Medicare's 2026 rates in Santa Rosa-Petaluma, California
Medicare payment locality 67, run by contractor 01112, covers these counties: Sonoma. Its cost indices put code 99213, billed from an office, at $106.22, 11.6% above the national $95.19.
Cost indices for 2026
- Work (national = 1.000)
- 1.030
- Practice expense (national = 1.000)
- 1.228
- Malpractice (national = 1.000)
- 0.536
- ZIP codes CMS assigns to this locality
- 51
- Of those, split with another locality
- 3
30 common codes priced for Santa Rosa-Petaluma
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 | $150.59 | $135.61 | $87.84 |
| 99213 | Visit or care management | $106.22 | $95.19 | $59.87 |
| 97110 | Physical therapy or rehabilitation | $32.48 | $29.06 | none |
| 97530 | Physical therapy or rehabilitation | $39.93 | $35.07 | none |
| 97112 | Physical therapy or rehabilitation | $36.66 | $32.73 | none |
| 97140 | Physical therapy or rehabilitation | $30.97 | $27.72 | none |
| 17003 | Skin and soft tissue procedure | $7.53 | $6.35 | $1.79 |
| 88305 | Lab test or pathology | $80.84 | $70.14 | none |
| 93010 | Heart test or procedure | $8.90 | $8.35 | $8.90 |
| 99309 | Visit or care management | $124.75 | $114.57 | $105.06 |
| 99215 | Visit or care management | $212.88 | $192.39 | $130.85 |
| 98941 | Manipulation | $42.37 | $38.41 | $29.66 |
| 71045 | Imaging | $29.52 | $25.38 | none |
| 99204 | Visit or care management | $195.05 | $177.36 | $120.82 |
| 99308 | Visit or care management | $86.35 | $78.83 | $72.82 |
| 93000 | Heart test or procedure | $17.28 | $15.36 | none |
| 92014 | Eye exam or test | $145.96 | $127.26 | $65.97 |
| 99203 | Visit or care management | $130.10 | $117.57 | $73.50 |
| 95004 | Allergy testing or treatment | $4.21 | $3.67 | none |
| 92134 | Eye exam or test | $37.68 | $32.73 | none |
| 96372 | Infusion, injection or chemotherapy | $17.51 | $15.36 | none |
| 99490 | Visit or care management | $72.98 | $66.13 | $45.50 |
| 90837 | Mental health service | $179.62 | $167.00 | $140.66 |
| 93306 | Heart test or procedure | $230.35 | $196.73 | none |
| 99212 | Visit or care management | $66.99 | $59.45 | $32.13 |
| 71046 | Imaging | $38.76 | $33.07 | none |
| 17000 | Skin and soft tissue procedure | $76.33 | $66.47 | $53.36 |
| 77067 | Imaging | $148.99 | $126.26 | none |
| 95165 | Allergy testing or treatment | $20.70 | $17.37 | $2.65 |
| 77063 | Imaging | $58.16 | $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
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