Average Medicaid Personal Care Services Payments in Austin, TX: $51.29
Avg. Paid
$51.29
Range
$50.83 – $83.59
Total Claims
3,439,018
Providers
7
Typical Payment Range
Typical Medicaid Personal Care Services payments fall between $41.30 and $131.93 per claim (median: $76.58). The top 10% of payments exceed $303.40.
Based on per-provider averages across all Medicaid claims in this category.
Medicaid-funded personal care services that help beneficiaries with activities of daily living, including bathing, dressing, grooming, and meal preparation.
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 Personal Care Services in Austin, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Health And Human Services Commission
701 W 51St St |
$67.87 | 222 | 44 |
|
Alamo Consumer Direct, Llc
8701 Shoal Creek Blvd Ste 303 |
$83.59 | 1,321 | 57 |
|
Custom Care Team, Inc.
1806 W Stassney Ln Ste 102 |
$53.67 | 9,774 | 620 |
|
Rosy Home Health Care Services Inc.
3724 Airport Blvd |
$57.50 | 24,357 | 1,424 |
|
Rosy In-Home Services Inc.
3724 Airport Blvd |
$80.38 | 27,925 | 2,075 |
|
Helping The Aging, Needy And Disabled, Inc.
3227 East 5Th Street |
$58.97 | 64,383 | 4,917 |
|
Girling Health Care, Inc.
6836 Austin Center Blvd Ste 300 |
$50.83 | 3,311,036 | 172,175 |
What to Expect: Personal Care Services
Personal care services are provided by trained aides in your home. Services include help with bathing, dressing, grooming, toileting, meal preparation, and light housekeeping. A care plan is developed based on your needs. Hours of service vary from a few hours per day to around-the-clock care. Services must be authorized by Medicaid.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| S5125 | Attendant care service /15m | $78.74 | 398,071,209 | 3,041 |
| S5130 | Homaker service nos per 15m | $55.89 | 87,575,527 | 2,827 |
| S5126 | Attendant care service /diem | $90.43 | 49,138,345 | 71 |
| S5131 | Homemaker service nos /diem | $135.63 | 1,273,707 | 76 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Personal Care Services cost in Austin, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Personal Care Services in Austin, TX is $51.29 per claim, based on 3,439,018 claims from 7 providers. Typical payments fall between $41.30 and $131.93. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Personal Care Services in Austin, TX?
There are 7 Medicaid providers offering Personal Care Services related services in Austin, TX according to public payment data.
What is the price range for Personal Care Services in Austin, TX?
Medicaid reimbursement for Personal Care Services in Austin, TX ranges from $50.83 to $83.59 per claim, with an average of $51.29. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Personal Care Services in Other Cities
Latham, NY
Avg $80.56
32,717,488 claims · 1 providers
Missoula, MT
Avg $98.11
18,071,820 claims · 10 providers
Miami, FL
Avg $33.56
10,537,763 claims · 195 providers
Phoenix, AZ
Avg $130.72
9,443,796 claims · 45 providers
Sturgis, MI
Avg $44.83
5,684,948 claims · 1 providers
Mesa, AZ
Avg $128.56
5,487,878 claims · 14 providers
Alpharetta, GA
Avg $85.66
5,304,153 claims · 2 providers
San Antonio, TX
Avg $59.18
4,411,375 claims · 29 providers
Other Procedures in Austin, TX
Blood Work & Lab Tests
Avg $7.09
4,048,248 claims
Office Visit
Avg $39.88
1,367,991 claims
X-Ray
Avg $5.51
1,081,382 claims
Vaccines & Immunizations
Avg $3.40
861,990 claims
Dental Cleaning & Exam
Avg $37.36
759,881 claims
Emergency Room Visit
Avg $125.71
658,275 claims
Urinalysis & Urine Tests
Avg $2.52
612,948 claims
CT Scan (Computed Tomography)
Avg $35.56
441,128 claims