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CMS RVU26D · Effective 2026-10-01

28192 in Wyoming**

Office / nonfacility

$452.93

Base rate per service

Facility setting

$289.60

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 Wyoming** compare?

28192 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $452.93

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

    $510.47

    $57.54 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $517.96

    $65.03 higher than Wyoming**

  4. Miami

    $492.14

    $39.21 higher than Wyoming**

  5. Chicago

    $479.34

    $26.41 higher than Wyoming**

  6. Manhattan

    $522.21

    $69.28 higher than Wyoming**

  7. Alaska*

    $546.43

    $93.50 higher than Wyoming**

Other payment areas listed in Wyoming 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, 28192 ranges from $409.16 in Arkansas to $593.29 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). 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

  • Alabama

    Alabama · 28192

    Office

    $414.52

    Facility

    $271.60

    $38.41 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 28192

    Office

    $409.16

    Facility

    $268.86

    $43.77 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 28192

    Office

    $445.85

    Facility

    $287.58

    $7.08 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 28192

    Office

    $481.32

    Facility

    $302.31

    $28.39 higher than Wyoming** for the office setting.

  • Chico

    California · 28192

    Office

    $479.89

    Facility

    $300.88

    $26.96 higher than Wyoming** for the office setting.

  • El Centro

    California · 28192

    Office

    $479.97

    Facility

    $300.96

    $27.04 higher than Wyoming** for the office setting.

  • Fresno

    California · 28192

    Office

    $479.89

    Facility

    $300.88

    $26.96 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 28192

    Office

    $479.89

    Facility

    $300.88

    $26.96 higher than Wyoming** for the office setting.

  • Madera

    California · 28192

    Office

    $479.89

    Facility

    $300.88

    $26.96 higher than Wyoming** for the office setting.

  • Merced

    California · 28192

    Office

    $479.89

    Facility

    $300.88

    $26.96 higher than Wyoming** for the office setting.

  • Modesto

    California · 28192

    Office

    $479.89

    Facility

    $300.88

    $26.96 higher than Wyoming** for the office setting.

  • Napa

    California · 28192

    Office

    $550.09

    Facility

    $334.82

    $97.16 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28192

    Office

    $507.53

    Facility

    $314.47

    $54.60 higher than Wyoming** for the office setting.

  • Redding

    California · 28192

    Office

    $479.89

    Facility

    $300.88

    $26.96 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 28192

    Office

    $479.89

    Facility

    $300.88

    $26.96 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28192

    Office

    $484.91

    Facility

    $305.90

    $31.98 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28192

    Office

    $502.00

    Facility

    $312.05

    $49.07 higher than Wyoming** for the office setting.

  • Salinas

    California · 28192

    Office

    $500.08

    Facility

    $310.78

    $47.15 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28192

    Office

    $510.60

    Facility

    $315.25

    $57.67 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28192

    Office

    $580.62

    Facility

    $350.33

    $127.69 higher than Wyoming** for the office setting.

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

    California · 28192

    Office

    $580.10

    Facility

    $349.80

    $127.17 higher than Wyoming** for the office setting.

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

    California · 28192

    Office

    $593.29

    Facility

    $357.77

    $140.36 higher than Wyoming** for the office setting.

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

    California · 28192

    Office

    $591.15

    Facility

    $355.63

    $138.22 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28192

    Office

    $492.18

    Facility

    $306.15

    $39.25 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 28192

    Office

    $514.53

    Facility

    $316.09

    $61.60 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 28192

    Office

    $501.61

    Facility

    $311.17

    $48.68 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 28192

    Office

    $519.65

    Facility

    $319.08

    $66.72 higher than Wyoming** for the office setting.

  • Stockton

    California · 28192

    Office

    $479.89

    Facility

    $300.88

    $26.96 higher than Wyoming** for the office setting.

  • Vallejo

    California · 28192

    Office

    $549.34

    Facility

    $334.07

    $96.41 higher than Wyoming** for the office setting.

  • Visalia

    California · 28192

    Office

    $479.89

    Facility

    $300.88

    $26.96 higher than Wyoming** for the office setting.

