Commercial rate index · metro cell
Racine-Mount Pleasant healthcare rate index
Commercial contracted rates in Racine-Mount Pleasant, WI run 1.04x the national Medicare fee schedule across the office-visit basket. Index 108, where 100 is the national standard.
Index 108
1.04x Medicare
7,973 verified rate points
8/8 basket codes
state index 168.2
The basket in Racine-Mount Pleasant
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $119.39 | 1.68x | 1,483 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $106.25 | 0.96x | 612 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $244.99 | 1.47x | 757 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $474.75 | 2.16x | 1,560 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $54.51 | 0.96x | 818 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $86.32 | 0.93x | 1,038 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $146.44 | 1.11x | 797 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $163.25 | 0.88x | 908 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (39540). 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.
Racine-Mount Pleasant prints below its state cell (Wisconsin at 168.2) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Racine-Mount Pleasant, WI. Reddenda. https://reddenda.health/atlas/wi/racine-mount-pleasant-39540/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 39540 · metro grainas of 2026-07-15 · methodology v1.0