{
 "what_this_is": "The Medicare allowed amount for each of these services in each of the 109 CMS payment localities. Every figure is CMS’s own formula applied to CMS’s own published inputs, which are on the same row. None of it is estimated, modelled or interpolated. It is what Medicare allows; for a person who is not on Medicare it is a published reference price and not a bill, and for a person on Medicaid it does not describe what their state pays at all.",
 "table_version": "2026-09-09.1",
 "price_table_version": "2026-09-09.1",
 "generated": "2026-09-10",
 "rows": 5668,
 "codes": 52,
 "locality_count": 109,
 "states": 53,
 "conversion_factor": 33.4009,
 "formula": "(work_rvu * pw_gpci + pe_nonfacility_rvu * pe_gpci + mp_rvu * mp_gpci) * 33.4009",
 "license": "The CMS relative value units, geographic practice cost indices and conversion factor are U.S. Government works and are in the public domain. The arrangement, the plain-language labels and this audit are dedicated to the public domain by Precision Federal LLC under CC0 1.0. Take it, fork it, correct it.",
 "how_to_cite": "Waypoint Ledger locality price table, version 2026-09-09.1, Precision Federal LLC, https://waypoint-ledger.pages.dev/data/locality-prices.csv. The figures are derived from CMS CY2026 Physician Fee Schedule files; cite CMS for the inputs and this file for the derivation.",
 "audit": {
  "method": "Every figure below was recomputed from the RVU and GPCI columns on its own row and compared to the value data/state-prices.json holds, to the cent.",
  "figures_checked": 5668,
  "mismatches": 0,
  "ran": "2026-09-10",
  "reproduce": "node scripts/gen-locality-table.mjs",
  "independent": {
   "by": "data/verify_price_table.py",
   "figures": 5668,
   "pass": 5668,
   "fail": 0,
   "status": "PASS",
   "evidence": "5668 figures re-derived from PPRRVU2026_Jul_nonQPP.csv and GPCI2026.csv at the cent"
  }
 },
 "sources": {
  "rvu": {
   "file": "PPRRVU2026_Jul_nonQPP.csv",
   "title": "CMS, CY2026 National Physician Fee Schedule Relative Value File (RVU26C, July release, published 2026-06-30)",
   "url": "https://www.cms.gov/files/zip/rvu26c-updated-06-30-2026.zip",
   "landing": "https://www.cms.gov/medicare/payment/fee-schedules/physician/pfs-relative-value-files/rvu26c",
   "sha256": "b7d197e73211ef6854c213c267d5fa9dec8df995db8e1ee7d44c0556ad7cee21",
   "verified_on": "2026-09-09",
   "holds": "Work RVU, non-facility practice expense RVU, malpractice RVU and the conversion factor for every HCPCS code."
  },
  "gpci": {
   "file": "GPCI2026.csv",
   "title": "CMS, CY2026 Geographic Practice Cost Indices, Addendum E (RVU26C, July release)",
   "url": "https://www.cms.gov/files/zip/rvu26c-updated-06-30-2026.zip",
   "landing": "https://www.cms.gov/medicare/payment/fee-schedules/physician/pfs-relative-value-files/rvu26c",
   "sha256": "7850e2987d12e46930e49033f96829b5ae11f60dd1f19965329b38cf08b05264",
   "verified_on": "2026-09-09",
   "holds": "The three geographic practice cost indices for each of the 109 Medicare payment localities."
  }
 },
 "dictionary": [
  {
   "field": "price_id",
   "type": "text",
   "note": "The row of the Waypoint Ledger price table this figure belongs to. Join on this to public/data/price-table.csv."
  },
  {
   "field": "code",
   "type": "text",
   "note": "The CPT/HCPCS code CMS prices."
  },
  {
   "field": "label",
   "type": "text",
   "note": "What the unit of care is called in plain words."
  },
  {
   "field": "state",
   "type": "text",
   "note": "Two-letter postal abbreviation of the state or territory."
  },
  {
   "field": "locality",
   "type": "text",
   "note": "The two-digit CMS payment locality number inside that state."
  },
  {
   "field": "locality_key",
   "type": "text",
   "note": "state and locality joined, \"IA-00\". This is the key POST /api/price accepts as \"locality\"."
  },
  {
   "field": "locality_name",
   "type": "text",
   "note": "The locality name exactly as CMS writes it in Addendum E."
