Commercial rate index · metro cell
Burlington-South Burlington healthcare rate index
Commercial contracted rates in Burlington-South Burlington, VT run 0.71x the national Medicare fee schedule across the office-visit basket. Index 73.9, where 100 is the national standard.
Index 73.9
0.71x Medicare
5,945 verified rate points
8/8 basket codes
state index 88.7
The basket in Burlington-South Burlington
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $68.37 | 0.96x | 945 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $90.41 | 0.82x | 756 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $1.00 | 0.01x | 739 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $167.88 | 0.76x | 907 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $37.30 | 0.66x | 679 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $74.00 | 0.80x | 551 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $63.24 | 0.48x | 765 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $97.95 | 0.53x | 603 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (15540). 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.
Burlington-South Burlington prints below its state cell (Vermont at 88.7) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Burlington-South Burlington, VT. Reddenda. https://reddenda.health/atlas/vt/burlington-south-burlington-15540/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 15540 · metro grainas of 2026-07-15 · methodology v1.0