Commercial rate index · metro cell
Watertown-Fort Atkinson healthcare rate index
Commercial contracted rates in Watertown-Fort Atkinson, WI run 0.96x the national Medicare fee schedule across the office-visit basket. Index 100, where 100 is the national standard.
Index 100
0.96x Medicare
2,400 verified rate points
8/8 basket codes
state index 168.2
The basket in Watertown-Fort Atkinson
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $73.83 | 1.04x | 364 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $106.25 | 0.96x | 260 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $196.52 | 1.18x | 222 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $241.95 | 1.10x | 309 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $53.97 | 0.95x | 289 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $86.32 | 0.93x | 328 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $126.28 | 0.96x | 274 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $142.79 | 0.77x | 354 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (48020). 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.
Watertown-Fort Atkinson prints below its state cell (Wisconsin at 168.2) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Watertown-Fort Atkinson, WI. Reddenda. https://reddenda.health/atlas/wi/watertown-fort-atkinson-48020/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 48020 · metro grainas of 2026-07-15 · methodology v1.0