Medicare's 2026 rates in San Luis Obispo-Paso Robles, California
Medicare payment locality 73, run by contractor 01182, covers these counties: San Luis Obispo. Its cost indices put code 99213, billed from an office, at $101.31, 6.4% above the national $95.19.
Cost indices for 2026
- Work (national = 1.000)
- 1.017
- Practice expense (national = 1.000)
- 1.139
- Malpractice (national = 1.000)
- 0.536
- ZIP codes CMS assigns to this locality
- 36
- Of those, split with another locality
- 2
30 common codes priced for San Luis Obispo-Paso Robles
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 | $143.81 | $135.61 | $85.61 |
| 99213 | Visit or care management | $101.31 | $95.19 | $58.32 |
| 97110 | Physical therapy or rehabilitation | $31.06 | $29.06 | none |
| 97530 | Physical therapy or rehabilitation | $37.95 | $35.07 | none |
| 97112 | Physical therapy or rehabilitation | $35.04 | $32.73 | none |
| 97140 | Physical therapy or rehabilitation | $29.62 | $27.72 | none |
| 17003 | Skin and soft tissue procedure | $7.07 | $6.35 | $1.74 |
| 88305 | Lab test or pathology | $76.51 | $70.14 | none |
| 93010 | Heart test or procedure | $8.62 | $8.35 | $8.62 |
| 99309 | Visit or care management | $119.85 | $114.57 | $101.59 |
| 99215 | Visit or care management | $203.49 | $192.39 | $127.40 |
| 98941 | Manipulation | $40.74 | $38.41 | $28.94 |
| 71045 | Imaging | $27.78 | $25.38 | none |
| 99204 | Visit or care management | $186.58 | $177.36 | $117.72 |
| 99308 | Visit or care management | $82.87 | $78.83 | $70.32 |
| 93000 | Heart test or procedure | $16.40 | $15.36 | none |
| 92014 | Eye exam or test | $138.35 | $127.26 | $64.17 |
| 99203 | Visit or care management | $124.17 | $117.57 | $71.67 |
| 95004 | Allergy testing or treatment | $3.94 | $3.67 | none |
| 92134 | Eye exam or test | $35.62 | $32.73 | none |
| 96372 | Infusion, injection or chemotherapy | $16.61 | $15.36 | none |
| 99490 | Visit or care management | $69.84 | $66.13 | $44.35 |
| 90837 | Mental health service | $174.41 | $167.00 | $138.27 |
| 93306 | Heart test or procedure | $216.68 | $196.73 | none |
| 99212 | Visit or care management | $63.66 | $59.45 | $31.32 |
| 71046 | Imaging | $36.40 | $33.07 | none |
| 17000 | Skin and soft tissue procedure | $72.09 | $66.47 | $50.79 |
| 77067 | Imaging | $139.78 | $126.26 | none |
| 95165 | Allergy testing or treatment | $19.34 | $17.37 | $2.60 |
| 77063 | Imaging | $55.20 | $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.
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