ASC Payment Rates for 2023

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 October 1, 2023 - For dates of service on/after October 1, 2023, processed on or after October 2, 2023 (CMS Change Request 13353)

Note: The following files list only the code(s) that are new or have updated fees for the indicated effective date as indicated in the CMS Change Request.

Alaska

  • Aleutians East Borough, Aleutians West Census Area, Bethel Census Area, Bristol Bay Borough, Denali Borough, Dillingham Census Area, Haines Borough, Juneau Bay, Kenai Peninsula Borough, Ketchikan Gateway Borough, Kodiak Island Borough, Lake and Peninsula Borough, Nome Census Area, North Slope Borough, Northwest Arctic Borough, Prince of Wales-Outer Ketchikan Census Area, Sitka Borough, Southeast Fairbanks Census Area, Valdez-Cordova Census Area, Wade Hampton Census Area, Wrangell-Petersburg Census Area, Yakutat Borough, Yukon-Koyukuk Census Area - 02
  • Anchorage, Matanuska-Susitna Borough - 11260
  • Fairbanks North Star Borough - 21820

Arizona

  • Apache, Coconino, Gila, Graham, Greenlee, La Paz, Navajo, Pinal, Santa Cruz - 03
  • Coconino, Navajo, Yavapai - 22380
  • Mohave - 29420
  • Gila, Maricopa, Pinal - 38060
  • Yavapai - 39150
  • Cochise - 43420
  • Pima - 46060
  • Yuma - 49740

Idaho

Montana

  • Anaconda-Deer Lodge, Beaverhead, Big Horn, Blaine, Broadwater, Butte-Silver Bow, Chouteau, Custer, Daniels, Dawson, Fallon, Fergus, Flathead, Gallatin, Garfield, Glacier, Golden Valley, Granite, Hill, Jefferson, Judith Basin, Lake, Lewis and Clark, Liberty, Lincoln, Madison, McCone, Meagher, Mineral, Musselshell, Park, Petroleum, Phillips, Pondera, Powder River, Powell, Prairie, Ravalli, Richland, Roosevelt, Rosebud, Sanders, Sheridan, Sweet Grass, Teton, Toole, Treasure, Valley, Wheatland, Wibaux - 27
  • Carbon, Carter, Stillwater, Yellowstone - 13740
  • Cascade - 24500
  • Missoula - 33540

North Dakota

  • Adams, Barnes, Benson, Billings, Bottineau, Bowman, Burke, Cavalier, Dickey, Divide, Dunn, Eddy, Edgeley, Emmons, Foster, Golden Valley, Grant, Griggs, Hettinger, Kidder, Lamoure, Logan, McHenry, McIntosh, McKenzie, Mclean, Mercer, Mountrail, Nelson, Pembina, Pierce, Ramsey, Ransom, Renville, Richland, Rolette, Sargent, Sheridan, Sioux, Slope, Stark, Steele, Stutsman, Towner, Trail, Walsh, Ward, Wells, Williams - 35
  • Burleigh, Morton, Oliver - 13900
  • Cass - 22020
  • Grand Forks - 24220

Oregon

  • Baker, Clatsop, Coos, Crook, Curry, Douglas, Gilliam, Grant, Harney, Hood River, Jefferson, Klamath, Lake, Lincoln, Malheur, Morrow, Sherman, Tillamook, Umatilla, Union, Wallowa, Wasco, Wheeler - 38
  • Linn - 10540
  • Deschutes - 13460
  • Benton - 18700
  • Lane - 21660
  • Josephine - 24420
  • Jackson - 32780
  • Clackamas, Columbia, Multnomah, Washington, Yamhill - 38900
  • Marion, Polk - 41420

