Commercial rate index · metro cell
Scranton--Wilkes-Barre healthcare rate index
Commercial contracted rates in Scranton--Wilkes-Barre, PA run 0.99x the national Medicare fee schedule across the office-visit basket. Index 103.1, where 100 is the national standard.
Index 103.1
0.99x Medicare
10,990 verified rate points
8/8 basket codes
state index 102.5
The basket in Scranton--Wilkes-Barre
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $79.59 | 1.12x | 1,036 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $112.56 | 1.02x | 913 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $168.67 | 1.01x | 903 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $269.29 | 1.22x | 3,627 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $55.17 | 0.97x | 781 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $88.59 | 0.96x | 1,526 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $126.89 | 0.96x | 1,459 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $175.88 | 0.94x | 745 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (42540). 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.
Scranton--Wilkes-Barre prints above its state cell (Pennsylvania at 102.5) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Scranton--Wilkes-Barre, PA. Reddenda. https://reddenda.health/atlas/pa/scranton-wilkes-barre-42540/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 42540 · metro grainas of 2026-07-15 · methodology v1.0