Medicare's 2026 rates in Manhattan, New York
Medicare payment locality 01, run by contractor 13202, covers these counties: New York. Its cost indices put code 99213, billed from an office, at $107.63, 13.1% above the national $95.19.
Cost indices for 2026
- Work (national = 1.000)
- 1.064
- Practice expense (national = 1.000)
- 1.162
- Malpractice (national = 1.000)
- 1.586
- ZIP codes CMS assigns to this locality
- 165
30 common codes priced for Manhattan
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 | $153.27 | $135.61 | $93.89 |
| 99213 | Visit or care management | $107.63 | $95.19 | $63.78 |
| 97110 | Physical therapy or rehabilitation | $32.43 | $29.06 | none |
| 97530 | Physical therapy or rehabilitation | $39.45 | $35.07 | none |
| 97112 | Physical therapy or rehabilitation | $36.54 | $32.73 | none |
| 97140 | Physical therapy or rehabilitation | $30.95 | $27.72 | none |
| 17003 | Skin and soft tissue procedure | $7.24 | $6.35 | $1.81 |
| 88305 | Lab test or pathology | $79.40 | $70.14 | none |
| 93010 | Heart test or procedure | $9.29 | $8.35 | $9.29 |
| 99309 | Visit or care management | $128.82 | $114.57 | $110.19 |
| 99215 | Visit or care management | $217.37 | $192.39 | $139.74 |
| 98941 | Manipulation | $42.52 | $38.41 | $30.49 |
| 71045 | Imaging | $29.19 | $25.38 | none |
| 99204 | Visit or care management | $200.98 | $177.36 | $130.73 |
| 99308 | Visit or care management | $88.47 | $78.83 | $75.67 |
| 93000 | Heart test or procedure | $17.58 | $15.36 | none |
| 92014 | Eye exam or test | $143.79 | $127.26 | $68.11 |
| 99203 | Visit or care management | $133.65 | $117.57 | $80.09 |
| 95004 | Allergy testing or treatment | $4.38 | $3.67 | none |
| 92134 | Eye exam or test | $37.30 | $32.73 | none |
| 96372 | Infusion, injection or chemotherapy | $17.44 | $15.36 | none |
| 99490 | Visit or care management | $74.57 | $66.13 | $48.56 |
| 90837 | Mental health service | $181.97 | $167.00 | $145.10 |
| 93306 | Heart test or procedure | $225.09 | $196.73 | none |
| 99212 | Visit or care management | $67.64 | $59.45 | $34.65 |
| 71046 | Imaging | $38.02 | $33.07 | none |
| 17000 | Skin and soft tissue procedure | $76.15 | $66.47 | $54.42 |
| 77067 | Imaging | $144.99 | $126.26 | none |
| 95165 | Allergy testing or treatment | $20.13 | $17.37 | $3.05 |
| 77063 | Imaging | $57.88 | $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.