Commercial rate index · metro cell
Harrisburg-Carlisle healthcare rate index
Commercial contracted rates in Harrisburg-Carlisle, PA run 1.01x the national Medicare fee schedule across the office-visit basket. Index 105.5, where 100 is the national standard.
Index 105.5
1.01x Medicare
20,920 verified rate points
8/8 basket codes
state index 102.5
The basket in Harrisburg-Carlisle
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $72.04 | 1.01x | 1,523 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $112.50 | 1.02x | 1,766 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $169.56 | 1.02x | 1,755 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $319.37 | 1.45x | 6,985 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $52.83 | 0.93x | 1,429 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $90.12 | 0.98x | 2,984 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $130.23 | 0.99x | 2,918 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $191.76 | 1.03x | 1,560 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (25420). 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.
Harrisburg-Carlisle prints above its state cell (Pennsylvania at 102.5) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Harrisburg-Carlisle, PA. Reddenda. https://reddenda.health/atlas/pa/harrisburg-carlisle-25420/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 25420 · metro grainas of 2026-07-15 · methodology v1.0