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CMS RVU26D · Effective 2026-10-01

28104 in Merced

Office / nonfacility

$567.17

Base rate per service

Facility setting

$346.42

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.

CPT Category I

About 28104

CMS billing rules for 28104

Global period
Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Assistant at surgery may be paid.
Co-surgeons
Co-surgeons paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU5.13 · 32%
  • Practice expense (office) RVU10.42 · 64%
  • Malpractice RVU0.64 · 4%

1.5K

Medicare services in 2024 · #2656 by national volume

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 28104 is $569.07—$1.90 higher than the $567.17 rate in Merced. Both use the same code, release and participation basis.

28104 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $567.17

  2. Bakersfield

    $569.07

    $1.90 higher than Merced

  3. Chico

    $567.17

    The same base rate than Merced

  4. El Centro

    $567.27

    $0.10 higher than Merced

  5. Fresno

    $567.17

    The same base rate than Merced

  6. Hanford-Corcoran

    $567.17

    The same base rate than Merced

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

    $604.29

    $37.12 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, 28104 ranges from $481.32 in Arkansas to $703.52 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 · 28104

    Office

    $567.17

    Facility

    $346.42

    The same base rate than Merced for the office setting.

  • Modesto

    California · 28104

    Office

    $567.17

    Facility

    $346.42

    The same base rate than Merced for the office setting.

  • Napa

    California · 28104

    Office

    $651.71

    Facility

    $386.26

    $84.54 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28104

    Office

    $600.84

    Facility

    $362.78

    $33.67 higher than Merced for the office setting.

  • Redding

    California · 28104

    Office

    $567.17

    Facility

    $346.42

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 28104

    Office

    $567.17

    Facility

    $346.42

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28104

    Office

    $574.11

    Facility

    $353.37

    $6.94 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28104

    Office

    $593.74

    Facility

    $359.50

    $26.57 higher than Merced for the office setting.

  • Salinas

    California · 28104

    Office

    $591.49

    Facility

    $358.06

    $24.32 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28104

    Office

    $604.33

    Facility

    $363.44

    $37.16 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28104

    Office

    $688.17

    Facility

    $404.18

    $121.00 higher than Merced for the office setting.

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

    California · 28104

    Office

    $687.44

    Facility

    $403.46

    $120.27 higher than Merced for the office setting.

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

    California · 28104

    Office

    $703.52

    Facility

    $413.09

    $136.35 higher than Merced for the office setting.

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

    California · 28104

    Office

    $700.55

    Facility

    $410.12

    $133.38 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28104

    Office

    $582.13

    Facility

    $352.73

    $14.96 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 28104

    Office

    $609.27

    Facility

    $364.56

    $42.10 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 28104

    Office

    $593.41

    Facility

    $358.57

    $26.24 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 28104

    Office

    $615.33

    Facility

    $368.01

    $48.16 higher than Merced for the office setting.

  • Stockton

    California · 28104

    Office

    $567.17

    Facility

    $346.42

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 28104

    Office

    $650.67

    Facility

    $385.21

    $83.50 higher than Merced for the office setting.

  • Visalia

    California · 28104

    Office

    $567.17

    Facility

    $346.42

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 28104

    Office

    $567.17

    Facility

    $346.42

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 28104

    Office

    $614.38

    Facility

    $377.12

    $47.21 higher than Merced for the office setting.

  • Miami

    Florida · 28104

    Office

    $587.71

    Facility

    $378.05

    $20.54 higher than Merced for the office setting.

  • Chicago

    Illinois · 28104

    Office

    $571.38

    Facility

    $368.97

    $4.21 higher than Merced for the office setting.

  • Manhattan

    New York · 28104

    Office

    $620.64

    Facility

    $386.60

    $53.47 higher than Merced for the office setting.

  • Alaska*

    Alaska · 28104

    Office

    $639.46

    Facility

    $424.96

    $72.29 higher than Merced for the office setting.

  • Alabama

    Alabama · 28104

    Office

    $487.98

    Facility

    $311.75

    $79.19 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 28104

    Office

    $481.32

    Facility

    $308.31

    $85.85 lower than Merced for the office setting.

  • Arizona

    Arizona · 28104

    Office

    $526.89

    Facility

    $331.73

    $40.28 lower than Merced for the office setting.

  • Colorado

    Colorado · 28104

    Office

    $560.41

    Facility

    $346.11

    $6.76 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 28104

    Office

    $575.48

    Facility

    $358.56

    $8.31 higher than Merced for the office setting.

  • Delaware

    Delaware · 28104

    Office

    $535.28

    Facility

    $336.29

    $31.89 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 28104

    Office

    $562.56

    Facility

    $358.53

    $4.61 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 28104

    Office

    $536.20

    Facility

    $343.65

    $30.97 lower than Merced for the office setting.

  • Atlanta

    Georgia · 28104

    Office

    $551.14

    Facility

    $346.51

    $16.03 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 28104

    Office

    $507.28

    Facility

    $327.62

    $59.89 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 28104

    Office

    $579.44

    Facility

    $350.44

    $12.27 higher than Merced for the office setting.

  • Iowa

    Iowa · 28104

    Office

    $498.29

    Facility

    $314.00

    $68.88 lower than Merced for the office setting.

  • Idaho

    Idaho · 28104

    Office

    $501.65

    Facility

    $316.36

    $65.52 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 28104

    Office

    $534.59

    Facility

    $349.30

    $32.58 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 28104

    Office

    $522.52

    Facility

    $338.63

    $44.65 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 28104

    Office

    $567.86

    Facility

    $361.01

    $0.69 higher than Merced for the office setting.

  • Indiana

    Indiana · 28104

    Office

    $504.37

    Facility

    $317.66

    $62.80 lower than Merced for the office setting.

  • Kansas

    Kansas · 28104

    Office

    $496.75

    Facility

    $314.67

    $70.42 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 28104

    Office

    $500.31

    Facility

    $321.26

    $66.86 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 28104

    Office

    $523.13

    Facility

    $333.61

    $44.04 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 28104

    Office

    $499.84

    Facility

    $321.59

    $67.33 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 28104

    Office

    $612.95

    Facility

    $372.47

    $45.78 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28104

    Office

    $557.61

    Facility

    $345.53

    $9.56 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28104

    Office

    $573.98

    Facility

    $357.86

    $6.81 higher than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 28104

    Office

    $544.90

    Facility

    $341.07

    $22.27 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 28104

    Office

    $504.84

    Facility

    $319.54

    $62.33 lower than Merced for the office setting.

  • Southern Maine

    Maine · 28104

    Office

    $529.74

    Facility

    $330.15

    $37.43 lower than Merced for the office setting.

  • Detroit

    Michigan · 28104

    Office

    $543.24

    Facility

    $348.89

    $23.93 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 28104

    Office

    $513.24

    Facility

    $329.35

    $53.93 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 28104

    Office

    $535.80

    Facility

    $328.56

    $31.37 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 28104

    Office

    $519.04

    Facility

    $329.92

    $48.13 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 28104

    Office

    $524.10

    Facility

    $332.36

    $43.07 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 28104

    Office

    $492.18

    Facility

    $318.56

    $74.99 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 28104

    Office

    $486.80

    Facility

    $313.39

    $80.37 lower than Merced for the office setting.

  • Montana**

    Montana · 28104

    Office

    $540.72

    Facility

    $339.31

    $26.45 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 28104

    Office

    $509.73

    Facility

    $321.81

    $57.44 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 28104

    Office

    $528.06

    Facility

    $326.66

    $39.11 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 28104

    Office

    $500.67

    Facility

    $314.77

    $66.50 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 28104

    Office

    $552.36

    Facility

    $342.69

    $14.81 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 28104

    Office

    $608.69

    Facility

    $375.06

    $41.52 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 28104

    Office

    $581.71

    Facility

    $361.77

    $14.54 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 28104

    Office

    $516.17

    Facility

    $331.48

    $51.00 lower than Merced for the office setting.

  • Nevada**

    Nevada · 28104

    Office

    $537.54

    Facility

    $335.93

    $29.63 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28104

    Office

    $635.83

    Facility

    $396.35

    $68.66 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28104

    Office

    $586.02

    Facility

    $365.48

    $18.85 higher than Merced for the office setting.

  • Queens

    New York · 28104

    Office

    $624.52

    Facility

    $386.45

    $57.35 higher than Merced for the office setting.

  • Rest Of New York

    New York · 28104

    Office

    $517.01

    Facility

    $325.67

    $50.16 lower than Merced for the office setting.

  • Ohio

    Ohio · 28104

    Office

    $510.65

    Facility

    $326.77

    $56.52 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 28104

    Office

    $498.75

    Facility

    $318.90

    $68.42 lower than Merced for the office setting.

  • Portland

    Oregon · 28104

    Office

    $576.66

    Facility

    $352.90

    $9.49 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 28104

    Office

    $533.02

    Facility

    $332.42

    $34.15 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28104

    Office

    $562.24

    Facility

    $352.57

    $4.93 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28104

    Office

    $511.05

    Facility

    $326.15

    $56.12 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 28104

    Office

    $544.27

    Facility

    $340.65

    $22.90 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 28104

    Office

    $553.19

    Facility

    $345.14

    $13.98 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 28104

    Office

    $511.10

    Facility

    $325.00

    $56.07 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 28104

    Office

    $526.57

    Facility

    $325.16

    $40.60 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 28104

    Office

    $499.19

    Facility

    $316.11

    $67.98 lower than Merced for the office setting.

  • Austin

    Texas · 28104

    Office

    $558.85

    Facility

    $345.76

    $8.32 lower than Merced for the office setting.

  • Beaumont

    Texas · 28104

    Office

    $507.92

    Facility

    $324.64

    $59.25 lower than Merced for the office setting.

