Commercial rate index · metro cell
Oshkosh-Neenah healthcare rate index
Commercial contracted rates in Oshkosh-Neenah, WI run 1.84x the national Medicare fee schedule across the office-visit basket. Index 191.1, where 100 is the national standard.
Index 191.1
1.84x Medicare
9,152 verified rate points
8/8 basket codes
state index 168.2
The basket in Oshkosh-Neenah
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $152.95 | 2.15x | 1,456 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $158.80 | 1.44x | 750 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $414.66 | 2.48x | 1,040 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $572.84 | 2.60x | 1,607 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $86.64 | 1.52x | 1,024 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $148.64 | 1.61x | 1,226 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $241.55 | 1.83x | 974 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $342.31 | 1.84x | 1,075 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (36780). 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.
Oshkosh-Neenah prints above its state cell (Wisconsin at 168.2) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Oshkosh-Neenah, WI. Reddenda. https://reddenda.health/atlas/wi/oshkosh-neenah-36780/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 36780 · metro grainas of 2026-07-15 · methodology v1.0