Commercial rate index · metro cell
Marion-Herrin healthcare rate index
Commercial contracted rates in Marion-Herrin, IL run 0.82x the national Medicare fee schedule across the office-visit basket. Index 85.6, where 100 is the national standard.
Index 85.6
0.82x Medicare
1,015 verified rate points
8/8 basket codes
state index 96.7
The basket in Marion-Herrin
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $67.80 | 0.95x | 175 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $93.20 | 0.84x | 105 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $141.00 | 0.84x | 99 | Standard |
| 99205 | Office visit, new patient, 60-74 min | $200.86 | 0.91x | 257 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $36.70 | 0.65x | 79 | Standard |
| 99213 | Office visit, established patient, 20-29 min | $73.92 | 0.80x | 96 | Standard |
| 99214 | Office visit, established patient, 30-39 min | $90.07 | 0.68x | 101 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $130.39 | 0.70x | 103 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (32060). 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.
Marion-Herrin prints below its state cell (Illinois at 96.7) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Marion-Herrin, IL. Reddenda. https://reddenda.health/atlas/il/marion-herrin-32060/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 32060 · metro grainas of 2026-07-15 · methodology v1.0