ADDENDUM E: CY 2019 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY
Medicare AdmiLocality                          Locality Name                             2019
                                                                                       PW GPCI    PE GPCI   MP GPCI
10112           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     0.618
01112           55    CHICO, CA                                                          1.020     1.074     0.562
01182           71    EL CENTRO, CA                                                      1.020     1.074     0.570
01112           56    FRESNO, CA                                                         1.020     1.074     0.562
01112           57    HANFORD-CORCORAN, CA                                               1.021     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                               1.021     1.074     0.753
01112           63    SACRAMENTO--ROSEVILLE--ARDEN-ARCADE, CA                            1.027     1.092     0.562
01112           64    SALINAS, CA                                                        1.026     1.101     0.562
01182           72    SAN DIEGO-CARLSBAD, CA                                             1.023     1.116     0.570
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                     1.065     1.291     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               1.052     1.214     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     1.084     0.562
01112           66    SANTA CRUZ-WATSONVILLE, CA                                         1.030     1.161     0.562
01182           74    SANTA MARIA-SANTA BARBARA, CA                                      1.032     1.126     0.562
01112           67    SANTA ROSA, CA                                                     1.024     1.130     0.562
01112           68    STOCKTON-LODI, CA                                                  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, CA                                             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
10212           01    ATLANTA, GA                                                        1.000     0.997     1.088
10212           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
10312           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

2019 GPCIs reflect the second year of a two year update transition.


**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.


