ADDENDUM E.  FINAL CY 2018 GEOGRAPHIC PRACTICE COST INDICIES (GPCIs) BY STATE AND MEDICARE LOCALITY*  [Updated February 2018]																																																																					
Carrier	Locality Number	Locality Name	2018																																																																		
			PW GPCI with 1.0 Floor	PE GPCI	MP GPCI																																																																
10102	00	ALABAMA	1.000	0.890	0.492																																																																
02102	01	ALASKA**	1.500	1.117	0.708																																																																
03102	00	ARIZONA	1.000	0.971	0.834																																																																
07102	13	ARKANSAS	1.000	0.872	0.576																																																																
01112	54	"BAKERSFIELD, CA"	1.020	1.074	0.599																																																																
01112	55	"CHICO, CA"	1.020	1.074	0.562																																																																
01182	71	"EL CENTRO, CA"	1.020	1.074	0.567																																																																
01112	56	"FRESNO, CA"	1.020	1.074	0.562																																																																
01112	57	"HANFORD-CORCORAN, CA"	1.020	1.074	0.562																																																																
01182	18	"LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES CNTY), CA"	1.046	1.177	0.694																																																																
01182	26	"LOS ANGELES-LONG BEACH-ANAHEIM (ORANGE CNTY), CA"	1.046	1.177	0.694																																																																
01112	58	"MADERA, CA"	1.020	1.074	0.562																																																																
01112	59	"MERCED, CA"	1.020	1.074	0.562																																																																
01112	60	"MODESTO, CA"	1.020	1.074	0.562																																																																
01112	51	"NAPA, CA"	1.055	1.256	0.458																																																																
01182	17	"OXNARD-THOUSAND OAKS-VENTURA, CA"	1.024	1.176	0.673																																																																
01112	61	"REDDING, CA"	1.020	1.074	0.562																																																																
01112	62	"RIVERSIDE-SAN BERNARDINO-ONTARIO, CA"	1.020	1.074	0.689																																																																
01112	63	"SACRAMENTO--ROSEVILLE--ARDEN-ARCADE, CA"	1.025	1.086	0.562																																																																
01112	64	"SALINAS, CA"	1.024	1.092	0.562																																																																
01182	72	"SAN DIEGO-CARLSBAD, CA"	1.022	1.102	0.567																																																																
01112	07	"SAN FRANCISCO-OAKLAND-HAYWARD (ALAMEDA/CONTRA COSTA CNTY), CA"	1.075	1.325	0.421																																																																
01112	52	"SAN FRANCISCO-OAKLAND-HAYWARD (MARIN CNTY), CA"	1.062	1.279	0.458																																																																
01112	05	"SAN FRANCISCO-OAKLAND-HAYWARD (SAN FRANCISCO CNTY), CA"	1.075	1.325	0.421																																																																
01112	06	"SAN FRANCISCO-OAKLAND-HAYWARD (SAN MATEO CNTY), CA"	1.075	1.325	0.421																																																																
01112	65	"SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY), CA"	1.041	1.167	0.562																																																																
01112	09	"SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY), CA"	1.083	1.354	0.388																																																																
01182	73	"SAN LUIS OBISPO-PASO ROBLES-ARROYO GRANDE, CA"	1.020	1.080	0.562																																																																
01112	66	"SANTA CRUZ-WATSONVILLE, CA"	1.026	1.132	0.562																																																																
01182	74	"SANTA MARIA-SANTA BARBARA, CA"	1.028	1.108	0.562																																																																
01112	67	"SANTA ROSA, CA"	1.023	1.111	0.562																																																																
01112	68	STOCKTON-LODI	1.020	1.074	0.562																																																																
01112	53	"VALLEJO-FAIRFIELD, CA"	1.055	1.256	0.458																																																																
01112	69	"VISALIA-PORTERVILLE, CA"	1.020	1.074	0.562																																																																
01112	70	"YUBA CITY, CA"	1.020	1.074	0.562																																																																
01112	75	REST OF CALIFORNIA	1.020	1.074	0.562																																																																
04112	01	COLORADO	1.000	1.018	1.042																																																																
13102	00	CONNECTICUT	1.021	1.112	1.255																																																																
12202	01	DC + MD/VA SUBURBS	1.045	1.205	1.261																																																																
12102	01	DELAWARE	1.007	1.019	1.119																																																																
09102	03	"FORT LAUDERDALE, FL"	1.000	1.012	1.797																																																																
09102	04	"MIAMI, FL"	1.000	1.029	2.566																																																																
09102	99	REST OF FLORIDA	1.000	0.952	1.358																																																																
10202	01	"ATLANTA, GA"	1.000	0.997	1.088																																																																
10202	99	REST OF GEORGIA	1.000	0.899	1.073																																																																
01212	01	"HAWAII, GUAM"	1.001	1.146	0.614																																																																
02202	00	IDAHO	1.000	0.902	0.512																																																																
06102	16	"CHICAGO, IL"	1.008	1.034	1.925																																																																
06102	12	"EAST ST. LOUIS, IL"	1.000	0.936	1.785																																																																
06102	15	"SUBURBAN CHICAGO, IL"	1.009	1.053	1.565																																																																
06102	99	REST OF ILLINOIS	1.000	0.919	1.208																																																																
08102	00	INDIANA	1.000	0.919	0.379																																																																
05102	00	IOWA	1.000	0.907	0.423																																																																
05202	00	KANSAS	1.000	0.911	0.615																																																																
15102	00	KENTUCKY	1.000	0.880	0.819																																																																
07202	01	"NEW ORLEANS, LA"	1.000	0.966	1.273																																																																
