694 Medicaid reimbursement rate by state (2026)
Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $0.7817 for 694 across 15 states, from $0.3359 in Illinois to $1,563.76 in New Hampshire.
- States publishing
- 15
- National median
- $0.7817units vary by state
- Lowest
- $0.3359Illinois
- Highest
- $1,563.76New Hampshire
What does Medicaid pay for 694?
15 state Medicaid programs publish a fee-for-service rate for 694. The national median is $0.7817 (units differ between states). New Hampshire pays the most, $1,563.76, and Illinois the least, $0.3359, a 4655.4x spread.
694 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 694?
It depends on the state. Of the 15 states with a published fee-for-service rate, the median is $0.7817. New Hampshire pays the most ($1,563.76) and Illinois the least ($0.3359).
Which state pays the highest Medicaid rate for 694?
New Hampshire, at $1,563.76, effective 2025-10-01.
Do managed-care plans pay the same rate for 694?
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.