Commercial rate index · metro cell
Louisville/Jefferson County healthcare rate index
Commercial contracted rates in Louisville/Jefferson County, KY-IN run 0.69x the national Medicare fee schedule across the office-visit basket. Index 71.9, where 100 is the national standard.
Index 71.9
0.69x Medicare
67,152 verified rate points
8/8 basket codes
state index 71.8
The basket in Louisville/Jefferson County
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $60.84 | 0.85x | 8,338 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $82.77 | 0.75x | 10,472 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $121.77 | 0.73x | 7,225 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $187.26 | 0.85x | 11,740 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $34.98 | 0.62x | 6,803 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $60.02 | 0.65x | 7,380 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $85.98 | 0.65x | 8,137 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $119.30 | 0.64x | 7,057 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (31140). 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.
Louisville/Jefferson County prints above its state cell (Kentucky at 71.8) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Louisville/Jefferson County, KY-IN. Reddenda. https://reddenda.health/atlas/ky/louisville-jefferson-county-31140/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 31140 · metro grainas of 2026-07-15 · methodology v1.0