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Commercial rate index · metro cell

Miami healthcare rate index

Commercial contracted rates in Miami, OK run 1.03x the national Medicare fee schedule across the office-visit basket. Index 107.6, where 100 is the national standard.

Index 107.6 1.03x Medicare 388 verified rate points 8/8 basket codes state index 90.7

The basket in Miami

as of 2026-07-15
CPTServiceMetro medianvs MedicareRate pointsTier
99202Office visit, new patient, 15-29 min$90.141.27x55Standard
99203Office visit, new patient, 30-44 min$160.741.46x41Standard
99204Office visit, new patient, 45-59 min$150.360.90x35Standard
99205Office visit, new patient, 60-74 min$215.620.98x102Benchmark
99212Office visit, established patient, 10-19 min$50.270.88x41Standard
99213Office visit, established patient, 20-29 min$113.051.22x35Standard
99214Office visit, established patient, 30-39 min$114.920.87x34Standard
99215Office visit, established patient, 40-54 min$202.581.09x45Standard
Medians across the full verified distribution of practice-level contracted rates in this CBSA (33060). 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.

Miami prints above its state cell (Oklahoma at 90.7) and above the national standard of 100.

Cite this page

Source: Reddenda Commercial Rate Atlas, Miami, OK. Reddenda. https://reddenda.health/atlas/ok/miami-33060/
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Derivation federally mandated TiC MRFs, verified to provider identityCBSA 33060 · metro grainas of 2026-07-15 · methodology v1.0
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