716 Medicaid reimbursement rate by state (2026)
Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $1.89 for 716 across 8 states, from $1.42 in Iowa to $3,862.26 in New Hampshire.
- States publishing
- 8
- National median
- $1.89units vary by state
- Lowest
- $1.42Iowa
- Highest
- $3,862.26New Hampshire
What does Medicaid pay for 716?
8 state Medicaid programs publish a fee-for-service rate for 716. The national median is $1.89 (units differ between states). New Hampshire pays the most, $3,862.26, and Iowa the least, $1.42, a 2721.4x spread.
716 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 716?
It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $1.89. New Hampshire pays the most ($3,862.26) and Iowa the least ($1.42).
Which state pays the highest Medicaid rate for 716?
New Hampshire, at $3,862.26, effective 2025-10-01.
Do managed-care plans pay the same rate for 716?
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.