Commercial rate index · metro cell
Richmond-Berea healthcare rate index
Commercial contracted rates in Richmond-Berea, KY run 0.59x the national Medicare fee schedule across the office-visit basket. Index 61, where 100 is the national standard.
Index 61
0.59x Medicare
3,408 verified rate points
8/8 basket codes
state index 71.8
The basket in Richmond-Berea
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $48.40 | 0.68x | 457 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $78.42 | 0.71x | 658 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $107.60 | 0.64x | 361 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $153.72 | 0.70x | 505 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $27.52 | 0.48x | 351 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $42.30 | 0.46x | 393 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $61.26 | 0.46x | 345 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $98.21 | 0.53x | 338 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (40080). 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.
Richmond-Berea prints below its state cell (Kentucky at 71.8) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Richmond-Berea, KY. Reddenda. https://reddenda.health/atlas/ky/richmond-berea-40080/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 40080 · metro grainas of 2026-07-15 · methodology v1.0