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G0390 Medicaid reimbursement rates by state

Trauma response team associated with hospital critical care.... 5 state Medicaid programs publish a fee-for-service rate for G0390. Rates run from $14.90 in Iowa to $1,361.78 in Minnesota, with a median of $712.21.

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

States publishing
5
Median rate
$712.21units vary by state
Highest
$1,361.78Minnesota
Medicare (non-facility)
—not on the physician fee schedule

G0390 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)$1,361.78since 2016-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$1,012.23since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$712.21since 2026-07-01——Plans negotiate; applies out of network—MDHHS OPPS payment rates, July 2026
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$14.90since 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)$14.90since 2026-01-01——Plans must pay at least this—Iowa Medicaid Addendum B (CY 26-Janaury)

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 G0390?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $712.21. Minnesota pays the most ($1,361.78) and Iowa the least ($14.90).

Which state pays the highest Medicaid rate for G0390?

Minnesota, at $1,361.78, effective 2016-01-01.

Do managed-care plans pay the same rate for G0390?

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 G0390 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state