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Commercial rate index · metro cell

Lima healthcare rate index

Commercial contracted rates in Lima, OH run 0.75x the national Medicare fee schedule across the office-visit basket. Index 78.1, where 100 is the national standard.

Index 78.1 0.75x Medicare 9,252 verified rate points 8/8 basket codes state index 81.4

The basket in Lima

as of 2026-07-15
CPTServiceMetro medianvs MedicareRate pointsTier
99202Office visit, new patient, 15-29 min$62.100.87x1,353Benchmark
99203Office visit, new patient, 30-44 min$94.070.85x966Benchmark
99204Office visit, new patient, 45-59 min$141.000.84x1,182Benchmark
99205Office visit, new patient, 60-74 min$176.330.80x1,391Benchmark
99212Office visit, established patient, 10-19 min$39.760.70x961Benchmark
99213Office visit, established patient, 20-29 min$58.490.63x982Benchmark
99214Office visit, established patient, 30-39 min$83.220.63x1,142Benchmark
99215Office visit, established patient, 40-54 min$124.970.67x1,275Benchmark
Medians across the full verified distribution of practice-level contracted rates in this CBSA (30620). 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.

Lima prints below its state cell (Ohio at 81.4) and below the national standard of 100.

Cite this page

Source: Reddenda Commercial Rate Atlas, Lima, OH. Reddenda. https://reddenda.health/atlas/oh/lima-30620/
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Derivation federally mandated TiC MRFs, verified to provider identityCBSA 30620 · metro grainas of 2026-07-15 · methodology v1.0
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