Fee schedules
Download full fee schedules (PDF or ZIP)
Note: These downloads exclude local contractor priced (c-priced) fees and specialties. Refer to the applicable tab for additional fees.
To search or download previously posted fees, visit the fee schedule search on CMS.gov.
*Florida fees vary by locality. Unsure which locality to use? Find it here.
| Year | Florida | Puerto Rico | U.S. Virgin Islands |
|---|---|---|---|
| January 2025 |
Download | Download | Download | Download | |
| January 2024 |
Download | Download | Download | Download | |
| March 2024 |
Download | Download | ||
| January 2023 |
Download | Download | Download | Download | |
| January 2022 |
Download | Download | Download | Download |
First Coast allowances for not-otherwise classified (NOC) drugs that have not been priced by CMS are typically paid using 106% or 103% of the wholesale acquisition cost (WAC), depending on the year.
Contractor priced fees
| Year | Florida | Puerto Rico | U.S. Virgin Islands |
|---|---|---|---|
| 2025 | Download | Download | Download | Download | Download | Download |
| 2024 | Download | Download | Download | Download | Download | Download |
| 2023 | Download | Download | Download | Download | Download | Download |
| 2022 | Download | Download | Download | Download | Download | Download |
As of 2008, CMS adjusted ASC rates for geographic differences in wages using the geographic locality definitions initially established in 2003 by the Office of Management and Budget (OMB). Ambulatory Surgical Centers (ASCs) need to know their CBSA code in order to determine the correct fees.
Each year CMS updates the list of payment indicators PI) for procedures provided in an ASC. View the PI and download ASC fee files below.
ASC Fees
| Year | Payment indicators (PI) |
Florida | Puerto Rico | U.S. Virgin Islands |
|---|---|---|---|---|
| 2025 | n/a | |||
| 2024 | 2024 ASC PIs | January March |
||
| 2023 | 2023 ASC PIs | |||
| 2022 | 2022 ASC PIs |
Radiopharmaceutical
| Year | Florida | Puerto Rico | U.S. Virgin Islands |
|---|---|---|---|
| 2025 | Download | Download | Download |
| 2024 | Download | Download | Download |
| 2023 | Download | Download | Download |
| 2022 | Download | Download | Download |
Anesthesia conversion factor
| Year | Florida | Puerto Rico | U.S. Virgin Islands |
|---|---|---|---|
| 2025 | View | View | View |
| 2024 (1/1 - 3/8) | View | View | View |
| 2024 (3/9 - 12/31) | View | View | View |
| 2023 | View | View | View |
Ambulance
Vaccines
Vaccine administration reimbursement for influenza, pneumococcal, and hepatitis B
2025* | 2024 | 2023 | 2022
*coming soon
Note: Hepatitis B not available prior to 2024
Opioid treatment program
Home infusion therapy
Transport of portable x-ray
Differences between fee schedule file types
This article explains the differences between the First Coast Part B fee schedule lookup, PDF files, and zipped text files.
Finding fee schedule policy indicators
How to find policy indicators such as global days for a service, relative value units (RVUs) for a particular code, and more.
Determining the correct locality
This article will help finding the correct locality fee schedule.
Fee schedule par, non-par, and limiting charge explanation
Definitions of par fee, nonpar fee, and limiting charge in the Medicare Physician Fee Schedule.
Florida payment localities by county
Here is a listing of the counties comprising each payment locality in Florida.
Medicare physician fee schedule payment policy indicators
This provides definitions of the national policy indicators for each procedure code (and modifier, where applicable) on the Medicare physician fee schedule database (MPFSDB).
ZIP codes requiring a nine-digit ZIP code (ZIP +4)
To access a file containing the quarterly additions and deletions to the list of ZIP codes requiring a plus four extension, refer to this link to the CMS website.
Fee development process of new drug code pricing
View this article for information regarding local contractor pricing.
Federal sequestration payment reduction
Find information pertaining to the 2% reduction in Medicare payments due to sequestration.
Anesthesia conversion factors
These are the anesthesia conversion factors used to compute allowable amounts for anesthesia services under CPT codes 00100 to 01999.
National fee schedule lookup
Search for national pricing information.
General fee schedule information
Locate fee-related links and resources.
Medicare Part B drug average sales price
Visit the Medicare Part B drug average sales price page on the CMS website.
Durable medical equipment fee schedule (download files)
The DMEPOS fee schedule files are located in the download section of this page.
Alpha-numeric HCPCS code information
This page includes links to files that contain the Level II alphanumeric Healthcare Procedural Coding System (HCPCS) procedure and modifier codes; their long and short descriptions; and applicable Medicare administrative, coverage, and pricing data.
Clinical laboratory fee schedule (download files)
The clinical laboratory fee schedule files are located in the download section of this page.
Fee schedule lookup tool