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CMS RVU26D · Effective 2026-10-01
99212 Medicare reimbursement rates in Texas
Compare 99212 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 99212 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
$56.25–$61.25
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 99212 pays more and less in Texas
8 payment localities
$56.25 to $61.25
Compare 99212 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 $61.25 | Facility $31.21 |
| Beaumont | Office $56.25 | Facility $30.41 |
| Brazoria | Office $58.89 | Facility $30.76 |
| Dallas | Office $59.24 | Facility $30.97 |
| Fort Worth | Office $58.93 | Facility $30.94 |
| Galveston | Office $59.06 | Facility $30.87 |
| Houston | Office $60.16 | Facility $31.96 |
| Rest Of Texas | Office $57.52 | Facility $30.58 |
Need rates for a whole code list?
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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.