Commercial rate index · metro cell
Waterloo-Cedar Falls healthcare rate index
Commercial contracted rates in Waterloo-Cedar Falls, IA run 0.92x the national Medicare fee schedule across the office-visit basket. Index 95.7, where 100 is the national standard.
Index 95.7
0.92x Medicare
876 verified rate points
8/8 basket codes
state index 103.7
The basket in Waterloo-Cedar Falls
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $76.53 | 1.08x | 165 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $105.28 | 0.95x | 53 | Standard |
| 99204 | Office visit, new patient, 45-59 min | $159.37 | 0.95x | 53 | Standard |
| 99205 | Office visit, new patient, 60-74 min | $291.49 | 1.33x | 425 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $50.27 | 0.88x | 40 | Standard |
| 99213 | Office visit, established patient, 20-29 min | $80.00 | 0.87x | 49 | Standard |
| 99214 | Office visit, established patient, 30-39 min | $115.00 | 0.87x | 52 | Standard |
| 99215 | Office visit, established patient, 40-54 min | $163.41 | 0.88x | 39 | Standard |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (47940). 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.
Waterloo-Cedar Falls prints below its state cell (Iowa at 103.7) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Waterloo-Cedar Falls, IA. Reddenda. https://reddenda.health/atlas/ia/waterloo-cedar-falls-47940/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 47940 · metro grainas of 2026-07-15 · methodology v1.0