Commercial rate index · metro cell
Baltimore-Columbia-Towson healthcare rate index
Commercial contracted rates in Baltimore-Columbia-Towson, MD run 0.95x the national Medicare fee schedule across the office-visit basket. Index 99, where 100 is the national standard.
Index 99
0.95x Medicare
52,432 verified rate points
8/8 basket codes
state index 104.2
The basket in Baltimore-Columbia-Towson
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $96.92 | 1.36x | 12,641 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $110.37 | 1.00x | 2,496 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $179.92 | 1.08x | 2,684 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $360.93 | 1.64x | 24,378 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $51.23 | 0.90x | 2,252 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $80.08 | 0.87x | 2,667 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $115.00 | 0.87x | 2,724 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $161.72 | 0.87x | 2,590 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (12580). 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.
Baltimore-Columbia-Towson prints below its state cell (Maryland at 104.2) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Baltimore-Columbia-Towson, MD. Reddenda. https://reddenda.health/atlas/md/baltimore-columbia-towson-12580/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 12580 · metro grainas of 2026-07-15 · methodology v1.0