No office rate
Both include complete radical vulvectomy and bilateral inguinofemoral lymphadenectomy. Choose 56640 when pelvic lymph node dissection is also performed as part of the operation.
On this page
CMS RVU26D · Effective 2026-10-01
56640 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1401.42
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.
Gynecologic surgery
About 56640: Complete radical vulvectomy with pelvic node dissection
Reports complete radical removal of the vulva with bilateral inguinofemoral and pelvic lymph node dissection, typically for invasive vulvar malignancy.
This operation removes the vulva in its entirety as a radical cancer procedure and includes bilateral inguinofemoral lymphadenectomy and pelvic lymph node dissection. It is generally performed by a gynecologic oncologist in a hospital or other surgical facility for selected patients with invasive vulvar cancer when the operative plan includes this extent of nodal surgery. The groin and pelvic node work is part of the service represented by this code.
Select this code when the operative report supports complete radical vulvar removal and both the bilateral inguinofemoral and pelvic node dissections; a partial resection or a procedure without pelvic node dissection points to a different code in the family. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. A qualifying bilateral service reported with modifier 50 is paid at 150%. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 56640
- 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 procedure with modifier 50 is paid at 150%.
- 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 RVU24.16 · 56%
- Practice expense (office) RVU13.13 · 31%
- Malpractice RVU5.59 · 13%
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
56640 compared with similar codes
Office rates for Merced, from the same CMS release.
No office rate
56634 covers complete radical vulvectomy with unilateral inguinofemoral lymphadenectomy. It does not represent the bilateral groin and pelvic node dissection included in 56640.
No office rate
56633 represents complete radical vulvectomy without the lymphadenectomy components. Use 56640 when the documented operation also includes bilateral inguinofemoral and pelvic node dissection.
The same code, a different location
How does Merced compare?
56640 across payment areas
Same release and payment basis · bars start at $0
Merced · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Madera
California · 56640
Office
Unavailable
Facility
$1401.42
No comparable office rate is available.
Modesto
California · 56640
Office
Unavailable
Facility
$1401.42
No comparable office rate is available.
Napa
California · 56640
Office
Unavailable
Facility
$1530.67
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 56640
Office
Unavailable
Facility
$1464.25
No comparable office rate is available.
Redding
California · 56640
Office
Unavailable
Facility
$1401.42
No comparable office rate is available.
Rest Of California
California · 56640
Office
Unavailable
Facility
$1401.42
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 56640
Office
Unavailable
Facility
$1461.41
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 56640
Office
Unavailable
Facility
$1446.13
No comparable office rate is available.
Salinas
California · 56640
Office
Unavailable
Facility
$1440.34
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 56640
Office
Unavailable
Facility
$1456.88
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 56640
Office
Unavailable
Facility
$1587.69
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 56640
Office
Unavailable
Facility
$1581.34
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 56640
Office
Unavailable
Facility
$1628.20
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 56640
Office
Unavailable
Facility
$1602.25
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 56640
Office
Unavailable
Facility
$1420.27
No comparable office rate is available.
Santa Cruz-Watsonville
California · 56640
Office
Unavailable
Facility
$1456.83
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 56640
Office
Unavailable
Facility
$1440.99
No comparable office rate is available.
Santa Rosa-Petaluma
California · 56640
Office
Unavailable
Facility
$1469.80
No comparable office rate is available.
Stockton
California · 56640
Office
Unavailable
Facility
$1401.42
No comparable office rate is available.
Vallejo
California · 56640
Office
Unavailable
Facility
$1521.52
No comparable office rate is available.
Visalia
California · 56640
Office
Unavailable
Facility
$1401.42
No comparable office rate is available.
Yuba City
California · 56640
Office
Unavailable
Facility
$1401.42
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 56640
Office
Unavailable
Facility
$1574.97
No comparable office rate is available.
Miami
Florida · 56640
Office
Unavailable
Facility
$1735.69
No comparable office rate is available.
