643 Medicaid reimbursement rate by state (2026)
Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $1.65 for 643 across 8 states, from $1.09 in Iowa to $1,411.26 in New Hampshire.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 8
- National median
- $1.65units vary by state
- Lowest
- $1.09Iowa
- Highest
- $1,411.26New Hampshire
What does Medicaid pay for 643?
8 state Medicaid programs publish a fee-for-service rate for 643. The national median is $1.65 (units differ between states). New Hampshire pays the most, $1,411.26, and Iowa the least, $1.09, a 1292.1x spread.
643 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 8 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 643?
It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $1.65. New Hampshire pays the most ($1,411.26) and Iowa the least ($1.09).
Which state pays the highest Medicaid rate for 643?
New Hampshire, at $1,411.26, effective 2025-10-01.
Do managed-care plans pay the same rate for 643?
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.