Commercial rate index · metro cell
Atlanta-Sandy Springs-Roswell healthcare rate index
Commercial contracted rates in Atlanta-Sandy Springs-Roswell, GA run 0.98x the national Medicare fee schedule across the office-visit basket. Index 102.4, where 100 is the national standard.
Index 102.4
0.98x Medicare
448,788 verified rate points
8/8 basket codes
state index 99.6
The basket in Atlanta-Sandy Springs-Roswell
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $79.32 | 1.11x | 60,611 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $107.41 | 0.97x | 54,132 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $170.12 | 1.02x | 46,858 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $224.41 | 1.02x | 79,997 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $56.54 | 0.99x | 48,122 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $87.03 | 0.94x | 54,621 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $123.18 | 0.93x | 54,094 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $174.80 | 0.94x | 50,353 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (12060). 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.
Atlanta-Sandy Springs-Roswell prints above its state cell (Georgia at 99.6) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Atlanta-Sandy Springs-Roswell, GA. Reddenda. https://reddenda.health/atlas/ga/atlanta-sandy-springs-roswell-12060/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 12060 · metro grainas of 2026-07-15 · methodology v1.0