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$29/mo7-day free trialThese pages show common-procedure samples per category. The complete all-codes Oregon schedules export as CSV with the Rates plan.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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How Oregon pays
Oregon publishes no code-level fee schedule; it prices fee-for-service care by formula (CMS relative value units times its published conversion factors). The per-code rates shown are computed from that methodology and labeled as derived.
Oregon's published schedules by category
Codes on the current schedule, the newest effective date, the median published rate as a percentage of national Medicare where a comparator exists, and one recognizable procedure's rate per category. Open a category for its common-procedure table.
| Category | Codes | Effective | Median % of Medicare | Example rate | PA required |
|---|---|---|---|---|---|
| Physician | 6,988 | Jul 2026 | 79.6% | $76.82 Office visit, established patient, low complexity (20-29 min) (99213), computed | -- |
| Lab & Imaging | 2,677 | Jan 2026 | 80% | $26.81 Chest X-ray, 2 views (71046), computed | -- |
| DME & Supplies | 28 | Jan 2026 | 81.7% | -- | -- |
| Vision | 51 | Jan 2026 | 81.3% | $121.61 Eye exam, new patient, comprehensive (92004), computed | -- |
| Behavioral Health | 19 | Jan 2026 | 81.1% | $135.69 Psychotherapy, 60 minutes (90837), computed | -- |
| State-Specific Services | 372 | Jul 2026 | 81.7% | -- | -- |
| Dental | Oregon's dental Medicaid rates live in the dental section, with their own per-state page. | ||||
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.
Where Oregon publishes its fee schedules
- Publisher
- Oregon Health Authority (OHA)
- Program
- Oregon Health Plan (OHP)
- Official source
- https://www.oregon.gov/oha/HSD/OHP/Pages/Fee-Schedule.aspx
- Last checked
- Aug 22, 2026
ProviderSignal collects every category from the state's publication, standardizes the rows and labels each code in its own plain language. Rates are the published amounts; the state's page remains the legal source.
These are common-procedure samples. The complete Oregon schedules, every category and every code, export as CSV on the Rates plan.
Compare Oregon nationally
Frequently asked questions
Does Oregon publish a Medicaid fee schedule?
Yes. Oregon publishes 10,135 Medicaid fee-for-service procedure rates across 6 service categories, effective through Jul 2026, all collected and normalized here with plain-language procedure names. Oregon Health Authority (OHA) publishes Oregon's Medicaid fee schedules for Oregon Health Plan (OHP). One thing to know about how Oregon pays: Oregon publishes no code-level fee schedule; it prices fee-for-service care by formula (CMS relative value units times its published conversion factors). The per-code rates shown are computed from that methodology and labeled as derived.
Who publishes Oregon's Medicaid fee schedule?
Oregon Health Authority (OHA) publishes Oregon's Medicaid fee schedules for Oregon Health Plan (OHP). The state's own fee-schedule page is https://www.oregon.gov/oha/HSD/OHP/Pages/Fee-Schedule.aspx. ProviderSignal collects every category from it, standardizes the rows and re-checks the source on a rolling cadence (last checked Aug 22, 2026).
What does Oregon Medicaid pay for common services?
An established-patient office visit (99213) pays $76.82, a two-view chest X-ray (71046) $26.81 and a new-patient comprehensive eye exam (92004) $121.61. Every figure is the state's published fee-for-service amount for the code's benchmark locality; managed-care plans can pay differently. The category pages list common procedures with plain-language names, and the complete all-codes schedules export as CSV on the Rates plan.
How do Oregon's Medicaid rates compare with Medicare?
Pooled across categories with a national Medicare comparator, Oregon's published rates run a median 80% of the Medicare amount, ranking 30 of 49 jurisdictions with a comparable basis.
What service categories does Oregon publish?
Physician (6,988 codes), Lab & Imaging (2,677 codes), DME & Supplies (28 codes), Vision (51 codes), Behavioral Health (19 codes), State-Specific Services (372 codes). Dental rates have their own section with per-state pages.
How current are these rates?
Rates come from Oregon's currently published fee schedules, the newest effective Jul 2026, and are re-collected on a rolling monthly cadence. This page updates automatically after each collection sweep.