Commercial rate index · metro cell
Sacramento-Roseville-Folsom healthcare rate index
Commercial contracted rates in Sacramento-Roseville-Folsom, CA run 1.20x the national Medicare fee schedule across the office-visit basket. Index 124.9, where 100 is the national standard.
Index 124.9
1.20x Medicare
97,203 verified rate points
8/8 basket codes
state index 95.3
The basket in Sacramento-Roseville-Folsom
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $86.81 | 1.22x | 15,826 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $130.10 | 1.18x | 9,516 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $168.50 | 1.01x | 8,811 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $253.11 | 1.15x | 21,241 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $52.95 | 0.93x | 10,642 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $119.57 | 1.29x | 9,888 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $167.15 | 1.27x | 10,398 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $497.05 | 2.67x | 10,881 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (40900). 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.
Sacramento-Roseville-Folsom prints above its state cell (California at 95.3) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Sacramento-Roseville-Folsom, CA. Reddenda. https://reddenda.health/atlas/ca/sacramento-roseville-folsom-40900/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 40900 · metro grainas of 2026-07-15 · methodology v1.0