C8011 Medicaid reimbursement rates by state
Open implantation of hypoglossal nerve(s) neurostimulator.... 11 state Medicaid programs publish a fee-for-service rate for C8011. Rates run from $344.87 in South Dakota to $32,566.42 in Rhode Island, with a median of $22,856.39.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 11
- Median rate
- $22,856.39units vary by state
- Highest
- $32,566.42Rhode Island
- Medicare (non-facility)
- —not on the physician fee schedule
C8011 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service) | $32,566.42since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | RI APC (Outpatient) Fee Schedule, as of |
| WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health) | $27,754.94since 2026-04-01 | — | — | Not classified | — | Wyoming Medicaid APC-Based Fee Schedule |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $24,476.63since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | MO HealthNet fee schedule: Ambulatory Su |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $23,959.81since 2026-01-01 | — | — | Not classified | — | DVHA OPPS Fee Schedule workbook, Septemb |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell) | $23,443.95since 2026-07-01 | — | — | Not classified | — | Idaho Medicaid Numerical Fee Schedule Ju |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $22,856.39since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS Outpatient Hospital Fee Schedule |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service) | $21,568.01since 2026-04-01 | — | — | Not classified | — | Montana Healthcare Programs Outpatient P |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $14,415.34since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | MDHHS ASC payment rates, July 2026 |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $344.87since 2026-04-01 | — | — | Not classified | — | CMAP Addendum B - OPPS Payment Type by P |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $344.87since 2026-04-01 | — | — | Plans must pay at least this | — | Iowa Medicaid Addendum B (CY 26-April) ' |
| South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services) | $344.87since 2026-04-23 | — | — | Not classified | — | Outpatient Hospital Prospective Payment |
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 C8011?
It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $22,856.39. Rhode Island pays the most ($32,566.42) and South Dakota the least ($344.87).
Which state pays the highest Medicaid rate for C8011?
Rhode Island, at $32,566.42, effective 2026-07-01.
Do managed-care plans pay the same rate for C8011?
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.