Fee-for-service rateAs of October 2026
Missouri Medicaid rate for CPT 99285
Emergency department visit, high severity with threat to function
MO HealthNet pays $146.64 for CPT 99285 in its October 2026 fee-for-service schedule: the 16th-highest of 42 state Medicaid programs, at 106% of the $138.69 median.
- Non-facility rate
- $146.64
- Rank
- 16 of 42
- vs. state median
- 106%
- vs. national Medicare
- 86%
What MO HealthNet publishes for 99285
16th-highest of 42 · 106% of median
16th-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
99285 in neighboring states
Each state's comparable non-facility rate for 99285 in its current schedule.
99285 in every state
Map and ranking of every state program that prices 99285.
Compare 99285 across states99285 under Medicare
Medicare's 2026 national non-facility payment is $171.347; MO HealthNet's rate is 86% of it.
See 99285 Medicare ratesSee Missouri's full schedule: all 9,451 codes, every published period, and commercial payer rates for 99285.
Book a 15-min Medicaid walkthrough