Commercial rate index · metro cell
Hilo-Kailua healthcare rate index
Commercial contracted rates in Hilo-Kailua, HI 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
1,128 verified rate points
8/8 basket codes
state index 101.2
The basket in Hilo-Kailua
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $80.61 | 1.13x | 146 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $110.44 | 1.00x | 123 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $185.00 | 1.11x | 158 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $219.73 | 1.00x | 187 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $52.35 | 0.92x | 107 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $80.00 | 0.87x | 147 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $115.00 | 0.87x | 151 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $179.00 | 0.96x | 109 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (25900). 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.
Hilo-Kailua prints above its state cell (Hawaii at 101.2) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Hilo-Kailua, HI. Reddenda. https://reddenda.health/atlas/hi/hilo-kailua-25900/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 25900 · metro grainas of 2026-07-15 · methodology v1.0