ADDENDUM E. FINAL CY 2023 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY

Medicare Admi State  Locality                          Locality Name                          2023 PW GPCI2023 PE GPCI2023 MP GPCI
10112           AL      00   ALABAMA                                                             1.000       0.878       0.748
02102           AK      01   ALASKA*                                                             1.500       1.100       0.603
03102           AZ      00   ARIZONA                                                             1.000       0.963       0.855
07102           AR      13   ARKANSAS                                                            1.000       0.853       0.492
01112           CA      54   BAKERSFIELD                                                         1.027       1.079       0.694
01112           CA      55   CHICO                                                               1.021       1.079       0.579
01182           CA      71   EL CENTRO                                                           1.021       1.079       0.595
01112           CA      56   FRESNO                                                              1.021       1.079       0.579
01112           CA      57   HANFORD-CORCORAN                                                    1.021       1.079       0.579
01182           CA      18   LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES CNTY)                   1.045       1.185       0.724
01182           CA      26   LOS ANGELES-LONG BEACH-ANAHEIM (ORANGE CNTY)                        1.045       1.185       0.724
01112           CA      58   MADERA                                                              1.021       1.079       0.579
01112           CA      59   MERCED                                                              1.021       1.079       0.579
01112           CA      60   MODESTO                                                             1.021       1.079       0.579
01112           CA      51   NAPA                                                                1.051       1.265       0.513
01112           CA      07   SAN FRANCISCO-OAKLAND-BERKELEY (ALAMEDA/CONTRA COSTA CNTY)          1.082       1.374       0.452
01182           CA      17   OXNARD-THOUSAND OAKS-VENTURA                                        1.027       1.181       0.689
01112           CA      61   REDDING                                                             1.021       1.079       0.579
01112           CA      62   RIVERSIDE-SAN BERNARDINO-ONTARIO                                    1.021       1.079       0.924
01112           CA      63   SACRAMENTO-ROSEVILLE-FOLSOM                                         1.036       1.119       0.579
01112           CA      64   SALINAS                                                             1.050       1.149       0.579
01182           CA      72   SAN DIEGO-CHULA VISTA-CARLSBAD                                      1.032       1.176       0.596
01112           CA      05   SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO CNTY)                 1.082       1.374       0.452
01112           CA      52   SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY)                         1.082       1.374       0.487
01112           CA      65   SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY)                    1.098       1.409       0.579
01182           CA      73   SAN LUIS OBISPO-PASO ROBLES                                         1.021       1.111       0.579
01112           CA      06   SAN FRANCISCO-OAKLAND-BERKELEY (SAN MATEO CNTY)                     1.082       1.374       0.452
01112           CA      09   SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY)                   1.098       1.409       0.417
01112           CA      66   SANTA CRUZ-WATSONVILLE                                              1.031       1.207       0.579
01182           CA      74   SANTA MARIA-SANTA BARBARA                                           1.031       1.175       0.579
01112           CA      67   SANTA ROSA-PETALUMA                                                 1.036       1.205       0.579
01112           CA      68   STOCKTON                                                            1.021       1.079       0.579
01112           CA      53   VALLEJO                                                             1.051       1.265       0.487
01112           CA      69   VISALIA                                                             1.021       1.079       0.579
01112           CA      70   YUBA CITY                                                           1.021       1.079       0.579
01112           CA      75   REST OF CALIFORNIA                                                  1.021       1.079       0.579
04112           CO      01   COLORADO                                                            1.005       1.050       0.797
13102           CT      00   CONNECTICUT                                                         1.030       1.102       1.070
12202           DC      01   DC + MD/VA SUBURBS                                                  1.056       1.214       1.231
12102           DE      01   DELAWARE                                                            1.007       1.007       0.938
09102           FL      03   FORT LAUDERDALE                                                     1.000       0.999       1.815
09102           FL      04   MIAMI                                                               1.000       1.025       2.564
09102           FL      99   REST OF FLORIDA                                                     1.000       0.940       1.451
10212           GA      01   ATLANTA                                                             1.000       0.998       1.016
10212           GA      99   REST OF GEORGIA                                                     1.000       0.881       1.015
01212           HI      01   HAWAII, GUAM                                                        1.003       1.146       0.618
02202           ID      00   IDAHO                                                               1.000       0.893       0.439
06102           IL      16   CHICAGO                                                             1.009       1.033       1.945
06102           IL      12   EAST ST. LOUIS                                                      1.000       0.930       1.723
06102           IL      15   SUBURBAN CHICAGO                                                    1.007       1.055       1.530
06102           IL      99   REST OF ILLINOIS                                                    1.000       0.912       1.282
08102           IN      00   INDIANA                                                             1.000       0.911       0.475
05102           IA      00   IOWA                                                                1.000       0.910       0.441
05202           KS      00   KANSAS                                                              1.000       0.907       0.499
15102           KY      00   KENTUCKY                                                            1.000       0.873       0.870
07202           LA      01   NEW ORLEANS                                                         1.000       0.931       1.342
07202           LA      99   REST OF LOUISIANA                                                   1.000       0.876       1.144
