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E0296 Medicaid reimbursement rates by state

Hospital bed, total electric (head. 21 state Medicaid programs publish a fee-for-service rate for E0296 at the nurse midwife level. Rates run from $2.00 in Kansas to $1,435.70 in Minnesota, with a median of $139.79.

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

States publishing
21
Median rate
$139.79units vary by state
Highest
$1,435.70Minnesota
Medicare (non-facility)
—not on the physician fee schedule

E0296 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)$1,435.70⚠ over 3× mediansince 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
ArizonaCertified nurse-midwife · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$1,292.36⚠ over 3× mediansince 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$1,020.00since 2024-01-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$653.70⚠ over 3× mediansince 2018-04-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - DME
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$148.45since 2011-11-10——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$145.01since 2023-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$143.57since 2026-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2026Medica
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$143.57since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$143.20since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$140.58since 2026-07-01——Not classified—Health First Colorado Physician Fee Sche
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$139.79since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$139.79since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$138.27since 2012-07-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$129.62since 2025-12-09——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$129.56since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$122.03since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$115.36since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$100.00since 2026-05-20——Not classified—EPSDT Referral (DME) Fee Schedule (REF-0
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$97.85since 2025-12-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$3.74since 2019-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$2.00since 1989-01-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched

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 E0296?

It depends on the state. Of the 21 states with a published fee-for-service rate, the median is $139.79. Minnesota pays the most ($1,435.70) and Kansas the least ($2.00).

Which state pays the highest Medicaid rate for E0296?

Minnesota, at $1,435.70, effective 2026-01-01.

Do managed-care plans pay the same rate for E0296?

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.

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