  },
  {
   "field": "mac",
   "type": "text",
   "note": "The Medicare Administrative Contractor number that prices this locality."
  },
  {
   "field": "work_rvu",
   "type": "number",
   "note": "Work relative value units for this code, from the PFS Relative Value File."
  },
  {
   "field": "pe_nonfacility_rvu",
   "type": "number",
   "note": "Non-facility practice expense relative value units."
  },
  {
   "field": "mp_rvu",
   "type": "number",
   "note": "Malpractice relative value units."
  },
  {
   "field": "pw_gpci",
   "type": "number",
   "note": "Work geographic practice cost index for this locality (the 1.0 statutory floor is already applied by CMS)."
  },
  {
   "field": "pe_gpci",
   "type": "number",
   "note": "Practice expense geographic practice cost index for this locality."
  },
  {
   "field": "mp_gpci",
   "type": "number",
   "note": "Malpractice geographic practice cost index for this locality."
  },
  {
   "field": "conversion_factor",
   "type": "number",
   "note": "The CY2026 non-qualifying-APM conversion factor, in dollars per RVU."
  },
  {
   "field": "allowed_usd",
   "type": "number",
   "note": "The Medicare allowed amount for this code in this locality. DERIVED by the formula in the formula column, never estimated."
  },
  {
   "field": "national_usd",
   "type": "number",
   "note": "The same code with every index set to 1.000 — the national figure on the price table."
  },
  {
   "field": "pct_of_national",
   "type": "number",
   "note": "allowed_usd as a percentage of national_usd, to one decimal. Arithmetic on the two columns beside it."
  },
  {
   "field": "formula",
   "type": "text",
   "note": "CMS's own formula, written out, so the row can be recomputed without this file."
  },
  {
   "field": "basis",
   "type": "text",
   "note": "allowed — a fee-schedule amount. It is what Medicare pays, not what anyone was billed and not what a commercial plan pays."
  },
  {
   "field": "year",
   "type": "text",
   "note": "The calendar year of the fee schedule."
  },
  {
   "field": "population",
   "type": "text",
   "note": "Who the figure describes: Medicare Part B fee-for-service beneficiaries. For anyone else it is a reference price."
  },
  {
   "field": "locality_audit_status",
   "type": "text",
   "note": "REPRODUCED means two independent runs recomputed this exact figure from the RVUs and GPCIs in the columns to the left: this generator, and data/verify_price_table.py reading the CMS files itself."
  },
  {
   "field": "national_audit_status",
   "type": "text",
   "note": "PASS, FAIL or NOT AUDITED for the national figure, from data/verify_price_table.py."
  },
  {
   "field": "rvu_file",
   "type": "text",
   "note": "The CMS file the RVU columns were read from."
  },
  {
   "field": "rvu_file_sha256",
   "type": "text",
   "note": "SHA256 of that file, so you can prove the copy you hold is the one these RVUs were read from."
  },
  {
   "field": "gpci_file",
   "type": "text",
   "note": "The CMS file the GPCI columns were read from."
  },
  {
   "field": "gpci_file_sha256",
   "type": "text",
   "note": "SHA256 of that file, so you can prove the copy you hold is the one these indices were read from."
  },
  {
   "field": "table_version",
   "type": "text",
   "note": "The version of the locality table this row came from, so two downloads can be told apart."
