Commercial rate index · metro cell
Portland-South Portland healthcare rate index
Commercial contracted rates in Portland-South Portland, ME run 1.09x the national Medicare fee schedule across the office-visit basket. Index 113.9, where 100 is the national standard.
Index 113.9
1.09x Medicare
44,360 verified rate points
8/8 basket codes
state index 109.5
The basket in Portland-South Portland
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $83.56 | 1.17x | 6,459 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $126.99 | 1.15x | 5,239 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $201.34 | 1.21x | 5,211 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $250.29 | 1.14x | 7,039 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $59.75 | 1.05x | 5,084 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $95.96 | 1.04x | 5,238 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $134.96 | 1.02x | 5,088 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $191.83 | 1.03x | 5,002 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (38860). 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.
Portland-South Portland prints above its state cell (Maine at 109.5) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Portland-South Portland, ME. Reddenda. https://reddenda.health/atlas/me/portland-south-portland-38860/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 38860 · metro grainas of 2026-07-15 · methodology v1.0