Commercial rate index · metro cell
Charlotte-Concord-Gastonia healthcare rate index
Commercial contracted rates in Charlotte-Concord-Gastonia, NC-SC run 0.79x the national Medicare fee schedule across the office-visit basket. Index 82.2, where 100 is the national standard.
Index 82.2
0.79x Medicare
223,850 verified rate points
8/8 basket codes
state index 89.2
The basket in Charlotte-Concord-Gastonia
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $71.51 | 1.00x | 31,042 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $86.00 | 0.78x | 23,763 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $141.97 | 0.85x | 23,884 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $231.64 | 1.05x | 50,272 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $45.47 | 0.80x | 23,437 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $57.62 | 0.62x | 23,760 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $100.10 | 0.76x | 23,939 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $137.17 | 0.74x | 23,753 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (16740). 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.
Charlotte-Concord-Gastonia prints below its state cell (North Carolina at 89.2) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Charlotte-Concord-Gastonia, NC-SC. Reddenda. https://reddenda.health/atlas/nc/charlotte-concord-gastonia-16740/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 16740 · metro grainas of 2026-07-15 · methodology v1.0