462 Medicaid reimbursement rate by state (2026)
Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $4.96 for 462 across 15 states, from $1.00 in Hawaii to $5,079.34 in New Hampshire.
- States publishing
- 15
- National median
- $4.96units vary by state
- Lowest
- $1.00Hawaii
- Highest
- $5,079.34New Hampshire
What does Medicaid pay for 462?
15 state Medicaid programs publish a fee-for-service rate for 462. The national median is $4.96 (units differ between states). New Hampshire pays the most, $5,079.34, and Hawaii the least, $1.00 per policy_adjuster_adult, a 5079.3x spread.
462 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 15 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 462?
It depends on the state. Of the 15 states with a published fee-for-service rate, the median is $4.96. New Hampshire pays the most ($5,079.34) and Hawaii the least ($1.00 per policy_adjuster_adult).
Which state pays the highest Medicaid rate for 462?
New Hampshire, at $5,079.34, effective 2025-10-01.
Do managed-care plans pay the same rate for 462?
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.