Medicare Physician Fee Schedule · Q3 2026 release

CPT 93005 in Oklahoma City, OK 04312-00

93005 2026 C ·

04312-00 A Active

Non-facility Facility

Allowed amount

$6.22

in a doctor’s own office or clinic

88.7% of the $7.01 national baseline

Medicare payment: $4.98
Patient / secondary: $1.24
Expected total to provider: $6.22

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	0.00	× 1.000	0.0000
Practice expense	0.20	× 0.893	0.1786
Malpractice	0.01	× 0.777	0.0078
Sum of adjusted RVUs			0.1864
× 33.4009 conversion factor			$6.22

Citations

Physician relative value file (PPRRVU) PPRRVU2026_Jul_nonQPP.csv in rvu26c-updated-06-30-2026.zip (row 11,873)

hcpcs (col 1)

93005

status_code (col 4)

A

work_rvu (col 6)

0

pe_rvu_nonfacility (col 7)

0.2

pe_rvu_facility (col 9)

0.2

mp_rvu (col 11)

0.01
Geographic practice cost indices (GPCI) GPCI2026.csv in rvu26c-updated-06-30-2026.zip (row 86)

work_gpci (col 5)

1

pe_gpci (col 6)

0.893

mp_gpci (col 7)

0.777
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 93005 in Oklahoma City, OK? Copy link

The Medicare allowed amount is $6.22 in the office (non-facility) and facility settings, under the Q3 2026 Physician Fee Schedule. That is 11.3% 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 Oklahoma City, OK in? Copy link

CMS prices all of Oklahoma as one Medicare payment locality, so this amount applies statewide, including Tulsa, Norman and Broken Arrow — not only in Oklahoma City, OK.

Why Oklahoma City, OK differs from the national amount Copy link

Oklahoma City, OK (this locality)

$6.22

National PFS baseline (GPCI 1.000)

$7.01

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 Oklahoma City, OK at 11.3% below the national baseline.

Work GPCI

1.000

Practice expense GPCI

0.893

Malpractice GPCI

0.777

2026 conversion factor

$33.4009

Formula and inputs Copy link

The office (non-facility) amount for 93005 in Oklahoma City, OK: each component's RVU times its GPCI, summed, then multiplied by the conversion factor.

RVU and GPCI components of the Oklahoma City, OK allowed amount for 93005
Component	RVU	× GPCI	= Adjusted RVU
Work	0.00	1.000	0.0000
Practice expense	0.20	0.893	0.1786
Malpractice	0.01	0.777	0.0078
Sum of adjusted RVUs			0.1864
× $33.4009 2026 conversion factor			$6.22

Participating, non-participating and limiting charge Copy link

All figures are for the office (non-facility) setting in Oklahoma City, OK. 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 93005 in Oklahoma City, OK
Participating allowed amount The fee schedule amount a participating provider accepts as payment in full.	$6.22
Non-participating allowed amount 95% of the participating amount.	$5.91
Limiting charge Ceiling a non-participating provider may bill the patient on an unassigned claim — 115% of the non-participating amount.	$6.80
Medicare program payment 80% of the allowed amount, once the annual Part B deductible is met.	$4.98
Beneficiary coinsurance The remaining 20%.	$1.24
Sequestration adjustment Reduces Medicare's share only — never the allowed amount, and never the patient's share.	$0.10
Medicare pays after sequestration Program payment net of the sequestration reduction.	$4.88

Contracted rate: % of Medicare in Oklahoma City, OK 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 — $6.22 in the office (non-facility) setting — not the $7.01 national baseline.

Opens the calculator already set to Oklahoma City, OK 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 Oklahoma City, OK rate covers Copy link

The CMS ZIP-to-locality crosswalk maps 792 ZIP codes to this payment locality. 93005 prices identically in every one of them.

73001 73002 73003 73004 73005 73006 73007 73008 73009 73010 73011 73012 73013 73014 73015 73016 73017 73018 73019 73020 73021 73022 73023 73024 73025 73026 73027 73028 73029 73030 73031 73032 73033 73034 73035 73036 73038 73039 73040 73041 73042 73043 73044 73045 73046 73047 73048 73049 73050 73051 73052 73053 73054 73055 73056 73057 73058 73059 73061 73062 73063 73064 73065 73066 73067 73068 73069 73070 73071 73072 73073 73074 73075 73076 73077 73078 73079 73080 73081 73082 73083 73084 73085 73086 73087 73088 73089 73090 73091 73092 73093 73094 73095 73096 73097 73098 73099 73101 73102 73103

692 more ZIP codes map to this locality. The Oklahoma City, OK 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.

93005 in nearby payment localities Copy link

Payment localities in the same region as Oklahoma City, OK, nearest first. Each amount is that locality's own GPCI-adjusted office (non-facility) figure for 93005. Proximity doesn't imply similar pricing — neighbouring localities often differ.

93005 allowed amount in payment localities near Oklahoma City, OK
Metro	Allowed amount	vs. Oklahoma City, OK
Wichita, KS	$6.21	-0.2%
Dallas, TX	$6.94	+11.6%
Fort Worth, TX	$6.88	+10.6%
Austin, TX	$7.36	+18.3%
Houston, TX	$7.09	+14.0%
Albuquerque, NM	$6.53	+5.0%

Every payment locality nationwide is on the CPT 93005 rate map.

Other codes priced in Oklahoma City, OK Copy link

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

Other curated codes and their allowed amounts in Oklahoma City, OK
Code	Service	Oklahoma City, OK	vs. national
93010	Heart Tracing Reading	$8.03	-3.8%
93000	Heart Tracing	$14.25	-7.2%
93306	Heart Ultrasound	$180.45	-8.3%
93880	Carotid Artery Duplex Study	$171.22	-9.4%
93970	Bilateral Extremity Venous Duplex Study	$166.43	-9.6%
93015	Complete Cardiovascular Stress Test	$68.07	-7.4%
75574	Cardiac diagnostics	$298.56	-8.3%
99213	Routine Follow-Up Office Visit	$89.30	-6.2%
99214	Long Follow-Up Office Visit	$127.42	-6.0%
66984	Cataract Surgery	$436.64	-5.6%
92014	Full Eye Exam, Returning Patient	$118.56	-6.8%
99204	Long New Patient Office Visit	$166.74	-6.0%

Common questions Copy link

Which ZIP codes does the Oklahoma City, OK rate for 93005 cover?

The CMS ZIP-to-locality crosswalk maps 792 ZIP codes to this payment locality, and every one of them prices 93005 identically. Examples include 73001, 73002, 73003, 73004, 73005, 73006.

Why is the 93005 rate in Oklahoma City, OK 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 0.893, malpractice 0.777 — scale each RVU component before the conversion factor is applied, which is why Oklahoma City, OK allows less than the $7.01 baseline.

Does this 93005 rate apply everywhere in Oklahoma?

Yes. CMS prices Oklahoma as a single Medicare payment locality, so the same GPCIs — and the same allowed amount — apply statewide, not only in Oklahoma City, OK. That includes Tulsa, Norman and Broken Arrow. 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 93005 in Oklahoma City, OK?

A non-participating provider is paid $5.91 — 95% of the $6.22 participating fee schedule amount. On an unassigned claim the limiting charge caps what the patient can be billed at $6.80, which is 115% of the non-participating amount.

How much of the Oklahoma City, OK 93005 rate does Medicare actually pay?

Medicare pays 80% of the allowed amount ($4.98) once the annual Part B deductible is met, and the beneficiary owes 20% ($1.24). Sequestration reduces Medicare's share by about 2% ($0.10), leaving $4.88. 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 04312-00'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 11,873)

Geographic practice cost indices (Q3 2026) · rvu26c-updated-06-30-2026.zip (GPCI2026.csv row 86)

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 93005 in Oklahoma City, OK against the release that governed that date. Past releases need a free account; today's rate does not.

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