No office rate
59510 includes antepartum and postpartum care with cesarean delivery; 59514 covers the delivery service only.
On this page
CMS RVU26D · Effective 2026-10-01
59514 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$766.47
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.
Obstetrics
About 59514: Cesarean delivery without maternity care
Report 59514 for cesarean delivery when the billed obstetric service covers delivery only, without antepartum or postpartum care.
An obstetrician or other qualified surgeon delivers the infant and placenta through abdominal and uterine incisions, typically in a hospital operating room. Code 59514 represents the cesarean delivery service alone, rather than a maternity package that also includes prenatal or postpartum care. It is appropriate when the reporting clinician provides the delivery service but does not include those other phases of care in the billed service.
Choose the code based on which phases of maternity care the service includes: 59514 is delivery only, 59515 includes delivery and postpartum care, and 59510 includes antepartum, delivery, and postpartum care. Documentation should support the cesarean delivery and clarify the care included in the clinician’s service. The usual global surgery rules do not apply to this maternity code. If multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and pays the others at 50%.
CMS billing rules for 59514
- Global period
- Maternity code: the usual global surgery rules do not apply.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Where the value comes from
- Work RVU16.13 · 65%
- Practice expense (office) RVU3.52 · 14%
- Malpractice RVU5.01 · 20%
1K
Medicare services in 2024 · #2941 by national volume
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.
59514 compared with similar codes
Office rates for Merced, from the same CMS release.
No office rate
59515 includes postpartum care as well as cesarean delivery. Use 59514 when postpartum care is not included.
No office rate
59525 describes hysterectomy performed after cesarean delivery, not the cesarean delivery itself.
The same code, a different location
How does Merced compare?
59514 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 · 59514
Office
Unavailable
Facility
$766.47
No comparable office rate is available.
Modesto
California · 59514
Office
Unavailable
Facility
$766.47
No comparable office rate is available.
Napa
California · 59514
Office
Unavailable
Facility
$812.66
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 59514
Office
Unavailable
Facility
$797.06
No comparable office rate is available.
Redding
California · 59514
Office
Unavailable
Facility
$766.47
No comparable office rate is available.
Rest Of California
California · 59514
Office
Unavailable
Facility
$766.47
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 59514
Office
Unavailable
Facility
$820.05
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 59514
Office
Unavailable
Facility
$784.58
No comparable office rate is available.
Salinas
California · 59514
Office
Unavailable
Facility
$781.42
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 59514
Office
Unavailable
Facility
$786.23
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 59514
Office
Unavailable
Facility
$832.52
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 59514
Office
Unavailable
Facility
$826.83
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 59514
Office
Unavailable
Facility
$857.25
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 59514
Office
Unavailable
Facility
$833.99
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 59514
Office
Unavailable
Facility
$771.52
No comparable office rate is available.
Santa Cruz-Watsonville
California · 59514
Office
Unavailable
Facility
$782.61
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 59514
Office
Unavailable
Facility
$780.62
No comparable office rate is available.
Santa Rosa-Petaluma
California · 59514
Office
Unavailable
Facility
$788.99
No comparable office rate is available.
Stockton
California · 59514
Office
Unavailable
Facility
$766.47
No comparable office rate is available.
Vallejo
California · 59514
Office
Unavailable
Facility
$804.47
No comparable office rate is available.
Visalia
California · 59514
Office
Unavailable
Facility
$766.47
No comparable office rate is available.
Yuba City
California · 59514
Office
Unavailable
Facility
$766.47
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 59514
Office
Unavailable
Facility
$892.60
No comparable office rate is available.
Miami
Florida · 59514
Office
Unavailable
Facility
$1084.35
No comparable office rate is available.
Chicago
Illinois · 59514
Office
Unavailable
Facility
$1044.73
No comparable office rate is available.
Manhattan
New York · 59514
Office
Unavailable
Facility
$975.25
No comparable office rate is available.
Alaska*
Alaska · 59514
Office
Unavailable
Facility
$1025.55
No comparable office rate is available.
Alabama
Alabama · 59514
Office
Unavailable
Facility
$736.34
No comparable office rate is available.
Arkansas
Arkansas · 59514
Office
Unavailable
Facility
$725.93
No comparable office rate is available.
Arizona
Arizona · 59514
Office
Unavailable
Facility
$795.92
No comparable office rate is available.
Colorado
Colorado · 59514
Office
Unavailable
Facility
$801.01
No comparable office rate is available.
Connecticut
Connecticut · 59514
Office
Unavailable
Facility
$878.64
No comparable office rate is available.
Delaware
Delaware · 59514
Office
Unavailable
Facility
$808.05
No comparable office rate is available.
Fort Lauderdale
Florida · 59514
Office
Unavailable
Facility
$960.40
No comparable office rate is available.
Rest Of Florida
Florida · 59514
Office
Unavailable
Facility
$902.66
No comparable office rate is available.
Atlanta
Georgia · 59514
Office
Unavailable
Facility
$860.80
No comparable office rate is available.
