Medical Procedure Costs in Ohio
Ohio Medicare physician rates are generally below the national average (-5.2%). One statewide locality — the ZIP tool still maps you onto that locality.
Look up any CPT in Ohio
Featured table below is 59 procedures. Search covers 7,500+ fee-schedule codes.
What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. These Ohio averages are unweighted means of the state’s localities, not population-weighted.
How Medicare prices Ohio
Ohio's physician pricing runs through a small number of Medicare payment localities rather than a single statewide one, so its major metros and the rest of the state are not all priced identically. Adjustments across Ohio cluster near the national average, with the urban areas at the upper end of the state's range. Cleveland, Columbus, and Cincinnati each anchor large distinct medical markets within this structure. The practical spread within Ohio is modest compared with coastal states, but it exists, so location is worth checking here.
Ohio is one of the few states with three large competing metro health markets, including a Cleveland-based system with a global referral reputation and major academic centers in Columbus and Cincinnati. Appalachian southeast Ohio is the state's hardest region for access, with fewer specialists and longer travel. Toledo, Akron, Dayton, and Youngstown round out an unusually deep bench of mid-sized hospital markets.
Look up your ZIP to see rates for your corner of Ohio, whether Cleveland, Columbus, Cincinnati, Toledo, Akron, Dayton, or the Appalachian southeast.
Featured physician rates in Ohio
Office (non-facility) physician rates. Open a row for the locality table and ZIP tool.
Other states
Medical costs in Ohio: questions
Across the 59 featured procedures on this page, Ohio sits below the national average by about 5%. Examples: incision & drainage of abscess $121, skin biopsy (tangential) $89, skin biopsy (punch) $113. Search any other CPT in the box above — those codes are in the tool, not as extra Ohio articles.
Ohio is one Medicare locality, so the physician fee schedule is statewide. Site of service (office vs hospital) and hospital facility fees still change what a patient is billed.
Medicare physician allowed amounts only — the professional fee after GPCI. They do not include hospital facility charges, anesthesia, or your plan’s contracted rate. Medicare patients typically owe 20% of the allowed amount after the Part B deductible, before Medigap.
Yes. The table is the featured set (59 procedures). The search box looks up 7,500+ payable codes from the 2026 fee schedule and applies Ohio’s locality when you enter a ZIP.