CPT code 54150: Circumcision, device with regional block2026 Medicare rate & RVUs in Vallejo, CA
Reports circumcision performed with a clamp or other device and regional penile anesthesia, distinguishing it from surgical-excision techniques.
In Vallejo, CA, Medicare pays $177.66 for 54150 in the office and $88.29 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 54150 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 54150 covers
Code 54150 represents circumcision performed with a clamp or other circumcision device after regional penile anesthesia, typically a dorsal penile nerve or ring block. A physician, often a pediatrician, family physician, or urologist, may perform it in a newborn nursery, outpatient office, or procedure setting. The key distinction is the device-based technique with the specified regional block, rather than surgical excision of the foreskin.
Report one unit for the circumcision, documenting the device-based method and the regional block. The block is integral to the service described by this code. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When another procedure is performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Report a single circumcision rather than modifier 50. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Vallejo, CA compares for 54150
Across 109 of 109 payment localities, the office rate for 54150 runs from $136.50 in Arkansas to $191.37 in San Benito County, CA. Vallejo, CA pays $177.66. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Vallejo, CA · this page$177.66
- Bakersfield, CA · California$157.90−$19.76
- Chico, CA · California$157.19−$20.47
- El Centro, CA · California$157.23−$20.43
- Fresno, CA · California$157.19−$20.47
- Hanford, CA · California$157.19−$20.47
- Los Angeles, CA · California$166.85−$10.81
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $157.19 | $82.88 |
| Merced, CACalifornia | $157.19 | $82.88 |
| Modesto, CACalifornia | $157.19 | $82.88 |
| Napa, CACalifornia | $178.05 | $88.69 |
| Oxnard, CACalifornia | $165.64 | $85.49 |
| Redding, CACalifornia | $157.19 | $82.88 |
| Rest of CaliforniaCalifornia | $157.19 | $82.88 |
| Riverside, CACalifornia | $159.80 | $85.48 |
| Sacramento, CACalifornia | $163.87 | $85.02 |
| Salinas, CACalifornia | $163.23 | $84.65 |
| San Diego, CACalifornia | $166.26 | $85.17 |
| Marin County, CACalifornia | $187.20 | $91.59 |
| San Francisco, CACalifornia | $186.92 | $91.32 |
| San Benito County, CACalifornia | $191.37 | $93.60 |
| Santa Clara County, CACalifornia | $190.25 | $92.48 |
| San Luis Obispo, CACalifornia | $160.73 | $83.50 |
| Santa Cruz, CACalifornia | $167.22 | $84.84 |
| Santa Maria, CACalifornia | $163.62 | $84.57 |
| Santa Rosa, CACalifornia | $168.84 | $85.58 |
| Stockton, CACalifornia | $157.19 | $82.88 |
| Visalia, CACalifornia | $157.19 | $82.88 |
| Yuba City, CACalifornia | $157.19 | $82.88 |
| Washington, DC areaDistrict of Columbia | $170.84 | $90.97 |
| Miami, FLFlorida | $167.60 | $97.02 |
| Chicago, ILIllinois | $163.20 | $95.06 |
| Manhattan, NYNew York | $173.94 | $95.15 |
| AlaskaAlaska | $184.61 | $112.40 |
| AlabamaAlabama | $138.22 | $78.90 |
| ArkansasArkansas | $136.50 | $78.26 |
| ArizonaArizona | $148.27 | $82.57 |
| ColoradoColorado | $156.22 | $84.08 |
| ConnecticutConnecticut | $161.22 | $88.20 |
| DelawareDelaware | $150.49 | $83.50 |
| Fort Lauderdale, FLFlorida | $159.52 | $90.83 |
| Rest of FloridaFlorida | $152.39 | $87.57 |
| Atlanta, GAGeorgia | $155.09 | $86.20 |
| Rest of GeorgiaGeorgia | $144.64 | $84.16 |
| Hawaii, Guam, HIHawaii | $159.86 | $82.76 |
| IowaIowa | $140.16 | $78.12 |
| IdahoIdaho | $141.18 | $78.80 |
| East St. Louis, ILIllinois | $153.53 | $91.15 |
| Rest of IllinoisIllinois | $149.34 | $87.43 |