14112           ME      03   SOUTHERN MAINE                                                      1.000       1.005       0.654
14112           ME      99   REST OF MAINE                                                       1.000       0.905       0.651
12302           MD      01   BALTIMORE/SURR. CNTYS                                               1.024       1.087       1.311
12302           MD      99   REST OF MARYLAND                                                    1.011       1.027       1.022
14212           MA      01   METROPOLITAN BOSTON                                                 1.045       1.200       0.868
14212           MA      99   REST OF MASSACHUSETTS                                               1.022       1.061       0.819
08202           MI      01   DETROIT                                                             1.000       0.992       1.670
08202           MI      99   REST OF MICHIGAN                                                    1.000       0.911       1.076
06202           MN      00   MINNESOTA                                                           1.000       1.019       0.326
07302           MS      00   MISSISSIPPI                                                         1.000       0.847       0.720
05302           MO      02   METROPOLITAN KANSAS CITY                                            1.000       0.952       0.941
05302           MO      01   METROPOLITAN ST. LOUIS                                              1.000       0.964       0.941
05302           MO      99   REST OF MISSOURI                                                    1.000       0.855       0.901
03202           MT      01   MONTANA**                                                           1.000       1.000       0.978
05402           NE      00   NEBRASKA                                                            1.000       0.913       0.269
01312           NV      00   NEVADA**                                                            1.000       1.000       1.098
14312           NH      40   NEW HAMPSHIRE                                                       1.000       1.036       0.907
12402           NJ      01   NORTHERN NJ                                                         1.056       1.186       0.996
12402           NJ      99   REST OF NEW JERSEY                                                  1.039       1.124       1.014
04212           NM      05   NEW MEXICO                                                          1.000       0.902       1.169
13202           NY      01   MANHATTAN                                                           1.061       1.184       1.843
13202           NY      02   NYC SUBURBS/LONG ISLAND                                             1.056       1.212       2.307
13202           NY      03   POUGHKPSIE/N NYC SUBURBS                                            1.036       1.105       1.458
13292           NY      04   QUEENS                                                              1.061       1.212       2.061
13282           NY      99   REST OF NEW YORK                                                    1.000       0.952       0.742
11502           NC      00   NORTH CAROLINA                                                      1.000       0.927       0.742
03302           ND      01   NORTH DAKOTA**                                                      1.000       1.000       0.474
15202           OH      00   OHIO                                                                1.000       0.912       1.063
04312           OK      00   OKLAHOMA                                                            1.000       0.886       0.798
02302           OR      01   PORTLAND                                                            1.018       1.083       0.612
02302           OR      99   REST OF OREGON                                                      1.000       0.966       0.589
12502           PA      01   METROPOLITAN PHILADELPHIA                                           1.023       1.068       1.188
12502           PA      99   REST OF PENNSYLVANIA                                                1.000       0.933       0.906
09202           PR      20   PUERTO RICO                                                         1.000       1.008       0.984
14412           RI      01   RHODE ISLAND                                                        1.023       1.044       0.915
11202           SC      01   SOUTH CAROLINA                                                      1.000       0.908       0.756
03402           SD      02   SOUTH DAKOTA**                                                      1.000       1.000       0.364
10312           TN      35   TENNESSEE                                                           1.000       0.894       0.518
04412           TX      31   AUSTIN                                                              1.000       1.053       0.727
04412           TX      20   BEAUMONT                                                            1.000       0.924       0.749
04412           TX      09   BRAZORIA                                                            1.023       1.014       0.673
04412           TX      11   DALLAS                                                              1.017       1.017       0.711
04412           TX      28   FORT WORTH                                                          1.013       0.996       0.721
04412           TX      15   GALVESTON                                                           1.023       1.013       0.703
04412           TX      18   HOUSTON                                                             1.023       1.016       1.154
04412           TX      99   REST OF TEXAS                                                       1.000       0.950       0.759
03502           UT      09   UTAH                                                                1.000       0.926       0.865
14512           VT      50   VERMONT                                                             1.000       0.997       0.543
11302           VA      00   VIRGINIA                                                            1.000       0.990       0.826
09202           VI      50   VIRGIN ISLANDS                                                      1.000       1.008       0.984
02402           WA      02   SEATTLE (KING CNTY)                                                 1.039       1.207       0.815
02402           WA      99   REST OF WASHINGTON                                                  1.003       1.027       0.773
11402           WV      16   WEST VIRGINIA                                                       1.000       0.860       1.266
06302           WI      00   WISCONSIN                                                           1.000       0.950       0.314
03602           WY      21   WYOMING**                                                           1.000       1.000       0.790
MAC Assignments as of October 26, 2022

*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.
**PE GPCI reflects a 1.0 floor for frontier states established by the ACA.

Note: The 1.0 Work GPCI floor required by Section 101 of the Consolidated Appropriations Act, 2021 [December 27, 2020] extended the Work GPCI floor through December 31, 2023.
   Therefore, the Work GPCIs for 2022 and 2023 reflect the 1.0 floor, and the Work GPCIs for 2024 do not reflect a 1.0 floor.



