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S8415 Medicaid reimbursement rates by state

Supplies for home delivery of infant. 8 state Medicaid programs publish a fee-for-service rate for S8415. Rates run from $45.00 in Texas to $2,397.65 in Minnesota, with a median of $209.76.

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

States publishing
8
Median rate
$209.76units vary by state
Highest
$2,397.65Minnesota
Medicare (non-facility)
—not on the physician fee schedule

S8415 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)$2,397.65⚠ over 3× mediansince 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$500.00since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$500.00since 2024-01-01——Plans must pay at least this—HCA Planned home births and births in ce
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$229.27since 2008-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$190.25since 2026-01-01——Plans negotiate; applies out of network—Licensed Midwife Fee Schedule (2026-01-0
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$75.00since 2017-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$48.50since 2011-04-08——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$45.00since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo

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 S8415?

It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $209.76. Minnesota pays the most ($2,397.65) and Texas the least ($45.00).

Which state pays the highest Medicaid rate for S8415?

Minnesota, at $2,397.65, effective 2026-01-01.

Do managed-care plans pay the same rate for S8415?

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 Equipment & supplies codes

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