442 Medicaid reimbursement rate by state (2026)
Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $1.27 for 442 across 11 states, from $0.6516 in Vermont to $1,330.61 in New Hampshire.
- States publishing
- 11
- National median
- $1.27units vary by state
- Lowest
- $0.6516Vermont
- Highest
- $1,330.61New Hampshire
What does Medicaid pay for 442?
11 state Medicaid programs publish a fee-for-service rate for 442. The national median is $1.27 (units differ between states). New Hampshire pays the most, $1,330.61, and Vermont the least, $0.6516, a 2042.1x spread.
442 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 11 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 442?
It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $1.27. New Hampshire pays the most ($1,330.61) and Vermont the least ($0.6516).
Which state pays the highest Medicaid rate for 442?
New Hampshire, at $1,330.61, effective 2025-10-01.
Do managed-care plans pay the same rate for 442?
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.