Commercial rate index · metro cell
Augusta-Richmond County healthcare rate index
Commercial contracted rates in Augusta-Richmond County, GA-SC run 1.03x the national Medicare fee schedule across the office-visit basket. Index 106.8, where 100 is the national standard.
Index 106.8
1.03x Medicare
45,434 verified rate points
8/8 basket codes
state index 99.6
The basket in Augusta-Richmond County
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $85.94 | 1.21x | 5,852 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $114.96 | 1.04x | 5,711 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $186.31 | 1.12x | 4,689 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $234.36 | 1.07x | 7,556 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $56.54 | 0.99x | 5,022 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $93.35 | 1.01x | 5,948 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $124.02 | 0.94x | 5,295 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $178.29 | 0.96x | 5,361 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (12260). 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.
Augusta-Richmond County prints above its state cell (Georgia at 99.6) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Augusta-Richmond County, GA-SC. Reddenda. https://reddenda.health/atlas/ga/augusta-richmond-county-12260/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 12260 · metro grainas of 2026-07-15 · methodology v1.0