Commercial rate index · metro cell
Santa Rosa-Petaluma healthcare rate index
Commercial contracted rates in Santa Rosa-Petaluma, CA run 0.98x the national Medicare fee schedule across the office-visit basket. Index 102, where 100 is the national standard.
Index 102
0.98x Medicare
13,815 verified rate points
8/8 basket codes
state index 95.3
The basket in Santa Rosa-Petaluma
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 | 1,887 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $108.94 | 0.99x | 1,270 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $168.50 | 1.01x | 1,373 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $254.69 | 1.16x | 3,344 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $55.30 | 0.97x | 1,902 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $75.97 | 0.82x | 1,428 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $105.09 | 0.80x | 1,331 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $133.71 | 0.72x | 1,280 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (42220). 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 Rosa-Petaluma 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 Rosa-Petaluma, CA. Reddenda. https://reddenda.health/atlas/ca/santa-rosa-petaluma-42220/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 42220 · metro grainas of 2026-07-15 · methodology v1.0