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Billing code 885 · Hospital inpatient

885 Medicaid reimbursement rate by state (2026)

Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $1.40 for 885 across 7 states, from $0.6476 in Iowa to $993.03 in New Hampshire.

Data as of Oct 5, 20267 statesEvery rate links to its official source

States publishing
7
National median
$1.40units vary by state
Lowest
$0.6476Iowa
Highest
$993.03New Hampshire
Answer

What does Medicaid pay for 885?

7 state Medicaid programs publish a fee-for-service rate for 885. The national median is $1.40 (units differ between states). New Hampshire pays the most, $993.03, and Iowa the least, $0.6476, a 1533.4x spread.

State ranking

885 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Hampshire Source · since 2025-10-01$993.03——Plans must pay at least this—
2Kansas Source · since 2023-01-01$78.00——Plans must pay at least this—
3Vermont Source · since 2025-10-01$1.41——Not classified—
7Iowa Source · since 2024-10-01$0.6476——Plans must pay at least this—
See all 7 states for 885 — 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.

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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 885 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 885?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $1.40. New Hampshire pays the most ($993.03) and Iowa the least ($0.6476).

Which state pays the highest Medicaid rate for 885?

New Hampshire, at $993.03, effective 2025-10-01.

Do managed-care plans pay the same rate for 885?

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.