085 Medicaid reimbursement rate by state (2026)
Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $2.27 for 085 across 7 states, from $1.43 in Iowa to $2,074.82 in New Hampshire.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 7
- National median
- $2.27units vary by state
- Lowest
- $1.43Iowa
- Highest
- $2,074.82New Hampshire
What does Medicaid pay for 085?
7 state Medicaid programs publish a fee-for-service rate for 085. The national median is $2.27 (units differ between states). New Hampshire pays the most, $2,074.82, and Iowa the least, $1.43, a 1451.0x spread.
085 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 085?
It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $2.27. New Hampshire pays the most ($2,074.82) and Iowa the least ($1.43).
Which state pays the highest Medicaid rate for 085?
New Hampshire, at $2,074.82, effective 2025-10-01.
Do managed-care plans pay the same rate for 085?
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.