Commercial rate index · state cell

Texas healthcare rate index

Name: Reddenda Commercial Rate Atlas: Texas
Creator: Reddenda
License: https://creativecommons.org/licenses/by-nc-nd/4.0/

Commercial contracted rates in Texas run 0.92x the national Medicare fee schedule across the office-visit basket. On the Reddenda index, where 100 is the national standard, Texas prints 95.3, ranked 34 of 51 states.

Index 95.3 0.92x Medicare 331,596 verified rate points 8/8 basket codes published

The basket, code by code

as of 2026-07-15

CPT	Service	State median	vs Medicare	Rate points	Tier
99202	Office visit, new patient, 15-29 min	$74.93	1.05x	51,632	Benchmark
99203	Office visit, new patient, 30-44 min	$105.77	0.96x	30,579	Benchmark
99204	Office visit, new patient, 45-59 min	$169.40	1.01x	31,404	Benchmark
99205	Office visit, new patient, 60-74 min	$219.66	1.00x	93,244	Benchmark
99212	Office visit, established patient, 10-19 min	$45.45	0.80x	29,397	Benchmark
99213	Office visit, established patient, 20-29 min	$80.00	0.87x	31,965	Benchmark
99214	Office visit, established patient, 30-39 min	$115.00	0.87x	32,365	Benchmark
99215	Office visit, established patient, 40-54 min	$161.92	0.87x	31,010	Benchmark

Medians computed across the full verified distribution of practice-level contracted rates in Texas. 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.

Metros in Texas

The market is metro by metro. So is the index.

Kerrville 128.11.23x Medicare San Angelo 118.31.14x Medicare Texarkana 108.51.04x Medicare Abilene 106.51.02x Medicare Lubbock 104.41.00x Medicare Odessa 100.90.97x Medicare Waco 100.30.96x Medicare College Station-Bryan 100.20.96x Medicare Dallas-Fort Worth-Arli 99.80.96x Medicare Wichita Falls 99.10.95x Medicare Killeen-Temple 98.90.95x Medicare Longview 98.90.95x Medicare Sherman-Denison 98.50.95x Medicare Amarillo 97.80.94x Medicare Tyler 97.60.94x Medicare Lufkin 97.10.93x Medicare Houston-Pasadena-The W 93.80.90x Medicare Sulphur Springs 92.80.89x Medicare Austin-Round Rock-San 92.60.89x Medicare Nacogdoches 92.30.89x Medicare Corsicana 91.90.88x Medicare San Antonio-New Braunf 90.40.87x Medicare Palestine 90.10.87x Medicare Midland 89.90.86x Medicare El Paso 890.86x Medicare Jacksonville 880.85x Medicare Athens 87.30.84x Medicare Mount Pleasant 86.50.83x Medicare Victoria 84.70.81x Medicare Paris 84.70.81x Medicare Plainview 83.20.80x Medicare McAllen-Edinburg-Missi 79.30.76x Medicare Brownsville-Harlingen 780.75x Medicare Laredo 77.80.75x Medicare Granbury 76.10.73x Medicare Corpus Christi 75.90.73x Medicare Beaumont-Port Arthur 62.50.60x Medicare

Read it against the country.

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

All states Alaska · 95.7 Arizona · 95.4 Mississippi · 95.4 California · 95.3 New Jersey · 95.1 The national print

Cite this page

Source: Reddenda Commercial Rate Atlas, Texas. Reddenda. https://reddenda.health/atlas/tx/

Series ID

RCRI.US.ST.TX

Run your NPI against Texas Book a discovery call

Derivation federally mandated TiC MRFs, verified to provider identitystate grain · 331,596 verified rate pointsas of 2026-07-15 · methodology v1.0