ASC Payment Rates for 2026

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 April 1, 2026 – For dates of service on/after April 1, 2026 to December 31, 2026 (CMS Change Request 14445). New codes (A2040, A2041, A2042, A2043, A2045, C1743, C8010, Q4418, Q4419, Q4421, Q4422-Q4429, Q4435-Q4440, 0941T-0943T).

HI/Pacific Islands

  • Rural - 12
  • Guam - 65
  • Maui including Kahului-Wailuku-Lahaina - 27980
  • Urban Honolulu - 46520
  • Kalawao - 50003

Nevada

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, 2026 – The 2026 ASC Fee Schedules have been updated with new codes (C8007, C8008, C8009, C8011, C8012, C8013) and removed codes (1013T, 1014T, and 1015T). The fees are effective January 1, 2026 through December 31, 2026. (CMS Change Request 14445).

HI/Pacific Islands

  • Rural - 12
  • Guam - 65
  • Maui including Kahului-Wailuku-Lahaina - 27980
  • Urban Honolulu - 46520
  • Kalawao - 50003

Nevada

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
Last Updated Mar 20 , 2026