GPCI locality

Fort Worth, Texas 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 Fort Worth rather than a state-average assumption.

Input
Fort Worth, Texas, 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.
Work GPCI
1.009
PE GPCI
0.986
MP GPCI
0.871
Avg factor
0.955
Payment impact snapshot

CPT 99214 estimates $134.65 in this locality versus $135.61 at the national GPCI baseline.

Local payment
$134.65
National
$135.61
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

Fort Worth, Texas 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.

Inputs
01
Results
02
Selected locality payment

Texas: Fort Worth, 4.03 total RVU.

$134.65
Work GPCI
1.009
PE GPCI
0.986
MP GPCI
0.871
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
CPT 99214 in Fort Worth: $134.65 non-QPP payment; national locality comparison spread $46.40.

Common CPT payment examples

Non-QPP estimates using Fort Worth, Texas GPCI values and each code's typical setting.

CPTDescriptionTotal RVUPayment
99213Office o/p est low 20 min2.83$94.51
99214Office o/p est mod 30 min4.03$134.65
99215Office o/p est hi 40 min5.72$191.04
99212Office o/p est sf 10 min1.76$58.93
99204Office o/p new mod 45 min5.27$175.95
93000Electrocardiogram complete0.46$15.20

Nearby locality pages

Compare Texas locality assumptions before using a payment estimate in a compensation model.