Outpatient hospital conversion factor (APC/EAPG): Medicaid rates by state
7 states publish a Medicaid rate for outpatient hospital conversion factor (apc/eapg). Rates range from $124.20 in Ohio to $794.17 in Nebraska.
- States
- 7
- Median
- —
- Highest
- $794.17Nebraska
- Lowest
- $124.20Ohio
Every state, ranked
| # | State | Rate | Unit | Per hour | Effective | Source |
|---|---|---|---|---|---|---|
| 1 | NebraskaAny qualified provider (rate does not vary by provider) | $794.17 | — | — | 2026-07-01 | Official source |
| 2 | VirginiaAny qualified provider (rate does not vary by provider) | $592.37 | Base Rate Effective 07/01/2021 | — | 2021-07-01 | Official source |
| 3 | FloridaAny qualified provider (rate does not vary by provider) | $434.62 | EAPG weight (base rate per relative weight) | — | 2026-07-01 | Official source |
| 4 | WashingtonAny qualified provider (rate does not vary by provider) | $416.57 | — | — | 2025-01-01 | Official source |
| 5 | IllinoisAny qualified provider (rate does not vary by provider) | $370.22 | — | — | 2018-01-01 | Official source |
| 6 | WisconsinAny qualified provider (rate does not vary by provider) | $125.56 | — | — | 2026-01-01 | Official source |
| 7 | OhioAny qualified provider (rate does not vary by provider) | $124.20 | — | — | 2026-07-01 | Official source |
Frequently asked questions
Which state pays the most for outpatient hospital conversion factor (apc/eapg)?
Nebraska: $794.17.
What is the average Medicaid rate for outpatient hospital conversion factor (apc/eapg)?
Across 7 states the median is —, comparing the same provider level in each state.
Other Hospital outpatient services
EAPG relative weight (outpatient hospital or surgery center)7 statesOutpatient payment adjustment factor7 statesIHS / tribal outpatient visit (all-inclusive rate)6 statesSurgery center payment group rate5 statesOutpatient hospital add-on payment3 statesOutpatient hospital (percent of charges or cost)3 statesOutpatient hospital payment method2 statesLegacy APG blend rate (zero since 2012)1 statesOutpatient facility rate (other rate code)1 states
Outpatient hospital conversion factor (APC/EAPG) in your statesRates, plan rules, labor costs and changes, with alerts.