G0304 Medicaid reimbursement rates by state
Pre-operative pulmonary surgery services for preparation for.... 11 state Medicaid programs publish a fee-for-service rate for G0304. Rates run from $4.17 in South Dakota to $381.24 in Minnesota, with a median of $224.92.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 11
- Median rate
- $224.92units vary by state
- Highest
- $381.24Minnesota
- Medicare (non-facility)
- —not on the physician fee schedule
G0304 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 |
|---|---|---|---|---|---|---|
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $381.24since 2019-01-01 | — | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $353.64since 2021-10-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS Outpatient Hospital Fee Schedule |
| WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health) | $335.63since 2026-01-01 | — | — | Not classified | — | Wyoming Medicaid APC-Based Fee Schedule |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $289.74since 2026-02-01 | — | — | Not classified | — | DVHA OPPS Fee Schedule workbook, Septemb |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service) | $260.82since 2026-01-01 | — | — | Not classified | — | Montana Healthcare Programs Outpatient P |
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service) | $224.92since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | RI APC (Outpatient) Fee Schedule, as of |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $199.39since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | MDHHS OPPS payment rates, July 2026 |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $162.06since 2010-11-01 | — | — | Plans must pay at least this | — | OPPS Codes (NM Medicaid Hospital Outpati |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $4.17since 2026-01-01 | — | — | Not classified | — | CMAP Addendum B - OPPS Payment Type by P |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $4.17since 2026-01-01 | — | — | Plans must pay at least this | — | Iowa Medicaid Addendum B (CY 26-Janaury) |
| South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services) | $4.17since 2026-02-27 | — | — | Not classified | — | Outpatient Hospital Prospective Payment |
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 G0304?
It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $224.92. Minnesota pays the most ($381.24) and South Dakota the least ($4.17).
Which state pays the highest Medicaid rate for G0304?
Minnesota, at $381.24, effective 2019-01-01.
Do managed-care plans pay the same rate for G0304?
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.