go back

Hospice Care in Long-Term or Nonskilled Nursing Facility

Wisconsin 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 Wisconsin, 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 7 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$120 to $132
FacilityA hospital or hospital-owned outpatient department$132$132 to $138

How much rates vary

Facilitymedian $132 · 10th to 90th $107 to $186Professionalmedian $132 · 10th to 90th $81 to $132
$10.0$20.0$50.0$100.0$200.0facility $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
$100.00
Median
$131.83
Typical High
$131.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$42.66
Typical High
$53.70
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$131.83
Typical High
$186.21
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$8.32
Typical High
$10.72
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$131.83
Typical High
$199.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$58.88
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$131.83
Typical High
$186.21
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$100.00
Typical High
$100.00

Where Wisconsin 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.

Wisconsin $132 · 8th 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.