Medical Procedure Costs in Oregon
Oregon Medicare physician rates are generally above the national average (+2.4%). CMS uses 2 localities here, so a ZIP matters.
Look up any CPT in Oregon
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 Oregon averages are unweighted means of the state’s localities, not population-weighted.
How Medicare prices Oregon
Oregon splits into a Portland metro locality and a rest-of-state locality, so the fee schedule prices the Willamette Valley's biggest market above Eugene, Bend, Medford, and the rural east. Portland's higher wages and office costs justify the premium, while the rest-of-state locality covers everything from the coast to the high desert at lower adjustments. The two-tier structure means an identical procedure is approved at different amounts on either side of the metro boundary. Oregon's overall indices sit somewhat above the national midpoint, led by the Portland side.
Portland concentrates the state's academic medicine and subspecialty care, drawing patients from all of Oregon and southwest Washington. Bend has grown into a notable central Oregon hub, and Medford serves the southern counties, but the eastern two thirds of the state remains sparsely served, with some residents closer to Boise than to Portland. Coastal communities also face limited local procedure options.
Enter your ZIP code to see whether Portland-area or rest-of-state pricing applies, from Portland and Salem to Eugene, Bend, Medford, the coast, and eastern Oregon.
Oregon payment localities (GPCI)
| Locality | Work | PE |
|---|---|---|
| portland | 1.016 | 1.111 |
| rest of oregon | 1.000 | 0.996 |
GPCI of 1.000 equals the national average. Higher PE GPCI raises office-based procedures more than hospital physician lines.
Featured physician rates in Oregon
Office (non-facility) physician rates. Open a row for the locality table and ZIP tool.
Other states
Medical costs in Oregon: questions
Across the 59 featured procedures on this page, Oregon sits above the national average by about 2%. Examples: incision & drainage of abscess $132, skin biopsy (tangential) $99, skin biopsy (punch) $126. Search any other CPT in the box above — those codes are in the tool, not as extra Oregon articles.
Oregon has 2 payment localities. Practice-expense GPCI runs from 0.996 to 1.111 (1.000 is the national average). Enter your ZIP code to see whether Portland-area or rest-of-state pricing applies, from Portland and Salem to Eugene, Bend, Medford, the coast, and eastern Oregon.
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 Oregon’s locality when you enter a ZIP.