Commercial rate index · metro cell
Atlantic City-Hammonton healthcare rate index
Commercial contracted rates in Atlantic City-Hammonton, NJ run 0.93x the national Medicare fee schedule across the office-visit basket. Index 96.8, where 100 is the national standard.
Index 96.8
0.93x Medicare
5,198 verified rate points
8/8 basket codes
state index 95.1
The basket in Atlantic City-Hammonton
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $86.85 | 1.22x | 775 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $110.43 | 1.00x | 506 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $169.39 | 1.01x | 519 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $209.42 | 0.95x | 1,313 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $45.61 | 0.80x | 506 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $83.87 | 0.91x | 524 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $115.00 | 0.87x | 537 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $153.92 | 0.83x | 518 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (12100). 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.
Atlantic City-Hammonton prints above its state cell (New Jersey at 95.1) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Atlantic City-Hammonton, NJ. Reddenda. https://reddenda.health/atlas/nj/atlantic-city-hammonton-12100/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 12100 · metro grainas of 2026-07-15 · methodology v1.0