Commercial rate index · metro cell
Washington-Arlington-Alexandria healthcare rate index
Commercial contracted rates in Washington-Arlington-Alexandria, DC-VA-MD-WV run 1.09x the national Medicare fee schedule across the office-visit basket. Index 113.6, where 100 is the national standard.
Index 113.6
1.09x Medicare
123,760 verified rate points
8/8 basket codes
state index 122.3
The basket in Washington-Arlington-Alexandria
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $80.07 | 1.13x | 22,949 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $135.45 | 1.23x | 12,514 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $176.55 | 1.06x | 12,151 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $251.30 | 1.14x | 28,913 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $52.34 | 0.92x | 11,732 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $85.84 | 0.93x | 12,650 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $125.90 | 0.96x | 12,043 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $232.84 | 1.25x | 10,808 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (47900). 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.
Washington-Arlington-Alexandria prints below its state cell (District of Columbia at 122.3) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Washington-Arlington-Alexandria, DC-VA-MD-WV. Reddenda. https://reddenda.health/atlas/dc/washington-arlington-alexandria-47900/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 47900 · metro grainas of 2026-07-15 · methodology v1.0