S5498 Medicaid reimbursement rate by state (2026)
Home infusion therapy, catheter care / maintenance, simple. Medicaid pays a median of $7.18 per day for S5498 across 11 states, from $3.94 in Michigan to $78.19 in South Dakota.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 11
- National median
- $7.18per day
- Lowest
- $3.94Michigan
- Highest
- $78.19South Dakota
What does Medicaid pay for S5498?
11 state Medicaid programs publish a fee-for-service rate for S5498. The national median is $7.18 per day. South Dakota pays the most, $78.19 per day, and Michigan the least, $3.94 per day, a 19.8x spread.
S5498 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 11 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for S5498?
It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $7.18 per day. South Dakota pays the most ($78.19 per day) and Michigan the least ($3.94 per day).
Which state pays the highest Medicaid rate for S5498?
South Dakota, at $78.19 per day, effective 2026-07-01.
Do managed-care plans pay the same rate for S5498?
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.