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
Springfield, MA	$86.61	$5.63 – $382.81	764,746	13
Minnetonka, MN	$42.06	$41.83 – $102.62	755,887	2
New Iberia, LA	$137.56	$79.84 – $147.36	746,924	7
Warwick, RI	$141.55	$45.90 – $279.05	742,253	12
Memphis, TN	$116.46	$84.21 – $151.49	738,266	30
Saint Paul, MN	$54.99	$30.22 – $169.39	717,737	28
Lynn, MA	$81.50	$10.30 – $111.34	705,441	8
Sweetwater, FL	$23.73	$22.00 – $31.02	705,041	3
Mission, TX	$55.96	$41.40 – $75.14	698,961	14
Florence, SC	$27.76	$13.88 – $37.25	697,980	6
Monroe, NC	$112.87	$87.63 – $137.71	687,096	4
Scottsdale, AZ	$189.37	$88.98 – $1,328	632,492	12
Miami Gardens, FL	$34.69	$15.96 – $63.26	624,982	8
Orlando, FL	$55.19	$0.69 – $176.54	614,657	37
Minneapolis, MN	$57.11	$7.22 – $101.21	611,345	35
Albuquerque, NM	$100.14	$74.43 – $561.57	611,264	14
Greenville, SC	$25.98	$17.73 – $32.25	610,919	14
Topeka, KS	$99.44	$57.05 – $2,979	603,066	8
Greensboro, NC	$102.95	$62.97 – $128.30	589,134	19
Beverly, MA	$74.93	$63.95 – $273.91	571,362	2
Charlotte, NC	$108.69	$0.00 – $182.49	558,264	33
Opelousas, LA	$101.01	$55.26 – $187.21	538,769	8
Wilson, NC	$92.16	$81.69 – $102.57	532,667	7
New York, NY	$166.38	$0.00 – $322.96	532,612	12
Boston, MA	$97.75	$46.57 – $766.56	523,999	9
Donna, TX	$77.41	$53.13 – $79.44	510,576	2
Miramar, FL	$71.20	$14.02 – $139.48	495,973	21
Jacksonville, FL	$47.78	$18.22 – $124.40	493,176	48
Brownsville, TX	$56.23	$0.00 – $484.76	486,042	24
Alexandria, LA	$148.77	$0.00 – $291.80	483,009	13
Denver, CO	$176.71	$0.00 – $1,436	475,142	59
Thibodaux, LA	$198.41	$91.60 – $465.27	471,284	5
Shoreview, MN	$92.00	$92.00 – $92.00	458,961	1
Coeur D Alene, ID	$27.36	$6.36 – $53.47	448,456	7
Kenner, LA	$122.86	$97.54 – $140.44	446,587	6
Fort Myers, FL	$50.87	$28.48 – $255.82	441,678	14
Dover, DE	$107.16	$0.00 – $460.16	437,262	9
Kansas City, MO	$89.28	$86.39 – $146.07	437,104	2
Golden Valley, MN	$146.97	$0.91 – $325.47	433,830	5
Aurora, CO	$180.78	$0.00 – $1,549	430,462	74
Brentwood, TN	$114.06	$103.19 – $135.74	425,587	3
Church Point, LA	$126.32	$116.20 – $133.39	415,732	5
Laredo, TX	$62.32	$44.04 – $180.18	414,427	19
Corpus Christi, TX	$51.89	$48.05 – $87.04	414,295	7
Windsor, NC	$106.56	$70.78 – $116.00	404,899	4
Des Moines, IA	$68.74	$10.39 – $587.25	403,169	10
Roxbury, MA	$127.40	$82.39 – $127.91	403,065	2
Pueblo, CO	$24.99	$0.00 – $479.86	400,782	16
Las Cruces, NM	$78.03	$60.59 – $345.30	400,386	5
Lumberton, NC	$106.40	$0.00 – $172.50	400,382	10

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.