Commercial rate index · metro cell
South Bend-Mishawaka healthcare rate index
Commercial contracted rates in South Bend-Mishawaka, IN-MI run 0.96x the national Medicare fee schedule across the office-visit basket. Index 99.7, where 100 is the national standard.
Index 99.7
0.96x Medicare
22,584 verified rate points
8/8 basket codes
state index 98.6
The basket in South Bend-Mishawaka
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 | 2,998 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $110.44 | 1.00x | 2,630 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $168.66 | 1.01x | 2,289 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $218.53 | 0.99x | 3,572 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $44.72 | 0.79x | 2,748 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $81.87 | 0.89x | 2,738 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $121.63 | 0.92x | 2,816 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $171.61 | 0.92x | 2,793 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (43780). 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.
South Bend-Mishawaka prints above its state cell (Indiana at 98.6) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, South Bend-Mishawaka, IN-MI. Reddenda. https://reddenda.health/atlas/in/south-bend-mishawaka-43780/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 43780 · metro grainas of 2026-07-15 · methodology v1.0