304 Medicaid reimbursement rate by state (2026)
Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $1.19 for 304 across 12 states, from $0.0147 in Wisconsin to $1,612.63 in New Hampshire.
- States publishing
- 12
- National median
- $1.19units vary by state
- Lowest
- $0.0147Wisconsin
- Highest
- $1,612.63New Hampshire
What does Medicaid pay for 304?
12 state Medicaid programs publish a fee-for-service rate for 304. The national median is $1.19 (units differ between states). New Hampshire pays the most, $1,612.63, and Wisconsin the least, $0.0147, a 109702.7x spread.
304 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 12 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 304?
It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $1.19. New Hampshire pays the most ($1,612.63) and Wisconsin the least ($0.0147).
Which state pays the highest Medicaid rate for 304?
New Hampshire, at $1,612.63, effective 2025-10-01.
Do managed-care plans pay the same rate for 304?
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.