Medicare's 2026 rates in Baltimore/Surrounding Counties, Maryland
Medicare payment locality 01, run by contractor 12302, covers these counties: Anne Arundel, Baltimore, Baltimore City, Carroll, Harford and Howard. Its cost indices put code 99213, billed from an office, at $100.16, 5.2% above the national $95.19.
Cost indices for 2026
- Work (national = 1.000)
- 1.016
- Practice expense (national = 1.000)
- 1.073
- Malpractice (national = 1.000)
- 1.237
- ZIP codes CMS assigns to this locality
- 202
- Of those, split with another locality
- 5
30 common codes priced for Baltimore/Surrounding Counties
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 | $142.62 | $135.61 | $87.78 |
| 99213 | Visit or care management | $100.16 | $95.19 | $59.66 |
| 97110 | Physical therapy or rehabilitation | $30.38 | $29.06 | none |
| 97530 | Physical therapy or rehabilitation | $36.85 | $35.07 | none |
| 97112 | Physical therapy or rehabilitation | $34.23 | $32.73 | none |
| 97140 | Physical therapy or rehabilitation | $28.98 | $27.72 | none |
| 17003 | Skin and soft tissue procedure | $6.73 | $6.35 | $1.72 |
| 88305 | Lab test or pathology | $73.98 | $70.14 | none |
| 93010 | Heart test or procedure | $8.69 | $8.35 | $8.69 |
| 99309 | Visit or care management | $120.04 | $114.57 | $102.84 |
| 99215 | Visit or care management | $202.25 | $192.39 | $130.57 |
| 98941 | Manipulation | $39.96 | $38.41 | $28.85 |
| 71045 | Imaging | $27.00 | $25.38 | none |
| 99204 | Visit or care management | $186.67 | $177.36 | $121.80 |
| 99308 | Visit or care management | $82.54 | $78.83 | $70.72 |
| 93000 | Heart test or procedure | $16.27 | $15.36 | none |
| 92014 | Eye exam or test | $134.06 | $127.26 | $64.18 |
| 99203 | Visit or care management | $123.98 | $117.57 | $74.53 |
| 95004 | Allergy testing or treatment | $3.98 | $3.67 | none |
| 92134 | Eye exam or test | $34.64 | $32.73 | none |
| 96372 | Infusion, injection or chemotherapy | $16.22 | $15.36 | none |
| 99490 | Visit or care management | $69.44 | $66.13 | $45.43 |
| 90837 | Mental health service | $172.11 | $167.00 | $138.06 |
| 93306 | Heart test or procedure | $208.83 | $196.73 | none |
| 99212 | Visit or care management | $62.79 | $59.45 | $32.33 |
| 71046 | Imaging | $35.19 | $33.07 | none |
| 17000 | Skin and soft tissue procedure | $70.53 | $66.47 | $50.46 |
| 77067 | Imaging | $134.34 | $126.26 | none |
| 95165 | Allergy testing or treatment | $18.58 | $17.37 | $2.81 |
| 77063 | Imaging | $53.87 | $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.