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California GPCI Values & Physician Payment 2026

Representative work, practice expense, and malpractice GPCI values for California.

State locality screening

select a locality, validate coverage context, compare payment with a fixed CPT, setting, and participant status, and avoid statewide-rate misuse.

Input
California state, CMS locality, and representative CPT examples
Source basis
CMS 2026 GPCI records, state locality mapping, county coverage import, CPT examples, and GPCI calculator assumptions.
Result boundary
The page should not be used as a statewide payment rate when multiple CMS localities apply. This is not a statewide rate. Use the calculator with a fixed CPT, setting, and participant status before relying on a payment estimate.
Run RVU calculatorUse the selected locality with a specific CPT code.Next actionCompare GPCI localitiesHold code and setting constant while geography changes.Next action
Localities
31
City pages
31
Highest locality
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
Highest factor
1.029

California city GPCI localities

Open a city page for locality-specific CPT payment examples and calculator context.

San FranciscoWork 1.051 · PE 1.308 · MP 0.642City localityLos AngelesWork 1.024 · PE 1.201 · MP 0.607City localityBakersfieldWork 1.019 · PE 1.096 · MP 0.609City localityChicoWork 1.017 · PE 1.096 · MP 0.536City localityEl CentroWork 1.017 · PE 1.096 · MP 0.541City localityFresnoWork 1.017 · PE 1.096 · MP 0.536City localityHanford-CorcoranWork 1.017 · PE 1.096 · MP 0.536City localityLos Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)Work 1.041 · PE 1.183 · MP 0.664City localityMaderaWork 1.017 · PE 1.096 · MP 0.536City localityMercedWork 1.017 · PE 1.096 · MP 0.536City localityModestoWork 1.017 · PE 1.096 · MP 0.536City localityNapaWork 1.063 · PE 1.318 · MP 0.508City localityOxnard-Thousand Oaks-VenturaWork 1.028 · PE 1.182 · MP 0.623City localityReddingWork 1.017 · PE 1.096 · MP 0.536City localityRiverside-San Bernardino-OntarioWork 1.018 · PE 1.096 · MP 0.853City localitySacramento-Roseville-FolsomWork 1.036 · PE 1.163 · MP 0.536City localitySalinasWork 1.031 · PE 1.159 · MP 0.536City localitySan Diego-Chula Vista-CarlsbadWork 1.030 · PE 1.196 · MP 0.542City localitySan Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)Work 1.095 · PE 1.410 · MP 0.425City localitySan Francisco-Oakland-Berkeley (Marin Cnty)Work 1.095 · PE 1.410 · MP 0.459City localitySan Jose-Sunnyvale-Santa Clara (San Benito Cnty)Work 1.110 · PE 1.442 · MP 0.536City localitySan Luis Obispo-Paso RoblesWork 1.017 · PE 1.139 · MP 0.536City localitySan Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)Work 1.110 · PE 1.442 · MP 0.397City localitySanta Cruz-WatsonvilleWork 1.021 · PE 1.215 · MP 0.536City localitySanta Maria-Santa BarbaraWork 1.028 · PE 1.166 · MP 0.536City localitySanta Rosa-PetalumaWork 1.030 · PE 1.228 · MP 0.536City localityStocktonWork 1.017 · PE 1.096 · MP 0.536City localityVallejoWork 1.063 · PE 1.318 · MP 0.459City localityVisaliaWork 1.017 · PE 1.096 · MP 0.536City localityYuba CityWork 1.017 · PE 1.096 · MP 0.536City localityRest of CaliforniaWork 1.017 · PE 1.096 · MP 0.536City locality

California CMS locality coverage

County and fee schedule area references from the imported 2026 CMS locality mapping file.

Fee schedule areaLocality #Counties / covered area
Los Angeles-long Beach-anaheim (los Angeles Cnty)18LOS ANGELES /ORAGNGE CNTY

Locality payment comparison

Select a CPT and locality, then compare national high-payment localities for the same CPT and setting.

Inputs
01
Results
02
Selected locality payment

California: San Francisco, 4.72 total RVU.