| Suburban Chicago, ILIllinois | $160.81 | $91.18 |
| IndianaIndiana | $141.86 | $79.00 |
| KansasKansas | $140.11 | $78.82 |
| KentuckyKentucky | $142.17 | $81.89 |
| New Orleans, LALouisiana | $148.22 | $84.41 |
| Rest of LouisianaLouisiana | $142.19 | $82.18 |
| Metropolitan Boston, MAMassachusetts | $169.57 | $88.61 |
| Rest of MassachusettsMassachusetts | $155.69 | $84.29 |
| Baltimore area, MDMaryland | $160.86 | $88.11 |
| Rest of MarylandMaryland | $152.92 | $84.30 |
| Rest of MaineMaine | $142.37 | $79.99 |
| Southern Maine, MEMaine | $148.28 | $81.08 |
| Detroit, MIMichigan | $154.60 | $89.17 |
| Rest of MichiganMichigan | $145.86 | $83.95 |
| MinnesotaMinnesota | $148.71 | $78.94 |
| Metropolitan Kansas City, MOMissouri | $146.78 | $83.11 |
| Metropolitan St. Louis, MOMissouri | $148.05 | $83.50 |
| Rest of MissouriMissouri | $140.43 | $81.98 |
| MississippiMississippi | $138.46 | $80.08 |
| MontanaMontana | $151.96 | $84.15 |
| North CarolinaNorth Carolina | $143.58 | $80.31 |
| North DakotaNorth Dakota | $147.21 | $79.41 |
| NebraskaNebraska | $140.66 | $78.08 |
| New HampshireNew Hampshire | $154.34 | $83.76 |
| Northern New JerseyNew Jersey | $169.56 | $90.91 |
| Rest of New JerseyNew Jersey | $162.78 | $88.74 |
| New MexicoNew Mexico | $146.77 | $84.59 |
| NevadaNevada | $150.72 | $82.85 |
| NYC suburbs and Long Island, NYNew York | $178.33 | $97.71 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $164.24 | $90.00 |
| Queens, NYNew York | $174.43 | $94.28 |
| Rest of New YorkNew York | $145.48 | $81.07 |
| OhioOhio | $144.89 | $82.98 |
| OklahomaOklahoma | $141.39 | $80.85 |
| Portland, OROregon | $160.03 | $84.70 |
| Rest of OregonOregon | $149.26 | $81.73 |
| Metropolitan Philadelphia, PAPennsylvania | $158.00 | $87.42 |
| Rest of PennsylvaniaPennsylvania | $144.80 | $82.55 |
| Puerto RicoPuerto Rico | $152.76 | $84.21 |
| Rhode IslandRhode Island | $154.99 | $84.95 |
| South CarolinaSouth Carolina | $144.53 | $81.88 |
| South DakotaSouth Dakota | $146.65 | $78.85 |
| TennesseeTennessee | $140.79 | $79.15 |
| Austin, TXTexas | $155.95 | $84.21 |
| Beaumont, TXTexas | $144.01 | $82.31 |
| Brazoria, TXTexas | $149.97 | $82.77 |
| Dallas, TXTexas | $151.06 | $83.53 |
| Fort Worth, TXTexas | $150.35 | $83.49 |
| Galveston, TXTexas | $150.51 | $83.19 |
| Houston, TXTexas | $154.91 | $87.58 |
| Rest of TexasTexas | $147.01 | $82.66 |
| UtahUtah | $146.23 | $82.49 |
| VirginiaVirginia | $148.22 | $81.57 |
| Virgin Islands, VIUnited States Virgin Islands | $152.76 | $84.21 |
| VermontVermont | $147.19 | $80.07 |
| Rest of WashingtonWashington | $155.22 | $83.82 |
| King County, WAWashington | $172.25 | $89.05 |
| WisconsinWisconsin | $142.98 | $78.02 |
| West VirginiaWest Virginia | $144.67 | $85.74 |
| WyomingWyoming | $149.89 | $82.09 |
54150 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$136.50
$184.61
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $184.61 | 1 |
| AL | $138.22 | 1 |
| AR | $136.50 | 1 |
| AZ | $148.27 | 1 |
| CA | $157.19–$191.37 | 29 |
| CO | $156.22 | 1 |
| CT | $161.22 | 1 |
| DC | $170.84 | 1 |
| DE | $150.49 | 1 |
| FL | $152.39–$167.60 | 3 |
| GA | $144.64–$155.09 | 2 |
| GU | $159.86 | 1 |
| HI | $159.86 | 1 |
| IA | $140.16 | 1 |
| ID | $141.18 | 1 |
| IL | $149.34–$163.20 | 4 |
| IN | $141.86 | 1 |
| KS | $140.11 | 1 |
| KY | $142.17 | 1 |
| LA | $142.19–$148.22 | 2 |
| MA | $155.69–$169.57 | 2 |
| MD | $152.92–$170.84 | 3 |
| ME | $142.37–$148.28 | 2 |
| MI | $145.86–$154.60 | 2 |
| MN | $148.71 | 1 |
| MO | $140.43–$148.05 | 3 |
| MS | $138.46 | 1 |
| MT | $151.96 | 1 |
| NC | $143.58 | 1 |
| ND | $147.21 | 1 |
| NE | $140.66 | 1 |
| NH | $154.34 | 1 |
| NJ | $162.78–$169.56 | 2 |
| NM | $146.77 | 1 |
| NV | $150.72 | 1 |
| NY | $145.48–$178.33 | 5 |
