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Billing code 0272 · Hospital outpatient

0272 Medicaid reimbursement rate by state (2026)

Outpatient hospital services (fee schedule). Medicaid pays a median of $2.66 for 0272 across 5 states, from $0.3801 in Washington to $3.90 in Wyoming.

Data as of Oct 5, 20265 statesEvery rate links to its official source

States publishing
5
National median
$2.66units vary by state
Lowest
$0.3801Washington
Highest
$3.90Wyoming
Answer

What does Medicaid pay for 0272?

5 state Medicaid programs publish a fee-for-service rate for 0272. The national median is $2.66 (units differ between states). Wyoming pays the most, $3.90, and Washington the least, $0.3801, a 10.3x spread.

State ranking

0272 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Wyoming Source · since 2021-01-01$3.90——Not classified—
2Oklahoma Source · since 2025-10-01$2.86——Plans must pay at least this—
3Utah Source · since 2026-01-01$2.66weight—Plans must pay at least this—
See all 5 states for 0272 — start free

2 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 0272 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 0272?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $2.66. Wyoming pays the most ($3.90) and Washington the least ($0.3801).

Which state pays the highest Medicaid rate for 0272?

Wyoming, at $3.90, effective 2021-01-01.

Do managed-care plans pay the same rate for 0272?

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.