Medicare's 2026 rates in Portland, Oregon
Medicare payment locality 01, run by contractor 02302, covers these counties: Clackamas, Multnomah and Washington. Its cost indices put code 99213, billed from an office, at $100.53, 5.6% above the national $95.19.
Cost indices for 2026
- Work (national = 1.000)
- 1.016
- Practice expense (national = 1.000)
- 1.111
- Malpractice (national = 1.000)
- 0.744
- ZIP codes CMS assigns to this locality
- 119
- Of those, split with another locality
- 4
30 common codes priced for Portland
Physician fee schedule amounts for 2026. Office is what Medicare allows when a doctor's office or clinic bills the code; facility is what it allows a doctor for the same work in a hospital or surgery center.
| Code | Category | Office here | Office national | Facility here |
|---|---|---|---|---|
| 99214 | Visit or care management | $142.85 | $135.61 | $86.08 |
| 99213 | Visit or care management | $100.53 | $95.19 | $58.60 |
| 97110 | Physical therapy or rehabilitation | $30.73 | $29.06 | none |
| 97530 | Physical therapy or rehabilitation | $37.45 | $35.07 | none |
| 97112 | Physical therapy or rehabilitation | $34.66 | $32.73 | none |
| 97140 | Physical therapy or rehabilitation | $29.31 | $27.72 | none |
| 17003 | Skin and soft tissue procedure | $6.92 | $6.35 | $1.73 |
| 88305 | Lab test or pathology | $75.37 | $70.14 | none |
| 93010 | Heart test or procedure | $8.62 | $8.35 | $8.62 |
| 99309 | Visit or care management | $119.47 | $114.57 | $101.66 |
| 99215 | Visit or care management | $202.29 | $192.39 | $128.07 |
| 98941 | Manipulation | $40.36 | $38.41 | $28.86 |
| 71045 | Imaging | $27.39 | $25.38 | none |
| 99204 | Visit or care management | $185.85 | $177.36 | $118.69 |
| 99308 | Visit or care management | $82.47 | $78.83 | $70.22 |
| 93000 | Heart test or procedure | $16.29 | $15.36 | none |
| 92014 | Eye exam or test | $136.39 | $127.26 | $64.03 |
| 99203 | Visit or care management | $123.58 | $117.57 | $72.37 |
| 95004 | Allergy testing or treatment | $3.93 | $3.67 | none |
| 92134 | Eye exam or test | $35.14 | $32.73 | none |
| 96372 | Infusion, injection or chemotherapy | $16.41 | $15.36 | none |
| 99490 | Visit or care management | $69.44 | $66.13 | $44.58 |
| 90837 | Mental health service | $173.30 | $167.00 | $138.05 |
| 93306 | Heart test or procedure | $213.08 | $196.73 | none |
| 99212 | Visit or care management | $63.10 | $59.45 | $31.55 |
| 71046 | Imaging | $35.83 | $33.07 | none |
| 17000 | Skin and soft tissue procedure | $71.24 | $66.47 | $50.46 |
| 77067 | Imaging | $137.31 | $126.26 | none |
| 95165 | Allergy testing or treatment | $18.98 | $17.37 | $2.66 |
| 77063 | Imaging | $54.54 | $51.10 | none |
Hospital outpatient rates and lab fee schedule amounts are national, so they are the same here as everywhere; each code page lists them.