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982 Medicaid reimbursement rates by state

IHS / tribal outpatient visit (all-inclusive rate). 7 state Medicaid programs publish a fee-for-service rate for 982. Rates run from $1.56 in Iowa to $826.00 in Montana, with a median of $2.76.

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

States publishing
7
Median rate
$2.76units vary by state
Highest
$826.00Montana
Medicare (non-facility)
—not on the physician fee schedule

982 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid Indian Health Service and Tribal 638 facility rates (fee-for-service)$826.00⚠ over 3× mediansince 2026-01-01——Not classified—Indian Health Service Fee Schedule (July
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid (KMAP fee-for-service schedule)$78.00⚠ over 3× mediansince 2023-01-01——Plans must pay at least this—KMAP Hospital Fee-for-Service Provider M
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$5.30since 2026-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Grouper DRG We
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$2.76since 2025-10-01——Plans negotiate; applies out of network—West Virginia Rate Year 2026 DRG Paramet
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$2.53since 2026-09-24——Plans must pay at least this—Medicaid DRG Weights V43 Grouper
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$2.46since 2025-10-01Weights - 10% Cap Applied—Not classified—MS-DRG relative weights FY 2026 Final Ru
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$1.56since 2024-10-01——Plans must pay at least this—DRG Data Table for 2024-10-01 Iowa Weigh

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for 982?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $2.76. Montana pays the most ($826.00) and Iowa the least ($1.56).

Which state pays the highest Medicaid rate for 982?

Montana, at $826.00, effective 2026-01-01.

Do managed-care plans pay the same rate for 982?

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 table shows the rule for each state, cited to the contract or statute.

Related Hospital outpatient codes

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