Average Medicaid Durable Medical Equipment (DME) Payments in Seneca, SC: $21.68
Avg. Paid
$21.68
Range
$18.28 – $31.52
Total Claims
31,632
Providers
4
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 Seneca, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lincare Inc.
501 Rochester Hwy Ste D |
$20.29 | 21,678 | 14,153 |
|
Beacon Respiratory Services Of Georgia, Inc.
959 By Pass 123 Ste B |
$18.28 | 4,896 | 3,927 |
|
Greenville Health Corporation
10708 Clemson Blvd |
$31.52 | 4,530 | 3,389 |
|
Medical Services Of America Inc
15883 Wells Hwy |
$25.87 | 528 | 413 |
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 Seneca, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Durable Medical Equipment (DME) in Seneca, SC is $21.68 per claim, based on 31,632 claims from 4 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 Seneca, SC?
There are 4 Medicaid providers offering Durable Medical Equipment (DME) related services in Seneca, SC according to public payment data.
What is the price range for Durable Medical Equipment (DME) in Seneca, SC?
Medicaid reimbursement for Durable Medical Equipment (DME) in Seneca, SC ranges from $18.28 to $31.52 per claim, with an average of $21.68. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Seneca, SC
Office Visit
Avg $62.95
222,843 claims
Blood Work & Lab Tests
Avg $29.37
213,493 claims
Dental Cleaning & Exam
Avg $33.61
103,725 claims
Emergency Room Visit
Avg $37.18
92,374 claims
Urinalysis & Urine Tests
Avg $13.57
69,575 claims
Vaccines & Immunizations
Avg $12.96
65,155 claims
X-Ray
Avg $19.03
44,746 claims
Physical Therapy
Avg $56.01
29,948 claims