FairBillCheck

Medicare's 2026 rates in Fort Worth, Texas

Medicare payment locality 28, run by contractor 04412, covers these counties: Tarrant. Its cost indices put code 99213, billed from an office, at $94.51, 0.7% below the national $95.19.

Cost indices for 2026

Work (national = 1.000)
1.009
Practice expense (national = 1.000)
0.986
Malpractice (national = 1.000)
0.871
ZIP codes CMS assigns to this locality
98
Of those, split with another locality
9

30 common codes priced for Fort Worth

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.

CodeCategoryOffice hereOffice nationalFacility here
99214Visit or care management$134.65$135.61$84.26
99213Visit or care management$94.51$95.19$57.30
97110Physical therapy or rehabilitation$28.96$29.06none
97530Physical therapy or rehabilitation$34.88$35.07none
97112Physical therapy or rehabilitation$32.62$32.73none
97140Physical therapy or rehabilitation$27.63$27.72none
17003Skin and soft tissue procedure$6.29$6.35$1.68
88305Lab test or pathology$69.64$70.14none
93010Heart test or procedure$8.33$8.35$8.33
99309Visit or care management$113.90$114.57$98.09
99215Visit or care management$191.04$192.39$125.17
98941Manipulation$38.36$38.41$28.16
71045Imaging$25.09$25.38none
99204Visit or care management$175.95$177.36$116.34
99308Visit or care management$78.41$78.83$67.55
93000Heart test or procedure$15.20$15.36none
92014Eye exam or test$126.41$127.26$62.19
99203Visit or care management$116.54$117.57$71.09
95004Allergy testing or treatment$3.59$3.67none
92134Eye exam or test$32.44$32.73none
96372Infusion, injection or chemotherapy$15.24$15.36none
99490Visit or care management$65.71$66.13$43.64
90837Mental health service$167.49$167.00$136.21
93306Heart test or procedure$194.76$196.73none
99212Visit or care management$58.93$59.45$30.94
71046Imaging$32.69$33.07none
17000Skin and soft tissue procedure$65.76$66.47$47.32
77067Imaging$124.86$126.26none
95165Allergy testing or treatment$17.13$17.37$2.64
77063Imaging$50.73$51.10none

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 Texas