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Medicare Physician Fee Schedule Effective Locality 02302-01 CMS RVU26D Updated

CPT 73030 Medicare rate in Portland, OR

Shoulder radiograph in ZIPs including 97201, 97209, and 97214

73030 Q4 2026
Office (non-facility) Facility
Locality-adjusted allowed amount
$38.89
in a doctor’s own office or clinic

Portland, OR flag Portland, OR (Locality 02302-01)

8.8% above the national baseline ($35.74)

CMS RVU26DOctober 1 – December 31, 2026revision 2

Participating provider, no modifiers, whole service, before sequestration. Change these

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The Medicare allowed amount is $38.89 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.

What Medicare locality is Portland, OR in? Copy link

Portland, OR is in CMS payment locality Portland (02302-01). The same amount applies everywhere in it.

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

ZIP codes in this payment locality (119)

The CMS ZIP-to-locality crosswalk maps 119 ZIP codes to this payment locality. Use this amount only after you confirm the service location is in this locality. Of these, 4 span more than one locality and need ZIP+4 for an exact match.

97003 97004 97005 97006 97007 97008 97009 97010 97011 97013 97015 97017 97019 97022 97023 97024 97027 97028 97030 97034 97035 97036 97038 97042 97045 97049 97055 97060 97062 97067 97068 97070 97075 97076 97077 97078 97079 97080 97086 97089 97106 97109 97113 97116 97117 97119 97123 97124 97125 97129 97133 97140 97144 97200 97201 97202 97203 97204 97205 97206 97207 97208 97209 97210 97211 97212 97213 97214 97215 97216 97217 97218 97219 97220 97221 97222 97223 97224 97225 97227 97228 97229 97230 97231 97232 97233 97236 97238 97239 97240 97242 97250 97251 97252 97253 97254 97255 97256 97258 97259

19 more ZIP codes map to this locality. The Portland, OR locality page lists the full set.

Which ZIP codes does the Portland, OR rate for 73030 cover?

The CMS ZIP-to-locality crosswalk maps 119 ZIP codes to this payment locality, and 73030 has the same amount in every one of them. Examples include 97003, 97004, 97005, 97006, 97007, 97008. Of these, 4 span more than one payment locality and need ZIP+4 for an exact match.

How the Portland, OR amount is calculated Copy link

How locality affects the amount Copy link

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

Portland, OR's $38.89 compares with the $35.74 national PFS baseline (GPCI 1.000). Each of this locality's geographic practice cost indices (GPCIs) scales one RVU component before the conversion factor is applied. Together they put Portland, OR 8.8% above the national baseline.

Portland, OR ranks #26 of 109 Medicare payment localities for 73030, where #1 has the highest allowed amount. Within Oregon it's #1 of 2: $3.47 (9.8%) higher than Rest of Oregon ($35.42).

Work GPCI
1.016
+$0.10 vs. national
Practice expense GPCI
1.111
+$3.23 vs. national
Malpractice GPCI
0.744
−$0.18 vs. national
2026 conversion factor
$33.4009

Each figure is that GPCI's share of the +$3.15 gap from the national baseline: its RVUs for 73030 × (GPCI − 1.000) × the conversion factor. Practice expense accounts for the most, +$3.23.

CMS RVU26DOctober 1 – December 31, 2026revision 2 See file rows

Show the full calculation and CMS rows

For the office (non-facility) amount, each of 73030's RVU components is multiplied by its Portland, OR GPCI; the products are summed and multiplied by the conversion factor.

Code
73030
DOS
Not selected; uses this release’s rates
Locality
Portland (02302-01)
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 Portland, OR allowed amount for 73030
Component RVU × GPCI = Adjusted
Work 0.18 × 1.016 0.1829
Practice expense · Office (non-facility) 0.87 × 1.111 0.9666
Malpractice 0.02 × 0.744 0.0149
Sum of adjusted RVUs 1.1643
× 33.4009 conversion factor = formula amount $38.89

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

  1. Locality-adjusted allowed amount $38.89

    After applicable fee-schedule adjustments; sequestration excluded

Citations

  • 73030’s RVUs, PFS status and conversion factor

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

    PPRRVU2026_Oct_nonQPP.csv row 8,108 in rvu26d-updated-08-26-2026.zip

    A HCPCS
    73030
    B Modifier
    blank
    D Status code
    A
    F Work RVU
    0.18
    G Non-facility PE RVU
    0.87
    K MP RVU
    0.02
    Z Conversion factor
    33.4009
    In the CMS file

    Loading rows 8,106–8,110 of PPRRVU2026_Oct_nonQPP.csv…

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

  • Locality 02302-01’s GPCIs

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

    GPCI2026.csv row 87 in rvu26d-updated-08-26-2026.zip

    A MAC
    02302
    C Locality number
    01
    E Work GPCI
    1.016
    F PE GPCI
    1.111
    G MP GPCI
    0.744
    In the CMS file

    Loading rows 85–89 of GPCI2026.csv…

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

Why is the 73030 rate in Portland, OR 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 1.016, practice expense 1.111, malpractice 0.744—scale each RVU component before the conversion factor is applied, which is why the Portland, OR amount is higher than the $35.74 baseline.

