No office rate
96547 covers the initial 60 minutes of HIPEC; 96548 reports each additional 30 minutes after that initial period.
On this page
CMS RVU26D · Effective 2026-10-01
96547 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$315.65
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.
Intraoperative chemotherapy
About 96547: Intraoperative HIPEC, initial hour
Reports the initial 60 minutes of heated chemotherapy perfusion in the abdominal cavity during cytoreductive surgery for peritoneal surface malignancy.
Code 96547 describes the initial hour of intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC), in which heated chemotherapy is circulated within the abdominal cavity. It is typically performed in the operating room by a surgical oncology team after cytoreductive surgery for peritoneal surface malignancy. The treatment is distinct from a routine chemotherapy injection or an infusion through an implanted pump.
Report 96547 with a primary procedure; it is not a stand-alone service. Record the perfusion time and operative details showing that HIPEC was performed. When perfusion continues beyond the initial hour, use 96548 for each additional 30 minutes. CMS treats this add-on payment within the primary procedure’s global period, so the HIPEC service is paid in relation to that operation rather than as an independent procedure.
CMS billing rules for 96547
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU6.53 · 66%
- Practice expense (office) RVU1.82 · 18%
- Malpractice RVU1.52 · 15%
292
Medicare services in 2024 · #4017 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.
96547 compared with similar codes
Office rates for Modesto, from the same CMS release.
$144.06
96542 describes a chemotherapy injection. Choose 96547 for heated chemotherapy perfused inside the abdominal cavity during surgery.
96549
No office rateUnlisted chemotherapy px
96549 is for an unlisted chemotherapy procedure when no specific code describes the service. Use 96547 when the service is the initial hour of intraoperative HIPEC.
The same code, a different location
How does Modesto compare?
96547 across payment areas
Same release and payment basis · bars start at $0
Modesto · 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 · 96547
Office
Unavailable
Facility
$315.65
No comparable office rate is available.
Merced
California · 96547
Office
Unavailable
Facility
$315.65
No comparable office rate is available.
Napa
California · 96547
Office
Unavailable
Facility
$337.76
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 96547
Office
Unavailable
Facility
$327.70
No comparable office rate is available.
Redding
California · 96547
Office
Unavailable
Facility
$315.65
No comparable office rate is available.
Rest Of California
California · 96547
Office
Unavailable
Facility
$315.65
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 96547
Office
Unavailable
Facility
$331.97
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 96547
Office
Unavailable
Facility
$323.87
No comparable office rate is available.
Salinas
California · 96547
Office
Unavailable
Facility
$322.54
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 96547
Office
Unavailable
Facility
$324.87
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 96547
Office
Unavailable
Facility
$347.84
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 96547
Office
Unavailable
Facility
$346.12
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 96547
Office
Unavailable
Facility
$356.97
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 96547
Office
Unavailable
Facility
$349.91
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 96547
Office
Unavailable
Facility
$318.27
No comparable office rate is available.
Santa Cruz-Watsonville
California · 96547
Office
Unavailable
Facility
$323.76
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 96547
Office
Unavailable
Facility
$322.31
No comparable office rate is available.
Santa Rosa-Petaluma
California · 96547
Office
Unavailable
Facility
$326.51
No comparable office rate is available.
Stockton
California · 96547
Office
Unavailable
Facility
$315.65
No comparable office rate is available.
Vallejo
California · 96547
Office
Unavailable
Facility
$335.27
No comparable office rate is available.
Visalia
California · 96547
Office
Unavailable
Facility
$315.65
No comparable office rate is available.
Yuba City
California · 96547
Office
Unavailable
Facility
$315.65
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 96547
Office
Unavailable
Facility
$358.00
No comparable office rate is available.
Miami
Florida · 96547
Office
Unavailable
Facility
$409.79
No comparable office rate is available.
Chicago
Illinois · 96547
Office
Unavailable
Facility
$397.24
No comparable office rate is available.
Manhattan
New York · 96547
Office
Unavailable
Facility
$383.22
No comparable office rate is available.
Alaska*
Alaska · 96547
Office
Unavailable
Facility
$419.88
No comparable office rate is available.
Alabama
Alabama · 96547
Office
Unavailable
Facility
$300.03
No comparable office rate is available.
Arkansas
Arkansas · 96547
Office
Unavailable
Facility
$296.47
No comparable office rate is available.
Arizona
Arizona · 96547
Office
Unavailable
Facility
$320.47
No comparable office rate is available.
Colorado
Colorado · 96547
Office
Unavailable
Facility
$325.06
No comparable office rate is available.
Connecticut
Connecticut · 96547
Office
Unavailable
Facility
$349.37
No comparable office rate is available.
Delaware
Delaware · 96547
Office
Unavailable
Facility
$324.90
No comparable office rate is available.
Fort Lauderdale
Florida · 96547
Office
Unavailable
Facility
$371.48
No comparable office rate is available.
Rest Of Florida
Florida · 96547
Office
Unavailable
Facility
$352.53
No comparable office rate is available.
