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Billing code 200 · Hospital inpatient

200 Medicaid reimbursement rate by state (2026)

Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $1.54 for 200 across 13 states, from $0.5848 in Vermont to $1,489.71 in New Hampshire.

Data as of Oct 5, 202613 statesEvery rate links to its official source

States publishing
13
National median
$1.54units vary by state
Lowest
$0.5848Vermont
Highest
$1,489.71New Hampshire
Answer

What does Medicaid pay for 200?

13 state Medicaid programs publish a fee-for-service rate for 200. The national median is $1.54 (units differ between states). New Hampshire pays the most, $1,489.71, and Vermont the least, $0.5848, a 2547.4x spread.

State ranking

200 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Hampshire Source · since 2025-10-01$1,489.71——Plans must pay at least this—
2Kansas Source · since 2023-01-01$78.00——Plans must pay at least this—
3New York Source · since 2018-07-01$4.00days (average length of stay)—Suggested schedule for plans—
6North Carolina Source · since 2026-10-01$2.80——Plans must pay at least this—
7New Mexico Source · since 2026-09-24$1.54——Plans must pay at least this—
8West Virginia Source · since 2025-10-01$1.15——Plans negotiate; applies out of network—
12Iowa Source · since 2024-10-01$0.7481——Plans must pay at least this—
13Vermont Source · since 2025-10-01$0.5848——Not classified—
See all 13 states for 200 — start free

5 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 200 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 200?

It depends on the state. Of the 13 states with a published fee-for-service rate, the median is $1.54. New Hampshire pays the most ($1,489.71) and Vermont the least ($0.5848).

Which state pays the highest Medicaid rate for 200?

New Hampshire, at $1,489.71, effective 2025-10-01.

Do managed-care plans pay the same rate for 200?

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.