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Fee-for-service rateAs of September 2026

Oregon Medicaid rate for CPT 99285

Oregon Health Plan pays $134.60 for CPT 99285 in its September 2026 fee-for-service schedule: the 18th-lowest of 42 state Medicaid programs, at 97% of the $138.69 median.

Non-facility rate
$134.60
Rank
25 of 42
vs. state median
97%
vs. OR Medicare
78-81%

What Oregon Health Plan publishes for 99285

18th-lowest of 42 · 97% of median

18th-lowest of 42 · 97% of median

Schedule
September 2026
In effect since
Feb 1, 2026
$134.60 to $141.50 across 2 rate types
Rate type P
$141.50
General
$134.60

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

99285 in neighboring states

Each state's comparable non-facility rate for 99285 in its current schedule.

StateRatevs. Oregon
Idaho$139.24+3%
Nevada$176.04+31%
Washington$99.18-26%

99285 under Medicare

Medicare's 2026 non-facility payment for 99285 in Oregon is $166.50 to $171.79 across its 2 payment localities; Oregon Health Plan's rate is 78-81% of that. The national amount before geographic adjustment is $171.347.

See 99285 Medicare rates

See Oregon's full schedule: all 12,253 codes, every published period, and commercial payer rates for 99285.

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Other Oregon Health Plan rates