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Medicare Physician Fee Schedule · Q4 2026 release

CPT 71045 in Birmingham, AL

Chest x-ray, one view in ZIPs including 35203, 36104, and 36602

71045 Q4 2026 · Birmingham, AL flag10112-00
Office (non-facility) Facility
Locality-adjusted allowed amount
$22.76
in a doctor’s own office or clinic

10.3% below the national baseline ($25.38)

( Work0.18 × 1.000 + Practice exp.0.56 × 0.875 + Malpractice0.02 × 0.566 ) × Conv. factor$33.4009 = $22.76

row 7,880

F Work RVU

0.18

G Non‑facility PE RVU

0.56

K MP RVU

0.02

Z Conversion factor

33.4009

row 4

E Work GPCI

1.000

F PE GPCI

0.875

G MP GPCI

0.566

CMS RVU26DOctober 1 – December 31, 2026revision 2

The Medicare allowed amount is $22.76 in the Office (non-facility) and Facility settings, under the Q4 2026 Physician Fee Schedule. This is the fee schedule amount before sequestration and before any deductible or coinsurance is applied—not necessarily what a specific claim pays.

Q4 2026 · Locality 10112-00 · Participating · Whole service · Sequestration excluded

CMS sources and method · Calculation inputs

Calculate with this locality Check service-location ZIP

What Medicare locality is Birmingham, AL in? Copy link

CMS prices all of Alabama as one Medicare payment locality, so this amount applies statewide, including Montgomery, Mobile and Huntsville—not only in Birmingham, AL.

Confirm the locality before using this amount. A split ZIP needs ZIP+4 for an exact match.

ZIP codes in this payment locality (854)

The CMS ZIP-to-locality crosswalk maps 854 ZIP codes to this payment locality. Use this amount only after you confirm the service location is in this locality. Of these, 2 span more than one locality and need ZIP+4 for an exact match.

35004 35005 35006 35007 35010 35011 35013 35014 35015 35016 35019 35020 35021 35022 35023 35031 35032 35033 35034 35035 35036 35038 35040 35041 35042 35043 35044 35045 35046 35048 35049 35051 35052 35053 35054 35055 35056 35057 35058 35060 35061 35062 35063 35064 35068 35070 35071 35072 35073 35074 35077 35078 35079 35080 35082 35083 35085 35087 35089 35091 35094 35096 35097 35098 35111 35112 35114 35115 35116 35117 35118 35119 35120 35121 35123 35124 35125 35126 35127 35128 35130 35131 35133 35135 35136 35137 35139 35142 35143 35144 35146 35147 35148 35149 35150 35151 35160 35161 35171 35172

754 more ZIP codes map to this locality. The Birmingham, AL locality page lists the full set.

Which ZIP codes does the Birmingham, AL rate for 71045 cover?

The CMS ZIP-to-locality crosswalk maps 854 ZIP codes to this payment locality, and 71045 has the same amount in every one of them. Examples include 35004, 35005, 35006, 35007, 35010, 35011. Of these, 2 span more than one payment locality and need ZIP+4 for an exact match.

Does this 71045 rate apply everywhere in Alabama?

Yes. CMS prices Alabama as a single Medicare payment locality, so the same GPCIs—and the same allowed amount—apply statewide, not only in Birmingham, AL. That includes Montgomery, Mobile and Huntsville. The city name here is a search-facing label for a statewide payment locality, not a city-specific rate.

How locality affects the amount Copy link

Office (non-facility) · Q4 2026 · Participating · Whole service

Birmingham, AL (this locality)
$22.76
National PFS baseline (GPCI 1.000)
$25.38

Each of this locality's geographic practice cost indices (GPCIs) scales one RVU component before the conversion factor is applied. Together they put Birmingham, AL 10.3% below the national baseline.

