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S0023 Medicaid reimbursement rates by state

Injection, cimetidine hydrochloride, 300 mg. 11 state Medicaid programs publish a fee-for-service rate for S0023 at the physician psychologist level. Rates run from $0.50 in Arizona to $12.50 in Colorado, with a median of $3.00.

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

States publishing
11
Median rate
$3.00units vary by state
Highest
$12.50Colorado
Medicare (non-facility)
—not on the physician fee schedule

S0023 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
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$12.50⚠ over 3× mediansince 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$10.91⚠ over 3× mediansince 2026-07-01——Not classified—South Dakota Medicaid Drugs and Biologic
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$9.67⚠ over 3× mediansince 2021-01-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$3.35since 2026-10-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$3.15since 2021-01-01——Plans negotiate; applies out of network—HCA Professional administered drugs fee
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$3.00since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$2.44since 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$2.39since 2012-07-01——Plans negotiate; applies out of network—MHCP Fee Schedule (Wayback capture 20250
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$2.35since 2011-07-11——Not classified—SCDHHS Pediatric Subspecialty and Neonat
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$0.58since 2022-01-01——Plans must pay at least this—NC Medicaid fee schedule 'Local Health D
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$0.50since 2024-04-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia

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 S0023?

It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $3.00. Colorado pays the most ($12.50) and Arizona the least ($0.50).

Which state pays the highest Medicaid rate for S0023?

Colorado, at $12.50, effective 2026-07-01.

Do managed-care plans pay the same rate for S0023?

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 Physician & professional codes

Track S0023 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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