Medicare fee schedule by locality · Q3 2026 release
New Jersey
New Jersey has 2 Medicare payment localities, each with its own GPCIs — the work GPCI alone ranges from 1.040 to 1.063 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 New Jersey
99213 non-facility amount by locality, Q3 2026 (before sequestration) — national baseline $95.19 .
| Locality | Work GPCI | PE GPCI | MP GPCI | 99213 amount |
|---|---|---|---|---|
| Northern Nj | 1.063 | 1.160 | 1.068 | $105.93 (+11.3%) |
| Rest of New Jersey | 1.040 | 1.092 | 1.097 | $101.71 (+6.8%) |
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 New Jersey?
New Jersey has 2 Medicare payment localities, each with its own work, practice-expense, and malpractice GPCIs.
Do Medicare rates vary within New Jersey?
Yes. New Jersey's 2 localities have different GPCIs — the work GPCI alone ranges from 1.040 to 1.063 , 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.