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CMS RVU26D · Effective 2026-10-01

42650 in El Centro

Office / nonfacility

$80.18

Base rate per service

Facility setting

$54.55

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 El Centro compare?

In Bakersfield, the office rate for 42650 is $80.48—$0.30 higher than the $80.18 rate in El Centro. Both use the same code, release and participation basis.

42650 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $80.18

  2. Bakersfield

    $80.48

    $0.30 higher than El Centro

  3. Chico

    $80.16

    $0.02 lower than El Centro

  4. Fresno

    $80.16

    $0.02 lower than El Centro

  5. Hanford-Corcoran

    $80.16

    $0.02 lower than El Centro

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $85.42

    $5.24 higher than El Centro

  7. Madera

    $80.16

    $0.02 lower than El Centro

Other payment areas listed in California 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, 42650 ranges from $68.26 in Arkansas to $99.13 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

  • Merced

    California · 42650

    Office

    $80.16

    Facility

    $54.54

    $0.02 lower than El Centro for the office setting.

  • Modesto

    California · 42650

    Office

    $80.16

    Facility

    $54.54

    $0.02 lower than El Centro for the office setting.

  • Napa

    California · 42650

    Office

    $91.89

    Facility

    $61.07

    $11.71 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 42650

    Office

    $84.89

    Facility

    $57.26

    $4.71 higher than El Centro for the office setting.

  • Redding

    California · 42650

    Office

    $80.16

    Facility

    $54.54

    $0.02 lower than El Centro for the office setting.

  • Rest Of California

    California · 42650

    Office

    $80.16

    Facility

    $54.54

    $0.02 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 42650

    Office

    $81.35

    Facility

    $55.73

    $1.17 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 42650

    Office

    $83.86

    Facility

    $56.67

    $3.68 higher than El Centro for the office setting.

  • Salinas

    California · 42650

    Office

    $83.54

    Facility

    $56.44

    $3.36 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 42650

    Office

    $85.32

    Facility

    $57.35

    $5.14 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 42650

    Office

    $96.93

    Facility

    $63.97

    $16.75 higher than El Centro for the office setting.

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

    California · 42650

    Office

    $96.81

    Facility

    $63.84

    $16.63 higher than El Centro for the office setting.

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

    California · 42650

    Office

    $99.13

    Facility

    $65.42

    $18.95 higher than El Centro for the office setting.

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

    California · 42650

    Office

    $98.62

    Facility

    $64.91

    $18.44 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 42650

    Office

    $82.23

    Facility

    $55.60

    $2.05 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 42650

    Office

    $85.98

    Facility

    $57.58

    $5.80 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 42650

    Office

    $83.80

    Facility

    $56.54

    $3.62 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 42650

    Office

    $86.83

    Facility

    $58.12

    $6.65 higher than El Centro for the office setting.

  • Stockton

    California · 42650

    Office

    $80.16

    Facility

    $54.54

    $0.02 lower than El Centro for the office setting.

  • Vallejo

    California · 42650

    Office

    $91.71

    Facility

    $60.89

    $11.53 higher than El Centro for the office setting.

  • Visalia

    California · 42650

    Office

    $80.16

    Facility

    $54.54

    $0.02 lower than El Centro for the office setting.

  • Yuba City

    California · 42650

    Office

    $80.16

    Facility

    $54.54

    $0.02 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 42650

    Office

    $87.15

    Facility

    $59.61

    $6.97 higher than El Centro for the office setting.

  • Miami

    Florida · 42650

    Office

    $84.41

    Facility

    $60.07

    $4.23 higher than El Centro for the office setting.

  • Chicago

    Illinois · 42650

    Office

    $82.00

    Facility

    $58.50

    $1.82 higher than El Centro for the office setting.

  • Manhattan

    New York · 42650

    Office

    $88.37

    Facility

    $61.20

    $8.19 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 42650

    Office

    $90.82

    Facility

    $65.92

    $10.64 higher than El Centro for the office setting.

  • Alabama

    Alabama · 42650

    Office

    $69.22

    Facility

    $48.76

    $10.96 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 42650

    Office

    $68.26

    Facility

    $48.17

    $11.92 lower than El Centro for the office setting.

  • Arizona

    Arizona · 42650

    Office

    $74.80

    Facility

    $52.15

    $5.38 lower than El Centro for the office setting.

  • Colorado

    Colorado · 42650

    Office

    $79.40

    Facility

    $54.52

    $0.78 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 42650

    Office

    $81.80

    Facility

    $56.62

    $1.62 higher than El Centro for the office setting.

  • Delaware

    Delaware · 42650

    Office

    $76.00

    Facility

    $52.90

    $4.18 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 42650

    Office

    $80.42

    Facility

    $56.73

    $0.24 higher than El Centro for the office setting.

