Commercial rate index · metro cell
Los Angeles-Long Beach-Anaheim healthcare rate index
Commercial contracted rates in Los Angeles-Long Beach-Anaheim, CA run 0.92x the national Medicare fee schedule across the office-visit basket. Index 95.3, where 100 is the national standard.
Index 95.3
0.92x Medicare
443,324 verified rate points
8/8 basket codes
state index 95.3
The basket in Los Angeles-Long Beach-Anaheim
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $76.73 | 1.08x | 52,171 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $110.02 | 1.00x | 51,999 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $170.32 | 1.02x | 46,689 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $221.94 | 1.01x | 97,955 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $47.38 | 0.83x | 56,350 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $56.54 | 0.61x | 31,466 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $83.65 | 0.63x | 54,034 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $123.01 | 0.66x | 52,660 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (31080). 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.
Los Angeles-Long Beach-Anaheim prints above its state cell (California at 95.3) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Los Angeles-Long Beach-Anaheim, CA. Reddenda. https://reddenda.health/atlas/ca/los-angeles-long-beach-anaheim-31080/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 31080 · metro grainas of 2026-07-15 · methodology v1.0