ASC Payment Rates for 2025 - JE Part B
ASC Payment Rates for 2025
View the ASC procedures and payment amounts grouped by the Core-Based Statistical Area (CBSA) code. See the 'Urban Area/State Code' and be sure to select the appropriate CBSA to view fees for your facility.
Effective July 1, 2025 - The following codes have been added to the CMS ASC Fee Schedule files: 0950T, 0956T, 0957T, 0958T, 0959T, 0960T, 0963T, 0964T, 0965T, 0966T, 0967T, 0970T, 0971T, 0973T, 0975T, and 0981T. The fees are for dates of service on/after July 1, 2025 through December 31, 2025. (CMS Change Request 14101)
CMS revised the fees for 0973T, 0975T, and 0981T (from previously published fees) and are effective for dates of service on/after July 1, 2025 through December 31, 2025.
HI/Pacific Islands
Northern California
- California - 05
- Bakersfield, Kern County - 12540
- Chico, Butte County - 17020
- Fresno, Fresno County, Madera - 23420
- Hanford-Corcoran, Kings County - 25260
- Merced, Merced County - 32900
- Modesto, Stanislaus County - 33700
- Napa, Napa County - 34900
- Oakland-Hayward-Berkeley, Alameda County, Contra Costa County - 36084
- Redding, Shasta County - 39820
- Riverside-San Bernardino-Ontario, Riverside County, San Bernardino County - 40140
- Sacramento-Arden-Arcade-Roseville, El Dorado County, Placer County, Sacramento County, Yolo County - 40900
- Salinas, Monterey County - 41500
- San Francisco-Redwood City-South San Francisco, San Francisco County, San Mateo County - 41884
- San Jose-Sunnyvale-Santa Clara, San Benito County, Santa Clara County - 41940
- San Rafael, Marin County - 42034
- Santa Cruz-Watsonville, Santa Cruz County - 42100
- Santa Rosa, Sonoma County - 42220
- Stockton-Lodi, San Joaquin County - 44700
- Vallejo-Fairfield, Solano County - 46700
- Visalia-Porterville, Tulare County - 47300
- Yuba City, Sutter County, Yuba County - 49700
Southern California
- Santa Ana-Anaheim-Irvine, Orange County - 11244
- El Centro, Imperial County - 20940
- Los Angeles-Long Beach-Glendale, Los Angeles County - 31084
- Oxnard-Thousand Oaks-Ventura, Ventura County - 37100
- San Diego-Carlsbad, San Diego County - 41740
- San Luis Obispo-Paso Robles-Arroyo Grande, San Luis Obispo County - 42020
- Santa Barbara-Santa Maria, Santa Barbara County - 42200
Effective April 1, 2025 - The following codes have been added to the CMS ASC Fee Schedule files: C8004, 0446T, and 0448T. The fees are for dates of service on/after April 1, 2025 through December 31, 2025. (CMS Change Request 14017).
HI/Pacific Islands
Northern California
- California - 05
- Bakersfield, Kern County - 12540
- Chico, Butte County - 17020
- Fresno, Fresno County, Madera - 23420
- Hanford-Corcoran, Kings County - 25260
- Merced, Merced County - 32900
- Modesto, Stanislaus County - 33700
- Napa, Napa County - 34900
- Oakland-Hayward-Berkeley, Alameda County, Contra Costa County - 36084
- Redding, Shasta County - 39820
- Riverside-San Bernardino-Ontario, Riverside County, San Bernardino County - 40140
- Sacramento-Arden-Arcade-Roseville, El Dorado County, Placer County, Sacramento County, Yolo County - 40900
- Salinas, Monterey County - 41500
- San Francisco-Redwood City-South San Francisco, San Francisco County, San Mateo County - 41884
- San Jose-Sunnyvale-Santa Clara, San Benito County, Santa Clara County - 41940
- San Rafael, Marin County - 42034
- Santa Cruz-Watsonville, Santa Cruz County - 42100
- Santa Rosa, Sonoma County - 42220
- Stockton-Lodi, San Joaquin County - 44700
- Vallejo-Fairfield, Solano County - 46700
- Visalia-Porterville, Tulare County - 47300
- Yuba City, Sutter County, Yuba County - 49700
Southern California
- Santa Ana-Anaheim-Irvine, Orange County - 11244
- El Centro, Imperial County - 20940
- Los Angeles-Long Beach-Glendale, Los Angeles County - 31084
- Oxnard-Thousand Oaks-Ventura, Ventura County - 37100
- San Diego-Carlsbad, San Diego County - 41740
- San Luis Obispo-Paso Robles-Arroyo Grande, San Luis Obispo County - 42020
- Santa Barbara-Santa Maria, Santa Barbara County - 42200
Effective January 1, 2025 - For dates of service January 1, 2025 (CMS Change Request 13934 and 14017).
HI/Pacific Islands
Northern California
- California - 05
- Bakersfield, Kern County - 12540
- Chico, Butte County - 17020
- Fresno, Fresno County, Madera - 23420
- Hanford-Corcoran, Kings County - 25260
- Merced, Merced County - 32900
- Modesto, Stanislaus County - 33700
- Napa, Napa County - 34900
- Oakland-Hayward-Berkeley, Alameda County, Contra Costa County - 36084
- Redding, Shasta County - 39820
- Riverside-San Bernardino-Ontario, Riverside County, San Bernardino County - 40140
- Sacramento-Arden-Arcade-Roseville, El Dorado County, Placer County, Sacramento County, Yolo County - 40900
- Salinas, Monterey County - 41500
- San Francisco-Redwood City-South San Francisco, San Francisco County, San Mateo County - 41884
- San Jose-Sunnyvale-Santa Clara, San Benito County, Santa Clara County - 41940
- San Rafael, Marin County - 42034
- Santa Cruz-Watsonville, Santa Cruz County - 42100
- Santa Rosa, Sonoma County - 42220
- Stockton-Lodi, San Joaquin County - 44700
- Vallejo-Fairfield, Solano County - 46700
- Visalia-Porterville, Tulare County - 47300
- Yuba City, Sutter County, Yuba County - 49700
Southern California
- Santa Ana-Anaheim-Irvine, Orange County - 11244
- El Centro, Imperial County - 20940
- Los Angeles-Long Beach-Glendale, Los Angeles County - 31084
- Oxnard-Thousand Oaks-Ventura, Ventura County - 37100
- San Diego-Carlsbad, San Diego County - 41740
- San Luis Obispo-Paso Robles-Arroyo Grande, San Luis Obispo County - 42020
- Santa Barbara-Santa Maria, Santa Barbara County - 42200