Rest Of Georgia
Georgia · 59514
Office
Unavailable
Facility
$843.10
No comparable office rate is available.
Hawaii, Guam
Hawaii · 59514
Office
Unavailable
Facility
$769.32
No comparable office rate is available.
Iowa
Iowa · 59514
Office
Unavailable
Facility
$712.77
No comparable office rate is available.
Idaho
Idaho · 59514
Office
Unavailable
Facility
$726.07
No comparable office rate is available.
East St. Louis
Illinois · 59514
Office
Unavailable
Facility
$983.94
No comparable office rate is available.
Rest Of Illinois
Illinois · 59514
Office
Unavailable
Facility
$907.65
No comparable office rate is available.
Suburban Chicago
Illinois · 59514
Office
Unavailable
Facility
$959.80
No comparable office rate is available.
Indiana
Indiana · 59514
Office
Unavailable
Facility
$729.07
No comparable office rate is available.
Kansas
Kansas · 59514
Office
Unavailable
Facility
$729.38
No comparable office rate is available.
Kentucky
Kentucky · 59514
Office
Unavailable
Facility
$796.39
No comparable office rate is available.
New Orleans
Louisiana · 59514
Office
Unavailable
Facility
$839.49
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 59514
Office
Unavailable
Facility
$803.12
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 59514
Office
Unavailable
Facility
$850.16
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 59514
Office
Unavailable
Facility
$804.55
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 59514
Office
Unavailable
Facility
$880.53
No comparable office rate is available.
Rest Of Maryland
Maryland · 59514
Office
Unavailable
Facility
$816.74
No comparable office rate is available.
Rest Of Maine
Maine · 59514
Office
Unavailable
Facility
$751.01
No comparable office rate is available.
Southern Maine
Maine · 59514
Office
Unavailable
Facility
$760.86
No comparable office rate is available.
Detroit
Michigan · 59514
Office
Unavailable
Facility
$934.35
No comparable office rate is available.
Rest Of Michigan
Michigan · 59514
Office
Unavailable
Facility
$835.02
No comparable office rate is available.
Minnesota
Minnesota · 59514
Office
Unavailable
Facility
$709.27
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 59514
Office
Unavailable
Facility
$812.65
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 59514
Office
Unavailable
Facility
$818.36
No comparable office rate is available.
Rest Of Missouri
Missouri · 59514
Office
Unavailable
Facility
$803.09
No comparable office rate is available.
Mississippi
Mississippi · 59514
Office
Unavailable
Facility
$763.65
No comparable office rate is available.
Montana**
Montana · 59514
Office
Unavailable
Facility
$823.33
No comparable office rate is available.
North Carolina
North Carolina · 59514
Office
Unavailable
Facility
$755.38
No comparable office rate is available.
North Dakota**
North Dakota · 59514
Office
Unavailable
Facility
$724.27
No comparable office rate is available.
Nebraska
Nebraska · 59514
Office
Unavailable
Facility
$710.53
No comparable office rate is available.
New Hampshire
New Hampshire · 59514
Office
Unavailable
Facility
$807.57
No comparable office rate is available.
Northern Nj
New Jersey · 59514
Office
Unavailable
Facility
$887.80
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 59514
Office
Unavailable
Facility
$872.26
No comparable office rate is available.
New Mexico
New Mexico · 59514
Office
Unavailable
Facility
$847.54
No comparable office rate is available.
Nevada**
Nevada · 59514
Office
Unavailable
Facility
$795.84
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 59514
Office
Unavailable
Facility
$1023.78
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 59514
Office
Unavailable
Facility
$894.22
No comparable office rate is available.
Queens
New York · 59514
Office
Unavailable
Facility
$953.51
No comparable office rate is available.
Rest Of New York
New York · 59514
Office
Unavailable
Facility
$768.09
No comparable office rate is available.
Ohio
Ohio · 59514
Office
Unavailable
Facility
$814.78
No comparable office rate is available.
Oklahoma
Oklahoma · 59514
Office
Unavailable
Facility
$773.77
No comparable office rate is available.
Portland
Oregon · 59514
Office
Unavailable
Facility
$802.50
No comparable office rate is available.
Rest Of Oregon
Oregon · 59514
Office
Unavailable
Facility
$773.50
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 59514
Office
Unavailable
Facility
$870.48
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 59514
Office
Unavailable
Facility
$804.82
No comparable office rate is available.
Puerto Rico
Puerto Rico · 59514
Office
Unavailable
Facility
$822.45
No comparable office rate is available.
Rhode Island
Rhode Island · 59514
Office
Unavailable
Facility
$819.71
No comparable office rate is available.
South Carolina
South Carolina · 59514
Office
Unavailable
Facility
$789.63
No comparable office rate is available.
South Dakota**
South Dakota · 59514
Office
Unavailable
Facility
$712.55
No comparable office rate is available.
Tennessee
Tennessee · 59514
Office
Unavailable
Facility
$735.49
No comparable office rate is available.
