ASC Payment Rates for 2022

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, 2022 - For dates of service on/after July 1, 2022, processed on or after July 5, 2022 (CMS Change Request 12773)

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.

HI/Pacific Islands

  • Kalawao, Rural - 12 [Excel]
  • Guam - 65 [Excel]
  • Maui including Kahului-Wailuku-Lahaina - 27980 [Excel]
  • Urban Honolulu - 46520 [Excel]

Nevada

  • Rural - 29 [Excel]
  • Carson City - 16180 [Excel]
  • Las Vegas - 29820 [Excel]
  • Reno-Sparks - 39900 [Excel]

Northern California

  • California - 05 [Excel]
  • Bakersfield, Kern County - 12540 [Excel]
  • Chico, Butte County - 17020 [Excel]
  • Fresno, Fresno County - 23420 [Excel]
  • Hanford-Corcoran, Kings County - 25260 [Excel]
  • Madera, Madera County - 31460 [Excel]
  • Merced, Merced County - 32900 [Excel]
  • Modesto, Stanislaus County - 33700 [Excel]
  • Napa, Napa County - 34900 [Excel]
  • Oakland-Hayward-Berkeley, Alameda County, Contra Costa County - 36084 [Excel]
  • Redding, Shasta County - 39820 [Excel]
  • Riverside-San Bernardino-Ontario, Riverside County, San Bernardino County - 40140 [Excel]
  • Sacramento-Arden-Arcade-Roseville, El Dorado County, Placer County, Sacramento County, Yolo County - 40900 [Excel]
  • Salinas, Monterey County - 41500 [Excel]
  • San Francisco-Redwood City-South San Francisco, San Francisco County, San Mateo County - 41884 [Excel]
  • San Jose-Sunnyvale-Santa Clara, San Benito County, Santa Clara County - 41940 [Excel]
  • San Rafael, Marin County - 42034 [Excel]
  • Santa Cruz-Watsonville, Santa Cruz County - 42100 [Excel]
  • Santa Rosa, Sonoma County - 42220 [Excel]
  • Stockton-Lodi, San Joaquin County - 44700 [Excel]
  • Vallejo-Fairfield, Solano County - 46700 [Excel]
  • Visalia-Porterville, Tulare County - 47300 [Excel]
  • Yuba City, Sutter County, Yuba County - 49700 [Excel]

Southern California

  • Santa Ana-Anaheim-Irvine, Orange County - 11244 [Excel]
  • El Centro, Imperial County - 20940 [Excel]
  • Los Angeles-Long Beach-Glendale, Los Angeles County - 31084 [Excel]
  • Oxnard-Thousand Oaks-Ventura, Ventura County - 37100 [Excel]
  • San Diego-Carlsbad, San Diego County - 41740 [Excel]
  • San Luis Obispo-Paso Robles-Arroyo Grande, San Luis Obispo County - 42020 [Excel]
  • Santa Barbara-Santa Maria, Santa Barbara County - 42200 [Excel]

Effective April 1, 2022 - For dates of service on/after April 1, 2022, processed on or after April 4, 2022 (CMS Change Request 12679)

Note: These 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.

HI/Pacific Islands

  • Kalawao, Rural - 12 [Excel]
  • Guam - 65 [Excel]
  • Maui including Kahului-Wailuku-Lahaina - 27980 [Excel]
  • Urban Honolulu - 46520 [Excel]

Nevada

  • Rural - 29 [Excel]
  • Carson City - 16180 [Excel]
  • Las Vegas - 29820 [Excel]
  • Reno-Sparks - 39900 [Excel]