South Dakota

  • Aurora, Beadle, Bennett, Bon Homme, Brookings, Brown, Brule, Buffalo, Burle, Butte, Campbell, Charles Mix, Clark, Clay, Codington, Corson, Custer, Davison, Day, Devel, Dewey, Douglas, Edmonds, Edmunds, Fall River, Faulk, Grant, Gregory, Hamlin, Hamlin, Hamline, Hand, Hanson, Harding, Hughes, Hutchinson, Hyde, Jackson, Jerauld, Jones, Kingsburg, Lake, Lawrence, Lyman, Marshall, McPherson, Meade, Meilette, Miner, Moody, Perkins, Potter, Roberts, Sanborn, Shannon, Spink, Stanley, Sully, Todd, Tripp, Walworth, Yankton, Zieback - 43
  • Haakon, Meade, Pennington - 39660
  • Union - 43580
  • Lincoln, McCook, Minnehaha, Turner - 43620

Utah

  • Beaver, Carbon, Daggett, Duchesne, Emery, Garfield, Grand, Iron, Kane, Millard, Piute, Rich, Salt Lake, San Juan, Sanpete, Sevier, Summit, Uintah, Wasatch, Wayne - 46
  • Cache - 30860
  • Box Elder, David, Davis, Morgan, Weber - 36260
  • Juab, Utah - 39340
  • Washington - 41100
  • Salt Lake, Tooele - 41620

Washington

  • Adams, Clallam, Ferry, Garfield Grant, Grays Harbor, Jefferson, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, San Juan, Wahkiakum, Walla Walla, Whitman - 50
  • Whatcom - 13380
  • Kitsap - 14740
  • Benton, Franklin - 28420
  • Astoin - 30300
  • Cowlitz - 31020
  • Skagit - 34580
  • Thurston - 36500
  • Clark, Skamania - 38900
  • King, Snohomish - 42644
  • Spokane, Stevens - 44060
  • Pierce - 45104
  • Columbia - 47460
  • Chelan, Douglas - 48300
  • Yakima - 49420

Wyoming

  • Albany, Big Horn, Campbell, Carbon, Converse, Crook, Fremont, Goshen, Hot Spring, Johnson, Lincoln, Niobrara, Park, Sheridan, Sublette, Sweetwater, Teton, Uinta, Washakie, Weston - 53
  • Natrona - 16220
  • Laramie - 16940

 

Effective July 1, 2023 - For dates of service on/after July 1, 2023, processed on or after July 3, 2023 (CMS Change Request 13216)

Note: The following files list only the code(s) that are new or have updated fees for the indicated effective date as indicated in the CMS Change Request.

Alaska

  • Aleutians East Borough, Aleutians West Census Area, Bethel Census Area, Bristol Bay Borough, Denali Borough, Dillingham Census Area, Haines Borough, Juneau Bay, Kenai Peninsula Borough, Ketchikan Gateway Borough, Kodiak Island Borough, Lake and Peninsula Borough, Nome Census Area, North Slope Borough, Northwest Arctic Borough, Prince of Wales-Outer Ketchikan Census Area, Sitka Borough, Southeast Fairbanks Census Area, Valdez-Cordova Census Area, Wade Hampton Census Area, Wrangell-Petersburg Census Area, Yakutat Borough, Yukon-Koyukuk Census Area - 02
  • Anchorage, Matanuska-Susitna Borough - 11260
  • Fairbanks North Star Borough - 21820

Arizona

  • Apache, Coconino, Gila, Graham, Greenlee, La Paz, Navajo, Pinal, Santa Cruz - 03
  • Coconino, Navajo, Yavapai - 22380
  • Mohave - 29420
  • Gila, Maricopa, Pinal - 38060
  • Yavapai - 39150
  • Cochise - 43420
  • Pima - 46060
  • Yuma - 49740

Idaho

Montana

  • Anaconda-Deer Lodge, Beaverhead, Big Horn, Blaine, Broadwater, Butte-Silver Bow, Chouteau, Custer, Daniels, Dawson, Fallon, Fergus, Flathead, Gallatin, Garfield, Glacier, Golden Valley, Granite, Hill, Jefferson, Judith Basin, Lake, Lewis and Clark, Liberty, Lincoln, Madison, McCone, Meagher, Mineral, Musselshell, Park, Petroleum, Phillips, Pondera, Powder River, Powell, Prairie, Ravalli, Richland, Roosevelt, Rosebud, Sanders, Sheridan, Sweet Grass, Teton, Toole, Treasure, Valley, Wheatland, Wibaux - 27
  • Carbon, Carter, Stillwater, Yellowstone - 13740
  • Cascade - 24500
  • Missoula - 33540

