Appendix L - High Cost Centers for Meal Reimbursement 2021-23 contract

Metropolitan Area 

Cities and Counties Included in High Cost Center 

Atlanta, GA 

Clayton, De Kalb, Fulton, Cobb and Gwinett Counties 

Baltimore, MD 

Baltimore and Harford Counties 

Boston, MA 

Norfolk, Suffolk, Middlesex, and Essex Counties in Massachusetts  

Chicago, IL 

Du Page, Cook and Lake Counties 

Cleveland, OH 

Cuyahoga County 

Dallas/Fort Worth, TX 

Dallas and Tarrant Counties 

Denver, CO 

Denver, Adams, Arapahoe and Jefferson Counties 

Detroit, MI 

Wayne, Macomb and Oakland Counties 

Hartford, CT 

Hartford and Middlesex Counties 

Houston, TX 

Harris County; LBJ Space Center and Ellington AFB 

Kansas City, KS 

Johnson and Wyandotte Counties in Kansas (see also Kansas City, MO)  

Kansas City, MO 

Clay, Jackson and Platte Counties in Missouri (see also Kansas City, KS)  

Los Angeles, CA 

Los Angeles, Kern, Orange and Ventura Counties; Edwards AFB; Naval Weapons Center and Ordinance Test Station 

Miami, FL 

Dade County 

New Orleans, LA 

Parishes of Jefferson, Orleans, Plaquemines and St. Bernard 

New York City, NY 

The Boroughs of the Bronx, Brooklyn, Manhattan, Queens and Staten Island and the Counties of Nassau, New York, Richmond, Suffolk and Westchester in New York State; Fairfield County in Connecticut and the Counties of Bergan, Essex, Hudson, Middlesex, Passaic and Union in New Jersey 

Philadelphia, PA 

The Counties of Bucks, Chester, Delaware, Montgomery and Philadelphia in Pennsylvania and the Counties of Burlington and Glochester in New Jersey 

Portland, OR 

Multnomah County 

San Diego, CA 

San Diego County 

San Francisco, CA 

The Counties of San Francisco, Sonoma, Marin, San Mateo, Santa Clara, Santa Cruz, Contra Costa, Alameda, Santa Barbara 

Seattle, WA 

King County 

St. Louis, MO 

St. Charles and St. Louis Counties 

Washington D.C. 

Cities of Alexandria, Falls Church, Fairfax; the Counties of Arlington, Loudoun and Fairfax in Virginia; and the Counties of Montgomery and Prince Georges in Maryland