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CMS RVU26D · Effective 2026-10-01

99451 in Merced

Office / nonfacility

$36.02

Base rate per service

Facility setting

$30.16

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 99451 is $36.19—$0.17 higher than the $36.02 rate in Merced. Both use the same code, release and participation basis.

99451 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $36.02

  2. Bakersfield

    $36.19

    $0.17 higher than Merced

  3. Chico

    $36.02

    The same base rate than Merced

  4. El Centro

    $36.03

    $0.01 higher than Merced

  5. Fresno

    $36.02

    The same base rate than Merced

  6. Hanford-Corcoran

    $36.02

    The same base rate than Merced

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

    $37.70

    $1.68 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, 99451 ranges from $33.14 in Arkansas to $47.02 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 · 99451

    Office

    $36.02

    Facility

    $30.16

    The same base rate than Merced for the office setting.

  • Modesto

    California · 99451

    Office

    $36.02

    Facility

    $30.16

    The same base rate than Merced for the office setting.

  • Napa

    California · 99451

    Office

    $39.35

    Facility

    $32.31

    $3.33 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 99451

    Office

    $37.31

    Facility

    $31.00

    $1.29 higher than Merced for the office setting.

  • Redding

    California · 99451

    Office

    $36.02

    Facility

    $30.16

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 99451

    Office

    $36.02

    Facility

    $30.16

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 99451

    Office

    $36.57

    Facility

    $30.72

    $0.55 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 99451

    Office

    $37.16

    Facility

    $30.94

    $1.14 higher than Merced for the office setting.

  • Salinas

    California · 99451

    Office

    $37.00

    Facility

    $30.81

    $0.98 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 99451

    Office

    $37.37

    Facility

    $30.98

    $1.35 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 99451

    Office

    $40.97

    Facility

    $33.43

    $4.95 higher than Merced for the office setting.

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

    California · 99451

    Office

    $40.91

    Facility

    $33.38

    $4.89 higher than Merced for the office setting.

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

    California · 99451

    Office

    $41.78

    Facility

    $34.07

    $5.76 higher than Merced for the office setting.

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

    California · 99451

    Office

    $41.55

    Facility

    $33.84

    $5.53 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 99451

    Office

    $36.47

    Facility

    $30.38

    $0.45 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 99451

    Office

    $37.35

    Facility

    $30.85

    $1.33 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 99451

    Office

    $37.00

    Facility

    $30.77

    $0.98 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 99451

    Office

    $37.69

    Facility

    $31.13

    $1.67 higher than Merced for the office setting.

  • Stockton

    California · 99451

    Office

    $36.02

    Facility

    $30.16

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 99451

    Office

    $39.27

    Facility

    $32.22

    $3.25 higher than Merced for the office setting.

  • Visalia

    California · 99451

    Office

    $36.02

    Facility

    $30.16

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 99451

    Office

    $36.02

    Facility

    $30.16

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 99451

    Office

    $38.70

    Facility

    $32.40

    $2.68 higher than Merced for the office setting.

  • Miami

    Florida · 99451

    Office

    $38.38

    Facility

    $32.82

    $2.36 higher than Merced for the office setting.

  • Chicago

    Illinois · 99451

    Office

    $37.78

    Facility

    $32.41

    $1.76 higher than Merced for the office setting.

  • Manhattan

    New York · 99451

    Office

    $39.56

    Facility

    $33.35

    $3.54 higher than Merced for the office setting.

  • Alaska*

    Alaska · 99451

    Office

    $47.02

    Facility

    $41.33

    $11.00 higher than Merced for the office setting.

  • Alabama

    Alabama · 99451

    Office

    $33.39

    Facility

    $28.71

    $2.63 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 99451

    Office

    $33.14

    Facility

    $28.54

    $2.88 lower than Merced for the office setting.

  • Arizona

    Arizona · 99451

    Office

    $34.84

    Facility

    $29.67

    $1.18 lower than Merced for the office setting.

  • Colorado

    Colorado · 99451

    Office

    $35.98

    Facility

    $30.30

    $0.04 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 99451

    Office

    $37.02

    Facility

    $31.26

    $1.00 higher than Merced for the office setting.

  • Delaware

    Delaware · 99451

    Office

    $35.23

    Facility

    $29.95

    $0.79 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 99451

    Office

    $36.89

    Facility

    $31.48

    $0.87 higher than Merced for the office setting.

  • Rest Of Florida

    Florida · 99451

    Office

    $35.79

    Facility

    $30.68

    $0.23 lower than Merced for the office setting.

  • Atlanta

    Georgia · 99451

    Office

    $35.98

    Facility

    $30.55

    $0.04 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 99451

    Office

    $34.61

    Facility

    $29.84

    $1.41 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 99451

    Office

    $36.12

    Facility

    $30.04

    $0.10 higher than Merced for the office setting.

