Commercial rate index · metro cell
Orlando-Kissimmee-Sanford healthcare rate index
Commercial contracted rates in Orlando-Kissimmee-Sanford, FL run 0.87x the national Medicare fee schedule across the office-visit basket. Index 90.5, where 100 is the national standard.
Index 90.5
0.87x Medicare
27,611 verified rate points
8/8 basket codes
state index 90.5
The basket in Orlando-Kissimmee-Sanford
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $78.26 | 1.10x | 4,124 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $104.67 | 0.95x | 2,027 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $170.66 | 1.02x | 2,115 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $184.62 | 0.84x | 11,152 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $45.70 | 0.80x | 1,766 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $80.00 | 0.87x | 2,152 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $115.00 | 0.87x | 2,265 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $146.38 | 0.79x | 2,010 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (36740). 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.
Orlando-Kissimmee-Sanford prints above its state cell (Florida at 90.5) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Orlando-Kissimmee-Sanford, FL. Reddenda. https://reddenda.health/atlas/fl/orlando-kissimmee-sanford-36740/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 36740 · metro grainas of 2026-07-15 · methodology v1.0