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Fee-for-service rateAs of September 2026

Oregon Medicaid rate for CPT 99203

Oregon Health Plan pays $94.13 for CPT 99203 in its September 2026 fee-for-service schedule: the 20th-highest of 45 state Medicaid programs, at 105% of the $89.35 median.

Non-facility rate
$94.13
Rank
20 of 45
vs. state median
105%
vs. OR Medicare
76-81%

What Oregon Health Plan publishes for 99203

20th-highest of 45 · 105% of median

20th-highest of 45 · 105% of median

Schedule
September 2026
In effect since
Feb 1, 2026
$94.13 to $98.96 across 2 rate types
Rate type P
$98.96
General
$94.13

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. OHP Fee Schedule

99203 in neighboring states

Each state's comparable non-facility rate for 99203 in its current schedule.

StateRatevs. Oregon
Idaho$105.65+12%
Nevada$111.34+18%
Washington$65.58-30%

99203 under Medicare

Medicare's 2026 non-facility payment for 99203 in Oregon is $115.75 to $123.58 across its 2 payment localities; Oregon Health Plan's rate is 76-81% of that. The national amount before geographic adjustment is $117.571.

See 99203 Medicare rates

See Oregon's full schedule: all 12,253 codes, every published period, and commercial payer rates for 99203.

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Other Oregon Health Plan rates