Average Medicaid Durable Medical Equipment (DME) Payments
Typical Medicaid Durable Medical Equipment (DME) reimbursement across 2,577 cities
Avg. Medicaid Paid
$38.14
Price Range
$0.00 – $580.73
Total Claims
63M
Cities
2577
Typical Payment Range
Typical Medicaid Durable Medical Equipment (DME) payments fall between $23.43 and $52.57 per claim (median: $34.48). The top 10% of payments exceed $74.77.
Based on per-provider averages across all Medicaid claims in this category.
About This Procedure
Durable medical equipment includes items like wheelchairs, walkers, hospital beds, oxygen equipment, and other devices prescribed for home use.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| Phoenix, AZ | $22.71 | $0.00 – $119.97 | 1,009,219 | 16 |
| Indianapolis, IN | $54.50 | $10.53 – $106.68 | 970,590 | 15 |
| City Of Industry, CA | $54.22 | $54.22 – $54.22 | 938,819 | 1 |
| Bronx, NY | $32.15 | $12.01 – $170.87 | 781,876 | 11 |
| Albuquerque, NM | $52.38 | $0.00 – $115.40 | 763,105 | 16 |
| Glendale, CA | $32.28 | $0.45 – $67.35 | 750,080 | 9 |
| Colorado Springs, CO | $41.85 | $25.53 – $109.09 | 705,123 | 18 |
| Denver, CO | $47.17 | $0.00 – $70.83 | 645,281 | 11 |
| Louisville, KY | $27.38 | $16.60 – $40.37 | 448,318 | 13 |
| Las Vegas, NV | $23.67 | $0.00 – $40.91 | 447,537 | 27 |
| Salt Lake City, UT | $46.82 | $0.00 – $76.12 | 368,794 | 7 |
| Export, PA | $72.35 | $72.35 – $72.35 | 349,022 | 1 |
| Pueblo, CO | $46.98 | $37.83 – $65.43 | 342,180 | 7 |
| Irvine, CA | $52.50 | $0.00 – $55.45 | 310,608 | 5 |
| Memphis, TN | $19.44 | $5.71 – $24.20 | 302,652 | 10 |
| Tucson, AZ | $32.17 | $0.00 – $76.79 | 302,467 | 8 |
| Goleta, CA | $27.99 | $27.99 – $27.99 | 296,019 | 1 |
| Portland, OR | $49.05 | $0.00 – $106.51 | 288,591 | 10 |
| San Diego, CA | $51.88 | $0.00 – $174.19 | 282,877 | 20 |
| Lakewood, CO | $37.17 | $26.39 – $53.06 | 272,775 | 6 |
| Carlsbad, CA | $31.42 | $29.85 – $32.44 | 271,397 | 2 |
| Westerville, OH | $34.13 | $30.07 – $36.85 | 268,628 | 3 |
| Miramar, FL | $47.30 | $0.51 – $71.06 | 268,426 | 4 |
| Elmhurst, IL | $53.21 | $43.35 – $54.27 | 248,648 | 4 |
| Center Line, MI | $38.08 | $25.53 – $38.10 | 248,300 | 2 |
| Baltimore, MD | $55.98 | $0.00 – $84.04 | 246,861 | 13 |
| Nashville, TN | $23.83 | $0.00 – $36.97 | 239,479 | 14 |
| Lakewood, NJ | $28.99 | $11.96 – $30.73 | 236,635 | 5 |
| Oakwood Village, OH | $52.91 | $52.91 – $52.91 | 236,300 | 1 |
| Eagan, MN | $57.25 | $57.25 – $57.25 | 228,757 | 1 |
| West Chester, OH | $42.77 | $34.09 – $50.03 | 227,358 | 2 |
| Phoenixville, PA | $34.54 | $34.04 – $53.76 | 226,692 | 2 |
| New Berlin, WI | $40.28 | $13.52 – $56.19 | 225,154 | 3 |
| Cary, NC | $43.02 | $20.02 – $50.50 | 219,883 | 5 |
| Middlebury, CT | $19.66 | $18.33 – $33.85 | 218,293 | 2 |
