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Billing code C7520 · Hospital outpatient

C7520 Medicaid reimbursement rate by state (2026)

Catheter placement in coronary artery(ies) for coronary.... Medicaid pays a median of $2,216.82 for C7520 across 6 states, from $1,384.40 in Kansas to $2,525.79 in Minnesota.

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

States publishing
6
National median
$2,216.82units vary by state
Lowest
$1,384.40Kansas
Highest
$2,525.79Minnesota
Answer

What does Medicaid pay for C7520?

6 state Medicaid programs publish a fee-for-service rate for C7520. The national median is $2,216.82 (units differ between states). Minnesota pays the most, $2,525.79, and Kansas the least, $1,384.40, a 1.8x spread.

State ranking

C7520 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
1Minnesota Source · since 2023-01-01$2,525.79——Plans negotiate; applies out of network—
2Montana Source · since 2024-04-01$2,525.79——Not classified—
3Kentucky Source · since 2024-01-01$2,412.78——Plans negotiate; applies out of network—
6Kansas Source · since 2023-01-01$1,384.40——Plans must pay at least this—
See all 6 states for C7520 — 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 C7520 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 C7520?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $2,216.82. Minnesota pays the most ($2,525.79) and Kansas the least ($1,384.40).

Which state pays the highest Medicaid rate for C7520?

Minnesota, at $2,525.79, effective 2023-01-01.

Do managed-care plans pay the same rate for C7520?

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.