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CMS RVU26D · Effective 2026-10-01

36903 in Houston

Office / nonfacility

$4785.06

Base rate per service

Facility setting

$291.92

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 Houston compare?

In Austin, the office rate for 36903 is $5063.35—$278.29 higher than the $4785.06 rate in Houston. Both use the same code, release and participation basis.

36903 across payment areas

Same release and payment basis · bars start at $0

  1. Houston · This locality

    $4785.06

  2. Austin

    $5063.35

    $278.29 higher than Houston

  3. Beaumont

    $4389.55

    $395.51 lower than Houston

  4. Brazoria

    $4755.44

    $29.62 lower than Houston

  5. Dallas

    $4781.13

    $3.93 lower than Houston

  6. Fort Worth

    $4735.98

    $49.08 lower than Houston

  7. Galveston

    $4766.21

    $18.85 lower than Houston

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, 36903 ranges from $4142.75 in Arkansas to $6824.78 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 · 36903

    Office

    $4566.49

    Facility

    $272.44

    $218.57 lower than Houston for the office setting.

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

    California · 36903

    Office

    $5633.81

    Facility

    $280.95

    $848.75 higher than Houston for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 36903

    Office

    $5629.17

    Facility

    $298.93

    $844.11 higher than Houston for the office setting.

  • Miami

    Florida · 36903

    Office

    $5041.94

    Facility

    $331.60

    $256.88 higher than Houston for the office setting.

  • Chicago

    Illinois · 36903

    Office

    $4871.19

    Facility

    $323.75

    $86.13 higher than Houston for the office setting.

  • Manhattan

    New York · 36903

    Office

    $5574.56

    Facility

    $316.72

    $789.50 higher than Houston for the office setting.

  • Alaska*

    Alaska · 36903

    Office

    $5187.37

    Facility

    $368.44

    $402.31 higher than Houston for the office setting.

  • Alabama

    Alabama · 36903

    Office

    $4217.46

    Facility

    $258.25

    $567.60 lower than Houston for the office setting.

  • Arkansas

    Arkansas · 36903

    Office

    $4142.75

    Facility

    $255.93

    $642.31 lower than Houston for the office setting.

  • Arizona

    Arizona · 36903

    Office

    $4656.07

    Facility

    $271.52

    $128.99 lower than Houston for the office setting.

  • Bakersfield

    California · 36903

    Office

    $5230.63

    Facility

    $271.43

    $445.57 higher than Houston for the office setting.

  • Chico

    California · 36903

    Office

    $5227.71

    Facility

    $268.50

    $442.65 higher than Houston for the office setting.

  • El Centro

    California · 36903

    Office

    $5227.88

    Facility

    $268.67

    $442.82 higher than Houston for the office setting.

  • Fresno

    California · 36903

    Office

    $5227.71

    Facility

    $268.50

    $442.65 higher than Houston for the office setting.

  • Hanford-Corcoran

    California · 36903

    Office

    $5227.71

    Facility

    $268.50

    $442.65 higher than Houston for the office setting.

  • Madera

    California · 36903

    Office

    $5227.71

    Facility

    $268.50

    $442.65 higher than Houston for the office setting.

  • Merced

    California · 36903

    Office

    $5227.71

    Facility

    $268.50

    $442.65 higher than Houston for the office setting.

  • Modesto

    California · 36903

    Office

    $5227.71

    Facility

    $268.50

    $442.65 higher than Houston for the office setting.

  • Napa

    California · 36903

    Office

    $6248.61

    Facility

    $284.90

    $1463.55 higher than Houston for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 36903

    Office

    $5625.14

    Facility

    $276.80

    $840.08 higher than Houston for the office setting.

  • Redding

    California · 36903

    Office

    $5227.71

    Facility

    $268.50

    $442.65 higher than Houston for the office setting.

  • Rest Of California

    California · 36903

    Office

    $5227.71

    Facility

    $268.50

    $442.65 higher than Houston for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 36903

    Office

    $5238.82

    Facility

    $279.62

    $453.76 higher than Houston for the office setting.

