Commercial rate index · metro cell
Fond du Lac healthcare rate index
Commercial contracted rates in Fond du Lac, WI run 1.87x the national Medicare fee schedule across the office-visit basket. Index 194.8, where 100 is the national standard.
Index 194.8
1.87x Medicare
5,574 verified rate points
8/8 basket codes
state index 168.2
The basket in Fond du Lac
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $151.93 | 2.13x | 871 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $219.51 | 1.99x | 594 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $375.91 | 2.25x | 624 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $580.10 | 2.64x | 957 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $69.55 | 1.22x | 528 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $149.46 | 1.62x | 818 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $156.54 | 1.19x | 494 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $326.32 | 1.75x | 688 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (22540). 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.
Fond du Lac prints above its state cell (Wisconsin at 168.2) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Fond du Lac, WI. Reddenda. https://reddenda.health/atlas/wi/fond-du-lac-22540/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 22540 · metro grainas of 2026-07-15 · methodology v1.0