Commercial rate index · metro cell
Miami-Fort Lauderdale-West Palm Beach healthcare rate index
Commercial contracted rates in Miami-Fort Lauderdale-West Palm Beach, FL run 0.86x the national Medicare fee schedule across the office-visit basket. Index 89.1, where 100 is the national standard.
Index 89.1
0.86x Medicare
66,885 verified rate points
8/8 basket codes
state index 90.5
The basket in Miami-Fort Lauderdale-West Palm Beach
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $76.89 | 1.08x | 10,019 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $99.81 | 0.90x | 5,032 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $168.98 | 1.01x | 5,093 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $175.11 | 0.80x | 26,130 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $44.41 | 0.78x | 4,579 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $80.00 | 0.87x | 5,261 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $111.48 | 0.85x | 5,512 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $131.47 | 0.71x | 5,259 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (33100). 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.
Miami-Fort Lauderdale-West Palm Beach prints below its state cell (Florida at 90.5) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Miami-Fort Lauderdale-West Palm Beach, FL. Reddenda. https://reddenda.health/atlas/fl/miami-fort-lauderdale-west-palm-beach-33100/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 33100 · metro grainas of 2026-07-15 · methodology v1.0