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CMS RVU26D · Effective 2026-10-01

19086 in Merced

Office / nonfacility

$598.37

Base rate per service

Facility setting

$74.88

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 Merced compare?

In Bakersfield, the office rate for 19086 is $598.90—$0.53 higher than the $598.37 rate in Merced. Both use the same code, release and participation basis.

19086 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $598.37

  2. Bakersfield

    $598.90

    $0.53 higher than Merced

  3. Chico

    $598.37

    The same base rate than Merced

  4. El Centro

    $598.40

    $0.03 higher than Merced

  5. Fresno

    $598.37

    The same base rate than Merced

  6. Hanford-Corcoran

    $598.37

    The same base rate than Merced

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

    $643.00

    $44.63 higher than Merced

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, 19086 ranges from $481.51 in Arkansas to $772.83 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

  • Madera

    California · 19086

    Office

    $598.37

    Facility

    $74.88

    The same base rate than Merced for the office setting.

  • Modesto

    California · 19086

    Office

    $598.37

    Facility

    $74.88

    The same base rate than Merced for the office setting.

  • Napa

    California · 19086

    Office

    $709.34

    Facility

    $79.82

    $110.97 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 19086

    Office

    $641.51

    Facility

    $76.95

    $43.14 higher than Merced for the office setting.

  • Redding

    California · 19086

    Office

    $598.37

    Facility

    $74.88

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 19086

    Office

    $598.37

    Facility

    $74.88

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 19086

    Office

    $600.23

    Facility

    $76.74

    $1.86 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 19086

    Office

    $632.21

    Facility

    $76.72

    $33.84 higher than Merced for the office setting.

  • Salinas

    California · 19086

    Office

    $629.96

    Facility

    $76.38

    $31.59 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 19086

    Office

    $648.00

    Facility

    $76.75

    $49.63 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 19086

    Office

    $755.88

    Facility

    $82.41

    $157.51 higher than Merced for the office setting.

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

    California · 19086

    Office

    $755.68

    Facility

    $82.22

    $157.31 higher than Merced for the office setting.

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

    California · 19086

    Office

    $772.83

    Facility

    $84.08

    $174.46 higher than Merced for the office setting.

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

    California · 19086

    Office

    $772.04

    Facility

    $83.29

    $173.67 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 19086

    Office

    $619.37

    Facility

    $75.34

    $21.00 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 19086

    Office

    $656.71

    Facility

    $76.39

    $58.34 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 19086

    Office

    $633.20

    Facility

    $76.28

    $34.83 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 19086

    Office

    $663.60

    Facility

    $77.06

    $65.23 higher than Merced for the office setting.

  • Stockton

    California · 19086

    Office

    $598.37

    Facility

    $74.88

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 19086

    Office

    $709.06

    Facility

    $79.54

    $110.69 higher than Merced for the office setting.

  • Visalia

    California · 19086

    Office

    $598.37

    Facility

    $74.88

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 19086

    Office

    $598.37

    Facility

    $74.88

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 19086

    Office

    $643.87

    Facility

    $81.22

    $45.50 higher than Merced for the office setting.

  • Miami

    Florida · 19086

    Office

    $581.82

    Facility

    $84.61

    $16.55 lower than Merced for the office setting.

  • Chicago

    Illinois · 19086

    Office

    $563.33

    Facility

    $83.31

    $35.04 lower than Merced for the office setting.

  • Manhattan

    New York · 19086

    Office

    $639.34

    Facility

    $84.33

    $40.97 higher than Merced for the office setting.

  • Alaska*

    Alaska · 19086

    Office

    $611.87

    Facility

    $103.19

    $13.50 higher than Merced for the office setting.

  • Alabama

    Alabama · 19086

    Office

    $489.61

    Facility

    $71.69

    $108.76 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 19086

    Office

    $481.51

    Facility

    $71.23

    $116.86 lower than Merced for the office setting.

  • Arizona

    Arizona · 19086

    Office

    $537.16

    Facility

    $74.34

    $61.21 lower than Merced for the office setting.

  • Colorado

    Colorado · 19086

    Office

    $583.84

    Facility

    $75.64

    $14.53 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 19086

    Office

    $593.09

    Facility

    $78.68

    $5.28 lower than Merced for the office setting.

  • Delaware

    Delaware · 19086

    Office

    $546.98

    Facility

    $75.08

    $51.39 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 19086

    Office

    $564.06

    Facility

    $80.21

    $34.31 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 19086

    Office

    $534.49

    Facility

    $77.87

    $63.88 lower than Merced for the office setting.

  • Atlanta

    Georgia · 19086

    Office

    $562.25

    Facility

    $76.98

    $36.12 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 19086

    Office

    $501.47

    Facility

    $75.42

    $96.90 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 19086

    Office

    $617.63

    Facility

    $74.56

    $19.26 higher than Merced for the office setting.

