Medicare fee schedule by locality · Q3 2026 release

Oregon Medicare fee schedule localities

Oregon has 2 Medicare payment localities, each with its own GPCIs. For 99213 in an office, the Q3 2026 standard non-QP amount ranges from $94.10 to $100.53. National amounts use GPCI 1.000. Each row below shows what a nationally priced common code pays once each locality's GPCIs apply.

Localities in Oregon Copy link

99213 office (non-facility) amount by locality, Q3 2026 standard non-QP conversion factor (before sequestration)—national baseline $95.19.

Locality	Work GPCI	PE GPCI	MP GPCI	99213 amount
Portland, Or	1.016	1.111	0.744	$100.53 (+5.6% increase )
Rest of Oregon	1.000	0.996	0.703	$94.10 (-1.1% decrease )

Need a different code or the facility rate? Use the rate calculator with any locality above selected.

Common questions Copy link

How many Medicare payment localities are in Oregon?

Oregon has 2 Medicare payment localities, each with its own work, practice-expense, and malpractice GPCIs.

Do Medicare rates vary within Oregon?

Yes. Oregon's 2 localities have different GPCIs—the work GPCI ranges from 1.000 to 1.016. The same nationally priced code can therefore pay a different amount depending on where in the state it's billed.

Source & method Copy link

GPCIs and example rates computed from the CMS Medicare Physician Fee Schedule Q3 2026 release . Example amounts apply each locality's GPCIs to nationally priced non-facility RVUs, before the ~2% sequestration cut. Releases are immutable: a rate retrieved for a past quarter always reflects that release.

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