Skip to content
Billing code 022 · Hospital inpatient

022 Medicaid reimbursement rate by state (2026)

Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $4.23 for 022 across 10 states, from $1.00 in Hawaii to $7,851.84 in New Hampshire.

Data as of Oct 5, 202610 statesEvery rate links to its official source

States publishing
10
National median
$4.23units vary by state
Lowest
$1.00Hawaii
Highest
$7,851.84New Hampshire
Answer

What does Medicaid pay for 022?

10 state Medicaid programs publish a fee-for-service rate for 022. The national median is $4.23 (units differ between states). New Hampshire pays the most, $7,851.84, and Hawaii the least, $1.00 per policy_adjuster_adult, a 7851.8x spread.

State ranking

022 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Hampshire Source · since 2025-10-01$7,851.84——Plans must pay at least this—
2Kansas Source · since 2023-01-01$78.00——Plans must pay at least this—
3New York Source · since 2018-07-01$5.00days (average length of stay)—Suggested schedule for plans—
5Georgia Source · since 2024-01-01$4.55weight—Plans negotiate; applies out of network—
6North Carolina Source · since 2023-04-01$3.90——Plans must pay at least this—
9Oregon Source · since 2025-10-01$3.18Weights - 10% Cap Applied—Not classified—
10Hawaii Source · since 2024-01-01$1.00policy_adjuster_adult—State sets the plan rate—
See all 10 states for 022 — start free

3 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

  • Source for every rate
  • Full rate history
  • CSV and API export

Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track 022 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for 022?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $4.23. New Hampshire pays the most ($7,851.84) and Hawaii the least ($1.00 per policy_adjuster_adult).

Which state pays the highest Medicaid rate for 022?

New Hampshire, at $7,851.84, effective 2025-10-01.

Do managed-care plans pay the same rate for 022?

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.