Commercial rate index · metro cell
Whitewater-Elkhorn healthcare rate index
Commercial contracted rates in Whitewater-Elkhorn, WI run 1.11x the national Medicare fee schedule across the office-visit basket. Index 115.8, where 100 is the national standard.
Index 115.8
1.11x Medicare
3,150 verified rate points
8/8 basket codes
state index 168.2
The basket in Whitewater-Elkhorn
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 | 534 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $115.32 | 1.05x | 255 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $291.96 | 1.75x | 318 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $583.17 | 2.65x | 578 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $56.74 | 1.00x | 328 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $86.32 | 0.93x | 436 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $155.53 | 1.18x | 314 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $158.55 | 0.85x | 387 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (48580). 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.
Whitewater-Elkhorn prints below its state cell (Wisconsin at 168.2) and above the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Whitewater-Elkhorn, WI. Reddenda. https://reddenda.health/atlas/wi/whitewater-elkhorn-48580/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 48580 · metro grainas of 2026-07-15 · methodology v1.0