Commercial rate index · metro cell
Daphne-Fairhope-Foley healthcare rate index
Commercial contracted rates in Daphne-Fairhope-Foley, AL run 0.79x the national Medicare fee schedule across the office-visit basket. Index 81.8, where 100 is the national standard.
Index 81.8
0.79x Medicare
1,042 verified rate points
8/8 basket codes
state index 91
The basket in Daphne-Fairhope-Foley
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $57.59 | 0.81x | 171 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $86.00 | 0.78x | 70 | Standard |
| 99204 | Office visit, new patient, 45-59 min | $134.89 | 0.81x | 81 | Standard |
| 99205 | Office visit, new patient, 60-74 min | $179.18 | 0.81x | 430 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $34.64 | 0.61x | 61 | Standard |
| 99213 | Office visit, established patient, 20-29 min | $73.28 | 0.79x | 77 | Standard |
| 99214 | Office visit, established patient, 30-39 min | $96.82 | 0.73x | 84 | Standard |
| 99215 | Office visit, established patient, 40-54 min | $129.32 | 0.69x | 68 | Standard |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (19300). Floor: 11 verified rate points per code, non-degenerate spread. Denominator: CMS PFS CY2026 national non-facility. Methodology v1.0.
Documented reimbursement figures are modeled, not guaranteed. Derived from federally mandated Transparency in Coverage data (45 CFR 147.212). No PHI.
The market around it.
Daphne-Fairhope-Foley prints below its state cell (Alabama at 91) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Daphne-Fairhope-Foley, AL. Reddenda. https://reddenda.health/atlas/al/daphne-fairhope-foley-19300/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 19300 · metro grainas of 2026-07-15 · methodology v1.0