Commercial rate index · state cell
West Virginia healthcare rate index
Commercial contracted rates in West Virginia run 0.80x the national Medicare fee schedule across the office-visit basket. On the Reddenda index, where 100 is the national standard, West Virginia prints 83.3, ranked 49 of 51 states.
Index 83.3
0.80x Medicare
31,299 verified rate points
8/8 basket codes published
The basket, code by code
as of 2026-07-15| CPT | Service | State median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $84.78 | 1.19x | 6,750 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $93.20 | 0.84x | 2,231 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $141.00 | 0.84x | 2,191 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $256.53 | 1.17x | 11,661 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $40.89 | 0.72x | 1,902 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $69.84 | 0.76x | 2,076 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $85.15 | 0.65x | 2,329 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $125.00 | 0.67x | 2,159 | Benchmark |
Medians computed across the full verified distribution of practice-level contracted rates in West Virginia. Publication floor: 11 verified rate points and a 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.
Metros in West Virginia
The market is metro by metro. So is the index.
Read it against the country.
The national standard is the RCRI print: 0.9608x Medicare, Vintage 001, established July 2026. West Virginia sits below it. State cells are satellite series to the national print and carry the same frozen methodology.
Cite this page
Source: Reddenda Commercial Rate Atlas, West Virginia. Reddenda. https://reddenda.health/atlas/wv/
Series ID
RCRI.US.ST.WVDerivation federally mandated TiC MRFs, verified to provider identitystate grain · 31,299 verified rate pointsas of 2026-07-15 · methodology v1.0