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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 actually 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 , so the same code can 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 are national non-facility figures rescaled by each locality's GPCIs, before the ~2% sequestration cut. Releases are immutable; a rate retrieved for a past quarter always reflects that release.