Medicare's 2026 rates in Rest of California, California

Medicare payment locality 75, run by contractor 01112, covers every county in California not in another locality. 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: 293
Of those, split with another locality: 8

30 common codes priced for Rest of California

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 Rest of California, California

Cost indices for 2026

30 common codes priced for Rest of California

Other localities in California