ADDENDUM  E. FINAL 2020 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY*
Medicare AdmiLocality Locality Name                                                   2020 PW GPCI2020 PE GPCI2020 MP GPCI
10112           00    ALABAMA                                                            1.000       0.889       0.707
02102           01    ALASKA**                                                           1.500       1.118       0.661
03102           00    ARIZONA                                                            1.000       0.961       0.846
07102           13    ARKANSAS                                                           1.000       0.859       0.521
01112           54    BAKERSFIELD                                                        1.032       1.070       0.677
01112           55    CHICO                                                              1.024       1.070       0.580
01182           71    EL CENTRO                                                          1.024       1.070       0.606
01112           56    FRESNO                                                             1.024       1.070       0.580
01112           57    HANFORD-CORCORAN                                                   1.024       1.070       0.580
01182           18    LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES CNTY)                  1.047       1.176       0.725
01182           26    LOS ANGELES-LONG BEACH-ANAHEIM (ORANGE CNTY)                       1.047       1.176       0.725
01112           58    MADERA                                                             1.024       1.070       0.580
01112           59    MERCED                                                             1.024       1.070       0.580
01112           60    MODESTO                                                            1.024       1.070       0.580
01112           51    NAPA                                                               1.049       1.238       0.496
01112           07    SAN FRANCISCO-OAKLAND-HAYWARD (ALAMEDA/CONTRA COSTA CNTY)          1.076       1.327       0.440
01182           17    OXNARD-THOUSAND OAKS-VENTURA                                       1.026       1.178       0.700
01112           61    REDDING                                                            1.024       1.070       0.580
01112           62    RIVERSIDE-SAN BERNARDINO-ONTARIO                                   1.024       1.070       0.830
01112           63    SACRAMENTO--ROSEVILLE--ARDEN-ARCADE                                1.033       1.078       0.580
01112           64    SALINAS                                                            1.051       1.112       0.580
01182           72    SAN DIEGO-CARLSBAD                                                 1.032       1.130       0.607
01112           05    SAN FRANCISCO-OAKLAND-HAYWARD (SAN FRANCISCO CNTY)                 1.076       1.327       0.440
01112           52    SAN FRANCISCO-OAKLAND-HAYWARD (MARIN CNTY)                         1.068       1.299       0.481
01112           65    SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY)                   1.072       1.279       0.580
01182           73    SAN LUIS OBISPO-PASO ROBLES-ARROYO GRANDE                          1.024       1.083       0.580
01112           06    SAN FRANCISCO-OAKLAND-HAYWARD (SAN MATEO CNTY)                     1.076       1.327       0.440
01112           09    SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY)                  1.089       1.369       0.401
01112           66    SANTA CRUZ-WATSONVILLE                                             1.038       1.160       0.580
01182           74    SANTA MARIA-SANTA BARBARA                                          1.035       1.140       0.580
01112           67    SANTA ROSA                                                         1.038       1.142       0.580
01112           68    STOCKTON-LODI                                                      1.024       1.070       0.580
01112           53    VALLEJO-FAIRFIELD                                                  1.049       1.238       0.496
01112           69    VISALIA-PORTERVILLE                                                1.024       1.070       0.580
01112           70    YUBA CITY                                                          1.024       1.070       0.580
01112           75    REST OF CALIFORNIA                                                 1.024       1.070       0.580
04112           01    COLORADO                                                           1.000       1.033       0.905
13102           00    CONNECTICUT                                                        1.029       1.113       1.094
12202           01    DC + MD/VA SUBURBS                                                 1.049       1.221       1.277
12102           01    DELAWARE                                                           1.006       1.021       1.023
09102           03    FORT LAUDERDALE                                                    1.000       1.006       1.828
09102           04    MIAMI                                                              1.000       1.026       2.598
09102           99    REST OF FLORIDA                                                    1.000       0.946       1.396
10212           01    ATLANTA                                                            1.000       0.998       0.996
10212           99    REST OF GEORGIA                                                    1.000       0.889       0.989
01212           01    HAWAII, GUAM                                                       1.006       1.144       0.644
02202           00    IDAHO                                                              1.000       0.890       0.464
06102           16    CHICAGO                                                            1.009       1.039       1.898
06102           12    EAST ST. LOUIS                                                     1.000       0.939       1.723
06102           15    SUBURBAN CHICAGO                                                   1.008       1.057       1.535
06102           99    REST OF ILLINOIS                                                   1.000       0.916       1.195
08102           00    INDIANA                                                            1.000       0.910       0.422
05102           00    IOWA                                                               1.000       0.907       0.424
05202           00    KANSAS                                                             1.000       0.910       0.536
15102           00    KENTUCKY                                                           1.000       0.874       0.823
