Medicare fee schedule by locality · Q3 2026 release
Texas
Texas has 8 Medicare payment localities, each with its own GPCIs — the work GPCI alone ranges from 1.000 to 1.009 across the state. National amounts use GPCI 1.000; every row below shows what a common code actually pays once each locality's real GPCIs apply.
Localities in Texas
99213 non-facility amount by locality, Q3 2026 (before sequestration) — national baseline $95.19 .
| Locality | Work GPCI | PE GPCI | MP GPCI | 99213 amount |
|---|---|---|---|---|
| Austin | 1.002 | 1.058 | 0.886 | $97.77 (+2.7%) |
| Beaumont | 1.000 | 0.910 | 0.929 | $90.59 (-4.8%) |
| Brazoria | 1.008 | 0.991 | 0.780 | $94.44 (-0.8%) |
| Dallas | 1.009 | 0.996 | 0.858 | $94.96 (-0.2%) |
| Fort Worth | 1.009 | 0.986 | 0.871 | $94.51 (-0.7%) |
| Galveston | 1.008 | 0.993 | 0.828 | $94.68 (-0.5%) |
| Houston | 1.008 | 0.993 | 1.376 | $96.33 (+1.2%) |
| Rest of Texas | 1.000 | 0.949 | 0.903 | $92.41 (-2.9%) |
Need a different code or the facility rate? Use the rate calculator with any locality above selected.
Common questions
How many Medicare payment localities are in Texas?
Texas has 8 Medicare payment localities, each with its own work, practice-expense, and malpractice GPCIs.
Do Medicare rates vary within Texas?
Yes. Texas's 8 localities have different GPCIs — the work GPCI alone ranges from 1.000 to 1.009 , so the same code can pay a different amount depending on where in the state it's billed.
Source & method
GPCIs and example rates computed from the CMS Medicare Physician Fee Schedule Q3 2026 release. Example amounts are national non-facility figures rescaled by each locality's GPCIs, before the ~2% sequestration cut. Releases are immutable; a rate retrieved for a past quarter always reflects that release.