645 Medicaid reimbursement rate by state (2026)
Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $0.9642 for 645 across 8 states, from $0.5113 in Vermont to $1,195.41 in New Hampshire.
- States publishing
- 8
- National median
- $0.9642units vary by state
- Lowest
- $0.5113Vermont
- Highest
- $1,195.41New Hampshire
What does Medicaid pay for 645?
8 state Medicaid programs publish a fee-for-service rate for 645. The national median is $0.9642 (units differ between states). New Hampshire pays the most, $1,195.41, and Vermont the least, $0.5113, a 2338.0x spread.
645 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 645?
It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $0.9642. New Hampshire pays the most ($1,195.41) and Vermont the least ($0.5113).
Which state pays the highest Medicaid rate for 645?
New Hampshire, at $1,195.41, effective 2025-10-01.
Do managed-care plans pay the same rate for 645?
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.