Average Medicaid Home Health Visit Payments
Typical Medicaid Home Health Visit reimbursement across 3,754 cities
Avg. Medicaid Paid
$119.41
Price Range
$-0.05 – $11,881
Total Claims
1054.6M
Cities
3754
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.
About This Procedure
Home health services provide skilled nursing care, therapy, and medical social services in the patient's home.
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 |
|---|---|---|---|---|
| Farmington, NM | $71.81 | $65.78 – $137.73 | 2,360,027 | 9 |
| Valley Stream, NY | $177.00 | $39.89 – $189.90 | 2,355,828 | 6 |
| New Brunswick, NJ | $65.46 | $46.92 – $240.95 | 2,298,474 | 4 |
| Cincinnati, OH | $67.23 | $0.32 – $171.45 | 2,297,701 | 86 |
| Astoria, NY | $151.59 | $87.43 – $188.05 | 2,277,335 | 4 |
| Cleveland Heights, OH | $50.45 | $43.36 – $132.74 | 2,248,019 | 8 |
| Beachwood, OH | $42.01 | $34.09 – $141.76 | 2,221,190 | 9 |
| Fairfax, VA | $158.57 | $1.41 – $1,763 | 2,177,978 | 47 |
| Sunrise, FL | $49.69 | $0.00 – $88.37 | 2,110,217 | 9 |
| South Ozone Park, NY | $160.73 | $160.73 – $160.73 | 2,058,972 | 1 |
| Lyndhurst, OH | $45.30 | $39.16 – $142.66 | 2,056,276 | 4 |
| Tampa, FL | $58.68 | $0.00 – $1,177 | 1,962,863 | 80 |
| Fair Lawn, NJ | $84.86 | $71.09 – $95.38 | 1,940,959 | 3 |
| Albany, NY | $164.04 | $0.00 – $220.83 | 1,910,190 | 12 |
| Alexandria, VA | $177.96 | $10.36 – $951.42 | 1,866,161 | 39 |
| Baton Rouge, LA | $65.78 | $1.17 – $106.35 | 1,863,816 | 55 |
| Far Rockaway, NY | $144.33 | $28.01 – $305.78 | 1,849,325 | 11 |
| Yonkers, NY | $170.01 | $0.00 – $179.52 | 1,821,316 | 5 |
| Ozone Park, NY | $151.16 | $139.27 – $156.65 | 1,811,177 | 6 |
| Colorado Springs, CO | $97.60 | $0.00 – $2,049 | 1,739,313 | 60 |
| Edison, NJ | $72.70 | $0.00 – $592.01 | 1,738,327 | 12 |
| Saint Paul, MN | $78.16 | $1.09 – $421.37 | 1,708,936 | 52 |
| Bay Side, NY | $147.86 | $147.86 – $147.86 | 1,703,236 | 1 |
| Shreveport, LA | $59.68 | $33.66 – $107.83 | 1,696,726 | 24 |
| Jackson Heights, NY | $148.23 | $130.60 – $168.98 | 1,667,019 | 7 |
| Chesapeake, VA | $129.08 | $0.00 – $532.19 | 1,600,163 | 73 |
| Denver, CO | $313.41 | $0.00 – $1,833 | 1,547,478 | 87 |
| Woodbridge, VA | $161.28 | $106.33 – $517.82 | 1,530,688 | 35 |
| Massapequa, NY | $175.18 | $175.18 – $175.18 | 1,524,856 | 1 |
| San Antonio, TX | $36.92 | $0.00 – $92.29 | 1,523,622 | 33 |
| Lafayette, LA | $69.49 | $21.74 – $435.30 | 1,514,918 | 28 |
| Syracuse, NY | $141.48 | $0.00 – $184.60 | 1,490,559 | 17 |
| Manchester, NH | $239.17 | $56.83 – $3,592 | 1,486,161 | 19 |
| Las Cruces, NM | $83.21 | $55.68 – $207.49 | 1,470,294 | 16 |
| Concord, NH | $210.68 | $67.16 – $587.68 | 1,442,788 | 9 |
| Virginia Beach, VA | $123.80 | $0.00 – $528.40 | 1,440,432 | 87 |
| Annandale, VA | $190.82 | $37.56 – $290.97 | 1,427,525 | 18 |
| Utica, NY | $146.48 | $58.97 – $247.69 | 1,418,271 | 7 |
| Clovis, NM | $66.15 | $61.51 – $117.25 | 1,417,781 | 5 |
| Falls Church, VA | $168.97 | $0.86 – $453.83 | 1,412,998 | 32 |
| Lenexa, KS | $105.17 | $105.17 – $105.17 | 1,389,584 | 1 |
| Shoreview, MN | $83.76 | $83.76 – $83.76 | 1,352,702 | 1 |
| Toledo, OH | $51.14 | $0.00 – $157.13 | 1,350,077 | 39 |
| Westbury, NY | $170.80 | $149.85 – $197.15 | 1,309,867 | 5 |
| Louisville, KY | $92.89 | $0.00 – $332.56 | 1,303,551 | 32 |
| Florence, SC | $59.24 | $19.62 – $81.08 | 1,292,033 | 10 |
| Newport News, VA | $114.88 | $0.00 – $3,617 | 1,277,645 | 35 |
| Kew Gardens, NY | $165.21 | $135.22 – $231.82 | 1,272,178 | 5 |
| New Orleans, LA | $65.36 | $0.00 – $104.56 | 1,268,130 | 37 |
| Pueblo, CO | $47.13 | $0.00 – $1,109 | 1,248,913 | 26 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| 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 averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.