Commercial rate index · metro cell
McAllen-Edinburg-Mission healthcare rate index
Commercial contracted rates in McAllen-Edinburg-Mission, TX run 0.76x the national Medicare fee schedule across the office-visit basket. Index 79.3, where 100 is the national standard.
Index 79.3
0.76x Medicare
5,544 verified rate points
8/8 basket codes
state index 95.3
The basket in McAllen-Edinburg-Mission
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $61.35 | 0.86x | 794 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $78.06 | 0.71x | 512 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $146.32 | 0.88x | 522 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $181.82 | 0.83x | 1,588 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $34.20 | 0.60x | 509 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $63.00 | 0.68x | 533 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $92.66 | 0.70x | 547 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $152.09 | 0.82x | 539 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (32580). 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.
McAllen-Edinburg-Mission prints below its state cell (Texas at 95.3) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, McAllen-Edinburg-Mission, TX. Reddenda. https://reddenda.health/atlas/tx/mcallen-edinburg-mission-32580/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 32580 · metro grainas of 2026-07-15 · methodology v1.0