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Locality 16 · 
Chicago, IL
Office (non-facility) · Participating · No modifiers · 1 unit
Locality-adjusted allowed amount
$99.63
Facility allowed amount $61.70
Allowed amount—before sequestration and patient share
The evidence travels with the answer.
PPRRVU2026_Jul_nonQPP.csv · row 12,954
GPCI2026.csv · row 48
View CMS evidence →See the formula and inputs
(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor
- Work RVU
- 1.3
- Work GPCI
- 1.007
- PE RVU
- 1.46
- PE GPCI
- 1.005
- MP RVU
- 0.09
- MP GPCI
- 2.295
- Conversion factor
- 33.4009
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Facility · Participating · No modifiers · 1 unit
Non-QP · Q3 2026 · Sequestration excluded
| Code | Chicago, IL06102-16 |
|---|---|
| 66984 | $488.66 Saved calculation |
Behind this amount
The Q3 2026 national PFS baseline is $462.60. Chicago’s geographic adjustment brings the facility allowed amount to $488.66.
PPRRVU2026_Jul_nonQPP.csv · row 7,347
GPCI2026.csv · row 48
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Not everything you bill is priced by the fee schedule formula.
A lab panel, an anesthesia case, and an office visit don’t share a pricing path. Getting the number right starts with knowing which schedule governs the code in front of you.
Clinical lab
National CLFS pricing, with its own source file and payment rules.
80053 · $10.56
National allowed amount from the Clinical Laboratory Fee Schedule.
PUF_CLFS_CY2026_Q3V1.csv · row 612
Anesthesia
Paid outside the RVU formula: (base units + time units) × the locality’s own anesthesia conversion factor.
Capped imaging
Certain imaging codes are limited to what the hospital outpatient system would pay. Where the cap binds, it replaces the formula result.
Every file behind these numbers is listed, with its layout and each release we've ingested, on the sources page.
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