Commercial rate index · metro cell
Portland-Vancouver-Hillsboro healthcare rate index
Commercial contracted rates in Portland-Vancouver-Hillsboro, OR-WA run 1.01x the national Medicare fee schedule across the office-visit basket. Index 105.6, where 100 is the national standard.
Index 105.6
1.01x Medicare
33,204 verified rate points
8/8 basket codes
state index 98.8
The basket in Portland-Vancouver-Hillsboro
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $110.22 | 1.55x | 7,214 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $122.58 | 1.11x | 1,338 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $185.00 | 1.11x | 1,328 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $330.45 | 1.50x | 18,087 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $52.35 | 0.92x | 1,285 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $81.23 | 0.88x | 1,207 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $118.93 | 0.90x | 1,460 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $169.10 | 0.91x | 1,285 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (38900). 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.
Portland-Vancouver-Hillsboro prints above its state cell (Oregon at 98.8) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Portland-Vancouver-Hillsboro, OR-WA. Reddenda. https://reddenda.health/atlas/or/portland-vancouver-hillsboro-38900/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 38900 · metro grainas of 2026-07-15 · methodology v1.0