Commercial rate index · metro cell
Kahului-Wailuku healthcare rate index
Commercial contracted rates in Kahului-Wailuku, HI run 0.92x the national Medicare fee schedule across the office-visit basket. Index 96.1, where 100 is the national standard.
Index 96.1
0.92x Medicare
548 verified rate points
8/8 basket codes
state index 101.2
The basket in Kahului-Wailuku
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $80.00 | 1.12x | 82 | Standard |
| 99203 | Office visit, new patient, 30-44 min | $108.94 | 0.99x | 59 | Standard |
| 99204 | Office visit, new patient, 45-59 min | $174.55 | 1.05x | 71 | Standard |
| 99205 | Office visit, new patient, 60-74 min | $211.35 | 0.96x | 101 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $47.14 | 0.83x | 53 | Standard |
| 99213 | Office visit, established patient, 20-29 min | $81.87 | 0.89x | 66 | Standard |
| 99214 | Office visit, established patient, 30-39 min | $115.00 | 0.87x | 60 | Standard |
| 99215 | Office visit, established patient, 40-54 min | $148.41 | 0.80x | 56 | Standard |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (27980). 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.
Kahului-Wailuku prints below its state cell (Hawaii at 101.2) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Kahului-Wailuku, HI. Reddenda. https://reddenda.health/atlas/hi/kahului-wailuku-27980/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 27980 · metro grainas of 2026-07-15 · methodology v1.0