FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

11643 in Austin

Office / nonfacility

$325.60

Base rate per service

Facility setting

$195.91

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 11643 is $297.82—$27.78 lower than the $325.60 rate in Austin. Both use the same code, release and participation basis.

11643 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $325.60

  2. Beaumont

    $297.82

    $27.78 lower than Austin

  3. Brazoria

    $311.99

    $13.61 lower than Austin

  4. Dallas

    $314.17

    $11.43 lower than Austin

  5. Fort Worth

    $312.46

    $13.14 lower than Austin

  6. Galveston

    $313.06

    $12.54 lower than Austin

  7. Houston

    $320.93

    $4.67 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 11643 ranges from $282.16 in Arkansas to $405.69 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 11643

    Office

    $304.87

    Facility

    $188.54

    $20.73 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 11643

    Office

    $350.55

    Facility

    $205.53

    $24.95 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 11643

    Office

    $357.49

    Facility

    $213.09

    $31.89 higher than Austin for the office setting.

  • Miami

    Florida · 11643

    Office

    $345.74

    Facility

    $218.13

    $20.14 higher than Austin for the office setting.

  • Chicago

    Illinois · 11643

    Office

    $336.30

    Facility

    $213.11

    $10.70 higher than Austin for the office setting.

  • Manhattan

    New York · 11643

    Office

    $362.35

    Facility

    $219.91

    $36.75 higher than Austin for the office setting.

  • Alaska*

    Alaska · 11643

    Office

    $377.51

    Facility

    $246.96

    $51.91 higher than Austin for the office setting.

  • Alabama

    Alabama · 11643

    Office

    $285.94

    Facility

    $178.68

    $39.66 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 11643

    Office

    $282.16

    Facility

    $176.87

    $43.44 lower than Austin for the office setting.

  • Arizona

    Arizona · 11643

    Office

    $308.00

    Facility

    $189.22

    $17.60 lower than Austin for the office setting.

  • Bakersfield

    California · 11643

    Office

    $330.75

    Facility

    $196.40

    $5.15 higher than Austin for the office setting.

  • Chico

    California · 11643

    Office

    $329.48

    Facility

    $195.13

    $3.88 higher than Austin for the office setting.

  • El Centro

    California · 11643

    Office

    $329.55

    Facility

    $195.20

    $3.95 higher than Austin for the office setting.

  • Fresno

    California · 11643

    Office

    $329.48

    Facility

    $195.13

    $3.88 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 11643

    Office

    $329.48

    Facility

    $195.13

    $3.88 higher than Austin for the office setting.

  • Madera

    California · 11643

    Office

    $329.48

    Facility

    $195.13

    $3.88 higher than Austin for the office setting.

  • Merced

    California · 11643

    Office

    $329.48

    Facility

    $195.13

    $3.88 higher than Austin for the office setting.

  • Modesto

    California · 11643

    Office

    $329.48

    Facility

    $195.13

    $3.88 higher than Austin for the office setting.

  • Napa

    California · 11643

    Office

    $376.46

    Facility

    $214.89

    $50.86 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 11643

    Office

    $348.32

    Facility

    $203.43

    $22.72 higher than Austin for the office setting.

  • Redding

    California · 11643

    Office

    $329.48

    Facility

    $195.13

    $3.88 higher than Austin for the office setting.

  • Rest Of California

    California · 11643

    Office

    $329.48

    Facility

    $195.13

    $3.88 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 11643

    Office

    $334.14

    Facility

    $199.79

    $8.54 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 11643

    Office

    $344.35

    Facility

    $201.78

    $18.75 higher than Austin for the office setting.

  • Salinas

    California · 11643

    Office

    $343.03

    Facility

    $200.96

    $17.43 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 11643

    Office

    $350.05

    Facility

    $203.44

    $24.45 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 11643

    Office

    $396.83

    Facility

    $223.99

    $71.23 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 11643

    Office

    $396.34

    Facility

    $223.50

    $70.74 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 11643

    Office

    $405.69

    Facility

    $228.93

    $80.09 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 11643

    Office

    $403.70

    Facility

    $226.93

    $78.10 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 11643

    Office

    $337.66

    Facility

    $198.04

    $12.06 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 11643

    Office

    $352.58

    Facility

    $203.64

    $26.98 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 11643

    Office

    $344.03

    Facility

    $201.10

    $18.43 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 11643

    Office

    $356.05

    Facility

    $205.52

    $30.45 higher than Austin for the office setting.

  • Stockton

    California · 11643

    Office

    $329.48

    Facility

    $195.13

    $3.88 higher than Austin for the office setting.

  • Vallejo

    California · 11643

    Office

    $375.75

    Facility

    $214.19

    $50.15 higher than Austin for the office setting.

  • Visalia

    California · 11643

    Office

    $329.48

    Facility

    $195.13

    $3.88 higher than Austin for the office setting.

