Oregon Medicaid rate for CPT 99213
Oregon Health Plan pays $76.54 for CPT 99213 in its September 2026 fee-for-service schedule: the 18th-highest of 45 state Medicaid programs, at 108% of the $71.05 median.
- Non-facility rate
- $76.54
- Rank
- 18 of 45
- vs. state median
- 108%
- vs. OR Medicare
- 76-81%
What Oregon Health Plan publishes for 99213
18th-highest of 45 · 108% of median
- Schedule
- September 2026
- In effect since
- Feb 1, 2026
$76.54 to $80.46 across 2 rate types
- Rate type P
- $80.46
- General
- $76.54
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
99213 in neighboring states
Each state's comparable non-facility rate for 99213 in its current schedule.
| State | Rate | vs. Oregon |
|---|---|---|
| Idaho | $86.12 | +13% |
| Nevada | $61.32 | -20% |
| Washington | $53.22 | -30% |
99213 in every state
Map and ranking of every state program that prices 99213.
Compare 99213 across states99213 under Medicare
Medicare's 2026 non-facility payment for 99213 in Oregon is $94.10 to $100.53 across its 2 payment localities; Oregon Health Plan's rate is 76-81% of that. The national amount before geographic adjustment is $95.193.
See 99213 Medicare ratesSee Oregon's full schedule: all 12,253 codes, every published period, and commercial payer rates for 99213.
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