Medicare's 2026 rates in Santa Cruz-Watsonville, California
Medicare payment locality 66, run by contractor 01112, covers these counties: Santa Cruz. Its cost indices put code 99213, billed from an office, at $105.19, 10.5% above the national $95.19.
Cost indices for 2026
- Work (national = 1.000)
- 1.021
- Practice expense (national = 1.000)
- 1.215
- Malpractice (national = 1.000)
- 0.536
- ZIP codes CMS assigns to this locality
- 21
- Of those, split with another locality
- 1
30 common codes priced for Santa Cruz-Watsonville
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 | $149.15 | $135.61 | $87.06 |
| 99213 | Visit or care management | $105.19 | $95.19 | $59.34 |
| 97110 | Physical therapy or rehabilitation | $32.16 | $29.06 | none |
| 97530 | Physical therapy or rehabilitation | $39.53 | $35.07 | none |
| 97112 | Physical therapy or rehabilitation | $36.30 | $32.73 | none |
| 97140 | Physical therapy or rehabilitation | $30.67 | $27.72 | none |
| 17003 | Skin and soft tissue procedure | $7.45 | $6.35 | $1.77 |
| 88305 | Lab test or pathology | $80.04 | $70.14 | none |
| 93010 | Heart test or procedure | $8.82 | $8.35 | $8.82 |
| 99309 | Visit or care management | $123.58 | $114.57 | $104.10 |
| 99215 | Visit or care management | $210.85 | $192.39 | $129.68 |
| 98941 | Manipulation | $41.97 | $38.41 | $29.39 |
| 71045 | Imaging | $29.22 | $25.38 | none |
| 99204 | Visit or care management | $193.20 | $177.36 | $119.75 |
| 99308 | Visit or care management | $85.54 | $78.83 | $72.14 |
| 93000 | Heart test or procedure | $17.11 | $15.36 | none |
| 92014 | Eye exam or test | $144.51 | $127.26 | $65.37 |
| 99203 | Visit or care management | $128.85 | $117.57 | $72.85 |
| 95004 | Allergy testing or treatment | $4.17 | $3.67 | none |
| 92134 | Eye exam or test | $37.31 | $32.73 | none |
| 96372 | Infusion, injection or chemotherapy | $17.34 | $15.36 | none |
| 99490 | Visit or care management | $72.29 | $66.13 | $45.10 |
| 90837 | Mental health service | $177.96 | $167.00 | $139.41 |
| 93306 | Heart test or procedure | $228.01 | $196.73 | none |
| 99212 | Visit or care management | $66.34 | $59.45 | $31.84 |
| 71046 | Imaging | $38.36 | $33.07 | none |
| 17000 | Skin and soft tissue procedure | $75.57 | $66.47 | $52.85 |
| 77067 | Imaging | $147.47 | $126.26 | none |
| 95165 | Allergy testing or treatment | $20.49 | $17.37 | $2.63 |
| 77063 | Imaging | $57.59 | $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
- Fresno
- Hanford-Corcoran
- Los Angeles-Long Beach-Anaheim (Los Angeles/Orange County)
- Madera
- Merced
- Modesto
- Napa
- Oxnard-Thousand Oaks-Ventura
- Redding
- Rest of California
- Riverside-San Bernardino-Ontario
- Sacramento-Roseville-Folsom
- Salinas
- San Diego-Chula Vista-Carlsbad
- San Francisco-Oakland-Berkeley (Marin County)
- San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa County)
- San Jose-Sunnyvale-Santa Clara (San Benito County)
- San Jose-Sunnyvale-Santa Clara (Santa Clara County)
- San Luis Obispo-Paso Robles
- Santa Maria-Santa Barbara
- Santa Rosa-Petaluma
- Stockton
- Vallejo
- Visalia
- Yuba City