Oregon Medicaid Fee Schedule (Oregon Health Plan)
Oregon Health Plan pays $76.54 on its ordinary schedule for an established-patient office visit (99213), and $76.54 to $80.46 across its rate types. The ordinary rate is the 18th-highest of 45 Medicaid programs.
- Schedule as of
- September 2026
- Codes priced
- 12,253
- 99213 vs. median
- 108% of median
Current Oregon Health Plan rates for common codes
Each amount is the unmodified non-facility rate in the September 2026 schedule. Where a code appears under more than one rate type, it is the state's ordinary statewide rate when its rules name one, and otherwise the median across rate types. Modifier-specific and facility-only rows are listed separately under the service.
| Code | Service | Non-facility rate |
|---|---|---|
| 99213 | Office visit, established patient (low complexity)$76.54 to $80.46 across 2 rate types
| $76.54Ordinary statewide rateIn effect since Feb 1, 202618th-highest of 45 · 108% of median |
| 99214 | Office visit, established patient (moderate complexity)$108.91 to $114.50 across 2 rate types
| $108.91Ordinary statewide rateIn effect since Feb 1, 202618th-highest of 45 · 107% of median |
| 99203 | Office visit, new patient (low complexity)$94.13 to $98.96 across 2 rate types
| $94.13Ordinary statewide rateIn effect since Feb 1, 202620th-highest of 45 · 105% of median |
| 99204 | Office visit, new patient (moderate complexity)$141.95 to $149.23 across 2 rate types
| $141.95Ordinary statewide rateIn effect since Feb 1, 202619th-highest of 45 · 106% of median |
| 99285 | Emergency department visit, high severity with threat to function$134.60 to $141.50 across 2 rate types
| $134.60Ordinary statewide rateIn effect since Feb 1, 202618th-lowest of 42 · 97% of median |
Dot: Oregon. Tick: median across state programs. Line: lowest to highest state. Base fee-for-service rates; supplemental payments some states add are not included.
Oregon is 18th-highest of 45 for 99213. See where all 12,253 Oregon Health Plan codes rank.
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Neighboring and high-enrollment Medicaid fee schedules
States bordering Oregon first, then the largest programs.