  }
 ],
 "localities": [
  {
   "key": "AL-00",
   "state": "AL",
   "locality": "00",
   "name": "ALABAMA",
   "mac": "10112",
   "pw_gpci": 1,
   "pe_gpci": 0.875,
   "mp_gpci": 0.566
  },
  {
   "key": "AK-01",
   "state": "AK",
   "locality": "01",
   "name": "ALASKA",
   "mac": "02102",
   "pw_gpci": 1.5,
   "pe_gpci": 1.065,
   "mp_gpci": 0.551
  },
  {
   "key": "AZ-00",
   "state": "AZ",
   "locality": "00",
   "name": "ARIZONA",
   "mac": "03102",
   "pw_gpci": 1,
   "pe_gpci": 0.969,
   "mp_gpci": 0.856
  },
  {
   "key": "AR-13",
   "state": "AR",
   "locality": "13",
   "name": "ARKANSAS",
   "mac": "07102",
   "pw_gpci": 1,
   "pe_gpci": 0.859,
   "mp_gpci": 0.515
  },
  {
   "key": "CA-54",
   "state": "CA",
   "locality": "54",
   "name": "BAKERSFIELD",
   "mac": "01112",
   "pw_gpci": 1.019,
   "pe_gpci": 1.096,
   "mp_gpci": 0.609
  },
  {
   "key": "CA-55",
   "state": "CA",
   "locality": "55",
   "name": "CHICO",
   "mac": "01112",
   "pw_gpci": 1.017,
   "pe_gpci": 1.096,
   "mp_gpci": 0.536
  },
  {
   "key": "CA-71",
   "state": "CA",
   "locality": "71",
   "name": "EL CENTRO",
   "mac": "01182",
   "pw_gpci": 1.017,
   "pe_gpci": 1.096,
   "mp_gpci": 0.541
  },
  {
   "key": "CA-56",
   "state": "CA",
   "locality": "56",
   "name": "FRESNO",
   "mac": "01112",
   "pw_gpci": 1.017,
   "pe_gpci": 1.096,
   "mp_gpci": 0.536
  },
  {
   "key": "CA-57",
   "state": "CA",
   "locality": "57",
   "name": "HANFORD-CORCORAN",
   "mac": "01112",
   "pw_gpci": 1.017,
   "pe_gpci": 1.096,
   "mp_gpci": 0.536
  },
  {
   "key": "CA-18",
   "state": "CA",
   "locality": "18",
   "name": "LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY)",
   "mac": "01182",
   "pw_gpci": 1.041,
   "pe_gpci": 1.183,
   "mp_gpci": 0.664
  },
  {
   "key": "CA-58",
   "state": "CA",
   "locality": "58",
   "name": "MADERA",
   "mac": "01112",
   "pw_gpci": 1.017,
   "pe_gpci": 1.096,
   "mp_gpci": 0.536
  },
  {
   "key": "CA-59",
   "state": "CA",
   "locality": "59",
   "name": "MERCED",
   "mac": "01112",
   "pw_gpci": 1.017,
   "pe_gpci": 1.096,
   "mp_gpci": 0.536
  },
  {
   "key": "CA-60",
   "state": "CA",
   "locality": "60",
   "name": "MODESTO",
   "mac": "01112",
   "pw_gpci": 1.017,
   "pe_gpci": 1.096,
   "mp_gpci": 0.536
  },
  {
   "key": "CA-51",
   "state": "CA",
   "locality": "51",
   "name": "NAPA",
   "mac": "01112",
   "pw_gpci": 1.063,
   "pe_gpci": 1.318,
   "mp_gpci": 0.508
  },
  {
   "key": "CA-17",
   "state": "CA",
   "locality": "17",
   "name": "OXNARD-THOUSAND OAKS-VENTURA",
   "mac": "01182",
   "pw_gpci": 1.028,
   "pe_gpci": 1.182,
   "mp_gpci": 0.623
  },
  {
   "key": "CA-61",
   "state": "CA",
   "locality": "61",
   "name": "REDDING",
   "mac": "01112",
   "pw_gpci": 1.017,
   "pe_gpci": 1.096,
   "mp_gpci": 0.536
  },
  {
   "key": "CA-62",
   "state": "CA",
   "locality": "62",
   "name": "RIVERSIDE-SAN BERNARDINO-ONTARIO",
   "mac": "01112",
   "pw_gpci": 1.018,
   "pe_gpci": 1.096,
   "mp_gpci": 0.853
  },
  {
   "key": "CA-63",
   "state": "CA",
   "locality": "63",
   "name": "SACRAMENTO-ROSEVILLE-FOLSOM",
   "mac": "01112",
   "pw_gpci": 1.036,
   "pe_gpci": 1.163,
   "mp_gpci": 0.536
  },
  {
   "key": "CA-64",
   "state": "CA",
   "locality": "64",
