412 Medicaid reimbursement rate by state (2026)
Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $1.98 for 412 across 13 states, from $0.0802 in Illinois to $2,324.35 in New Hampshire.
- States publishing
- 13
- National median
- $1.98units vary by state
- Lowest
- $0.0802Illinois
- Highest
- $2,324.35New Hampshire
What does Medicaid pay for 412?
13 state Medicaid programs publish a fee-for-service rate for 412. The national median is $1.98 (units differ between states). New Hampshire pays the most, $2,324.35, and Illinois the least, $0.0802, a 28981.9x spread.
412 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.
Frequently asked questions
What does Medicaid pay for 412?
It depends on the state. Of the 13 states with a published fee-for-service rate, the median is $1.98. New Hampshire pays the most ($2,324.35) and Illinois the least ($0.0802).
Which state pays the highest Medicaid rate for 412?
New Hampshire, at $2,324.35, effective 2025-10-01.
Do managed-care plans pay the same rate for 412?
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.