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Billing code E0265 · Equipment & supplies

E0265 Medicaid reimbursement rate by state (2026)

Hospital bed, total electric (head. Medicaid pays a median of $184.01 for E0265 across 40 states, from $6.13 in Wisconsin to $1,884.78 in Vermont.

Data as of Oct 5, 202640 statesEvery rate links to its official source

States publishing
40
National median
$184.01units vary by state
Lowest
$6.13Wisconsin
Highest
$1,884.78Vermont
Answer

What does Medicaid pay for E0265?

40 state Medicaid programs publish a fee-for-service rate for E0265. The national median is $184.01 (units differ between states). Vermont pays the most, $1,884.78, and Wisconsin the least, $6.13, a 307.5x spread.

State ranking

E0265 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 40 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Vermont Source · since 2026-01-01$1,884.78——Not classified—
2Arizona Source · since 2026-10-01$1,850.82——Plans negotiate; applies out of network—
3Minnesota Source · since 2026-01-01$1,840.10——Plans negotiate; applies out of network—
20Delaware Source · since 2026-01-01$184.01——Plans negotiate; applies out of network—
21Maine Source · since 2026-01-01$184.01——Not classified—
22Oklahoma Source · since 2026-01-01$184.01——Plans must pay at least this—
39Kansas Source · since 2026-07-01$46.00——Not classified—
40Wisconsin Source · since 2026-01-01$6.13——Plans negotiate; applies out of network—
See all 40 states for E0265 — start free

32 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 E0265 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 E0265?

It depends on the state. Of the 40 states with a published fee-for-service rate, the median is $184.01. Vermont pays the most ($1,884.78) and Wisconsin the least ($6.13).

Which state pays the highest Medicaid rate for E0265?

Vermont, at $1,884.78, effective 2026-01-01.

Do managed-care plans pay the same rate for E0265?

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.