369 Medicaid reimbursement rate by state (2026)
Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $2.49 for 369 across 14 states, from $0.6086 in Illinois to $1,448.90 in New Hampshire.
- States publishing
- 14
- National median
- $2.49units vary by state
- Lowest
- $0.6086Illinois
- Highest
- $1,448.90New Hampshire
What does Medicaid pay for 369?
14 state Medicaid programs publish a fee-for-service rate for 369. The national median is $2.49 (units differ between states). New Hampshire pays the most, $1,448.90, and Illinois the least, $0.6086, a 2380.7x spread.
369 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 14 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 369?
It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $2.49. New Hampshire pays the most ($1,448.90) and Illinois the least ($0.6086).
Which state pays the highest Medicaid rate for 369?
New Hampshire, at $1,448.90, effective 2025-10-01.
Do managed-care plans pay the same rate for 369?
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.