  • Yuba City

    California · 28192

    Office

    $479.89

    Facility

    $300.88

    $26.96 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 28192

    Office

    $473.73

    Facility

    $299.94

    $20.80 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 28192

    Office

    $485.28

    Facility

    $309.37

    $32.35 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 28192

    Office

    $452.72

    Facility

    $291.35

    $0.21 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 28192

    Office

    $473.06

    Facility

    $307.60

    $20.13 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 28192

    Office

    $452.07

    Facility

    $295.93

    $0.86 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 28192

    Office

    $465.05

    Facility

    $299.11

    $12.12 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 28192

    Office

    $429.00

    Facility

    $283.31

    $23.93 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 28192

    Office

    $489.63

    Facility

    $303.92

    $36.70 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 28192

    Office

    $423.36

    Facility

    $273.91

    $29.57 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 28192

    Office

    $425.95

    Facility

    $275.69

    $26.98 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 28192

    Office

    $449.63

    Facility

    $299.37

    $3.30 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 28192

    Office

    $440.70

    Facility

    $291.58

    $12.23 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 28192

    Office

    $477.59

    Facility

    $309.85

    $24.66 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 28192

    Office

    $428.16

    Facility

    $276.75

    $24.77 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 28192

    Office

    $421.86

    Facility

    $274.21

    $31.07 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 28192

    Office

    $423.88

    Facility

    $278.68

    $29.05 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 28192

    Office

    $442.15

    Facility

    $288.45

    $10.78 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 28192

    Office

    $423.40

    Facility

    $278.85

    $29.53 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 28192

    Office

    $517.08

    Facility

    $322.07

    $64.15 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28192

    Office

    $471.45

    Facility

    $299.46

    $18.52 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28192

    Office

    $483.93

    Facility

    $308.67

    $31.00 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 28192

    Office

    $460.65

    Facility

    $295.36

    $7.72 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 28192

    Office

    $428.24

    Facility

    $277.98

    $24.69 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 28192

    Office

    $448.68

    Facility

    $286.82

    $4.25 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 28192

    Office

    $457.46

    Facility

    $299.84

    $4.53 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 28192

    Office

    $434.03

    Facility

    $284.91

    $18.90 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 28192

    Office

    $454.40

    Facility

    $286.33

    $1.47 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 28192

    Office

    $439.13

    Facility

    $285.76

    $13.80 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 28192

    Office

    $443.23

    Facility

    $287.74

    $9.70 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 28192

    Office

    $417.07

    Facility

    $276.28

    $35.86 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 28192

    Office

    $413.17

    Facility

    $272.54

    $39.76 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 28192

    Office

    $456.89

    Facility

    $293.56

    $3.96 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 28192

    Office

    $432.22

    Facility

    $279.83

    $20.71 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 28192

    Office

    $447.80

    Facility

    $284.47

    $5.13 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 28192

    Office

    $425.35

    Facility

    $274.60

    $27.58 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 28192

    Office

    $466.73

    Facility

    $296.70

    $13.80 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 28192

    Office

    $513.52

    Facility

    $324.06

    $60.59 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 28192

    Office

    $490.94

    Facility

    $312.59

    $38.01 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 28192

    Office

    $436.28

    Facility

    $286.51

    $16.65 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 28192

    Office

    $454.64

    Facility

    $291.15

    $1.71 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28192

    Office

    $534.09

    Facility

    $339.89

    $81.16 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28192

    Office

    $494.32

    Facility

    $315.47

    $41.39 higher than Wyoming** for the office setting.

  • Queens

    New York · 28192

    Office

    $525.71

    Facility

    $332.66

    $72.78 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 28192

    Office

    $438.07

    Facility

    $282.90

    $14.86 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 28192

    Office

    $432.17

    Facility

    $283.05

    $20.76 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 28192

    Office

    $422.91

    Facility

    $277.05

    $30.02 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 28192

    Office

    $487.22

    Facility

    $305.76

    $34.29 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 28192

    Office

    $451.22

    Facility

    $288.54

    $1.71 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28192

    Office

    $474.41

    Facility

    $304.39

    $21.48 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28192

    Office

    $432.63

    Facility

    $282.70

    $20.30 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 28192

    Office

    $459.84

    Facility

    $294.71

    $6.91 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 28192

    Office

    $467.66

    Facility

    $298.94

    $14.73 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 28192

    Office

    $432.89

    Facility

    $281.97

    $20.04 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 28192

    Office

    $446.72

    Facility

    $283.39

    $6.21 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 28192

    Office

    $423.79

    Facility

    $275.33

    $29.14 lower than Wyoming** for the office setting.

