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Hospice Care in Long-Term or Nonskilled Nursing Facility

Pennsylvania 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?

$132

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $132 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$132$132 to $132
FacilityA hospital or hospital-owned outpatient department$132$132 to $132

How much rates vary

Facilitymedian $132 · 10th to 90th $132 to $132Professionalmedian $132 · 10th to 90th $107 to $138
$50.0$100.0$200.0$500.0facility $132professional $132

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
$131.83
Median
$131.83
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$131.83
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$229.09
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$131.83
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20

Where Pennsylvania 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.

Pennsylvania $132 · 10th 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.