005 Medicaid reimbursement rate by state (2026)
Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $18.65 for 005 across 10 states, from $1.00 in Hawaii to $3,093.86 in New Hampshire.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 10
- National median
- $18.65units vary by state
- Lowest
- $1.00Hawaii
- Highest
- $3,093.86New Hampshire
What does Medicaid pay for 005?
10 state Medicaid programs publish a fee-for-service rate for 005. The national median is $18.65 (units differ between states). New Hampshire pays the most, $3,093.86, and Hawaii the least, $1.00 per policy_adjuster_adult, a 3093.9x spread.
005 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 10 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 005?
It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $18.65. New Hampshire pays the most ($3,093.86) and Hawaii the least ($1.00 per policy_adjuster_adult).
Which state pays the highest Medicaid rate for 005?
New Hampshire, at $3,093.86, effective 2025-10-01.
Do managed-care plans pay the same rate for 005?
Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.