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Hospice Care in Long-Term or Nonskilled Nursing Facility

New York rates for HCPCS Q5003

Hospice care provided in nursing long-term care facility (LTC) or nonskilled nursing facility (NF)

Rates data updated July 2026.

How much does Hospice Care in Long-Term or Nonskilled Nursing Facility cost?

$54.95

Typical physician fee. In New York, July 2026.

Insurers have agreed to pay about $54.95 for this service. Most negotiated rates run $47.86 to $132.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $132 · 10th to 90th $81 to $132Professionalmedian $55 · 10th to 90th $43 to $132
$10.0$20.0$50.0$100.0$200.0facility $132professional $55

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$131.83
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$131.83
Typical High
$138.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$48.98
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$120.23
Typical High
$141.25

Where New York sits

The same service costs 2.4 times more in Nebraska than in New York. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $54.95 · 51st of 51
NE $132NY $54.95

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.