Oregon Medicaid reimbursement rates
61,297 current fee-for-service and managed-care rates from Oregon Medicaid, across 115 services and 7 programs, normalized by code, provider level and unit. Each links to one of 71 official source documents.
Last retrieved 2026-10-05. History back to 1995-07-01.
- Current rates
- 61,297
- Services
- 115
- Programs
- 7
- Lines with a plan rule
- 5of 22 service lines
By industry
Applied behavior analysis (ABA)Oregon rates, labor costs and changesBehavioral healthOregon rates, labor costs and changesHome healthOregon rates, labor costs and changesHome care & personal careOregon rates, labor costs and changesPrivate duty nursingOregon rates, labor costs and changesSkilled nursing facilitiesOregon rates, labor costs and changesHospiceOregon rates, labor costs and changesIntellectual & developmental disabilitiesOregon rates, labor costs and changesOutpatient therapy (PT, OT, speech)Oregon rates, labor costs and changes
Oregon rates by service
The median current rate for each service, like-for-like by unit. Follow a service to compare it with every other state.
Most-compared billing codes in Oregon
Where Oregon ranks among states for codes published widely. Rank 1 = highest rate.
| Code | Service | Oregon | All-state median | Rank |
|---|---|---|---|---|
| 10005 | Physician and practitioner services (fee schedule) | $106.12 | $84.04 | 12 of 42 |
| 10006 | Physician and practitioner services (fee schedule) | $47.85 | $45.11 | 16 of 42 |
| 10007 | Physician and practitioner services (fee schedule) | $278.36 | $181.86 | 6 of 42 |
| 10008 | Physician and practitioner services (fee schedule) | $113.74 | $87.02 | 13 of 42 |
| 10009 | Physician and practitioner services (fee schedule) | $334.44 | $267.07 | 13 of 42 |
| 10010 | Physician and practitioner services (fee schedule) | $189.72 | $144.68 | 13 of 42 |
| 10021 | Physician and practitioner services (fee schedule) | $81.15 | $69.29 | 14 of 42 |
| 10030 | Physician and practitioner services (fee schedule) | $503.75 | $347.83 | 12 of 42 |
| 10060 | Physician and practitioner services (fee schedule) | $103.52 | $86.94 | 9 of 42 |
| 10061 | Physician and practitioner services (fee schedule) | $176.20 | $150.32 | 12 of 42 |
| 10080 | Physician and practitioner services (fee schedule) | $218.04 | $115.53 | 7 of 42 |
| 10081 | Physician and practitioner services (fee schedule) | $305.60 | $187.70 | 7 of 42 |
| 10120 | Physician and practitioner services (fee schedule) | $126.90 | $95.72 | 7 of 42 |
| 10121 | Physician and practitioner services (fee schedule) | $220.70 | $163.05 | 9 of 42 |
| 10140 | Physician and practitioner services (fee schedule) | $140.11 | $105.65 | 8 of 42 |
| 10160 | Physician and practitioner services (fee schedule) | $105.72 | $82.69 | 10 of 42 |
| 10180 | Physician and practitioner services (fee schedule) | $230.51 | $163.14 | 9 of 42 |
| 11000 | Physician and practitioner services (fee schedule) | $47.66 | $36.98 | 10 of 42 |
| 11001 | Physician and practitioner services (fee schedule) | $21.74 | $17.09 | 12 of 42 |
| 11004 | Physician and practitioner services (fee schedule) | $391.14 | $434.69 | 29 of 42 |
| 11005 | Physician and practitioner services (fee schedule) | $532.49 | $578.31 | 28 of 42 |
| 11006 | Physician and practitioner services (fee schedule) | $481.83 | $537.59 | 29 of 42 |
| 11008 | Physician and practitioner services (fee schedule) | $187.75 | $207.60 | 29 of 42 |
| 11010 | Physician and practitioner services (fee schedule) | $375.64 | $276.59 | 10 of 42 |
| 11011 | Physician and practitioner services (fee schedule) | $429.47 | $310.06 | 10 of 42 |
| 11012 | Physician and practitioner services (fee schedule) | $547.63 | $420.13 | 10 of 42 |
| 11042 | Physician and practitioner services (fee schedule) | $107.14 | $79.80 | 8 of 42 |
| 11043 | Physician and practitioner services (fee schedule) | $191.47 | $164.59 | 13 of 42 |
| 11044 | Physician and practitioner services (fee schedule) | $255.20 | $219.98 | 13 of 42 |
| 11055 | Physician and practitioner services (fee schedule) | $56.91 | $34.29 | 7 of 42 |
| 11056 | Physician and practitioner services (fee schedule) | $65.77 | $39.88 | 7 of 42 |
| 11057 | Physician and practitioner services (fee schedule) | $71.92 | $45.91 | 7 of 42 |
| 11102 | Physician and practitioner services (fee schedule) | $77.29 | $67.93 | 14 of 42 |
| 11103 | Physician and practitioner services (fee schedule) | $39.36 | $34.45 | 14 of 42 |
| 11104 | Physician and practitioner services (fee schedule) | $97.98 | $81.47 | 12 of 42 |
| 11105 | Physician and practitioner services (fee schedule) | $48.64 | $41.06 | 11 of 42 |
| 11106 | Physician and practitioner services (fee schedule) | $122.22 | $98.39 | 11 of 42 |
| 11107 | Physician and practitioner services (fee schedule) | $57.14 | $47.59 | 11 of 42 |
| 11300 | Physician and practitioner services (fee schedule) | $78.12 | $45.56 | 9 of 42 |
| 11301 | Physician and practitioner services (fee schedule) | $93.95 | $61.78 | 10 of 42 |
Managed care in Oregon
17 plans on record, 39 state-directed payment records, 34,644 published capitation cells.
Who sets the rate, line by line →Recent rate changes and notices
Frequently asked questions
Where does Oregon publish its Medicaid fee schedules?
Oregon publishes rates across 71 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.
How many Medicaid rates does Oregon publish?
61,297 rates are current across 115 services and 7 programs, with 265,074 versions on record since 1995-07-01.
Do Oregon Medicaid managed-care plans pay the fee schedule?
For 5 of 22 service lines, plan contracts or state law set a rule plans must follow (a floor, a state-set rate or a required pass-through). For the rest, plans negotiate. See the managed-care page for each line's rule and citation.
Other states
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Your Oregon rate cardYour codes, what Oregon pays, what plans must pay, and every change in 2026.