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CMS RVU26D · Effective 2026-10-01

37255 in Austin

Office / nonfacility

$529.92

Base rate per service

Facility setting

$134.14

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 37255 is $473.60—$56.32 lower than the $529.92 rate in Austin. Both use the same code, release and participation basis.

37255 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $529.92

  2. Beaumont

    $473.60

    $56.32 lower than Austin

  3. Brazoria

    $502.14

    $27.78 lower than Austin

  4. Dallas

    $506.02

    $23.90 lower than Austin

  5. Fort Worth

    $502.47

    $27.45 lower than Austin

  6. Galveston

    $504.05

    $25.87 lower than Austin

  7. Houston

    $517.05

    $12.87 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, 37255 ranges from $444.09 in Arkansas to $680.71 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 · 37255

    Office

    $488.04

    Facility

    $133.03

    $41.88 lower than Austin for the office setting.

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

    California · 37255

    Office

    $576.83

    Facility

    $134.28

    $46.91 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 37255

    Office

    $586.85

    Facility

    $146.17

    $56.93 higher than Austin for the office setting.

  • Miami

    Florida · 37255

    Office

    $562.12

    Facility

    $172.69

    $32.20 higher than Austin for the office setting.

  • Chicago

    Illinois · 37255

    Office

    $543.37

    Facility

    $167.41

    $13.45 higher than Austin for the office setting.

  • Manhattan

    New York · 37255

    Office

    $592.89

    Facility

    $158.20

    $62.97 higher than Austin for the office setting.

  • Alaska*

    Alaska · 37255

    Office

    $574.58

    Facility

    $176.18

    $44.66 higher than Austin for the office setting.

  • Alabama

    Alabama · 37255

    Office

    $451.48

    Facility

    $124.15

    $78.44 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 37255

    Office

    $444.09

    Facility

    $122.74

    $85.83 lower than Austin for the office setting.

  • Arizona

    Arizona · 37255

    Office

    $494.65

    Facility

    $132.15

    $35.27 lower than Austin for the office setting.

  • Bakersfield

    California · 37255

    Office

    $539.73

    Facility

    $129.73

    $9.81 higher than Austin for the office setting.

  • Chico

    California · 37255

    Office

    $537.80

    Facility

    $127.80

    $7.88 higher than Austin for the office setting.

  • El Centro

    California · 37255

    Office

    $537.92

    Facility

    $127.91

    $8.00 higher than Austin for the office setting.

  • Fresno

    California · 37255

    Office

    $537.80

    Facility

    $127.80

    $7.88 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 37255

    Office

    $537.80

    Facility

    $127.80

    $7.88 higher than Austin for the office setting.

  • Madera

    California · 37255

    Office

    $537.80

    Facility

    $127.80

    $7.88 higher than Austin for the office setting.

  • Merced

    California · 37255

    Office

    $537.80

    Facility

    $127.80

    $7.88 higher than Austin for the office setting.

  • Modesto

    California · 37255

    Office

    $537.80

    Facility

    $127.80

    $7.88 higher than Austin for the office setting.

  • Napa

    California · 37255

    Office

    $627.46

    Facility

    $134.41

    $97.54 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 37255

    Office

    $574.17

    Facility

    $132.00

    $44.25 higher than Austin for the office setting.

  • Redding

    California · 37255

    Office

    $537.80

    Facility

    $127.80

    $7.88 higher than Austin for the office setting.

  • Rest Of California

    California · 37255

    Office

    $537.80

    Facility

    $127.80

    $7.88 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 37255

    Office

    $545.42

    Facility

    $135.41

    $15.50 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 37255

    Office

    $565.57

    Facility

    $130.51

    $35.65 higher than Austin for the office setting.

  • Salinas

    California · 37255

    Office

    $563.53

    Facility

    $129.96

    $33.61 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 37255

    Office

    $577.85

    Facility

    $130.44

    $47.93 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 37255

    Office

    $665.03

    Facility

    $137.56

    $135.11 higher than Austin for the office setting.

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

    California · 37255

    Office

    $664.22

    Facility

    $136.75

    $134.30 higher than Austin for the office setting.

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

    California · 37255

    Office

    $680.71

    Facility

    $141.28

    $150.79 higher than Austin for the office setting.

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

    California · 37255

    Office

    $677.42

    Facility

    $137.98

    $147.50 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 37255

    Office

    $554.40

    Facility

    $128.31

    $24.48 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 37255

    Office

    $584.15

    Facility

    $129.63

    $54.23 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 37255

    Office

    $565.93

    Facility

    $129.74

    $36.01 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 37255

    Office

    $590.07

    Facility

    $130.69

    $60.15 higher than Austin for the office setting.

  • Stockton

    California · 37255

    Office

    $537.80

    Facility

    $127.80

    $7.88 higher than Austin for the office setting.

