Average Medicaid Personal Care Services Payments in Bismarck, ND: $186.01
Avg. Paid
$186.01
Range
$129.38 – $775.07
Total Claims
64,135
Providers
6
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 Bismarck, ND
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Poppy'S Promise Llc
1615 Capitol Way |
$241.27 | 17,000 | 1,341 |
|
Community Options For Residential And Employment Services, Inc
4909 Shelburne St |
$136.09 | 15,039 | 1,558 |
|
Pride Inc.
1200 Missouri Ave |
$134.71 | 12,639 | 1,263 |
|
Support Systems, Inc.
600 S 2Nd St Ste 105 |
$132.71 | 9,426 | 880 |
|
Pride Inc
1200 Missouri Ave |
$129.38 | 7,661 | 793 |
|
Prudent Homecare Llc
1830 E Capitol Ave Apt 309 |
$775.07 | 2,370 | 84 |
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 Bismarck, ND?
Based on public Medicaid payment data, the average Medicaid reimbursement for Personal Care Services in Bismarck, ND is $186.01 per claim, based on 64,135 claims from 6 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 Bismarck, ND?
There are 6 Medicaid providers offering Personal Care Services related services in Bismarck, ND according to public payment data.
What is the price range for Personal Care Services in Bismarck, ND?
Medicaid reimbursement for Personal Care Services in Bismarck, ND ranges from $129.38 to $775.07 per claim, with an average of $186.01. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Avg $85.66
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San Antonio, TX
Avg $59.18
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Other Procedures in Bismarck, ND
Blood Work & Lab Tests
Avg $10.32
314,194 claims
Office Visit
Avg $90.15
288,303 claims
Emergency Room Visit
Avg $179.72
116,805 claims
Physical Therapy
Avg $63.17
101,110 claims
Substance Abuse Treatment
Avg $156.30
81,422 claims
X-Ray
Avg $15.07
71,640 claims
Dental Cleaning & Exam
Avg $34.68
65,862 claims
Speech Therapy
Avg $62.27
62,034 claims