Medicare's 2026 rates in Los Angeles-Long Beach-Anaheim (Los Angeles/Orange County), California
Medicare payment locality 18, run by contractor 01182, covers these counties: Los Angeles /Oragnge Cnty. Its cost indices put code 99213, billed from an office, at $104.89, 10.2% above the national $95.19.
Cost indices for 2026
- Work (national = 1.000)
- 1.041
- Practice expense (national = 1.000)
- 1.183
- Malpractice (national = 1.000)
- 0.664
- ZIP codes CMS assigns to this locality
- 691
- Of those, split with another locality
- 6
30 common codes priced for Los Angeles-Long Beach-Anaheim (Los Angeles/Orange County)
Physician fee schedule amounts for 2026. Office is what Medicare allows when a doctor's office or clinic bills the code; facility is what it allows a doctor for the same work in a hospital or surgery center.
| Code | Category | Office here | Office national | Facility here |
|---|---|---|---|---|
| 99214 | Visit or care management | $148.89 | $135.61 | $88.44 |
| 99213 | Visit or care management | $104.89 | $95.19 | $60.24 |
| 97110 | Physical therapy or rehabilitation | $32.07 | $29.06 | none |
| 97530 | Physical therapy or rehabilitation | $39.23 | $35.07 | none |
| 97112 | Physical therapy or rehabilitation | $36.18 | $32.73 | none |
| 97140 | Physical therapy or rehabilitation | $30.58 | $27.72 | none |
| 17003 | Skin and soft tissue procedure | $7.32 | $6.35 | $1.79 |
| 88305 | Lab test or pathology | $79.17 | $70.14 | none |
| 93010 | Heart test or procedure | $8.90 | $8.35 | $8.90 |
| 99309 | Visit or care management | $124.00 | $114.57 | $105.03 |
| 99215 | Visit or care management | $210.68 | $192.39 | $131.65 |
| 98941 | Manipulation | $41.99 | $38.41 | $29.75 |
| 71045 | Imaging | $28.83 | $25.38 | none |
| 99204 | Visit or care management | $193.32 | $177.36 | $121.80 |
| 99308 | Visit or care management | $85.70 | $78.83 | $72.66 |
| 93000 | Heart test or procedure | $17.02 | $15.36 | none |
| 92014 | Eye exam or test | $143.12 | $127.26 | $66.07 |
| 99203 | Visit or care management | $128.72 | $117.57 | $74.20 |
| 95004 | Allergy testing or treatment | $4.13 | $3.67 | none |
| 92134 | Eye exam or test | $36.91 | $32.73 | none |
| 96372 | Infusion, injection or chemotherapy | $17.20 | $15.36 | none |
| 99490 | Visit or care management | $72.28 | $66.13 | $45.81 |
| 90837 | Mental health service | $179.29 | $167.00 | $141.75 |
| 93306 | Heart test or procedure | $224.61 | $196.73 | none |
| 99212 | Visit or care management | $65.97 | $59.45 | $32.39 |
| 71046 | Imaging | $37.78 | $33.07 | none |
| 17000 | Skin and soft tissue procedure | $74.79 | $66.47 | $52.67 |
| 77067 | Imaging | $144.98 | $126.26 | none |
| 95165 | Allergy testing or treatment | $20.09 | $17.37 | $2.70 |
| 77063 | Imaging | $57.14 | $51.10 | none |
Hospital outpatient rates and lab fee schedule amounts are national, so they are the same here as everywhere; each code page lists them.
Other localities in California
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