Oregon Medicaid rate for CPT 99204
Oregon Health Plan pays $141.95 for CPT 99204 in its September 2026 fee-for-service schedule: the 19th-highest of 45 state Medicaid programs, at 106% of the $134.20 median.
- Non-facility rate
- $141.95
- Rank
- 19 of 45
- vs. state median
- 106%
- vs. OR Medicare
- 76-81%
What Oregon Health Plan publishes for 99204
19th-highest of 45 · 106% of median
- Schedule
- September 2026
- In effect since
- Feb 1, 2026
$141.95 to $149.23 across 2 rate types
- Rate type P
- $149.23
- General
- $141.95
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
99204 in neighboring states
Each state's comparable non-facility rate for 99204 in its current schedule.
| State | Rate | vs. Oregon |
|---|---|---|
| Idaho | $159.87 | +13% |
| Nevada | $170.64 | +20% |
| Washington | $98.53 | -31% |
99204 in every state
Map and ranking of every state program that prices 99204.
Compare 99204 across states99204 under Medicare
Medicare's 2026 non-facility payment for 99204 in Oregon is $174.65 to $185.85 across its 2 payment localities; Oregon Health Plan's rate is 76-81% of that. The national amount before geographic adjustment is $177.359.
See 99204 Medicare ratesSee Oregon's full schedule: all 12,253 codes, every published period, and commercial payer rates for 99204.
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