| OH | $144.89 | 1 |
| OK | $141.39 | 1 |
| OR | $149.26–$160.03 | 2 |
| PA | $144.80–$158.00 | 2 |
| PR | $152.76 | 1 |
| RI | $154.99 | 1 |
| SC | $144.53 | 1 |
| SD | $146.65 | 1 |
| TN | $140.79 | 1 |
| TX | $144.01–$155.95 | 8 |
| UT | $146.23 | 1 |
| VA | $148.22–$170.84 | 2 |
| VI | $152.76 | 1 |
| VT | $147.19 | 1 |
| WA | $155.22–$172.25 | 2 |
| WI | $142.98 | 1 |
| WV | $144.67 | 1 |
| WY | $149.89 | 1 |
How the 54150 rate is calculated
Each of 54150’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 54150
RVUs × geographic indexes × conversion factor
Work1.85
1.85 RVUs× 1.000 GPCI
Practice expense2.46
2.46 RVUs× 1.000 GPCI
Malpractice0.24
0.24 RVUs× 1.000 GPCI
Adjusted RVUs
4.5500
Conversion factor
$33.4009
Medicare rate
$151.97
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Vallejo, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,254
- Code
- 54150
- Physician work
- 1.85
- Practice expense
- 2.46
- Malpractice
- 0.24
GPCI2026.csv
33
- Locality
- Vallejo, CA
- Physician work
- 1.063
- Practice expense
- 1.318
- Malpractice
- 0.459
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.85 | × 1.063 | 1.9666 |
| Practice expense | 2.46 | × 1.318 | 3.2423 |
| Malpractice | 0.24 | × 0.459 | 0.1102 |
| Total RVUs | 5.3190 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Vallejo, CA$177.66
Office: (1.85 × 1.063 + 2.46 × 1.318 + 0.24 × 0.459) × $33.4009 = $177.66
Facility: (1.85 × 1.063 + 0.43 × 1.318 + 0.24 × 0.459) × $33.4009 = $88.29
Payment rules and modifiers for 54150
The CMS indicators that decide how 54150 is paid alongside other services.
CMS payment indicators · 54150
Circumcision, device with regional block
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
54150 without 51 · national office
$151.97
Circumcision, device with regional block
54150-51 · Second procedure: 50%
$75.99
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 54150 has changed in Vallejo, CA
54150 · Office / nonfacility
$177.66
Effective 2026-10-01
The base rate is $11.10 higher than on 2025-10-01, moving from $166.56 to $177.66 (6.7%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$166.56changed to$177.66
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.90 changed to 1.85
- Practice expense RVU 2.31 changed to 2.46
- Work GPCI 1.058 changed to 1.063
- Practice expense GPCI 1.310 changed to 1.318
- Malpractice GPCI 0.470 changed to 0.459
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$171.84changed to$166.56
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.32 changed to 2.31
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$169.03changed to$171.84
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$169.96changed to$169.03
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.29 changed to 2.32
- Malpractice RVU 0.25 changed to 0.24
- Work GPCI 1.051 changed to 1.058
- Practice expense GPCI 1.265 changed to 1.310
- Malpractice GPCI 0.487 changed to 0.470
January 1, 2023
RVU23A
$168.84changed to$169.96
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.27 changed to 2.29
- Work GPCI 1.044 changed to 1.051
- Practice expense GPCI 1.220 changed to 1.265
- Malpractice GPCI 0.504 changed to 0.487
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$173.22changed to$168.84
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.34 changed to 2.27
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$176.93changed to$173.22
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.25 changed to 2.34
- Work GPCI 1.049 changed to 1.044
- Practice expense GPCI 1.238 changed to 1.220
- Malpractice GPCI 0.496 changed to 0.504
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$179.69changed to$176.93
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.29 changed to 2.25
