789 Medicaid reimbursement rate by state (2026)
Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $2.30 for 789 across 8 states, from $0.1862 in West Virginia to $4,416.40 in New Hampshire.
- States publishing
- 8
- National median
- $2.30units vary by state
- Lowest
- $0.1862West Virginia
- Highest
- $4,416.40New Hampshire
What does Medicaid pay for 789?
8 state Medicaid programs publish a fee-for-service rate for 789. The national median is $2.30 (units differ between states). New Hampshire pays the most, $4,416.40, and West Virginia the least, $0.1862, a 23718.6x spread.
789 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 789?
It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $2.30. New Hampshire pays the most ($4,416.40) and West Virginia the least ($0.1862).
Which state pays the highest Medicaid rate for 789?
New Hampshire, at $4,416.40, effective 2025-10-01.
Do managed-care plans pay the same rate for 789?
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.