Commercial rate index · metro cell
Spokane-Spokane Valley healthcare rate index
Commercial contracted rates in Spokane-Spokane Valley, WA run 0.98x the national Medicare fee schedule across the office-visit basket. Index 101.8, where 100 is the national standard.
Index 101.8
0.98x Medicare
8,721 verified rate points
8/8 basket codes
state index 110.7
The basket in Spokane-Spokane Valley
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $101.86 | 1.43x | 1,909 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $126.82 | 1.15x | 950 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $166.23 | 1.00x | 336 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $260.38 | 1.18x | 2,929 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $49.12 | 0.86x | 935 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $80.00 | 0.87x | 330 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $126.58 | 0.96x | 983 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $148.41 | 0.80x | 349 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (44060). 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.
Spokane-Spokane Valley prints below its state cell (Washington at 110.7) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Spokane-Spokane Valley, WA. Reddenda. https://reddenda.health/atlas/wa/spokane-spokane-valley-44060/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 44060 · metro grainas of 2026-07-15 · methodology v1.0