D2420 Medicaid reimbursement rates by state
Outpatient hospital services (fee schedule). 5 state Medicaid programs publish a fee-for-service rate for D2420. Rates run from $7.23 in South Dakota to $581.48 in Wyoming, with a median of $7.23.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 5
- Median rate
- $7.23units vary by state
- Highest
- $581.48Wyoming
- Medicare (non-facility)
- —not on the physician fee schedule
D2420 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 |
|---|---|---|---|---|---|---|
| WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health) | $581.48⚠ over 3× mediansince 2026-01-01 | — | — | Not classified | — | Wyoming Medicaid APC-Based Fee Schedule |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $203.38⚠ over 3× mediansince 2018-07-01 | — | — | Not classified | — | SCDHHS Ambulatory Surgery Fee Schedule ( |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $7.23since 2026-01-01 | — | — | 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) | $7.23since 2026-01-01 | — | — | Plans must pay at least this | — | Iowa Medicaid Addendum B (CY 26-Janaury) |
| South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services) | $7.23since 2026-02-27 | — | — | Not classified | — | Outpatient Hospital Prospective Payment |
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 D2420?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $7.23. Wyoming pays the most ($581.48) and South Dakota the least ($7.23).
Which state pays the highest Medicaid rate for D2420?
Wyoming, at $581.48, effective 2026-01-01.
Do managed-care plans pay the same rate for D2420?
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.