  • Sacramento-Roseville-Folsom

    California · 36903

    Office

    $5537.17

    Facility

    $274.81

    $752.11 higher than Houston for the office setting.

  • Salinas

    California · 36903

    Office

    $5517.89

    Facility

    $273.63

    $732.83 higher than Houston for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 36903

    Office

    $5686.61

    Facility

    $274.92

    $901.55 higher than Houston for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 36903

    Office

    $6673.09

    Facility

    $293.10

    $1888.03 higher than Houston for the office setting.

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

    California · 36903

    Office

    $6671.92

    Facility

    $291.93

    $1886.86 higher than Houston for the office setting.

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

    California · 36903

    Office

    $6824.78

    Facility

    $299.99

    $2039.72 higher than Houston for the office setting.

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

    California · 36903

    Office

    $6820.00

    Facility

    $295.21

    $2034.94 higher than Houston for the office setting.

  • San Luis Obispo-Paso Robles

    California · 36903

    Office

    $5423.78

    Facility

    $270.01

    $638.72 higher than Houston for the office setting.

  • Santa Cruz-Watsonville

    California · 36903

    Office

    $5771.16

    Facility

    $273.51

    $986.10 higher than Houston for the office setting.

  • Santa Maria-Santa Barbara

    California · 36903

    Office

    $5549.19

    Facility

    $273.25

    $764.13 higher than Houston for the office setting.

  • Santa Rosa-Petaluma

    California · 36903

    Office

    $5832.32

    Facility

    $275.84

    $1047.26 higher than Houston for the office setting.

  • Stockton

    California · 36903

    Office

    $5227.71

    Facility

    $268.50

    $442.65 higher than Houston for the office setting.

  • Vallejo

    California · 36903

    Office

    $6246.92

    Facility

    $283.21

    $1461.86 higher than Houston for the office setting.

  • Visalia

    California · 36903

    Office

    $5227.71

    Facility

    $268.50

    $442.65 higher than Houston for the office setting.

  • Yuba City

    California · 36903

    Office

    $5227.71

    Facility

    $268.50

    $442.65 higher than Houston for the office setting.

  • Colorado

    Colorado · 36903

    Office

    $5089.18

    Facility

    $274.77

    $304.12 higher than Houston for the office setting.

  • Connecticut

    Connecticut · 36903

    Office

    $5164.88

    Facility

    $291.65

    $379.82 higher than Houston for the office setting.

  • Delaware

    Delaware · 36903

    Office

    $4745.23

    Facility

    $274.71

    $39.83 lower than Houston for the office setting.

  • Fort Lauderdale

    Florida · 36903

    Office

    $4889.46

    Facility

    $305.81

    $104.40 higher than Houston for the office setting.

  • Rest Of Florida

    Florida · 36903

    Office

    $4619.05

    Facility

    $293.32

    $166.01 lower than Houston for the office setting.

  • Atlanta

    Georgia · 36903

    Office

    $4882.88

    Facility

    $285.66

    $97.82 higher than Houston for the office setting.

  • Rest Of Georgia

    Georgia · 36903

    Office

    $4316.52

    Facility

    $280.38

    $468.54 lower than Houston for the office setting.

  • Hawaii, Guam

    Hawaii · 36903

    Office

    $5412.60

    Facility

    $267.88

    $627.54 higher than Houston for the office setting.

  • Iowa

    Iowa · 36903

    Office

    $4394.05

    Facility

    $253.84

    $391.01 lower than Houston for the office setting.

  • Idaho

    Idaho · 36903

    Office

    $4419.46

    Facility

    $256.63

    $365.60 lower than Houston for the office setting.

  • East St. Louis

    Illinois · 36903

    Office

    $4472.47

    Facility

    $309.64

    $312.59 lower than Houston for the office setting.

