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Billing code 886 · Hospital inpatient

886 Medicaid reimbursement rate by state (2026)

Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $1.63 for 886 across 7 states, from $0.5279 in West Virginia to $1,625.44 in New Hampshire.

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

States publishing
7
National median
$1.63units vary by state
Lowest
$0.5279West Virginia
Highest
$1,625.44New Hampshire
Answer

What does Medicaid pay for 886?

7 state Medicaid programs publish a fee-for-service rate for 886. The national median is $1.63 (units differ between states). New Hampshire pays the most, $1,625.44, and West Virginia the least, $0.5279, a 3079.1x spread.

State ranking

886 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$1,625.44——Plans must pay at least this—
2Kansas Source · since 2023-01-01$78.00——Plans must pay at least this—
3Oregon Source · since 2025-10-01$2.08Weights - 10% Cap Applied—Not classified—
7West Virginia Source · since 2025-10-01$0.5279——Plans negotiate; applies out of network—
See all 7 states for 886 — 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 886 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 886?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $1.63. New Hampshire pays the most ($1,625.44) and West Virginia the least ($0.5279).

Which state pays the highest Medicaid rate for 886?

New Hampshire, at $1,625.44, effective 2025-10-01.

Do managed-care plans pay the same rate for 886?

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.