Commercial rate index · metro cell
Sierra Vista-Douglas healthcare rate index
Commercial contracted rates in Sierra Vista-Douglas, AZ run 0.78x the national Medicare fee schedule across the office-visit basket. Index 80.8, where 100 is the national standard.
Index 80.8
0.78x Medicare
407 verified rate points
8/8 basket codes
state index 95.4
The basket in Sierra Vista-Douglas
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $54.88 | 0.77x | 74 | Standard |
| 99203 | Office visit, new patient, 30-44 min | $86.00 | 0.78x | 28 | Standard |
| 99204 | Office visit, new patient, 45-59 min | $156.91 | 0.94x | 28 | Standard |
| 99205 | Office visit, new patient, 60-74 min | $169.49 | 0.77x | 147 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $46.20 | 0.81x | 33 | Standard |
| 99213 | Office visit, established patient, 20-29 min | $71.39 | 0.77x | 29 | Standard |
| 99214 | Office visit, established patient, 30-39 min | $115.00 | 0.87x | 34 | Standard |
| 99215 | Office visit, established patient, 40-54 min | $134.20 | 0.72x | 34 | Standard |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (43420). 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.
Sierra Vista-Douglas prints below its state cell (Arizona at 95.4) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Sierra Vista-Douglas, AZ. Reddenda. https://reddenda.health/atlas/az/sierra-vista-douglas-43420/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 43420 · metro grainas of 2026-07-15 · methodology v1.0