07202	99	REST OF LOUISIANA	1.000	0.887	1.199																																																																
14112	03	SOUTHERN MAINE	1.000	1.007	0.670																																																																
14112	99	REST OF MAINE	1.000	0.922	0.670																																																																
12302	01	"BALTIMORE/SURR. CNTYS, MD"	1.023	1.095	1.295																																																																
12302	99	REST OF MARYLAND	1.009	1.033	1.082																																																																
14212	01	"METROPOLITAN BOSTON, MA"	1.033	1.179	1.061																																																																
14212	99	REST OF MASSACHUSETTS	1.020	1.067	1.061																																																																
08202	01	"DETROIT, MI"	1.000	0.989	1.691																																																																
08202	99	REST OF MICHIGAN	1.000	0.919	1.018																																																																
06202	00	MINNESOTA	1.000	1.011	0.362																																																																
07302	00	MISSISSIPPI	1.000	0.870	0.370																																																																
05302	02	"METROPOLITAN KANSAS CITY, MO"	1.000	0.963	1.073																																																																
05302	01	"METROPOLITAN ST. LOUIS, MO"	1.000	0.959	1.053																																																																
05302	99	REST OF MISSOURI	1.000	0.863	0.993																																																																
03202	01	MONTANA***	1.000	1.000	1.631																																																																
05402	00	NEBRASKA	1.000	0.910	0.318																																																																
01312	00	NEVADA***	1.002	1.017	0.909																																																																
14312	40	NEW HAMPSHIRE	1.000	1.045	1.050																																																																
12402	01	NORTHERN NJ	1.041	1.180	0.938																																																																
12402	99	REST OF NEW JERSEY	1.024	1.123	0.938																																																																
04212	05	NEW MEXICO	1.000	0.921	1.247																																																																
13202	01	"MANHATTAN, NY"	1.052	1.180	1.615																																																																
13202	02	"NYC SUBURBS/LONG ISLAND, NY"	1.041	1.205	2.149																																																																
13202	03	"POUGHKPSIE/N NYC SUBURBS, NY"	1.016	1.070	1.313																																																																
13292	04	"QUEENS, NY"	1.052	1.200	2.121																																																																
13282	99	REST OF NEW YORK	1.000	0.950	0.595																																																																
11502	00	NORTH CAROLINA	1.000	0.931	0.695																																																																
03302	01	NORTH DAKOTA***	1.000	1.000	0.540																																																																
15202	00	OHIO	1.000	0.917	1.005																																																																
04312	00	OKLAHOMA	1.000	0.891	0.954																																																																
02302	01	"PORTLAND, OR"	1.010	1.054	0.783																																																																
02302	99	REST OF OREGON	1.000	0.967	0.783																																																																
12502	01	"METROPOLITAN PHILADELPHIA, PA"	1.022	1.074	1.379																																																																
12502	99	REST OF PENNSYLVANIA	1.000	0.936	1.033																																																																
09202	20	PUERTO RICO	1.000	1.007	0.990																																																																
14412	01	RHODE ISLAND	1.027	1.050	0.999																																																																
11202	01	SOUTH CAROLINA	1.000	0.912	0.553																																																																
03402	02	SOUTH DAKOTA***	1.000	1.000	0.389																																																																
10302	35	TENNESSEE	1.000	0.901	0.526																																																																
04412	31	"AUSTIN, TX"	1.000	1.021	0.747																																																																
04412	20	"BEAUMONT, TX"	1.000	0.924	0.839																																																																
04412	09	"BRAZORIA, TX"	1.020	0.997	0.839																																																																
04412	11	"DALLAS, TX"	1.012	1.014	0.768																																																																
04412	28	"FORT WORTH, TX"	1.007	0.986	0.747																																																																
04412	15	"GALVESTON, TX"	1.020	1.011	0.839																																																																
04412	18	"HOUSTON, TX"	1.020	1.012	0.936																																																																
04412	99	REST OF TEXAS	1.000	0.938	0.796																																																																
03502	09	UTAH	1.000	0.927	1.165																																																																
14512	50	VERMONT	1.000	1.015	0.595																																																																
11302	00	VIRGINIA	1.000	0.986	0.908																																																																
09202	50	VIRGIN ISLANDS	1.000	1.007	0.990																																																																
02402	02	"SEATTLE (KING CNTY), WA"	1.027	1.146	0.931																																																																
02402	99	REST OF WASHINGTON	1.000	1.011	0.902																																																																
11402	16	WEST VIRGINIA	1.000	0.857	1.296																																																																
06302	00	WISCONSIN	1.000	0.957	0.347																																																																
03602	21	WYOMING***	1.000	1.000	0.880																																																																
																																																																					
2018 GPCIs reflect the second year of a two year update transition.																																																																					
																																																																					
" * January 1, 2018 through December 31, 2018, the GPCIs reflect a 1.0 Work GPCI floor as required by the Bipartisan Budget Act of 2018 (February 9, 2018)."																																																																					
																																																																					
**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.																																																																					
																																																																					
