Commercial rate index · metro cell
Pinehurst-Southern Pines healthcare rate index
Commercial contracted rates in Pinehurst-Southern Pines, NC run 0.93x the national Medicare fee schedule across the office-visit basket. Index 96.3, where 100 is the national standard.
Index 96.3
0.93x Medicare
10,269 verified rate points
8/8 basket codes
state index 89.2
The basket in Pinehurst-Southern Pines
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 | 1,299 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $86.00 | 0.78x | 1,208 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $184.08 | 1.10x | 1,207 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $220.06 | 1.00x | 1,727 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $52.35 | 0.92x | 1,198 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $57.62 | 0.62x | 1,200 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $118.55 | 0.90x | 1,209 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $182.86 | 0.98x | 1,221 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (38240). 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.
Pinehurst-Southern Pines prints above its state cell (North Carolina at 89.2) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Pinehurst-Southern Pines, NC. Reddenda. https://reddenda.health/atlas/nc/pinehurst-southern-pines-38240/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 38240 · metro grainas of 2026-07-15 · methodology v1.0