ASC Payment Rates for 2023 - JF Part B
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 [Excel]
- Anchorage, Matanuska-Susitna Borough - 11260 [Excel]
- Fairbanks North Star Borough - 21820 [Excel]
Arizona
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 [Excel]
- Carbon, Carter, Stillwater, Yellowstone - 13740 [Excel]
- Cascade - 24500 [Excel]
- Missoula - 33540 [Excel]
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 [Excel]
- Burleigh, Morton, Oliver - 13900 [Excel]
- Cass - 22020 [Excel]
- Grand Forks - 24220 [Excel]
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 [Excel]
- Linn - 10540 [Excel]
- Deschutes - 13460 [Excel]
- Benton - 18700 [Excel]
- Lane - 21660 [Excel]
- Josephine - 24420 [Excel]
- Jackson - 32780 [Excel]
- Clackamas, Columbia, Multnomah, Washington, Yamhill - 38900 [Excel]
- Marion, Polk - 41420 [Excel]
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 [Excel]
- Haakon, Meade, Pennington - 39660 [Excel]
- Union - 43580 [Excel]
- Lincoln, McCook, Minnehaha, Turner - 43620 [Excel]
Utah
- Beaver, Carbon, Daggett, Duchesne, Emery, Garfield, Grand, Iron, Kane, Millard, Piute, Rich, Salt Lake, San Juan, Sanpete, Sevier, Summit, Uintah, Wasatch, Wayne - 46 [Excel]
- Cache - 30860 [Excel]
- Box Elder, David, Davis, Morgan, Weber - 36260 [Excel]
- Juab, Utah - 39340 [Excel]
- Washington - 41100 [Excel]
- Salt Lake, Tooele - 41620 [Excel]
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 [Excel]
- Whatcom - 13380 [Excel]
- Kitsap - 14740 [Excel]
- Benton, Franklin - 28420 [Excel]
- Astoin - 30300 [Excel]
- Cowlitz - 31020 [Excel]
- Skagit - 34580 [Excel]
- Thurston - 36500 [Excel]
- Clark, Skamania - 38900 [Excel]
- King, Snohomish - 42644 [Excel]
- Spokane, Stevens - 44060 [Excel]
- Pierce - 45104 [Excel]
- Columbia - 47460 [Excel]
- Chelan, Douglas - 48300 [Excel]
- Yakima - 49420 [Excel]
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 [Excel]
- Anchorage, Matanuska-Susitna Borough - 11260 [Excel]
- Fairbanks North Star Borough - 21820 [Excel]
Arizona
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 [Excel]
- Carbon, Carter, Stillwater, Yellowstone - 13740 [Excel]
- Cascade - 24500 [Excel]
- Missoula - 33540 [Excel]
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 [Excel]
- Burleigh, Morton, Oliver - 13900 [Excel]
- Cass - 22020 [Excel]
- Grand Forks - 24220 [Excel]
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 [Excel]
- Linn - 10540 [Excel]
- Deschutes - 13460 [Excel]
- Benton - 18700 [Excel]
- Lane - 21660 [Excel]
- Josephine - 24420 [Excel]
- Jackson - 32780 [Excel]
- Clackamas, Columbia, Multnomah, Washington, Yamhill - 38900 [Excel]
- Marion, Polk - 41420 [Excel]
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 [Excel]
- Haakon, Meade, Pennington - 39660 [Excel]
- Union - 43580 [Excel]
- Lincoln, McCook, Minnehaha, Turner - 43620 [Excel]
Utah
- Beaver, Carbon, Daggett, Duchesne, Emery, Garfield, Grand, Iron, Kane, Millard, Piute, Rich, Salt Lake, San Juan, Sanpete, Sevier, Summit, Uintah, Wasatch, Wayne - 46 [Excel]
- Cache - 30860 [Excel]
- Box Elder, David, Davis, Morgan, Weber - 36260 [Excel]
- Juab, Utah - 39340 [Excel]
- Washington - 41100 [Excel]
- Salt Lake, Tooele - 41620 [Excel]
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 [Excel]
- Whatcom - 13380 [Excel]
- Kitsap - 14740 [Excel]
- Benton, Franklin - 28420 [Excel]
- Astoin - 30300 [Excel]
- Cowlitz - 31020 [Excel]
- Skagit - 34580 [Excel]
- Thurston - 36500 [Excel]
- Clark, Skamania - 38900 [Excel]
- King, Snohomish - 42644 [Excel]
- Spokane, Stevens - 44060 [Excel]
- Pierce - 45104 [Excel]
- Columbia - 47460 [Excel]
- Chelan, Douglas - 48300 [Excel]
- Yakima - 49420 [Excel]
