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Billing code 957 · Hospital inpatient

957 Medicaid reimbursement rate by state (2026)

Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $8.17 for 957 across 8 states, from $5.38 in Iowa to $3,169.40 in New Hampshire.

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

States publishing
8
National median
$8.17units vary by state
Lowest
$5.38Iowa
Highest
$3,169.40New Hampshire
Answer

What does Medicaid pay for 957?

8 state Medicaid programs publish a fee-for-service rate for 957. The national median is $8.17 (units differ between states). New Hampshire pays the most, $3,169.40, and Iowa the least, $5.38, a 589.3x spread.

State ranking

957 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$3,169.40——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$11.80——Plans must pay at least this—
7Vermont Source · since 2025-10-01$6.25——Not classified—
8Iowa Source · since 2024-10-01$5.38——Plans must pay at least this—
See all 8 states for 957 — 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 957 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 957?

It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $8.17. New Hampshire pays the most ($3,169.40) and Iowa the least ($5.38).

Which state pays the highest Medicaid rate for 957?

New Hampshire, at $3,169.40, effective 2025-10-01.

Do managed-care plans pay the same rate for 957?

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.