2017 GPCI Value Table

The following table shows the GPCI values, by Medicare Carrier and Locality, CPT® Conversion Factor and Anesthesia Conversion Factor by Locality for 2017. eMDs Bill uses these in conjunction with the RVU values for each CPT® fee to automatically calculate your Medicare fee schedule. This fee schedule can also be copied and adjusted for other contracts based on Medicare. 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. You should also check the for updated RVU conversion files. Instructions for updating eMDs systems are at the bottom of this page.


Addendum E Final 2017 Geographic Practice Cost Indices (GPCIs) by State and Medicare Locality*

Locality Locality Name Work GPCI PE GPCI MP GPCI ANESTHESIA CF
00 ALABAMA 1.000 0.888 0.552 21.06
01 ALASKA** 1.500 1.112 0.710 30.69
00 ARIZONA 1.000 0.986 0.856 21.80
13 ARKANSAS 1.000 0.870 0.555 21.00
54 BAKERSFIELD, CA 1.024 1.079 0.610 22.19
55 CHICO, CA 1.024 1.079 0.610 >22.19
71 EL CENTRO, CA 1.024 1.079 0.610 22.19
56 FRESNO, CA 1.024 1.079 0.610 22.19
57 HANFORD-CORCORAN, CA 1.024 1.079 0.610 22.19
18 LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES CNTY), CA 1.047 1.169 0.801 23.17
26 LOS ANGELES-LONG BEACH-ANAHEIM (ORANGE CNTY), CA 1.041 1.197 0.801 23.08
58 MADERA, CA 1.024 1.079 0.610 22.19
59 MERCED, CA 1.024 1.079 0.610 22.19
60 MODESTO, CA 1.024 1.079 0.610 22.19
51 NAPA, CA 1.057 1.271 0.477 23.23
17 OXNARD-THOUSAND OAKS-VENTURA, CA 1.027 1.178 0.754 22.77
61 REDDING, CA 1.024 1.079 0.610 22.19
62 RIVERSIDE-SAN BERNARDINO-ONTARIO, CA 1.024 1.079 0.626 22.19
63 SACRAMENTO--ROSEVILLE--ARDEN-ARCADE, CA 1.024 1.080 0.610 22.19
64 SALINAS, CA 1.024 1.083 0.610 22.19
72 SAN DIEGO-CARLSBAD, CA 1.024 1.088 0.610 22.19
07 SAN FRANCISCO-OAKLAND-HAYWARD (ALAMEDA/CONTRA COSTA CNTY), CA 1.068 1.293 0.439 23.26
52 SAN FRANCISCO-OAKLAND-HAYWARD (MARIN CNTY), CA 1.058 1.271 0.477 23.23
05 SAN FRANCISCO-OAKLAND-HAYWARD (SAN FRANCISCO CNTY), CA 1.077 1.357 0.439 24.02
06 SAN FRANCISCO-OAKLAND-HAYWARD (SAN MATEO CNTY), CA 1.077 1.349 0.419 23.93
65 SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY), CA 1.031 1.121 0.610 22.19
09 SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY), CA 1.086 1.351 0.402 23.90
73 SAN LUIS OBISPO-PASO ROBLES-ARROYO GRANDE, CA 1.024 1.079 0.610 22.19
66 SANTA CRUZ-WATSONVILLE, CA 1.024 1.103 0.610 22.19
74 SANTA MARIA-SANTA BARBARA, CA 1.024 1.091 0.610 22.19
67 SANTA ROSA, CA 1.024 1.093 0.610 22.19
68 STOCKTON-LODI, CA  1.024 1.079 0.610 22.19
53 VALLEJO-FAIRFIELD, CA 1.057 1.271 0.477 23.23
69 VISALIA-PORTERVILLE, CA 1.024 1.079 0.610 22.19
70 YUBA CITY, CA 1.024 1.079 0.610 22.19
75 REST OF CALIFORNIA, CA 1.024 1.079 0.610 22.19
01 COLORADO 1.000 1.015 1.066 22.19
00 CONNECTICUT 1.023 1.117 1.244 23.17
01 DC + MD/VA SUBURBS 1.048 1.205 1.271 23.93
01 DELAWARE 1.010 1.025 1.101 22.44
03 FORT LAUDERDALE, FL  1.000 1.021 1.756 23.15
04 MIAMI, FL 1.000 1.031 2.528 24.24
99 REST OF FLORIDA 1.000 0.956 1.337 22.36
01 ATLANTA, GA 1.000 1.001 1.016 22.07
99 REST OF GEORGIA 1.000 0.899 0.989 21.69
01 HAWAII, GUAM 1.002 1.154 0.616 22.07
00 IDAHO 1.000 0.900 0.510 21.04
16 CHICAGO, IL 1.012 1.036 1.972 23.70
12 EAST ST. LOUIS, IL 1.000 0.935 1.835 22.97
15 SUBURBAN CHICAGO, IL 1.011 1.055 1.601 23.24
99 REST OF ILLINOIS 1.000 0.914 1.231 22.07
00 INDIANA 1.000 0.920 0.498 21.09
00 IOWA 1.000 0.902 0.458 20.98
00 KANSAS 1.000 0.907 0.639 21.24
00 KENTUCKY 1.000 0.876 0.807 21.37
01 NEW ORLEANS, LA 1.000 0.975 1.332 22.42
99 REST OF LOUISIANA 1.000 0.887 1.202 21.94
03 SOUTHERN MAINE 1.000 1.007 0.656 21.60
99 REST OF MAINE 1.000 0.920 0.656 21.31
01 BALTIMORE/SURR. CNTYS, MD 1.023 1.096 1.238 23.09
99 REST OF MARYLAND 1.012 1.035 1.027 22.41
01 METROPOLITAN BOSTON, MA 1.025 1.171 0.839 22.83
99 REST OF MASSACHUSETTS 1.019 1.067 0.839 22.38
01 DETROIT, MI 1.000 0.992 1.510 22.72
99 REST OF MICHIGAN 1.000 0.920 0.986 21.76
00 MINNESOTA 1.000 1.016 0.341 >21.20
00 MISSISSIPPI 1.000 0.867 0.492 20.91
02 METROPOLITAN KANSAS CITY, MO 1.000 0.958 1.049 21.97
01 METROPOLITAN ST. LOUIS, MO 1.000 0.957 1.039 21.95
99 REST OF MISSOURI 1.000 0.856 0.970 21.52
01 MONTANA*** 1.000 1.000 1.429 22.63
00 NEBRASKA 1.000 0.909 0.340 20.84
00 NEVADA*** 1.004 1.034 0.946 22.15
40 NEW HAMPSHIRE 1.000 1.052 0.962 22.17
01 NORTHERN NJ 1.041 1.181 1.014 23.38
99 REST OF NEW JERSEY 1.025 1.124 1.014 >22.91
05 NEW MEXICO 1.000 0.920 1.204 22.06
01 MANHATTAN, NY 1.052 1.174 1.690 24.47
02 NYC SUBURBS/LONG ISLAND, NY 1.044 1.207 2.182 25.12
03 POUGHKPSIE/N NYC SUBURBS, NY 1.013 1.072 1.399 23.06
04 QUEENS, NY 1.052 1.200 2.151 25.19
99 REST OF NEW YORK 1.000 0.948 0.678 21.43
00 NORTH CAROLINA 1.000 0.931 0.732 21.45
01 NORTH DAKOTA*** 1.000 1.000 0.547 21.43
00 OHIO 1.000 0.918 0.999 21.77
00 OKLAHOMA 1.000 0.882 0.900 21.51
01 PORTLAND, OR 1.008 1.052 0.746 22.01
99 REST OF OREGON 1.000 0.967 0.746 21.59
01 METROPOLITAN PHILADELPHIA, PA 1.022 1.081 1.322 23.14
99 REST OF PENNSYLVANIA 1.000 0.933 1.010 21.83
20 PUERTO RICO 1.000 0.856 0.642 21.07
01 RHODE ISLAND 1.025 1.052 0.879 22.49
01 SOUTH CAROLINA 1.000 0.912 0.634 21.25
02 SOUTH DAKOTA*** 1.000 1.000 0.395 21.22
35 TENNESSEE 1.000 0.900 0.525 21.06
31 AUSTIN, TX 1.000 1.020 0.757 21.78
20 BEAUMONT, TX 1.000 0.913 0.897 21.61
09 BRAZORIA, TX 1.020 0.994 0.897 22.23
11 DALLAS, TX 1.015 1.012 0.770 22.03
28 FORT WORTH, TX 1.006 0.991 0.760 21.79
15 GALVESTON, TX 1.020 1.012 0.897 22.29
18 HOUSTON, TX 1.020 1.009 0.946 22.35
99 REST OF TEXAS 1.000 0.929 0.809 21.55
09 UTAH 1.000 0.925 1.167 22.02
50 VERMONT 1.000 1.010 0.639 21.59
00 VIRGINIA 1.000 0.985 0.866 21.81
50 VIRGIN ISLANDS 1.000 1.006 0.993 22.06
02 SEATTLE (KING CNTY), WA 1.026 1.151 0.713 22.61
99 REST OF WASHINGTON 1.000 1.013 0.689 21.66
16 WEST VIRGINIA 1.000 0.847 1.289 21.93
00 WISCONSIN 1.000 0.956 0.457 21.16
21 WYOMING*** 1.000 1.000 1.050 22.11

