Medicare Physician Fee Schedule · Q3 2026 release

CPT 76641 in Hartford, CT 13102-00

76641 2026 C ·

13102-00 A Active

Non-facility Facility

Allowed amount

$106.79

in a doctor’s own office or clinic

106.6% of the $100.20 national baseline

Medicare payment: $85.43
Patient / secondary: $21.36
Expected total to provider: $106.79

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	0.71	× 1.020	0.7242
Practice expense	2.24	× 1.077	2.4125
Malpractice	0.05	× 1.210	0.0605
Sum of adjusted RVUs			3.1972
× 33.4009 conversion factor			$106.79

Citations

Physician relative value file (PPRRVU) PPRRVU2026_Jul_nonQPP.csv in rvu26c-updated-06-30-2026.zip (row 8,676)

hcpcs (col 1)

76641

status_code (col 4)

A

work_rvu (col 6)

0.71

pe_rvu_nonfacility (col 7)

2.24

pe_rvu_facility (col 9)

2.24

mp_rvu (col 11)

0.05
Geographic practice cost indices (GPCI) GPCI2026.csv in rvu26c-updated-06-30-2026.zip (row 38)

work_gpci (col 5)

1.02

pe_gpci (col 6)

1.077

mp_gpci (col 7)

1.21
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 76641 in Hartford, CT? Copy link

The Medicare allowed amount is $106.79 in the office (non-facility) and facility settings, under the Q3 2026 Physician Fee Schedule. That is 6.6% above 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 Hartford, CT in? Copy link

CMS prices all of Connecticut as one Medicare payment locality, so this amount applies statewide, including New Haven, Bridgeport and Stamford — not only in Hartford, CT.

Why Hartford, CT differs from the national amount Copy link

Hartford, CT (this locality)

$106.79

National PFS baseline (GPCI 1.000)

$100.20

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 Hartford, CT at 6.6% above the national baseline.

Work GPCI

1.020

Practice expense GPCI

1.077

Malpractice GPCI

1.210

2026 conversion factor

$33.4009

Formula and inputs Copy link

The office (non-facility) amount for 76641 in Hartford, CT: each component's RVU times its GPCI, summed, then multiplied by the conversion factor.

RVU and GPCI components of the Hartford, CT allowed amount for 76641
Component	RVU	× GPCI	= Adjusted RVU
Work	0.71	1.020	0.7242
Practice expense	2.24	1.077	2.4125
Malpractice	0.05	1.210	0.0605
Sum of adjusted RVUs			3.1972
× $33.4009 2026 conversion factor			$106.79

Participating, non-participating and limiting charge Copy link

All figures are for the office (non-facility) setting in Hartford, CT. 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 76641 in Hartford, CT
Participating allowed amount The fee schedule amount a participating provider accepts as payment in full.	$106.79
Non-participating allowed amount 95% of the participating amount.	$101.45
Limiting charge Ceiling a non-participating provider may bill the patient on an unassigned claim — 115% of the non-participating amount.	$116.67
Medicare program payment 80% of the allowed amount, once the annual Part B deductible is met.	$85.43
Beneficiary coinsurance The remaining 20%.	$21.36
Sequestration adjustment Reduces Medicare's share only — never the allowed amount, and never the patient's share.	$1.71
Medicare pays after sequestration Program payment net of the sequestration reduction.	$83.72

Contracted rate: % of Medicare in Hartford, CT 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 — $106.79 in the office (non-facility) setting — not the $100.20 national baseline.

Opens the calculator already set to Hartford, CT 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 Hartford, CT rate covers Copy link

The CMS ZIP-to-locality crosswalk maps 421 ZIP codes to this payment locality. 76641 prices identically in every one of them.

06001 06002 06006 06010 06011 06013 06016 06018 06019 06020 06021 06022 06023 06024 06025 06026 06027 06028 06029 06030 06031 06032 06033 06034 06035 06037 06039 06040 06041 06042 06043 06045 06050 06051 06052 06053 06057 06058 06059 06060 06061 06062 06063 06064 06065 06066 06067 06068 06069 06070 06071 06072 06073 06074 06075 06076 06077 06078 06079 06080 06081 06082 06083 06084 06085 06088 06089 06090 06091 06092 06093 06094 06095 06096 06098 06101 06102 06103 06104 06105 06106 06107 06108 06109 06110 06111 06112 06114 06115 06117 06118 06119 06120 06123 06126 06127 06128 06129 06131 06132

321 more ZIP codes map to this locality. The Hartford, CT 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.

76641 in nearby payment localities Copy link

Payment localities in the same region as Hartford, CT, nearest first. Each amount is that locality's own GPCI-adjusted office (non-facility) figure for 76641. Proximity doesn't imply similar pricing — neighbouring localities often differ.

76641 allowed amount in payment localities near Hartford, CT
Metro	Allowed amount	vs. Hartford, CT
Providence, RI	$102.94	-3.6%
Boston, MA	$115.51	+8.2%
New York City, NY	$114.82	+7.5%
Long Island, NY	$117.29	+9.8%
Queens, NY	$116.08	+8.7%
Northern New Jersey, NJ	$113.78	+6.5%

Every payment locality nationwide is on the CPT 76641 rate map.

Other codes priced in Hartford, CT Copy link

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

Other curated codes and their allowed amounts in Hartford, CT
Code	Service	Hartford, CT	vs. national
76700	Complete Abdominal Ultrasound	$121.79	+6.6%
76705	Limited Abdominal Ultrasound	$91.88	+6.6%
76536	Neck Soft-Tissue Ultrasound	$116.04	+6.9%
76856	Ultrasound	$112.26	+6.7%
76870	Ultrasound	$105.16	+6.7%
76817	Ultrasound	$98.84	+6.5%
76815	Ultrasound	$86.80	+6.5%
76801	Ultrasound	$124.32	+6.3%
76805	Ultrasound	$144.87	+6.6%
76816	Ultrasound	$118.43	+6.5%
76811	Ultrasound	$193.02	+6.0%
99213	Routine Follow-Up Office Visit	$100.45	+5.5%

Common questions Copy link

Which ZIP codes does the Hartford, CT rate for 76641 cover?

The CMS ZIP-to-locality crosswalk maps 421 ZIP codes to this payment locality, and every one of them prices 76641 identically. Examples include 06001, 06002, 06006, 06010, 06011, 06013.

Why is the 76641 rate in Hartford, CT 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 1.020, practice expense 1.077, malpractice 1.210 — scale each RVU component before the conversion factor is applied, which is why Hartford, CT allows more than the $100.20 baseline.

Does this 76641 rate apply everywhere in Connecticut?

Yes. CMS prices Connecticut as a single Medicare payment locality, so the same GPCIs — and the same allowed amount — apply statewide, not only in Hartford, CT. That includes New Haven, Bridgeport and Stamford. 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 76641 in Hartford, CT?

A non-participating provider is paid $101.45 — 95% of the $106.79 participating fee schedule amount. On an unassigned claim the limiting charge caps what the patient can be billed at $116.67, which is 115% of the non-participating amount.

How much of the Hartford, CT 76641 rate does Medicare actually pay?

Medicare pays 80% of the allowed amount ($85.43) once the annual Part B deductible is met, and the beneficiary owes 20% ($21.36). Sequestration reduces Medicare's share by about 2% ($1.71), leaving $83.72. 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 13102-00'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 8,676)

Geographic practice cost indices (Q3 2026) · rvu26c-updated-06-30-2026.zip (GPCI2026.csv row 38)

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 76641 in Hartford, CT against the release that governed that date. Past releases need a free account; today's rate does not.

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