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New York Medicare Rates by City (2026)

Find the Medicare payment locality for any city or community in New York, then open its 2026 physician fee schedule rates by CPT code.

CMS RVU26DEffective Oct 1, 20265 payment localities

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Medicare pays by the payment locality where the service is performed.

On this page 4 sections
  1. Find a rate
  2. Rates by locality
  3. Cities
  4. Sources

Rates by payment locality

Medicare office and facility rates by payment locality
Payment locality99214992139711097530
Manhattan, NY$153.27Facility $93.89$107.63Facility $63.78$32.43Facility —$39.45Facility —
NYC suburbs and Long Island, NY$156.34Facility $95.58$109.76Facility $64.89$32.90Facility —$40.09Facility —
Poughkeepsie and northern NYC suburbs, NY$145.82Facility $89.86$102.41Facility $61.08$31.11Facility —$37.71Facility —
Queens, NY$153.94Facility $93.53$108.18Facility $63.56$32.66Facility —$39.81Facility —
Rest of New York$130.88Facility $82.33$91.86Facility $56.01$28.27Facility —$33.97Facility —

Examples are selected by 2024 national office/non-facility service volume among codes with supported current PFS rates. This is not a local or specialty utilization ranking. Amounts use the current release, not historical averages. See the utilization rankings

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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

Open CMS sourceHow we calculate rates

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