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Based on public Medicaid payment data.

Average Medicaid Personal Care Services Payments

Typical Medicaid Personal Care Services reimbursement across 1,847 cities

Avg. Medicaid Paid

$94.41

Price Range

$0.00 – $5,539

Total Claims

261.4M

Cities

1847

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.

About This Procedure

Medicaid-funded personal care services that help beneficiaries with activities of daily living, including bathing, dressing, grooming, and meal preparation.

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
Hays, KS $86.64 $20.11 – $5,308 260,802 3
Barboursville, WV $166.29 $114.92 – $1,235 261,747 3
Marksville, LA $118.19 $39.14 – $124.25 265,486 3
Reidsville, NC $121.35 $121.33 – $127.86 268,738 2
Homestead, FL $24.38 $10.62 – $26.47 273,792 3
Pineville, LA $235.64 $111.05 – $1,112 274,056 4
Boynton Beach, FL $31.83 $1.84 – $137.46 274,742 9
Columbia, SC $19.89 $16.93 – $161.76 275,288 12
Wamego, KS $78.88 $75.94 – $2,204 282,984 2
Pharr, TX $75.21 $43.15 – $91.56 289,031 8
Medley, FL $55.51 $28.21 – $63.94 292,610 3
Natchitoches, LA $117.08 $91.28 – $129.09 292,970 6
Davie, FL $33.26 $28.82 – $75.97 296,035 7
Richardson, TX $57.79 $47.93 – $283.73 300,360 8
Knoxville, TN $115.53 $91.19 – $137.29 303,093 9
Hialeah Gardens, FL $24.03 $10.41 – $122.12 304,313 5
Raleigh, NC $116.81 $27.51 – $164.44 304,920 23
Oshkosh, WI $7.20 $6.87 – $145.14 305,174 2
West Allis, WI $15.42 $4.92 – $233.83 305,976 2
Pensacola, FL $48.01 $17.41 – $94.25 306,810 17
Valdosta, GA $93.24 $93.24 – $93.24 307,234 1
Prescott Valley, AZ $119.06 $89.81 – $131.96 308,739 3
Honolulu, HI $122.10 $2.42 – $1,069 308,758 29
Brockton, MA $147.78 $25.46 – $505.02 314,666 5
Martinsburg, WV $208.80 $67.98 – $2,176 318,358 6
Hollywood, FL $36.49 $3.14 – $109.13 318,648 10
Harlingen, TX $55.77 $42.10 – $85.07 319,886 12
Grand Junction, CO $47.24 $0.00 – $370.69 326,636 15
Nogales, AZ $100.02 $100.02 – $100.02 336,289 1
Cookeville, TN $124.74 $82.59 – $129.30 336,719 6
New Castle, DE $499.51 $0.00 – $913.57 340,204 6
Lawrence, MA $111.34 $4.56 – $113.67 341,169 4
Lenexa, KS $111.23 $67.07 – $2,122 342,690 5
Pembroke, NC $110.90 $101.55 – $139.25 343,365 10
Chattanooga, TN $75.64 $0.00 – $146.58 349,127 10
Ahoskie, NC $85.99 $67.72 – $144.54 350,722 8
Wheeling, WV $190.69 $131.19 – $920.96 361,754 4
Metairie, LA $132.95 $67.37 – $150.41 365,445 10
Quincy, MA $76.29 $54.14 – $660.29 368,797 6
Salina, KS $82.76 $22.51 – $4,328 372,574 7
Breaux Bridge, LA $124.67 $93.57 – $142.83 373,666 4
Coral Gables, FL $27.28 $24.17 – $39.89 376,825 5
Appleton, WI $10.20 $4.98 – $673.55 379,580 4
Braintree, MA $84.31 $81.09 – $95.93 379,926 3
Winston Salem, NC $105.36 $67.14 – $158.30 383,584 14
Kissimmee, FL $62.41 $27.00 – $186.90 388,818 10
Stoughton, MA $120.34 $120.34 – $120.34 392,994 1
Lumberton, NC $106.40 $0.00 – $172.50 400,382 10
Las Cruces, NM $78.03 $60.59 – $345.30 400,386 5
Pueblo, CO $24.99 $0.00 – $479.86 400,782 16

Cost Components

National averages for each billing code in this procedure category. Sorted by claim volume.

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 averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.