07202           01    NEW ORLEANS                                                        1.000       0.947       1.400
07202           99    REST OF LOUISIANA                                                  1.000       0.879       1.253
14112           03    SOUTHERN MAINE                                                     1.000       1.002       0.661
14112           99    REST OF MAINE                                                      1.000       0.910       0.661
12302           01    BALTIMORE/SURR. CNTYS                                              1.026       1.095       1.304
12302           99    REST OF MARYLAND                                                   1.010       1.035       1.076
14212           01    METROPOLITAN BOSTON                                                1.041       1.191       0.952
14212           99    REST OF MASSACHUSETTS                                              1.023       1.064       0.952
08202           01    DETROIT                                                            1.000       0.993       1.657
08202           99    REST OF MICHIGAN                                                   1.000       0.915       0.999
06202           00    MINNESOTA                                                          1.000       1.012       0.357
07302           00    MISSISSIPPI                                                        1.000       0.856       0.521
05302           02    METROPOLITAN KANSAS CITY                                           1.000       0.959       0.982
05302           01    METROPOLITAN ST. LOUIS                                             1.000       0.968       0.971
05302           99    REST OF MISSOURI                                                   1.000       0.857       0.910
03202           01    MONTANA***                                                         1.000       1.000       1.304
05402           00    NEBRASKA                                                           1.000       0.909       0.277
01312           00    NEVADA***                                                          1.004       1.000       1.130
14312           40    NEW HAMPSHIRE                                                      1.000       1.042       0.984
12402           01    NORTHERN NJ                                                        1.045       1.190       0.949
12402           99    REST OF NEW JERSEY                                                 1.030       1.132       0.949
04212           05    NEW MEXICO                                                         1.000       0.908       1.207
13202           01    MANHATTAN                                                          1.054       1.192       1.823
13202           02    NYC SUBURBS/LONG ISLAND                                            1.044       1.214       2.425
13202           03    POUGHKPSIE/N NYC SUBURBS                                           1.022       1.087       1.479
13292           04    QUEENS                                                             1.054       1.214       2.391
13282           99    REST OF NEW YORK                                                   1.000       0.952       0.673
11502           00    NORTH CAROLINA                                                     1.000       0.930       0.757
03302           01    NORTH DAKOTA***                                                    1.000       1.000       0.485
15202           00    OHIO                                                               1.000       0.915       1.049
04312           00    OKLAHOMA                                                           1.000       0.886       0.868
02302           01    PORTLAND                                                           1.016       1.059       0.659
02302           99    REST OF OREGON                                                     1.000       0.957       0.659
12502           01    METROPOLITAN PHILADELPHIA                                          1.022       1.079       1.289
12502           99    REST OF PENNSYLVANIA                                               1.000       0.937       0.960
09202           20    PUERTO RICO                                                        1.000       1.008       0.988
14412           01    RHODE ISLAND                                                       1.024       1.049       0.990
11202           01    SOUTH CAROLINA                                                     1.000       0.907       0.624
03402           02    SOUTH DAKOTA***                                                    1.000       1.000       0.368
10312           35    TENNESSEE                                                          1.000       0.897       0.509
04412           31    AUSTIN                                                             1.000       1.040       0.643
04412           20    BEAUMONT                                                           1.000       0.934       0.695
04412           09    BRAZORIA                                                           1.026       1.010       0.695
04412           11    DALLAS                                                             1.018       1.020       0.657
04412           28    FORT WORTH                                                         1.011       0.991       0.643
04412           15    GALVESTON                                                          1.026       1.019       0.695
04412           18    HOUSTON                                                            1.026       1.020       0.918
04412           99    REST OF TEXAS                                                      1.000       0.947       0.690
03502           09    UTAH                                                               1.000       0.923       0.982
14512           50    VERMONT                                                            1.000       1.008       0.582
11302           00    VIRGINIA                                                           1.000       0.991       0.903
09202           50    VIRGIN ISLANDS                                                     1.000       1.008       0.988
02402           02    SEATTLE (KING CNTY)                                                1.031       1.170       0.854
02402           99    REST OF WASHINGTON                                                 1.000       1.012       0.823
11402           16    WEST VIRGINIA                                                      1.000       0.857       1.247
06302           00    WISCONSIN                                                          1.000       0.949       0.322
03602           21    WYOMING***                                                         1.000       1.000       0.860