  • Iowa

    Iowa · 99451

    Office

    $33.52

    Facility

    $28.63

    $2.50 lower than Merced for the office setting.

  • Idaho

    Idaho · 99451

    Office

    $33.70

    Facility

    $28.78

    $2.32 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 99451

    Office

    $36.27

    Facility

    $31.35

    $0.25 higher than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 99451

    Office

    $35.44

    Facility

    $30.57

    $0.58 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 99451

    Office

    $37.14

    Facility

    $31.65

    $1.12 higher than Merced for the office setting.

  • Indiana

    Indiana · 99451

    Office

    $33.79

    Facility

    $28.84

    $2.23 lower than Merced for the office setting.

  • Kansas

    Kansas · 99451

    Office

    $33.58

    Facility

    $28.75

    $2.44 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 99451

    Office

    $34.11

    Facility

    $29.36

    $1.91 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 99451

    Office

    $35.02

    Facility

    $29.99

    $1.00 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 99451

    Office

    $34.14

    Facility

    $29.41

    $1.88 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 99451

    Office

    $38.19

    Facility

    $31.81

    $2.17 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 99451

    Office

    $35.99

    Facility

    $30.36

    $0.03 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 99451

    Office

    $36.93

    Facility

    $31.20

    $0.91 higher than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 99451

    Office

    $35.63

    Facility

    $30.22

    $0.39 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 99451

    Office

    $33.95

    Facility

    $29.03

    $2.07 lower than Merced for the office setting.

  • Southern Maine

    Maine · 99451

    Office

    $34.70

    Facility

    $29.40

    $1.32 lower than Merced for the office setting.

  • Detroit

    Michigan · 99451

    Office

    $36.19

    Facility

    $31.03

    $0.17 higher than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 99451

    Office

    $34.72

    Facility

    $29.84

    $1.30 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 99451

    Office

    $34.53

    Facility

    $29.03

    $1.49 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 99451

    Office

    $34.73

    Facility

    $29.72

    $1.29 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 99451

    Office

    $34.91

    Facility

    $29.82

    $1.11 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 99451

    Office

    $33.93

    Facility

    $29.33

    $2.09 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 99451

    Office

    $33.53

    Facility

    $28.93

    $2.49 lower than Merced for the office setting.

  • Montana**

    Montana · 99451

    Office

    $35.40

    Facility

    $30.06

    $0.62 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 99451

    Office

    $34.11

    Facility

    $29.12

    $1.91 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 99451

    Office

    $34.41

    Facility

    $29.07

    $1.61 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 99451

    Office

    $33.57

    Facility

    $28.64

    $2.45 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 99451

    Office

    $35.62

    Facility

    $30.06

    $0.40 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 99451

    Office

    $38.65

    Facility

    $32.45

    $2.63 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 99451

    Office

    $37.45

    Facility

    $31.62

    $1.43 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 99451

    Office

    $34.88

    Facility

    $29.98

    $1.14 lower than Merced for the office setting.

  • Nevada**

    Nevada · 99451

    Office

    $35.14

    Facility

    $29.79

    $0.88 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 99451

    Office

    $40.29

    Facility

    $33.94

    $4.27 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 99451

    Office

    $37.79

    Facility

    $31.94

    $1.77 higher than Merced for the office setting.

  • Queens

    New York · 99451

    Office

    $39.52

    Facility

    $33.21

    $3.50 higher than Merced for the office setting.

  • Rest Of New York

    New York · 99451

    Office

    $34.39

    Facility

    $29.31

    $1.63 lower than Merced for the office setting.

  • Ohio

    Ohio · 99451

    Office

    $34.52

    Facility

    $29.64

    $1.50 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 99451

    Office

    $33.92

    Facility

    $29.15

    $2.10 lower than Merced for the office setting.

  • Portland

    Oregon · 99451

    Office

    $36.50

    Facility

    $30.56

    $0.48 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 99451

    Office

    $34.87

    Facility

    $29.54

    $1.15 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 99451

    Office

    $36.57

    Facility

    $31.01

    $0.55 higher than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 99451

    Office

    $34.46

    Facility

    $29.56

    $1.56 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 99451

    Office

    $35.49

    Facility

    $30.09

    $0.53 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 99451

    Office

    $36.01

    Facility

    $30.49

    $0.01 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 99451

    Office

    $34.37

    Facility

    $29.43

    $1.65 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 99451

    Office

    $34.30

    Facility

    $28.95

    $1.72 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 99451

    Office

    $33.69

    Facility

    $28.83

    $2.33 lower than Merced for the office setting.

  • Austin

    Texas · 99451

    Office

    $35.86

    Facility

    $30.21

    $0.16 lower than Merced for the office setting.

  • Beaumont

    Texas · 99451

    Office

    $34.35

    Facility

    $29.49

    $1.67 lower than Merced for the office setting.

