Average Medicaid Home Health Visit Payments in Pittsburgh, PA: $160.74
Avg. Paid
$160.74
Range
$17.05 – $248.59
Total Claims
264,748
Providers
19
Typical Payment Range
Typical Medicaid Home Health Visit payments fall between $50.80 and $139.98 per claim (median: $81.58). The top 10% of payments exceed $248.66.
Based on per-provider averages across all Medicaid claims in this category.
Home health services provide skilled nursing care, therapy, and medical social services in the patient's home.
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 Home Health Visit in Pittsburgh, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Efcc Acquisition Corp
3424 William Penn Hwy |
$248.59 | 100,819 | 4,244 |
|
Penn Hills School District
309 Collins Dr |
$17.05 | 31,913 | 3,715 |
|
Pediatric Services Of America, Llc
1501 Reedsdale St |
$193.51 | 27,614 | 1,495 |
|
Interim Healthcare Of Pittsburgh, Inc.
285 Kappa Dr Ste 270 |
$208.69 | 24,026 | 2,708 |
|
North Allegheny School District
200 Hillvue Ln |
$49.63 | 17,752 | 1,501 |
|
Upper St. Clair School District
1820 Mclaughlin Run Rd |
$55.70 | 13,682 | 1,240 |
|
School District Of Pittsburgh
341 S Bellefield Ave |
$84.11 | 10,881 | 1,001 |
|
Advanced Personal Care, Llc
100 Ryan Ct Ste 22 |
$82.22 | 9,259 | 2,282 |
|
Fox Chapel Area School District
611 Field Club Road |
$72.40 | 8,162 | 635 |
|
Epic Health Services, Inc.
300 Penn Center Boulevard |
$179.95 | 4,425 | 255 |
|
Baldwin-Whitehall School District
4900 Curry Rd |
$85.82 | 3,544 | 340 |
|
Ideal Homehealth Agency, Llc
275 Curry Hollow Rd Ste G300 |
$222.27 | 3,151 | 142 |
|
In Home Health Llc
750 Holiday Dr |
$82.31 | 2,812 | 910 |
|
Northgate School District
591 Union Ave |
$31.02 | 1,746 | 124 |
|
Mount Lebanon School District
7 Horsman Dr |
$80.53 | 1,638 | 131 |
|
Woodland Hills School District
2430 Greensburg Pike |
$156.03 | 1,264 | 94 |
|
Western Pennsylvania Home Health Association
4372 Murray Ave |
$81.51 | 1,091 | 289 |
|
Maxim Healthcare Services, Inc.
317 E Carson St Ste 426 |
$231.68 | 643 | 42 |
|
Landmark Home Health Care Services
209 Thirteenth Street |
$86.11 | 326 | 147 |
What to Expect: Home Health Visit
Home health visits are provided by licensed nurses, therapists, or home health aides. Visits typically last 1-2 hours. Services may include wound care, medication management, vital sign monitoring, physical therapy, or assistance with daily activities. Your doctor must order home health services, and a plan of care is developed with specific goals.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| T1019 | Personal care ser per 15 min | $111.52 | 1,100,608,370 | 7,532 |
| G0156 | Hhcp-svs of aide,ea 15 min | $50.01 | 49,714,941 | 1,609 |
| G0299 | Hhs/hospice of rn ea 15 min | $56.06 | 34,048,381 | 3,936 |
| T1020 | Personal care ser per diem | $245.12 | 33,504,642 | 1,034 |
| G0300 | Hhs/hospice of lpn ea 15 min | $81.70 | 17,064,855 | 1,936 |
| T1021 | Hh aide or cn aide per visit | $38.15 | 9,813,811 | 389 |
| G0151 | Hhcp-serv of pt,ea 15 min | $76.64 | 7,161,496 | 1,938 |
| T1030 | Rn home care per diem | $118.54 | 3,576,086 | 817 |
| G0152 | Hhcp-serv of ot,ea 15 min | $83.38 | 2,461,129 | 991 |
| G0153 | Hhcp-svs of s/l path,ea 15mn | $117.71 | 1,211,701 | 362 |
| G0155 | Hhcp-svs of csw,ea 15 min | $15.68 | 952,143 | 845 |
| G0157 | Hhc pt assistant ea 15 | $31.31 | 882,353 | 469 |
| G0162 | Hhc rn e&m plan svs, 15 min | $49.55 | 845,827 | 300 |
| T1031 | Lpn home care per diem | $59.22 | 498,473 | 150 |
| G0158 | Hhc ot assistant ea 15 | $87.28 | 162,524 | 94 |
| G0159 | Hhc pt maint ea 15 min | $88.54 | 60,398 | 55 |
| G0160 | Hhc occup therapy ea 15 | $116.01 | 16,418 | 6 |
| G0161 | Hhc slp ea 15 min | $109.91 | 1,718 | 5 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Home Health Visit cost in Pittsburgh, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Home Health Visit in Pittsburgh, PA is $160.74 per claim, based on 264,748 claims from 19 providers. Typical payments fall between $50.80 and $139.98. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Home Health Visit in Pittsburgh, PA?
There are 19 Medicaid providers offering Home Health Visit related services in Pittsburgh, PA according to public payment data.
What is the price range for Home Health Visit in Pittsburgh, PA?
Medicaid reimbursement for Home Health Visit in Pittsburgh, PA ranges from $17.05 to $248.59 per claim, with an average of $160.74. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Home Health Visit in Other Cities
Brooklyn, NY
Avg $160.38
213,186,150 claims · 346 providers
Stoughton, MA
Avg $85.49
72,606,440 claims · 7 providers
New York, NY
Avg $167.81
48,743,027 claims · 72 providers
Latham, NY
Avg $74.67
35,478,401 claims · 1 providers
Flushing, NY
Avg $140.26
28,769,075 claims · 33 providers
Columbus, OH
Avg $45.80
26,745,681 claims · 244 providers
Bronx, NY
Avg $150.53
23,767,796 claims · 63 providers
New Hyde Park, NY
Avg $137.64
21,953,889 claims · 4 providers
Other Procedures in Pittsburgh, PA
Blood Work & Lab Tests
Avg $12.74
5,898,610 claims
Office Visit
Avg $58.11
1,594,344 claims
Emergency Room Visit
Avg $104.00
1,342,847 claims
Urinalysis & Urine Tests
Avg $4.28
839,744 claims
X-Ray
Avg $8.11
814,115 claims
Culture & Microbiology Tests
Avg $5.35
530,883 claims
Physical Therapy
Avg $57.35
415,480 claims
EKG / ECG (Electrocardiogram)
Avg $8.10
404,951 claims