- Malpractice RVU 0.23 changed to 0.25
- Work GPCI 1.055 changed to 1.049
- Practice expense GPCI 1.256 changed to 1.238
- Malpractice GPCI 0.458 changed to 0.496
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$181.92changed to$179.69
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.34 changed to 2.29
- Malpractice RVU 0.24 changed to 0.23
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$180.47changed to$181.92
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 2.29 changed to 2.34
- Malpractice RVU 0.23 changed to 0.24
- Work GPCI 1.057 changed to 1.055
- Practice expense GPCI 1.271 changed to 1.256
- Malpractice GPCI 0.477 changed to 0.458
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$180.47
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $177.66 | $88.29 | RVU26D |
| 2026-07-01 | $177.66 | $88.29 | RVU26C |
| 2026-04-01 | $177.66 | $88.29 | RVU26B |
| 2026-01-01 | $177.66 | $88.29 | RVU26A |
| 2025-10-01 | $166.56 | $99.60 | RVU25D |
| 2025-07-01 | $166.56 | $99.60 | RVU25C |
| 2025-04-01 | $166.56 | $99.60 | RVU25B |
| 2025-01-01 | $166.56 | $99.60 | RVU25A |
| 2024-10-01 | $171.84 | $101.63 | RVU24D |
| 2024-07-01 | $171.84 | $101.63 | RVU24C |
| 2024-04-01 | $171.84 | $101.63 | RVU24B |
| 2024-03-09 | $171.84 | $101.63 | RVU24AR |
| 2024-01-01 | $169.03 | $99.97 | RVU24A |
| 2023-10-01 | $169.96 | $101.80 | RVU23D |
| 2023-07-01 | $169.96 | $101.80 | RVU23C |
| 2023-04-01 | $169.96 | $101.80 | RVU23B |
| 2023-01-01 | $169.96 | $101.80 | RVU23A |
| 2022-10-01 | $168.84 | $102.14 | RVU22D |
| 2022-07-01 | $168.84 | $102.14 | RVU22C |
| 2022-04-01 | $168.84 | $102.14 | RVU22B |
| 2022-01-01 | $168.84 | $102.14 | RVU22A |
| 2021-10-01 | $173.22 | $102.98 | RVU21D |
| 2021-07-01 | $173.22 | $102.98 | RVU21C |
| 2021-04-01 | $173.22 | $102.98 | RVU21B |
| 2021-01-01 | $173.22 | $102.98 | RVU21A |
| 2020-10-01 | $176.93 | $107.23 | RVU20D |
| 2020-07-01 | $176.93 | $107.23 | RVU20C |
| 2020-04-01 | $176.93 | $107.23 | RVU20B |
| 2020-01-01 | $176.93 | $107.23 | RVU20A |
| 2019-10-01 | $179.69 | $107.72 | RVU19D |
| 2019-07-01 | $179.69 | $107.72 | RVU19C |
| 2019-04-01 | $179.69 | $107.72 | RVU19B |
| 2019-01-01 | $179.69 | $107.72 | RVU19A |
| 2018-10-01 | $181.92 | $107.77 | RVU18D |
| 2018-07-01 | $181.92 | $107.77 | RVU18C |
| 2018-04-01 | $181.92 | $107.77 | RVU18B |
| 2018-01-01 | $181.92 | $107.77 | RVU18AR1 |
| 2017-10-01 | $180.47 | $107.94 | RVU17D |
| 2017-07-01 | $180.47 | $107.94 | RVU17C |
| 2017-04-01 | $180.47 | $107.94 | RVU17B |
| 2017-01-01 | $180.47 | $107.94 | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Vallejo, CA rate applies
Vallejo, CA is a Medicare payment area, not a city. Our Census mapping connects it to 11 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Vallejo
- Allendale
- Benicia
- Dixon
- Elmira
- Fairfield
- Green Valley
- Hartley
54150 billing questions
How does 54150 differ from 54160 or 54161?
54150 describes a clamp or other device technique with a regional penile block. Codes 54160 and 54161 describe surgical excision instead; the patient-age distinction separates those two codes.
Is the regional block separately reported with 54150?
The regional block is part of the service described by 54150. Document the block and the device-based circumcision technique.
How many units should be reported?
Report one unit for the circumcision. Modifier 50 is not appropriate for this single procedure.
What happens if another procedure is performed in the same session?
CMS pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the other procedure. Assistant-at-surgery payment requires documented medical necessity.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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