14412 | RI | 01 | RHODE ISLAND | 1.025 | 1.039 | 0.849 | 19.46 |
| 11202 | SC | 01 | SOUTH CAROLINA | 1.000 | 0.913 | 0.817 | 18.87 |
| 03402 | SD | 02 | SOUTH DAKOTA** | 1.000 | 1.000 | 0.382 | 18.92 |
| 10312 | TN | 35 | TENNESSEE | 1.000 | 0.896 | 0.544 | 20.41 |
| 04412 | TX | 31 | AUSTIN | 1.000 | 1.046 | 0.914 | 20.47 |
| 04412 | TX | 20 | BEAUMONT | 1.000 | 0.903 | 0.947 | 20.47 |
| 04412 | TX | 09 | BRAZORIA | 1.014 | 1.006 | 0.795 | 21.20 |
| 04412 | TX | 11 | DALLAS | 1.011 | 1.007 | 0.877 | 19.81 |
| 04412 | TX | 28 | FORT WORTH | 1.011 | 0.998 | 0.902 | 20.47 |
| 04412 | TX | 15 | GALVESTON | 1.014 | 1.000 | 0.855 | 20.44 |
| 04412 | TX | 18 | HOUSTON | 1.014 | 1.003 | 1.409 | 19.95 |
| 04412 | TX | 99 | REST OF TEXAS | 1.000 | 0.945 | 0.934 | 19.52 |
| 03502 | UT | 09 | UTAH | 1.000 | 0.933 | 0.930 | 19.35 |
| 14512 | VT | 50 | VERMONT | 1.000 | 0.993 | 0.518 | 20.09 |
| 11302 | VA | 00 | VIRGINIA | 1.002 | 0.984 | 0.755 | 21.65 |
| 09202 | VI | 50 | VIRGIN ISLANDS | 1.000 | 1.007 | 0.982 | 20.42 |
| 02402 | WA | 02 | SEATTLE (KING CNTY) | 1.043 | 1.220 | 0.853 | 19.80 |
| 02402 | WA | 99 | REST OF WASHINGTON | 1.007 | 1.040 | 0.803 | 19.18 |
| 11402 | WV | 16 | WEST VIRGINIA | 1.000 | 0.862 | 1.333 | 19.44 |
| 06302 | WI | 00 | WISCONSIN | 1.000 | 0.957 | 0.331 | 20.40 |
| 03602 | WY | 21 | WYOMING** | 1.000 | 1.000 | 0.739 | 20.40 |
*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.
**PE GPCI reflects a 1.0 floor for frontier states established by the ACA.
Note:
