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Service benchmark · Hospital outpatient

APG relative weight: Medicaid rates by state

1 states publish a Medicaid rate for APG relative weight. The median is —; rates range from $0.6761 in New York to $0.6761 in New York.

1 statesCompared as publishedSources: official state Medicaid publications

States
1
Median
—
Highest
$0.6761New York
Lowest
$0.6761New York
Rates on file
23,056
State ranking

APG relative weight: highest and lowest states

Headline rate per state for the same provider level, as published.

#StateRateUnitPer hourEffective
1New YorkAny qualified provider (rate does not vary by provider)$0.6761relative weight—2026-01-01
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About this benchmark

How APG relative weight is compared

States publish APG relative weight under their own codes, modifiers and units. To compare them, this page picks the rate in each state that matches the same service and provider level.

  • Provider level. States are compared at the same provider level wherever the schedule distinguishes one. Rates for other levels on file (any qualified provider) are kept separate, never mixed into this ranking.
  • Unit. All 1 states publish their headline rate per relative weight, so the amounts compare directly. The ranking uses the rate as published, so read the unit before comparing two states.
  • Variants. 1 of the 1 states publish more than one rate for this service (by modifier, program, setting or provider type); the headline rate is the one that matches the comparison, and the workspace lists every variant.
  • Depth. 23,056 rates for this service are on file across all states, versions and provider levels; this page shows one headline rate per state.
Context

Why APG relative weight rates differ between states

The highest-paying state, New York, pays $0.6761; the lowest, New York, pays $0.6761. 1 of the 1 states pay above the median of —. Common reasons rates for hospital outpatient services spread this way:

  • States pay outpatient hospital care under different systems: grouped payments, a fee schedule or a percentage of charges.
  • Many outpatient amounts are hospital-specific or adjusted by hospital type.

Billing notes

Outpatient services are billed per procedure, and some systems package lower-cost items into the payment for the main service.

FAQ

Frequently asked questions

Which state pays the most for APG relative weight?

New York: $0.6761 per relative weight.

Which state pays the least for APG relative weight?

New York: $0.6761 per relative weight.

What is the average Medicaid rate for APG relative weight?

Across 1 states the median is —, comparing the same provider level in each state. 1 states pay above it.

How are the states compared?

One headline rate per state, matched on the service and provider level, as published. Rates for other provider levels and add-ons are not mixed in.

What unit is APG relative weight billed in?

All 1 states publish it per relative weight, so the amounts compare directly.

Do managed-care plans pay these rates?

It depends on the state. Each state's managed-care page shows whether plans must pay at least the published rate, follow a state-set rate, or negotiate their own for this service line.