Commercial rate index · metro cell
Ocean Pines healthcare rate index
Commercial contracted rates in Ocean Pines, MD run 0.93x the national Medicare fee schedule across the office-visit basket. Index 96.8, where 100 is the national standard.
Index 96.8
0.93x Medicare
386 verified rate points
7/8 basket codes
state index 104.2
The basket in Ocean Pines
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $66.92 | 0.94x | 95 | Standard |
| 99203 | Office visit, new patient, 30-44 min | $123.10 | 1.12x | 32 | Standard |
| 99204 | Office visit, new patient, 45-59 min | $155.24 | 0.93x | 41 | Standard |
| 99205 | Office visit, new patient, 60-74 min | $202.14 | 0.92x | 118 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $59.75 | 1.05x | 26 | Standard |
| 99213 | Office visit, established patient, 20-29 min | $80.00 | 0.87x | 38 | Standard |
| 99214 | Office visit, established patient, 30-39 min | $115.00 | 0.87x | 36 | Standard |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (36180). 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.
Ocean Pines prints below its state cell (Maryland at 104.2) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Ocean Pines, MD. Reddenda. https://reddenda.health/atlas/md/ocean-pines-36180/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 36180 · metro grainas of 2026-07-15 · methodology v1.0