  • Rest Of Florida

    Florida · 42650

    Office

    $76.55

    Facility

    $54.20

    $3.63 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 42650

    Office

    $78.41

    Facility

    $54.65

    $1.77 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 42650

    Office

    $72.33

    Facility

    $51.48

    $7.85 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 42650

    Office

    $81.86

    Facility

    $55.28

    $1.68 higher than El Centro for the office setting.

  • Iowa

    Iowa · 42650

    Office

    $70.52

    Facility

    $49.13

    $9.66 lower than El Centro for the office setting.

  • Idaho

    Idaho · 42650

    Office

    $71.04

    Facility

    $49.53

    $9.14 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 42650

    Office

    $76.70

    Facility

    $55.19

    $3.48 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 42650

    Office

    $74.71

    Facility

    $53.36

    $5.47 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 42650

    Office

    $81.13

    Facility

    $57.12

    $0.95 higher than El Centro for the office setting.

  • Indiana

    Indiana · 42650

    Office

    $71.42

    Facility

    $49.75

    $8.76 lower than El Centro for the office setting.

  • Kansas

    Kansas · 42650

    Office

    $70.38

    Facility

    $49.25

    $9.80 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 42650

    Office

    $71.17

    Facility

    $50.39

    $9.01 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 42650

    Office

    $74.48

    Facility

    $52.48

    $5.70 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 42650

    Office

    $71.14

    Facility

    $50.44

    $9.04 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 42650

    Office

    $86.78

    Facility

    $58.86

    $6.60 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 42650

    Office

    $79.03

    Facility

    $54.41

    $1.15 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 42650

    Office

    $81.60

    Facility

    $56.52

    $1.42 higher than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 42650

    Office

    $77.35

    Facility

    $53.69

    $2.83 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 42650

    Office

    $71.59

    Facility

    $50.08

    $8.59 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 42650

    Office

    $75.03

    Facility

    $51.86

    $5.15 lower than El Centro for the office setting.

  • Detroit

    Michigan · 42650

    Office

    $77.66

    Facility

    $55.10

    $2.52 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 42650

    Office

    $73.11

    Facility

    $51.77

    $7.07 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 42650

    Office

    $75.63

    Facility

    $51.57

    $4.55 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 42650

    Office

    $73.80

    Facility

    $51.85

    $6.38 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 42650

    Office

    $74.52

    Facility

    $52.26

    $5.66 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 42650

    Office

    $70.09

    Facility

    $49.94

    $10.09 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 42650

    Office

    $69.18

    Facility

    $49.05

    $11.00 lower than El Centro for the office setting.

  • Montana**

    Montana · 42650

    Office

    $76.81

    Facility

    $53.43

    $3.37 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 42650

    Office

    $72.27

    Facility

    $50.46

    $7.91 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 42650

    Office

    $74.64

    Facility

    $51.26

    $5.54 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 42650

    Office

    $70.83

    Facility

    $49.25

    $9.35 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 42650

    Office

    $78.33

    Facility

    $54.00

    $1.85 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 42650

    Office

    $86.35

    Facility

    $59.22

    $6.17 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 42650

    Office

    $82.61

    Facility

    $57.07

    $2.43 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 42650

    Office

    $73.57

    Facility

    $52.13

    $6.61 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 42650

    Office

    $76.26

    Facility

    $52.85

    $3.92 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 42650

    Office

    $90.66

    Facility

    $62.86

    $10.48 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 42650

    Office

    $83.29

    Facility

    $57.69

    $3.11 higher than El Centro for the office setting.

  • Queens

    New York · 42650

    Office

    $88.80

    Facility

    $61.17

    $8.62 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 42650

    Office

    $73.33

    Facility

    $51.11

    $6.85 lower than El Centro for the office setting.

  • Ohio

    Ohio · 42650

    Office

    $72.67

    Facility

    $51.32

    $7.51 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 42650

    Office

    $70.86

    Facility

    $49.98

    $9.32 lower than El Centro for the office setting.

  • Portland

    Oregon · 42650

    Office

    $81.62

    Facility

    $55.65

    $1.44 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 42650

    Office

    $75.54

    Facility

    $52.25

    $4.64 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 42650

    Office

    $79.95

    Facility

    $55.61

    $0.23 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 42650

    Office

    $72.68

    Facility

    $51.21

    $7.50 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 42650

    Office

    $77.30

    Facility

    $53.66

    $2.88 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 42650

    Office

    $78.49

    Facility

    $54.34

    $1.69 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 42650

    Office

    $72.62

    Facility

    $51.01

    $7.56 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 42650

    Office

    $74.38

    Facility

    $51.00

    $5.80 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 42650

    Office

    $70.74

    Facility

    $49.49

    $9.44 lower than El Centro for the office setting.

  • Austin

    Texas · 42650

    Office

    $79.24

    Facility

    $54.51

    $0.94 lower than El Centro for the office setting.

