Medicare Reimbursement for CPT 14001

CPT 14001 is a procedure code defined by the American Medical Association; the descriptor itself isn't reproduced here due to licensing restrictions. This page shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount for this code, both at the national level and adjusted for locality, and separately for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$857.74	$601.88
ALASKA* (AK)	$1009.88	$737.39
ALABAMA (AL)	$769.43	$545.56
ARKANSAS (AR)	$758.38	$538.60
ARIZONA (AZ)	$833.86	$585.94
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$1065.72	$704.97
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$1085.04	$716.10
OXNARD-THOUSAND OAKS-VENTURA (CA)	$939.38	$636.96
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$945.85	$643.17
NAPA (CA)	$1013.49	$676.28
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$1067.57	$706.82
VALLEJO (CA)	$1010.82	$673.61
BAKERSFIELD (CA)	$891.55	$611.14
CHICO (CA)	$887.00	$606.59
FRESNO (CA)	$887.00	$606.59
HANFORD-CORCORAN (CA)	$887.00	$606.59
MADERA (CA)	$887.00	$606.59
MERCED (CA)	$887.00	$606.59
MODESTO (CA)	$887.00	$606.59
REDDING (CA)	$887.00	$606.59
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$904.55	$624.13
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$927.10	$629.54
SALINAS (CA)	$923.60	$627.07
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$1092.61	$723.67
SANTA CRUZ-WATSONVILLE (CA)	$949.71	$638.86
SANTA ROSA-PETALUMA (CA)	$959.01	$644.83
STOCKTON (CA)	$887.00	$606.59
VISALIA (CA)	$887.00	$606.59
YUBA CITY (CA)	$887.00	$606.59
EL CENTRO (CA)	$887.27	$606.86
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$942.78	$636.79
SAN LUIS OBISPO-PASO ROBLES (CA)	$909.25	$617.84
SANTA MARIA-SANTA BARBARA (CA)	$926.36	$628.04
REST OF CALIFORNIA (CA)	$887.00	$606.59
COLORADO (CO)	$882.36	$610.13
CONNECTICUT (CT)	$914.72	$639.17
DC + MD/VA SUBURBS (DC)	$971.42	$670.03
DELAWARE (DE)	$847.46	$594.68
FORT LAUDERDALE (FL)	$908.45	$649.27
MIAMI (FL)	$962.19	$695.85
REST OF FLORIDA (FL)	$862.36	$617.76
ATLANTA (GA)	$877.81	$617.87
REST OF GEORGIA (GA)	$812.31	$584.09
HAWAII, GUAM (HI)	$905.70	$614.79
IOWA (IA)	$780.93	$546.82
IDAHO (ID)	$787.65	$552.27
EAST ST. LOUIS (IL)	$871.55	$636.17
SUBURBAN CHICAGO (IL)	$915.74	$652.98
CHICAGO (IL)	$932.83	$675.70
REST OF ILLINOIS (IL)	$843.37	$609.78
INDIANA (IN)	$791.98	$554.81
KANSAS (KS)	$781.06	$549.77
KENTUCKY (KY)	$795.68	$568.23
NEW ORLEANS (LA)	$834.61	$593.86
REST OF LOUISIANA (LA)	$795.95	$569.52
METROPOLITAN BOSTON (MA)	$963.84	$658.35
REST OF MASSACHUSETTS (MA)	$878.68	$609.27
BALTIMORE/SURR. CNTYS (MD)	$912.98	$638.45
REST OF MARYLAND (MD)	$862.34	$603.42
SOUTHERN MAINE (ME)	$832.99	$579.44
REST OF MAINE (ME)	$795.77	$560.38
DETROIT (MI)	$876.98	$630.08
REST OF MICHIGAN (MI)	$819.75	$586.15
MINNESOTA (MN)	$834.41	$571.14
METROPOLITAN ST. LOUIS (MO)	$833.01	$589.44
METROPOLITAN KANSAS CITY (MO)	$824.92	$584.68
REST OF MISSOURI (MO)	$784.92	$564.38
MISSISSIPPI (MS)	$771.61	$551.32
MONTANA** (MT)	$857.63	$601.78
NORTH CAROLINA (NC)	$803.42	$564.71
NORTH DAKOTA** (ND)	$825.40	$569.54
NEBRASKA (NE)	$784.03	$547.88
NEW HAMPSHIRE (NH)	$872.14	$605.80
NORTHERN NJ (NJ)	$962.23	$665.44
REST OF NEW JERSEY (NJ)	$922.05	$642.66
NEW MEXICO (NM)	$825.74	$591.12
NEVADA** (NV)	$849.16	$593.05
MANHATTAN (NY)	$991.75	$694.45
NYC SUBURBS/LONG ISLAND (NY)	$1020.48	$716.27
POUGHKPSIE/N NYC SUBURBS (NY)	$931.19	$651.03
QUEENS (NY)	$994.26	$691.84
REST OF NEW YORK (NY)	$815.70	$572.64
OHIO (OH)	$813.16	$579.57
OKLAHOMA (OK)	$790.23	$561.76
PORTLAND (OR)	$905.80	$621.55
REST OF OREGON (OR)	$839.50	$584.67
METROPOLITAN PHILADELPHIA (PA)	$894.60	$628.26
REST OF PENNSYLVANIA (PA)	$812.32	$577.44
PUERTO RICO (PR)	$862.61	$603.94
RHODE ISLAND (RI)	$874.36	$610.07
SOUTH CAROLINA (SC)	$810.25	$573.84
SOUTH DAKOTA** (SD)	$821.58	$565.73
TENNESSEE (TN)	$785.45	$552.88
BRAZORIA (TX)	$843.39	$589.84
DALLAS (TX)	$850.51	$595.68
GALVESTON (TX)	$847.04	$592.98
HOUSTON (TX)	$876.87	$622.81
BEAUMONT (TX)	$807.31	$574.48
FORT WORTH (TX)	$846.04	$593.77
AUSTIN (TX)	$882.11	$611.42
REST OF TEXAS (TX)	$826.07	$583.27
UTAH (UT)	$821.14	$580.64
VIRGINIA (VA)	$832.93	$581.43
VIRGIN ISLANDS (VI)	$862.61	$603.94
VERMONT (VT)	$825.67	$572.37
SEATTLE (KING CNTY) (WA)	$979.51	$665.58
REST OF WASHINGTON (WA)	$875.86	$606.45
WISCONSIN (WI)	$798.33	$553.23
WEST VIRGINIA (WV)	$813.42	$591.09
WYOMING** (WY)	$843.58	$587.73

