Commercial rate index · metro cell
Detroit-Warren-Dearborn healthcare rate index
Commercial contracted rates in Detroit-Warren-Dearborn, MI run 0.94x the national Medicare fee schedule across the office-visit basket. Index 97.5, where 100 is the national standard.
Index 97.5
0.94x Medicare
38,211 verified rate points
8/8 basket codes
state index 97.5
The basket in Detroit-Warren-Dearborn
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $74.59 | 1.05x | 7,315 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $110.44 | 1.00x | 2,814 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $168.66 | 1.01x | 3,085 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $227.25 | 1.03x | 13,166 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $44.72 | 0.79x | 2,507 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $80.00 | 0.87x | 3,210 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $115.00 | 0.87x | 3,216 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $147.04 | 0.79x | 2,898 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (19820). 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.
Detroit-Warren-Dearborn prints above its state cell (Michigan at 97.5) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Detroit-Warren-Dearborn, MI. Reddenda. https://reddenda.health/atlas/mi/detroit-warren-dearborn-19820/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 19820 · metro grainas of 2026-07-15 · methodology v1.0