Oregon Medicaid Lab & Imaging Fee Schedule 2026

Oregon Medicaid publishes 2,677 lab & imaging procedure rates effective 2026, paying a median 80% of the national Medicare amount for the same services. This page shows published rates for common lab & imaging procedures with plain-language descriptions and, where a comparator exists, each rate as a percentage of national Medicare.

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The table on this page is a common-procedure sample. The full Oregon lab & imaging schedule has 2,677 codes.

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Published codes

2,677

Lab & Imaging procedures on the 2026 schedule

Median % of Medicare

80%

vs national Medicare, GPCI-neutral

Effective vintage

2026

latest effective year on the schedule

Oregon publishes no code-level fee schedule for these services. The rates shown are computed from the state's own published methodology (CMS relative value units multiplied by the state's conversion factors) and are labeled as derived. No other public source lists Oregon Medicaid rates per code.

Common lab & imaging procedures and what Oregon Medicaid pays

A curated sample of recognizable procedures from the 2,677-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.

CodeProcedureOregon rate% of Medicare
70110Jaw (mandible) X-ray, 4 or more views$34.9981.2%
70140Facial bone X-ray, under 3 views$25.7281.1%
70160Nasal bone X-ray$30.3681.2%
70220Sinus X-ray, 3 or more views$30.6381.2%
70360Neck soft tissue X-ray$25.1881.1%
70450CT scan of the head without contrast$86.4081.1%
70480CT scan of the eye socket or inner ear without contrast$128.3781.1%
70486CT scan of the face and sinuses without contrast$104.1381.2%
70491CT scan of neck soft tissue with contrast$148.8181.2%
70551MRI of the brain without contrast$158.5481.1%
70553MRI of the brain without then with contrast$257.2181.1%
71045Chest X-ray, 1 view$20.5480.9%
71046Chest X-ray, 2 views$26.8181.1%
71047Chest X-ray, 3 views$33.3581.2%
71048Chest X-ray, 4 or more views$36.5381%
71100Rib X-ray, one side$29.2681.1%
71250CT scan of the chest without contrast$107.5681.1%
71260CT scan of the chest with contrast$135.2181.1%
71275CT angiography of the chest$227.7181.2%
72040Neck (cervical) spine X-ray, 2-3 views$32.2681.2%
72070Mid-back (thoracic) spine X-ray, 2 views$26.8181.1%
72100Lower back (lumbar) spine X-ray, 2-3 views$32.8181.2%
72110Lower back (lumbar) spine X-ray, 4 or more views$43.3681.1%
72125CT scan of the neck (cervical) spine without contrast$105.9381.1%
72131CT scan of the lower (lumbar) spine without contrast$105.3981.1%

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * show the schedule's representative published variant.

More Oregon Medicaid fee schedules

Lab & Imaging rates in neighboring states

Frequently asked questions

What does Oregon Medicaid pay for laboratory tests and imaging?

Oregon Medicaid publishes 2,677 lab & imaging procedure rates effective 2026, paying a median 80% of the national Medicare amount for the same services. The schedule covers blood panels, urinalysis, X-rays, CT, MRI, and ultrasound. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.

How do Oregon's lab & imaging rates compare with Medicare?

Across lab & imaging codes with a national Medicare comparator, Oregon Medicaid pays a median 80% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.

Do lab & imaging services need prior authorization in Oregon?

Oregon does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".

Where do these rates come from?

Directly from Oregon's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.

Get an email the next time Oregon changes these rates.