CPT code 99304: Nursing facility care, initial, straightforward or low complexity2026 Medicare rate & RVUs in Aromas, California
CPT 99304: $85.78–$97.68 office ($74.17–$83.23 facility) across 2 localities in Aromas, CA in 2026 Medicare. Compare each area.
Medicare pays $85.78–$97.68 for 99304 in the office in Aromas, California, from Salinas, CA to San Benito County, CA. Which amount applies depends on the service address.
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 6 sections
Where 99304 pays more and less in Aromas, California
Aromas, California maps to 2 Medicare payment localities in our Census-to-CMS crosswalk. A city name alone doesn’t confirm an address’s payment area.
| Payment locality | Office | Facility |
|---|---|---|
| Salinas, CA | $85.78 | $74.17 |
| San Benito County, CA | $97.68 | $83.23 |
How payment areas work in Aromas
City limits and Medicare payment areas are different maps. These are the payment areas that cover the city’s counties; the service ZIP decides which one applies.
- Monterey · Monterey County
- San Benito · San Benito County
City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions
How the 99304 rate is calculated
Each of 99304’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 · 99304
RVUs × geographic indexes × conversion factor
Work1.50
1.50 RVUs× 1.000 GPCI
Practice expense0.84
0.84 RVUs× 1.000 GPCI
Malpractice0.09
0.09 RVUs× 1.000 GPCI
Adjusted RVUs
2.4300
Conversion factor
$33.4009
Medicare rate
$81.16
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 99304
99304 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 99304
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$81.16
- Non-facility (office)
- $81.16
- Facility
- $71.14
Higher because the practice carries its own overhead.
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
Fee sheets · Coming soon
Put 99304 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
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