ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY							
							
Medicare Administrative Contractor (MAC)	State	Locality Number	Locality Name	2026 PW GPCI (without 1.0 Floor)	2026 PW GPCI (with 1.0 Floor)	2026 PE GPCI	2026 MP GPCI
10112	AL	00	ALABAMA	0.988	1.000	0.875	0.566
02102	AK	01	ALASKA*	1.500	1.500	1.065	0.551
03102	AZ	00	ARIZONA	0.991	1.000	0.969	0.856
07102	AR	13	ARKANSAS	0.974	1.000	0.859	0.515
01112	CA	54	BAKERSFIELD	1.019	1.019	1.096	0.609
01112	CA	55	CHICO	1.017	1.017	1.096	0.536
01182	CA	71	EL CENTRO	1.017	1.017	1.096	0.541
01112	CA	56	FRESNO	1.017	1.017	1.096	0.536
01112	CA	57	HANFORD-CORCORAN	1.017	1.017	1.096	0.536
01182	CA	18	LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY)	1.041	1.041	1.183	0.664
01112	CA	58	MADERA	1.017	1.017	1.096	0.536
01112	CA	59	MERCED	1.017	1.017	1.096	0.536
01112	CA	60	MODESTO	1.017	1.017	1.096	0.536
01112	CA	51	NAPA	1.063	1.063	1.318	0.508
01182	CA	17	OXNARD-THOUSAND OAKS-VENTURA	1.028	1.028	1.182	0.623
01112	CA	61	REDDING	1.017	1.017	1.096	0.536
01112	CA	62	RIVERSIDE-SAN BERNARDINO-ONTARIO	1.018	1.018	1.096	0.853
01112	CA	63	SACRAMENTO-ROSEVILLE-FOLSOM	1.036	1.036	1.163	0.536
01112	CA	64	SALINAS	1.031	1.031	1.159	0.536
01182	CA	72	SAN DIEGO-CHULA VISTA-CARLSBAD	1.030	1.030	1.196	0.542
01112	CA	05	SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY)	1.095	1.095	1.410	0.425
01112	CA	52	SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY)	1.095	1.095	1.410	0.459
01112	CA	65	SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY)	1.110	1.110	1.442	0.536
01182	CA	73	SAN LUIS OBISPO-PASO ROBLES	1.017	1.017	1.139	0.536
01112	CA	09	SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY)	1.110	1.110	1.442	0.397
01112	CA	66	SANTA CRUZ-WATSONVILLE	1.021	1.021	1.215	0.536
01182	CA	74	SANTA MARIA-SANTA BARBARA	1.028	1.028	1.166	0.536
01112	CA	67	SANTA ROSA-PETALUMA	1.030	1.030	1.228	0.536
01112	CA	68	STOCKTON	1.017	1.017	1.096	0.536
01112	CA	53	VALLEJO	1.063	1.063	1.318	0.459
01112	CA	69	VISALIA	1.017	1.017	1.096	0.536
01112	CA	70	YUBA CITY	1.017	1.017	1.096	0.536
01112	CA	75	REST OF CALIFORNIA	1.017	1.017	1.096	0.536
04112	CO	01	COLORADO	1.012	1.012	1.064	0.781
13102	CT	00	CONNECTICUT	1.020	1.020	1.077	1.210
12202	DC	01	DC + MD/VA SUBURBS	1.054	1.054	1.178	1.113
12102	DE	01	DELAWARE	1.005	1.005	0.988	0.899
09102	FL	03	FORT LAUDERDALE	0.993	1.000	1.013	1.808
09102	FL	04	MIAMI	0.994	1.000	1.041	2.529
09102	FL	99	REST OF FLORIDA	0.989	1.000	0.956	1.503
10212	GA	01	ATLANTA	1.003	1.003	1.016	1.201
10212	GA	99	REST OF GEORGIA	0.986	1.000	0.892	1.192
01212	HI	01	"HAWAII, GUAM"	0.998	1.000	1.137	0.579
02202	ID	00	IDAHO	0.980	1.000	0.920	0.473
06102	IL	16	CHICAGO	1.007	1.007	1.005	2.295
06102	IL	12	EAST ST. LOUIS	0.988	1.000	0.920	2.014
06102	IL	15	SUBURBAN CHICAGO	1.007	1.007	1.027	1.772
06102	IL	99	REST OF ILLINOIS	0.988	1.000	0.913	1.563
08102	IN	00	INDIANA	0.988	1.000	0.927	0.486
05102	IA	00	IOWA	0.984	1.000	0.915	0.397
05202	KS	00	KANSAS	0.984	1.000	0.904	0.504
15102	KY	00	KENTUCKY	0.981	1.000	0.889	0.915
07202	LA	01	NEW ORLEANS	0.989	1.000	0.941	1.136
07202	LA	99	REST OF LOUISIANA	0.985	1.000	0.885	0.958
14112	ME	03	SOUTHERN MAINE	0.990	1.000	0.991	0.631
14112	ME	99	REST OF MAINE	0.984	1.000	0.920	0.622
12302	MD	01	BALTIMORE/SURR. CNTYS	1.016	1.016	1.073	1.237
12302	MD	99	REST OF MARYLAND	1.010	1.010	1.012	0.918
