Fee schedules

Fee schedule lookup tool  Search for fees by a single code via the fee lookup tool. 

      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

      Locality 03 | Locality 03

      Locality 04 | Locality 04

      Locality 99 | Locality 99

      Download | Download Download | Download
      January
      2024

      Locality 03 | Locality 03

      Locality 04 | Locality 04

      Locality 99 | Locality 99

      Download | Download Download | Download
      March
      2024

      Locality 03 | Locality 03

      Locality 04 | Locality 04

      Locality 99 | Locality 99

        Download | Download
      January
      2023

      Locality 03 | Locality 03

      Locality 04 | Locality 04

      Locality 99 | Locality 99

      Download | Download Download | Download
      January
      2022

      Locality 03 | Locality 03

      Locality 04 | Locality 04

      Locality 99 | Locality 99

      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. 

      Learn more

      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

      January

      April

      January

      April

      January

      April

      2024 2024 ASC PIs

      January

      March

      January
      March

      January

      March

      2023 2023 ASC PIs

      January

      July

      January

      July

      January

      July

      2022 2022 ASC PIs

      January

      April

      July

      January

      April

      July

      January

      April

      July

      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

      2025 | 2024 | 2023 | 2022 

      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

      2025 | 2024 | 2023 | 2022

      Home infusion therapy

      2025 | 2024 | 2023 | 2022

      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.