Commercial rate index · metro cell
Youngstown-Warren healthcare rate index
Commercial contracted rates in Youngstown-Warren, OH run 0.71x the national Medicare fee schedule across the office-visit basket. Index 73.5, where 100 is the national standard.
Index 73.5
0.71x Medicare
25,388 verified rate points
8/8 basket codes
state index 81.4
The basket in Youngstown-Warren
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $55.26 | 0.78x | 3,778 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $78.70 | 0.71x | 2,660 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $119.85 | 0.72x | 3,196 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $157.97 | 0.72x | 3,425 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $39.76 | 0.70x | 2,524 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $57.17 | 0.62x | 2,423 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $66.81 | 0.51x | 3,679 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $107.47 | 0.58x | 3,703 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (49660). 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.
Youngstown-Warren prints below its state cell (Ohio at 81.4) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Youngstown-Warren, OH. Reddenda. https://reddenda.health/atlas/oh/youngstown-warren-49660/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 49660 · metro grainas of 2026-07-15 · methodology v1.0