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Billing code 0273 · Hospital inpatient

0273 Medicaid reimbursement rate by state (2026)

Inpatient DRG relative weight. Medicaid pays a median of $2.93 for 0273 across 5 states, from $0.0949 in Washington to $4.08 in Utah.

Data as of Oct 5, 20265 statesEvery rate links to its official source

States publishing
5
National median
$2.93units vary by state
Lowest
$0.0949Washington
Highest
$4.08Utah
Answer

What does Medicaid pay for 0273?

5 state Medicaid programs publish a fee-for-service rate for 0273. The national median is $2.93 (units differ between states). Utah pays the most, $4.08 per weight, and Washington the least, $0.0949, a 43.0x spread.

State ranking

0273 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Utah Source · since 2026-01-01$4.08weight—Plans must pay at least this—
2Oklahoma Source · since 2025-10-01$3.55——Plans must pay at least this—
3Wyoming Source · since 2021-01-01$2.93——Not classified—
See all 5 states for 0273 — start free

2 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.

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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 0273 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 0273?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $2.93. Utah pays the most ($4.08 per weight) and Washington the least ($0.0949).

Which state pays the highest Medicaid rate for 0273?

Utah, at $4.08 per weight, effective 2026-01-01.

Do managed-care plans pay the same rate for 0273?

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.