Commercial rate index · metro cell
New Philadelphia-Dover healthcare rate index
Commercial contracted rates in New Philadelphia-Dover, OH run 0.74x the national Medicare fee schedule across the office-visit basket. Index 76.9, where 100 is the national standard.
Index 76.9
0.74x Medicare
2,580 verified rate points
8/8 basket codes
state index 81.4
The basket in New Philadelphia-Dover
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $55.41 | 0.78x | 396 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $94.86 | 0.86x | 258 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $141.00 | 0.84x | 341 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $179.84 | 0.82x | 352 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $39.76 | 0.70x | 204 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $62.87 | 0.68x | 271 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $80.73 | 0.61x | 394 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $125.00 | 0.67x | 364 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (35420). 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.
New Philadelphia-Dover prints below its state cell (Ohio at 81.4) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, New Philadelphia-Dover, OH. Reddenda. https://reddenda.health/atlas/oh/new-philadelphia-dover-35420/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 35420 · metro grainas of 2026-07-15 · methodology v1.0