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Fee-for-service rateAs of October 2026

Pennsylvania Medicaid rate for CPT 47562

Pennsylvania Medical Assistance pays $589.35 for CPT 47562 in its October 2026 fee-for-service schedule: the 15th-highest of 42 state Medicaid programs, at 108% of the $543.40 median.

Non-facility rate
$589.35
Rank
15 of 42
vs. state median
108%
vs. PA Medicare
89-97%

What Pennsylvania Medical Assistance publishes for 47562

15th-highest of 42 · 108% of median

15th-highest of 42 · 108% of median

Schedule
October 2026
In effect since
Jan 1, 2000
1 rate type
Inpatient hospital and 1 more (80)
$117.87

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. DHS Outpatient Fee Schedule

47562 in neighboring states

Each state's comparable non-facility rate for 47562 in its current schedule.

StateRatevs. Pennsylvania
Delaware$609.48+3%
Maryland$531.59-10%
New Jersey$398.82-32%
Ohio$515.68-13%
West Virginia$465.55-21%

47562 under Medicare

Medicare's 2026 non-facility payment for 47562 in Pennsylvania is $610.50 to $663.57 across its 2 payment localities; Pennsylvania Medical Assistance's rate is 89-97% of that. The national amount before geographic adjustment is $631.945.

See 47562 Medicare rates

See Pennsylvania's full schedule: all 6,593 codes, every published period, and commercial payer rates for 47562.

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Other Pennsylvania Medical Assistance rates