Average Medicaid Durable Medical Equipment (DME) Payments in Durham, NC: $33.63
Avg. Paid
$33.63
Range
$0.00 – $36.33
Total Claims
79,484
Providers
7
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.
Durable medical equipment includes items like wheelchairs, walkers, hospital beds, oxygen equipment, and other devices prescribed for home use.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Durable Medical Equipment (DME) in Durham, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
University Of North Carolina Hospitals At Chapel Hill
4400 Emperor Blvd |
$36.33 | 45,925 | 34,169 |
|
Family Medical Supply Llc
2810 Meridian Pkwy Ste 152 |
$33.50 | 17,177 | 13,257 |
|
Lincare Inc.
5441 Lumley Rd |
$28.46 | 13,014 | 8,438 |
|
Feeling Great, Inc.
4111 Capitol Street |
$26.38 | 2,109 | 1,157 |
|
Sunit Peter Harris
3022 Croasdaile Dr Ste 101 |
$0.00 | 628 | 628 |
|
Liberty Medical Specialties, Inc
4221 Garrett Rd |
$6.10 | 500 | 298 |
|
Sean Amery Scott Smith
3100 Erwin Rd |
$0.00 | 131 | 131 |
What to Expect: Durable Medical Equipment (DME)
Your doctor prescribes DME based on your medical needs. A DME supplier will deliver the equipment to your home and provide instruction on its use. Some equipment is purchased while other items are rented. Coverage and costs vary based on the specific items and your insurance plan. Maintenance and repairs may be covered.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| 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 are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Durable Medical Equipment (DME) cost in Durham, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Durable Medical Equipment (DME) in Durham, NC is $33.63 per claim, based on 79,484 claims from 7 providers. Typical payments fall between $23.43 and $52.57. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Durable Medical Equipment (DME) in Durham, NC?
There are 7 Medicaid providers offering Durable Medical Equipment (DME) related services in Durham, NC according to public payment data.
What is the price range for Durable Medical Equipment (DME) in Durham, NC?
Medicaid reimbursement for Durable Medical Equipment (DME) in Durham, NC ranges from $0.00 to $36.33 per claim, with an average of $33.63. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Durable Medical Equipment (DME) in Other Cities
Phoenix, AZ
Avg $22.71
1,009,219 claims · 16 providers
Indianapolis, IN
Avg $54.50
970,590 claims · 15 providers
City Of Industry, CA
Avg $54.22
938,819 claims · 1 providers
Bronx, NY
Avg $32.15
781,876 claims · 11 providers
Albuquerque, NM
Avg $52.38
763,105 claims · 16 providers
Glendale, CA
Avg $32.28
750,080 claims · 9 providers
Colorado Springs, CO
Avg $41.85
705,123 claims · 18 providers
Denver, CO
Avg $47.17
645,281 claims · 11 providers
Other Procedures in Durham, NC
Office Visit
Avg $53.48
1,229,002 claims
Dental Cleaning & Exam
Avg $29.86
790,132 claims
Substance Abuse Treatment
Avg $122.82
746,211 claims
X-Ray
Avg $5.74
576,677 claims
Blood Work & Lab Tests
Avg $13.80
572,218 claims
Speech Therapy
Avg $57.51
491,949 claims
Psychiatric Evaluation
Avg $65.37
472,359 claims
Emergency Room Visit
Avg $105.90
448,598 claims