564 Medicaid reimbursement rate by state (2026)
Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $1.51 for 564 across 15 states, from $0.188 in Illinois to $1,350.96 in New Hampshire.
- States publishing
- 15
- National median
- $1.51units vary by state
- Lowest
- $0.188Illinois
- Highest
- $1,350.96New Hampshire
What does Medicaid pay for 564?
15 state Medicaid programs publish a fee-for-service rate for 564. The national median is $1.51 (units differ between states). New Hampshire pays the most, $1,350.96, and Illinois the least, $0.188, a 7186.0x spread.
564 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 564?
It depends on the state. Of the 15 states with a published fee-for-service rate, the median is $1.51. New Hampshire pays the most ($1,350.96) and Illinois the least ($0.188).
Which state pays the highest Medicaid rate for 564?
New Hampshire, at $1,350.96, effective 2025-10-01.
Do managed-care plans pay the same rate for 564?
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.