Commercial rate index · metro cell
San Francisco-Oakland-Fremont healthcare rate index
Commercial contracted rates in San Francisco-Oakland-Fremont, CA run 1.14x the national Medicare fee schedule across the office-visit basket. Index 118.5, where 100 is the national standard.
Index 118.5
1.14x Medicare
137,820 verified rate points
8/8 basket codes
state index 95.3
The basket in San Francisco-Oakland-Fremont
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $84.99 | 1.19x | 20,310 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $120.92 | 1.10x | 10,791 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $197.20 | 1.18x | 15,574 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $261.09 | 1.19x | 32,687 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $71.75 | 1.26x | 17,390 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $84.32 | 0.91x | 14,059 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $108.67 | 0.82x | 12,890 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $163.09 | 0.88x | 14,119 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (41860). 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.
San Francisco-Oakland-Fremont prints above its state cell (California at 95.3) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, San Francisco-Oakland-Fremont, CA. Reddenda. https://reddenda.health/atlas/ca/san-francisco-oakland-fremont-41860/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 41860 · metro grainas of 2026-07-15 · methodology v1.0