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Billing code G0555 · Hospital outpatient

G0555 Medicaid reimbursement rate by state (2026)

Provision of replacement patient electronics system (e.g.. Medicaid pays a median of $600.22 for G0555 across 7 states, from $9.60 in South Dakota to $1,086.70 in Rhode Island.

Data as of Oct 5, 20267 statesEvery rate links to its official source

States publishing
7
National median
$600.22units vary by state
Lowest
$9.60South Dakota
Highest
$1,086.70Rhode Island
Answer

What does Medicaid pay for G0555?

7 state Medicaid programs publish a fee-for-service rate for G0555. The national median is $600.22 (units differ between states). Rhode Island pays the most, $1,086.70, and South Dakota the least, $9.60, a 113.2x spread.

State ranking

G0555 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Rhode Island Source · since 2026-07-01$1,086.70——Plans negotiate; applies out of network—
2New Mexico Source · since 2025-01-01$1,017.39——Plans must pay at least this—
3Wyoming Source · since 2026-01-01$772.39——Not classified—
7South Dakota Source · since 2026-02-27$9.60——Not classified—
See all 7 states for G0555 — start free

3 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track G0555 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for G0555?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $600.22. Rhode Island pays the most ($1,086.70) and South Dakota the least ($9.60).

Which state pays the highest Medicaid rate for G0555?

Rhode Island, at $1,086.70, effective 2026-07-01.

Do managed-care plans pay the same rate for G0555?

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 workspace shows the rule for each state, cited to the contract or statute.