Commercial rate index · metro cell
Austin-Round Rock-San Marcos healthcare rate index
Commercial contracted rates in Austin-Round Rock-San Marcos, TX run 0.89x the national Medicare fee schedule across the office-visit basket. Index 92.6, where 100 is the national standard.
Index 92.6
0.89x Medicare
29,631 verified rate points
8/8 basket codes
state index 95.3
The basket in Austin-Round Rock-San Marcos
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $64.26 | 0.90x | 4,685 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $105.80 | 0.96x | 2,749 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $167.55 | 1.00x | 2,870 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $197.30 | 0.90x | 8,097 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $48.06 | 0.85x | 2,602 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $81.62 | 0.88x | 2,920 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $115.00 | 0.87x | 2,885 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $150.43 | 0.81x | 2,823 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (12420). 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.
Austin-Round Rock-San Marcos prints below its state cell (Texas at 95.3) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Austin-Round Rock-San Marcos, TX. Reddenda. https://reddenda.health/atlas/tx/austin-round-rock-san-marcos-12420/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 12420 · metro grainas of 2026-07-15 · methodology v1.0