  • Brazoria

    Texas · 99451

    Office

    $35.13

    Facility

    $29.84

    $0.89 lower than Merced for the office setting.

  • Dallas

    Texas · 99451

    Office

    $35.34

    Facility

    $30.01

    $0.68 lower than Merced for the office setting.

  • Fort Worth

    Texas · 99451

    Office

    $35.25

    Facility

    $29.99

    $0.77 lower than Merced for the office setting.

  • Galveston

    Texas · 99451

    Office

    $35.23

    Facility

    $29.93

    $0.79 lower than Merced for the office setting.

  • Houston

    Texas · 99451

    Office

    $36.15

    Facility

    $30.84

    $0.13 higher than Merced for the office setting.

  • Rest Of Texas

    Texas · 99451

    Office

    $34.71

    Facility

    $29.64

    $1.31 lower than Merced for the office setting.

  • Utah

    Utah · 99451

    Office

    $34.61

    Facility

    $29.59

    $1.41 lower than Merced for the office setting.

  • Virginia

    Virginia · 99451

    Office

    $34.74

    Facility

    $29.48

    $1.28 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 99451

    Office

    $35.49

    Facility

    $30.09

    $0.53 lower than Merced for the office setting.

  • Vermont

    Vermont · 99451

    Office

    $34.48

    Facility

    $29.19

    $1.54 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 99451

    Office

    $35.86

    Facility

    $30.23

    $0.16 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 99451

    Office

    $38.62

    Facility

    $32.06

    $2.60 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 99451

    Office

    $33.81

    Facility

    $28.69

    $2.21 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 99451

    Office

    $34.77

    Facility

    $30.12

    $1.25 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 99451

    Office

    $34.97

    Facility

    $29.63

    $1.05 lower than Merced for the office setting.

See how rates vary across the country

99451 · 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.

$33.14

$47.02

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$47.021
AL$33.391
AR$33.141
AZ$34.841
CA$36.02–$41.7829
CO$35.981
CT$37.021
DC$38.701
DE$35.231
FL$35.79–$38.383
GA$34.61–$35.982
GU$36.121
HI$36.121
IA$33.521
ID$33.701
IL$35.44–$37.784
IN$33.791
KS$33.581
KY$34.111
LA$34.14–$35.022
MA$35.99–$38.192
MD$35.63–$38.703
ME$33.95–$34.702
MI$34.72–$36.192
MN$34.531
MO$33.93–$34.913
MS$33.531
MT$35.401
NC$34.111
ND$34.411
NE$33.571
NH$35.621
NJ$37.45–$38.652
NM$34.881
NV$35.141
NY$34.39–$40.295
OH$34.521
OK$33.921
OR$34.87–$36.502
PA$34.46–$36.572
PR$35.491
RI$36.011
SC$34.371
SD$34.301
TN$33.691
TX$34.35–$36.158
UT$34.611
VA$34.74–$38.702
VI$35.491
VT$34.481
WA$35.86–$38.622
WI$33.811
WV$34.771
WY$34.971

Explore 99451 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 99451 in Merced, the physician’s office rate is $36.02 and the facility-setting rate is $30.16: a difference of $5.86.

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 99451 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$39.62

$36.02 × 110% = $39.62

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 99451 in Merced.

PPRRVU2026_Oct_nonQPP.csv

13,118

Code
99451
Physician work
0.70
Practice expense
0.31
Malpractice
0.05

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 99451 in Merced
ComponentRVULocality factorAdjusted
Physician work0.70× 1.0170.7119
Practice expense0.31× 1.0960.3398
Malpractice0.05× 0.5360.0268
Total RVUs1.0785
Conversion factor× 33.4009

Office / nonfacility rate, Merced$36.02

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

Open 99451 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.71.017
Practice expense0.311.096
Malpractice0.050.536

(0.7 × 1.017 + 0.31 × 1.096 + 0.05 × 0.536) × $33.4009 = $36.02

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.71.017
Practice expense0.151.096
Malpractice0.050.536

(0.7 × 1.017 + 0.15 × 1.096 + 0.05 × 0.536) × $33.4009 = $30.16

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

99451 · Office / nonfacility

$36.02

Effective 2026-10-01

The base rate is $2.44 higher than on 2025-10-01, moving from $33.58 to $36.02 (7.3%).

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

    $33.58changed to$36.02

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.28 changed to 0.31
    • Malpractice RVU 0.04 changed to 0.05
    • 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: $33.58

    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$36.02$30.16RVU26D
2026-07-01$36.02$30.16RVU26C
2026-04-01$36.02$30.16RVU26B
2026-01-01$36.02$30.16RVU26A
2025-10-01$33.58$33.58RVU25D
2025-07-01$33.58$33.58RVU25C
2025-04-01$33.58$33.58RVU25B
2025-01-01$33.58$33.58RVU25A

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 99451PPRRVU2026_Oct_nonQPP.csv, line 13,118 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet