Commercial rate index · metro cell
San Luis Obispo-Paso Robles healthcare rate index
Commercial contracted rates in San Luis Obispo-Paso Robles, CA run 0.79x the national Medicare fee schedule across the office-visit basket. Index 82.2, where 100 is the national standard.
Index 82.2
0.79x Medicare
9,868 verified rate points
8/8 basket codes
state index 95.3
The basket in San Luis Obispo-Paso Robles
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $75.23 | 1.06x | 1,352 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $108.94 | 0.99x | 970 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $135.32 | 0.81x | 1,159 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $211.35 | 0.96x | 1,686 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $28.91 | 0.51x | 1,242 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $55.43 | 0.60x | 1,133 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $101.22 | 0.77x | 1,131 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $133.71 | 0.72x | 1,195 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (42020). 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 Luis Obispo-Paso Robles prints below its state cell (California at 95.3) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, San Luis Obispo-Paso Robles, CA. Reddenda. https://reddenda.health/atlas/ca/san-luis-obispo-paso-robles-42020/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 42020 · metro grainas of 2026-07-15 · methodology v1.0