Atlanta
Georgia · 96547
Office
Unavailable
Facility
$341.50
No comparable office rate is available.
Rest Of Georgia
Georgia · 96547
Office
Unavailable
Facility
$332.85
No comparable office rate is available.
Hawaii, Guam
Hawaii · 96547
Office
Unavailable
Facility
$316.62
No comparable office rate is available.
Iowa
Iowa · 96547
Office
Unavailable
Facility
$293.89
No comparable office rate is available.
Idaho
Idaho · 96547
Office
Unavailable
Facility
$298.05
No comparable office rate is available.
East St. Louis
Illinois · 96547
Office
Unavailable
Facility
$376.28
No comparable office rate is available.
Rest Of Illinois
Illinois · 96547
Office
Unavailable
Facility
$352.96
No comparable office rate is available.
Suburban Chicago
Illinois · 96547
Office
Unavailable
Facility
$372.03
No comparable office rate is available.
Indiana
Indiana · 96547
Office
Unavailable
Facility
$299.13
No comparable office rate is available.
Kansas
Kansas · 96547
Office
Unavailable
Facility
$298.65
No comparable office rate is available.
Kentucky
Kentucky · 96547
Office
Unavailable
Facility
$318.60
No comparable office rate is available.
New Orleans
Louisiana · 96547
Office
Unavailable
Facility
$332.98
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 96547
Office
Unavailable
Facility
$320.54
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 96547
Office
Unavailable
Facility
$344.82
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 96547
Office
Unavailable
Facility
$326.07
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 96547
Office
Unavailable
Facility
$349.63
No comparable office rate is available.
Rest Of Maryland
Maryland · 96547
Office
Unavailable
Facility
$328.41
No comparable office rate is available.
Rest Of Maine
Maine · 96547
Office
Unavailable
Facility
$305.61
No comparable office rate is available.
Southern Maine
Maine · 96547
Office
Unavailable
Facility
$310.39
No comparable office rate is available.
Detroit
Michigan · 96547
Office
Unavailable
Facility
$362.37
No comparable office rate is available.
Rest Of Michigan
Michigan · 96547
Office
Unavailable
Facility
$330.93
No comparable office rate is available.
Minnesota
Minnesota · 96547
Office
Unavailable
Facility
$295.69
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 96547
Office
Unavailable
Facility
$324.79
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 96547
Office
Unavailable
Facility
$326.85
No comparable office rate is available.
Rest Of Missouri
Missouri · 96547
Office
Unavailable
Facility
$319.96
No comparable office rate is available.
Mississippi
Mississippi · 96547
Office
Unavailable
Facility
$307.97
No comparable office rate is available.
Montana**
Montana · 96547
Office
Unavailable
Facility
$329.57
No comparable office rate is available.
North Carolina
North Carolina · 96547
Office
Unavailable
Facility
$307.27
No comparable office rate is available.
North Dakota**
North Dakota · 96547
Office
Unavailable
Facility
$299.51
No comparable office rate is available.
Nebraska
Nebraska · 96547
Office
Unavailable
Facility
$293.41
No comparable office rate is available.
New Hampshire
New Hampshire · 96547
Office
Unavailable
Facility
$325.81
No comparable office rate is available.
Northern Nj
New Jersey · 96547
Office
Unavailable
Facility
$356.59
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 96547
Office
Unavailable
Facility
$348.91
No comparable office rate is available.
New Mexico
New Mexico · 96547
Office
Unavailable
Facility
$334.83
No comparable office rate is available.
Nevada**
Nevada · 96547
Office
Unavailable
Facility
$321.25
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 96547
Office
Unavailable
Facility
$398.62
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 96547
Office
Unavailable
Facility
$355.92
No comparable office rate is available.
Queens
New York · 96547
Office
Unavailable
Facility
$377.13
No comparable office rate is available.
Rest Of New York
New York · 96547
Office
Unavailable
Facility
$311.55
No comparable office rate is available.
Ohio
Ohio · 96547
Office
Unavailable
Facility
$324.78
No comparable office rate is available.
Oklahoma
Oklahoma · 96547
Office
Unavailable
Facility
$311.84
No comparable office rate is available.
Portland
Oregon · 96547
Office
Unavailable
Facility
$326.91
No comparable office rate is available.
Rest Of Oregon
Oregon · 96547
Office
Unavailable
Facility
$314.35
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 96547
Office
Unavailable
Facility
$345.88
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 96547
Office
Unavailable
Facility
$321.89
No comparable office rate is available.
Puerto Rico
Puerto Rico · 96547
Office
Unavailable
Facility
$329.57
No comparable office rate is available.
Rhode Island
Rhode Island · 96547
Office
Unavailable
Facility
$330.33
No comparable office rate is available.
South Carolina
South Carolina · 96547
Office
Unavailable
Facility
$317.43
No comparable office rate is available.
South Dakota**
South Dakota · 96547
Office
Unavailable
Facility
$295.96
No comparable office rate is available.
