C7562 Medicaid reimbursement rates by state
Catheter placement in coronary artery(s) for coronary.... 10 state Medicaid programs publish a fee-for-service rate for C7562. Rates run from $1,420.66 in Utah to $2,727.30 in Montana, with a median of $2,506.44.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 10
- Median rate
- $2,506.44units vary by state
- Highest
- $2,727.30Montana
- Medicare (non-facility)
- —not on the physician fee schedule
C7562 rate in every state
One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service) | $2,727.30since 2026-01-01 | — | — | Not classified | — | Montana Healthcare Programs ASC Covered |
| DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP) | $2,725.87since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | DMAP 2026 ASC Fee Schedule |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $2,662.25since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | KY Medicaid ASC fee schedule (2026ASCFee |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $2,629.62since 2025-01-01 | — | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule (Wayback capture 20250 |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $2,590.94since 2026-01-01 | — | — | Not classified | — | Arkansas Medicaid CY2026 Ambulatory Surg |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $2,421.93since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | MO HealthNet fee schedule: Ambulatory Su |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $2,235.18since 2026-05-01 | — | — | Plans negotiate; applies out of network | — | Rates for Freestanding Ambulatory Surger |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $1,492.24since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS Final Ambulatory Surgery Center R |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $1,426.38since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | MDHHS ASC payment rates, July 2026 |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $1,420.66since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Utah Medicaid Coverage and Reimbursement |
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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.
Frequently asked questions
What does Medicaid pay for C7562?
It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $2,506.44. Montana pays the most ($2,727.30) and Utah the least ($1,420.66).
Which state pays the highest Medicaid rate for C7562?
Montana, at $2,727.30, effective 2026-01-01.
Do managed-care plans pay the same rate for C7562?
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 table shows the rule for each state, cited to the contract or statute.