  • Yuba City

    California · 11643

    Office

    $329.48

    Facility

    $195.13

    $3.88 higher than Austin for the office setting.

  • Colorado

    Colorado · 11643

    Office

    $326.35

    Facility

    $195.92

    $0.75 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 11643

    Office

    $335.87

    Facility

    $203.85

    $10.27 higher than Austin for the office setting.

  • Delaware

    Delaware · 11643

    Office

    $312.79

    Facility

    $191.68

    $12.81 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 11643

    Office

    $330.05

    Facility

    $205.88

    $4.45 higher than Austin for the office setting.

  • Rest Of Florida

    Florida · 11643

    Office

    $314.82

    Facility

    $197.63

    $10.78 lower than Austin for the office setting.

  • Atlanta

    Georgia · 11643

    Office

    $322.24

    Facility

    $197.70

    $3.36 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 11643

    Office

    $298.17

    Facility

    $188.83

    $27.43 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 11643

    Office

    $336.01

    Facility

    $196.63

    $10.41 higher than Austin for the office setting.

  • Iowa

    Iowa · 11643

    Office

    $291.13

    Facility

    $178.97

    $34.47 lower than Austin for the office setting.

  • Idaho

    Idaho · 11643

    Office

    $293.17

    Facility

    $180.40

    $32.43 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 11643

    Office

    $315.31

    Facility

    $202.53

    $10.29 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 11643

    Office

    $307.50

    Facility

    $195.58

    $18.10 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 11643

    Office

    $332.98

    Facility

    $207.09

    $7.38 higher than Austin for the office setting.

  • Indiana

    Indiana · 11643

    Office

    $294.69

    Facility

    $181.06

    $30.91 lower than Austin for the office setting.

  • Kansas

    Kansas · 11643

    Office

    $290.57

    Facility

    $179.76

    $35.03 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 11643

    Office

    $293.62

    Facility

    $184.64

    $31.98 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 11643

    Office

    $306.69

    Facility

    $191.34

    $18.91 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 11643

    Office

    $293.48

    Facility

    $184.99

    $32.12 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 11643

    Office

    $355.89

    Facility

    $209.53

    $30.29 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 11643

    Office

    $324.93

    Facility

    $195.85

    $0.67 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 11643

    Office

    $335.05

    Facility

    $203.52

    $9.45 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 11643

    Office

    $318.19

    Facility

    $194.14

    $7.41 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 11643

    Office

    $295.31

    Facility

    $182.54

    $30.29 lower than Austin for the office setting.

  • Southern Maine

    Maine · 11643

    Office

    $308.96

    Facility

    $187.48

    $16.64 lower than Austin for the office setting.

  • Detroit

    Michigan · 11643

    Office

    $319.16

    Facility

    $200.87

    $6.44 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 11643

    Office

    $301.26

    Facility

    $189.35

    $24.34 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 11643

    Office

    $311.38

    Facility

    $185.25

    $14.22 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 11643

    Office

    $304.03

    Facility

    $188.92

    $21.57 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 11643

    Office

    $306.86

    Facility

    $190.17

    $18.74 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 11643

    Office

    $289.33

    Facility

    $183.66

    $36.27 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 11643

    Office

    $285.76

    Facility

    $180.22

    $39.84 lower than Austin for the office setting.

  • Montana**

    Montana · 11643

    Office

    $315.94

    Facility

    $193.36

    $9.66 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 11643

    Office

    $298.03

    Facility

    $183.66

    $27.57 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 11643

    Office

    $307.44

    Facility

    $184.86

    $18.16 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 11643

    Office

    $292.38

    Facility

    $179.24

    $33.22 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 11643

    Office

    $321.98

    Facility

    $194.38

    $3.62 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 11643

    Office

    $354.42

    Facility

    $212.22

    $28.82 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 11643

    Office

    $339.33

    Facility

    $205.47

    $13.73 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 11643

    Office

    $303.06

    Facility

    $190.65

    $22.54 lower than Austin for the office setting.

  • Nevada**

    Nevada · 11643

    Office

    $313.76

    Facility

    $191.06

    $11.84 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 11643

    Office

    $371.38

    Facility

    $225.63

    $45.78 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 11643

    Office

    $342.08

    Facility

    $207.85

    $16.48 higher than Austin for the office setting.

  • Queens

    New York · 11643

    Office

    $364.09

    Facility

    $219.20

    $38.49 higher than Austin for the office setting.

  • Rest Of New York

    New York · 11643

    Office

    $302.19

    Facility

    $185.74

    $23.41 lower than Austin for the office setting.

  • Ohio

    Ohio · 11643

    Office

    $299.52

    Facility

    $187.61

    $26.08 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 11643

    Office

    $292.40

    Facility

    $182.93

    $33.20 lower than Austin for the office setting.

