2019 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 2019. 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.


What Medicare Locality Am I In?

Addendum CY 2019 Geographic Practice Cost Indices (GPCIs) by State and Medicare Locality

Locality  Locality Name PW GPCI  PE GPCI MP GPCI ANESTHESIA CF
00 ALABAMA 1.000 0.890 0.492 21.20
01 ALASKA** 1.500 1.117 0.708 30.99
00 ARIZONA 1.000 0.971 0.834 21.95
13 ARKANSAS 1.000 0.872 0.576 21.25
54 BAKERSFIELD, CA 1.020 1.074 0.599 22.36
55 CHICO, CA 1.020 1.074 0.562 22.29
71 EL CENTRO, CA 1.020 1.074 0.567 22.30
56 FRESNO, CA 1.020 1.074 0.562 22.29
57 HANFORD-CORCORAN, CA 1.020 1.074 0.562 22.30
18 LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES CNTY), CA 1.046 1.177 0.694 23.28
26 LOS ANGELES-LONG BEACH-ANAHEIM (ORANGE CNTY), CA 1.046 1.177 0.694 23.28
58 MADERA, CA 1.020 1.074 0.562 22.29
59 MERCED, CA 1.020 1.074 0.562 22.29
60 MODESTO, CA 1.020 1.074 0.562 22.29
51 NAPA, CA 1.055 1.256 0.458 23.39
17 OXNARD-THOUSAND OAKS-VENTURA, CA 1.024 1.176 0.673 22.87
61 REDDING, CA 1.020 1.074 0.562 22.29
62 RIVERSIDE-SAN BERNARDINO-ONTARIO, CA 1.020 1.074 0.689 22.56
63 SACRAMENTO--ROSEVILLE--ARDEN-ARCADE, CA 1.025 1.086 0.562 22.47
64 SALINAS, CA 1.024 1.092 0.562 22.49
72 SAN DIEGO-CARLSBAD, CA 1.022 1.102 0.567 22.50
07 SAN FRANCISCO-OAKLAND-HAYWARD (ALAMEDA/CONTRA COSTA CNTY), CA 1.075 1.325 0.421 23.93
52 SAN FRANCISCO-OAKLAND-HAYWARD (MARIN CNTY), CA 1.062 1.279 0.458 23.69
05 SAN FRANCISCO-OAKLAND-HAYWARD (SAN FRANCISCO CNTY), CA 1.075 1.325 0.421 23.93
06 SAN FRANCISCO-OAKLAND-HAYWARD (SAN MATEO CNTY), CA 1.075 1.325 0.421 23.93
65 SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY), CA 1.041 1.167 0.562 23.34
09 SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY), CA 1.083 1.354 0.388 24.13
73 SAN LUIS OBISPO-PASO ROBLES-ARROYO GRANDE, CA 1.020 1.080 0.562 22.32
66 SANTA CRUZ-WATSONVILLE, CA 1.026 1.132 0.562 22.77
74 SANTA MARIA-SANTA BARBARA, CA 1.028 1.108 0.562 22.68
67 SANTA ROSA, CA 1.023 1.111 0.562 22.55
68 STOCKTON-LODI, CA  1.020 1.074 0.562 22.29
53 VALLEJO-FAIRFIELD, CA 1.055 1.256 0.458 23.39
69 VISALIA-PORTERVILLE, CA 1.020 1.074 0.562 22.29
70 YUBA CITY, CA 1.020 1.074 0.562 22.29
75 REST OF CALIFORNIA, CA 1.020 1.074 0.562 22.29
01 COLORADO 1.000 1.018 1.042 22.39
00 CONNECTICUT 1.021 1.112 1.255 23.38
01 DC + MD/VA SUBURBS 1.045 1.205 1.261 24.13
01 DELAWARE 1.007 1.019 1.119 22.62
03 FORT LAUDERDALE, FL  1.000 1.012 1.797 23.40
04 MIAMI, FL 1.000 1.029 2.566 24.50
99 REST OF FLORIDA 1.000 0.952 1.358 22.59
01 ATLANTA, GA 1.000 0.997 1.088 22.38
99 REST OF GEORGIA 1.000 0.899 1.073 22.02
01 HAWAII, GUAM 1.001 1.146 0.614 22.28
00 IDAHO 1.000 0.902 0.512 21.27
16 CHICAGO, IL 1.008 1.034 1.925 23.79
12 EAST ST. LOUIS, IL 1.000 0.936 1.785 23.11
15 SUBURBAN CHICAGO, IL 1.009 1.053 1.565 23.38
99 REST OF ILLINOIS 1.000 0.919 1.208 22.27
00 INDIANA 1.000 0.919 0.379 21.14
00 IOWA 1.000 0.907 0.423 21.16
00 KANSAS 1.000 0.911 0.615 21.44
00 KENTUCKY 1.000 0.880 0.819 21.60
01 NEW ORLEANS, LA 1.000 0.966 1.273 22.52
99 REST OF LOUISIANA 1.000 0.887 1.199 22.15
03 SOUTHERN MAINE 1.000 1.007 0.670 21.85
99 REST OF MAINE 1.000 0.922 0.670 21.55
01 BALTIMORE/SURR. CNTYS, MD 1.023 1.095 1.295 23.41
99 REST OF MARYLAND 1.009 1.033 1.082 22.66
01 METROPOLITAN BOSTON, MA 1.033 1.179 1.061 23.56
99 REST OF MASSACHUSETTS 1.020 1.067 1.061 22.94
01 DETROIT, MI 1.000 0.989 1.691 23.17
99 REST OF MICHIGAN 1.000 0.919 1.018 22.01
00 MINNESOTA 1.000 1.011 0.362 21.44
00 MISSISSIPPI 1.000 0.870 0.370 20.96
02 METROPOLITAN KANSAS CITY, MO 1.000 0.963 1.073 22.24
01 METROPOLITAN ST. LOUIS, MO 1.000 0.959 1.053 22.20
99 REST OF MISSOURI 1.000 0.863 0.993 21.78
01 MONTANA*** 1.000 1.000 1.631 23.13
00 NEBRASKA 1.000 0.910 0.318 21.03
00 NEVADA*** 1.002 1.017 0.909 22.24
40 NEW HAMPSHIRE 1.000 1.045 1.050 22.50
01 NORTHERN NJ 1.041 1.180 0.938 23.54
99 REST OF NEW JERSEY 1.024 1.123 0.938 23.04
05 NEW MEXICO 1.000 0.921 1.247 22.33
01 MANHATTAN, NY 1.052 1.180 1.615 24.65
02 NYC SUBURBS/LONG ISLAND, NY 1.041 1.205 2.149 25.27
03 POUGHKPSIE/N NYC SUBURBS, NY 1.016 1.070 1.313 23.22
04 QUEENS, NY 1.052 1.200 2.121 25.40
99 REST OF NEW YORK 1.000 0.950 0.595 21.55
00 NORTH CAROLINA 1.000 0.931 0.695 21.62
01 NORTH DAKOTA*** 1.000 1.000 0.540 21.65
00 OHIO 1.000 0.917 1.005 21.99
00 OKLAHOMA 1.000 0.891 0.954 21.83
01 PORTLAND, OR 1.010 1.054 0.783 22.34
99 REST OF OREGON 1.000 0.967 0.783 21.86
01 METROPOLITAN PHILADELPHIA, PA 1.022 1.074 1.379 23.43
99 REST OF PENNSYLVANIA 1.000 0.936 1.033 22.09
20 PUERTO RICO 1.000 1.007 0.990 22.28
01 RHODE ISLAND 1.027 1.050 0.999 22.92
01 SOUTH CAROLINA 1.000 0.912 0.553 21.36
02 SOUTH DAKOTA*** 1.000 1.000 0.389 21.44
35 TENNESSEE 1.000 0.901 0.526 21.28
31 AUSTIN, TX 1.000 1.021 0.747 22.00
20 BEAUMONT, TX 1.000 0.924 0.839 21.79
09 BRAZORIA, TX 1.020 0.997 0.839 22.39
11 DALLAS, TX 1.012 1.014 0.768 22.22
28 FORT WORTH, TX 1.007 0.986 0.747 22.00
15 GALVESTON, TX 1.020 1.011 0.839 22.44
18 HOUSTON, TX 1.020 1.012 0.936 22.58
99 REST OF TEXAS 1.000 0.938 0.796 21.78
09 UTAH 1.000 0.927 1.165 22.24
50 VERMONT 1.000 1.015 0.595 21.78
00 VIRGINIA 1.000 0.986 0.908 22.10
50 VIRGIN ISLANDS 1.000 1.007 0.990 22.28
02 SEATTLE (KING CNTY), WA 1.027 1.146 0.931 23.16
99 REST OF WASHINGTON 1.000 1.011 0.902 22.18
16 WEST VIRGINIA 1.000 0.857 1.296 22.17
00 WISCONSIN 1.000 0.957 0.347 21.23
21 WYOMING*** 1.000 1.000 0.880 22.11

**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 2019 CPT® & HCPCS content update.
  • » Ensure you have the 2019 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 2019 Physician Fee Schedule Conversion Factor is $36.0391 . The anesthesia CF for your locality can be found in the 2019 GPCI Medicare table. Click Save.
  • » Refer to Fee Schedules in the eMDs Bill User Guide for assistance with creating the Medicare and other fee schedules.