Medicare's 2026 rates in Madera, California

Medicare payment locality 58, run by contractor 01112, covers these counties: Madera. Its cost indices put code 99213, billed from an office, at $99.22, 4.2% above the national $95.19.

Cost indices for 2026

Work (national = 1.000): 1.017
Practice expense (national = 1.000): 1.096
Malpractice (national = 1.000): 0.536
ZIP codes CMS assigns to this locality: 13
Of those, split with another locality: 3

30 common codes priced for Madera

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	$140.94	$135.61	$84.93
99213	Visit or care management	$99.22	$95.19	$57.85
97110	Physical therapy or rehabilitation	$30.47	$29.06	none
97530	Physical therapy or rehabilitation	$37.09	$35.07	none
97112	Physical therapy or rehabilitation	$34.37	$32.73	none
97140	Physical therapy or rehabilitation	$29.06	$27.72	none
17003	Skin and soft tissue procedure	$6.85	$6.35	$1.72
88305	Lab test or pathology	$74.58	$70.14	none
93010	Heart test or procedure	$8.52	$8.35	$8.52
99309	Visit or care management	$117.88	$114.57	$100.31
99215	Visit or care management	$199.54	$192.39	$126.33
98941	Manipulation	$40.09	$38.41	$28.74
71045	Imaging	$26.97	$25.38	none
99204	Visit or care management	$183.04	$177.36	$116.78
99308	Visit or care management	$81.47	$78.83	$69.39
93000	Heart test or procedure	$16.02	$15.36	none
92014	Eye exam or test	$134.98	$127.26	$63.59
99203	Visit or care management	$121.64	$117.57	$71.13
95004	Allergy testing or treatment	$3.81	$3.67	none
92134	Eye exam or test	$34.68	$32.73	none
96372	Infusion, injection or chemotherapy	$16.20	$15.36	none
99490	Visit or care management	$68.53	$66.13	$44.01
90837	Mental health service	$172.69	$167.00	$137.91
93306	Heart test or procedure	$210.37	$196.73	none
99212	Visit or care management	$62.19	$59.45	$31.08
71046	Imaging	$35.31	$33.07	none
17000	Skin and soft tissue procedure	$70.17	$66.47	$49.67
77067	Imaging	$135.49	$126.26	none
95165	Allergy testing or treatment	$18.69	$17.37	$2.58
77063	Imaging	$53.89	$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.

Medicare's 2026 rates in Madera, California

Cost indices for 2026

30 common codes priced for Madera

Other localities in California