Commercial rate index · metro cell
Hilton Head Island-Bluffton-Port Royal healthcare rate index
Commercial contracted rates in Hilton Head Island-Bluffton-Port Royal, SC run 0.92x the national Medicare fee schedule across the office-visit basket. Index 95.9, where 100 is the national standard.
Index 95.9
0.92x Medicare
3,345 verified rate points
8/8 basket codes
state index 101.9
The basket in Hilton Head Island-Bluffton-Port Royal
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $66.22 | 0.93x | 513 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $108.09 | 0.98x | 347 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $170.12 | 1.02x | 326 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $224.27 | 1.02x | 799 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $50.93 | 0.90x | 310 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $83.48 | 0.90x | 341 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $120.12 | 0.91x | 382 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $166.87 | 0.90x | 327 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (25940). 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.
Hilton Head Island-Bluffton-Port Royal 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, Hilton Head Island-Bluffton-Port Royal, SC. Reddenda. https://reddenda.health/atlas/sc/hilton-head-island-bluffton-port-royal-25940/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 25940 · metro grainas of 2026-07-15 · methodology v1.0