14212	MA	01	METROPOLITAN BOSTON	1.041	1.041	1.194	0.890
14212	MA	99	REST OF MASSACHUSETTS	1.016	1.016	1.053	0.797
08202	MI	01	DETROIT	0.997	1.000	0.965	1.686
08202	MI	99	REST OF MICHIGAN	0.986	1.000	0.913	1.129
06202	MN	00	MINNESOTA	1.000	1.000	1.029	0.296
07302	MS	00	MISSISSIPPI	0.974	1.000	0.861	0.739
05302	MO	02	METROPOLITAN KANSAS CITY	0.989	1.000	0.939	0.977
05302	MO	01	METROPOLITAN ST. LOUIS	0.988	1.000	0.952	1.002
05302	MO	99	REST OF MISSOURI	0.976	1.000	0.862	0.974
03202	MT	01	MONTANA**	0.984	1.000	1.000	0.998
05402	NE	00	NEBRASKA	0.983	1.000	0.923	0.378
01312	NV	00	NEVADA**	0.989	1.000	1.001	0.833
14312	NH	40	NEW HAMPSHIRE	0.997	1.000	1.041	0.875
12402	NJ	01	NORTHERN NJ	1.063	1.063	1.160	1.068
12402	NJ	99	REST OF NEW JERSEY	1.040	1.040	1.092	1.097
04212	NM	05	NEW MEXICO	0.990	1.000	0.917	1.201
13202	NY	01	MANHATTAN	1.064	1.064	1.162	1.586
13202	NY	02	NYC SUBURBS/LONG ISLAND	1.064	1.064	1.189	1.857
13202	NY	03	POUGHKPSIE/N NYC SUBURBS	1.045	1.045	1.095	1.210
13292	NY	04	QUEENS	1.064	1.064	1.182	1.442
13282	NY	99	REST OF NEW YORK	0.995	1.000	0.950	0.703
11502	NC	00	NORTH CAROLINA	0.991	1.000	0.933	0.639
03302	ND	01	NORTH DAKOTA**	0.987	1.000	1.000	0.406
15202	OH	00	OHIO	0.990	1.000	0.913	1.008
04312	OK	00	OKLAHOMA	0.983	1.000	0.893	0.777
02302	OR	01	PORTLAND	1.016	1.016	1.111	0.744
02302	OR	99	REST OF OREGON	0.991	1.000	0.996	0.703
12502	PA	01	METROPOLITAN PHILADELPHIA	1.018	1.018	1.041	1.193
12502	PA	99	REST OF PENNSYLVANIA	0.990	1.000	0.918	0.945
09202	PR	20	PUERTO RICO	1.000	1.000	1.011	0.985
14412	RI	01	RHODE ISLAND	1.019	1.019	1.033	0.892
11202	SC	01	SOUTH CAROLINA	0.986	1.000	0.924	0.850
03402	SD	02	SOUTH DAKOTA**	0.990	1.000	1.000	0.336
10312	TN	35	TENNESSEE	0.984	1.000	0.909	0.537
04412	TX	31	AUSTIN	1.002	1.002	1.058	0.886
04412	TX	20	BEAUMONT	0.989	1.000	0.910	0.929
04412	TX	09	BRAZORIA	1.008	1.008	0.991	0.780
04412	TX	11	DALLAS	1.009	1.009	0.996	0.858
04412	TX	28	FORT WORTH	1.009	1.009	0.986	0.871
04412	TX	15	GALVESTON	1.008	1.008	0.993	0.828
04412	TX	18	HOUSTON	1.008	1.008	0.993	1.376
04412	TX	99	REST OF TEXAS	0.991	1.000	0.949	0.903
03502	UT	09	UTAH	0.985	1.000	0.940	0.898
14512	VT	50	VERMONT	0.988	1.000	0.990	0.506
11302	VA	00	VIRGINIA	1.000	1.000	0.983	0.706
09202	VI	50	VIRGIN ISLANDS	1.000	1.000	1.011	0.985
02402	WA	02	SEATTLE (KING CNTY)	1.050	1.050	1.227	0.817
02402	WA	99	REST OF WASHINGTON	1.013	1.013	1.053	0.761
11402	WV	16	WEST VIRGINIA	0.980	1.000	0.869	1.431
06302	WI	00	WISCONSIN	0.993	1.000	0.958	0.308
03602	WY	21	WYOMING**	0.991	1.000	1.000	0.740
"MAC Assignments as of November 22, 2023"							
							
*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.							
**PE GPCI reflects a 1.0 floor for frontier states established by the ACA.							
							
"Note: The work GPCI floor of 1.0 that was applied in previous updates was extended through January 31, 2026 by Section 6207 of Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026 (H.R.5371)."							
"   Therefore, the work GPCIs for 2025 reflect the 1.0 work GPCI floor, and work GPCIs for 2026 are shown both with and without a 1.0 floor, and work GPCIs for 2027 do not reflect a 1.0 floor."							
							
"Note: For CY 2024 and on, Addendum E will reflect the retirement of 3 California localities, as finalized in the CY 2023 PFS final rule. "							