North Dakota

  • Adams, Barnes, Benson, Billings, Bottineau, Bowman, Burke, Cavalier, Dickey, Divide, Dunn, Eddy, Edgeley, Emmons, Foster, Golden Valley, Grant, Griggs, Hettinger, Kidder, Lamoure, Logan, McHenry, McIntosh, McKenzie, Mclean, Mercer, Mountrail, Nelson, Pembina, Pierce, Ramsey, Ransom, Renville, Richland, Rolette, Sargent, Sheridan, Sioux, Slope, Stark, Steele, Stutsman, Towner, Trail, Walsh, Ward, Wells, Williams - 35
  • Burleigh, Morton, Oliver - 13900
  • Cass - 22020
  • Grand Forks - 24220

Oregon

  • Baker, Clatsop, Coos, Crook, Curry, Douglas, Gilliam, Grant, Harney, Hood River, Jefferson, Klamath, Lake, Lincoln, Malheur, Morrow, Sherman, Tillamook, Umatilla, Union, Wallowa, Wasco, Wheeler - 38
  • Linn - 10540
  • Deschutes - 13460
  • Benton - 18700
  • Lane - 21660
  • Josephine - 24420
  • Jackson - 32780
  • Clackamas, Columbia, Multnomah, Washington, Yamhill - 38900
  • Marion, Polk - 41420

South Dakota

  • Aurora, Beadle, Bennett, Bon Homme, Brookings, Brown, Brule, Buffalo, Burle, Butte, Campbell, Charles Mix, Clark, Clay, Codington, Corson, Custer, Davison, Day, Devel, Dewey, Douglas, Edmonds, Edmunds, Fall River, Faulk, Grant, Gregory, Hamlin, Hamlin, Hamline, Hand, Hanson, Harding, Hughes, Hutchinson, Hyde, Jackson, Jerauld, Jones, Kingsburg, Lake, Lawrence, Lyman, Marshall, McPherson, Meade, Meilette, Miner, Moody, Perkins, Potter, Roberts, Sanborn, Shannon, Spink, Stanley, Sully, Todd, Tripp, Walworth, Yankton, Zieback - 43
  • Haakon, Meade, Pennington - 39660
  • Union - 43580
  • Lincoln, McCook, Minnehaha, Turner - 43620

Utah

  • Beaver, Carbon, Daggett, Duchesne, Emery, Garfield, Grand, Iron, Kane, Millard, Piute, Rich, Salt Lake, San Juan, Sanpete, Sevier, Summit, Uintah, Wasatch, Wayne - 46
  • Cache - 30860
  • Box Elder, David, Davis, Morgan, Weber - 36260
  • Juab, Utah - 39340
  • Washington - 41100
  • Salt Lake, Tooele - 41620

Washington

  • Adams, Clallam, Ferry, Garfield Grant, Grays Harbor, Jefferson, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, San Juan, Wahkiakum, Walla Walla, Whitman - 50
  • Whatcom - 13380
  • Kitsap - 14740
  • Benton, Franklin - 28420
  • Astoin - 30300
  • Cowlitz - 31020
  • Skagit - 34580
  • Thurston - 36500
  • Clark, Skamania - 38900
  • King, Snohomish - 42644
  • Spokane, Stevens - 44060
  • Pierce - 45104
  • Columbia - 47460
  • Chelan, Douglas - 48300
  • Yakima - 49420

Wyoming

  • Albany, Big Horn, Campbell, Carbon, Converse, Crook, Fremont, Goshen, Hot Spring, Johnson, Lincoln, Niobrara, Park, Sheridan, Sublette, Sweetwater, Teton, Uinta, Washakie, Weston - 53
  • Natrona - 16220
  • Laramie - 16940

 

Effective July 1, 2023 - For dates of service on/after April 1, 2023, processed on or after July 3, 2023 (CMS Change Request 13216)

Note: The following files list only the code(s) that are new or have updated fees for the indicated effective date as indicated in the CMS Change Request.