Work GPCI
1.000
Practice expense GPCI
0.875
Malpractice GPCI
0.566
2026 conversion factor
$33.4009

CMS RVU26DOctober 1 – December 31, 2026revision 2 See citations

Why is the 71045 rate in Birmingham, AL 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 0.875, malpractice 0.566—scale each RVU component before the conversion factor is applied, which is why the Birmingham, AL amount is lower than the $25.38 baseline.

Formula and inputs Copy link

For the office (non-facility) amount, each of 71045's RVU components is multiplied by its Birmingham, AL GPCI; the products are summed and multiplied by the conversion factor.

Code
71045
DOS
Not selected; uses this release’s rates
Locality
ALABAMA (AL)
Setting
Office (non-facility)
Participation
Participating provider
Modifiers
None
Units
1
Release
Q4 2026, revision 2
Sequestration
Shown separately from the allowed amount

Formula

(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor

Localis calculated this from CMS’s published inputs. Select an underlined value to see where it comes from.

RVU × GPCI components of Birmingham, AL allowed amount for 71045
Component RVU × GPCI = Adjusted
Work 0.18 × 1.000 0.1800
Practice expense · Office (non-facility) 0.56 × 0.875 0.4900
Malpractice 0.02 × 0.566 0.0113
Sum of adjusted RVUs 0.6813
× 33.4009 conversion factor = formula amount $22.76

Component subtotals show four decimals. The formula amount is rounded to cents before any later adjustment.

  1. Locality-adjusted allowed amount $22.76

    After applicable fee-schedule adjustments; sequestration excluded

Citations

Every input comes from a published CMS file. Open the same file at the row shown and the values match.

  • 71045’s RVUs, PFS status and conversion factor

    Physician relative value file (PPRRVU)CMS RVU26DOctober 1 – December 31, 2026revision 2

    PPRRVU2026_Oct_nonQPP.csv row 7,880 in rvu26d-updated-08-26-2026.zip

    A HCPCS
    71045
    B Modifier
    blank
    D Status code
    A
    F Work RVU
    0.18
    G Non-facility PE RVU
    0.56
    K MP RVU
    0.02
    Z Conversion factor
    33.4009
    In the CMS file

    Loading rows 7,878–7,882 of PPRRVU2026_Oct_nonQPP.csv…

    Download rvu26d-updated-08-26-2026.zip from CMS File fingerprint 4d0d3f19bd954ffc0f5b8439169d267da023d4f6911f4539bb6e98723cb1a626

  • Locality 10112-00’s GPCIs

    Geographic practice cost indices (GPCI)CMS RVU26DOctober 1 – December 31, 2026revision 2

    GPCI2026.csv row 4 in rvu26d-updated-08-26-2026.zip

    A MAC
    10112
    C Locality number
    00
    E Work GPCI
    1.000
    F PE GPCI
    0.875
    G MP GPCI
    0.566
    In the CMS file

    Loading rows 2–6 of GPCI2026.csv…

    Download rvu26d-updated-08-26-2026.zip from CMS File fingerprint 7850e2987d12e46930e49033f96829b5ae11f60dd1f19965329b38cf08b05264

CMS RVU26DOctober 1 – December 31, 2026revision 2

Participating, non-participating and limiting charge Copy link

All figures are for the office (non-facility) setting in Birmingham, AL. Medicare pays part of the allowed amount and the patient pays the rest; the rows below show each figure. See how the limiting charge and sequestration are derived.

Participation and payment-split amounts for 71045 in Birmingham, AL
Participating allowed amount The fee schedule amount a participating provider accepts as payment in full. $22.76
Non-participating allowed amount 95% of the participating amount. $21.62
Limiting charge Ceiling a non-participating provider may bill the patient on an unassigned claim—115% of the non-participating amount. $24.86
Medicare share 80% of the allowed amount, once the annual Part B deductible is met. $18.21
Patient coinsurance The remaining 20%. $4.55
Sequestration adjustment Reduces only Medicare's share—never the allowed amount or the patient's coinsurance. $0.36
Net Medicare payment Medicare's share after the sequestration reduction. $17.85
What is the non-participating amount and limiting charge for 71045 in Birmingham, AL?

