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CMS RVU26D · Effective 2026-10-01

96167 in Merced

Office / nonfacility

$80.80

Base rate per service

Facility setting

$64.33

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 96167 is $80.95—$0.15 higher than the $80.80 rate in Merced. Both use the same code, release and participation basis.

96167 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $80.80

  2. Bakersfield

    $80.95

    $0.15 higher than Merced

  3. Chico

    $80.80

    The same base rate than Merced

  4. El Centro

    $80.81

    $0.01 higher than Merced

  5. Fresno

    $80.80

    The same base rate than Merced

  6. Hanford-Corcoran

    $80.80

    The same base rate than Merced

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

    $83.89

    $3.09 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, 96167 ranges from $75.36 in Arkansas to $108.78 in Alaska*. 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 · 96167

    Office

    $80.80

    Facility

    $64.33

    The same base rate than Merced for the office setting.

  • Modesto

    California · 96167

    Office

    $80.80

    Facility

    $64.33

    The same base rate than Merced for the office setting.

  • Napa

    California · 96167

    Office

    $87.67

    Facility

    $67.86

    $6.87 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 96167

    Office

    $83.09

    Facility

    $65.33

    $2.29 higher than Merced for the office setting.

  • Redding

    California · 96167

    Office

    $80.80

    Facility

    $64.33

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 96167

    Office

    $80.80

    Facility

    $64.33

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 96167

    Office

    $80.97

    Facility

    $64.50

    $0.17 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 96167

    Office

    $83.18

    Facility

    $65.70

    $2.38 higher than Merced for the office setting.

  • Salinas

    California · 96167

    Office

    $82.81

    Facility

    $65.39

    $2.01 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 96167

    Office

    $83.44

    Facility

    $65.47

    $2.64 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 96167

    Office

    $91.26

    Facility

    $70.07

    $10.46 higher than Merced for the office setting.

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

    California · 96167

    Office

    $91.25

    Facility

    $70.06

    $10.45 higher than Merced for the office setting.

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

    California · 96167

    Office

    $92.77

    Facility

    $71.10

    $11.97 higher than Merced for the office setting.

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

    California · 96167

    Office

    $92.73

    Facility

    $71.05

    $11.93 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 96167

    Office

    $81.61

    Facility

    $64.49

    $0.81 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 96167

    Office

    $83.27

    Facility

    $65.00

    $2.47 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 96167

    Office

    $82.76

    Facility

    $65.24

    $1.96 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 96167

    Office

    $84.04

    Facility

    $65.58

    $3.24 higher than Merced for the office setting.

  • Stockton

    California · 96167

    Office

    $80.80

    Facility

    $64.33

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 96167

    Office

    $87.65

    Facility

    $67.84

    $6.85 higher than Merced for the office setting.

  • Visalia

    California · 96167

    Office

    $80.80

    Facility

    $64.33

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 96167

    Office

    $80.80

    Facility

    $64.33

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 96167

    Office

    $84.72

    Facility

    $67.01

    $3.92 higher than Merced for the office setting.

  • Miami

    Florida · 96167

    Office

    $79.44

    Facility

    $63.79

    $1.36 lower than Merced for the office setting.

  • Chicago

    Illinois · 96167

    Office

    $79.10

    Facility

    $63.99

    $1.70 lower than Merced for the office setting.

  • Manhattan

    New York · 96167

    Office

    $85.17

    Facility

    $67.70

    $4.37 higher than Merced for the office setting.

  • Alaska*

    Alaska · 96167

    Office

    $108.78

    Facility

    $92.78

    $27.98 higher than Merced for the office setting.

  • Alabama

    Alabama · 96167

    Office

    $75.68

    Facility

    $62.52

    $5.12 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 96167

    Office

    $75.36

    Facility

    $62.45

    $5.44 lower than Merced for the office setting.

  • Arizona

    Arizona · 96167

    Office

    $77.53

    Facility

    $62.97

    $3.27 lower than Merced for the office setting.

  • Colorado

    Colorado · 96167

    Office

    $79.99

    Facility

    $64.00

    $0.81 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 96167

    Office

    $80.85

    Facility

    $64.66

    $0.05 higher than Merced for the office setting.

  • Delaware

    Delaware · 96167

    Office

    $78.20

    Facility

    $63.35

    $2.60 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 96167

    Office

    $78.67

    Facility

    $63.45

    $2.13 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 96167

    Office

    $77.50

    Facility

    $63.13

    $3.30 lower than Merced for the office setting.

  • Atlanta

    Georgia · 96167

    Office

    $78.70

    Facility

    $63.43

    $2.10 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 96167

    Office

    $76.20

    Facility

    $62.80

    $4.60 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 96167

    Office

    $80.58

    Facility

    $63.49

    $0.22 lower than Merced for the office setting.

