Commercial rate index · metro cell
Boston-Cambridge-Newton healthcare rate index
Commercial contracted rates in Boston-Cambridge-Newton, MA-NH run 1.18x the national Medicare fee schedule across the office-visit basket. Index 122.6, where 100 is the national standard.
Index 122.6
1.18x Medicare
158,891 verified rate points
8/8 basket codes
state index 112.2
The basket in Boston-Cambridge-Newton
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $148.14 | 2.08x | 51,967 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $134.85 | 1.22x | 8,805 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $201.34 | 1.21x | 8,259 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $336.56 | 1.53x | 58,978 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $61.27 | 1.08x | 7,603 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $106.28 | 1.15x | 8,885 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $129.31 | 0.98x | 7,478 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $186.04 | 1.00x | 6,916 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (14460). 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.
Boston-Cambridge-Newton prints above its state cell (Massachusetts at 112.2) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Boston-Cambridge-Newton, MA-NH. Reddenda. https://reddenda.health/atlas/ma/boston-cambridge-newton-14460/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 14460 · metro grainas of 2026-07-15 · methodology v1.0