122 Medicaid reimbursement rate by state (2026)
Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $8.45 for 122 across 13 states, from $0.5052 in New Mexico to $1,031.60 in New Hampshire.
- States publishing
- 13
- National median
- $8.45units vary by state
- Lowest
- $0.5052New Mexico
- Highest
- $1,031.60New Hampshire
What does Medicaid pay for 122?
13 state Medicaid programs publish a fee-for-service rate for 122. The national median is $8.45 (units differ between states). New Hampshire pays the most, $1,031.60, and New Mexico the least, $0.5052, a 2042.0x spread.
122 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 13 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 122?
It depends on the state. Of the 13 states with a published fee-for-service rate, the median is $8.45. New Hampshire pays the most ($1,031.60) and New Mexico the least ($0.5052).
Which state pays the highest Medicaid rate for 122?
New Hampshire, at $1,031.60, effective 2025-10-01.
Do managed-care plans pay the same rate for 122?
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.