  • Portland

    Oregon · 11643

    Office

    $335.21

    Facility

    $199.02

    $9.61 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 11643

    Office

    $310.95

    Facility

    $188.85

    $14.65 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 11643

    Office

    $328.55

    Facility

    $200.95

    $2.95 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 11643

    Office

    $299.57

    Facility

    $187.04

    $26.03 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 11643

    Office

    $317.85

    Facility

    $193.92

    $7.75 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 11643

    Office

    $322.82

    Facility

    $196.19

    $2.78 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 11643

    Office

    $299.35

    Facility

    $186.08

    $26.25 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 11643

    Office

    $306.44

    Facility

    $183.85

    $19.16 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 11643

    Office

    $292.00

    Facility

    $180.57

    $33.60 lower than Austin for the office setting.

  • Utah

    Utah · 11643

    Office

    $303.08

    Facility

    $187.86

    $22.52 lower than Austin for the office setting.

  • Virginia

    Virginia · 11643

    Office

    $308.51

    Facility

    $188.02

    $17.09 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 11643

    Office

    $317.85

    Facility

    $193.92

    $7.75 lower than Austin for the office setting.

  • Vermont

    Vermont · 11643

    Office

    $306.97

    Facility

    $185.62

    $18.63 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 11643

    Office

    $324.08

    Facility

    $195.00

    $1.52 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 11643

    Office

    $362.12

    Facility

    $211.72

    $36.52 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 11643

    Office

    $298.04

    Facility

    $180.60

    $27.56 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 11643

    Office

    $297.22

    Facility

    $190.70

    $28.38 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 11643

    Office

    $312.24

    Facility

    $189.66

    $13.36 lower than Austin for the office setting.

See how rates vary across the country

11643 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$282.16

$377.51

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$377.511
AL$285.941
AR$282.161
AZ$308.001
CA$329.48–$405.6929
CO$326.351
CT$335.871
DC$357.491
DE$312.791
FL$314.82–$345.743
GA$298.17–$322.242
GU$336.011
HI$336.011
IA$291.131
ID$293.171
IL$307.50–$336.304
IN$294.691
KS$290.571
KY$293.621
LA$293.48–$306.692
MA$324.93–$355.892
MD$318.19–$357.493
ME$295.31–$308.962
MI$301.26–$319.162
MN$311.381
MO$289.33–$306.863
MS$285.761
MT$315.941
NC$298.031
ND$307.441
NE$292.381
NH$321.981
NJ$339.33–$354.422
NM$303.061
NV$313.761
NY$302.19–$371.385
OH$299.521
OK$292.401
OR$310.95–$335.212
PA$299.57–$328.552
PR$317.851
RI$322.821
SC$299.351
SD$306.441
TN$292.001
TX$297.82–$325.608
UT$303.081
VA$308.51–$357.492
VI$317.851
VT$306.971
WA$324.08–$362.122
WI$298.041
WV$297.221
WY$312.241

Explore 11643 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 11643 in Austin, the physician’s office rate is $325.60 and the facility-setting rate is $195.91: a difference of $129.69.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 11643 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$358.16

$325.60 × 110% = $358.16

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 11643 in Austin.

PPRRVU2026_Oct_nonQPP.csv

1,356

Code
11643
Physician work
3.33
Practice expense
5.70
Malpractice
0.43

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 11643 in Austin
ComponentRVULocality factorAdjusted
Physician work3.33× 1.0023.3367
Practice expense5.70× 1.0586.0306
Malpractice0.43× 0.8860.3810
Total RVUs9.7482
Conversion factor× 33.4009

Office / nonfacility rate, Austin$325.60

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 11643 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.331.002
Practice expense5.71.058
Malpractice0.430.886

(3.33 × 1.002 + 5.7 × 1.058 + 0.43 × 0.886) × $33.4009 = $325.60

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.331.002
Practice expense2.031.058
Malpractice0.430.886

(3.33 × 1.002 + 2.03 × 1.058 + 0.43 × 0.886) × $33.4009 = $195.91

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

11643 · Office / nonfacility

$325.60

Effective 2026-10-01

The base rate is $11.65 higher than on 2025-10-01, moving from $313.95 to $325.60 (3.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $313.95changed to$325.60

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.42 changed to 3.33
    • Practice expense RVU 5.59 changed to 5.70
    • Malpractice RVU 0.48 changed to 0.43
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $313.95

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$325.60$195.91RVU26D
2026-07-01$325.60$195.91RVU26C
2026-04-01$325.60$195.91RVU26B
2026-01-01$325.60$195.91RVU26A
2025-10-01$313.95$224.97RVU25D
2025-07-01$313.95$224.97RVU25C
2025-04-01$313.95$224.97RVU25B
2025-01-01$313.95$224.97RVU25A

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 11643PPRRVU2026_Oct_nonQPP.csv, line 1,356 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet