Medicare's 2026 rates in Poughkeepsie/Northern NYC Suburbs, New York
Medicare payment locality 03, run by contractor 13202, covers these counties: Columbia, Delaware, Dutchess, Greene, Orange, Putnam, Sullivan and Ulster. Its cost indices put code 99213, billed from an office, at $102.41, 7.6% above the national $95.19.
Cost indices for 2026
- Work (national = 1.000)
- 1.045
- Practice expense (national = 1.000)
- 1.095
- Malpractice (national = 1.000)
- 1.210
- ZIP codes CMS assigns to this locality
- 324
- Of those, split with another locality
- 8
30 common codes priced for Poughkeepsie/Northern NYC Suburbs
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 | $145.82 | $135.61 | $89.86 |
| 99213 | Visit or care management | $102.41 | $95.19 | $61.08 |
| 97110 | Physical therapy or rehabilitation | $31.11 | $29.06 | none |
| 97530 | Physical therapy or rehabilitation | $37.71 | $35.07 | none |
| 97112 | Physical therapy or rehabilitation | $35.05 | $32.73 | none |
| 97140 | Physical therapy or rehabilitation | $29.68 | $27.72 | none |
| 17003 | Skin and soft tissue procedure | $6.88 | $6.35 | $1.76 |
| 88305 | Lab test or pathology | $75.66 | $70.14 | none |
| 93010 | Heart test or procedure | $8.90 | $8.35 | $8.90 |
| 99309 | Visit or care management | $122.78 | $114.57 | $105.22 |
| 99215 | Visit or care management | $206.80 | $192.39 | $133.65 |
| 98941 | Manipulation | $40.95 | $38.41 | $29.61 |
| 71045 | Imaging | $27.57 | $25.38 | none |
| 99204 | Visit or care management | $190.79 | $177.36 | $124.59 |
| 99308 | Visit or care management | $84.45 | $78.83 | $72.38 |
| 93000 | Heart test or procedure | $16.62 | $15.36 | none |
| 92014 | Eye exam or test | $137.13 | $127.26 | $65.81 |
| 99203 | Visit or care management | $126.68 | $117.57 | $76.21 |
| 95004 | Allergy testing or treatment | $4.04 | $3.67 | none |
| 92134 | Eye exam or test | $35.40 | $32.73 | none |
| 96372 | Infusion, injection or chemotherapy | $16.58 | $15.36 | none |
| 99490 | Visit or care management | $71.02 | $66.13 | $46.51 |
| 90837 | Mental health service | $176.63 | $167.00 | $141.89 |
| 93306 | Heart test or procedure | $213.36 | $196.73 | none |
| 99212 | Visit or care management | $64.16 | $59.45 | $33.08 |
| 71046 | Imaging | $35.93 | $33.07 | none |
| 17000 | Skin and soft tissue procedure | $72.03 | $66.47 | $51.55 |
| 77067 | Imaging | $137.21 | $126.26 | none |
| 95165 | Allergy testing or treatment | $18.96 | $17.37 | $2.86 |
| 77063 | Imaging | $55.09 | $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.