Commercial rate index · metro cell
Sherman-Denison healthcare rate index
Commercial contracted rates in Sherman-Denison, TX run 0.95x the national Medicare fee schedule across the office-visit basket. Index 98.5, where 100 is the national standard.
Index 98.5
0.95x Medicare
1,478 verified rate points
8/8 basket codes
state index 95.3
The basket in Sherman-Denison
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $69.62 | 0.98x | 264 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $105.80 | 0.96x | 138 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $160.88 | 0.96x | 134 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $213.73 | 0.97x | 415 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $39.19 | 0.69x | 123 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $73.92 | 0.80x | 137 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $102.96 | 0.78x | 134 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $173.86 | 0.93x | 133 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (43300). 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.
Sherman-Denison prints above its state cell (Texas at 95.3) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Sherman-Denison, TX. Reddenda. https://reddenda.health/atlas/tx/sherman-denison-43300/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 43300 · metro grainas of 2026-07-15 · methodology v1.0