  • Iowa

    Iowa · 19086

    Office

    $508.19

    Facility

    $71.15

    $90.18 lower than Merced for the office setting.

  • Idaho

    Idaho · 19086

    Office

    $511.06

    Facility

    $71.64

    $87.31 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 19086

    Office

    $519.81

    Facility

    $80.39

    $78.56 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 19086

    Office

    $513.83

    Facility

    $77.75

    $84.54 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 19086

    Office

    $571.10

    Facility

    $80.57

    $27.27 lower than Merced for the office setting.

  • Indiana

    Indiana · 19086

    Office

    $514.55

    Facility

    $71.79

    $83.82 lower than Merced for the office setting.

  • Kansas

    Kansas · 19086

    Office

    $503.42

    Facility

    $71.64

    $94.95 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 19086

    Office

    $498.43

    Facility

    $73.82

    $99.94 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 19086

    Office

    $525.08

    Facility

    $75.63

    $73.29 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 19086

    Office

    $496.72

    Facility

    $74.02

    $101.65 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 19086

    Office

    $649.65

    Facility

    $79.36

    $51.28 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 19086

    Office

    $578.79

    Facility

    $75.85

    $19.58 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 19086

    Office

    $591.06

    Facility

    $78.56

    $7.31 lower than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 19086

    Office

    $559.10

    Facility

    $75.74

    $39.27 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 19086

    Office

    $511.91

    Facility

    $72.48

    $86.46 lower than Merced for the office setting.

  • Southern Maine

    Maine · 19086

    Office

    $546.63

    Facility

    $73.29

    $51.74 lower than Merced for the office setting.

  • Detroit

    Michigan · 19086

    Office

    $539.92

    Facility

    $79.01

    $58.45 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 19086

    Office

    $511.37

    Facility

    $75.29

    $87.00 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 19086

    Office

    $563.28

    Facility

    $71.80

    $35.09 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 19086

    Office

    $523.20

    Facility

    $74.70

    $75.17 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 19086

    Office

    $529.69

    Facility

    $74.98

    $68.68 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 19086

    Office

    $485.58

    Facility

    $73.86

    $112.79 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 19086

    Office

    $483.76

    Facility

    $72.52

    $114.61 lower than Merced for the office setting.

  • Montana**

    Montana · 19086

    Office

    $553.11

    Facility

    $75.47

    $45.26 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 19086

    Office

    $518.35

    Facility

    $72.72

    $80.02 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 19086

    Office

    $549.75

    Facility

    $72.11

    $48.62 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 19086

    Office

    $511.99

    Facility

    $71.13

    $86.38 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 19086

    Office

    $572.43

    Facility

    $75.21

    $25.94 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 19086

    Office

    $635.36

    Facility

    $81.31

    $36.99 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 19086

    Office

    $600.96

    Facility

    $79.38

    $2.59 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 19086

    Office

    $513.73

    Facility

    $75.74

    $84.64 lower than Merced for the office setting.

  • Nevada**

    Nevada · 19086

    Office

    $552.66

    Facility

    $74.55

    $45.71 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 19086

    Office

    $654.06

    Facility

    $86.16

    $55.69 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 19086

    Office

    $603.36

    Facility

    $80.35

    $4.99 higher than Merced for the office setting.

  • Queens

    New York · 19086

    Office

    $648.29

    Facility

    $83.72

    $49.92 higher than Merced for the office setting.

  • Rest Of New York

    New York · 19086

    Office

    $527.02

    Facility

    $73.27

    $71.35 lower than Merced for the office setting.

  • Ohio

    Ohio · 19086

    Office

    $510.68

    Facility

    $74.60

    $87.69 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 19086

    Office

    $499.60

    Facility

    $73.08

    $98.77 lower than Merced for the office setting.

  • Portland

    Oregon · 19086

    Office

    $606.81

    Facility

    $76.16

    $8.44 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 19086

    Office

    $549.48

    Facility

    $73.76

    $48.89 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 19086

    Office

    $575.30

    Facility

    $78.08

    $23.07 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 19086

    Office

    $512.76

    Facility

    $74.30

    $85.61 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 19086

    Office

    $558.41

    Facility

    $75.52

    $39.96 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 19086

    Office

    $569.74

    Facility

    $76.35

    $28.63 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 19086

    Office

    $515.15

    Facility

    $73.82

    $83.22 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 19086

    Office

    $549.35

    Facility

    $71.72

    $49.02 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 19086

    Office

    $506.05

    Facility

    $71.88

    $92.32 lower than Merced for the office setting.

  • Austin

    Texas · 19086

    Office

    $580.91

    Facility

    $75.58

    $17.46 lower than Merced for the office setting.

  • Beaumont

    Texas · 19086

    Office

    $508.77

    Facility

    $74.12

    $89.60 lower than Merced for the office setting.

