Commercial rate index · state cell

Pennsylvania healthcare rate index

Name: Reddenda Commercial Rate Atlas: Pennsylvania
Creator: Reddenda
License: https://creativecommons.org/licenses/by-nc-nd/4.0/

Commercial contracted rates in Pennsylvania run 0.98x the national Medicare fee schedule across the office-visit basket. On the Reddenda index, where 100 is the national standard, Pennsylvania prints 102.5, ranked 12 of 51 states.

Index 102.5 0.98x Medicare 355,436 verified rate points 8/8 basket codes published

The basket, code by code

as of 2026-07-15

CPT	Service	State median	vs Medicare	Rate points	Tier
99202	Office visit, new patient, 15-29 min	$86.18	1.21x	43,916	Benchmark
99203	Office visit, new patient, 30-44 min	$112.56	1.02x	30,646	Benchmark
99204	Office visit, new patient, 45-59 min	$168.67	1.01x	34,313	Benchmark
99205	Office visit, new patient, 60-74 min	$247.79	1.13x	84,760	Benchmark
99212	Office visit, established patient, 10-19 min	$54.29	0.95x	24,332	Benchmark
99213	Office visit, established patient, 20-29 min	$88.59	0.96x	54,278	Benchmark
99214	Office visit, established patient, 30-39 min	$124.93	0.95x	55,817	Benchmark
99215	Office visit, established patient, 40-54 min	$174.02	0.93x	27,374	Benchmark

Medians computed across the full verified distribution of practice-level contracted rates in Pennsylvania. Publication floor: 11 verified rate points and a 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.

Metros in Pennsylvania

The market is metro by metro. So is the index.

Sayre 113.31.09x Medicare Lewistown 110.91.07x Medicare Sunbury 107.91.04x Medicare Allentown-Bethlehem-Ea 106.51.02x Medicare Harrisburg-Carlisle 105.51.01x Medicare Philadelphia-Camden-Wi 105.21.01x Medicare State College 105.11.01x Medicare Pottsville 103.71.00x Medicare Scranton--Wilkes-Barre 103.10.99x Medicare Pittsburgh 102.90.99x Medicare Altoona 102.70.99x Medicare Reading 102.50.98x Medicare Hemlock Farms 102.20.98x Medicare East Stroudsburg 1020.98x Medicare Indiana 1020.98x Medicare Somerset 101.90.98x Medicare Selinsgrove 101.80.98x Medicare Johnstown 101.40.97x Medicare Lewisburg 101.10.97x Medicare York-Hanover 100.90.97x Medicare Gettysburg 100.70.97x Medicare Lebanon 100.70.97x Medicare DuBois 100.60.97x Medicare Lancaster 99.30.95x Medicare Huntingdon 98.70.95x Medicare Chambersburg 98.60.95x Medicare Oil City 97.30.93x Medicare Erie 96.10.92x Medicare Bloomsburg-Berwick 95.30.92x Medicare Williamsport 940.90x Medicare Meadville 91.70.88x Medicare Bradford 90.60.87x Medicare Lock Haven 89.40.86x Medicare Hermitage 88.70.85x Medicare Warren 76.90.74x Medicare

Read it against the country.

The national standard is the RCRI print: 0.9608x Medicare, Vintage 001, established July 2026. Pennsylvania sits above it. State cells are satellite series to the national print and carry the same frozen methodology.

All states Maryland · 104.2 Iowa · 103.7 Wyoming · 102.7 Rhode Island · 102.2 North Dakota · 102.1 The national print

Cite this page

Source: Reddenda Commercial Rate Atlas, Pennsylvania. Reddenda. https://reddenda.health/atlas/pa/

Series ID

RCRI.US.ST.PA

Run your NPI against Pennsylvania Book a discovery call

Derivation federally mandated TiC MRFs, verified to provider identitystate grain · 355,436 verified rate pointsas of 2026-07-15 · methodology v1.0