  • Brazoria

    Texas · 28104

    Office

    $534.30

    Facility

    $334.70

    $32.87 lower than Merced for the office setting.

  • Dallas

    Texas · 28104

    Office

    $537.88

    Facility

    $337.27

    $29.29 lower than Merced for the office setting.

  • Fort Worth

    Texas · 28104

    Office

    $534.67

    Facility

    $336.08

    $32.50 lower than Merced for the office setting.

  • Galveston

    Texas · 28104

    Office

    $536.02

    Facility

    $336.02

    $31.15 lower than Merced for the office setting.

  • Houston

    Texas · 28104

    Office

    $547.73

    Facility

    $347.74

    $19.44 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 28104

    Office

    $520.94

    Facility

    $329.80

    $46.23 lower than Merced for the office setting.

  • Utah

    Utah · 28104

    Office

    $517.70

    Facility

    $328.37

    $49.47 lower than Merced for the office setting.

  • Virginia

    Virginia · 28104

    Office

    $528.56

    Facility

    $330.58

    $38.61 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28104

    Office

    $544.27

    Facility

    $340.65

    $22.90 lower than Merced for the office setting.

  • Vermont

    Vermont · 28104

    Office

    $526.72

    Facility

    $327.33

    $40.45 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 28104

    Office

    $556.33

    Facility

    $344.24

    $10.84 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 28104

    Office

    $624.42

    Facility

    $377.29

    $57.25 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 28104

    Office

    $511.35

    Facility

    $318.40

    $55.82 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 28104

    Office

    $504.38

    Facility

    $329.36

    $62.79 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 28104

    Office

    $535.20

    Facility

    $333.80

    $31.97 lower than Merced for the office setting.

See how rates vary across the country

28104 · 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.

$481.32

$639.46

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$639.461
AL$487.981
AR$481.321
AZ$526.891
CA$567.17–$703.5229
CO$560.411
CT$575.481
DC$614.381
DE$535.281
FL$536.20–$587.713
GA$507.28–$551.142
GU$579.441
HI$579.441
IA$498.291
ID$501.651
IL$522.52–$571.384
IN$504.371
KS$496.751
KY$500.311
LA$499.84–$523.132
MA$557.61–$612.952
MD$544.90–$614.383
ME$504.84–$529.742
MI$513.24–$543.242
MN$535.801
MO$492.18–$524.103
MS$486.801
MT$540.721
NC$509.731
ND$528.061
NE$500.671
NH$552.361
NJ$581.71–$608.692
NM$516.171
NV$537.541
NY$517.01–$635.835
OH$510.651
OK$498.751
OR$533.02–$576.662
PA$511.05–$562.242
PR$544.271
RI$553.191
SC$511.101
SD$526.571
TN$499.191
TX$507.92–$558.858
UT$517.701
VA$528.56–$614.382
VI$544.271
VT$526.721
WA$556.33–$624.422
WI$511.351
WV$504.381
WY$535.201

Explore 28104 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 28104 in Merced, the physician’s office rate is $567.17 and the facility-setting rate is $346.42: a difference of $220.75.

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 28104 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$623.89

$567.17 × 110% = $623.89

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 28104 in Merced.

PPRRVU2026_Oct_nonQPP.csv

3,120

Code
28104
Physician work
5.13
Practice expense
10.42
Malpractice
0.64

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 28104 in Merced
ComponentRVULocality factorAdjusted
Physician work5.13× 1.0175.2172
Practice expense10.42× 1.09611.4203
Malpractice0.64× 0.5360.3430
Total RVUs16.9806
Conversion factor× 33.4009

Office / nonfacility rate, Merced$567.17

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

Open 28104 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work5.131.017
Practice expense10.421.096
Malpractice0.640.536

(5.13 × 1.017 + 10.42 × 1.096 + 0.64 × 0.536) × $33.4009 = $567.17

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work5.131.017
Practice expense4.391.096
Malpractice0.640.536

(5.13 × 1.017 + 4.39 × 1.096 + 0.64 × 0.536) × $33.4009 = $346.42

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

28104 · Office / nonfacility

$567.17

Effective 2026-10-01

The base rate is $31.45 higher than on 2025-10-01, moving from $535.72 to $567.17 (5.9%).

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

    $535.72changed to$567.17

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.26 changed to 5.13
    • Practice expense RVU 9.95 changed to 10.42
    • Malpractice RVU 0.63 changed to 0.64
    • 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: $535.72

    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$567.17$346.42RVU26D
2026-07-01$567.17$346.42RVU26C
2026-04-01$567.17$346.42RVU26B
2026-01-01$567.17$346.42RVU26A
2025-10-01$535.72$361.06RVU25D
2025-07-01$535.72$361.06RVU25C
2025-04-01$535.72$361.06RVU25B
2025-01-01$535.72$361.06RVU25A

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 28104PPRRVU2026_Oct_nonQPP.csv, line 3,120 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet