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Medicare Physician Fee Schedule · Q3 2026 release

CPT 64721 in New Orleans, LA 07202-01

Open carpal tunnel release in ZIPs including 70112, 70130, and 70115

64721 2026 C · New Orleans, LA flag07202-01 A Active
Allowed amount
$470.17
in a doctor’s own office or clinic

97.4% of the $482.64 national baseline

Medicare payment
$376.14
Patient / secondary
$94.03
Expected total to provider
$470.17

Patient / secondary and expected total to provider assume the Part B annual deductible is already met. If it isn't, the patient owes more than the amount shown here.

Locality-adjusted Physician Fee Schedule pricing

How much does Medicare allow for CPT 64721 in New Orleans, LA? Copy link

The Medicare allowed amount is $470.17 in the office (non-facility) setting and $414.23 in a facility, under the Q3 2026 Physician Fee Schedule. The office amount is 2.6% below the national baseline, and the facility amount is 2.1% below the national baseline. This is the fee schedule amount before sequestration and before any deductible or coinsurance is applied — not necessarily what a specific claim pays.

What Medicare locality is New Orleans, LA in? Copy link

CMS payment locality New Orleans (07202-01). Every location in it is priced identically.

Why New Orleans, LA differs from the national amount Copy link

New Orleans, LA (this locality)
$470.17
National PFS baseline (GPCI 1.000)
$482.64

The national figure is a baseline, not an amount any provider is paid. This locality's geographic practice cost indices scale each RVU component before the conversion factor is applied, which puts New Orleans, LA at 2.6% below the national baseline.

Work GPCI
1.000
Practice expense GPCI
0.941
Malpractice GPCI
1.136
2026 conversion factor
$33.4009

Formula and inputs Copy link

The office (non-facility) amount for 64721 in New Orleans, LA: each component's RVU times its GPCI, summed, then multiplied by the conversion factor.

RVU and GPCI components of the New Orleans, LA allowed amount for 64721
Component RVU × GPCI = Adjusted RVU
Work 4.85 1.000 4.8500
Practice expense 8.61 0.941 8.1020
Malpractice 0.99 1.136 1.1246
Sum of adjusted RVUs 14.0766
× $33.4009 2026 conversion factor $470.17

Facility vs. Office (non-facility) Copy link

In a facility (hospital outpatient or ASC), New Orleans, LA allows $414.23 for 64721, versus $470.17 in the office. Only the practice-expense RVU changes with the setting. In a facility, the hospital bills its own fee, so the professional payment is lower. Which setting applies to your place of service.

Participating, non-participating and limiting charge Copy link

All figures are for the office (non-facility) setting in New Orleans, LA. The allowed amount is not the program payment — the rows below separate them. See how the limiting charge and sequestration are derived.

Participation and payment-split amounts for 64721 in New Orleans, LA
Participating allowed amount The fee schedule amount a participating provider accepts as payment in full. $470.17
Non-participating allowed amount 95% of the participating amount. $446.66
Limiting charge Ceiling a non-participating provider may bill the patient on an unassigned claim — 115% of the non-participating amount. $513.66
Medicare program payment 80% of the allowed amount, once the annual Part B deductible is met. $376.14
Beneficiary coinsurance The remaining 20%. $94.03
Sequestration adjustment Reduces Medicare's share only — never the allowed amount, and never the patient's share. $7.52
Medicare pays after sequestration Program payment net of the sequestration reduction. $368.62

Contracted rate: % of Medicare in New Orleans, LA Copy link

Commercial contracts are usually written as a percentage of the Medicare fee schedule. Which Medicare amount they mean is the part that gets misread: a contract benchmarked to the fee schedule prices off this locality's allowed amount — $470.17 in the office (non-facility) setting — not the $482.64 national baseline.

Opens the calculator already set to New Orleans, LA and the office (non-facility) setting. It also compares what a payer actually paid against the expected amount. See how to find your contract's actual percentage.

ZIP codes this New Orleans, LA rate covers Copy link

The CMS ZIP-to-locality crosswalk maps 110 ZIP codes to this payment locality. 64721 prices identically in every one of them.

70001 70002 70003 70004 70005 70006 70009 70010 70011 70032 70033 70036 70037 70038 70040 70041 70042 70043 70044 70046 70050 70053 70054 70055 70056 70058 70059 70060 70062 70063 70064 70065 70067 70072 70073 70075 70081 70082 70083 70085 70091 70092 70093 70094 70096 70097 70112 70113 70114 70115 70116 70117 70118 70119 70121 70122 70123 70124 70125 70126 70127 70128 70129 70130 70131 70139 70140 70141 70142 70143 70145 70146 70148 70149 70150 70151 70152 70153 70154 70156 70157 70158 70159 70160 70161 70162 70163 70164 70165 70166 70167 70170 70172 70174 70175 70176 70177 70178 70179 70181

10 more ZIP codes map to this locality. The New Orleans, LA locality page lists the full set.