  • Rest Of Illinois

    Illinois · 36903

    Office

    $4425.04

    Facility

    $293.88

    $360.02 lower than Houston for the office setting.

  • Suburban Chicago

    Illinois · 36903

    Office

    $4953.51

    Facility

    $306.52

    $168.45 higher than Houston for the office setting.

  • Indiana

    Indiana · 36903

    Office

    $4451.83

    Facility

    $257.32

    $333.23 lower than Houston for the office setting.

  • Kansas

    Kansas · 36903

    Office

    $4347.57

    Facility

    $257.13

    $437.49 lower than Houston for the office setting.

  • Kentucky

    Kentucky · 36903

    Office

    $4293.31

    Facility

    $270.74

    $491.75 lower than Houston for the office setting.

  • New Orleans

    Louisiana · 36903

    Office

    $4538.03

    Facility

    $280.17

    $247.03 lower than Houston for the office setting.

  • Rest Of Louisiana

    Louisiana · 36903

    Office

    $4276.55

    Facility

    $272.08

    $508.51 lower than Houston for the office setting.

  • Metropolitan Boston

    Massachusetts · 36903

    Office

    $5691.75

    Facility

    $289.11

    $906.69 higher than Houston for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 36903

    Office

    $5040.40

    Facility

    $275.77

    $255.34 higher than Houston for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 36903

    Office

    $5146.74

    Facility

    $291.60

    $361.68 higher than Houston for the office setting.

  • Rest Of Maryland

    Maryland · 36903

    Office

    $4856.36

    Facility

    $277.24

    $71.30 higher than Houston for the office setting.

  • Rest Of Maine

    Maine · 36903

    Office

    $4424.59

    Facility

    $261.75

    $360.47 lower than Houston for the office setting.

  • Southern Maine

    Maine · 36903

    Office

    $4748.65

    Facility

    $264.55

    $36.41 lower than Houston for the office setting.

  • Detroit

    Michigan · 36903

    Office

    $4666.39

    Facility

    $299.93

    $118.67 lower than Houston for the office setting.

  • Rest Of Michigan

    Michigan · 36903

    Office

    $4410.11

    Facility

    $278.95

    $374.95 lower than Houston for the office setting.

  • Minnesota

    Minnesota · 36903

    Office

    $4910.40

    Facility

    $254.36

    $125.34 higher than Houston for the office setting.

  • Metropolitan Kansas City

    Missouri · 36903

    Office

    $4523.44

    Facility

    $274.63

    $261.62 lower than Houston for the office setting.

  • Metropolitan St. Louis

    Missouri · 36903

    Office

    $4583.58

    Facility

    $275.95

    $201.48 lower than Houston for the office setting.

  • Rest Of Missouri

    Missouri · 36903

    Office

    $4172.22

    Facility

    $271.83

    $612.84 lower than Houston for the office setting.

  • Mississippi

    Mississippi · 36903

    Office

    $4159.58

    Facility

    $263.71

    $625.48 lower than Houston for the office setting.

  • Montana**

    Montana · 36903

    Office

    $4802.31

    Facility

    $277.49

    $17.25 higher than Houston for the office setting.

  • North Carolina

    North Carolina · 36903

    Office

    $4484.45

    Facility

    $262.79

    $300.61 lower than Houston for the office setting.

  • North Dakota**

    North Dakota · 36903

    Office

    $4781.95

    Facility

    $257.13

    $3.11 lower than Houston for the office setting.

  • Nebraska

    Nebraska · 36903

    Office

    $4429.87

    Facility

    $253.46

    $355.19 lower than Houston for the office setting.

  • New Hampshire

    New Hampshire · 36903

    Office

    $4985.04

    Facility

    $274.70

    $199.98 higher than Houston for the office setting.

  • Northern Nj

    New Jersey · 36903

    Office

    $5547.41

    Facility

    $298.62

    $762.35 higher than Houston for the office setting.

