Commercial rate index · metro cell
Shelby-Kings Mountain healthcare rate index
Commercial contracted rates in Shelby-Kings Mountain, NC run 0.84x the national Medicare fee schedule across the office-visit basket. Index 87.2, where 100 is the national standard.
Index 87.2
0.84x Medicare
6,614 verified rate points
8/8 basket codes
state index 89.2
The basket in Shelby-Kings Mountain
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $72.84 | 1.02x | 950 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $86.00 | 0.78x | 708 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $147.36 | 0.88x | 715 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $227.14 | 1.03x | 1,411 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $47.13 | 0.83x | 701 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $61.11 | 0.66x | 707 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $111.60 | 0.85x | 716 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $137.17 | 0.74x | 706 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (43140). 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.
Shelby-Kings Mountain 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, Shelby-Kings Mountain, NC. Reddenda. https://reddenda.health/atlas/nc/shelby-kings-mountain-43140/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 43140 · metro grainas of 2026-07-15 · methodology v1.0