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Medicare fee schedule by locality · Q4 2026 release

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California Medicare fee schedule localities

California has 29 Medicare payment localities, each with its own GPCIs. For 99213 in the Office (non-facility) setting, the Q4 2026 standard non-QP amount ranges from $99.22 to $120.13. National amounts use GPCI 1.000.

Localities in California Copy link

Office (non-facility) amount for 99213, used as an example code, applying each locality's GPCIs with the Q4 2026 standard non-QP conversion factor (before sequestration), and its difference from the national baseline of $95.19.

Locality 99213 amount
Bakersfield $99.52 +4.5%
Chico $99.22 +4.2%
El Centro $99.23 +4.2%
Fresno $99.22 +4.2%
Hanford–Corcoran $99.22 +4.2%
Los Angeles–Long Beach–Anaheim Los Angeles/Orange County $104.89 +10.2%
Madera $99.22 +4.2%
Merced $99.22 +4.2%
Modesto $99.22 +4.2%
Napa $111.96 +17.6%
Oxnard–Thousand Oaks–Ventura $104.15 +9.4%
Redding $99.22 +4.2%
Rest of California $99.22 +4.2%
Riverside–San Bernardino–Ontario $100.21 +5.3%
Sacramento–Roseville–Folsom $103.31 +8.5%
Salinas $102.90 +8.1%
San Diego–Chula Vista–Carlsbad $104.68 +10.0%
San Francisco–Oakland–Berkeley Marin County $117.69 +23.6%
San Francisco–Oakland–Berkeley San Francisco/San Mateo/Alameda/Contra Costa County $117.58 +23.5%
San Jose–Sunnyvale–Santa Clara San Benito County $120.13 +26.2%
San Jose–Sunnyvale–Santa Clara Santa Clara County $119.71 +25.8%
San Luis Obispo–Paso Robles $101.31 +6.4%
Santa Cruz–Watsonville $105.19 +10.5%
Santa Maria–Santa Barbara $103.11 +8.3%
Santa Rosa–Petaluma $106.22 +11.6%
Stockton $99.22 +4.2%
Vallejo $111.81 +17.5%
Visalia $99.22 +4.2%
Yuba City $99.22 +4.2%

Need another code or the facility amount? Use the rate calculator and choose a locality from the list above.

Common questions Copy link

How many Medicare payment localities are in California?
California has 29 Medicare payment localities, each with its own work, practice-expense, and malpractice GPCIs.
Do Medicare rates vary within California?
Yes. California's 29 localities have different GPCIs—the work GPCI ranges from 1.017 to 1.110. The same nationally priced code can therefore pay a different amount depending on where in the state it's billed.

Source & method Copy link

We compute GPCIs and example rates from the CMS Medicare Physician Fee Schedule Q4 2026 release. Example amounts apply each locality's GPCIs to nationally priced Office (non-facility) RVUs, before the ~2% sequestration cut. Past releases are never edited, so a rate for an earlier quarter always matches what CMS published for it.

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