Ohio Medicaid rate for CPT 99285
Ohio Medicaid pays $94.23 for CPT 99285 in its January 2026 fee-for-service schedule: the 5th-lowest of 42 state Medicaid programs, at 68% of the $138.69 median.
- Non-facility rate
- $94.23
- Rank
- 38 of 42
- vs. state median
- 68%
- vs. OH Medicare
- 56%
What Ohio Medicaid publishes for 99285
5th-lowest of 42 · 68% of median
- Schedule
- January 2026
- In effect since
- Jan 1, 2024
Unmodified non-facility fee-for-service rate from the state's published file. Managed-care contracts, supplemental payments, and claim-specific adjustments can change what is paid. Ohio Medicaid Schedules & Rates
99285 in neighboring states
Each state's comparable non-facility rate for 99285 in its current schedule.
| State | Rate | vs. Ohio |
|---|---|---|
| Indiana | $159.69 | +69% |
| Kentucky | $116.04 | +23% |
| Pennsylvania | $138.74 | +47% |
| West Virginia | $126.15 | +34% |
99285 in every state
Map and ranking of every state program that prices 99285.
Compare 99285 across states99285 under Medicare
Medicare's 2026 non-facility payment for 99285 in Ohio is $169.59; Ohio Medicaid's rate is 56% of that. The national amount before geographic adjustment is $171.347.
See 99285 Medicare ratesSee Ohio's full schedule: all 7,309 codes, every published period, and commercial payer rates for 99285.
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