Commercial rate index · metro cell
Charleston-North Charleston healthcare rate index
Commercial contracted rates in Charleston-North Charleston, SC run 0.95x the national Medicare fee schedule across the office-visit basket. Index 98.7, where 100 is the national standard.
Index 98.7
0.95x Medicare
17,968 verified rate points
8/8 basket codes
state index 101.9
The basket in Charleston-North Charleston
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $69.40 | 0.98x | 2,724 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $109.46 | 0.99x | 1,073 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $180.00 | 1.08x | 1,168 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $273.61 | 1.24x | 8,561 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $52.35 | 0.92x | 993 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $80.11 | 0.87x | 1,170 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $115.07 | 0.87x | 1,148 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $171.00 | 0.92x | 1,131 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (16700). 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.
Charleston-North Charleston prints below its state cell (South Carolina at 101.9) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Charleston-North Charleston, SC. Reddenda. https://reddenda.health/atlas/sc/charleston-north-charleston-16700/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 16700 · metro grainas of 2026-07-15 · methodology v1.0