Commercial rate index · metro cell
Stevens Point-Plover healthcare rate index
Commercial contracted rates in Stevens Point-Plover, WI run 1.90x the national Medicare fee schedule across the office-visit basket. Index 197.5, where 100 is the national standard.
Index 197.5
1.90x Medicare
3,456 verified rate points
8/8 basket codes
state index 168.2
The basket in Stevens Point-Plover
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $135.03 | 1.90x | 491 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $198.76 | 1.80x | 478 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $382.08 | 2.29x | 354 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $417.36 | 1.90x | 367 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $125.28 | 2.20x | 460 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $151.91 | 1.64x | 469 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $253.79 | 1.93x | 365 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $348.14 | 1.87x | 472 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (44620). 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.
Stevens Point-Plover prints above its state cell (Wisconsin at 168.2) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Stevens Point-Plover, WI. Reddenda. https://reddenda.health/atlas/wi/stevens-point-plover-44620/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 44620 · metro grainas of 2026-07-15 · methodology v1.0