2017 GPCIs reflect the first year of a two year update transition.

* January 1, 2017 through December 31, 2017, the Work GPCIs reflect a 1.0 floor as required by Section 201 of the MACRA of 2015.  
   The 1.0 Work GPCI floor expires on December 31, 2017, therefore the Work GPCIs for 2018 do not reflect a 1.0 floor.

**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.

Instructions

  • » Ensure you have the 2017 CPT® & HCPCS content update.
  • » Ensure you have the 2017 RVU update against the CPT® and HCPCS codes.
  • » Look up your Medicare locality in the Locality Name column. Make sure you distinguish between urban areas and rest of state areas.
  • » In eMDs Bill, click File >> Setup Options and type the GPCI values into the fields provided. Don't forget to use the decimal point. Note that the options are facility-specific, so be sure to set these based on the facility in which you are calculating fees. There is no Budget Neutrality Adjuster (BNA) for 2016 so leave the Data 1 field blank or set to 1.
  • » Enter the CPT® and Anesthesia Conversion Factors. The 2017 Physician Fee Schedule Conversion Factor is $35.8887 . The anesthesia CF for your locality can be found in the GPCI table. Click Save.
  • » Refer to Fee Schedules in the eMDs Bill User Guide for assistance with creating the Medicare and other fee schedules.