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 [Excel]
- Anchorage, Matanuska-Susitna Borough - 11260 [Excel]
- Fairbanks North Star Borough - 21820 [Excel]
Arizona
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 [Excel]
- Carbon, Carter, Stillwater, Yellowstone - 13740 [Excel]
- Cascade - 24500 [Excel]
- Missoula - 33540 [Excel]
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 [Excel]
- Burleigh, Morton, Oliver - 13900 [Excel]
- Cass - 22020 [Excel]
- Grand Forks - 24220 [Excel]
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 [Excel]
- Linn - 10540 [Excel]
- Deschutes - 13460 [Excel]
- Benton - 18700 [Excel]
- Lane - 21660 [Excel]
- Josephine - 24420 [Excel]
- Jackson - 32780 [Excel]
- Clackamas, Columbia, Multnomah, Washington, Yamhill - 38900 [Excel]
- Marion, Polk - 41420 [Excel]
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 [Excel]
- Haakon, Meade, Pennington - 39660 [Excel]
- Union - 43580 [Excel]
- Lincoln, McCook, Minnehaha, Turner - 43620 [Excel]
Utah
- Beaver, Carbon, Daggett, Duchesne, Emery, Garfield, Grand, Iron, Kane, Millard, Piute, Rich, Salt Lake, San Juan, Sanpete, Sevier, Summit, Uintah, Wasatch, Wayne - 46 [Excel]
- Cache - 30860 [Excel]
- Box Elder, David, Davis, Morgan, Weber - 36260 [Excel]
- Juab, Utah - 39340 [Excel]
- Washington - 41100 [Excel]
- Salt Lake, Tooele - 41620 [Excel]
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 [Excel]
- Whatcom - 13380 [Excel]
- Kitsap - 14740 [Excel]
- Benton, Franklin - 28420 [Excel]
- Astoin - 30300 [Excel]
- Cowlitz - 31020 [Excel]
- Skagit - 34580 [Excel]
- Thurston - 36500 [Excel]
- Clark, Skamania - 38900 [Excel]
- King, Snohomish - 42644 [Excel]
- Spokane, Stevens - 44060 [Excel]
- Pierce - 45104 [Excel]
- Columbia - 47460 [Excel]
- Chelan, Douglas - 48300 [Excel]
- Yakima - 49420 [Excel]
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 [Excel]
- Anchorage, Matanuska-Susitna Borough - 11260 [Excel]
- Fairbanks North Star Borough - 21820 [Excel]
Arizona
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 [Excel]
- Carbon, Carter, Stillwater, Yellowstone - 13740 [Excel]
- Cascade - 24500 [Excel]
- Missoula - 33540 [Excel]
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 [Excel]
- Burleigh, Morton, Oliver - 13900 [Excel]
- Cass - 22020 [Excel]
- Grand Forks - 24220 [Excel]
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 [Excel]
- Linn - 10540 [Excel]
- Deschutes - 13460 [Excel]
- Benton - 18700 [Excel]
- Lane - 21660 [Excel]
- Josephine - 24420 [Excel]
- Jackson - 32780 [Excel]
- Clackamas, Columbia, Multnomah, Washington, Yamhill - 38900 [Excel]
- Marion, Polk - 41420 [Excel]
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 [Excel]
- Haakon, Meade, Pennington - 39660 [Excel]
- Union - 43580 [Excel]
- Lincoln, McCook, Minnehaha, Turner - 43620 [Excel]
Utah
- Beaver, Carbon, Daggett, Duchesne, Emery, Garfield, Grand, Iron, Kane, Millard, Piute, Rich, Salt Lake, San Juan, Sanpete, Sevier, Summit, Uintah, Wasatch, Wayne - 46 [Excel]
- Cache - 30860 [Excel]
- Box Elder, David, Davis, Morgan, Weber - 36260 [Excel]
- Juab, Utah - 39340 [Excel]
- Washington - 41100 [Excel]
- Salt Lake, Tooele - 41620 [Excel]
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 [Excel]
- Whatcom - 13380 [Excel]
- Kitsap - 14740 [Excel]
- Benton, Franklin - 28420 [Excel]
- Astoin - 30300 [Excel]
- Cowlitz - 31020 [Excel]
- Skagit - 34580 [Excel]
- Thurston - 36500 [Excel]
- Clark, Skamania - 38900 [Excel]
- King, Snohomish - 42644 [Excel]
- Spokane, Stevens - 44060 [Excel]
- Pierce - 45104 [Excel]
- Columbia - 47460 [Excel]
- Chelan, Douglas - 48300 [Excel]
- Yakima - 49420 [Excel]
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