E0255 Medicaid Rate by State

Hospital bed, variable height, hi-lo, with any type side rails, with mattress

41 state Medicaid programs publish a fee-for-service rate for E0255 (hospital bed, variable height, hi-lo, with any type side rails, with mattress), ranging from $2.60 in Virginia to $1,208.69 in Arizona.

Every state, kept current

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This page shows one representative rate per state for E0255. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

41

Median % of Medicare

--

Rate range

$2.60 - $1,208.69

E0255 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alabama$779.40----2026
Arkansas$75.89----2026
Arizona$1,208.69----2026
Colorado$979.98*--Varies2026
Connecticut$568.50--Required2018
District of Columbia$74.43*--Required2026
Delaware$1,058.30----2026
Florida$915.91----2026
Georgia$80.56*----2026
Hawaii$111.42----2025
Iowa$1,024.61----2024
Idaho$891.39*--Not required2026
Illinois$704.75----2026
Indiana$739.00*--Required2025
Kansas$900.00----2007
Kentucky$779.40----2026
Louisiana$573.84----2026
Massachusetts$58.50*----2026
Maryland$632.65----2026
Maine$113.99*----2026
Michigan$979.23----2026
Minnesota$767.40--Conditional2026
Missouri$915.67*--Required2017
Mississippi$2.75*----2026
Montana$1,129.80--Varies2026
North Dakota$76.74--Required2026
Nebraska$667.89*----2026
New Hampshire$46.14--Required2026
New Jersey$422.80--Required2026
New Mexico$75.46----2025
Nevada$879.20----2021
Ohio$677.00----1991
Oklahoma$113.99----2026
Pennsylvania$910.00*----2011
South Carolina$78.86*----2024
Texas$930.30*----2013
Virginia$2.60----2026
Vermont$1,000.81----2026
Wisconsin$758.90----2026
West Virginia$91.19----2026
Wyoming$690.80*--Required2026

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.

Related dme & supplies codes

All 295 codes from E0100 to E0995 or every dme & supplies code by number.

Frequently asked questions

How much does Medicaid pay for E0255?

41 state Medicaid programs publish a fee-for-service rate for E0255 (hospital bed, variable height, hi-lo, with any type side rails, with mattress), ranging from $2.60 in Virginia to $1,208.69 in Arizona. The full table on this page lists every publishing state's current rate.

Which state pays the most for E0255?

Arizona publishes the highest Medicaid rate for E0255 at $1,208.69. Virginia publishes the lowest at $2.60.

Does E0255 require prior authorization under Medicaid?

9 of the 41 publishing states flag E0255 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".