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721 Medicaid reimbursement rate by state (2026)

Outpatient hospital services (fee schedule). Medicaid pays a median of $0.6056 for 721 across 8 states, from $0.192 in Illinois to $17.61 in Vermont.

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

States publishing
8
National median
$0.6056units vary by state
Lowest
$0.192Illinois
Highest
$17.61Vermont

What does Medicaid pay for 721?

8 state Medicaid programs publish a fee-for-service rate for 721. The national median is $0.6056 (units differ between states). Vermont pays the most, $17.61, and Illinois the least, $0.192, a 91.7x spread.

721 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 8 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Vermont Source · since 2026-02-01$17.61——Not classified—
2Georgia Source · since 2024-01-01$3.60weight—Plans negotiate; applies out of network—
3Hawaii Source · since 2024-01-01$1.00policy_adjuster_adult—State sets the plan rate—
7District of Columbia Source · since 2024-10-01$0.2255——Plans must pay at least this—
8Illinois Source · since 2023-08-01$0.192——Plans negotiate; applies out of network—
See all 8 states for 721 — 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.

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 721 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 721?

It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $0.6056. Vermont pays the most ($17.61) and Illinois the least ($0.192).

Which state pays the highest Medicaid rate for 721?

Vermont, at $17.61, effective 2026-02-01.

Do managed-care plans pay the same rate for 721?

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.