Skip to Main Content
 
 
 
Web Content Viewer

Fee Schedules and Pricers

Web Content Viewer

Federally Qualified Health Center Payment Limits

Payment Limit*    
Rural Urban Annual Adjustment Period Covered
$112.56 $130.05 0.80% 01/01/2015–12/31/2015
$111.67 $129.02 0.80% 01/01/2014–12/31/2014
$110.78 $128.00 0.80% 01/01/2013–12/31/2013
$109.90 $126.98 0.60% 01/01/2012–12/31/2012
$109.24 $126.22 0.40% 01/01/2011–12/31/2011
$108.81 $125.72 1.2% plus $5.00** 01/01/2010–12/31/2010
$102.58 $119.29 1.6% 01/01/2009–12/31/2009
$100.96 $117.41 1.81% 01/01/2008–12/31/2008
$99.17 $115.33 2.10% 01/01/2007–12/31/2007
$97.13 $112.96 2.80% 01/01/2006–12/31/2006
$94.48 $109.88 3.10% 01/01/2005–12/31/2005
$91.64 $106.58 2.90% 01/01/2004–12/31/2004
$89.06 $103.58 3.00% 03/01/2003–12/31/2003
$88.71 $103.18 2.60% 01/01/2003–02/28/2003
$86.47 $100.57 2.60% 01/01/2002–12/31/2002
$84.28 $98.03 2.10% 01/01/2001–12/31/2001
$82.55 $96.02 2.40% 01/01/2000–12/31/2000
$80.62 $93.77 2.30% 01/01/1999–12/31/1999
$78.81 $91.66 2.20% 01/01/1998–12/31/1998
$77.11 $89.69 2.00% 01/01/1997–12/31/1997
$75.60 $87.93 4.09% 01/01/1996–12/31/1996
$72.63 $84.47 4.28% 01/01/1995–12/31/1995
$69.65 $81.00 5.98% 01/01/1994–12/31/1994
$65.72 $76.43 2.70% 01/01/1993–12/31/1993
$63.99 $74.42 2.80% 01/01/1992–12/31/1992
$62.25 $72.39   10/01/1991–12/31/1991

* Payment limits are obtained from the CMS Publication 27, Medicare Rural Health Clinic and Federally Qualified Health Center Manual, Section 505.2 and corresponding updates.

** Additional $5.00 is mandated by Section 151 of the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008.

Federally Qualified Health Center Payment Limits
Web Content Viewer
Web Content Viewer
Complementary Content