Commercial rate index · state cell

New York healthcare rate index

Name: Reddenda Commercial Rate Atlas: New York
Creator: Reddenda
License: https://creativecommons.org/licenses/by-nc-nd/4.0/

Commercial contracted rates in New York run 0.80x the national Medicare fee schedule across the office-visit basket. On the Reddenda index, where 100 is the national standard, New York prints 83.5, ranked 48 of 51 states.

Index 83.5 0.80x Medicare 1,888,981 verified rate points 8/8 basket codes published

The basket, code by code

as of 2026-07-15

CPT	Service	State median	vs Medicare	Rate points	Tier
99202	Office visit, new patient, 15-29 min	$75.36	1.06x	271,595	Benchmark
99203	Office visit, new patient, 30-44 min	$97.33	0.88x	235,150	Benchmark
99204	Office visit, new patient, 45-59 min	$139.50	0.84x	185,568	Benchmark
99205	Office visit, new patient, 60-74 min	$203.06	0.92x	279,984	Benchmark
99212	Office visit, established patient, 10-19 min	$43.70	0.77x	243,570	Benchmark
99213	Office visit, established patient, 20-29 min	$70.35	0.76x	211,674	Benchmark
99214	Office visit, established patient, 30-39 min	$36.40	0.28x	228,643	Benchmark
99215	Office visit, established patient, 40-54 min	$122.08	0.66x	232,797	Benchmark

Medians computed across the full verified distribution of practice-level contracted rates in New York. Publication floor: 11 verified rate points and a 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.

Metros in New York

The market is metro by metro. So is the index.

Corning 94.30.91x Medicare Seneca Falls 91.20.88x Medicare Jamestown-Dunkirk 90.40.87x Medicare Olean 87.60.84x Medicare Rochester 86.20.83x Medicare New York-Newark-Jersey 86.10.83x Medicare Elmira 84.30.81x Medicare Watertown-Fort Drum 83.60.80x Medicare Auburn 830.80x Medicare Utica-Rome 81.60.78x Medicare Ithaca 80.50.77x Medicare Massena-Ogdensburg 78.60.76x Medicare Syracuse 78.10.75x Medicare Buffalo-Cheektowaga 77.50.74x Medicare Binghamton 76.90.74x Medicare Batavia 76.10.73x Medicare Kiryas Joel-Poughkeeps 76.10.73x Medicare Albany-Schenectady-Tro 74.50.72x Medicare Kingston 73.60.71x Medicare Monticello 730.70x Medicare Cortland 71.50.69x Medicare Glens Falls 70.30.68x Medicare Hudson 69.90.67x Medicare Amsterdam 69.30.67x Medicare Plattsburgh 68.30.66x Medicare Gloversville 68.10.65x Medicare

Read it against the country.

The national standard is the RCRI print: 0.9608x Medicare, Vintage 001, established July 2026. New York sits below it. State cells are satellite series to the national print and carry the same frozen methodology.

All states North Carolina · 89.2 Vermont · 88.7 Connecticut · 87.6 West Virginia · 83.3 Ohio · 81.4 The national print

Cite this page

Source: Reddenda Commercial Rate Atlas, New York. Reddenda. https://reddenda.health/atlas/ny/

Series ID

RCRI.US.ST.NY

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Derivation federally mandated TiC MRFs, verified to provider identitystate grain · 1,888,981 verified rate pointsas of 2026-07-15 · methodology v1.0