  • Rest Of New Jersey

    New Jersey · 36903

    Office

    $5233.55

    Facility

    $292.45

    $448.49 higher than Houston for the office setting.

  • New Mexico

    New Mexico · 36903

    Office

    $4430.83

    Facility

    $281.57

    $354.23 lower than Houston for the office setting.

  • Nevada**

    Nevada · 36903

    Office

    $4801.20

    Facility

    $271.85

    $16.14 higher than Houston for the office setting.

  • Nyc Suburbs/Long Island

    New York · 36903

    Office

    $5707.00

    Facility

    $326.99

    $921.94 higher than Houston for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 36903

    Office

    $5252.16

    Facility

    $297.48

    $467.10 higher than Houston for the office setting.

  • Queens

    New York · 36903

    Office

    $5660.81

    Facility

    $312.47

    $875.75 higher than Houston for the office setting.

  • Rest Of New York

    New York · 36903

    Office

    $4564.17

    Facility

    $265.59

    $220.89 lower than Houston for the office setting.

  • Ohio

    Ohio · 36903

    Office

    $4405.95

    Facility

    $274.79

    $379.11 lower than Houston for the office setting.

  • Oklahoma

    Oklahoma · 36903

    Office

    $4306.80

    Facility

    $266.14

    $478.26 lower than Houston for the office setting.

  • Portland

    Oregon · 36903

    Office

    $5303.05

    Facility

    $275.98

    $517.99 higher than Houston for the office setting.

  • Rest Of Oregon

    Oregon · 36903

    Office

    $4773.92

    Facility

    $267.20

    $11.14 lower than Houston for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 36903

    Office

    $4999.72

    Facility

    $289.38

    $214.66 higher than Houston for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 36903

    Office

    $4426.58

    Facility

    $272.79

    $358.48 lower than Houston for the office setting.

  • Puerto Rico

    Puerto Rico · 36903

    Office

    $4852.02

    Facility

    $277.43

    $66.96 higher than Houston for the office setting.

  • Rhode Island

    Rhode Island · 36903

    Office

    $4953.10

    Facility

    $278.96

    $168.04 higher than Houston for the office setting.

  • South Carolina

    South Carolina · 36903

    Office

    $4450.67

    Facility

    $269.74

    $334.39 lower than Houston for the office setting.

  • South Dakota**

    South Dakota · 36903

    Office

    $4779.54

    Facility

    $254.72

    $5.52 lower than Houston for the office setting.

  • Tennessee

    Tennessee · 36903

    Office

    $4371.50

    Facility

    $258.44

    $413.56 lower than Houston for the office setting.

  • Utah

    Utah · 36903

    Office

    $4525.28

    Facility

    $271.95

    $259.78 lower than Houston for the office setting.

  • Virginia

    Virginia · 36903

    Office

    $4714.75

    Facility

    $266.85

    $70.31 lower than Houston for the office setting.

  • Virgin Islands

    United States Virgin Islands · 36903

    Office

    $4852.02

    Facility

    $277.43

    $66.96 higher than Houston for the office setting.

  • Vermont

    Vermont · 36903

    Office

    $4739.79

    Facility

    $260.22

    $45.27 lower than Houston for the office setting.

  • Rest Of Washington

    Washington · 36903

    Office

    $5038.54

    Facility

    $273.90

    $253.48 higher than Houston for the office setting.

  • Seattle (King Cnty)

    Washington · 36903

    Office

    $5841.59

    Facility

    $289.63

    $1056.53 higher than Houston for the office setting.

  • Wisconsin

    Wisconsin · 36903

    Office

    $4587.06

    Facility

    $252.28

    $198.00 lower than Houston for the office setting.

  • West Virginia

    West Virginia · 36903

    Office

    $4219.86

    Facility

    $287.79

    $565.20 lower than Houston for the office setting.

  • Wyoming**

    Wyoming · 36903

    Office

    $4793.44

    Facility

    $268.62

    $8.38 higher than Houston for the office setting.

