Commercial rate index · metro cell
Providence-Warwick healthcare rate index
Commercial contracted rates in Providence-Warwick, RI-MA run 0.98x the national Medicare fee schedule across the office-visit basket. Index 102.2, where 100 is the national standard.
Index 102.2
0.98x Medicare
51,033 verified rate points
8/8 basket codes
state index 102.2
The basket in Providence-Warwick
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $84.65 | 1.19x | 7,614 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $95.14 | 0.86x | 5,241 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $169.16 | 1.01x | 5,251 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $260.18 | 1.18x | 11,949 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $41.24 | 0.73x | 5,151 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $93.85 | 1.02x | 5,255 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $120.25 | 0.91x | 5,278 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $177.03 | 0.95x | 5,294 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (39300). 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.
Providence-Warwick prints above its state cell (Rhode Island at 102.2) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Providence-Warwick, RI-MA. Reddenda. https://reddenda.health/atlas/ri/providence-warwick-39300/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 39300 · metro grainas of 2026-07-15 · methodology v1.0