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Billing code 387 · Hospital inpatient

387 Medicaid reimbursement rate by state (2026)

Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $0.8632 for 387 across 12 states, from $0.4058 in Illinois to $1,144.85 in New Hampshire.

Data as of Oct 5, 202612 statesEvery rate links to its official source

States publishing
12
National median
$0.8632units vary by state
Lowest
$0.4058Illinois
Highest
$1,144.85New Hampshire
Answer

What does Medicaid pay for 387?

12 state Medicaid programs publish a fee-for-service rate for 387. The national median is $0.8632 (units differ between states). New Hampshire pays the most, $1,144.85, and Illinois the least, $0.4058, a 2821.2x spread.

State ranking

387 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Hampshire Source · since 2025-10-01$1,144.85——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$2.70——Plans must pay at least this—
6West Virginia Source · since 2025-10-01$0.8857——Plans negotiate; applies out of network—
7Iowa Source · since 2024-10-01$0.8407——Plans must pay at least this—
8Oregon Source · since 2025-10-01$0.6813Weights - 10% Cap Applied—Not classified—
11District of Columbia Source · since 2024-10-01$0.4844——Plans must pay at least this—
12Illinois Source · since 2023-08-01$0.4058——Plans negotiate; applies out of network—
See all 12 states for 387 — start free

4 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 387 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 387?

It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $0.8632. New Hampshire pays the most ($1,144.85) and Illinois the least ($0.4058).

Which state pays the highest Medicaid rate for 387?

New Hampshire, at $1,144.85, effective 2025-10-01.

Do managed-care plans pay the same rate for 387?

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.