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Commercial rate index · metro cell

El Paso healthcare rate index

Commercial contracted rates in El Paso, TX run 0.86x the national Medicare fee schedule across the office-visit basket. Index 89, where 100 is the national standard.

Index 89 0.86x Medicare 8,804 verified rate points 8/8 basket codes state index 95.3

The basket in El Paso

as of 2026-07-15
CPTServiceMetro medianvs MedicareRate pointsTier
99202Office visit, new patient, 15-29 min$74.811.05x1,255Benchmark
99203Office visit, new patient, 30-44 min$106.030.96x855Benchmark
99204Office visit, new patient, 45-59 min$170.711.02x827Benchmark
99205Office visit, new patient, 60-74 min$183.210.83x2,424Benchmark
99212Office visit, established patient, 10-19 min$45.450.80x822Benchmark
99213Office visit, established patient, 20-29 min$73.960.80x860Benchmark
99214Office visit, established patient, 30-39 min$115.000.87x881Benchmark
99215Office visit, established patient, 40-54 min$156.040.84x880Benchmark
Medians across the full verified distribution of practice-level contracted rates in this CBSA (21340). 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.

El Paso prints below its state cell (Texas at 95.3) and below the national standard of 100.

Cite this page

Source: Reddenda Commercial Rate Atlas, El Paso, TX. Reddenda. https://reddenda.health/atlas/tx/el-paso-21340/
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Derivation federally mandated TiC MRFs, verified to provider identityCBSA 21340 · metro grainas of 2026-07-15 · methodology v1.0
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