No office rate
94002 covers the initial day of inpatient or observation management using a pressure- or volume-preset ventilator. Code 94004 concerns noninvasive ventilation for acute respiratory failure.
On this page
CMS RVU26D · Effective 2026-10-01
94004 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$44.02
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.
Pulmonary medicine
About 94004: Noninvasive ventilation management for acute respiratory failure
Reports daily physician management of noninvasive ventilatory support, such as CPAP or bilevel ventilation, for a patient with acute respiratory failure.
CPT 94004 represents a day of physician management of noninvasive ventilatory support for acute respiratory failure. The support may use continuous positive airway pressure or bilevel positive airway pressure through a mask rather than an endotracheal tube or tracheostomy. Pulmonary and critical care physicians commonly provide this service in an acute-care setting when they assess and manage a patient's respiratory support and response.
Choose this code for the acute respiratory failure and noninvasive ventilation management service, not for invasive ventilator management or routine home ventilator oversight. The record should identify the acute respiratory failure, the noninvasive support being managed, and the physician's assessment and management for that date. Report the service by day, rather than by hour or ventilator adjustment. CMS lists this as a physician fee schedule service; no additional payment rule is specified in the supplied CMS facts.
Where the value comes from
- Work RVU1.00 · 76%
- Practice expense (office) RVU0.24 · 18%
- Malpractice RVU0.07 · 5%
17.4K
Medicare services in 2024 · #1200 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
94004 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
94003 is for a subsequent inpatient or observation day managing a pressure- or volume-preset ventilator. Code 94004 describes daily management of noninvasive ventilation for acute respiratory failure.
94005
No office rateHome vent mgmt supervision
94005 is associated with home ventilator management. Use 94004 for daily management of noninvasive ventilation in acute respiratory failure.
$72.71
94660 describes CPAP ventilation initiation and management. Code 94004 is specific to daily noninvasive ventilation management for acute respiratory failure.
The same code, a different location
How does El Centro compare?
94004 across payment areas
Same release and payment basis · bars start at $0
El Centro · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
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 · 94004
Office
Unavailable
Facility
$44.01
No comparable office rate is available.
Modesto
California · 94004
Office
Unavailable
Facility
$44.01
No comparable office rate is available.
Napa
California · 94004
Office
Unavailable
Facility
$47.26
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 94004
Office
Unavailable
Facility
$45.27
No comparable office rate is available.
Redding
California · 94004
Office
Unavailable
Facility
$44.01
No comparable office rate is available.
Rest Of California
California · 94004
Office
Unavailable
Facility
$44.01
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 94004
Office
Unavailable
Facility
$44.78
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 94004
Office
Unavailable
Facility
$45.18
No comparable office rate is available.
Salinas
California · 94004
Office
Unavailable
Facility
$44.98
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 94004
Office
Unavailable
Facility
$45.26
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 94004
Office
Unavailable
Facility
$48.95
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 94004
Office
Unavailable
Facility
$48.87
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 94004
Office
Unavailable
Facility
$49.89
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 94004
Office
Unavailable
Facility
$49.56
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 94004
Office
Unavailable
Facility
$44.35
No comparable office rate is available.
Santa Cruz-Watsonville
California · 94004
Office
Unavailable
Facility
$45.10
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 94004
Office
Unavailable
Facility
$44.94
No comparable office rate is available.
Santa Rosa-Petaluma
California · 94004
Office
Unavailable
Facility
$45.50
No comparable office rate is available.
Stockton
California · 94004
Office
Unavailable
Facility
$44.01
No comparable office rate is available.
Vallejo
California · 94004
Office
Unavailable
Facility
$47.14
No comparable office rate is available.
Visalia
California · 94004
Office
Unavailable
Facility
$44.01
No comparable office rate is available.
Yuba City
California · 94004
Office
Unavailable
Facility
$44.01
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 94004
Office
Unavailable
Facility
$47.25
No comparable office rate is available.
Miami
Florida · 94004
Office
Unavailable
Facility
$47.66
No comparable office rate is available.
Chicago
Illinois · 94004
Office
Unavailable
Facility
$47.06
No comparable office rate is available.
Manhattan
New York · 94004
Office
Unavailable
Facility
$48.56
No comparable office rate is available.
Alaska*
Alaska · 94004
Office
Unavailable
Facility
$59.93
No comparable office rate is available.
Alabama
Alabama · 94004
Office
Unavailable
Facility
$41.74
No comparable office rate is available.
Arkansas
Arkansas · 94004
Office
Unavailable
Facility
$41.49
No comparable office rate is available.
Arizona
Arizona · 94004
Office
Unavailable
Facility
$43.17
No comparable office rate is available.
Colorado
Colorado · 94004
Office
Unavailable
Facility
$44.16
No comparable office rate is available.
Connecticut
Connecticut · 94004
Office
Unavailable
Facility
$45.53
No comparable office rate is available.
Delaware
Delaware · 94004
Office
Unavailable
Facility
$43.59
No comparable office rate is available.
Fort Lauderdale
Florida · 94004
Office
Unavailable
Facility
$45.75
No comparable office rate is available.
