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236 Medicaid reimbursement rate by state (2026)

Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $6.10 for 236 across 11 states, from $2.70 in Vermont to $3,033.96 in New Hampshire.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
11
National median
$6.10units vary by state
Lowest
$2.70Vermont
Highest
$3,033.96New Hampshire

What does Medicaid pay for 236?

11 state Medicaid programs publish a fee-for-service rate for 236. The national median is $6.10 (units differ between states). New Hampshire pays the most, $3,033.96, and Vermont the least, $2.70, a 1121.7x spread.

236 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Hampshire Source · since 2025-10-01$3,033.96——Plans must pay at least this—
2Kansas Source · since 2023-01-01$78.00——Plans must pay at least this—
3New York Source · since 2026-01-01$17.25relative weight—Plans negotiate; applies out of network—
5West Virginia Source · since 2025-10-01$6.45——Plans negotiate; applies out of network—
6North Carolina Source · since 2026-10-01$6.10——Plans must pay at least this—
10Iowa Source · since 2024-10-01$3.44——Plans must pay at least this—
11Vermont Source · since 2025-10-01$2.70——Not classified—
See all 11 states for 236 — start free

4 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.

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 236 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for 236?

It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $6.10. New Hampshire pays the most ($3,033.96) and Vermont the least ($2.70).

Which state pays the highest Medicaid rate for 236?

New Hampshire, at $3,033.96, effective 2025-10-01.

Do managed-care plans pay the same rate for 236?

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.