| Charlotte, NC | $35.93 | $0.00 – $94.12 | 216,183 | 16 |
| Peyton, CO | $51.22 | $51.22 – $51.22 | 216,122 | 1 |
| Kingsport, TN | $18.44 | $14.89 – $26.30 | 215,749 | 4 |
| Jacksonville, FL | $41.53 | $0.00 – $91.96 | 214,980 | 29 |
| Knoxville, TN | $18.80 | $0.00 – $33.55 | 212,369 | 14 |
| Corbin, KY | $33.99 | $24.52 – $39.86 | 208,362 | 4 |
| Oklahoma City, OK | $44.16 | $12.46 – $146.58 | 207,079 | 24 |
| Tustin, CA | $41.59 | $38.00 – $120.94 | 203,867 | 3 |
| Louisville, CO | $39.85 | $39.85 – $39.85 | 191,912 | 1 |
| Littleton, CO | $40.66 | $39.84 – $61.42 | 191,069 | 3 |
| Salem, OR | $49.38 | $35.97 – $170.40 | 189,224 | 9 |
| Lexington, KY | $27.41 | $18.98 – $56.26 | 184,634 | 14 |
| Middle River, MD | $22.46 | $22.46 – $22.46 | 184,572 | 1 |
| Jackson, TN | $18.64 | $16.48 – $31.87 | 181,212 | 7 |
| Fayetteville, NC | $27.38 | $0.00 – $35.55 | 179,490 | 9 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| E1390 | Oxygen concentrator | $50.11 | 37,800,973 | 4,544 |
| E0431 | Portable gaseous 02 | $12.11 | 19,275,377 | 3,584 |
| E0260 | Hosp bed semi-electr w/ matt | $28.71 | 3,307,380 | 1,909 |
| E0143 | Walker folding wheeled w/o s | $35.15 | 1,938,570 | 1,529 |
| E0114 | Crutch underarm pair no wood | $29.53 | 1,513,534 | 729 |
| E0470 | Rad w/o backup non-inv intfc | $91.06 | 1,396,444 | 1,333 |
| E0443 | Portable 02 contents, gas | $32.17 | 618,081 | 529 |
| E0163 | Commode chair with fixed arm | $32.80 | 481,207 | 568 |
| E0434 | Portable liquid 02 | $24.75 | 397,221 | 111 |
| E0295 | Hosp bed semi-elect w/o matt | $41.43 | 242,333 | 344 |
| E0471 | Rad w/backup non inv intrfc | $216.63 | 224,137 | 275 |
| E0424 | Stationary compressed gas 02 | $95.28 | 211,299 | 137 |
| E0442 | Stationary o2 contents, liq | $38.75 | 191,352 | 56 |
| E0100 | Cane adjust/fixed with tip | $9.77 | 176,614 | 248 |
| E0441 | Stationary o2 contents, gas | $49.26 | 154,595 | 69 |
| E0439 | Stationary liquid 02 | $65.01 | 146,074 | 77 |
| E0165 | Commode chair with detacharm | $15.77 | 107,253 | 177 |
| E0250 | Hosp bed fixed ht w/ mattres | $15.24 | 105,445 | 128 |
| E0255 | Hospital bed var ht w/ mattr | $25.92 | 57,426 | 68 |
| E0105 | Cane adjust/fixed quad/3 pro | $21.71 | 41,422 | 99 |
| E0135 | Walker folding adjust/fixed | $29.27 | 29,788 | 74 |
| E0140 | Walker w trunk support | $2.97 | 20,933 | 6 |
| E0110 | Crutch forearm pair | $26.25 | 4,151 | 12 |
| E0251 | Hosp bed fixd ht w/o mattres | $9.09 | 3,815 | 4 |
| E0116 | Crutch underarm each no wood | $14.93 | 328 | 3 |
| E0148 | Heavyduty walker no wheels | $29.60 | 118 | 5 |
| E0130 | Walker rigid adjust/fixed ht | $0.00 | 39 | 1 |
| E1391 | Oxygen concentrator, dual | $122.47 | 38 | 2 |
| E0290 | Hosp bed fx ht w/o rails w/m | — | — | — |
These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.