Commercial rate index · metro cell
Kingsport-Bristol healthcare rate index
Commercial contracted rates in Kingsport-Bristol, TN-VA run 0.96x the national Medicare fee schedule across the office-visit basket. Index 99.5, where 100 is the national standard.
Index 99.5
0.96x Medicare
7,516 verified rate points
8/8 basket codes
state index 95.8
The basket in Kingsport-Bristol
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $77.12 | 1.08x | 1,274 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $110.14 | 1.00x | 716 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $156.29 | 0.94x | 719 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $217.35 | 0.99x | 1,935 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $52.35 | 0.92x | 816 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $88.85 | 0.96x | 833 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $125.27 | 0.95x | 651 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $168.16 | 0.90x | 572 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (28700). 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.
Kingsport-Bristol prints above its state cell (Tennessee at 95.8) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Kingsport-Bristol, TN-VA. Reddenda. https://reddenda.health/atlas/tn/kingsport-bristol-28700/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 28700 · metro grainas of 2026-07-15 · methodology v1.0