San Jose-Sunnyvale-Santa Clara (San Benito Cnty), California GPCI 2026
Locality-specific work, practice expense, and malpractice GPCI assumptions for Medicare physician payment estimates.
Exact locality context
Use this locality-specific page when the payment estimate must use San Jose-Sunnyvale-Santa Clara (San Benito Cnty) rather than a state-average assumption.
- Input
- San Jose-Sunnyvale-Santa Clara (San Benito Cnty), California, CPT code, setting, and participant status
- Source basis
- CMS 2026 GPCI components, city/locality mapping, county coverage import, representative CPT examples, and national baseline comparison.
- Result boundary
- The page does not determine coding, documentation, payer contract terms, or compensation conclusions. Compare estimates only with a fixed CPT, setting, and participant status.
CPT 99214 estimates $170.02 in this locality versus $135.61 at the national GPCI baseline.
2026/rvu26b
2026-03-10
CPT or HCPCS code, Work RVU, Practice expense RVU, Malpractice RVU, GPCI locality, Conversion factor
San Jose-Sunnyvale-Santa Clara (San Benito Cnty), California locality payment snapshot provenance. 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
Locality payment comparison
Select a CPT and locality, then compare national high-payment localities for the same CPT and setting.
California: San Jose-Sunnyvale-Santa Clara (San Benito Cnty), 5.09 total RVU.
| Locality | Work | PE | MP | Payment |
|---|---|---|---|---|
| California: San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | 1.110 | 1.442 | 0.536 | $170.02 |
| Alaska: Alaska | 1.500 | 1.065 | 0.551 | $169.92 |
| California: San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | 1.110 | 1.442 | 0.397 | $169.37 |
| California: San Francisco-Oakland-Berkeley (Marin Cnty) | 1.095 | 1.410 | 0.459 | $166.56 |
| California: San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | 1.095 | 1.410 | 0.425 | $166.40 |
| California: Napa | 1.063 | 1.318 | 0.508 | $158.59 |
| California: Vallejo | 1.063 | 1.318 | 0.459 | $158.36 |
| California: San Francisco | 1.051 | 1.308 | 0.642 | $157.78 |
| New York: Nyc Suburbs/Long Island | 1.064 | 1.189 | 1.857 | $156.34 |
| Alaska: State Average | 1.080 | 1.250 | 0.550 | $155.33 |
| New York: Queens | 1.064 | 1.182 | 1.442 | $153.94 |
| New York: Manhattan | 1.064 | 1.162 | 1.586 | $153.27 |
- CPT
- 99214
- Setting
- non-facility
- Participant
- Non-QPP
- Rows shown
- Top 12 by payment
2026/rvu26b
2026-03-10
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
Keep constant CPT code, setting, and participant status. Change only the locality when judging geographic payment impact.
Common CPT payment examples
Non-QPP estimates using San Jose-Sunnyvale-Santa Clara (San Benito Cnty), California GPCI values and each code's typical setting.
Nearby locality pages
Compare California locality assumptions before using a payment estimate in a compensation model.