Resolves the ZIP to its payment locality, so you can confirm whether this amount applies.

64721 in nearby payment localities Copy link

Payment localities in the same region as New Orleans, LA, nearest first. Each amount is that locality's own GPCI-adjusted office (non-facility) figure for 64721. Proximity doesn't imply similar pricing — neighbouring localities often differ.

64721 allowed amount in payment localities near New Orleans, LA
Metro Allowed amount vs. New Orleans, LA
Houston, TX $494.36 +5.1%
Birmingham, AL $432.34 -8.0%
Atlanta, GA $494.38 +5.1%
Tampa, FL $486.62 +3.5%
San Antonio, TX $464.77 -1.1%
Nashville, TN $441.16 -6.2%

Every payment locality nationwide is on the CPT 64721 rate map.

Other codes priced in New Orleans, LA Copy link

Office (non-facility) allowed amounts in this same payment locality, Q3 2026.

Other curated codes and their allowed amounts in New Orleans, LA
Code Service New Orleans, LA vs. national
66984 Cataract Surgery $452.96 -2.1%
27447 Knee Replacement $1,154.79 -0.4%
66982 Complex Cataract Surgery With Lens Implant $618.24 -2.0%
27130 Total Hip Arthroplasty $1,157.50 -0.4%
29827 Arthroscopic Rotator Cuff Repair $968.53 -0.8%
47562 Outpatient surgery $632.17 —
29881 Outpatient surgery $507.90 -1.5%
23472 Total Shoulder Arthroplasty $1,294.50 -0.4%
49505 Outpatient surgery $506.70 -0.3%
58571 Outpatient surgery $827.96 -0.1%
19120 Outpatient surgery $560.16 -2.3%
43775 Outpatient surgery $1,014.44 +1.4%

Common questions Copy link

Which ZIP codes does the New Orleans, LA rate for 64721 cover?
The CMS ZIP-to-locality crosswalk maps 110 ZIP codes to this payment locality, and every one of them prices 64721 identically. Examples include 70001, 70002, 70003, 70004, 70005, 70006.
Why is the 64721 rate in New Orleans, LA different from the national amount?
The national figure is a GPCI 1.000 baseline, not an amount any provider is paid. This locality's geographic practice cost indices — work 1.000, practice expense 0.941, malpractice 1.136 — scale each RVU component before the conversion factor is applied, which is why New Orleans, LA allows less than the $482.64 baseline.
What is the facility rate for 64721 in New Orleans, LA?
$414.23 in a facility, versus $470.17 in the office (non-facility) setting — a $55.94 difference. Only the practice-expense RVU changes with the setting: in an office the practice carries the overhead, so the professional payment is higher; in a hospital or ASC the facility bills its own fee.
What is the non-participating amount and limiting charge for 64721 in New Orleans, LA?
A non-participating provider is paid $446.66 — 95% of the $470.17 participating fee schedule amount. On an unassigned claim the limiting charge caps what the patient can be billed at $513.66, which is 115% of the non-participating amount.
How much of the New Orleans, LA 64721 rate does Medicare actually pay?
Medicare pays 80% of the allowed amount ($376.14) once the annual Part B deductible is met, and the beneficiary owes 20% ($94.03). Sequestration reduces Medicare's share by about 2% ($7.52), leaving $368.62. Sequestration never changes the allowed amount itself, which is why it is shown separately here.

Source & method Copy link

Computed from the CMS Medicare Physician Fee Schedule Q3 2026 release : this code's RVUs from the relative value file, multiplied by payment locality 07202-01's GPCIs, then by the 2026 conversion factor of $33.4009. ZIP coverage from the CMS ZIP-to-locality crosswalk, Q3 2026 release . Releases are immutable: an amount retrieved for a past quarter always reflects that PFS release. Coverage and coding correctness are outside this calculation.

Physician relative value file (Q3 2026) · rvu26c-updated-06-30-2026.zip (PPRRVU2026_Jul_nonQPP.csv row 7,150)
Geographic practice cost indices (Q3 2026) · rvu26c-updated-06-30-2026.zip (GPCI2026.csv row 56)
ZIP code to carrier locality crosswalk (Q3 2026) · zip-code-carrier-locality-file-updated-05-13-2026.zip (ZIP5_JUL2026.txt)

Working a claim with an earlier date of service? The calculator prices 64721 in New Orleans, LA against the release that governed that date. The last 12 months price without an account; older dates of service need a free account.

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