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$29/mo7-day free trialThese pages show common-procedure samples per category. The complete all-codes District of Columbia schedules export as CSV with the Rates plan.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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District of Columbia's published schedules by category
Codes on the current schedule, the newest effective date, the median published rate as a percentage of national Medicare where a comparator exists, and one recognizable procedure's rate per category. Open a category for its common-procedure table.
| Category | Codes | Effective | Median % of Medicare | Example rate | PA required |
|---|---|---|---|---|---|
| Physician | 6,530 | Jul 2026 | 88.9% | $85.25 Office visit, established patient, low complexity (20-29 min) (99213) | 229 |
| Lab & Imaging | 1,998 | Apr 2026 | 80% | $30.43 Chest X-ray, 2 views (71046) | 63 |
| DME & Supplies | 1,711 | May 2026 | 79.7% | $50.04 Continuous positive airway pressure (cpap) device (E0601) | 624 |
| Drugs | 868 | Apr 2026 | -- | -- | 295 |
| Vision | 160 | Apr 2026 | 90.5% | $134.92 Eye exam, new patient, comprehensive (92004) | 96 |
| Behavioral Health | 68 | Jan 2026 | 86.9% | $144.82 Psychotherapy, 60 minutes (90837) | 2 |
| Transport | 17 | Apr 2026 | -- | $261.14 Ambulance service, basic life support, non-emergency transport, (bls) (A0428) | 3 |
| State-Specific Services | 454 | Aug 2026 | 94.2% | -- | 352 |
| Dental | District of Columbia's dental Medicaid rates live in the dental section, with their own per-state page. | ||||
District of Columbia also publishes 8 hearing codes (Apr 2018), too few or too old to summarize here.
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.
Where District of Columbia publishes its fee schedules
- Publisher
- DC Department of Health Care Finance (DHCF)
- Program
- DC Medicaid
- Official source
- https://medicaid.dc.gov/SPContent/DocumentLibrary/Provider%20Fee%20Schedules
- Last checked
- Aug 21, 2026
ProviderSignal collects every category from the state's publication, standardizes the rows and labels each code in its own plain language. Rates are the published amounts; the state's page remains the legal source.
These are common-procedure samples. The complete District of Columbia schedules, every category and every code, export as CSV on the Rates plan.
Compare District of Columbia nationally
Frequently asked questions
Does District of Columbia publish a Medicaid fee schedule?
Yes. District of Columbia publishes 11,806 Medicaid fee-for-service procedure rates across 8 service categories, effective through Aug 2026, all collected and normalized here with plain-language procedure names. DC Department of Health Care Finance (DHCF) publishes District of Columbia's Medicaid fee schedules.
Who publishes District of Columbia's Medicaid fee schedule?
DC Department of Health Care Finance (DHCF) publishes District of Columbia's Medicaid fee schedules. The state's own fee-schedule page is https://medicaid.dc.gov/SPContent/DocumentLibrary/Provider%20Fee%20Schedules. ProviderSignal collects every category from it, standardizes the rows and re-checks the source on a rolling cadence (last checked Aug 21, 2026).
What does District of Columbia Medicaid pay for common services?
An established-patient office visit (99213) pays $85.25, a two-view chest X-ray (71046) $30.43 and a CPAP device (E0601) $50.04. Every figure is the state's published fee-for-service amount for the code's benchmark locality; managed-care plans can pay differently. The category pages list common procedures with plain-language names, and the complete all-codes schedules export as CSV on the Rates plan.
How do District of Columbia's Medicaid rates compare with Medicare?
Pooled across categories with a national Medicare comparator, District of Columbia's published rates run a median 88.5% of the Medicare amount, ranking 15 of 49 jurisdictions with a comparable basis.
What service categories does District of Columbia publish?
Physician (6,530 codes), Lab & Imaging (1,998 codes), DME & Supplies (1,711 codes), Drugs (868 codes), Vision (160 codes), Behavioral Health (68 codes), Transport (17 codes), State-Specific Services (454 codes). Dental rates have their own section with per-state pages.
How current are these rates?
Rates come from District of Columbia's currently published fee schedules, the newest effective Aug 2026, and are re-collected on a rolling monthly cadence. This page updates automatically after each collection sweep.