Medicare's 2026 rates in Napa, California
Medicare payment locality 51, run by contractor 01112, covers these counties: Napa. Its cost indices put code 99213, billed from an office, at $111.96, 17.6% above the national $95.19.
Cost indices for 2026
- Work (national = 1.000)
- 1.063
- Practice expense (national = 1.000)
- 1.318
- Malpractice (national = 1.000)
- 0.508
- ZIP codes CMS assigns to this locality
- 12
- Of those, split with another locality
- 2
30 common codes priced for Napa
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 | $158.59 | $135.61 | $91.24 |
| 99213 | Visit or care management | $111.96 | $95.19 | $62.21 |
| 97110 | Physical therapy or rehabilitation | $34.20 | $29.06 | none |
| 97530 | Physical therapy or rehabilitation | $42.21 | $35.07 | none |
| 97112 | Physical therapy or rehabilitation | $38.61 | $32.73 | none |
| 97140 | Physical therapy or rehabilitation | $32.61 | $27.72 | none |
| 17003 | Skin and soft tissue procedure | $8.02 | $6.35 | $1.86 |
| 88305 | Lab test or pathology | $85.69 | $70.14 | none |
| 93010 | Heart test or procedure | $9.29 | $8.35 | $9.29 |
| 99309 | Visit or care management | $130.86 | $114.57 | $109.73 |
| 99215 | Visit or care management | $224.04 | $192.39 | $135.99 |
| 98941 | Manipulation | $44.48 | $38.41 | $30.83 |
| 71045 | Imaging | $31.38 | $25.38 | none |
| 99204 | Visit or care management | $205.12 | $177.36 | $125.44 |
| 99308 | Visit or care management | $90.66 | $78.83 | $76.13 |
| 93000 | Heart test or procedure | $18.26 | $15.36 | none |
| 92014 | Eye exam or test | $154.55 | $127.26 | $68.70 |
| 99203 | Visit or care management | $137.00 | $117.57 | $76.25 |
| 95004 | Allergy testing or treatment | $4.49 | $3.67 | none |
| 92134 | Eye exam or test | $39.96 | $32.73 | none |
| 96372 | Infusion, injection or chemotherapy | $18.53 | $15.36 | none |
| 99490 | Visit or care management | $76.75 | $66.13 | $47.26 |
| 90837 | Mental health service | $187.38 | $167.00 | $145.55 |
| 93306 | Heart test or procedure | $245.03 | $196.73 | none |
| 99212 | Visit or care management | $70.77 | $59.45 | $33.36 |
| 71046 | Imaging | $41.25 | $33.07 | none |
| 17000 | Skin and soft tissue procedure | $80.96 | $66.47 | $56.30 |
| 77067 | Imaging | $158.75 | $126.26 | none |
| 95165 | Allergy testing or treatment | $22.11 | $17.37 | $2.74 |
| 77063 | Imaging | $61.52 | $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
- Bakersfield
- Chico
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