  • Brazoria

    Texas · 19086

    Office

    $547.95

    Facility

    $74.61

    $50.42 lower than Merced for the office setting.

  • Dallas

    Texas · 19086

    Office

    $550.89

    Facility

    $75.17

    $47.48 lower than Merced for the office setting.

  • Fort Worth

    Texas · 19086

    Office

    $546.08

    Facility

    $75.14

    $52.29 lower than Merced for the office setting.

  • Galveston

    Texas · 19086

    Office

    $549.20

    Facility

    $74.91

    $49.17 lower than Merced for the office setting.

  • Houston

    Texas · 19086

    Office

    $552.31

    Facility

    $78.02

    $46.06 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 19086

    Office

    $527.66

    Facility

    $74.39

    $70.71 lower than Merced for the office setting.

  • Utah

    Utah · 19086

    Office

    $523.24

    Facility

    $74.27

    $75.13 lower than Merced for the office setting.

  • Virginia

    Virginia · 19086

    Office

    $543.15

    Facility

    $73.63

    $55.22 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 19086

    Office

    $558.41

    Facility

    $75.52

    $39.96 lower than Merced for the office setting.

  • Vermont

    Vermont · 19086

    Office

    $545.43

    Facility

    $72.57

    $52.94 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 19086

    Office

    $578.41

    Facility

    $75.46

    $19.96 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 19086

    Office

    $665.88

    Facility

    $79.83

    $67.51 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 19086

    Office

    $528.68

    Facility

    $71.11

    $69.69 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 19086

    Office

    $491.60

    Facility

    $76.53

    $106.77 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 19086

    Office

    $551.64

    Facility

    $74.01

    $46.73 lower than Merced for the office setting.

See how rates vary across the country

19086 · 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.

$481.51

$685.60

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$611.871
AL$489.611
AR$481.511
AZ$537.161
CA$598.37–$772.8329
CO$583.841
CT$593.091
DC$643.871
DE$546.981
FL$534.49–$581.823
GA$501.47–$562.252
GU$617.631
HI$617.631
IA$508.191
ID$511.061
IL$513.83–$571.104
IN$514.551
KS$503.421
KY$498.431
LA$496.72–$525.082
MA$578.79–$649.652
MD$559.10–$643.873
ME$511.91–$546.632
MI$511.37–$539.922
MN$563.281
MO$485.58–$529.693
MS$483.761
MT$553.111
NC$518.351
ND$549.751
NE$511.991
NH$572.431
NJ$600.96–$635.362
NM$513.731
NV$552.661
NY$527.02–$654.065
OH$510.681
OK$499.601
OR$549.48–$606.812
PA$512.76–$575.302
PR$558.411
RI$569.741
SC$515.151
SD$549.351
TN$506.051
TX$508.77–$580.918
UT$523.241
VA$543.15–$643.872
VI$558.411
VT$545.431
WA$578.41–$665.882
WI$528.681
WV$491.601
WY$551.641

Explore 19086 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 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 19086 in Merced, the physician’s office rate is $598.37 and the facility-setting rate is $74.88: a difference of $523.49.

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 19086 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$658.21

$598.37 × 110% = $658.21

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 19086 in Merced.

PPRRVU2026_Oct_nonQPP.csv

1,664

Code
19086
Physician work
1.77
Practice expense
14.62
Malpractice
0.17

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 19086 in Merced
ComponentRVULocality factorAdjusted
Physician work1.77× 1.0171.8001
Practice expense14.62× 1.09616.0235
Malpractice0.17× 0.5360.0911
Total RVUs17.9147
Conversion factor× 33.4009

Office / nonfacility rate, Merced$598.37

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

Open 19086 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.771.017
Practice expense14.621.096
Malpractice0.170.536

(1.77 × 1.017 + 14.62 × 1.096 + 0.17 × 0.536) × $33.4009 = $598.37

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.771.017
Practice expense0.321.096
Malpractice0.170.536

(1.77 × 1.017 + 0.32 × 1.096 + 0.17 × 0.536) × $33.4009 = $74.88

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

19086 · Office / nonfacility

$598.37

Effective 2026-10-01

The base rate is $7.22 higher than on 2025-10-01, moving from $591.15 to $598.37 (1.2%).

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

    $591.15changed to$598.37

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.82 changed to 1.77
    • Practice expense RVU 14.95 changed to 14.62
    • Malpractice RVU 0.16 changed to 0.17
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $591.15

    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$598.37$74.88RVU26D
2026-07-01$598.37$74.88RVU26C
2026-04-01$598.37$74.88RVU26B
2026-01-01$598.37$74.88RVU26A
2025-10-01$591.15$85.93RVU25D
2025-07-01$591.15$85.93RVU25C
2025-04-01$591.15$85.93RVU25B
2025-01-01$591.15$85.93RVU25A

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 19086PPRRVU2026_Oct_nonQPP.csv, line 1,664 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet