Commercial rate index · metro cell
Kalamazoo-Portage healthcare rate index
Commercial contracted rates in Kalamazoo-Portage, MI run 0.97x the national Medicare fee schedule across the office-visit basket. Index 100.8, where 100 is the national standard.
Index 100.8
0.97x Medicare
3,014 verified rate points
8/8 basket codes
state index 97.5
The basket in Kalamazoo-Portage
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $83.59 | 1.17x | 596 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $113.64 | 1.03x | 238 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $169.23 | 1.01x | 265 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $219.08 | 1.00x | 942 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $47.14 | 0.83x | 189 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $80.00 | 0.87x | 268 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $115.00 | 0.87x | 272 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $175.16 | 0.94x | 244 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (28020). 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.
Kalamazoo-Portage prints above its state cell (Michigan at 97.5) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Kalamazoo-Portage, MI. Reddenda. https://reddenda.health/atlas/mi/kalamazoo-portage-28020/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 28020 · metro grainas of 2026-07-15 · methodology v1.0