$157.78
Work GPCI
1.051
PE GPCI
1.308
MP GPCI
0.642
Top-low spread
$46.40
Review
03
LocalityWorkPEMPPayment
California: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)1.1101.4420.536$170.02
Alaska: Alaska1.5001.0650.551$169.92
California: San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)1.1101.4420.397$169.37
California: San Francisco-Oakland-Berkeley (Marin Cnty)1.0951.4100.459$166.56
California: San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)1.0951.4100.425$166.40
California: Napa1.0631.3180.508$158.59
California: Vallejo1.0631.3180.459$158.36
California: San Francisco1.0511.3080.642$157.78
New York: Nyc Suburbs/Long Island1.0641.1891.857$156.34
Alaska: State Average1.0801.2500.550$155.33
New York: Queens1.0641.1821.442$153.94
New York: Manhattan1.0641.1621.586$153.27
GPCI payment formula
Payment = ((work RVU x work GPCI) + (PE RVU x PE GPCI) + (MP RVU x MP GPCI)) x 2026 conversion factor.
Assumptions
CPT
99214
Setting
non-facility
Participant
Non-QPP
Rows shown
Top 12 by payment
CMS provenance
Source file and formula trace
Source file

2026/rvu26b

Release date

2026-03-10

Field mapping

CPT or HCPCS code, Work RVU, Practice expense RVU, Malpractice RVU, GPCI locality, Conversion factor

GPCI locality comparison provenance for CPT 99214. The calculation uses CMS April 2026 RVU records, GPCI localities, and conversion factors. Verify official CMS and payer rules before billing or contract decisions.

  • CPT or HCPCS code: CMS PFS Relative Value Files RVU record and descriptor fields
  • Work RVU: CMS PFS Relative Value Files work RVU component
  • Practice expense RVU: CMS PFS Relative Value Files facility and non-facility PE RVU fields
  • Malpractice RVU: CMS PFS Relative Value Files malpractice RVU component
Professional use
Keep constant before comparing markets

Keep constant CPT code, setting, and participant status. Change only the locality when judging geographic payment impact.

Next tool action
Core RVU calculatorGPCI map
CPT 99214 in San Francisco: $157.78 non-QPP payment; national locality comparison spread $46.40.

California locality values

Each RVU component is adjusted separately before the conversion factor is applied.

LocalityGPCI WorkGPCI PEGPCI MPAdjustment factor
San Francisco1.0511.3080.6421.000
Los Angeles1.0241.2010.6070.944
Bakersfield1.0191.0960.6090.908
Chico1.0171.0960.5360.883
El Centro1.0171.0960.5410.885
Fresno1.0171.0960.5360.883
Hanford-Corcoran1.0171.0960.5360.883
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)1.0411.1830.6640.963
Madera1.0171.0960.5360.883
Merced1.0171.0960.5360.883
Modesto1.0171.0960.5360.883
Napa1.0631.3180.5080.963
Oxnard-Thousand Oaks-Ventura1.0281.1820.6230.944
Redding1.0171.0960.5360.883
Riverside-San Bernardino-Ontario1.0181.0960.8530.989
Sacramento-Roseville-Folsom1.0361.1630.5360.912
Salinas1.0311.1590.5360.909
San Diego-Chula Vista-Carlsbad1.0301.1960.5420.923
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)1.0951.4100.4250.977
San Francisco-Oakland-Berkeley (Marin Cnty)1.0951.4100.4590.988
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)1.1101.4420.5361.029
San Luis Obispo-Paso Robles1.0171.1390.5360.897
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)1.1101.4420.3970.983
Santa Cruz-Watsonville1.0211.2150.5360.924
Santa Maria-Santa Barbara1.0281.1660.5360.910
Santa Rosa-Petaluma1.0301.2280.5360.931
Stockton1.0171.0960.5360.883
Vallejo1.0631.3180.4590.947
Visalia1.0171.0960.5360.883
Yuba City1.0171.0960.5360.883
Rest of California1.0171.0960.5360.883

Common CPT payment examples in San Francisco

Illustrative non-QPP estimates using San Francisco GPCI values.

CPTDescriptionSettingTotal RVUPayment
99213Office o/p est low 20 minnon-facility3.33$111.35
99214Office o/p est mod 30 minnon-facility4.72$157.78
99215Office o/p est hi 40 minnon-facility6.67$222.94
99212Office o/p est sf 10 minnon-facility2.11$70.42
99204Office o/p new mod 45 minnon-facility6.12$204.33
93000Electrocardiogram completenon-facility0.54$18.19

Compare with nearby state pages

Use neighboring state pages to compare representative GPCI adjustment factors before evaluating location-specific offers.

StateAverage factorPage
California0.924View GPCI page
New York1.157View GPCI page