Commercial rate index · metro cell
Grand Rapids-Wyoming-Kentwood healthcare rate index
Commercial contracted rates in Grand Rapids-Wyoming-Kentwood, MI run 0.98x the national Medicare fee schedule across the office-visit basket. Index 102.2, where 100 is the national standard.
Index 102.2
0.98x Medicare
13,610 verified rate points
8/8 basket codes
state index 97.5
The basket in Grand Rapids-Wyoming-Kentwood
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $95.61 | 1.34x | 3,512 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $110.57 | 1.00x | 670 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $180.05 | 1.08x | 740 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $318.60 | 1.45x | 6,045 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $50.48 | 0.89x | 528 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $80.00 | 0.87x | 713 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $115.00 | 0.87x | 747 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $179.00 | 0.96x | 655 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (24340). 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.
Grand Rapids-Wyoming-Kentwood prints above its state cell (Michigan at 97.5) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Grand Rapids-Wyoming-Kentwood, MI. Reddenda. https://reddenda.health/atlas/mi/grand-rapids-wyoming-kentwood-24340/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 24340 · metro grainas of 2026-07-15 · methodology v1.0