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CMS RVU26D · Effective 2026-10-01

56405 in Merced

Office / nonfacility

$151.29

Base rate per service

Facility setting

$119.44

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 56405 is $152.02—$0.73 higher than the $151.29 rate in Merced. Both use the same code, release and participation basis.

56405 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $151.29

  2. Bakersfield

    $152.02

    $0.73 higher than Merced

  3. Chico

    $151.29

    The same base rate than Merced

  4. El Centro

    $151.33

    $0.04 higher than Merced

  5. Fresno

    $151.29

    The same base rate than Merced

  6. Hanford-Corcoran

    $151.29

    The same base rate than Merced

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

    $161.29

    $10.00 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, 56405 ranges from $129.22 in Arkansas to $186.53 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 · 56405

    Office

    $151.29

    Facility

    $119.44

    The same base rate than Merced for the office setting.

  • Modesto

    California · 56405

    Office

    $151.29

    Facility

    $119.44

    The same base rate than Merced for the office setting.

  • Napa

    California · 56405

    Office

    $172.99

    Facility

    $134.69

    $21.70 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 56405

    Office

    $160.21

    Facility

    $125.87

    $8.92 higher than Merced for the office setting.

  • Redding

    California · 56405

    Office

    $151.29

    Facility

    $119.44

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 56405

    Office

    $151.29

    Facility

    $119.44

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 56405

    Office

    $154.09

    Facility

    $122.24

    $2.80 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 56405

    Office

    $158.16

    Facility

    $124.36

    $6.87 higher than Merced for the office setting.

  • Salinas

    California · 56405

    Office

    $157.56

    Facility

    $123.88

    $6.27 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 56405

    Office

    $160.85

    Facility

    $126.10

    $9.56 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 56405

    Office

    $182.29

    Facility

    $141.32

    $31.00 higher than Merced for the office setting.

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

    California · 56405

    Office

    $182.00

    Facility

    $141.02

    $30.71 higher than Merced for the office setting.

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

    California · 56405

    Office

    $186.53

    Facility

    $144.63

    $35.24 higher than Merced for the office setting.

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

    California · 56405

    Office

    $185.32

    Facility

    $143.42

    $34.03 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 56405

    Office

    $155.11

    Facility

    $122.01

    $3.82 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 56405

    Office

    $162.05

    Facility

    $126.75

    $10.76 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 56405

    Office

    $158.04

    Facility

    $124.15

    $6.75 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 56405

    Office

    $163.64

    Facility

    $127.96

    $12.35 higher than Merced for the office setting.

  • Stockton

    California · 56405

    Office

    $151.29

    Facility

    $119.44

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 56405

    Office

    $172.57

    Facility

    $134.27

    $21.28 higher than Merced for the office setting.

  • Visalia

    California · 56405

    Office

    $151.29

    Facility

    $119.44

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 56405

    Office

    $151.29

    Facility

    $119.44

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 56405

    Office

    $165.37

    Facility

    $131.14

    $14.08 higher than Merced for the office setting.

  • Miami

    Florida · 56405

    Office

    $162.88

    Facility

    $132.63

    $11.59 higher than Merced for the office setting.

  • Chicago

    Illinois · 56405

    Office

    $157.99

    Facility

    $128.79

    $6.70 higher than Merced for the office setting.

  • Manhattan

    New York · 56405

    Office

    $168.54

    Facility

    $134.78

    $17.25 higher than Merced for the office setting.

  • Alaska*

    Alaska · 56405

    Office

    $172.05

    Facility

    $141.11

    $20.76 higher than Merced for the office setting.

  • Alabama

    Alabama · 56405

    Office

    $131.09

    Facility

    $105.66

    $20.20 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 56405

    Office

    $129.22

    Facility

    $104.26

    $22.07 lower than Merced for the office setting.

  • Arizona

    Arizona · 56405

    Office

    $141.96

    Facility

    $113.80

    $9.33 lower than Merced for the office setting.

  • Colorado

    Colorado · 56405

    Office

    $150.33

    Facility

    $119.41

    $0.96 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 56405

    Office

    $155.60

    Facility

    $124.30

    $4.31 higher than Merced for the office setting.

  • Delaware

    Delaware · 56405

    Office

    $144.26

    Facility

    $115.55

    $7.03 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 56405

    Office

    $154.13

    Facility

    $124.70

    $2.84 higher than Merced for the office setting.

  • Rest Of Florida

    Florida · 56405

    Office

    $146.42

    Facility

    $118.64

    $4.87 lower than Merced for the office setting.

  • Atlanta

    Georgia · 56405

    Office

    $149.27

    Facility

    $119.75

    $2.02 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 56405

    Office

    $138.03

    Facility

    $112.11

    $13.26 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 56405

    Office

    $154.48

    Facility

    $121.44

    $3.19 higher than Merced for the office setting.

  • Iowa

    Iowa · 56405

    Office

    $133.17

    Facility

    $106.58

    $18.12 lower than Merced for the office setting.

  • Idaho

    Idaho · 56405

    Office

    $134.28

    Facility

    $107.54

    $17.01 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 56405

    Office

    $147.66

    Facility

    $120.93

    $3.63 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 56405

    Office

    $143.12

    Facility

    $116.59

    $8.17 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 56405

    Office

    $155.40

    Facility

    $125.56

    $4.11 higher than Merced for the office setting.

  • Indiana

    Indiana · 56405

    Office

    $135.01

    Facility

    $108.07

    $16.28 lower than Merced for the office setting.

  • Kansas

    Kansas · 56405

    Office

    $133.13

    Facility

    $106.86

    $18.16 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 56405

    Office

    $135.36

    Facility

    $109.53

    $15.93 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 56405

    Office

    $141.90

    Facility

    $114.56

    $9.39 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 56405

    Office

    $135.38

    Facility

    $109.66

    $15.91 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 56405

    Office

    $164.23

    Facility

    $129.53

    $12.94 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 56405

    Office

    $149.68

    Facility

    $119.08

    $1.61 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 56405

    Office

    $155.28

    Facility

    $124.10

    $3.99 higher than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 56405

    Office

    $146.80

    Facility

    $117.39

    $4.49 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 56405

    Office

    $135.57

    Facility

    $108.84

    $15.72 lower than Merced for the office setting.

  • Southern Maine

    Maine · 56405

    Office

    $141.96

    Facility

    $113.16

    $9.33 lower than Merced for the office setting.

  • Detroit

    Michigan · 56405

    Office

    $148.81

    Facility

    $120.77

    $2.48 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 56405

    Office

    $139.35

    Facility

    $112.82

    $11.94 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 56405

    Office

    $142.42

    Facility

    $112.52

    $8.87 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 56405

    Office

    $140.34

    Facility

    $113.06

    $10.95 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 56405

    Office

    $141.71

    Facility

    $114.05

    $9.58 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 56405

    Office

    $133.48

    Facility

    $108.43

    $17.81 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 56405

    Office

    $131.35

    Facility

    $106.33

    $19.94 lower than Merced for the office setting.

  • Montana**

    Montana · 56405

    Office

    $145.94

    Facility

    $116.89

    $5.35 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 56405

    Office

    $136.87

    Facility

    $109.76

    $14.42 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 56405

    Office

    $140.80

    Facility

    $111.74

    $10.49 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 56405

    Office

    $133.72

    Facility

    $106.90

    $17.57 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 56405

    Office

    $148.52

    Facility

    $118.27

    $2.77 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 56405

    Office

    $163.82

    Facility

    $130.11

    $12.53 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 56405

    Office

    $156.92

    Facility

    $125.18

    $5.63 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 56405

    Office

    $140.33

    Facility

    $113.69

    $10.96 lower than Merced for the office setting.

  • Nevada**

    Nevada · 56405

    Office

    $144.60

    Facility

    $115.51

    $6.69 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 56405

    Office

    $173.30

    Facility

    $138.75

    $22.01 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 56405

    Office

    $158.41

    Facility

    $126.59

    $7.12 higher than Merced for the office setting.

  • Queens

    New York · 56405

    Office

    $169.07

    Facility

    $134.72

    $17.78 higher than Merced for the office setting.

  • Rest Of New York

    New York · 56405

    Office

    $138.94

    Facility

    $111.33

    $12.35 lower than Merced for the office setting.

  • Ohio

    Ohio · 56405

    Office

    $138.30

    Facility

    $111.77

    $12.99 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 56405

    Office

    $134.52

    Facility

    $108.57

    $16.77 lower than Merced for the office setting.

  • Portland

    Oregon · 56405

    Office

    $154.38

    Facility

    $122.09

    $3.09 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 56405

    Office

    $143.03

    Facility

    $114.08

    $8.26 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 56405

    Office

    $152.15

    Facility

    $121.90

    $0.86 higher than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 56405

    Office

    $138.20

    Facility

    $111.52

    $13.09 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 56405

    Office

    $146.81

    Facility

    $117.43

    $4.48 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 56405

    Office

    $148.88

    Facility

    $118.86

    $2.41 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 56405

    Office

    $137.91

    Facility

    $111.06

    $13.38 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 56405

    Office

    $140.20

    Facility

    $111.14

    $11.09 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 56405

    Office

    $133.86

    Facility

    $107.44

    $17.43 lower than Merced for the office setting.

  • Austin

    Texas · 56405

    Office

    $150.22

    Facility

    $119.48

    $1.07 lower than Merced for the office setting.

  • Beaumont

    Texas · 56405

    Office

    $137.35

    Facility

    $110.91

    $13.94 lower than Merced for the office setting.

  • Brazoria

    Texas · 56405

    Office

    $143.64

    Facility

    $114.84

    $7.65 lower than Merced for the office setting.

  • Dallas

    Texas · 56405

    Office

    $144.81

    Facility

    $115.87

    $6.48 lower than Merced for the office setting.

  • Fort Worth

    Texas · 56405

    Office

    $144.03

    Facility

    $115.38

    $7.26 lower than Merced for the office setting.

  • Galveston

    Texas · 56405

    Office

    $144.23

    Facility

    $115.38

    $7.06 lower than Merced for the office setting.

  • Houston

    Texas · 56405

    Office

    $148.99

    Facility

    $120.14

    $2.30 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 56405

    Office

    $140.59

    Facility

    $113.01

    $10.70 lower than Merced for the office setting.

  • Utah

    Utah · 56405

    Office

    $139.75

    Facility

    $112.43

    $11.54 lower than Merced for the office setting.

  • Virginia

    Virginia · 56405

    Office

    $141.90

    Facility

    $113.33

    $9.39 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 56405

    Office

    $146.81

    Facility

    $117.43

    $4.48 lower than Merced for the office setting.

  • Vermont

    Vermont · 56405

    Office

    $140.78

    Facility

    $112.02

    $10.51 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 56405

    Office

    $149.22

    Facility

    $118.63

    $2.07 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 56405

    Office

    $166.96

    Facility

    $131.31

    $15.67 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 56405

    Office

    $136.22

    Facility

    $108.38

    $15.07 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 56405

    Office

    $138.07

    Facility

    $112.81

    $13.22 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 56405

    Office

    $143.70

    Facility

    $114.65

    $7.59 lower than Merced for the office setting.

See how rates vary across the country

56405 · 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.

$129.22

$172.05

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$172.051
AL$131.091
AR$129.221
AZ$141.961
CA$151.29–$186.5329
CO$150.331
CT$155.601
DC$165.371
DE$144.261
FL$146.42–$162.883
GA$138.03–$149.272
GU$154.481
HI$154.481
IA$133.171
ID$134.281
IL$143.12–$157.994
IN$135.011
KS$133.131
KY$135.361
LA$135.38–$141.902
MA$149.68–$164.232
MD$146.80–$165.373
ME$135.57–$141.962
MI$139.35–$148.812
MN$142.421
MO$133.48–$141.713
MS$131.351
MT$145.941
NC$136.871
ND$140.801
NE$133.721
NH$148.521
NJ$156.92–$163.822
NM$140.331
NV$144.601
NY$138.94–$173.305
OH$138.301
OK$134.521
OR$143.03–$154.382
PA$138.20–$152.152
PR$146.811
RI$148.881
SC$137.911
SD$140.201
TN$133.861
TX$137.35–$150.228
UT$139.751
VA$141.90–$165.372
VI$146.811
VT$140.781
WA$149.22–$166.962
WI$136.221
WV$138.071
WY$143.701

Explore 56405 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 56405 in Merced, the physician’s office rate is $151.29 and the facility-setting rate is $119.44: a difference of $31.85.

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 56405 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$166.42

$151.29 × 110% = $166.42

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.

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 56405 in Merced.

PPRRVU2026_Oct_nonQPP.csv

6,403

Code
56405
Physician work
1.45
Practice expense
2.66
Malpractice
0.26

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 56405 in Merced
ComponentRVULocality factorAdjusted
Physician work1.45× 1.0171.4746
Practice expense2.66× 1.0962.9154
Malpractice0.26× 0.5360.1394
Total RVUs4.5294
Conversion factor× 33.4009

Office / nonfacility rate, Merced$151.29

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

Open 56405 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.451.017
Practice expense2.661.096
Malpractice0.260.536

(1.45 × 1.017 + 2.66 × 1.096 + 0.26 × 0.536) × $33.4009 = $151.29

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.451.017
Practice expense1.791.096
Malpractice0.260.536

(1.45 × 1.017 + 1.79 × 1.096 + 0.26 × 0.536) × $33.4009 = $119.44

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

56405 · Office / nonfacility

$151.29

Effective 2026-10-01

The base rate is $4.90 higher than on 2025-10-01, moving from $146.39 to $151.29 (3.3%).

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

    $146.39changed to$151.29

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.49 changed to 1.45
    • Practice expense RVU 2.62 changed to 2.66
    • Malpractice RVU 0.27 changed to 0.26
    • 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: $146.39

    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$151.29$119.44RVU26D
2026-07-01$151.29$119.44RVU26C
2026-04-01$151.29$119.44RVU26B
2026-01-01$151.29$119.44RVU26A
2025-10-01$146.39$127.65RVU25D
2025-07-01$146.39$127.65RVU25C
2025-04-01$146.39$127.65RVU25B
2025-01-01$146.39$127.65RVU25A

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 56405PPRRVU2026_Oct_nonQPP.csv, line 6,403 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet