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S0209 Medicaid reimbursement rates by state

Emergency department APG base rate. 7 state Medicaid programs publish a fee-for-service rate for S0209. Rates run from $1.00 in Arizona to $3.00 in New York, with a median of $1.30.

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

States publishing
7
Median rate
$1.30per mile
Highest
$3.00New York
Medicare (non-facility)
—not on the physician fee schedule

S0209 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
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid transportation (fee-for-service, via the state transportation broker)$3.00since 2024-08-01mile—Paid by the state, outside plans—eMedNY NYS Medicaid Transportation Fee S
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$1.85since 2026-07-01mile—Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$1.80since 2026-07-01mile—Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$1.30since 2024-01-01mile—Plans negotiate; applies out of network—Appendix to OAC 5160-15-28 (final filed
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$1.12since 2022-01-01mile—Paid by the state, outside plans—ForwardHealth max fee schedule: Transpor
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$1.08since 2021-07-01mile—Not classified—Health First Colorado Physician Fee Sche
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS MCO capped fee schedule (state-published schedule for managed-care reference; not shown to be binding)$1.00since 2026-10-01mile—Suggested schedule for plans—AHCCCS FFS Ground Non-Emergency Medical

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 S0209?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $1.30 per mile. New York pays the most ($3.00 per mile) and Arizona the least ($1.00 per mile).

Which state pays the highest Medicaid rate for S0209?

New York, at $3.00 per mile, effective 2024-08-01.

Do managed-care plans pay the same rate for S0209?

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.

Related Hospital outpatient codes

Track S0209 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state