856 Medicaid reimbursement rate by state (2026)
Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $5.00 for 856 across 8 states, from $2.24 in Vermont to $2,099.88 in New Hampshire.
- States publishing
- 8
- National median
- $5.00units vary by state
- Lowest
- $2.24Vermont
- Highest
- $2,099.88New Hampshire
What does Medicaid pay for 856?
8 state Medicaid programs publish a fee-for-service rate for 856. The national median is $5.00 (units differ between states). New Hampshire pays the most, $2,099.88, and Vermont the least, $2.24, a 938.7x spread.
856 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 856?
It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $5.00. New Hampshire pays the most ($2,099.88) and Vermont the least ($2.24).
Which state pays the highest Medicaid rate for 856?
New Hampshire, at $2,099.88, effective 2025-10-01.
Do managed-care plans pay the same rate for 856?
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.