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C8005 Medicaid reimbursement rates by state

Bronchoscopy, rigid or flexible. 7 state Medicaid programs publish a fee-for-service rate for C8005. Rates run from $2,719.11 in Arizona to $17,500.50 in Minnesota, with a median of $15,750.45.

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

States publishing
7
Median rate
$15,750.45units vary by state
Highest
$17,500.50Minnesota
Medicare (non-facility)
—not on the physician fee schedule

C8005 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
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$17,500.50since 2025-07-01——Plans negotiate; applies out of network—MHCP Fee Schedule (Wayback capture 20250
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$17,500.50since 2026-01-01——Not classified—CMAP Addendum B - OPPS Payment Type by P
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$17,500.50since 2025-07-01——Not classified—Montana Healthcare Programs Outpatient P
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$15,750.45since 2026-07-01——Plans must pay at least this—MO HealthNet fee schedule: Outpatient Ho
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$9,152.76since 2026-07-01——Plans negotiate; applies out of network—MDHHS OPPS payment rates, July 2026
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$3,750.50since 2025-04-01——Plans must pay at least this—OPPS Codes (NM Medicaid Hospital Outpati
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$2,719.11since 2025-07-01——Plans negotiate; applies out of network—AHCCCS Outpatient Hospital Fee Schedule

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 C8005?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $15,750.45. Minnesota pays the most ($17,500.50) and Arizona the least ($2,719.11).

Which state pays the highest Medicaid rate for C8005?

Minnesota, at $17,500.50, effective 2025-07-01.

Do managed-care plans pay the same rate for C8005?

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

Track C8005 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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