Commercial rate index · metro cell
Janesville-Beloit healthcare rate index
Commercial contracted rates in Janesville-Beloit, WI run 1.59x the national Medicare fee schedule across the office-visit basket. Index 165.7, where 100 is the national standard.
Index 165.7
1.59x Medicare
9,169 verified rate points
8/8 basket codes
state index 168.2
The basket in Janesville-Beloit
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $103.92 | 1.46x | 1,244 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $178.65 | 1.62x | 937 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $299.37 | 1.79x | 997 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $475.77 | 2.16x | 1,464 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $68.13 | 1.20x | 917 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $144.59 | 1.56x | 1,347 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $214.64 | 1.63x | 1,097 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $263.43 | 1.41x | 1,166 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (27500). 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.
Janesville-Beloit prints below its state cell (Wisconsin at 168.2) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Janesville-Beloit, WI. Reddenda. https://reddenda.health/atlas/wi/janesville-beloit-27500/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 27500 · metro grainas of 2026-07-15 · methodology v1.0