Commercial rate index · metro cell
Bloomsburg-Berwick healthcare rate index
Commercial contracted rates in Bloomsburg-Berwick, PA run 0.92x the national Medicare fee schedule across the office-visit basket. Index 95.3, where 100 is the national standard.
Index 95.3
0.92x Medicare
913 verified rate points
8/8 basket codes
state index 102.5
The basket in Bloomsburg-Berwick
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $84.82 | 1.19x | 82 | Standard |
| 99203 | Office visit, new patient, 30-44 min | $97.33 | 0.88x | 72 | Standard |
| 99204 | Office visit, new patient, 45-59 min | $143.37 | 0.86x | 70 | Standard |
| 99205 | Office visit, new patient, 60-74 min | $349.47 | 1.59x | 332 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $48.27 | 0.85x | 73 | Standard |
| 99213 | Office visit, established patient, 20-29 min | $88.59 | 0.96x | 123 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $124.93 | 0.95x | 113 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $151.83 | 0.82x | 48 | Standard |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (14100). 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.
Bloomsburg-Berwick prints below its state cell (Pennsylvania at 102.5) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Bloomsburg-Berwick, PA. Reddenda. https://reddenda.health/atlas/pa/bloomsburg-berwick-14100/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 14100 · metro grainas of 2026-07-15 · methodology v1.0