73030 in Portland, OR since Q4 2025 Copy link

Office (non-facility) · Participating · Whole service

The allowed amount went from $36.31 in Q4 2025 to $38.89 in Q4 2026, +$2.58 (+7.1%). The national baseline moved +6.2% over the same period.

What changed 73030's allowed amount in Portland, OR between Q4 2025 and Q4 2026
What moved Effect
Conversion factor National: the dollar multiplier CMS sets each year. +$1.18
73030's RVUs National: CMS revalued the code itself. +$1.11
Portland, OR's GPCIs Local: this payment locality's cost indices. +$0.29
Total change +$2.58

A derived breakdown of the two releases' formula inputs, applied in order: the conversion factor on Q4 2025's RVUs and GPCIs, then 73030's new RVUs, then this locality's new GPCIs. A different order moves a few cents between rows; the total is exact.

Which amount applies to your claim? Copy link

Who pays what Copy link

Medicare pays part of the Portland, OR allowed amount and the patient pays the rest. A provider who doesn’t participate in Medicare is allowed less, and can bill the patient up to a ceiling.

Computed from the Q4 2026 CMS release

Allowed amount

The fee-schedule amount for 73030 in the Office (non-facility) setting in Portland, OR. A participating provider accepts it as payment in full, and every figure below starts from it.

$38.89
Medicare's share

80% of the allowed amount, once the annual Part B deductible is met.

$31.11
Sequestration

The 2% cut to Medicare’s share. It never reduces the allowed amount or the patient’s coinsurance.

-$0.62
What Medicare pays

Medicare’s share after sequestration.

$30.49
Patient coinsurance

The remaining 20%. Medigap or Medicaid often covers it.

$7.78
Non-participating amount

What a provider who doesn’t participate in Medicare is allowed on an assigned claim: 95% of the allowed amount.

$36.95
Limiting charge

The most a non-participating provider can bill the patient on an unassigned claim: 115% of the non-participating amount.

$42.49
What is the non-participating amount and limiting charge for 73030 in Portland, OR?

A non-participating provider is paid $36.95—95% of the $38.89 participating fee schedule amount. On an unassigned claim the limiting charge caps what the patient can be billed at $42.49, which is 115% of the non-participating amount.

How much of the Portland, OR 73030 rate does Medicare actually pay?

Medicare pays 80% of the allowed amount ($31.11) once the annual Part B deductible is met, and the beneficiary owes 20% ($7.78). Sequestration reduces Medicare's share by about 2% ($0.62), leaving $30.49. Sequestration never changes the allowed amount itself, which is why it is shown separately here.

Contract rates and comparisons Copy link

Contracted rate: % of Medicare in Portland, OR 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—$38.89 in the office (non-facility) setting—not the $35.74 national baseline.

Opens the calculator set to Portland, OR 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.

73030 in nearby payment localities Copy link

Payment localities in the same region as Portland, OR, nearest first. Each amount is that locality's own GPCI-adjusted Office (non-facility) figure for 73030. Neighboring localities often differ.

Payment locality Allowed · vs. this page

Percentages are against Portland, OR. Every payment locality nationwide is on the CPT 73030 rate map.

Other codes priced in Portland, OR Copy link

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

Other curated codes and their allowed amounts in Portland, OR
Code and service Allowed vs. national
99213 Routine Follow-Up Office Visit $100.53 +5.6%
99214 Long Follow-Up Office Visit $142.85 +5.3%
66984 Cataract Surgery $484.58 +4.8%
92014 Full Eye Exam, Returning Patient $136.39 +7.2%
99204 Long New Patient Office Visit $185.85 +4.8%
99215 Longest Follow-Up Office Visit $202.29 +5.1%
97110 Physical Therapy Exercises $30.73 +5.7%
99203 New Patient Office Visit $123.58 +5.1%
93000 Heart Tracing $16.29 +6.1%
93306 Heart Ultrasound $213.08 +8.3%
77067 Screening Mammogram $137.31 +8.8%
27447 Knee Replacement $1,178.12 +1.6%

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 02302-01'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 8,108)
Geographic practice cost indices (Q4 2026) · rvu26d-updated-08-26-2026.zip (GPCI2026.csv row 87)
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 73030 in Portland, OR 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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