Commercial rate index · metro cell
Canton-Massillon healthcare rate index
Commercial contracted rates in Canton-Massillon, OH run 0.75x the national Medicare fee schedule across the office-visit basket. Index 77.8, where 100 is the national standard.
Index 77.8
0.75x Medicare
22,235 verified rate points
8/8 basket codes
state index 81.4
The basket in Canton-Massillon
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $57.49 | 0.81x | 3,393 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $94.86 | 0.86x | 2,246 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $141.00 | 0.84x | 2,968 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $174.89 | 0.80x | 3,042 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $39.76 | 0.70x | 1,945 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $57.97 | 0.63x | 2,341 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $79.40 | 0.60x | 3,247 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $125.00 | 0.67x | 3,053 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (15940). 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.
Canton-Massillon prints below its state cell (Ohio at 81.4) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Canton-Massillon, OH. Reddenda. https://reddenda.health/atlas/oh/canton-massillon-15940/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 15940 · metro grainas of 2026-07-15 · methodology v1.0