Alaska

  • Aleutians East Borough, Aleutians West Census Area, Bethel Census Area, Bristol Bay Borough, Denali Borough, Dillingham Census Area, Haines Borough, Juneau Bay, Kenai Peninsula Borough, Ketchikan Gateway Borough, Kodiak Island Borough, Lake and Peninsula Borough, Nome Census Area, North Slope Borough, Northwest Arctic Borough, Prince of Wales-Outer Ketchikan Census Area, Sitka Borough, Southeast Fairbanks Census Area, Valdez-Cordova Census Area, Wade Hampton Census Area, Wrangell-Petersburg Census Area, Yakutat Borough, Yukon-Koyukuk Census Area - 02
  • Anchorage, Matanuska-Susitna Borough - 11260
  • Fairbanks North Star Borough - 21820

Arizona

  • Apache, Coconino, Gila, Graham, Greenlee, La Paz, Navajo, Pinal, Santa Cruz - 03
  • Coconino, Navajo, Yavapai - 22380
  • Mohave - 29420
  • Gila, Maricopa, Pinal - 38060
  • Yavapai - 39150
  • Cochise - 43420
  • Pima - 46060
  • Yuma - 49740

Idaho

Montana

  • Anaconda-Deer Lodge, Beaverhead, Big Horn, Blaine, Broadwater, Butte-Silver Bow, Chouteau, Custer, Daniels, Dawson, Fallon, Fergus, Flathead, Gallatin, Garfield, Glacier, Golden Valley, Granite, Hill, Jefferson, Judith Basin, Lake, Lewis and Clark, Liberty, Lincoln, Madison, McCone, Meagher, Mineral, Musselshell, Park, Petroleum, Phillips, Pondera, Powder River, Powell, Prairie, Ravalli, Richland, Roosevelt, Rosebud, Sanders, Sheridan, Sweet Grass, Teton, Toole, Treasure, Valley, Wheatland, Wibaux - 27
  • Carbon, Carter, Stillwater, Yellowstone - 13740
  • Cascade - 24500
  • Missoula - 33540

North Dakota

  • Adams, Barnes, Benson, Billings, Bottineau, Bowman, Burke, Cavalier, Dickey, Divide, Dunn, Eddy, Edgeley, Emmons, Foster, Golden Valley, Grant, Griggs, Hettinger, Kidder, Lamoure, Logan, McHenry, McIntosh, McKenzie, Mclean, Mercer, Mountrail, Nelson, Pembina, Pierce, Ramsey, Ransom, Renville, Richland, Rolette, Sargent, Sheridan, Sioux, Slope, Stark, Steele, Stutsman, Towner, Trail, Walsh, Ward, Wells, Williams - 35
  • Burleigh, Morton, Oliver - 13900
  • Cass - 22020
  • Grand Forks - 24220

Oregon

  • Baker, Clatsop, Coos, Crook, Curry, Douglas, Gilliam, Grant, Harney, Hood River, Jefferson, Klamath, Lake, Lincoln, Malheur, Morrow, Sherman, Tillamook, Umatilla, Union, Wallowa, Wasco, Wheeler - 38
  • Linn - 10540
  • Deschutes - 13460
  • Benton - 18700
  • Lane - 21660
  • Josephine - 24420
  • Jackson - 32780
  • Clackamas, Columbia, Multnomah, Washington, Yamhill - 38900
  • Marion, Polk - 41420

