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Billing code 357 · Hospital inpatient

357 Medicaid reimbursement rate by state (2026)

Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $1.76 for 357 across 13 states, from $0.3567 in Illinois to $2,220.30 in New Hampshire.

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

States publishing
13
National median
$1.76units vary by state
Lowest
$0.3567Illinois
Highest
$2,220.30New Hampshire
Answer

What does Medicaid pay for 357?

13 state Medicaid programs publish a fee-for-service rate for 357. The national median is $1.76 (units differ between states). New Hampshire pays the most, $2,220.30, and Illinois the least, $0.3567, a 6224.6x spread.

State ranking

357 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$2,220.30——Plans must pay at least this—
2Kansas Source · since 2023-01-01$78.00——Plans must pay at least this—
3North Carolina Source · since 2026-10-01$5.10——Plans must pay at least this—
6Oregon Source · since 2025-10-01$2.33Weights - 10% Cap Applied—Not classified—
7New York Source · since 2026-01-01$1.76relative weight—Plans negotiate; applies out of network—
8Iowa Source · since 2024-10-01$1.68——Plans must pay at least this—
12District of Columbia Source · since 2023-10-01$0.432——Plans must pay at least this—
13Illinois Source · since 2023-08-01$0.3567——Plans negotiate; applies out of network—
See all 13 states for 357 — 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 357 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 357?

It depends on the state. Of the 13 states with a published fee-for-service rate, the median is $1.76. New Hampshire pays the most ($2,220.30) and Illinois the least ($0.3567).

Which state pays the highest Medicaid rate for 357?

New Hampshire, at $2,220.30, effective 2025-10-01.

Do managed-care plans pay the same rate for 357?

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.