Commercial rate index · metro cell
Cape Coral-Fort Myers healthcare rate index
Commercial contracted rates in Cape Coral-Fort Myers, FL 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
11,562 verified rate points
8/8 basket codes
state index 90.5
The basket in Cape Coral-Fort Myers
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $80.00 | 1.12x | 1,862 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $130.99 | 1.19x | 1,070 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $185.00 | 1.11x | 1,035 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $215.34 | 0.98x | 3,552 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $52.35 | 0.92x | 1,005 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $81.37 | 0.88x | 985 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $121.52 | 0.92x | 1,046 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $182.50 | 0.98x | 1,007 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (15980). 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.
Cape Coral-Fort Myers prints above its state cell (Florida at 90.5) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Cape Coral-Fort Myers, FL. Reddenda. https://reddenda.health/atlas/fl/cape-coral-fort-myers-15980/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 15980 · metro grainas of 2026-07-15 · methodology v1.0