California Medicaid Fee Schedule

Medi-Cal, published by the California Department of Health Care Services (DHCS). Schedules effective through 2026.

California publishes 11,447 Medicaid fee-for-service rates across 10 service categories. An established-patient office visit (99213) pays $82.02, a two-view chest X-ray (71046) $27.47 and a CPAP device (E0601) $609.55. Pooled across categories with a national Medicare comparator, California's published rates run a median 78.6% of the Medicare amount, ranking 32 of 49 jurisdictions with a comparable basis.

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These pages show common-procedure samples per category. The complete all-codes California schedules export as CSV with the Rates plan.

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California's published schedules by category

Codes on the current schedule, the newest effective date, the median published rate as a percentage of national Medicare where a comparator exists, and one recognizable procedure's rate per category. Open a category for its common-procedure table.

CategoryCodesEffectiveMedian % of MedicareExample ratePA required
Physician6,318202677.9%$82.02 Office visit, established patient, low complexity (20-29 min) (99213)--
Lab & Imaging2,198202686.1%$27.47 Chest X-ray, 2 views (71046)--
DME & Supplies1,339202649.4%$609.55 Continuous positive airway pressure (cpap) device (E0601)--
Drugs8042026------
Vision128202647.9%$49.78 Eye exam, new patient, comprehensive (92004)--
Behavioral Health52202679%$131.97 Psychotherapy, 60 minutes (90837)--
Anesthesia2672026------
Hearing292026------
Transport192026--$107.16 Ambulance service, basic life support, non-emergency transport, (bls) (A0428)--
State-Specific Services2932026105.4%$22.94 Telehealth originating site facility fee (Q3014)--
DentalCalifornia's dental Medicaid rates live in the dental section, with their own per-state page.

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one.

Where California publishes its fee schedules

Publisher
California Department of Health Care Services (DHCS)
Program
Medi-Cal
Official source
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/rates
Last checked
Aug 21, 2026

ProviderSignal collects every category from the state's publication, standardizes the rows and labels each code in its own plain language. Rates are the published amounts; the state's page remains the legal source.

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These are common-procedure samples. The complete California schedules, every category and every code, export as CSV on the Rates plan.

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Frequently asked questions

Does California publish a Medicaid fee schedule?

Yes. California publishes 11,447 Medicaid fee-for-service procedure rates across 10 service categories, effective through 2026, all collected and normalized here with plain-language procedure names. California Department of Health Care Services (DHCS) publishes California's Medicaid fee schedules for Medi-Cal.

Who publishes California's Medicaid fee schedule?

California Department of Health Care Services (DHCS) publishes California's Medicaid fee schedules for Medi-Cal. The state's own fee-schedule page is https://mcweb.apps.prd.cammis.medi-cal.ca.gov/rates. ProviderSignal collects every category from it, standardizes the rows and re-checks the source on a rolling cadence (last checked Aug 21, 2026).

What does California Medicaid pay for common services?

An established-patient office visit (99213) pays $82.02, a two-view chest X-ray (71046) $27.47 and a CPAP device (E0601) $609.55. Every figure is the state's published fee-for-service amount for the code's benchmark locality; managed-care plans can pay differently. The category pages list common procedures with plain-language names, and the complete all-codes schedules export as CSV on the Rates plan.

How do California's Medicaid rates compare with Medicare?

Pooled across categories with a national Medicare comparator, California's published rates run a median 78.6% of the Medicare amount, ranking 32 of 49 jurisdictions with a comparable basis.

What service categories does California publish?

Physician (6,318 codes), Lab & Imaging (2,198 codes), DME & Supplies (1,339 codes), Drugs (804 codes), Vision (128 codes), Behavioral Health (52 codes), Anesthesia (267 codes), Hearing (29 codes), Transport (19 codes), State-Specific Services (293 codes). Dental rates have their own section with per-state pages.

How current are these rates?

Rates come from California's currently published fee schedules, the newest effective 2026, and are re-collected on a rolling monthly cadence. This page updates automatically after each collection sweep.