South Dakota

  • Aurora, Beadle, Bennett, Bon Homme, Brookings, Brown, Brule, Buffalo, Burle, Butte, Campbell, Charles Mix, Clark, Clay, Codington, Corson, Custer, Davison, Day, Devel, Dewey, Douglas, Edmonds, Edmunds, Fall River, Faulk, Grant, Gregory, Hamlin, Hamlin, Hamline, Hand, Hanson, Harding, Hughes, Hutchinson, Hyde, Jackson, Jerauld, Jones, Kingsburg, Lake, Lawrence, Lyman, Marshall, McPherson, Meade, Meilette, Miner, Moody, Perkins, Potter, Roberts, Sanborn, Shannon, Spink, Stanley, Sully, Todd, Tripp, Walworth, Yankton, Zieback - 43
  • Haakon, Meade, Pennington - 39660
  • Union - 43580
  • Lincoln, McCook, Minnehaha, Turner - 43620

Utah

  • Beaver, Carbon, Daggett, Duchesne, Emery, Garfield, Grand, Iron, Kane, Millard, Piute, Rich, Salt Lake, San Juan, Sanpete, Sevier, Summit, Uintah, Wasatch, Wayne - 46
  • Cache - 30860
  • Box Elder, David, Davis, Morgan, Weber - 36260
  • Juab, Utah - 39340
  • Washington - 41100
  • Salt Lake, Tooele - 41620

Washington

  • Adams, Clallam, Ferry, Garfield Grant, Grays Harbor, Jefferson, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, San Juan, Wahkiakum, Walla Walla, Whitman - 50
  • Whatcom - 13380
  • Kitsap - 14740
  • Benton, Franklin - 28420
  • Astoin - 30300
  • Cowlitz - 31020
  • Skagit - 34580
  • Thurston - 36500
  • Clark, Skamania - 38900
  • King, Snohomish - 42644
  • Spokane, Stevens - 44060
  • Pierce - 45104
  • Columbia - 47460
  • Chelan, Douglas - 48300
  • Yakima - 49420

Wyoming

  • Albany, Big Horn, Campbell, Carbon, Converse, Crook, Fremont, Goshen, Hot Spring, Johnson, Lincoln, Niobrara, Park, Sheridan, Sublette, Sweetwater, Teton, Uinta, Washakie, Weston - 53
  • Natrona - 16220
  • Laramie - 16940

 

Effective January 1, 2023 - For dates of service on/after January 1, 2023 (CMS Change Request 13041).

Alaska

  • Aleutians East Borough, Aleutians West Census Area, Bethel Census Area, Bristol Bay Borough, Denali Borough, Dillingham Census Area, Haines Borough, Juneau Bay, Kenai Peninsula Borough, Ketchikan Gateway Borough, Kodiak Island Borough, Lake and Peninsula Borough, Nome Census Area, North Slope Borough, Northwest Arctic Borough, Prince of Wales-Outer Ketchikan Census Area, Sitka Borough, Southeast Fairbanks Census Area, Valdez-Cordova Census Area, Wade Hampton Census Area, Wrangell-Petersburg Census Area, Yakutat Borough, Yukon-Koyukuk Census Area - 02
  • Anchorage, Matanuska-Susitna Borough - 11260
  • Fairbanks North Star Borough - 21820

Arizona

  • Apache, Coconino, Gila, Graham, Greenlee, La Paz, Navajo, Pinal, Santa Cruz - 03
  • Coconino, Navajo, Yavapai - 22380
  • Mohave - 29420
  • Gila, Maricopa, Pinal - 38060
  • Yavapai - 39150
  • Cochise - 43420
  • Pima - 46060
  • Yuma - 49740

Idaho

Montana

  • Anaconda-Deer Lodge, Beaverhead, Big Horn, Blaine, Broadwater, Butte-Silver Bow, Chouteau, Custer, Daniels, Dawson, Fallon, Fergus, Flathead, Gallatin, Garfield, Glacier, Golden Valley, Granite, Hill, Jefferson, Judith Basin, Lake, Lewis and Clark, Liberty, Lincoln, Madison, McCone, Meagher, Mineral, Musselshell, Park, Petroleum, Phillips, Pondera, Powder River, Powell, Prairie, Ravalli, Richland, Roosevelt, Rosebud, Sanders, Sheridan, Sweet Grass, Teton, Toole, Treasure, Valley, Wheatland, Wibaux - 27
  • Carbon, Carter, Stillwater, Yellowstone - 13740
  • Cascade - 24500
  • Missoula - 33540

