Skip to content
Billing code 298 · Hospital inpatient

298 Medicaid reimbursement rate by state (2026)

Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $0.6329 for 298 across 10 states, from $0.2546 in Illinois to $1,738.05 in New Hampshire.

Data as of Oct 5, 202610 statesEvery rate links to its official source

States publishing
10
National median
$0.6329units vary by state
Lowest
$0.2546Illinois
Highest
$1,738.05New Hampshire
Answer

What does Medicaid pay for 298?

10 state Medicaid programs publish a fee-for-service rate for 298. The national median is $0.6329 (units differ between states). New Hampshire pays the most, $1,738.05, and Illinois the least, $0.2546, a 6826.6x spread.

State ranking

298 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 10 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Hampshire Source · since 2025-10-01$1,738.05——Plans must pay at least this—
2Kansas Source · since 2023-01-01$78.00——Plans must pay at least this—
3New Mexico Source · since 2026-09-24$1.65——Plans must pay at least this—
5West Virginia Source · since 2025-10-01$0.679——Plans negotiate; applies out of network—
6Vermont Source · since 2025-10-01$0.5868——Not classified—
9Virginia Source · since 2019-07-01$0.285EAPG WEIGHT—Plans negotiate; applies out of network—
10Illinois Source · since 2019-10-01$0.2546——Plans negotiate; applies out of network—
See all 10 states for 298 — start free

3 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.

  • Source for every rate
  • Full rate history
  • CSV and API export

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 298 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 298?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $0.6329. New Hampshire pays the most ($1,738.05) and Illinois the least ($0.2546).

Which state pays the highest Medicaid rate for 298?

New Hampshire, at $1,738.05, effective 2025-10-01.

Do managed-care plans pay the same rate for 298?

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.