  • Iowa

    Iowa · 96167

    Office

    $76.37

    Facility

    $62.61

    $4.43 lower than Merced for the office setting.

  • Idaho

    Idaho · 96167

    Office

    $76.49

    Facility

    $62.66

    $4.31 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 96167

    Office

    $77.00

    Facility

    $63.17

    $3.80 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 96167

    Office

    $76.72

    Facility

    $63.00

    $4.08 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 96167

    Office

    $79.33

    Facility

    $63.90

    $1.47 lower than Merced for the office setting.

  • Indiana

    Indiana · 96167

    Office

    $76.62

    Facility

    $62.69

    $4.18 lower than Merced for the office setting.

  • Kansas

    Kansas · 96167

    Office

    $76.20

    Facility

    $62.61

    $4.60 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 96167

    Office

    $76.05

    Facility

    $62.69

    $4.75 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 96167

    Office

    $77.10

    Facility

    $62.96

    $3.70 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 96167

    Office

    $75.99

    Facility

    $62.69

    $4.81 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 96167

    Office

    $84.17

    Facility

    $66.23

    $3.37 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 96167

    Office

    $80.03

    Facility

    $64.20

    $0.77 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 96167

    Office

    $80.55

    Facility

    $64.42

    $0.25 lower than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 96167

    Office

    $78.95

    Facility

    $63.74

    $1.85 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 96167

    Office

    $76.54

    Facility

    $62.71

    $4.26 lower than Merced for the office setting.

  • Southern Maine

    Maine · 96167

    Office

    $77.87

    Facility

    $62.97

    $2.93 lower than Merced for the office setting.

  • Detroit

    Michigan · 96167

    Office

    $77.73

    Facility

    $63.23

    $3.07 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 96167

    Office

    $76.57

    Facility

    $62.85

    $4.23 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 96167

    Office

    $78.47

    Facility

    $63.00

    $2.33 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 96167

    Office

    $77.01

    Facility

    $62.90

    $3.79 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 96167

    Office

    $77.26

    Facility

    $62.95

    $3.54 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 96167

    Office

    $75.57

    Facility

    $62.61

    $5.23 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 96167

    Office

    $75.47

    Facility

    $62.53

    $5.33 lower than Merced for the office setting.

  • Montana**

    Montana · 96167

    Office

    $78.16

    Facility

    $63.13

    $2.64 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 96167

    Office

    $76.78

    Facility

    $62.76

    $4.02 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 96167

    Office

    $77.96

    Facility

    $62.93

    $2.84 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 96167

    Office

    $76.51

    Facility

    $62.64

    $4.29 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 96167

    Office

    $78.88

    Facility

    $63.24

    $1.92 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 96167

    Office

    $84.90

    Facility

    $67.46

    $4.10 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 96167

    Office

    $82.28

    Facility

    $65.86

    $1.48 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 96167

    Office

    $76.67

    Facility

    $62.89

    $4.13 lower than Merced for the office setting.

  • Nevada**

    Nevada · 96167

    Office

    $78.12

    Facility

    $63.08

    $2.68 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 96167

    Office

    $85.76

    Facility

    $67.89

    $4.96 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 96167

    Office

    $82.67

    Facility

    $66.21

    $1.87 higher than Merced for the office setting.

  • Queens

    New York · 96167

    Office

    $85.49

    Facility

    $67.73

    $4.69 higher than Merced for the office setting.

  • Rest Of New York

    New York · 96167

    Office

    $77.12

    Facility

    $62.84

    $3.68 lower than Merced for the office setting.

  • Ohio

    Ohio · 96167

    Office

    $76.53

    Facility

    $62.81

    $4.27 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 96167

    Office

    $76.08

    Facility

    $62.66

    $4.72 lower than Merced for the office setting.

  • Portland

    Oregon · 96167

    Office

    $81.09

    Facility

    $64.40

    $0.29 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 96167

    Office

    $77.98

    Facility

    $63.01

    $2.82 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 96167

    Office

    $80.05

    Facility

    $64.41

    $0.75 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 96167

    Office

    $76.61

    Facility

    $62.81

    $4.19 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 96167

    Office

    $78.36

    Facility

    $63.16

    $2.44 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 96167

    Office

    $79.86

    Facility

    $64.34

    $0.94 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 96167

    Office

    $76.69

    Facility

    $62.80

    $4.11 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 96167

    Office

    $77.94

    Facility

    $62.91

    $2.86 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 96167

    Office

    $76.30

    Facility

    $62.64

    $4.50 lower than Merced for the office setting.

  • Austin

    Texas · 96167

    Office

    $79.32

    Facility

    $63.42

    $1.48 lower than Merced for the office setting.

  • Beaumont

    Texas · 96167

    Office

    $76.45

    Facility

    $62.77

    $4.35 lower than Merced for the office setting.