Rest Of Florida
Florida · 94004
Office
Unavailable
Facility
$44.58
No comparable office rate is available.
Atlanta
Georgia · 94004
Office
Unavailable
Facility
$44.45
No comparable office rate is available.
Rest Of Georgia
Georgia · 94004
Office
Unavailable
Facility
$43.34
No comparable office rate is available.
Hawaii, Guam
Hawaii · 94004
Office
Unavailable
Facility
$43.87
No comparable office rate is available.
Iowa
Iowa · 94004
Office
Unavailable
Facility
$41.66
No comparable office rate is available.
Idaho
Idaho · 94004
Office
Unavailable
Facility
$41.88
No comparable office rate is available.
East St. Louis
Illinois · 94004
Office
Unavailable
Facility
$45.48
No comparable office rate is available.
Rest Of Illinois
Illinois · 94004
Office
Unavailable
Facility
$44.37
No comparable office rate is available.
Suburban Chicago
Illinois · 94004
Office
Unavailable
Facility
$46.01
No comparable office rate is available.
Indiana
Indiana · 94004
Office
Unavailable
Facility
$41.97
No comparable office rate is available.
Kansas
Kansas · 94004
Office
Unavailable
Facility
$41.83
No comparable office rate is available.
Kentucky
Kentucky · 94004
Office
Unavailable
Facility
$42.67
No comparable office rate is available.
New Orleans
Louisiana · 94004
Office
Unavailable
Facility
$43.60
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 94004
Office
Unavailable
Facility
$42.74
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 94004
Office
Unavailable
Facility
$46.42
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 94004
Office
Unavailable
Facility
$44.24
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 94004
Office
Unavailable
Facility
$45.43
No comparable office rate is available.
Rest Of Maryland
Maryland · 94004
Office
Unavailable
Facility
$43.99
No comparable office rate is available.
Rest Of Maine
Maine · 94004
Office
Unavailable
Facility
$42.23
No comparable office rate is available.
Southern Maine
Maine · 94004
Office
Unavailable
Facility
$42.82
No comparable office rate is available.
Detroit
Michigan · 94004
Office
Unavailable
Facility
$45.08
No comparable office rate is available.
Rest Of Michigan
Michigan · 94004
Office
Unavailable
Facility
$43.36
No comparable office rate is available.
Minnesota
Minnesota · 94004
Office
Unavailable
Facility
$42.34
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 94004
Office
Unavailable
Facility
$43.21
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 94004
Office
Unavailable
Facility
$43.38
No comparable office rate is available.
Rest Of Missouri
Missouri · 94004
Office
Unavailable
Facility
$42.59
No comparable office rate is available.
Mississippi
Mississippi · 94004
Office
Unavailable
Facility
$42.03
No comparable office rate is available.
Montana**
Montana · 94004
Office
Unavailable
Facility
$43.75
No comparable office rate is available.
North Carolina
North Carolina · 94004
Office
Unavailable
Facility
$42.37
No comparable office rate is available.
North Dakota**
North Dakota · 94004
Office
Unavailable
Facility
$42.37
No comparable office rate is available.
Nebraska
Nebraska · 94004
Office
Unavailable
Facility
$41.68
No comparable office rate is available.
New Hampshire
New Hampshire · 94004
Office
Unavailable
Facility
$43.79
No comparable office rate is available.
Northern Nj
New Jersey · 94004
Office
Unavailable
Facility
$47.30
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 94004
Office
Unavailable
Facility
$46.06
No comparable office rate is available.
New Mexico
New Mexico · 94004
Office
Unavailable
Facility
$43.56
No comparable office rate is available.
Nevada**
Nevada · 94004
Office
Unavailable
Facility
$43.37
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 94004
Office
Unavailable
Facility
$49.41
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 94004
Office
Unavailable
Facility
$46.51
No comparable office rate is available.
Queens
New York · 94004
Office
Unavailable
Facility
$48.39
No comparable office rate is available.
Rest Of New York
New York · 94004
Office
Unavailable
Facility
$42.66
No comparable office rate is available.
Ohio
Ohio · 94004
Office
Unavailable
Facility
$43.08
No comparable office rate is available.
Oklahoma
Oklahoma · 94004
Office
Unavailable
Facility
$42.38
No comparable office rate is available.
Portland
Oregon · 94004
Office
Unavailable
Facility
$44.58
No comparable office rate is available.
Rest Of Oregon
Oregon · 94004
Office
Unavailable
Facility
$43.03
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 94004
Office
Unavailable
Facility
$45.14
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 94004
Office
Unavailable
Facility
$42.97
No comparable office rate is available.
Puerto Rico
Puerto Rico · 94004
Office
Unavailable
Facility
$43.81
No comparable office rate is available.
Rhode Island
Rhode Island · 94004
Office
Unavailable
Facility
$44.40
No comparable office rate is available.
South Carolina
South Carolina · 94004
Office
Unavailable
Facility
$42.80
No comparable office rate is available.
South Dakota**
South Dakota · 94004
Office
Unavailable
Facility
$42.20
No comparable office rate is available.
Tennessee
Tennessee · 94004
Office
Unavailable
Facility
$41.94
No comparable office rate is available.
Austin
Texas · 94004
Office
Unavailable
Facility
$44.02
No comparable office rate is available.
Beaumont
Texas · 94004
Office
Unavailable
Facility
$42.87
No comparable office rate is available.
Brazoria
Texas · 94004
Office
Unavailable
Facility
$43.44
No comparable office rate is available.
Dallas
Texas · 94004
Office
Unavailable
Facility
$43.69
No comparable office rate is available.
Fort Worth
Texas · 94004
Office
Unavailable
Facility
$43.64
No comparable office rate is available.
Galveston
Texas · 94004
Office
Unavailable
Facility
$43.56
No comparable office rate is available.
Houston
Texas · 94004
Office
Unavailable
Facility
$44.85
No comparable office rate is available.
Rest Of Texas
Texas · 94004
Office
Unavailable
Facility
$43.12
No comparable office rate is available.
Utah
Utah · 94004
Office
Unavailable
Facility
$43.04
No comparable office rate is available.
Virginia
Virginia · 94004
Office
Unavailable
Facility
$42.93
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 94004
Office
Unavailable
Facility
$43.81
No comparable office rate is available.
Vermont
Vermont · 94004
Office
Unavailable
Facility
$42.52
No comparable office rate is available.
Rest Of Washington
Washington · 94004
Office
Unavailable
Facility
$44.06
No comparable office rate is available.
Seattle (King Cnty)
Washington · 94004
Office
Unavailable
Facility
$46.82
No comparable office rate is available.
Wisconsin
Wisconsin · 94004
Office
Unavailable
Facility
$41.80
No comparable office rate is available.
West Virginia
West Virginia · 94004
Office
Unavailable
Facility
$43.71
No comparable office rate is available.
Wyoming**
Wyoming · 94004
Office
Unavailable
Facility
$43.15
No comparable office rate is available.
See how rates vary across the country
94004 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 94004 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$48.42
$44.02 × 110% = $48.42
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.
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 94004 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
12,362
- Code
- 94004
- Physician work
- 1.00
- Practice expense
- 0.24
- Malpractice
- 0.07
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.00 | × 1.017 | 1.0170 |
| Practice expense | 0.24 | × 1.096 | 0.2630 |
| Malpractice | 0.07 | × 0.541 | 0.0379 |
| Total RVUs | 1.3179 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$44.02
Open 94004 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1 | 1.017 |
| Practice expense | 0.24 | 1.096 |
| Malpractice | 0.07 | 0.541 |
(1 × 1.017 + 0.24 × 1.096 + 0.07 × 0.541) × $33.4009 = $44.02
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
94004 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $44.02 | RVU26D |
| 2026-07-01 | Not available in this setting | $44.02 | RVU26C |
| 2026-04-01 | Not available in this setting | $44.02 | RVU26B |
| 2026-01-01 | Not available in this setting | $44.02 | RVU26A |
| 2025-10-01 | Not available in this setting | $45.76 | RVU25D |
| 2025-07-01 | Not available in this setting | $45.76 | RVU25C |
| 2025-04-01 | Not available in this setting | $45.76 | RVU25B |
| 2025-01-01 | Not available in this setting | $45.76 | RVU25A |
94004 billing questions
How does 94004 differ from 94002 or 94003?
94004 is for daily management of noninvasive ventilation in acute respiratory failure. Codes 94002 and 94003 describe inpatient or observation management of pressure- or volume-preset ventilators, with 94002 for the initial day and 94003 for a subsequent day.
Is 94004 reported per day or per ventilator adjustment?
It is a per-day service, not a separate unit for each hour, setting change, or mask adjustment.
What documentation supports reporting 94004?
Document the acute respiratory failure, the noninvasive support being managed, and the physician's assessment and management of the patient's respiratory status for that day.
Is 94004 the code for routine home ventilator supervision?
No. Code 94005 is associated with home ventilator management; 94004 describes daily management of noninvasive ventilation for acute respiratory failure.
How is 94004 distinguished from 94660?
Use 94004 for daily management of noninvasive ventilation in acute respiratory failure. Code 94660 describes CPAP ventilation initiation and management in its own clinical context.
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.
12,35993998,,Unlistd noninvas vasc dx std,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
12,36094002,,Vent mgmt inpat init day,A,,1.99,0.40,NA,0.40,,0.18,2.57,2.57,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,36194003,,Vent mgmt inpat subq day,A,,1.37,0.28,NA,0.28,,0.12,1.77,1.77,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,36294004,,Vent mgmt nf per day,A,,1.00,0.24,NA,0.24,,0.07,1.31,1.31,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,36394005,,Home vent mgmt supervision,B,+,1.50,1.22,,1.22,NA,0.08,2.80,2.80,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
12,36494010,,Breathing capacity test,A,,0.17,0.70,,0.70,NA,0.02,0.89,0.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,36594010,26,Breathing capacity test,A,,0.17,0.07,,0.07,,0.01,0.25,0.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664