We have received the final fee schedule released by the federal register on December 4. As anticipated, there is a decrease in the conversion rate effective January 1, 2021 dates of service of approximately 10%. This is both for anesthesia and general surgical conversation rates. ⦁ The national Anesthesia Conversion Rate will drop from $22.20 in 2020 to $20.06 in 2021 ⦁ The national Surgical Conversion Rate will drop from $36.09 in 2020 to $32.41 in 2021 Your particular area rate is based on the national conversion rate with locality adjustments. The following is a list of areas we service and their 2021 conversion rate vs 2020.
Area | County | Jan-20 | Jan-21 | |
Southern CA | 71 | Imperial/El Centro | $ 22.32 | $ 20.19 |
18 | Los Angeles | $ 23.25 | $ 21.04 | |
26 | Orange | $ 23.25 | $ 21.04 | |
72 | San Diego | $ 22.71 | $ 20.56 | |
17 | Ventura (1) | $ 22.85 | $ 20.69 | |
Northern CA | 7 | Alameda-E Bay/Oakland | $ 23.88 | $ 21.59 |
7 | Contra Costa | $ 23.88 | $ 21.59 | |
75 | Humboldt | $ 22.29 | $ 20.16 | |
75 | Lake | $ 22.29 | $ 20.16 | |
52 | Marin | $ 23.70 | $ 21.50 | |
64 | Monterey/Salinas | $ 22.90 | $ 20.83 | |
51 | Napa | $ 23.20 | $ 20.79 | |
63 | Placerville | $ 22.48 | $ 20.35 | |
62 | Riverside | $ 22.63 | $ 20.55 | |
63 | Sacramento | $ 22.48 | $ 20.35 | |
65 | San Benito | $ 23.83 | $ 22.88 | |
62 | San Bernardino | $ 22.63 | $ 20.55 | |
5 | San Francisco | $ 23.88 | $ 21.59 | |
68 | San Joaquin/ Stockton/ Lodi | $ 22.29 | $ 20.16 | |
6 | San Mateo | $ 23.88 | $ 21.59 | |
74 | Santa Barbara | $ 22.72 | $ 20.62 | |
9 | Santa Clara | $ 24.21 | $ 22.00 | |
66 | Santa Cruz | $ 22.84 | $ 20.76 | |
53 | Solana/Vallejo | $ 23.20 | $ 20.79 | |
67 | Sonoma/ Santa Rosa | $ 22.77 | $ 20.69 | |
60 | Stanisalus/Modesto | $ 22.29 | $ 20.16 | |
OR | 99 | Oregon | $ 21.59 | $ 19.06 |
WI | Wisconsin | $ 21.11 | $ 18.65 |