Tennessee
Tennessee · 96547
Office
Unavailable
Facility
$300.63
No comparable office rate is available.
Austin
Texas · 96547
Office
Unavailable
Facility
$327.84
No comparable office rate is available.
Beaumont
Texas · 96547
Office
Unavailable
Facility
$320.59
No comparable office rate is available.
Brazoria
Texas · 96547
Office
Unavailable
Facility
$319.70
No comparable office rate is available.
Dallas
Texas · 96547
Office
Unavailable
Facility
$324.18
No comparable office rate is available.
Fort Worth
Texas · 96547
Office
Unavailable
Facility
$324.23
No comparable office rate is available.
Galveston
Texas · 96547
Office
Unavailable
Facility
$322.25
No comparable office rate is available.
Houston
Texas · 96547
Office
Unavailable
Facility
$350.08
No comparable office rate is available.
Rest Of Texas
Texas · 96547
Office
Unavailable
Facility
$321.64
No comparable office rate is available.
Utah
Utah · 96547
Office
Unavailable
Facility
$320.84
No comparable office rate is available.
Virginia
Virginia · 96547
Office
Unavailable
Facility
$313.71
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 96547
Office
Unavailable
Facility
$329.57
No comparable office rate is available.
Vermont
Vermont · 96547
Office
Unavailable
Facility
$303.98
No comparable office rate is available.
Rest Of Washington
Washington · 96547
Office
Unavailable
Facility
$323.59
No comparable office rate is available.
Seattle (King Cnty)
Washington · 96547
Office
Unavailable
Facility
$345.08
No comparable office rate is available.
Wisconsin
Wisconsin · 96547
Office
Unavailable
Facility
$291.98
No comparable office rate is available.
West Virginia
West Virginia · 96547
Office
Unavailable
Facility
$343.59
No comparable office rate is available.
Wyoming**
Wyoming · 96547
Office
Unavailable
Facility
$316.47
No comparable office rate is available.
See how rates vary across the country
96547 · 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?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 96547 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$347.21
$315.65 × 110% = $347.21
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 96547 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
12,816
- Code
- 96547
- Physician work
- 6.53
- Practice expense
- 1.82
- Malpractice
- 1.52
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.53 | × 1.017 | 6.6410 |
| Practice expense | 1.82 | × 1.096 | 1.9947 |
| Malpractice | 1.52 | × 0.536 | 0.8147 |
| Total RVUs | 9.4505 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$315.65
Open 96547 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.53 | 1.017 |
| Practice expense | 1.82 | 1.096 |
| Malpractice | 1.52 | 0.536 |
(6.53 × 1.017 + 1.82 × 1.096 + 1.52 × 0.536) × $33.4009 = $315.65
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
96547 · 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 | $315.65 | RVU26D |
| 2026-07-01 | Not available in this setting | $315.65 | RVU26C |
| 2026-04-01 | Not available in this setting | $315.65 | RVU26B |
| 2026-01-01 | Not available in this setting | $315.65 | RVU26A |
| 2025-10-01 | Not available in this setting | $341.74 | RVU25D |
| 2025-07-01 | Not available in this setting | $341.74 | RVU25C |
| 2025-04-01 | Not available in this setting | $341.74 | RVU25B |
| 2025-01-01 | Not available in this setting | $341.74 | RVU25A |
96547 billing questions
Can 96547 be reported by itself?
No. It is an add-on code and must be billed with a primary procedure.
When is 96548 used with 96547?
Use 96547 for the initial 60 minutes of HIPEC. Report 96548 for each additional 30 minutes when perfusion continues beyond that initial period.
How is 96547 different from chemotherapy injection code 96542?
96547 represents heated chemotherapy perfused inside the abdominal cavity during surgery. Code 96542 describes a chemotherapy injection, not intraoperative HIPEC.
What documentation supports reporting 96547?
The operative record should describe the intraoperative HIPEC and document the perfusion time, including support for the initial 60-minute service.
How does the primary procedure affect payment?
CMS identifies 96547 as an add-on paid within the primary procedure’s global period. The primary procedure must be billed with it.
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.
12,81396522,,Refill/maint pump/resvr syst,A,,0.21,3.47,,3.47,NA,0.07,3.75,3.75,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,81496523,,Irrig drug delivery device,T,,0.04,0.73,,0.73,NA,0.01,0.78,0.78,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,81596542,,Chemotherapy injection,A,,0.75,3.21,,0.26,,0.06,4.02,1.07,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,81696547,,Intraop hipec px 1st 60 min,A,,6.53,1.82,NA,1.82,,1.52,9.87,9.87,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,81796548,,Ntraop hipec px ea add 30min,A,,3.00,0.85,NA,0.85,,0.69,4.54,4.54,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,81896549,,Unlisted chemotherapy px,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,81996567,,Pdt dstr prmlg les skn,A,,0.00,3.86,,3.86,NA,0.01,3.87,3.87,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1901112,CA,61,REDDING,1.017,1.096,0.536