Medicare's 2026 rates in San Francisco-Oakland-Berkeley (Marin County), California
Medicare payment locality 52, run by contractor 01112, covers these counties: Marin. Its cost indices put code 99213, billed from an office, at $117.69, 23.6% above the national $95.19.
Cost indices for 2026
- Work (national = 1.000)
- 1.095
- Practice expense (national = 1.000)
- 1.410
- Malpractice (national = 1.000)
- 0.459
- ZIP codes CMS assigns to this locality
- 41
30 common codes priced for San Francisco-Oakland-Berkeley (Marin 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 | $166.56 | $135.61 | $94.50 |
| 99213 | Visit or care management | $117.69 | $95.19 | $64.47 |
| 97110 | Physical therapy or rehabilitation | $35.92 | $29.06 | none |
| 97530 | Physical therapy or rehabilitation | $44.50 | $35.07 | none |
| 97112 | Physical therapy or rehabilitation | $40.58 | $32.73 | none |
| 97140 | Physical therapy or rehabilitation | $34.25 | $27.72 | none |
| 17003 | Skin and soft tissue procedure | $8.53 | $6.35 | $1.93 |
| 88305 | Lab test or pathology | $90.58 | $70.14 | none |
| 93010 | Heart test or procedure | $9.67 | $8.35 | $9.67 |
| 99309 | Visit or care management | $136.89 | $114.57 | $114.28 |
| 99215 | Visit or care management | $235.14 | $192.39 | $140.95 |
| 98941 | Manipulation | $46.58 | $38.41 | $31.98 |
| 71045 | Imaging | $33.26 | $25.38 | none |
| 99204 | Visit or care management | $215.10 | $177.36 | $129.85 |
| 99308 | Visit or care management | $94.93 | $78.83 | $79.38 |
| 93000 | Heart test or procedure | $19.24 | $15.36 | none |
| 92014 | Eye exam or test | $163.22 | $127.26 | $71.39 |
| 99203 | Visit or care management | $143.86 | $117.57 | $78.87 |
| 95004 | Allergy testing or treatment | $4.76 | $3.67 | none |
| 92134 | Eye exam or test | $42.26 | $32.73 | none |
| 96372 | Infusion, injection or chemotherapy | $19.56 | $15.36 | none |
| 99490 | Visit or care management | $80.50 | $66.13 | $48.95 |
| 90837 | Mental health service | $195.07 | $167.00 | $150.33 |
| 93306 | Heart test or procedure | $259.91 | $196.73 | none |
| 99212 | Visit or care management | $74.56 | $59.45 | $34.53 |
| 71046 | Imaging | $43.78 | $33.07 | none |
| 17000 | Skin and soft tissue procedure | $85.61 | $66.47 | $59.23 |
| 77067 | Imaging | $168.65 | $126.26 | none |
| 95165 | Allergy testing or treatment | $23.54 | $17.37 | $2.82 |
| 77063 | Imaging | $64.90 | $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
- El Centro
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