Northern California

  • California - 05 [Excel]
  • Bakersfield, Kern County - 12540 [Excel]
  • Chico, Butte County - 17020 [Excel]
  • Fresno, Fresno County - 23420 [Excel]
  • Hanford-Corcoran, Kings County - 25260 [Excel]
  • Madera, Madera County - 31460 [Excel]
  • Merced, Merced County - 32900 [Excel]
  • Modesto, Stanislaus County - 33700 [Excel]
  • Napa, Napa County - 34900 [Excel]
  • Oakland-Hayward-Berkeley, Alameda County, Contra Costa County - 36084 [Excel]
  • Redding, Shasta County - 39820 [Excel]
  • Riverside-San Bernardino-Ontario, Riverside County, San Bernardino County - 40140 [Excel]
  • Sacramento-Arden-Arcade-Roseville, El Dorado County, Placer County, Sacramento County, Yolo County - 40900 [Excel]
  • Salinas, Monterey County - 41500 [Excel]
  • San Francisco-Redwood City-South San Francisco, San Francisco County, San Mateo County - 41884 [Excel]
  • San Jose-Sunnyvale-Santa Clara, San Benito County, Santa Clara County - 41940 [Excel]
  • San Rafael, Marin County - 42034 [Excel]
  • Santa Cruz-Watsonville, Santa Cruz County - 42100 [Excel]
  • Santa Rosa, Sonoma County - 42220 [Excel]
  • Stockton-Lodi, San Joaquin County - 44700 [Excel]
  • Vallejo-Fairfield, Solano County - 46700 [Excel]
  • Visalia-Porterville, Tulare County - 47300 [Excel]
  • Yuba City, Sutter County, Yuba County - 49700 [Excel]

Southern California

  • Santa Ana-Anaheim-Irvine, Orange County - 11244 [Excel]
  • El Centro, Imperial County - 20940 [Excel]
  • Los Angeles-Long Beach-Glendale, Los Angeles County - 31084 [Excel]
  • Oxnard-Thousand Oaks-Ventura, Ventura County - 37100 [Excel]
  • San Diego-Carlsbad, San Diego County - 41740 [Excel]
  • San Luis Obispo-Paso Robles-Arroyo Grande, San Luis Obispo County - 42020 [Excel]
  • Santa Barbara-Santa Maria, Santa Barbara County - 42200 [Excel]

Effective January 1, 2022 - For dates of service on/after January 1, 2022 (CMS Change Request 12553)

HI/Pacific Islands

  • Kalawao, Rural - 12 [Excel]
  • Guam - 65 [Excel]
  • Maui including Kahului-Wailuku-Lahaina - 27980 [Excel]
  • Urban Honolulu - 46520 [Excel]

Nevada

  • Rural - 29 [Excel]
  • Carson City - 16180 [Excel]
  • Las Vegas - 29820 [Excel]
  • Reno-Sparks - 39900 [Excel]

Northern California

  • California - 05 [Excel]
  • Bakersfield, Kern County - 12540 [Excel]
  • Chico, Butte County - 17020 [Excel]
  • Fresno, Fresno County - 23420 [Excel]
  • Hanford-Corcoran, Kings County - 25260 [Excel]
  • Madera, Madera County - 31460 [Excel]
  • Merced, Merced County - 32900 [Excel]
  • Modesto, Stanislaus County - 33700 [Excel]
  • Napa, Napa County - 34900 [Excel]
  • Oakland-Hayward-Berkeley, Alameda County, Contra Costa County - 36084 [Excel]
  • Redding, Shasta County - 39820 [Excel]
  • Riverside-San Bernardino-Ontario, Riverside County, San Bernardino County - 40140 [Excel]
  • Sacramento-Arden-Arcade-Roseville, El Dorado County, Placer County, Sacramento County, Yolo County - 40900 [Excel]
  • Salinas, Monterey County - 41500 [Excel]
  • San Francisco-Redwood City-South San Francisco, San Francisco County, San Mateo County - 41884 [Excel]
  • San Jose-Sunnyvale-Santa Clara, San Benito County, Santa Clara County - 41940 [Excel]
  • San Rafael, Marin County - 42034 [Excel]
  • Santa Cruz-Watsonville, Santa Cruz County - 42100 [Excel]
  • Santa Rosa, Sonoma County - 42220 [Excel]
  • Stockton-Lodi, San Joaquin County - 44700 [Excel]
  • Vallejo-Fairfield, Solano County - 46700 [Excel]
  • Visalia-Porterville, Tulare County - 47300 [Excel]
  • Yuba City, Sutter County, Yuba County - 49700 [Excel]

Southern California

  • Santa Ana-Anaheim-Irvine, Orange County - 11244 [Excel]
  • El Centro, Imperial County - 20940 [Excel]
  • Los Angeles-Long Beach-Glendale, Los Angeles County - 31084 [Excel]
  • Oxnard-Thousand Oaks-Ventura, Ventura County - 37100 [Excel]
  • San Diego-Carlsbad, San Diego County - 41740 [Excel]
  • San Luis Obispo-Paso Robles-Arroyo Grande, San Luis Obispo County - 42020 [Excel]
  • Santa Barbara-Santa Maria, Santa Barbara County - 42200 [Excel]

 

Last Updated Dec 09 , 2023