053 Medicaid reimbursement rate by state (2026)
Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $2.25 for 053 across 10 states, from $0.9101 in Vermont to $1,661.25 in New Hampshire.
- States publishing
- 10
- National median
- $2.25units vary by state
- Lowest
- $0.9101Vermont
- Highest
- $1,661.25New Hampshire
What does Medicaid pay for 053?
10 state Medicaid programs publish a fee-for-service rate for 053. The national median is $2.25 (units differ between states). New Hampshire pays the most, $1,661.25, and Vermont the least, $0.9101, a 1825.3x spread.
053 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 053?
It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $2.25. New Hampshire pays the most ($1,661.25) and Vermont the least ($0.9101).
Which state pays the highest Medicaid rate for 053?
New Hampshire, at $1,661.25, effective 2025-10-01.
Do managed-care plans pay the same rate for 053?
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.