Skip to content

743 Medicaid reimbursement rate by state (2026)

Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $0.8704 for 743 across 13 states, from $0.1778 in Illinois to $3,474.76 in New Hampshire.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
13
National median
$0.8704units vary by state
Lowest
$0.1778Illinois
Highest
$3,474.76New Hampshire

What does Medicaid pay for 743?

13 state Medicaid programs publish a fee-for-service rate for 743. The national median is $0.8704 (units differ between states). New Hampshire pays the most, $3,474.76, and Illinois the least, $0.1778, a 19543.1x spread.

743 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 13 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Hampshire Source · since 2025-10-01$3,474.76——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$1.60——Plans must pay at least this—
6New Mexico Source · since 2026-09-24$1.24——Plans must pay at least this—
7Iowa Source · since 2024-10-01$0.8704——Plans must pay at least this—
8Vermont Source · since 2025-10-01$0.7183——Not classified—
12Virginia Source · since 2022-07-01$0.2135Relative Weight—Plans negotiate; applies out of network—
13Illinois Source · since 2023-08-01$0.1778——Plans negotiate; applies out of network—
See all 13 states for 743 — start free

5 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.

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

Frequently asked questions

What does Medicaid pay for 743?

It depends on the state. Of the 13 states with a published fee-for-service rate, the median is $0.8704. New Hampshire pays the most ($3,474.76) and Illinois the least ($0.1778).

Which state pays the highest Medicaid rate for 743?

New Hampshire, at $3,474.76, effective 2025-10-01.

Do managed-care plans pay the same rate for 743?

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.