Commercial rate index · metro cell
York-Hanover healthcare rate index
Commercial contracted rates in York-Hanover, PA run 0.97x the national Medicare fee schedule across the office-visit basket. Index 100.9, where 100 is the national standard.
Index 100.9
0.97x Medicare
8,999 verified rate points
8/8 basket codes
state index 102.5
The basket in York-Hanover
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $72.14 | 1.01x | 662 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $108.71 | 0.99x | 965 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $162.90 | 0.98x | 1,046 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $212.83 | 0.97x | 1,476 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $55.17 | 0.97x | 746 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $83.95 | 0.91x | 1,671 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $119.62 | 0.91x | 1,742 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $158.78 | 0.85x | 691 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (49620). 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.
York-Hanover prints below its state cell (Pennsylvania at 102.5) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, York-Hanover, PA. Reddenda. https://reddenda.health/atlas/pa/york-hanover-49620/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 49620 · metro grainas of 2026-07-15 · methodology v1.0