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C7567 Medicaid reimbursement rates by state

Bronchoscopy, rigid or flexible. 9 state Medicaid programs publish a fee-for-service rate for C7567. Rates run from $66.00 in South Dakota to $2,451.02 in Montana, with a median of $2,084.75.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
9
Median rate
$2,084.75units vary by state
Highest
$2,451.02Montana
Medicare (non-facility)
—not on the physician fee schedule

C7567 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$2,451.02since 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)$2,449.74since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 ASC Fee Schedule
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$2,328.47since 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)$2,176.58since 2026-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Ambulatory Su
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$2,084.75since 2026-01-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$1,341.08since 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)$1,281.88since 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)$1,276.74since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$66.00since 2026-07-01——Not classified—South Dakota Medicaid ASC fee schedule (

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 C7567?

It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $2,084.75. Montana pays the most ($2,451.02) and South Dakota the least ($66.00).

Which state pays the highest Medicaid rate for C7567?

Montana, at $2,451.02, effective 2026-01-01.

Do managed-care plans pay the same rate for C7567?

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.

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