ASC Payment Rates for 2024

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, 2024 - For dates of service on/after July 1, 2024 processed on/after October 7, 2024 (CMS Change Request 13800).

Note: The following files list only the code(s) that are new 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 July 1, 2024 - For dates of service on/after July 1, 2024 processed on/after July 1, 2024 (CMS Change Request 13656).

Note: The following files list only the code(s) that are new 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, 2024 - For dates of service on/after April 1, 2024, processed on or after April 1, 2024 (CMS Change Request 13577)

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 March 9, 2024 - The CY 2024 Ambulatory Surgical Center (ASC) Fee Schedule has been updated due to The Consolidated Appropriations Act, 2024. The fees are effective for dates of service March 9, 2024 through December 31, 2024.

The ASC Fee Schedule has been updated with fees for 0621T for dates of service on/after March 9, 2024 and processed on/after July 1, 2024. (CMS Change Request 13656)

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, 2024 - For dates of service on/after January 1, 2024 through March 8, 2024. (CMS CR 13481).

  • The ASC Fee Schedule has been updated for dates of service on/after January 1, 2024 and processed on/after April 4, 2024. (CMS Change Request 13577)
  • The ASC Fee Schedule has been updated with fees for 0621T for dates of service on/after January 1, 2024 and processed on/after July 1, 2024. (CMS Change Request 13656)

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 Oct 15 , 2024