0851 Medicaid reimbursement rates by state
Dialysis facility composite rate (per treatment). 5 state Medicaid programs publish a fee-for-service rate for 0851. Rates run from $57.18 in Arizona to $328.31 in Wyoming, with a median of $81.95.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 5
- Median rate
- $81.95units vary by state
- Highest
- $328.31Wyoming
- Medicare (non-facility)
- —not on the physician fee schedule
0851 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health) | $328.31since 2026-01-01 | — | — | Not classified | — | Wyoming Medicaid End Stage Renal Disease |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $99.27since 2026-01-01 | Per Session | — | Plans must pay at least this | — | HCA Kidney centers fee schedule (kidneyc |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $81.95since 2024-01-01 | per session (printed in the description) | — | Plans negotiate; applies out of network | — | Appendix to OAC 5160-13-02 (final filed |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $60.25since 2025-10-01 | — | — | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Dialysis+' - D |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $57.18since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS Freestanding Dialysis Facility Co |
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 0851?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $81.95. Wyoming pays the most ($328.31) and Arizona the least ($57.18).
Which state pays the highest Medicaid rate for 0851?
Wyoming, at $328.31, effective 2026-01-01.
Do managed-care plans pay the same rate for 0851?
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.