On this page

CMS RVU26D · Effective 2026-10-01

99342 Medicare reimbursement rates in Delaware

Compare 99342 physician payment amounts across CMS localities, including office and facility settings.

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.

What does Medicare pay for 99342 in Delaware?

Delaware has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.

Office / nonfacility

$78.61

1 of 1 localities have a supported rate.

Payment area: Delaware

One mapped payment locality.

Facility setting

No supported rate

These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.

Find 99342 in your payment locality →

Compare 99342 by payment locality

Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.

1 of 1 payment localities

Office and facility base rates · shared scale starting at $0

Need rates for a whole code list?

Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.

Explore fee-sheet early access →

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 99342 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

13,055

Code
99342
Physician work
1.65
Practice expense
0.64
Malpractice
0.07

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 99342 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.65× 1.0051.6582
Practice expense0.64× 0.9880.6323
Malpractice0.07× 0.8990.0629
Total RVUs2.3535
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$78.61

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.651.005
Practice expense0.640.988
Malpractice0.070.899

(1.65 × 1.005 + 0.64 × 0.988 + 0.07 × 0.899) × $33.4009 = $78.61

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.

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 99342PPRRVU2026_Oct_nonQPP.csv, line 13,055 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)