  • Beaumont

    Texas · 42650

    Office

    $72.23

    Facility

    $50.96

    $7.95 lower than El Centro for the office setting.

  • Brazoria

    Texas · 42650

    Office

    $75.78

    Facility

    $52.61

    $4.40 lower than El Centro for the office setting.

  • Dallas

    Texas · 42650

    Office

    $76.33

    Facility

    $53.05

    $3.85 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 42650

    Office

    $75.90

    Facility

    $52.85

    $4.28 lower than El Centro for the office setting.

  • Galveston

    Texas · 42650

    Office

    $76.05

    Facility

    $52.84

    $4.13 lower than El Centro for the office setting.

  • Houston

    Texas · 42650

    Office

    $78.07

    Facility

    $54.85

    $2.11 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 42650

    Office

    $74.01

    Facility

    $51.82

    $6.17 lower than El Centro for the office setting.

  • Utah

    Utah · 42650

    Office

    $73.56

    Facility

    $51.58

    $6.62 lower than El Centro for the office setting.

  • Virginia

    Virginia · 42650

    Office

    $74.92

    Facility

    $51.94

    $5.26 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 42650

    Office

    $77.30

    Facility

    $53.66

    $2.88 lower than El Centro for the office setting.

  • Vermont

    Vermont · 42650

    Office

    $74.53

    Facility

    $51.38

    $5.65 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 42650

    Office

    $78.82

    Facility

    $54.20

    $1.36 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 42650

    Office

    $88.32

    Facility

    $59.63

    $8.14 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 42650

    Office

    $72.26

    Facility

    $49.86

    $7.92 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 42650

    Office

    $72.10

    Facility

    $51.79

    $8.08 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 42650

    Office

    $75.87

    Facility

    $52.49

    $4.31 lower than El Centro for the office setting.

See how rates vary across the country

42650 · 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.

$68.26

$90.82

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$90.821
AL$69.221
AR$68.261
AZ$74.801
CA$80.16–$99.1329
CO$79.401
CT$81.801
DC$87.151
DE$76.001
FL$76.55–$84.413
GA$72.33–$78.412
GU$81.861
HI$81.861
IA$70.521
ID$71.041
IL$74.71–$82.004
IN$71.421
KS$70.381
KY$71.171
LA$71.14–$74.482
MA$79.03–$86.782
MD$77.35–$87.153
ME$71.59–$75.032
MI$73.11–$77.662
MN$75.631
MO$70.09–$74.523
MS$69.181
MT$76.811
NC$72.271
ND$74.641
NE$70.831
NH$78.331
NJ$82.61–$86.352
NM$73.571
NV$76.261
NY$73.33–$90.665
OH$72.671
OK$70.861
OR$75.54–$81.622
PA$72.68–$79.952
PR$77.301
RI$78.491
SC$72.621
SD$74.381
TN$70.741
TX$72.23–$79.248
UT$73.561
VA$74.92–$87.152
VI$77.301
VT$74.531
WA$78.82–$88.322
WI$72.261
WV$72.101
WY$75.871

Explore 42650 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, 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 California →

Why are the office and facility amounts different?

For 42650 in El Centro, the physician’s office rate is $80.18 and the facility-setting rate is $54.55: a difference of $25.63.

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 42650 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$88.20

$80.18 × 110% = $88.20

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 42650 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

5,054

Code
42650
Physician work
0.75
Practice expense
1.44
Malpractice
0.11

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 42650 in El Centro
ComponentRVULocality factorAdjusted
Physician work0.75× 1.0170.7627
Practice expense1.44× 1.0961.5782
Malpractice0.11× 0.5410.0595
Total RVUs2.4005
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$80.18

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

Open 42650 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.751.017
Practice expense1.441.096
Malpractice0.110.541

(0.75 × 1.017 + 1.44 × 1.096 + 0.11 × 0.541) × $33.4009 = $80.18

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.751.017
Practice expense0.741.096
Malpractice0.110.541

(0.75 × 1.017 + 0.74 × 1.096 + 0.11 × 0.541) × $33.4009 = $54.55

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

42650 · Office / nonfacility

$80.18

Effective 2026-10-01

The base rate is $4.63 higher than on 2025-10-01, moving from $75.55 to $80.18 (6.1%).

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

    $75.55changed to$80.18

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.77 changed to 0.75
    • Practice expense RVU 1.36 changed to 1.44
    • Malpractice RVU 0.12 changed to 0.11
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $75.55

    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$80.18$54.55RVU26D
2026-07-01$80.18$54.55RVU26C
2026-04-01$80.18$54.55RVU26B
2026-01-01$80.18$54.55RVU26A
2025-10-01$75.55$59.99RVU25D
2025-07-01$75.55$59.99RVU25C
2025-04-01$75.55$59.99RVU25B
2025-01-01$75.55$59.99RVU25A

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 42650PPRRVU2026_Oct_nonQPP.csv, line 5,054 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet