FairBillCheck

Medicare's 109 payment localities for 2026

Medicare pays the same code differently depending on where the care was given. Each locality has three cost indices (work, practice expense, malpractice) that scale the national amount. Find yours by the state where you were treated.

StateLocalityWorkPractice expenseMalpractice
AlabamaAlabama1.0000.8750.566
AlaskaAlaska1.5001.0650.551
ArizonaArizona1.0000.9690.856
ArkansasArkansas1.0000.8590.515
CaliforniaBakersfield1.0191.0960.609
CaliforniaChico1.0171.0960.536
CaliforniaEl Centro1.0171.0960.541
CaliforniaFresno1.0171.0960.536
CaliforniaHanford-Corcoran1.0171.0960.536
CaliforniaLos Angeles-Long Beach-Anaheim (Los Angeles/Orange County)1.0411.1830.664
CaliforniaMadera1.0171.0960.536
CaliforniaMerced1.0171.0960.536
CaliforniaModesto1.0171.0960.536
CaliforniaNapa1.0631.3180.508
CaliforniaOxnard-Thousand Oaks-Ventura1.0281.1820.623
CaliforniaRedding1.0171.0960.536
CaliforniaRest of California1.0171.0960.536
CaliforniaRiverside-San Bernardino-Ontario1.0181.0960.853
CaliforniaSacramento-Roseville-Folsom1.0361.1630.536
CaliforniaSalinas1.0311.1590.536
CaliforniaSan Diego-Chula Vista-Carlsbad1.0301.1960.542
CaliforniaSan Francisco-Oakland-Berkeley (Marin County)1.0951.4100.459
CaliforniaSan Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa County)1.0951.4100.425
CaliforniaSan Jose-Sunnyvale-Santa Clara (San Benito County)1.1101.4420.536
CaliforniaSan Jose-Sunnyvale-Santa Clara (Santa Clara County)1.1101.4420.397
CaliforniaSan Luis Obispo-Paso Robles1.0171.1390.536
CaliforniaSanta Cruz-Watsonville1.0211.2150.536
CaliforniaSanta Maria-Santa Barbara1.0281.1660.536
CaliforniaSanta Rosa-Petaluma1.0301.2280.536
CaliforniaStockton1.0171.0960.536
CaliforniaVallejo1.0631.3180.459
CaliforniaVisalia1.0171.0960.536
CaliforniaYuba City1.0171.0960.536
ColoradoColorado1.0121.0640.781
ConnecticutConnecticut1.0201.0771.210
DelawareDelaware1.0050.9880.899
District of ColumbiaDC + MD/VA Suburbs1.0541.1781.113
FloridaFort Lauderdale1.0001.0131.808
FloridaMiami1.0001.0412.529
FloridaRest of Florida1.0000.9561.503
GeorgiaAtlanta1.0031.0161.201
GeorgiaRest of Georgia1.0000.8921.192
HawaiiHawaii, Guam1.0001.1370.579
IdahoIdaho1.0000.9200.473
IllinoisChicago1.0071.0052.295
IllinoisEast St. Louis1.0000.9202.014
IllinoisRest of Illinois1.0000.9131.563
IllinoisSuburban Chicago1.0071.0271.772
IndianaIndiana1.0000.9270.486
IowaIowa1.0000.9150.397
KansasKansas1.0000.9040.504
KentuckyKentucky1.0000.8890.915
LouisianaNew Orleans1.0000.9411.136
LouisianaRest of Louisiana1.0000.8850.958
MaineRest of Maine1.0000.9200.622
MaineSouthern Maine1.0000.9910.631
MarylandBaltimore/Surrounding Counties1.0161.0731.237
MarylandRest of Maryland1.0101.0120.918
MassachusettsMetropolitan Boston1.0411.1940.890
MassachusettsRest of Massachusetts1.0161.0530.797
MichiganDetroit1.0000.9651.686
MichiganRest of Michigan1.0000.9131.129
MinnesotaMinnesota1.0001.0290.296
MississippiMississippi1.0000.8610.739
MissouriMetropolitan Kansas City1.0000.9390.977
MissouriMetropolitan St. Louis1.0000.9521.002
MissouriRest of Missouri1.0000.8620.974
MontanaMontana1.0001.0000.998
NebraskaNebraska1.0000.9230.378
NevadaNevada1.0001.0010.833
New HampshireNew Hampshire1.0001.0410.875
New JerseyNorthern NJ1.0631.1601.068
New JerseyRest of New Jersey1.0401.0921.097
New MexicoNew Mexico1.0000.9171.201
New YorkManhattan1.0641.1621.586
New YorkNYC Suburbs/Long Island1.0641.1891.857
New YorkPoughkeepsie/Northern NYC Suburbs1.0451.0951.210
New YorkQueens1.0641.1821.442
New YorkRest of New York1.0000.9500.703
North CarolinaNorth Carolina1.0000.9330.639
North DakotaNorth Dakota1.0001.0000.406
OhioOhio1.0000.9131.008
OklahomaOklahoma1.0000.8930.777
OregonPortland1.0161.1110.744
OregonRest of Oregon1.0000.9960.703
PennsylvaniaMetropolitan Philadelphia1.0181.0411.193
PennsylvaniaRest of Pennsylvania1.0000.9180.945
Puerto RicoPuerto Rico1.0001.0110.985
Rhode IslandRhode Island1.0191.0330.892
South CarolinaSouth Carolina1.0000.9240.850
South DakotaSouth Dakota1.0001.0000.336
TennesseeTennessee1.0000.9090.537
TexasAustin1.0021.0580.886
TexasBeaumont1.0000.9100.929
TexasBrazoria1.0080.9910.780
TexasDallas1.0090.9960.858
TexasFort Worth1.0090.9860.871
TexasGalveston1.0080.9930.828
TexasHouston1.0080.9931.376
TexasRest of Texas1.0000.9490.903
U.S. Virgin IslandsVirgin Islands1.0001.0110.985
UtahUtah1.0000.9400.898
VermontVermont1.0000.9900.506
VirginiaVirginia1.0000.9830.706
WashingtonRest of Washington1.0131.0530.761
WashingtonSeattle (King County)1.0501.2270.817
West VirginiaWest Virginia1.0000.8691.431
WisconsinWisconsin1.0000.9580.308
WyomingWyoming1.0001.0000.740