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763 Medicaid reimbursement rate by state (2026)

EAPG relative weight (outpatient hospital or surgery center). Medicaid pays a median of $0.6661 for 763 across 6 states, from $0.366 in Illinois to $1.30 in Wisconsin.

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

States publishing
6
National median
$0.6661units vary by state
Lowest
$0.366Illinois
Highest
$1.30Wisconsin

What does Medicaid pay for 763?

6 state Medicaid programs publish a fee-for-service rate for 763. The national median is $0.6661 (units differ between states). Wisconsin pays the most, $1.30, and Illinois the least, $0.366, a 3.5x spread.

763 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Wisconsin Source · since 2026-01-01$1.30——Plans negotiate; applies out of network—
2Vermont Source · since 2025-01-01$1.12——Not classified—
3New York Source · since 2026-01-01$0.7388relative weight—Plans negotiate; applies out of network—
6Illinois Source$0.366——Plans negotiate; applies out of network—
See all 6 states for 763 — start free

2 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 763 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 763?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $0.6661. Wisconsin pays the most ($1.30) and Illinois the least ($0.366).

Which state pays the highest Medicaid rate for 763?

Wisconsin, at $1.30, effective 2026-01-01.

Do managed-care plans pay the same rate for 763?

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.