  • Austin

    Texas · 28192

    Office

    $472.07

    Facility

    $299.26

    $19.14 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 28192

    Office

    $430.10

    Facility

    $281.47

    $22.83 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 28192

    Office

    $452.22

    Facility

    $290.36

    $0.71 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 28192

    Office

    $455.00

    Facility

    $292.32

    $2.07 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 28192

    Office

    $452.34

    Facility

    $291.30

    $0.59 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 28192

    Office

    $453.53

    Facility

    $291.34

    $0.60 higher than Wyoming** for the office setting.

  • Houston

    Texas · 28192

    Office

    $461.95

    Facility

    $299.76

    $9.02 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 28192

    Office

    $440.85

    Facility

    $285.85

    $12.08 lower than Wyoming** for the office setting.

  • Utah

    Utah · 28192

    Office

    $438.20

    Facility

    $284.67

    $14.73 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 28192

    Office

    $447.55

    Facility

    $286.99

    $5.38 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28192

    Office

    $459.84

    Facility

    $294.71

    $6.91 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 28192

    Office

    $446.48

    Facility

    $284.78

    $6.45 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 28192

    Office

    $470.43

    Facility

    $298.44

    $17.50 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 28192

    Office

    $526.80

    Facility

    $326.39

    $73.87 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 28192

    Office

    $434.28

    Facility

    $277.81

    $18.65 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 28192

    Office

    $426.09

    Facility

    $284.16

    $26.84 lower than Wyoming** for the office setting.

See how rates vary across the country

28192 · 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.

$409.16

$546.43

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$546.431
AL$414.521
AR$409.161
AZ$445.851
CA$479.89–$593.2929
CO$473.731
CT$485.281
DC$517.961
DE$452.721
FL$452.07–$492.143
GA$429.00–$465.052
GU$489.631
HI$489.631
IA$423.361
ID$425.951
IL$440.70–$479.344
IN$428.161
KS$421.861
KY$423.881
LA$423.40–$442.152
MA$471.45–$517.082
MD$460.65–$517.963
ME$428.24–$448.682
MI$434.03–$457.462
MN$454.401
MO$417.07–$443.233
MS$413.171
MT$456.891
NC$432.221
ND$447.801
NE$425.351
NH$466.731
NJ$490.94–$513.522
NM$436.281
NV$454.641
NY$438.07–$534.095
OH$432.171
OK$422.911
OR$451.22–$487.222
PA$432.63–$474.412
PR$459.841
RI$467.661
SC$432.891
SD$446.721
TN$423.791
TX$430.10–$472.078
UT$438.201
VA$447.55–$517.962
VI$459.841
VT$446.481
WA$470.43–$526.802
WI$434.281
WV$426.091
WY$452.931

Explore 28192 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 Wyoming →

Why are the office and facility amounts different?

For 28192 in Wyoming**, the physician’s office rate is $452.93 and the facility-setting rate is $289.60: a difference of $163.33.

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 28192 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$498.22

$452.93 × 110% = $498.22

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 28192 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

3,145

Code
28192
Physician work
4.66
Practice expense
8.56
Malpractice
0.46

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 28192 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work4.66× 1.0004.6600
Practice expense8.56× 1.0008.5600
Malpractice0.46× 0.7400.3404
Total RVUs13.5604
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$452.93

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

Open 28192 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.661
Practice expense8.561
Malpractice0.460.74

(4.66 × 1 + 8.56 × 1 + 0.46 × 0.74) × $33.4009 = $452.93

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.661
Practice expense3.671
Malpractice0.460.74

(4.66 × 1 + 3.67 × 1 + 0.46 × 0.74) × $33.4009 = $289.60

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

28192 · Office / nonfacility

$452.93

Effective 2026-10-01

The base rate is $13.19 higher than on 2025-10-01, moving from $439.74 to $452.93 (3.0%).

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

    $439.74changed to$452.93

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.78 changed to 4.66
    • Practice expense RVU 8.46 changed to 8.56
    • Malpractice RVU 0.48 changed to 0.46
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $439.74

    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$452.93$289.60RVU26D
2026-07-01$452.93$289.60RVU26C
2026-04-01$452.93$289.60RVU26B
2026-01-01$452.93$289.60RVU26A
2025-10-01$439.74$303.24RVU25D
2025-07-01$439.74$303.24RVU25C
2025-04-01$439.74$303.24RVU25B
2025-01-01$439.74$303.24RVU25A

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 28192PPRRVU2026_Oct_nonQPP.csv, line 3,145 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet