Commercial rate index · metro cell
Trenton-Princeton healthcare rate index
Commercial contracted rates in Trenton-Princeton, NJ run 0.96x the national Medicare fee schedule across the office-visit basket. Index 100.4, where 100 is the national standard.
Index 100.4
0.96x Medicare
9,527 verified rate points
8/8 basket codes
state index 95.1
The basket in Trenton-Princeton
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $80.31 | 1.13x | 1,331 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $114.08 | 1.03x | 934 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $184.14 | 1.10x | 1,065 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $225.59 | 1.03x | 2,015 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $51.33 | 0.90x | 898 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $80.66 | 0.87x | 1,162 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $115.00 | 0.87x | 1,189 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $166.03 | 0.89x | 933 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (45940). 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.
Trenton-Princeton prints above its state cell (New Jersey at 95.1) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Trenton-Princeton, NJ. Reddenda. https://reddenda.health/atlas/nj/trenton-princeton-45940/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 45940 · metro grainas of 2026-07-15 · methodology v1.0