Medicare Physician Fee Schedule · Q3 2026 release

CPT 72146 in Salt Lake City, UT 03502-09

72146 2026 C ·

03502-09 A Active

Non-facility Facility

Allowed amount

$181.71

in a doctor’s own office or clinic

95.4% of the $190.39 national baseline

Medicare payment: $145.37
Patient / secondary: $36.34
Expected total to provider: $181.71

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

Formula

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

RVU × GPCI components of this amount
Component	RVU	× GPCI	= Adjusted
Work	1.44	× 1.000	1.4400
Practice expense	4.16	× 0.940	3.9104
Malpractice	0.10	× 0.898	0.0898
Sum of adjusted RVUs			5.4402
× 33.4009 conversion factor			$181.71

Citations

Physician relative value file (PPRRVU) PPRRVU2026_Jul_nonQPP.csv in rvu26c-updated-06-30-2026.zip (row 7,958)

hcpcs (col 1)

72146

status_code (col 4)

A

work_rvu (col 6)

1.44

pe_rvu_nonfacility (col 7)

4.16

pe_rvu_facility (col 9)

4.16

mp_rvu (col 11)

0.1
Geographic practice cost indices (GPCI) GPCI2026.csv in rvu26c-updated-06-30-2026.zip (row 104)

work_gpci (col 5)

1

pe_gpci (col 6)

0.94

mp_gpci (col 7)

0.898
Physician relative value file (PPRRVU) PPRRVU2026_Jul_nonQPP.csv in rvu26c-updated-06-30-2026.zip (row 11)

conversion_factor (col 26)

33.4009

How much does Medicare allow for CPT 72146 in Salt Lake City, UT? Copy link

The Medicare allowed amount is $181.71 in the office (non-facility) and facility settings, under the Q3 2026 Physician Fee Schedule. That is 4.6% 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 Salt Lake City, UT in? Copy link

CMS prices all of Utah as one Medicare payment locality, so this amount applies statewide, including Provo, West Valley City and Ogden — not only in Salt Lake City, UT.

Why Salt Lake City, UT differs from the national amount Copy link

Salt Lake City, UT (this locality)

$181.71

National PFS baseline (GPCI 1.000)

$190.39

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 Salt Lake City, UT at 4.6% below the national baseline.

Work GPCI

1.000

Practice expense GPCI

0.940

Malpractice GPCI

0.898

2026 conversion factor

$33.4009

Formula and inputs Copy link

The office (non-facility) amount for 72146 in Salt Lake City, UT: each component's RVU times its GPCI, summed, then multiplied by the conversion factor.

RVU and GPCI components of the Salt Lake City, UT allowed amount for 72146
Component	RVU	× GPCI	= Adjusted RVU
Work	1.44	1.000	1.4400
Practice expense	4.16	0.940	3.9104
Malpractice	0.10	0.898	0.0898
Sum of adjusted RVUs			5.4402
× $33.4009 2026 conversion factor			$181.71

Participating, non-participating and limiting charge Copy link

All figures are for the office (non-facility) setting in Salt Lake City, UT. 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 72146 in Salt Lake City, UT
Participating allowed amount The fee schedule amount a participating provider accepts as payment in full.	$181.71
Non-participating allowed amount 95% of the participating amount.	$172.62
Limiting charge Ceiling a non-participating provider may bill the patient on an unassigned claim — 115% of the non-participating amount.	$198.51
Medicare program payment 80% of the allowed amount, once the annual Part B deductible is met.	$145.37
Beneficiary coinsurance The remaining 20%.	$36.34
Sequestration adjustment Reduces Medicare's share only — never the allowed amount, and never the patient's share.	$2.91
Medicare pays after sequestration Program payment net of the sequestration reduction.	$142.46

Contracted rate: % of Medicare in Salt Lake City, UT 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 — $181.71 in the office (non-facility) setting — not the $190.39 national baseline.

Opens the calculator already set to Salt Lake City, UT 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 Salt Lake City, UT rate covers Copy link

The CMS ZIP-to-locality crosswalk maps 361 ZIP codes to this payment locality. 72146 prices identically in every one of them.

84001 84002 84003 84004 84005 84006 84007 84008 84009 84010 84011 84013 84014 84015 84016 84017 84018 84020 84021 84022 84023 84024 84025 84026 84027 84028 84029 84030 84031 84032 84033 84034 84035 84036 84037 84038 84039 84040 84041 84042 84043 84044 84045 84046 84047 84048 84049 84050 84051 84052 84053 84054 84055 84056 84057 84058 84059 84060 84061 84062 84063 84064 84065 84066 84067 84068 84069 84070 84071 84072 84073 84074 84075 84076 84078 84079 84080 84081 84082 84083 84084 84085 84086 84087 84088 84089 84090 84091 84092 84093 84094 84095 84096 84097 84098 84101 84102 84103 84104 84105

261 more ZIP codes map to this locality. The Salt Lake City, UT locality page lists the full set.

Checking a different ZIP code?

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

72146 in nearby payment localities Copy link

Payment localities in the same region as Salt Lake City, UT, nearest first. Each amount is that locality's own GPCI-adjusted office (non-facility) figure for 72146. Proximity doesn't imply similar pricing — neighbouring localities often differ.

72146 allowed amount in payment localities near Salt Lake City, UT
Metro	Allowed amount	vs. Salt Lake City, UT
Denver, CO	$199.12	+9.6%
Boise, ID	$177.51	-2.3%
Las Vegas, NV	$189.97	+4.5%
Phoenix, AZ	$185.60	+2.1%
Albuquerque, NM	$179.52	-1.2%

Every payment locality nationwide is on the CPT 72146 rate map.

Other codes priced in Salt Lake City, UT Copy link

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

Other curated codes and their allowed amounts in Salt Lake City, UT
Code	Service	Salt Lake City, UT	vs. national
72148	Lumbar Spine MRI Without Contrast	$182.96	-4.6%
70553	Brain MRI With and Without Contrast	$302.20	-4.7%
70551	Brain MRI Without Contrast	$186.42	-4.6%
73721	Lower-Extremity Joint MRI Without Contrast	$194.67	-4.8%
72141	Cervical Spine MRI Without Contrast	$182.02	-4.6%
73221	Upper-Extremity Joint MRI Without Contrast	$195.30	-4.8%
74183	Abdominal MRI With and Without Contrast	$319.94	-4.8%
72197	Pelvic MRI With and Without Contrast	$318.37	-4.8%
77049	MRI	$323.57	-4.7%
73222	MRI	$296.89	-5.0%
70552	MRI	$256.06	-4.8%
73722	MRI	$299.08	-5.0%

Common questions Copy link

Which ZIP codes does the Salt Lake City, UT rate for 72146 cover?

The CMS ZIP-to-locality crosswalk maps 361 ZIP codes to this payment locality, and every one of them prices 72146 identically. Examples include 84001, 84002, 84003, 84004, 84005, 84006.

Why is the 72146 rate in Salt Lake City, UT 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 0.940, malpractice 0.898 — scale each RVU component before the conversion factor is applied, which is why Salt Lake City, UT allows less than the $190.39 baseline.

Does this 72146 rate apply everywhere in Utah?

Yes. CMS prices Utah as a single Medicare payment locality, so the same GPCIs — and the same allowed amount — apply statewide, not only in Salt Lake City, UT. That includes Provo, West Valley City and Ogden. The city name here is a search-facing label for a statewide payment locality, not a city-specific rate.

What is the non-participating amount and limiting charge for 72146 in Salt Lake City, UT?

A non-participating provider is paid $172.62 — 95% of the $181.71 participating fee schedule amount. On an unassigned claim the limiting charge caps what the patient can be billed at $198.51, which is 115% of the non-participating amount.

How much of the Salt Lake City, UT 72146 rate does Medicare actually pay?

Medicare pays 80% of the allowed amount ($145.37) once the annual Part B deductible is met, and the beneficiary owes 20% ($36.34). Sequestration reduces Medicare's share by about 2% ($2.91), leaving $142.46. 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 03502-09'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 7,958)

Geographic practice cost indices (Q3 2026) · rvu26c-updated-06-30-2026.zip (GPCI2026.csv row 104)

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 72146 in Salt Lake City, UT against the release that governed that date. Past releases need a free account; today's rate does not.

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