   "name": "SALINAS",
   "mac": "01112",
   "pw_gpci": 1.031,
   "pe_gpci": 1.159,
   "mp_gpci": 0.536
  },
  {
   "key": "CA-72",
   "state": "CA",
   "locality": "72",
   "name": "SAN DIEGO-CHULA VISTA-CARLSBAD",
   "mac": "01182",
   "pw_gpci": 1.03,
   "pe_gpci": 1.196,
   "mp_gpci": 0.542
  },
  {
   "key": "CA-05",
   "state": "CA",
   "locality": "05",
   "name": "SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY)",
   "mac": "01112",
   "pw_gpci": 1.095,
   "pe_gpci": 1.41,
   "mp_gpci": 0.425
  },
  {
   "key": "CA-52",
   "state": "CA",
   "locality": "52",
   "name": "SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY)",
   "mac": "01112",
   "pw_gpci": 1.095,
   "pe_gpci": 1.41,
   "mp_gpci": 0.459
  },
  {
   "key": "CA-65",
   "state": "CA",
   "locality": "65",
   "name": "SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY)",
   "mac": "01112",
   "pw_gpci": 1.11,
   "pe_gpci": 1.442,
   "mp_gpci": 0.536
  },
  {
   "key": "CA-73",
   "state": "CA",
   "locality": "73",
   "name": "SAN LUIS OBISPO-PASO ROBLES",
   "mac": "01182",
   "pw_gpci": 1.017,
   "pe_gpci": 1.139,
   "mp_gpci": 0.536
  },
  {
   "key": "CA-09",
   "state": "CA",
   "locality": "09",
   "name": "SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY)",
   "mac": "01112",
   "pw_gpci": 1.11,
   "pe_gpci": 1.442,
   "mp_gpci": 0.397
  },
  {
   "key": "CA-66",
   "state": "CA",
   "locality": "66",
   "name": "SANTA CRUZ-WATSONVILLE",
   "mac": "01112",
   "pw_gpci": 1.021,
   "pe_gpci": 1.215,
   "mp_gpci": 0.536
  },
  {
   "key": "CA-74",
   "state": "CA",
   "locality": "74",
   "name": "SANTA MARIA-SANTA BARBARA",
   "mac": "01182",
   "pw_gpci": 1.028,
   "pe_gpci": 1.166,
   "mp_gpci": 0.536
  },
  {
   "key": "CA-67",
   "state": "CA",
   "locality": "67",
   "name": "SANTA ROSA-PETALUMA",
   "mac": "01112",
   "pw_gpci": 1.03,
   "pe_gpci": 1.228,
   "mp_gpci": 0.536
  },
  {
   "key": "CA-68",
   "state": "CA",
   "locality": "68",
   "name": "STOCKTON",
   "mac": "01112",
   "pw_gpci": 1.017,
   "pe_gpci": 1.096,
   "mp_gpci": 0.536
  },
  {
   "key": "CA-53",
   "state": "CA",
   "locality": "53",
   "name": "VALLEJO",
   "mac": "01112",
   "pw_gpci": 1.063,
   "pe_gpci": 1.318,
   "mp_gpci": 0.459
  },
  {
   "key": "CA-69",
   "state": "CA",
   "locality": "69",
   "name": "VISALIA",
   "mac": "01112",
   "pw_gpci": 1.017,
   "pe_gpci": 1.096,
   "mp_gpci": 0.536
  },
  {
   "key": "CA-70",
   "state": "CA",
   "locality": "70",
   "name": "YUBA CITY",
   "mac": "01112",
   "pw_gpci": 1.017,
   "pe_gpci": 1.096,
   "mp_gpci": 0.536
  },
  {
   "key": "CA-75",
   "state": "CA",
   "locality": "75",
   "name": "REST OF CALIFORNIA",
   "mac": "01112",
   "pw_gpci": 1.017,
   "pe_gpci": 1.096,
   "mp_gpci": 0.536
  },
  {
   "key": "CO-01",
   "state": "CO",
   "locality": "01",
   "name": "COLORADO",
   "mac": "04112",
   "pw_gpci": 1.012,
   "pe_gpci": 1.064,
   "mp_gpci": 0.781
  },
  {
   "key": "CT-00",
   "state": "CT",
   "locality": "00",
   "name": "CONNECTICUT",
   "mac": "13102",
   "pw_gpci": 1.02,
   "pe_gpci": 1.077,
   "mp_gpci": 1.21
  },
  {
   "key": "DC-01",
   "state": "DC",
   "locality": "01",
   "name": "DC + MD/VA SUBURBS",
   "mac": "12202",
   "pw_gpci": 1.054,