Austin
Texas · 59514
Office
Unavailable
Facility
$812.49
No comparable office rate is available.
Beaumont
Texas · 59514
Office
Unavailable
Facility
$801.20
No comparable office rate is available.
Brazoria
Texas · 59514
Office
Unavailable
Facility
$790.10
No comparable office rate is available.
Dallas
Texas · 59514
Office
Unavailable
Facility
$804.28
No comparable office rate is available.
Fort Worth
Texas · 59514
Office
Unavailable
Facility
$805.28
No comparable office rate is available.
Galveston
Texas · 59514
Office
Unavailable
Facility
$798.37
No comparable office rate is available.
Houston
Texas · 59514
Office
Unavailable
Facility
$890.07
No comparable office rate is available.
Rest Of Texas
Texas · 59514
Office
Unavailable
Facility
$801.44
No comparable office rate is available.
Utah
Utah · 59514
Office
Unavailable
Facility
$799.54
No comparable office rate is available.
Virginia
Virginia · 59514
Office
Unavailable
Facility
$772.47
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 59514
Office
Unavailable
Facility
$822.45
No comparable office rate is available.
Vermont
Vermont · 59514
Office
Unavailable
Facility
$739.83
No comparable office rate is available.
Rest Of Washington
Washington · 59514
Office
Unavailable
Facility
$796.91
No comparable office rate is available.
Seattle (King Cnty)
Washington · 59514
Office
Unavailable
Facility
$846.67
No comparable office rate is available.
Wisconsin
Wisconsin · 59514
Office
Unavailable
Facility
$702.93
No comparable office rate is available.
West Virginia
West Virginia · 59514
Office
Unavailable
Facility
$880.39
No comparable office rate is available.
Wyoming**
Wyoming · 59514
Office
Unavailable
Facility
$780.16
No comparable office rate is available.
See how rates vary across the country
59514 · 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 59514 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$843.12
$766.47 × 110% = $843.12
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 59514 in Merced.
PPRRVU2026_Oct_nonQPP.csv
6,664
- Code
- 59514
- Physician work
- 16.13
- Practice expense
- 3.52
- Malpractice
- 5.01
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.13 | × 1.017 | 16.4042 |
| Practice expense | 3.52 | × 1.096 | 3.8579 |
| Malpractice | 5.01 | × 0.536 | 2.6854 |
| Total RVUs | 22.9475 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$766.47
Open 59514 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.13 | 1.017 |
| Practice expense | 3.52 | 1.096 |
| Malpractice | 5.01 | 0.536 |
(16.13 × 1.017 + 3.52 × 1.096 + 5.01 × 0.536) × $33.4009 = $766.47
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
59514 · 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 | $766.47 | RVU26D |
| 2026-07-01 | Not available in this setting | $766.47 | RVU26C |
| 2026-04-01 | Not available in this setting | $766.47 | RVU26B |
| 2026-01-01 | Not available in this setting | $766.47 | RVU26A |
| 2025-10-01 | Not available in this setting | $838.89 | RVU25D |
| 2025-07-01 | Not available in this setting | $838.89 | RVU25C |
| 2025-04-01 | Not available in this setting | $838.89 | RVU25B |
| 2025-01-01 | Not available in this setting | $838.89 | RVU25A |
59514 billing questions
How does 59514 differ from 59515?
59514 represents cesarean delivery only. Use 59515 when the service also includes postpartum care.
How does 59514 differ from 59510?
59510 includes antepartum, delivery, and postpartum care. 59514 is limited to the delivery service.
Can prenatal or postpartum care be reported separately?
Those phases are not included in 59514. Report other maternity services only when they were furnished and meet the applicable coding requirements.
What documentation supports 59514?
Document the cesarean delivery and the clinician’s role, along with which phases of maternity care were included in the service.
How are multiple procedures in the same session paid?
CMS pays the highest-valued procedure in full and pays the other procedures at 50% when performed in the same session.
Can 59525 be reported with a cesarean delivery?
59525 describes hysterectomy performed after cesarean delivery. Report it when that additional procedure is performed and its coding requirements are met.
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.
6,66159426,,Antepartum care only,A,,14.30,13.20,,3.11,,4.10,31.60,21.51,0,MMM,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66259430,,Care after delivery,A,,3.22,3.68,,0.70,,0.92,7.82,4.84,0,MMM,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66359510,,Cesarean delivery,A,,41.05,20.00,NA,20.00,,13.00,74.05,74.05,0,MMM,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66459514,,Cesarean delivery only,A,,16.13,3.52,NA,3.52,,5.01,24.66,24.66,0,MMM,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66559515,,Cesarean delivery,A,,22.79,6.62,NA,6.62,,7.26,36.67,36.67,0,MMM,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66659525,,Remove uterus after cesarean,A,,8.32,1.77,NA,1.77,,2.67,12.76,12.76,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66759610,,Vbac delivery,A,,38.71,18.63,NA,18.63,,12.44,69.78,69.78,0,MMM,0.00,0.00,0.00,2,0,0,0,0,9,,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