128 Medicaid reimbursement rate by state (2026)
EAPG relative weight (outpatient hospital or surgery center). Medicaid pays a median of $6.67 for 128 across 5 states, from $5.32 in Illinois to $14.41 in Wisconsin.
- States publishing
- 5
- National median
- $6.67units vary by state
- Lowest
- $5.32Illinois
- Highest
- $14.41Wisconsin
What does Medicaid pay for 128?
5 state Medicaid programs publish a fee-for-service rate for 128. The national median is $6.67 (units differ between states). Wisconsin pays the most, $14.41, and Illinois the least, $5.32, a 2.7x spread.
128 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.
Frequently asked questions
What does Medicaid pay for 128?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $6.67. Wisconsin pays the most ($14.41) and Illinois the least ($5.32).
Which state pays the highest Medicaid rate for 128?
Wisconsin, at $14.41, effective 2026-01-01.
Do managed-care plans pay the same rate for 128?
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.