  • Vallejo

    California · 37255

    Office

    $626.30

    Facility

    $133.25

    $96.38 higher than Austin for the office setting.

  • Visalia

    California · 37255

    Office

    $537.80

    Facility

    $127.80

    $7.88 higher than Austin for the office setting.

  • Yuba City

    California · 37255

    Office

    $537.80

    Facility

    $127.80

    $7.88 higher than Austin for the office setting.

  • Colorado

    Colorado · 37255

    Office

    $530.75

    Facility

    $132.72

    $0.83 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 37255

    Office

    $546.75

    Facility

    $143.85

    $16.83 higher than Austin for the office setting.

  • Delaware

    Delaware · 37255

    Office

    $503.50

    Facility

    $133.90

    $26.42 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 37255

    Office

    $534.21

    Facility

    $155.26

    $4.29 higher than Austin for the office setting.

  • Rest Of Florida

    Florida · 37255

    Office

    $504.97

    Facility

    $147.34

    $24.95 lower than Austin for the office setting.

  • Atlanta

    Georgia · 37255

    Office

    $521.28

    Facility

    $141.20

    $8.64 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 37255

    Office

    $472.88

    Facility

    $139.20

    $57.04 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 37255

    Office

    $552.95

    Facility

    $127.61

    $23.03 higher than Austin for the office setting.

  • Iowa

    Iowa · 37255

    Office

    $462.91

    Facility

    $120.62

    $67.01 lower than Austin for the office setting.

  • Idaho

    Idaho · 37255

    Office

    $466.64

    Facility

    $122.48

    $63.28 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 37255

    Office

    $503.19

    Facility

    $159.03

    $26.73 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 37255

    Office

    $489.79

    Facility

    $148.25

    $40.13 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 37255

    Office

    $539.47

    Facility

    $155.28

    $9.55 higher than Austin for the office setting.

  • Indiana

    Indiana · 37255

    Office

    $469.66

    Facility

    $122.87

    $60.26 lower than Austin for the office setting.

  • Kansas

    Kansas · 37255

    Office

    $461.20

    Facility

    $123.02

    $68.72 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 37255

    Office

    $465.16

    Facility

    $132.59

    $64.76 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 37255

    Office

    $490.48

    Facility

    $138.46

    $39.44 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 37255

    Office

    $464.63

    Facility

    $133.56

    $65.29 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 37255

    Office

    $586.44

    Facility

    $139.77

    $56.52 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 37255

    Office

    $527.28

    Facility

    $133.37

    $2.64 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 37255

    Office

    $545.44

    Facility

    $144.04

    $15.52 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 37255

    Office

    $513.72

    Facility

    $135.14

    $16.20 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 37255

    Office

    $470.18

    Facility

    $126.02

    $59.74 lower than Austin for the office setting.

  • Southern Maine

    Maine · 37255

    Office

    $497.81

    Facility

    $127.08

    $32.11 lower than Austin for the office setting.

  • Detroit

    Michigan · 37255

    Office

    $512.79

    Facility

    $151.79

    $17.13 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 37255

    Office

    $479.50

    Facility

    $137.95

    $50.42 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 37255

    Office

    $504.53

    Facility

    $119.60

    $25.39 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 37255

    Office

    $485.93

    Facility

    $134.66

    $43.99 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 37255

    Office

    $491.55

    Facility

    $135.41

    $38.37 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 37255

    Office

    $456.13

    Facility

    $133.67

    $73.79 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 37255

    Office

    $450.17

    Facility

    $128.08

    $79.75 lower than Austin for the office setting.

  • Montana**

    Montana · 37255

    Office

    $509.98

    Facility

    $135.89

    $19.94 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 37255

    Office

    $475.60

    Facility

    $126.58

    $54.32 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 37255

    Office

    $495.95

    Facility

    $121.86

    $33.97 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 37255

    Office

    $465.55

    Facility

    $120.27

    $64.37 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 37255

    Office

    $522.90

    Facility

    $133.47

    $7.02 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 37255

    Office

    $579.74

    Facility

    $145.79

    $49.82 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 37255

    Office

    $551.86

    Facility

    $143.36

    $21.94 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 37255

    Office

    $482.75

    Facility

    $139.71

    $47.17 lower than Austin for the office setting.

  • Nevada**

    Nevada · 37255

    Office

    $506.46

    Facility

    $131.99

    $23.46 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 37255

    Office

    $609.74

    Facility

    $164.95

    $79.82 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 37255

    Office

    $556.20

    Facility

    $146.57

    $26.28 higher than Austin for the office setting.

  • Queens

    New York · 37255

    Office

    $597.20

    Facility

    $155.02

    $67.28 higher than Austin for the office setting.

  • Rest Of New York

    New York · 37255

    Office

    $483.68

    Facility

    $128.30

    $46.24 lower than Austin for the office setting.

  • Ohio

    Ohio · 37255

    Office

    $476.63

    Facility

    $135.09

    $53.29 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 37255

    Office

    $463.43

    Facility

    $129.37

    $66.49 lower than Austin for the office setting.

  • Portland

    Oregon · 37255

    Office

    $548.42

    Facility

    $132.81

    $18.50 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 37255

    Office

    $501.44

    Facility

    $128.85

    $28.48 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 37255

    Office

    $532.24

    Facility

    $142.82

    $2.32 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 37255

    Office

    $477.07

    Facility

    $133.65

    $52.85 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 37255

    Office

    $513.92

    Facility

    $135.72

    $16.00 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 37255

    Office

    $522.12

    Facility

    $135.68

    $7.80 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 37255

    Office

    $477.13

    Facility

    $131.47

    $52.79 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 37255

    Office

    $494.29

    Facility

    $120.20

    $35.63 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 37255

    Office

    $463.92

    Facility

    $123.87

    $66.00 lower than Austin for the office setting.

  • Utah

    Utah · 37255

    Office

    $484.45

    Facility

    $132.80

    $45.47 lower than Austin for the office setting.

  • Virginia

    Virginia · 37255

    Office

    $496.50

    Facility

    $128.77

    $33.42 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 37255

    Office

    $513.92

    Facility

    $135.72

    $16.00 lower than Austin for the office setting.

  • Vermont

    Vermont · 37255

    Office

    $494.46

    Facility

    $124.11

    $35.46 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 37255

    Office

    $526.13

    Facility

    $132.21

    $3.79 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 37255

    Office

    $598.35

    Facility

    $139.34

    $68.43 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 37255

    Office

    $477.40

    Facility

    $119.03

    $52.52 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 37255

    Office

    $469.67

    Facility

    $144.59

    $60.25 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 37255

    Office

    $503.87

    Facility

    $129.78

    $26.05 lower than Austin for the office setting.

See how rates vary across the country

37255 · 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.

$444.09

$609.26

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$574.581
AL$451.481
AR$444.091
AZ$494.651
CA$537.80–$680.7129
CO$530.751
CT$546.751
DC$586.851
DE$503.501
FL$504.97–$562.123
GA$472.88–$521.282
GU$552.951
HI$552.951
IA$462.911
ID$466.641
IL$489.79–$543.374
IN$469.661
KS$461.201
KY$465.161
LA$464.63–$490.482
MA$527.28–$586.442
MD$513.72–$586.853
ME$470.18–$497.812
MI$479.50–$512.792
MN$504.531
MO$456.13–$491.553
MS$450.171
MT$509.981
NC$475.601
ND$495.951
NE$465.551
NH$522.901
NJ$551.86–$579.742
NM$482.751
NV$506.461
NY$483.68–$609.745
OH$476.631
OK$463.431
OR$501.44–$548.422
PA$477.07–$532.242
PR$513.921
RI$522.121
SC$477.131
SD$494.291
TN$463.921
TX$473.60–$529.928
UT$484.451
VA$496.50–$586.852
VI$513.921
VT$494.461
WA$526.13–$598.352
WI$477.401
WV$469.671
WY$503.871

Explore 37255 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 37255 in Austin, the physician’s office rate is $529.92 and the facility-setting rate is $134.14: a difference of $395.78.

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 37255 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$582.91

$529.92 × 110% = $582.91

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 37255 in Austin.

PPRRVU2026_Oct_nonQPP.csv

4,614

Code
37255
Physician work
3.00
Practice expense
11.56
Malpractice
0.71

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 37255 in Austin
ComponentRVULocality factorAdjusted
Physician work3.00× 1.0023.0060
Practice expense11.56× 1.05812.2305
Malpractice0.71× 0.8860.6291
Total RVUs15.8655
Conversion factor× 33.4009

Office / nonfacility rate, Austin$529.92

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

Open 37255 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work31.002
Practice expense11.561.058
Malpractice0.710.886

(3 × 1.002 + 11.56 × 1.058 + 0.71 × 0.886) × $33.4009 = $529.92

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work31.002
Practice expense0.361.058
Malpractice0.710.886

(3 × 1.002 + 0.36 × 1.058 + 0.71 × 0.886) × $33.4009 = $134.14

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

37255 · Office / nonfacility

$529.92

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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

    No ratechanged to$529.92

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: No rate

    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$529.92$134.14RVU26D
2026-07-01$529.92$134.14RVU26C
2026-04-01$529.92$134.14RVU26B
2026-01-01$529.92$134.14RVU26A
2025-10-01Not in this releaseNot in this releaseRVU25D
2025-07-01Not in this releaseNot in this releaseRVU25C
2025-04-01Not in this releaseNot in this releaseRVU25B
2025-01-01Not in this releaseNot in this releaseRVU25A

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 37255PPRRVU2026_Oct_nonQPP.csv, line 4,614 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet