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Billing code 784 · Hospital inpatient

784 Medicaid reimbursement rate by state (2026)

Inpatient rate add-on (education, wage, directed payment). Medicaid pays a median of $1.01 for 784 across 10 states, from $0.3017 in Illinois to $1,781.38 in New Hampshire.

Data as of Oct 5, 202610 statesEvery rate links to its official source

States publishing
10
National median
$1.01units vary by state
Lowest
$0.3017Illinois
Highest
$1,781.38New Hampshire
Answer

What does Medicaid pay for 784?

10 state Medicaid programs publish a fee-for-service rate for 784. The national median is $1.01 (units differ between states). New Hampshire pays the most, $1,781.38, and Illinois the least, $0.3017, a 5904.5x spread.

State ranking

784 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 10 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Hampshire Source · since 2025-10-01$1,781.38——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$2.70——Plans must pay at least this—
5Oregon Source · since 2025-10-01$1.06Weights - 10% Cap Applied—Not classified—
6West Virginia Source · since 2025-10-01$0.9581——Plans negotiate; applies out of network—
9Virginia Source · since 2016-07-01$0.3048EAPG Weight Effective 7/1/2016—Plans negotiate; applies out of network—
10Illinois Source · since 2019-10-01$0.3017——Plans negotiate; applies out of network—
See all 10 states for 784 — start free

3 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 784 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 784?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $1.01. New Hampshire pays the most ($1,781.38) and Illinois the least ($0.3017).

Which state pays the highest Medicaid rate for 784?

New Hampshire, at $1,781.38, effective 2025-10-01.

Do managed-care plans pay the same rate for 784?

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.