  • Brazoria

    Texas · 96167

    Office

    $78.39

    Facility

    $63.49

    $2.41 lower than Merced for the office setting.

  • Dallas

    Texas · 96167

    Office

    $78.57

    Facility

    $63.60

    $2.23 lower than Merced for the office setting.

  • Fort Worth

    Texas · 96167

    Office

    $78.39

    Facility

    $63.57

    $2.41 lower than Merced for the office setting.

  • Galveston

    Texas · 96167

    Office

    $78.44

    Facility

    $63.52

    $2.36 lower than Merced for the office setting.

  • Houston

    Texas · 96167

    Office

    $78.63

    Facility

    $63.70

    $2.17 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 96167

    Office

    $77.17

    Facility

    $62.91

    $3.63 lower than Merced for the office setting.

  • Utah

    Utah · 96167

    Office

    $77.00

    Facility

    $62.87

    $3.80 lower than Merced for the office setting.

  • Virginia

    Virginia · 96167

    Office

    $77.74

    Facility

    $62.97

    $3.06 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 96167

    Office

    $78.36

    Facility

    $63.16

    $2.44 lower than Merced for the office setting.

  • Vermont

    Vermont · 96167

    Office

    $77.81

    Facility

    $62.93

    $2.99 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 96167

    Office

    $79.84

    Facility

    $64.01

    $0.96 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 96167

    Office

    $85.30

    Facility

    $66.86

    $4.50 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 96167

    Office

    $77.14

    Facility

    $62.74

    $3.66 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 96167

    Office

    $75.85

    Facility

    $62.79

    $4.95 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 96167

    Office

    $78.07

    Facility

    $63.04

    $2.73 lower than Merced for the office setting.

See how rates vary across the country

96167 · 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.

$75.36

$108.78

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$108.781
AL$75.681
AR$75.361
AZ$77.531
CA$80.80–$92.7729
CO$79.991
CT$80.851
DC$84.721
DE$78.201
FL$77.50–$79.443
GA$76.20–$78.702
GU$80.581
HI$80.581
IA$76.371
ID$76.491
IL$76.72–$79.334
IN$76.621
KS$76.201
KY$76.051
LA$75.99–$77.102
MA$80.03–$84.172
MD$78.95–$84.723
ME$76.54–$77.872
MI$76.57–$77.732
MN$78.471
MO$75.57–$77.263
MS$75.471
MT$78.161
NC$76.781
ND$77.961
NE$76.511
NH$78.881
NJ$82.28–$84.902
NM$76.671
NV$78.121
NY$77.12–$85.765
OH$76.531
OK$76.081
OR$77.98–$81.092
PA$76.61–$80.052
PR$78.361
RI$79.861
SC$76.691
SD$77.941
TN$76.301
TX$76.45–$79.328
UT$77.001
VA$77.74–$84.722
VI$78.361
VT$77.811
WA$79.84–$85.302
WI$77.141
WV$75.851
WY$78.071

Explore 96167 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 96167 in Merced, the physician’s office rate is $80.80 and the facility-setting rate is $64.33: a difference of $16.47.

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 96167 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$88.88

$80.80 × 110% = $88.88

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 96167 in Merced.

PPRRVU2026_Oct_nonQPP.csv

12,771

Code
96167
Physician work
1.77
Practice expense
0.56
Malpractice
0.01

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 96167 in Merced
ComponentRVULocality factorAdjusted
Physician work1.77× 1.0171.8001
Practice expense0.56× 1.0960.6138
Malpractice0.01× 0.5360.0054
Total RVUs2.4192
Conversion factor× 33.4009

Office / nonfacility rate, Merced$80.80

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

Open 96167 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.771.017
Practice expense0.561.096
Malpractice0.010.536

(1.77 × 1.017 + 0.56 × 1.096 + 0.01 × 0.536) × $33.4009 = $80.80

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.771.017
Practice expense0.111.096
Malpractice0.010.536

(1.77 × 1.017 + 0.11 × 1.096 + 0.01 × 0.536) × $33.4009 = $64.33

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

96167 · Office / nonfacility

$80.80

Effective 2026-10-01

The base rate is $6.99 higher than on 2025-10-01, moving from $73.81 to $80.80 (9.5%).

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

    $73.81changed to$80.80

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.70 changed to 1.77
    • Practice expense RVU 0.49 changed to 0.56
    • Malpractice RVU 0.04 changed to 0.01
    • 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: $73.81

    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$80.80$64.33RVU26D
2026-07-01$80.80$64.33RVU26C
2026-04-01$80.80$64.33RVU26B
2026-01-01$80.80$64.33RVU26A
2025-10-01$73.81$63.91RVU25D
2025-07-01$73.81$63.91RVU25C
2025-04-01$73.81$63.91RVU25B
2025-01-01$73.81$63.91RVU25A

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 96167PPRRVU2026_Oct_nonQPP.csv, line 12,771 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet