Commercial rate index · metro cell
Charleston-Mattoon healthcare rate index
Commercial contracted rates in Charleston-Mattoon, IL run 0.86x the national Medicare fee schedule across the office-visit basket. Index 89.9, where 100 is the national standard.
Index 89.9
0.86x Medicare
912 verified rate points
8/8 basket codes
state index 96.7
The basket in Charleston-Mattoon
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 | 175 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $99.91 | 0.91x | 83 | Standard |
| 99204 | Office visit, new patient, 45-59 min | $151.40 | 0.91x | 78 | Standard |
| 99205 | Office visit, new patient, 60-74 min | $494.70 | 2.25x | 280 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $43.89 | 0.77x | 73 | Standard |
| 99213 | Office visit, established patient, 20-29 min | $75.91 | 0.82x | 75 | Standard |
| 99214 | Office visit, established patient, 30-39 min | $92.40 | 0.70x | 78 | Standard |
| 99215 | Office visit, established patient, 40-54 min | $146.20 | 0.79x | 70 | Standard |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (16660). 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.
Charleston-Mattoon prints below its state cell (Illinois at 96.7) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Charleston-Mattoon, IL. Reddenda. https://reddenda.health/atlas/il/charleston-mattoon-16660/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 16660 · metro grainas of 2026-07-15 · methodology v1.0