S0197 Medicaid reimbursement rate by state (2026)
Prenatal vitamins, 30-day supply. Medicaid pays a median of $5.00 for S0197 across 5 states, from $1.55 in California to $12.26 in New Jersey.
- States publishing
- 5
- National median
- $5.00units vary by state
- Lowest
- $1.55California
- Highest
- $12.26New Jersey
What does Medicaid pay for S0197?
5 state Medicaid programs publish a fee-for-service rate for S0197. The national median is $5.00 (units differ between states). New Jersey pays the most, $12.26, and California the least, $1.55, a 7.9x spread.
S0197 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for S0197?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $5.00. New Jersey pays the most ($12.26) and California the least ($1.55).
Which state pays the highest Medicaid rate for S0197?
New Jersey, at $12.26, effective 2025-01-01.
Do managed-care plans pay the same rate for S0197?
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.