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Billing code 951 · Hospital inpatient

951 Medicaid reimbursement rate by state (2026)

Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $1.00 for 951 across 11 states, from $0.4576 in Iowa to $1,297.63 in New Hampshire.

Data as of Oct 5, 202611 statesEvery rate links to its official source

States publishing
11
National median
$1.00units vary by state
Lowest
$0.4576Iowa
Highest
$1,297.63New Hampshire
Answer

What does Medicaid pay for 951?

11 state Medicaid programs publish a fee-for-service rate for 951. The national median is $1.00 (units differ between states). New Hampshire pays the most, $1,297.63, and Iowa the least, $0.4576, a 2835.7x spread.

State ranking

951 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 11 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Hampshire Source · since 2025-10-01$1,297.63——Plans must pay at least this—
2Kansas Source · since 2023-01-01$78.00——Plans must pay at least this—
3New York Source · since 2018-07-01$8.00days (average length of stay)—Suggested schedule for plans—
5North Carolina Source · since 2026-10-01$2.10——Plans must pay at least this—
6Hawaii Source · since 2024-01-01$1.00policy_adjuster_adult—State sets the plan rate—
10New Mexico Source · since 2026-09-24$0.4603——Plans must pay at least this—
11Iowa Source · since 2024-10-01$0.4576——Plans must pay at least this—
See all 11 states for 951 — start free

4 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 951 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 951?

It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $1.00. New Hampshire pays the most ($1,297.63) and Iowa the least ($0.4576).

Which state pays the highest Medicaid rate for 951?

New Hampshire, at $1,297.63, effective 2025-10-01.

Do managed-care plans pay the same rate for 951?

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.