   "pe_gpci": 1.178,
   "mp_gpci": 1.113
  },
  {
   "key": "DE-01",
   "state": "DE",
   "locality": "01",
   "name": "DELAWARE",
   "mac": "12102",
   "pw_gpci": 1.005,
   "pe_gpci": 0.988,
   "mp_gpci": 0.899
  },
  {
   "key": "FL-03",
   "state": "FL",
   "locality": "03",
   "name": "FORT LAUDERDALE",
   "mac": "09102",
   "pw_gpci": 1,
   "pe_gpci": 1.013,
   "mp_gpci": 1.808
  },
  {
   "key": "FL-04",
   "state": "FL",
   "locality": "04",
   "name": "MIAMI",
   "mac": "09102",
   "pw_gpci": 1,
   "pe_gpci": 1.041,
   "mp_gpci": 2.529
  },
  {
   "key": "FL-99",
   "state": "FL",
   "locality": "99",
   "name": "REST OF FLORIDA",
   "mac": "09102",
   "pw_gpci": 1,
   "pe_gpci": 0.956,
   "mp_gpci": 1.503
  },
  {
   "key": "GA-01",
   "state": "GA",
   "locality": "01",
   "name": "ATLANTA",
   "mac": "10212",
   "pw_gpci": 1.003,
   "pe_gpci": 1.016,
   "mp_gpci": 1.201
  },
  {
   "key": "GA-99",
   "state": "GA",
   "locality": "99",
   "name": "REST OF GEORGIA",
   "mac": "10212",
   "pw_gpci": 1,
   "pe_gpci": 0.892,
   "mp_gpci": 1.192
  },
  {
   "key": "HI-01",
   "state": "HI",
   "locality": "01",
   "name": "HAWAII, GUAM",
   "mac": "01212",
   "pw_gpci": 1,
   "pe_gpci": 1.137,
   "mp_gpci": 0.579
  },
  {
   "key": "ID-00",
   "state": "ID",
   "locality": "00",
   "name": "IDAHO",
   "mac": "02202",
   "pw_gpci": 1,
   "pe_gpci": 0.92,
   "mp_gpci": 0.473
  },
  {
   "key": "IL-16",
   "state": "IL",
   "locality": "16",
   "name": "CHICAGO",
   "mac": "06102",
   "pw_gpci": 1.007,
   "pe_gpci": 1.005,
   "mp_gpci": 2.295
  },
  {
   "key": "IL-12",
   "state": "IL",
   "locality": "12",
   "name": "EAST ST. LOUIS",
   "mac": "06102",
   "pw_gpci": 1,
   "pe_gpci": 0.92,
   "mp_gpci": 2.014
  },
  {
   "key": "IL-15",
   "state": "IL",
   "locality": "15",
   "name": "SUBURBAN CHICAGO",
   "mac": "06102",
   "pw_gpci": 1.007,
   "pe_gpci": 1.027,
   "mp_gpci": 1.772
  },
  {
   "key": "IL-99",
   "state": "IL",
   "locality": "99",
   "name": "REST OF ILLINOIS",
   "mac": "06102",
   "pw_gpci": 1,
   "pe_gpci": 0.913,
   "mp_gpci": 1.563
  },
  {
   "key": "IN-00",
   "state": "IN",
   "locality": "00",
   "name": "INDIANA",
   "mac": "08102",
   "pw_gpci": 1,
   "pe_gpci": 0.927,
   "mp_gpci": 0.486
  },
  {
   "key": "IA-00",
   "state": "IA",
   "locality": "00",
   "name": "IOWA",
   "mac": "05102",
   "pw_gpci": 1,
   "pe_gpci": 0.915,
   "mp_gpci": 0.397
  },
  {
   "key": "KS-00",
   "state": "KS",
   "locality": "00",
   "name": "KANSAS",
   "mac": "05202",
   "pw_gpci": 1,
   "pe_gpci": 0.904,
   "mp_gpci": 0.504
  },
  {
   "key": "KY-00",
   "state": "KY",
   "locality": "00",
   "name": "KENTUCKY",
   "mac": "15102",
   "pw_gpci": 1,
   "pe_gpci": 0.889,
   "mp_gpci": 0.915
  },
  {
   "key": "LA-01",
   "state": "LA",
   "locality": "01",
   "name": "NEW ORLEANS",
   "mac": "07202",
   "pw_gpci": 1,
   "pe_gpci": 0.941,
   "mp_gpci": 1.136
  },
  {
   "key": "LA-99",
   "state": "LA",
   "locality": "99",
   "name": "REST OF LOUISIANA",
   "mac": "07202",
   "pw_gpci": 1,
   "pe_gpci": 0.885,
   "mp_gpci": 0.958
  },
  {
   "key": "ME-03",
   "state": "ME",
   "locality": "03",
   "name": "SOUTHERN MAINE",
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