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Solutions such as CGM APRIMA EHR and Practice Management and ARIA RCM Services use the GPCI and RVU values for each CPT® fee to calculate your Medicare fee schedule. This creates a simpler workflow for updating fees, modeling the impact of changes on practices, and automating charge entry.
The Medicare fee schedule can be replicated and modified for other agreements that utilize Medicare, including percentage or fixed adjustments for specific codes or ranges. We recommend visiting this page at the beginning of each quarter to check for any updates regarding the Conversion Factor or GPCIs. Depending on your system, the GPCI, charge, and RVU data may be automatically refreshed or conveniently downloaded to maintain up-to-date information. You can find guidance for updating CompuGroup Medical systems in your system's documentation.
Scroll down for the 2025 GPCI Value Table.
Addendum CY 2025 Geographic Practice Cost Indices (GPCIs) by State and Medicare Locality
| Medicare Admin Contractor (MAC) | State | Locality Number | Locality Name | 2025 PW GPCI (without 1.0 Floor) | 2025 PE GPCI | 2025 MP GPCI | 2025 ANESTHESIA CONVERSION FACTOR |
|---|---|---|---|---|---|---|---|
| 10112 | AL | 0 | ALABAMA | 0.978 | 0.869 | 0.575 | 18.97 |
| 2102 | AK | 1 | ALASKA* | 1.5 | 1.081 | 0.592 | 27.86 |
| 3102 | AZ | 0 | ARIZONA | 0.981 | 0.975 | 0.854 | 19.74 |
| 7102 | AR | 13 | ARKANSAS | 0.955 | 0.86 | 0.518 | 18.51 |
| 1112 | CA | 54 | BAKERSFIELD | 1.017 | 1.093 | 0.662 | 20.45 |
| 1112 | CA | 55 | CHICO | 1.014 | 1.093 | 0.56 | 20.27 |
| 1182 | CA | 71 | EL CENTRO | 1.014 | 1.093 | 0.57 | 20.28 |
| 1112 | CA | 56 | FRESNO | 1.014 | 1.093 | 0.56 | 20.27 |
| 1112 | CA | 57 | HANFORD-CORCORAN | 1.014 | 1.093 | 0.56 | 20.27 |
| 1182 | CA | 18 | LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | 1.042 | 1.194 | 0.69 | 21.22 |
| 1112 | CA | 58 | MADERA | 1.014 | 1.093 | 0.56 | 20.27 |
| 1112 | CA | 59 | MERCED | 1.014 | 1.093 | 0.56 | 20.27 |
| 1112 | CA | 60 | MODESTO | 1.014 | 1.093 | 0.56 | 20.27 |
| 1112 | CA | 51 | NAPA | 1.058 | 1.31 | 0.521 | 21.64 |
| 1182 | CA | 17 | OXNARD-THOUSAND OAKS-VENTURA | 1.026 | 1.183 | 0.651 | 20.88 |
| 1112 | CA | 61 | REDDING | 1.014 | 1.093 | 0.56 | 20.27 |
| 1112 | CA | 62 | RIVERSIDE-SAN BERNARDINO-ONTARIO | 1.014 | 1.093 | 0.892 | 20.71 |
| 1112 | CA | 63 | SACRAMENTO-ROSEVILLE-FOLSOM | 1.034 | 1.156 | 0.56 | 20.79 |
| 1112 | CA | 64 | SALINAS | 1.035 | 1.165 | 0.56 | 20.84 |
| 1182 | CA | 72 | SAN DIEGO-CHULA VISTA-CARLSBAD | 1.028 | 1.191 | 0.572 | 20.83 |
| 1112 | CA | 5 | SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) | 1.088 | 1.419 | 0.445 | 22.37 |
| 1112 | CA | 52 | SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) | 1.088 | 1.419 | 0.47 | 22.41 |
| 1112 | CA | 65 | SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) | 1.1 | 1.435 | 0.56 | 22.77 |
| 1182 | CA | 73 | SAN LUIS OBISPO-PASO ROBLES | 1.014 | 1.132 | 0.56 | 20.4 |
| 1112 | CA | 9 | SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) | 1.1 | 1.435 | 0.42 | 22.58 |
| 1112 | CA | 66 | SANTA CRUZ-WATSONVILLE | 1.017 | 1.209 | 0.56 | 20.71 |
| 1182 | CA | 74 | SANTA MARIA-SANTA BARBARA | 1.022 | 1.175 | 0.56 | 20.67 |
| 1112 | CA | 67 | SANTA ROSA-PETALUMA | 1.027 | 1.232 | 0.56 | 20.94 |
| 1112 | CA | 68 | STOCKTON | 1.014 | 1.093 | 0.56 | 20.27 |
| 1112 | CA | 53 | VALLEJO | 1.058 | 1.31 | 0.47 | 21.57 |
| 1112 | CA | 69 | VISALIA | 1.014 | 1.093 | 0.56 | 20.27 |
| 1112 | CA | 70 | YUBA CITY | 1.014 | 1.093 | 0.56 | 20.27 |
| 1112 | CA | 75 | REST OF CALIFORNIA | 1.014 | 1.093 | 0.56 | 20.27 |
| 4112 | CO | 1 | COLORADO | 1.008 | 1.053 | 0.827 | 20.39 |
| 13102 | CT | 0 | CONNECTICUT | 1.022 | 1.091 | 1.207 | 21.24 |
| 12202 | DC | 1 | DC + MD/VA SUBURBS | 1.057 | 1.192 | 1.168 | 22.08 |
| 12102 | DE | 1 | DELAWARE | 1.009 | 0.992 | 0.949 | 20.36 |
| 9102 | FL | 3 | FORT LAUDERDALE | 0.979 | 0.998 | 1.77 | 21 |
| 9102 | FL | 4 | MIAMI | 0.984 | 1.027 | 2.5 | 22.14 |
| 9102 | FL | 99 | REST OF FLORIDA | 0.969 | 0.94 | 1.467 | 20.25 |
| 10212 | GA | 1 | ATLANTA | 0.997 | 0.997 | 1.128 | 20.43 |
| 10212 | GA | 99 | REST OF GEORGIA | 0.968 | 0.883 | 1.125 | 19.59 |
| 1212 | HI | 1 | HAWAII, GUAM | 0.996 | 1.149 | 0.561 | 20.18 |
| 2202 | ID | 0 | IDAHO | 0.957 | 0.908 | 0.461 | 18.62 |
| 6102 | IL | 16 | CHICAGO | 1.007 | 1.023 | 2.018 | 21.85 |
| 6102 | IL | 12 | EAST ST. LOUIS | 0.98 | 0.918 | 1.784 | 20.76 |
| 6102 | IL | 15 | SUBURBAN CHICAGO | 1.007 | 1.048 | 1.556 | 21.32 |
| 6102 | IL | 99 | REST OF ILLINOIS | 0.972 | 0.912 | 1.381 | 20.09 |
| 8102 | IN | 0 | INDIANA | 0.973 | 0.922 | 0.485 | 18.95 |
| 5102 | IA | 0 | IOWA | 0.968 | 0.913 | 0.457 | 18.81 |
| 5202 | KS | 0 | KANSAS | 0.965 | 0.906 | 0.54 | 18.85 |
| 15102 | KY | 0 | KENTUCKY | 0.961 | 0.877 | 0.913 | 19.18 |
| 7202 | LA | 1 | NEW ORLEANS | 0.977 | 0.935 | 1.156 | 19.95 |
| 7202 | LA | 99 | REST OF LOUISIANA | 0.966 | 0.881 | 0.982 | 19.36 |
| 14112 | ME | 3 | SOUTHERN MAINE | 0.979 | 1.012 | 0.656 | 19.58 |
| 14112 | ME | 99 | REST OF MAINE | 0.963 | 0.913 | 0.65 | 18.98 |
| 12302 | MD | 1 | BALTIMORE/SURR. CNTYS | 1.02 | 1.078 | 1.309 | 21.3 |
| 12302 | MD | 99 | REST OF MARYLAND | 1.012 | 1.016 | 0.973 | 20.52 |
| 14212 | MA | 1 | METROPOLITAN BOSTON | 1.042 | 1.197 | 0.894 | 21.5 |
| 14212 | MA | 99 | REST OF MASSACHUSETTS | 1.017 | 1.061 | 0.796 | 20.52 |
| 8202 | MI | 1 | DETROIT | 1.003 | 0.986 | 1.718 | 21.27 |
| 8202 | MI | 99 | REST OF MICHIGAN | 0.975 | 0.911 | 1.173 | 19.86 |
| 6202 | MN | 0 | MINNESOTA | 0.996 | 1.025 | 0.3 | 19.42 |
| 7302 | MS | 0 | MISSISSIPPI | 0.95 | 0.852 | 0.768 | 18.73 |
| 5302 | MO | 2 | METROPOLITAN KANSAS CITY | 0.983 | 0.948 | 0.992 | 19.87 |
| 5302 | MO | 1 | METROPOLITAN ST. LOUIS | 0.982 | 0.952 | 0.994 | 19.87 |
| 5302 | MO | 99 | REST OF MISSOURI | 0.956 | 0.859 | 0.974 | 19.12 |
| 3202 | MT | 1 | MONTANA** | 0.963 | 1 | 0.978 | 19.71 |
| 5402 | NE | 0 | NEBRASKA | 0.971 | 0.917 | 0.304 | 18.67 |
| 1312 | NV | 0 | NEVADA** | 0.988 | 1 | 0.844 | 19.92 |
| 14312 | NH | 40 | NEW HAMPSHIRE | 0.993 | 1.034 | 0.898 | 20.19 |
| 12402 | NJ | 1 | NORTHERN NJ | 1.064 | 1.172 | 1.032 | 21.94 |
| 12402 | NJ | 99 | REST OF NEW JERSEY | 1.042 | 1.106 | 1.069 | 21.42 |
| 4212 | NM | 5 | NEW MEXICO | 0.975 | 0.908 | 1.172 | 19.84 |
| 13202 | NY | 1 | MANHATTAN | 1.065 | 1.166 | 1.656 | 22.76 |
| 13202 | NY | 2 | NYC SUBURBS/LONG ISLAND | 1.065 | 1.2 | 1.911 | 23.21 |
| 13202 | NY | 3 | POUGHKPSIE/N NYC SUBURBS | 1.046 | 1.106 | 1.269 | 21.75 |
| 13292 | NY | 4 | QUEENS | 1.065 | 1.195 | 1.462 | 22.6 |
| 13282 | NY | 99 | REST OF NEW YORK | 0.991 | 0.949 | 0.732 | 19.65 |
| 11502 | NC | 0 | NORTH CAROLINA | 0.983 | 0.926 | 0.665 | 19.36 |
| 3302 | ND | 1 | NORTH DAKOTA** | 0.979 | 1 | 0.517 | 19.35 |
| 15202 | OH | 0 | OHIO | 0.983 | 0.911 | 1.033 | 19.8 |
| 4312 | OK | 0 | OKLAHOMA | 0.965 | 0.891 | 0.813 | 19.16 |
| 2302 | OR | 1 | PORTLAND | 1.013 | 1.103 | 0.688 | 20.46 |
| 2302 | OR | 99 | REST OF OREGON | 0.978 | 0.986 | 0.643 | 19.46 |
| 12502 | PA | 1 | METROPOLITAN PHILADELPHIA | 1.024 | 1.053 | 1.177 | 21.11 |
| 12502 | PA | 99 | REST OF PENNSYLVANIA | 0.988 | 0.927 | 0.925 | 19.79 |
| 9202 | PR | 20 | PUERTO RICO | 0.998 | 1.007 | 0.982 | 20.29 |
| 14412 | RI | 1 | RHODE ISLAND | 1.025 | 1.039 | 0.849 | 20.64 |
| 11202 | SC | 1 | SOUTH CAROLINA | 0.972 | 0.913 | 0.817 | 19.35 |
| 3402 | SD | 2 | SOUTH DAKOTA** | 0.974 | 1 | 0.382 | 19.1 |
| 10312 | TN | 35 | TENNESSEE | 0.964 | 0.896 | 0.544 | 18.8 |
| 4412 | TX | 31 | AUSTIN | 0.998 | 1.046 | 0.914 | 20.33 |
| 4412 | TX | 20 | BEAUMONT | 0.985 | 0.903 | 0.947 | 19.69 |
| 4412 | TX | 9 | BRAZORIA | 1.014 | 1.006 | 0.795 | 20.29 |
| 4412 | TX | 11 | DALLAS | 1.011 | 1.007 | 0.877 | 20.35 |
| 4412 | TX | 28 | FORT WORTH | 1.011 | 0.998 | 0.902 | 20.35 |
| 4412 | TX | 15 | GALVESTON | 1.014 | 1 | 0.855 | 20.35 |
| 4412 | TX | 18 | HOUSTON | 1.014 | 1.003 | 1.409 | 21.09 |
| 4412 | TX | 99 | REST OF TEXAS | 0.986 | 0.945 | 0.934 | 19.83 |
| 3502 | UT | 9 | UTAH | 0.962 | 0.933 | 0.93 | 19.41 |
| 14512 | VT | 50 | VERMONT | 0.973 | 0.993 | 0.518 | 19.24 |
| 11302 | VA | 0 | VIRGINIA | 1.002 | 0.984 | 0.755 | 19.97 |
| 9202 | VI | 50 | VIRGIN ISLANDS | 0.998 | 1.007 | 0.982 | 20.29 |
| 2402 | WA | 2 | SEATTLE (KING CNTY) | 1.043 | 1.22 | 0.853 | 21.54 |
| 2402 | WA | 99 | REST OF WASHINGTON | 1.007 | 1.04 | 0.803 | 20.3 |
| 11402 | WV | 16 | WEST VIRGINIA | 0.961 | 0.862 | 1.333 | 19.68 |
| 6302 | WI | 0 | WISCONSIN | 0.985 | 0.957 | 0.331 | 19.05 |
| 3602 | WY | 21 | WYOMING** | 0.974 | 1 | 0.739 | 19.57 |
MAC Assignments as of October 26, 2022
*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:
