065 Medicaid reimbursement rate by state (2026)
Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $1.40 for 065 across 7 states, from $0.9454 in Vermont to $1,591.59 in New Hampshire.
- States publishing
- 7
- National median
- $1.40units vary by state
- Lowest
- $0.9454Vermont
- Highest
- $1,591.59New Hampshire
What does Medicaid pay for 065?
7 state Medicaid programs publish a fee-for-service rate for 065. The national median is $1.40 (units differ between states). New Hampshire pays the most, $1,591.59, and Vermont the least, $0.9454, a 1683.5x spread.
065 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 065?
It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $1.40. New Hampshire pays the most ($1,591.59) and Vermont the least ($0.9454).
Which state pays the highest Medicaid rate for 065?
New Hampshire, at $1,591.59, effective 2025-10-01.
Do managed-care plans pay the same rate for 065?
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.