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Commercial rate index · state cell

South Carolina healthcare rate index

Commercial contracted rates in South Carolina run 0.98x the national Medicare fee schedule across the office-visit basket. On the Reddenda index, where 100 is the national standard, South Carolina prints 101.9, ranked 15 of 51 states.

Index 101.9 0.98x Medicare 96,675 verified rate points 8/8 basket codes published

The basket, code by code

as of 2026-07-15
CPTServiceState medianvs MedicareRate pointsTier
99202Office visit, new patient, 15-29 min$78.071.10x20,993Benchmark
99203Office visit, new patient, 30-44 min$111.751.01x6,912Benchmark
99204Office visit, new patient, 45-59 min$185.001.11x7,048Benchmark
99205Office visit, new patient, 60-74 min$251.941.15x34,016Benchmark
99212Office visit, established patient, 10-19 min$52.350.92x6,427Benchmark
99213Office visit, established patient, 20-29 min$82.680.89x7,097Benchmark
99214Office visit, established patient, 30-39 min$123.190.93x7,218Benchmark
99215Office visit, established patient, 40-54 min$175.990.95x6,964Benchmark
Medians computed across the full verified distribution of practice-level contracted rates in South Carolina. Publication floor: 11 verified rate points and a 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.

Read it against the country.

The national standard is the RCRI print: 0.9608x Medicare, Vintage 001, established July 2026. South Carolina sits above it. State cells are satellite series to the national print and carry the same frozen methodology.

Cite this page

Source: Reddenda Commercial Rate Atlas, South Carolina. Reddenda. https://reddenda.health/atlas/sc/

Series ID

RCRI.US.ST.SC
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Derivation federally mandated TiC MRFs, verified to provider identitystate grain · 96,675 verified rate pointsas of 2026-07-15 · methodology v1.0
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