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Billing code 722 · Hospital inpatient

722 Medicaid reimbursement rate by state (2026)

Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $1.73 for 722 across 15 states, from $0.2197 in Illinois to $1,520.50 in New Hampshire.

Data as of Oct 5, 202615 statesEvery rate links to its official source

States publishing
15
National median
$1.73units vary by state
Lowest
$0.2197Illinois
Highest
$1,520.50New Hampshire
Answer

What does Medicaid pay for 722?

15 state Medicaid programs publish a fee-for-service rate for 722. The national median is $1.73 (units differ between states). New Hampshire pays the most, $1,520.50, and Illinois the least, $0.2197, a 6920.8x spread.

State ranking

722 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Hampshire Source · since 2025-10-01$1,520.50——Plans must pay at least this—
2Kansas Source · since 2023-01-01$78.00——Plans must pay at least this—
3North Carolina Source · since 2026-10-01$6.10——Plans must pay at least this—
7Vermont Source · since 2025-10-01$1.75——Not classified—
8Iowa Source · since 2024-10-01$1.73——Plans must pay at least this—
9Hawaii Source · since 2024-01-01$1.00policy_adjuster_adult—State sets the plan rate—
14Virginia Source · since 2024-07-01$0.2625EAPG WEIGHT—Plans negotiate; applies out of network—
15Illinois Source$0.2197——Plans negotiate; applies out of network—
See all 15 states for 722 — start free

7 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track 722 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for 722?

It depends on the state. Of the 15 states with a published fee-for-service rate, the median is $1.73. New Hampshire pays the most ($1,520.50) and Illinois the least ($0.2197).

Which state pays the highest Medicaid rate for 722?

New Hampshire, at $1,520.50, effective 2025-10-01.

Do managed-care plans pay the same rate for 722?

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.