Commercial rate index · metro cell
Elkhart-Goshen healthcare rate index
Commercial contracted rates in Elkhart-Goshen, IN run 0.89x the national Medicare fee schedule across the office-visit basket. Index 92.9, where 100 is the national standard.
Index 92.9
0.89x Medicare
11,005 verified rate points
8/8 basket codes
state index 98.6
The basket in Elkhart-Goshen
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $76.22 | 1.07x | 1,383 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $110.44 | 1.00x | 1,270 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $168.66 | 1.01x | 1,042 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $209.35 | 0.95x | 1,808 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $44.72 | 0.79x | 1,362 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $77.07 | 0.83x | 1,359 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $108.71 | 0.82x | 1,398 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $150.31 | 0.81x | 1,383 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (21140). 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.
Elkhart-Goshen prints below its state cell (Indiana at 98.6) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Elkhart-Goshen, IN. Reddenda. https://reddenda.health/atlas/in/elkhart-goshen-21140/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 21140 · metro grainas of 2026-07-15 · methodology v1.0