North Dakota

  • Adams, Barnes, Benson, Billings, Bottineau, Bowman, Burke, Cavalier, Dickey, Divide, Dunn, Eddy, Edgeley, Emmons, Foster, Golden Valley, Grant, Griggs, Hettinger, Kidder, Lamoure, Logan, McHenry, McIntosh, McKenzie, Mclean, Mercer, Mountrail, Nelson, Pembina, Pierce, Ramsey, Ransom, Renville, Richland, Rolette, Sargent, Sheridan, Sioux, Slope, Stark, Steele, Stutsman, Towner, Trail, Walsh, Ward, Wells, Williams - 35
  • Burleigh, Morton, Oliver - 13900
  • Cass - 22020
  • Grand Forks - 24220

Oregon

  • Baker, Clatsop, Coos, Crook, Curry, Douglas, Gilliam, Grant, Harney, Hood River, Jefferson, Klamath, Lake, Lincoln, Malheur, Morrow, Sherman, Tillamook, Umatilla, Union, Wallowa, Wasco, Wheeler - 38
  • Linn - 10540
  • Deschutes - 13460
  • Benton - 18700
  • Lane - 21660
  • Josephine - 24420
  • Jackson - 32780
  • Clackamas, Columbia, Multnomah, Washington, Yamhill - 38900
  • Marion, Polk - 41420

South Dakota

  • Aurora, Beadle, Bennett, Bon Homme, Brookings, Brown, Brule, Buffalo, Burle, Butte, Campbell, Charles Mix, Clark, Clay, Codington, Corson, Custer, Davison, Day, Devel, Dewey, Douglas, Edmonds, Edmunds, Fall River, Faulk, Grant, Gregory, Hamlin, Hamlin, Hamline, Hand, Hanson, Harding, Hughes, Hutchinson, Hyde, Jackson, Jerauld, Jones, Kingsburg, Lake, Lawrence, Lyman, Marshall, McPherson, Meade, Meilette, Miner, Moody, Perkins, Potter, Roberts, Sanborn, Shannon, Spink, Stanley, Sully, Todd, Tripp, Walworth, Yankton, Zieback - 43
  • Haakon, Meade, Pennington - 39660
  • Union - 43580
  • Lincoln, McCook, Minnehaha, Turner - 43620

Utah

  • Beaver, Carbon, Daggett, Duchesne, Emery, Garfield, Grand, Iron, Kane, Millard, Piute, Rich, Salt Lake, San Juan, Sanpete, Sevier, Summit, Uintah, Wasatch, Wayne - 46
  • Cache - 30860
  • Box Elder, David, Davis, Morgan, Weber - 36260
  • Juab, Utah - 39340
  • Washington - 41100
  • Salt Lake, Tooele - 41620

Washington

  • Adams, Clallam, Ferry, Garfield Grant, Grays Harbor, Jefferson, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, San Juan, Wahkiakum, Walla Walla, Whitman - 50
  • Whatcom - 13380
  • Kitsap - 14740
  • Benton, Franklin - 28420
  • Astoin - 30300
  • Cowlitz - 31020
  • Skagit - 34580
  • Thurston - 36500
  • Clark, Skamania - 38900
  • King, Snohomish - 42644
  • Spokane, Stevens - 44060
  • Pierce - 45104
  • Columbia - 47460
  • Chelan, Douglas - 48300
  • Yakima - 49420

Wyoming

  • Albany, Big Horn, Campbell, Carbon, Converse, Crook, Fremont, Goshen, Hot Spring, Johnson, Lincoln, Niobrara, Park, Sheridan, Sublette, Sweetwater, Teton, Uinta, Washakie, Weston - 53
  • Natrona - 16220
  • Laramie - 16940

 

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