Fee-for-service rateAs of October 2026
Missouri Medicaid rate for CPT 99284
Emergency department visit, high severity
MO HealthNet pays $100.99 for CPT 99284 in its October 2026 fee-for-service schedule: the 15th-highest of 42 state Medicaid programs, at 106% of the $95.28 median.
- Non-facility rate
- $100.99
- Rank
- 15 of 42
- vs. state median
- 106%
- vs. national Medicare
- 85%
What MO HealthNet publishes for 99284
15th-highest of 42 · 106% of median
15th-highest of 42 · 106% of median
- Schedule
- October 2026
- In effect since
- Jul 1, 2022
- Prior authorization
- Not required
Unmodified non-facility fee-for-service rate from the state's published file. Managed-care contracts, supplemental payments, and claim-specific adjustments can change what is paid. MO HealthNet Fee Schedules
99284 in neighboring states
Each state's comparable non-facility rate for 99284 in its current schedule.
99284 in every state
Map and ranking of every state program that prices 99284.
Compare 99284 across states99284 under Medicare
Medicare's 2026 national non-facility payment is $118.239; MO HealthNet's rate is 85% of it.
See 99284 Medicare ratesSee Missouri's full schedule: all 9,451 codes, every published period, and commercial payer rates for 99284.
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