See how rates vary across the country

36903 · 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.

$4,142.75

$6,026.25

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$5,187.371
AL$4,217.461
AR$4,142.751
AZ$4,656.071
CA$5,227.71–$6,824.7829
CO$5,089.181
CT$5,164.881
DC$5,629.171
DE$4,745.231
FL$4,619.05–$5,041.943
GA$4,316.52–$4,882.882
GU$5,412.601
HI$5,412.601
IA$4,394.051
ID$4,419.461
IL$4,425.04–$4,953.514
IN$4,451.831
KS$4,347.571
KY$4,293.311
LA$4,276.55–$4,538.032
MA$5,040.40–$5,691.752
MD$4,856.36–$5,629.173
ME$4,424.59–$4,748.652
MI$4,410.11–$4,666.392
MN$4,910.401
MO$4,172.22–$4,583.583
MS$4,159.581
MT$4,802.311
NC$4,484.451
ND$4,781.951
NE$4,429.871
NH$4,985.041
NJ$5,233.55–$5,547.412
NM$4,430.831
NV$4,801.201
NY$4,564.17–$5,707.005
OH$4,405.951
OK$4,306.801
OR$4,773.92–$5,303.052
PA$4,426.58–$4,999.722
PR$4,852.021
RI$4,953.101
SC$4,450.671
SD$4,779.541
TN$4,371.501
TX$4,389.55–$5,063.358
UT$4,525.281
VA$4,714.75–$5,629.172
VI$4,852.021
VT$4,739.791
WA$5,038.54–$5,841.592
WI$4,587.061
WV$4,219.861
WY$4,793.441

Explore 36903 on the national rate map →

Where does this rate apply?

Houston is a Medicare payment area. Our Census mapping connects it to 46 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 36903 in Houston, the physician’s office rate is $4785.06 and the facility-setting rate is $291.92: a difference of $4493.14.

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 36903 in Houston. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$5263.57

$4785.06 × 110% = $5263.57

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.

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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 36903 in Houston.

PPRRVU2026_Oct_nonQPP.csv

4,564

Code
36903
Physician work
6.23
Practice expense
136.52
Malpractice
1.03

GPCI2026.csv

102

Locality
Houston
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office / nonfacility calculation for 36903 in Houston
ComponentRVULocality factorAdjusted
Physician work6.23× 1.0086.2798
Practice expense136.52× 0.993135.5644
Malpractice1.03× 1.3761.4173
Total RVUs143.2615
Conversion factor× 33.4009

Office / nonfacility rate, Houston$4785.06

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

Open 36903 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work6.231.008
Practice expense136.520.993
Malpractice1.031.376

(6.23 × 1.008 + 136.52 × 0.993 + 1.03 × 1.376) × $33.4009 = $4785.06

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work6.231.008
Practice expense1.050.993
Malpractice1.031.376

(6.23 × 1.008 + 1.05 × 0.993 + 1.03 × 1.376) × $33.4009 = $291.92

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

36903 · Office / nonfacility

$4785.06

Effective 2026-10-01

The base rate is $913.15 higher than on 2025-10-01, moving from $3871.91 to $4785.06 (23.6%).

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

    $3871.91changed to$4785.06

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.39 changed to 6.23
    • Practice expense RVU 111.45 changed to 136.52
    • Malpractice RVU 1.02 changed to 1.03
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $3871.91

    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$4785.06$291.92RVU26D
2026-07-01$4785.06$291.92RVU26C
2026-04-01$4785.06$291.92RVU26B
2026-01-01$4785.06$291.92RVU26A
2025-10-01$3871.91$314.80RVU25D
2025-07-01$3871.91$314.80RVU25C
2025-04-01$3871.91$314.80RVU25B
2025-01-01$3871.91$314.80RVU25A

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 36903PPRRVU2026_Oct_nonQPP.csv, line 4,564 (RVU26D)
Geographic factors for HoustonGPCI2026.csv, line 102 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet