Commercial rate index · metro cell
Augusta-Waterville healthcare rate index
Commercial contracted rates in Augusta-Waterville, ME run 1.03x the national Medicare fee schedule across the office-visit basket. Index 107.6, where 100 is the national standard.
Index 107.6
1.03x Medicare
7,259 verified rate points
8/8 basket codes
state index 109.5
The basket in Augusta-Waterville
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $71.23 | 1.00x | 1,021 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $105.79 | 0.96x | 853 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $195.37 | 1.17x | 854 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $234.53 | 1.07x | 1,140 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $59.67 | 1.05x | 839 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $95.73 | 1.04x | 861 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $127.80 | 0.97x | 850 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $192.04 | 1.03x | 841 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (12300). 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.
Augusta-Waterville prints below its state cell (Maine at 109.5) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Augusta-Waterville, ME. Reddenda. https://reddenda.health/atlas/me/augusta-waterville-12300/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 12300 · metro grainas of 2026-07-15 · methodology v1.0