2018 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 2018. 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 2018 Geographic Practice Cost Indices (GPCIs) by State and Medicare Locality*

Locality  Locality Name PW GPCI  PE GPCI MP GPCI ANESTHESIA CF
00 ALABAMA 0.979 0.890 0.492 20.76
01 ALASKA** 1.500 1.117 0.708 30.89
00 ARIZONA 0.980 0.971 0.834 21.52
13 ARKANSAS 0.971 0.872 0.576 20.67
54 BAKERSFIELD, CA 1.020 1.074 0.599 22.25
55 CHICO, CA 1.020 1.074 0.562 22.20
71 EL CENTRO, CA 1.020 1.074 0.567 22.21
56 FRESNO, CA 1.020 1.074 0.562 22.20
57 HANFORD-CORCORAN, CA 1.020 1.074 0.562 22.20
18 LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES CNTY), CA 1.046 1.177 0.694 23.19
26 LOS ANGELES-LONG BEACH-ANAHEIM (ORANGE CNTY), CA 1.046 1.177 0.694 23.19
58 MADERA, CA 1.020 1.074 0.562 22.20
59 MERCED, CA 1.020 1.074 0.562 22.20
60 MODESTO, CA 1.020 1.074 0.562 22.20
51 NAPA, CA 1.055 1.256 0.458 23.30
17 OXNARD-THOUSAND OAKS-VENTURA, CA 1.024 1.176 0.673 22.77
61 REDDING, CA 1.020 1.074 0.562 22.20
62 RIVERSIDE-SAN BERNARDINO-ONTARIO, CA 1.020 1.074 0.689 22.37
63 SACRAMENTO--ROSEVILLE--ARDEN-ARCADE, CA 1.025 1.086 0.562 22.33
64 SALINAS, CA 1.024 1.092 0.562 22.33
72 SAN DIEGO-CARLSBAD, CA 1.022 1.102 0.567 22.34
07 SAN FRANCISCO-OAKLAND-HAYWARD (ALAMEDA/CONTRA COSTA CNTY), CA 1.075 1.325 0.421 23.83
52 SAN FRANCISCO-OAKLAND-HAYWARD (MARIN CNTY), CA 1.062 1.279 0.458 23.50
05 SAN FRANCISCO-OAKLAND-HAYWARD (SAN FRANCISCO CNTY), CA 1.075 1.325 0.421 23.83
06 SAN FRANCISCO-OAKLAND-HAYWARD (SAN MATEO CNTY), CA 1.075 1.325 0.421 23.83
65 SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY), CA 1.041 1.167 0.562 22.89
09 SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY), CA 1.083 1.354 0.388 24.03
73 SAN LUIS OBISPO-PASO ROBLES-ARROYO GRANDE, CA 1.020 1.080 0.562 22.22
66 SANTA CRUZ-WATSONVILLE, CA 1.026 1.132 0.562 22.50
74 SANTA MARIA-SANTA BARBARA, CA 1.028 1.108 0.562 22.46
67 SANTA ROSA, CA 1.023 1.111 0.562 22.38
68 STOCKTON-LODI, CA  1.020 1.074 0.562 22.20
53 VALLEJO-FAIRFIELD, CA 1.055 1.256 0.458 23.30
69 VISALIA-PORTERVILLE, CA 1.020 1.074 0.562 22.20
70 YUBA CITY, CA 1.020 1.074 0.562 22.20
75 REST OF CALIFORNIA, CA 1.020 1.074 0.562 22.20
01 COLORADO 0.996 1.018 1.042 22.24
00 CONNECTICUT 1.021 1.112 1.255 23.29
01 DC + MD/VA SUBURBS 1.045 1.205 1.261 24.03
01 DELAWARE 1.007 1.019 1.119 22.54
03 FORT LAUDERDALE, FL  0.983 1.012 1.797 23.01
04 MIAMI, FL 0.990 1.029 2.566 24.23
99 REST OF FLORIDA 0.975 0.952 1.358 22.07
01 ATLANTA, GA 0.998 0.997 1.088 22.26
99 REST OF GEORGIA 0.980 0.899 1.073 21.59
01 HAWAII, GUAM 1.001 1.146 0.614 22.19
00 IDAHO 0.962 0.902 0.512 20.53
16 CHICAGO, IL 1.008 1.034 1.925 23.70
12 EAST ST. LOUIS, IL 0.984 0.936 1.785 22.75
15 SUBURBAN CHICAGO, IL 1.009 1.053 1.565 23.29
99 REST OF ILLINOIS 0.982 0.919 1.208 21.88
00 INDIANA 0.969 0.919 0.379 20.53
00 IOWA 0.969 0.907 0.423 20.55
00 KANSAS 0.966 0.911 0.615 20.77
00 KENTUCKY 0.974 0.880 0.819 21.08
01 NEW ORLEANS, LA 0.987 0.966 1.273 22.21
99 REST OF LOUISIANA 0.977 0.887 1.199 21.67
03 SOUTHERN MAINE 0.980 1.007 0.670 21.42
99 REST OF MAINE 0.970 0.922 0.670 20.95
01 BALTIMORE/SURR. CNTYS, MD 1.023 1.095 1.295 23.32
99 REST OF MARYLAND 1.009 1.033 1.082 22.57
01 METROPOLITAN BOSTON, MA 1.033 1.179 1.061 23.46
99 REST OF MASSACHUSETTS 1.020 1.067 1.061 22.85
01 DETROIT, MI 1.000 0.989 1.691 23.09
99 REST OF MICHIGAN 0.978 0.919 1.018 21.55
00 MINNESOTA 0.998 1.011 0.362 21.33
00 MISSISSIPPI 0.961 0.870 0.370 20.21
02 METROPOLITAN KANSAS CITY, MO 0.984 0.963 1.073 21.88
01 METROPOLITAN ST. LOUIS, MO 0.985 0.959 1.053 21.86
99 REST OF MISSOURI 0.961 0.863 0.993 21.03
01 MONTANA*** 0.965 1.000 1.631 22.43
00 NEBRASKA 0.970 0.910 0.318 20.43
00 NEVADA*** 1.002 1.017 0.909 22.16
40 NEW HAMPSHIRE 0.991 1.045 1.050 22.26
01 NORTHERN NJ 1.041 1.180 0.938 23.44
99 REST OF NEW JERSEY 1.024 1.123 0.938 22.95
05 NEW MEXICO 0.982 0.921 1.247 21.94
01 MANHATTAN, NY 1.052 1.180 1.615 24.55
02 NYC SUBURBS/LONG ISLAND, NY 1.041 1.205 2.149 25.17
03 POUGHKPSIE/N NYC SUBURBS, NY 1.016 1.070 1.313 23.13
04 QUEENS, NY 1.052 1.200 2.121 25.30
99 REST OF NEW YORK 0.987 0.950 0.595 21.24
00 NORTH CAROLINA 0.975 0.931 0.695 21.10
01 NORTH DAKOTA*** 0.978 1.000 0.540 21.18
00 OHIO 0.990 0.917 1.005 21.73
00 OKLAHOMA 0.961 0.891 0.954 21.07
01 PORTLAND, OR 1.010 1.054 0.783 22.26
99 REST OF OREGON 0.991 0.967 0.783 21.62
01 METROPOLITAN PHILADELPHIA, PA 1.022 1.074 1.379 23.34
99 REST OF PENNSYLVANIA 0.990 0.936 1.033 21.84
20 PUERTO RICO 0.998 1.007 0.990 22.16
01 RHODE ISLAND 1.027 1.050 0.999 22.83
01 SOUTH CAROLINA 0.977 0.912 0.553 20.88
02 SOUTH DAKOTA*** 0.961 1.000 0.389 20.68
35 TENNESSEE 0.976 0.901 0.526 20.79
31 AUSTIN, TX 0.994 1.021 0.747 21.81
20 BEAUMONT, TX 0.985 0.924 0.839 21.45
09 BRAZORIA, TX 1.020 0.997 0.839 22.31
11 DALLAS, TX 1.012 1.014 0.768 22.13
28 FORT WORTH, TX 1.007 0.986 0.747 21.92
15 GALVESTON, TX 1.020 1.011 0.839 22.36
18 HOUSTON, TX 1.020 1.012 0.936 22.49
99 REST OF TEXAS 0.990 0.938 0.796 21.52
09 UTAH 0.980 0.927 1.165 21.81
50 VERMONT 0.979 1.015 0.595 21.33
00 VIRGINIA 0.992 0.986 0.908 21.88
50 VIRGIN ISLANDS 0.998 1.007 0.990 22.16
02 SEATTLE (KING CNTY), WA 1.027 1.146 0.931 23.07
99 REST OF WASHINGTON 0.997 1.011 0.902 22.04
16 WEST VIRGINIA 0.966 0.857 1.296 21.50
00 WISCONSIN 0.983 0.957 0.347 20.86
21 WYOMING*** 0.983 1.000 0.880 21.73

* January 1, 2018 through December 31, 2018, the Work GPCIs reflect a 1.0 floor as required by Section 201 of the MACRA of 2015.  2018 GPCIs reflect the first year of a two year update transition.

   The 1.0 Work GPCI floor expires on December 31, 2018, 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 2018 CPT® & HCPCS content update.
  • » Ensure you have the 2018 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 2018 Physician Fee Schedule Conversion Factor is $35.9996 . 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.