Medicare fee schedule by locality · Q3 2026 release
Maryland
Maryland has 2 Medicare payment localities, each with its own GPCIs — the work GPCI alone ranges from 1.010 to 1.016 across the state. National amounts use GPCI 1.000. Every row below shows what a common code pays once each locality's real GPCIs apply.
Localities in Maryland
99213 non-facility amount by locality, Q3 2026 (before sequestration) — national baseline $95.19.
| Locality | Work GPCI | PE GPCI | MP GPCI | 99213 amount |
|---|---|---|---|---|
| Baltimore/Surr. Counties | 1.016 | 1.073 | 1.237 | $100.16 (+5.2%) |
| Rest of Maryland | 1.010 | 1.012 | 0.918 | $95.97 (+0.8%) |
Need a different code or the facility rate? Use the rate calculator with any locality above selected.
Common questions
How many Medicare payment localities are in Maryland?
Maryland has 2 Medicare payment localities, each with its own work, practice-expense, and malpractice GPCIs.
Do Medicare rates vary within Maryland?
Yes. Maryland's 2 localities have different GPCIs — the work GPCI alone ranges from 1.010 to 1.016. The same code can therefore pay a different amount depending on where in the state it's billed.
Source & method
GPCIs and example rates computed from the CMS Medicare Physician Fee Schedule Q3 2026 release. Example amounts take the national non-facility figures and rescale them by each locality's GPCIs, before the ~2% sequestration cut. Releases are immutable: a rate retrieved for a past quarter always reflects that release.
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