A non-participating provider is paid $21.62—95% of the $22.76 participating fee schedule amount. On an unassigned claim the limiting charge caps what the patient can be billed at $24.86, which is 115% of the non-participating amount.

How much of the Birmingham, AL 71045 rate does Medicare actually pay?

Medicare pays 80% of the allowed amount ($18.21) once the annual Part B deductible is met, and the beneficiary owes 20% ($4.55). Sequestration reduces Medicare's share by about 2% ($0.36), leaving $17.85. Sequestration never changes the allowed amount itself, which is why it is shown separately here.

Contracted rate: % of Medicare in Birmingham, AL Copy link

Commercial contracts are often written as a percentage of the Medicare fee schedule. The part that gets misread is which Medicare amount: a contract benchmarked to the fee schedule prices off this locality's allowed amount—$22.76 in the office (non-facility) setting—not the $25.38 national baseline.

Opens the calculator set to Birmingham, AL and your selected setting, where you can also compare what a payer paid against the expected amount. See how to find your contract's actual percentage.

Compare 71045 in nearby payment localities

Payment localities in the same region as Birmingham, AL, nearest first. Each amount is that locality's own GPCI-adjusted Office (non-facility) figure for 71045. Neighboring localities often differ.

71045 allowed amount in payment localities near Birmingham, AL
Metro Allowed amount vs. Birmingham, AL
Atlanta, GA $25.84 +13.5%
Nashville, TN $23.37 +2.7%
New Orleans, LA $24.37 +7.1%
Tampa, FL $24.90 +9.4%
Charlotte, NC $23.89 +5.0%
Louisville, KY $23.25 +2.2%

Every payment locality nationwide is on the CPT 71045 rate map.

Other codes priced in Birmingham, AL Copy link

Office (non-facility) allowed amounts in this same payment locality, Q4 2026.

Other curated codes and their allowed amounts in Birmingham, AL
Code and service Allowed vs. national
71046 Chest X-Ray, Two Views $29.60 -10.5%
73030 Shoulder Radiograph $31.82 -11.0%
73562 Knee Radiograph $37.66 -11.2%
72110 Multi-View Lumbar Spine Radiograph $47.50 -11.1%
73110 Wrist Radiograph $37.91 -11.3%
99213 Routine Follow-Up Office Visit $87.79 -7.8%
99214 Long Follow-Up Office Visit $125.23 -7.7%
66984 Cataract Surgery $429.14 -7.2%
92014 Full Eye Exam, Returning Patient $116.87 -8.2%
99204 Long New Patient Office Visit $163.57 -7.8%
99212 Brief Follow-Up Office Visit $54.33 -8.6%
99215 Longest Follow-Up Office Visit $177.86 -7.6%

Source & method Copy link

Computed from the CMS Medicare Physician Fee Schedule Q4 2026 release: this code's RVUs from the relative value file, multiplied by payment locality 10112-00's GPCIs, then by the 2026 conversion factor of $33.4009. ZIP coverage from the CMS ZIP-to-locality crosswalk, Q4 2026 release. Past releases are never edited, so an amount for an earlier quarter always matches what CMS published for it. Coverage and coding correctness are outside this calculation.

Physician relative value file (Q4 2026) · rvu26d-updated-08-26-2026.zip (PPRRVU2026_Oct_nonQPP.csv row 7,880)
Geographic practice cost indices (Q4 2026) · rvu26d-updated-08-26-2026.zip (GPCI2026.csv row 4)
ZIP code to carrier locality crosswalk (Q4 2026) · zip-code-carrier-locality-file-updated-08-13-2026.zip (ZIP5_OCT2026.txt)

Working a claim with an earlier date of service? The calculator prices 71045 in Birmingham, AL against the release in effect on that date. Dates of service this quarter don't need an account; earlier dates need a free account.

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