Commercial rate index · metro cell
Hickory-Lenoir-Morganton healthcare rate index
Commercial contracted rates in Hickory-Lenoir-Morganton, NC run 0.80x the national Medicare fee schedule across the office-visit basket. Index 83.7, where 100 is the national standard.
Index 83.7
0.80x Medicare
20,981 verified rate points
8/8 basket codes
state index 89.2
The basket in Hickory-Lenoir-Morganton
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $66.22 | 0.93x | 2,743 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $86.00 | 0.78x | 2,412 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $141.97 | 0.85x | 2,445 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $224.20 | 1.02x | 3,670 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $44.00 | 0.77x | 2,401 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $57.62 | 0.62x | 2,434 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $109.24 | 0.83x | 2,449 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $124.70 | 0.67x | 2,427 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (25860). 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.
Hickory-Lenoir-Morganton 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, Hickory-Lenoir-Morganton, NC. Reddenda. https://reddenda.health/atlas/nc/hickory-lenoir-morganton-25860/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 25860 · metro grainas of 2026-07-15 · methodology v1.0