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Billing code 946 · Hospital inpatient

946 Medicaid reimbursement rate by state (2026)

Inpatient DRG pricing input (outlier, cost ratio, stay). Medicaid pays a median of $2.08 for 946 across 6 states, from $0.9101 in Vermont to $1,149.67 in New Hampshire.

Data as of Oct 5, 20266 statesEvery rate links to its official source

States publishing
6
National median
$2.08units vary by state
Lowest
$0.9101Vermont
Highest
$1,149.67New Hampshire
Answer

What does Medicaid pay for 946?

6 state Medicaid programs publish a fee-for-service rate for 946. The national median is $2.08 (units differ between states). New Hampshire pays the most, $1,149.67, and Vermont the least, $0.9101, a 1263.2x spread.

State ranking

946 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
1New Hampshire Source · since 2025-10-01$1,149.67——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$2.52——Plans must pay at least this—
6Vermont Source · since 2025-10-01$0.9101——Not classified—
See all 6 states for 946 — 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.

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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 946 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 946?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $2.08. New Hampshire pays the most ($1,149.67) and Vermont the least ($0.9101).

Which state pays the highest Medicaid rate for 946?

New Hampshire, at $1,149.67, effective 2025-10-01.

Do managed-care plans pay the same rate for 946?

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.