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Billing code 947 · Hospital inpatient

947 Medicaid reimbursement rate by state (2026)

Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $1.50 for 947 across 8 states, from $0.8938 in Iowa to $1,441.27 in New Hampshire.

Data as of Oct 5, 20268 statesEvery rate links to its official source

States publishing
8
National median
$1.50units vary by state
Lowest
$0.8938Iowa
Highest
$1,441.27New Hampshire
Answer

What does Medicaid pay for 947?

8 state Medicaid programs publish a fee-for-service rate for 947. The national median is $1.50 (units differ between states). New Hampshire pays the most, $1,441.27, and Iowa the least, $0.8938, a 1612.5x spread.

State ranking

947 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Hampshire Source · since 2025-10-01$1,441.27——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$4.60——Plans must pay at least this—
7Vermont Source · since 2025-10-01$1.02——Not classified—
8Iowa Source · since 2024-10-01$0.8938——Plans must pay at least this—
See all 8 states for 947 — 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 947 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 947?

It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $1.50. New Hampshire pays the most ($1,441.27) and Iowa the least ($0.8938).

Which state pays the highest Medicaid rate for 947?

New Hampshire, at $1,441.27, effective 2025-10-01.

Do managed-care plans pay the same rate for 947?

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.