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CMS RVU26D · Effective 2026-10-01
99204 Medicare reimbursement rates in Texas
Compare 99204 physician payment amounts across CMS localities, including office and facility settings.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 99204 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
$169.36–$181.40
8 of 8 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 99204 pays more and less in Texas
8 payment localities
$169.36 to $181.40
Compare 99204 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office $181.40 | Facility $117.44 |
| Beaumont | Office $169.36 | Facility $114.35 |
| Brazoria | Office $175.55 | Facility $115.64 |
| Dallas | Office $176.67 | Facility $116.46 |
| Fort Worth | Office $175.95 | Facility $116.34 |
| Galveston | Office $176.10 | Facility $116.06 |
| Houston | Office $180.49 | Facility $120.46 |
| Rest Of Texas | Office $172.37 | Facility $115.00 |
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Primary care
Compare office and outpatient evaluation-and-management base rates.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.