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Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 2 units per patient per day — Date of Service Edit: Clinical. Units above the MUE are denied; some MUEs can be exceeded only with appropriate documentation and modifiers where policy allows.

How the amount is calculated

Medicare's PFS amount is built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — assigned to the code. Each RVU component is adjusted by the Geographic Practice Cost Index (GPCI) for the specific locality where the service is performed, reflecting regional cost differences. The adjusted RVUs are summed and multiplied by the annual national conversion factor (a dollar figure set each year by CMS) to produce the allowed amount. Non-facility and facility amounts differ primarily because the practice-expense RVU is higher in non-facility settings (e.g., an office) where the practice absorbs more overhead, versus facility settings (e.g., hospital) where the facility bears those costs.

RVUs — work 8.56, practice expense 15.49 (non-facility) / 7.83 (facility), malpractice 1.63 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only, not a guarantee of payment.
Medicare typically pays 80% of the allowed amount after the patient meets the annual deductible; the patient or secondary insurer is responsible for the remainder.
Actual payment can vary by locality, applicable modifiers, claim-specific circumstances, and annual budget-neutrality adjustments.
Sequestration or other federal payment adjustments may reduce the actual amount received.
Always verify the current allowed amount and coverage rules with your Medicare Administrative Contractor (MAC) before billing or making financial decisions.

Frequently asked

Why is the facility amount lower than the non-facility amount?

In facility settings, the facility (e.g., hospital) bills separately for overhead costs like equipment and supplies, so the physician's practice-expense RVU — and therefore the allowed amount — is lower than when the same service is performed in a non-facility setting like an office.

Does this amount reflect what the patient will owe?

No. The figures shown are the Medicare-allowed amounts before cost-sharing. Patients generally owe 20% coinsurance after meeting the deductible, and this can be affected by secondary coverage or other adjustments.

Why might the amount I receive differ from what's shown here?

Local GPCI adjustments, applied modifiers, claim-specific circumstances, sequestration, and annual budget-neutrality changes can all affect the final paid amount relative to the national estimate.

Can I use this figure to bill the patient directly?

No. This is an informational estimate. Actual billing and collection amounts should be confirmed against your specific MAC's fee schedule and your payer contracts.

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Estimated Medicare Physician Fee Schedule amount. Medicare generally pays 80% after the deductible; actual amounts vary by locality, modifiers, sequestration, and annual updates. Verify with your MAC.