Chicago
Illinois · 56640
Office
Unavailable
Facility
$1681.86
No comparable office rate is available.
Manhattan
New York · 56640
Office
Unavailable
Facility
$1664.33
No comparable office rate is available.
Alaska*
Alaska · 56640
Office
Unavailable
Facility
$1780.39
No comparable office rate is available.
Alabama
Alabama · 56640
Office
Unavailable
Facility
$1296.38
No comparable office rate is available.
Arkansas
Arkansas · 56640
Office
Unavailable
Facility
$1279.84
No comparable office rate is available.
Arizona
Arizona · 56640
Office
Unavailable
Facility
$1391.75
No comparable office rate is available.
Colorado
Colorado · 56640
Office
Unavailable
Facility
$1429.09
No comparable office rate is available.
Connecticut
Connecticut · 56640
Office
Unavailable
Facility
$1521.35
No comparable office rate is available.
Delaware
Delaware · 56640
Office
Unavailable
Facility
$1412.14
No comparable office rate is available.
Fort Lauderdale
Florida · 56640
Office
Unavailable
Facility
$1588.79
No comparable office rate is available.
Rest Of Florida
Florida · 56640
Office
Unavailable
Facility
$1506.85
No comparable office rate is available.
Atlanta
Georgia · 56640
Office
Unavailable
Facility
$1479.20
No comparable office rate is available.
Rest Of Georgia
Georgia · 56640
Office
Unavailable
Facility
$1420.72
No comparable office rate is available.
Hawaii, Guam
Hawaii · 56640
Office
Unavailable
Facility
$1413.71
No comparable office rate is available.
Iowa
Iowa · 56640
Office
Unavailable
Facility
$1282.37
No comparable office rate is available.
Idaho
Idaho · 56640
Office
Unavailable
Facility
$1298.75
No comparable office rate is available.
East St. Louis
Illinois · 56640
Office
Unavailable
Facility
$1586.47
No comparable office rate is available.
Rest Of Illinois
Illinois · 56640
Office
Unavailable
Facility
$1499.19
No comparable office rate is available.
Suburban Chicago
Illinois · 56640
Office
Unavailable
Facility
$1593.86
No comparable office rate is available.
Indiana
Indiana · 56640
Office
Unavailable
Facility
$1304.25
No comparable office rate is available.
Kansas
Kansas · 56640
Office
Unavailable
Facility
$1297.52
No comparable office rate is available.
Kentucky
Kentucky · 56640
Office
Unavailable
Facility
$1367.68
No comparable office rate is available.
New Orleans
Louisiana · 56640
Office
Unavailable
Facility
$1431.75
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 56640
Office
Unavailable
Facility
$1373.96
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 56640
Office
Unavailable
Facility
$1529.86
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 56640
Office
Unavailable
Facility
$1430.48
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 56640
Office
Unavailable
Facility
$1521.41
No comparable office rate is available.
Rest Of Maryland
Maryland · 56640
Office
Unavailable
Facility
$1430.25
No comparable office rate is available.
Rest Of Maine
Maine · 56640
Office
Unavailable
Facility
$1326.57
No comparable office rate is available.
Southern Maine
Maine · 56640
Office
Unavailable
Facility
$1359.39
No comparable office rate is available.
Detroit
Michigan · 56640
Office
Unavailable
Facility
$1544.96
No comparable office rate is available.
Rest Of Michigan
Michigan · 56640
Office
Unavailable
Facility
$1418.16
No comparable office rate is available.
Minnesota
Minnesota · 56640
Office
Unavailable
Facility
$1313.50
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 56640
Office
Unavailable
Facility
$1401.18
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 56640
Office
Unavailable
Facility
$1411.55
No comparable office rate is available.
Rest Of Missouri
Missouri · 56640
Office
Unavailable
Facility
$1366.86
No comparable office rate is available.
Mississippi
Mississippi · 56640
Office
Unavailable
Facility
$1322.54
No comparable office rate is available.
Montana**
Montana · 56640
Office
Unavailable
Facility
$1431.86
No comparable office rate is available.
North Carolina
North Carolina · 56640
Office
Unavailable
Facility
$1335.44
No comparable office rate is available.
North Dakota**
North Dakota · 56640
Office
Unavailable
Facility
$1321.32
No comparable office rate is available.
Nebraska
Nebraska · 56640
Office
Unavailable
Facility
$1282.33
No comparable office rate is available.
New Hampshire
New Hampshire · 56640
Office
Unavailable
Facility
$1426.87
No comparable office rate is available.
Northern Nj
New Jersey · 56640
Office
Unavailable
Facility
$1565.93
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 56640
Office
Unavailable
Facility
$1522.97
No comparable office rate is available.
New Mexico
New Mexico · 56640
Office
Unavailable
Facility
$1433.36
No comparable office rate is available.
Nevada**
Nevada · 56640
Office
Unavailable
Facility
$1401.49
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 56640
Office
Unavailable
Facility
$1726.77
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 56640
Office
Unavailable
Facility
$1549.42
No comparable office rate is available.
Queens
New York · 56640
Office
Unavailable
Facility
$1646.22
No comparable office rate is available.
Rest Of New York
New York · 56640
Office
Unavailable
Facility
$1354.85
No comparable office rate is available.
Ohio
Ohio · 56640
Office
Unavailable
Facility
$1395.57
No comparable office rate is available.
Oklahoma
Oklahoma · 56640
Office
Unavailable
Facility
$1343.67
No comparable office rate is available.
Portland
Oregon · 56640
Office
Unavailable
Facility
$1446.02
No comparable office rate is available.
Rest Of Oregon
Oregon · 56640
Office
Unavailable
Facility
$1375.02
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 56640
Office
Unavailable
Facility
$1500.77
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 56640
Office
Unavailable
Facility
$1386.00
No comparable office rate is available.
Puerto Rico
Puerto Rico · 56640
Office
Unavailable
Facility
$1434.25
No comparable office rate is available.
Rhode Island
Rhode Island · 56640
Office
Unavailable
Facility
$1441.87
No comparable office rate is available.
South Carolina
South Carolina · 56640
Office
Unavailable
Facility
$1370.89
No comparable office rate is available.
South Dakota**
South Dakota · 56640
Office
Unavailable
Facility
$1308.25
No comparable office rate is available.
Tennessee
Tennessee · 56640
Office
Unavailable
Facility
$1305.87
No comparable office rate is available.
Austin
Texas · 56640
Office
Unavailable
Facility
$1438.00
No comparable office rate is available.
Beaumont
Texas · 56640
Office
Unavailable
Facility
$1379.50
No comparable office rate is available.
Brazoria
Texas · 56640
Office
Unavailable
Facility
$1393.66
No comparable office rate is available.
Dallas
Texas · 56640
Office
Unavailable
Facility
$1411.23
No comparable office rate is available.
Fort Worth
Texas · 56640
Office
Unavailable
Facility
$1409.27
No comparable office rate is available.
Galveston
Texas · 56640
Office
Unavailable
Facility
$1403.50
No comparable office rate is available.
Houston
Texas · 56640
Office
Unavailable
Facility
$1505.82
No comparable office rate is available.
Rest Of Texas
Texas · 56640
Office
Unavailable
Facility
$1391.75
No comparable office rate is available.
Utah
Utah · 56640
Office
Unavailable
Facility
$1386.87
No comparable office rate is available.
Virginia
Virginia · 56640
Office
Unavailable
Facility
$1369.88
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 56640
Office
Unavailable
Facility
$1434.25
No comparable office rate is available.
Vermont
Vermont · 56640
Office
Unavailable
Facility
$1335.61
No comparable office rate is available.
Rest Of Washington
Washington · 56640
Office
Unavailable
Facility
$1421.34
No comparable office rate is available.
Seattle (King Cnty)
Washington · 56640
Office
Unavailable
Facility
$1537.96
No comparable office rate is available.
Wisconsin
Wisconsin · 56640
Office
Unavailable
Facility
$1284.61
No comparable office rate is available.
West Virginia
West Virginia · 56640
Office
Unavailable
Facility
$1455.25
No comparable office rate is available.
Wyoming**
Wyoming · 56640
Office
Unavailable
Facility
$1383.69
No comparable office rate is available.
See how rates vary across the country
56640 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 56640 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1541.56
$1401.42 × 110% = $1541.56
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 56640 in Merced.
PPRRVU2026_Oct_nonQPP.csv
6,420
- Code
- 56640
- Physician work
- 24.16
- Practice expense
- 13.13
- Malpractice
- 5.59
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 24.16 | × 1.017 | 24.5707 |
| Practice expense | 13.13 | × 1.096 | 14.3905 |
| Malpractice | 5.59 | × 0.536 | 2.9962 |
| Total RVUs | 41.9574 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$1401.42
Open 56640 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 24.16 | 1.017 |
| Practice expense | 13.13 | 1.096 |
| Malpractice | 5.59 | 0.536 |
(24.16 × 1.017 + 13.13 × 1.096 + 5.59 × 0.536) × $33.4009 = $1401.42
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
56640 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1401.42 | RVU26D |
| 2026-07-01 | Not available in this setting | $1401.42 | RVU26C |
| 2026-04-01 | Not available in this setting | $1401.42 | RVU26B |
| 2026-01-01 | Not available in this setting | $1401.42 | RVU26A |
| 2025-10-01 | Not available in this setting | $1496.04 | RVU25D |
| 2025-07-01 | Not available in this setting | $1496.04 | RVU25C |
| 2025-04-01 | Not available in this setting | $1496.04 | RVU25B |
| 2025-01-01 | Not available in this setting | $1496.04 | RVU25A |
56640 billing questions
How does 56640 differ from 56637?
56640 includes pelvic lymph node dissection in addition to complete radical vulvectomy and bilateral inguinofemoral lymphadenectomy. Use 56637 when the operative service includes the bilateral groin node dissection but not pelvic node dissection.
Are the groin and pelvic node dissections separately reported?
They are included in 56640 when performed as part of the coded operation. The operative report should document the extent and laterality of the node dissections.
When should 56633 be used instead?
56633 describes complete radical vulvectomy without the inguinofemoral lymphadenectomy included in 56640. The documented operation, rather than the cancer diagnosis alone, determines the appropriate code.
What documentation supports 56640?
Document that the vulvar removal was complete and radical, and describe bilateral inguinofemoral and pelvic lymph node dissection. Include the operative findings and the extent of each surgical component.
How does Medicare handle other procedures performed in the same session?
Under the listed multiple-procedure rule, Medicare pays the highest-valued procedure in full and other procedures at 50%. Related postoperative care for 56640 falls within its 90-day global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be allowed. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.
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.
6,41756633,,Vulvectomy radical complete,A,,19.13,11.13,NA,11.13,,4.19,34.45,34.45,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,41856634,,Vlvctmy rad comp uni lymphad,A,,20.14,11.99,NA,11.99,,4.66,36.79,36.79,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,41956637,,Vlvctmy rad comp bi lymphad,A,,24.13,13.16,NA,13.16,,5.59,42.88,42.88,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,42056640,,Vlvctmy rad comp w/lymphadec,A,,24.16,13.13,NA,13.13,,5.59,42.88,42.88,0,090,0.12,0.74,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,42156700,,Prtl hymnctmy/revj hymnl rng,A,,2.77,2.19,NA,2.19,,0.48,5.44,5.44,0,010,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,42256740,,Exc bartholins gland/cyst,A,,4.76,2.84,NA,2.84,,0.87,8.47,8.47,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,42356800,,Plastic repair introitus,A,,3.83,2.31,NA,2.31,,0.66,6.80,6.80,0,010,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623