Skip to content
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
El Paso, TX $63.88 $0.00 – $464.54 821,382 48
Miami Lakes, FL $27.70 $14.32 – $121.11 839,669 25
South Portland, ME $126.38 $126.38 – $126.38 850,870 1
Mcallen, TX $63.38 $41.16 – $129.20 875,432 30
Pawtucket, RI $87.82 $19.69 – $873.47 876,711 5
Chicago, IL $89.52 $0.00 – $1,878 902,830 23
Edinburg, TX $66.62 $41.24 – $300.31 932,589 20
Cranston, RI $114.09 $71.05 – $417.41 935,894 6
Kingsville, TX $68.22 $68.22 – $68.22 938,875 1
Boise, ID $93.52 $0.00 – $237.89 948,290 14
Kansas City, KS $120.53 $96.49 – $3,293 975,729 13
Lake Charles, LA $155.79 $0.00 – $240.30 1,011,530 23
Hammond, LA $142.86 $0.00 – $795.50 1,027,811 16
Parsons, KS $80.98 $80.25 – $97.42 1,067,674 3
Maumelle, AR $93.35 $92.01 – $100.56 1,099,734 3
Osage City, KS $83.28 $82.44 – $2,498 1,138,487 2
Jackson, MS $399.45 $152.59 – $598.08 1,176,576 3
Pembroke Pines, FL $26.52 $12.50 – $99.49 1,226,698 17
West Palm Beach, FL $37.97 $28.20 – $131.95 1,320,358 24
Sunrise, FL $26.29 $8.12 – $35.89 1,402,051 8
Shreveport, LA $154.62 $69.07 – $664.31 1,406,308 24
Wilmington, DE $113.14 $0.00 – $746.71 1,523,473 17
Houston, TX $67.63 $0.00 – $488.12 1,546,221 106
New Orleans, LA $144.22 $15.49 – $965.63 1,693,974 35
Coffeyville, KS $83.50 $81.73 – $1,942 1,699,505 3
Colorado Springs, CO $39.49 $0.00 – $1,075 1,822,464 66
Monroe, LA $143.36 $0.00 – $227.32 1,888,932 29
Providence, RI $125.03 $53.55 – $497.99 2,057,051 15
Tucson, AZ $181.32 $52.29 – $937.58 2,175,875 19
Lafayette, LA $145.03 $76.09 – $252.44 2,200,398 31
Scranton, PA $73.39 $73.39 – $73.39 2,291,778 1
Chandler, AZ $130.19 $66.10 – $498.13 2,321,860 6
Doral, FL $26.63 $10.74 – $52.77 2,350,745 28
Tampa, FL $40.41 $0.00 – $217.24 2,573,588 69
Montgomery, AL $31.48 $0.00 – $113.95 2,769,775 8
Baton Rouge, LA $136.90 $5.93 – $389.75 2,953,663 68
Wichita, KS $104.57 $0.00 – $5,881 3,333,649 35
Austin, TX $51.29 $50.83 – $83.59 3,439,018 7
Hialeah, FL $26.96 $18.67 – $224.45 4,301,517 34
San Antonio, TX $59.18 $0.00 – $163.41 4,411,375 29
Alpharetta, GA $85.66 $85.53 – $95.85 5,304,153 2
Mesa, AZ $128.56 $71.41 – $1,546 5,487,878 14
Sturgis, MI $44.83 $44.83 – $44.83 5,684,948 1
Phoenix, AZ $130.72 $0.00 – $2,183 9,443,796 45
Miami, FL $33.56 $0.00 – $185.07 10,537,763 195
Missoula, MT $98.11 $27.94 – $151.62 18,071,820 10
Latham, NY $80.56 $80.56 – $80.56 32,717,488 1

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.