California Medicaid hospice rates
California Medicaid pays $260.10 for hospice routine home care (daily), effective October 1, 2025. Below: 3 more hospice rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Hospice routine home care (daily)
- $260.10
- Rank among states
- —
- Registered nurse median wage
- $67.44BLS May 2025
- California minimum wage
- $16.90$17.40 from January 1, 2027
California hospice rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open California's official fee schedule.
| Service | Provider level | Code | CA rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Hospice routine home care (daily) | All levels | 0659 | $260.10 | — | — | — | $187.01/day | $80.36 | $317.60 | 19 |
| Hospice continuous home care (hourly) | Registered nurse | 0652 | $88.66 | hour | — | — | $65.39/hr | $59.29 | $80.47 | 15 |
| Hospice inpatient respite (daily) | All levels | 0655 | $683.43 | — | — | — | $530.15/day | $212.93 | $629.83 | 17 |
| Hospice general inpatient care (daily) | All levels | 0656 | $1,473.77 | — | — | — | $1,144.50/day | $449.54 | $1,354.60 | 16 |
| Hospice end-of-life visit add-on (per hour) | Registered nurse | Not published | $69.36/hr | $66.84 | $291.56 | 7 | ||||
| Hospice room and board in a nursing home | All levels | Not published | $296.46/day | $196.85 | $1,051.23 | 6 | ||||
Hospice routine home care (daily): where California ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | New York | $317.60 | day | — | 2025-10-01 |
| 2 | Massachusetts | $231.13 | day | — | 2025-10-01 |
| 3 | Maine | $223.84 | day | — | 2025-10-01 |
| 4 | Rhode Island | $222.38 | day | — | 2026-10-01 |
| 5 | New Jersey | $219.21 | day | — | 2025-10-01 |
| 6 | Oregon | $215.11 | day | — | 2026-10-01 |
| 7 | Kansas | $202.68 | day | — | 2025-10-01 |
| 8 | Wisconsin | $192.39 | day | — | 2025-10-01 |
| 9 | Arizona | $190.02 | day | — | 2026-10-01 |
| 10 | Iowa | $187.01 | day | — | 2025-10-01 |
| 11 | Georgia | $186.66 | day | — | 2025-10-01 |
| 12 | Utah | $183.64 | day | — | 2026-10-01 |
| 13 | Florida | $182.79 | day | — | 2026-10-01 |
| 14 | Texas | $182.18 | day | — | 2025-10-01 |
| 15 | Idaho | $181.75 | day | — | 2026-10-01 |
| 16 | Michigan | $180.60 | day | — | 2025-10-01 |
| 17 | Missouri | $178.98 | day | — | 2025-10-01 |
| 18 | South Carolina | $173.92 | day | — | 2020-10-01 |
| 19 | Arkansas | $80.36 | day | — | 2026-10-01 |
What it costs to deliver in California
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | CA median | US median | vs US |
|---|---|---|---|
| Registered nurse | $67.44 | $46.90 | +43.8% |
| Home health / personal care aide | $16.50 | $17.21 | -4.1% |
| Healthcare social worker | $43.11 | $32.63 | +32.1% |
| Chaplain | $37.36 | $29.24 | +27.8% |
Recent California hospice rate changes
The workspace adds every modifier, region and provider variant, full rate history, proposed changes, coverage and prior-authorization rules, managed-care plans and a unit-economics calculator. All of it is available through the API.
Rates are taken from California's official Medicaid publications, and each one links to its source. Confirm with the payer before billing. Managed-care plans may pay differently from fee-for-service.