Commercial rate index · metro cell
Santa Cruz-Watsonville healthcare rate index
Commercial contracted rates in Santa Cruz-Watsonville, CA run 1.30x the national Medicare fee schedule across the office-visit basket. Index 134.8, where 100 is the national standard.
Index 134.8
1.30x Medicare
9,991 verified rate points
8/8 basket codes
state index 95.3
The basket in Santa Cruz-Watsonville
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $91.47 | 1.29x | 1,211 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $160.83 | 1.46x | 719 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $246.62 | 1.48x | 933 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $287.03 | 1.30x | 2,511 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $119.01 | 2.09x | 1,477 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $84.27 | 0.91x | 1,127 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $107.29 | 0.81x | 1,058 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $151.55 | 0.81x | 955 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (42100). 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.
Santa Cruz-Watsonville prints above its state cell (California at 95.3) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Santa Cruz-Watsonville, CA. Reddenda. https://reddenda.health/atlas/ca/santa-cruz-watsonville-42100/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 42100 · metro grainas of 2026-07-15 · methodology v1.0