GPCI locality
Iowa, Iowa GPCI 2026
Locality-specific work, practice expense, and malpractice GPCI assumptions for Medicare physician payment estimates.
Work GPCI
1.000
PE GPCI
0.915
MP GPCI
0.397
Avg factor
0.771
CMS locality coverage
County and fee schedule area reference from the imported 2026 CMS locality mapping file.
Fee schedule area
Statewide
Locality #
00
Covered area
ALL COUNTIES
Payment impact snapshot
CPT 99214 estimates $127.11 in this locality versus $135.61 at the national GPCI baseline.
Local payment
$127.11
National
$135.61
Iowa payment interpretation
Use the locality values to model geography after the CPT code and setting have already been selected.
- Locality
- Iowa, Iowa
- Example CPT
- 99214
- Compared baseline
- National GPCI
What this page can support
- Estimating the geography effect on the selected CPT payment input.
- Comparing nearby localities using the same code and conversion factor.
- Documenting locality assumptions before reviewing compensation or contract economics.
What should stay separate
- It does not determine the correct CPT code, E/M level, or modifier set.
- It does not replace payer-specific allowed amounts or employer compensation terms.
- It should not be compared with national payment unless the CPT, setting, and participant status stay fixed.
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
$127.11
Iowa: Iowa, 3.81 total RVU.
Work GPCI
1.000
PE GPCI
0.915
MP GPCI
0.397
Top-low spread
$46.40
Review
03
| 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 |
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
CPT 99214 in Iowa: $127.11 non-QPP payment; national locality comparison spread $46.40.
Common CPT payment examples
Non-QPP estimates using Iowa, Iowa GPCI values and each code's typical setting.