603 Medicaid reimbursement rate by state (2026)
Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $0.8709 for 603 across 13 states, from $0.2046 in Virginia to $1,239.21 in New Hampshire.
- States publishing
- 13
- National median
- $0.8709units vary by state
- Lowest
- $0.2046Virginia
- Highest
- $1,239.21New Hampshire
What does Medicaid pay for 603?
13 state Medicaid programs publish a fee-for-service rate for 603. The national median is $0.8709 (units differ between states). New Hampshire pays the most, $1,239.21, and Virginia the least, $0.2046 per EAPG Weight Effective 7/1/2016, a 6056.7x spread.
603 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 603?
It depends on the state. Of the 13 states with a published fee-for-service rate, the median is $0.8709. New Hampshire pays the most ($1,239.21) and Virginia the least ($0.2046 per EAPG Weight Effective 7/1/2016).
Which state pays the highest Medicaid rate for 603?
New Hampshire, at $1,239.21, effective 2025-10-01.
Do managed-care plans pay the same rate for 603?
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.