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Billing code 132 · Hospital inpatient

132 Medicaid reimbursement rate by state (2026)

Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $1.01 for 132 across 5 states, from $0.9822 in Illinois to $5.00 in New York.

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

States publishing
5
National median
$1.01units vary by state
Lowest
$0.9822Illinois
Highest
$5.00New York
Answer

What does Medicaid pay for 132?

5 state Medicaid programs publish a fee-for-service rate for 132. The national median is $1.01 (units differ between states). New York pays the most, $5.00 per days (average length of stay), and Illinois the least, $0.9822, a 5.1x spread.

State ranking

132 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
1New York Source · since 2018-07-01$5.00days (average length of stay)—Suggested schedule for plans—
2Georgia Source · since 2024-01-01$2.17weight—Plans negotiate; applies out of network—
3Virginia Source · since 2016-07-01$1.01EAPG Weight Effective 7/1/2016—Plans negotiate; applies out of network—
See all 5 states for 132 — 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 132 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 132?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $1.01. New York pays the most ($5.00 per days (average length of stay)) and Illinois the least ($0.9822).

Which state pays the highest Medicaid rate for 132?

New York, at $5.00 per days (average length of stay), effective 2018-07-01.

Do managed-care plans pay the same rate for 132?

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.