Commercial rate index · metro cell
Provo-Orem-Lehi healthcare rate index
Commercial contracted rates in Provo-Orem-Lehi, UT run 0.92x the national Medicare fee schedule across the office-visit basket. Index 95.8, where 100 is the national standard.
Index 95.8
0.92x Medicare
4,811 verified rate points
8/8 basket codes
state index 98.6
The basket in Provo-Orem-Lehi
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $72.88 | 1.02x | 1,644 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $108.94 | 0.99x | 147 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $172.83 | 1.04x | 201 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $203.53 | 0.93x | 2,095 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $52.08 | 0.92x | 141 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $80.00 | 0.87x | 192 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $115.00 | 0.87x | 201 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $147.04 | 0.79x | 190 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (39340). 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.
Provo-Orem-Lehi prints below its state cell (Utah at 98.6) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Provo-Orem-Lehi, UT. Reddenda. https://reddenda.health/atlas/ut/provo-orem-lehi-39340/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 39340 · metro grainas of 2026-07-15 · methodology v1.0