Commercial rate index · metro cell
Houston-Pasadena-The Woodlands healthcare rate index
Commercial contracted rates in Houston-Pasadena-The Woodlands, TX run 0.90x the national Medicare fee schedule across the office-visit basket. Index 93.8, where 100 is the national standard.
Index 93.8
0.90x Medicare
94,792 verified rate points
8/8 basket codes
state index 95.3
The basket in Houston-Pasadena-The Woodlands
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $80.00 | 1.12x | 14,495 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $102.19 | 0.93x | 8,721 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $169.40 | 1.01x | 9,221 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $222.34 | 1.01x | 26,457 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $44.98 | 0.79x | 8,400 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $80.00 | 0.87x | 9,279 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $115.41 | 0.88x | 9,453 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $153.07 | 0.82x | 8,766 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (26420). 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.
Houston-Pasadena-The Woodlands prints below its state cell (Texas at 95.3) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Houston-Pasadena-The Woodlands, TX. Reddenda. https://reddenda.health/atlas/tx/houston-pasadena-the-woodlands-26420/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 26420 · metro grainas of 2026-07-15 · methodology v1.0