Iowa Medicaid hospice rates
Iowa Medicaid pays $187.01 per day for hospice routine home care (daily), effective October 1, 2025, the 9th highest of 18 states with comparable rates.
- Hospice routine home care (daily)
- $187.01per day
- Rank among states
- 9 of 18+0.1% vs median
- Registered nurse median wage
- $37.80BLS May 2025
- Iowa minimum wage
- $7.25
Iowa hospice rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Iowa's official fee schedule.
| Service | Provider level | Code | IA rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Hospice routine home care (daily) | All levels | 651 | $187.01 | day | — | 9 of 18 | $186.84/day | $80.36 | $317.60 | 18 |
| Hospice continuous home care (hourly) | Registered nurse | Not published | $65.39/hr | $59.29 | $80.47 | 15 | ||||
| Hospice inpatient respite (daily) | All levels | Not published | $530.15/day | $212.93 | $629.83 | 17 | ||||
| Hospice general inpatient care (daily) | All levels | Not published | $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 | $294.00/day | $196.85 | $1,051.23 | 5 | ||||
Hospice routine home care (daily): where Iowa 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 | New Jersey | $219.21 | day | — | 2025-10-01 |
| 5 | Oregon | $215.11 | day | — | 2026-10-01 |
| 6 | Kansas | $202.68 | day | — | 2025-10-01 |
| 7 | Wisconsin | $192.39 | day | — | 2025-10-01 |
| 8 | Arizona | $190.02 | day | — | 2026-10-01 |
| 9 | Iowa | $187.01 | day | — | 2025-10-01 |
| 10 | Georgia | $186.66 | day | — | 2025-10-01 |
| 11 | Utah | $183.64 | day | — | 2026-10-01 |
| 12 | Florida | $182.79 | day | — | 2026-10-01 |
| 13 | Texas | $182.18 | day | — | 2025-10-01 |
| 14 | Idaho | $181.75 | day | — | 2026-10-01 |
| 15 | Michigan | $180.60 | day | — | 2025-10-01 |
| 16 | Missouri | $178.98 | day | — | 2025-10-01 |
| 17 | South Carolina | $173.92 | day | — | 2020-10-01 |
| 18 | Arkansas | $80.36 | day | — | 2026-10-01 |
What it costs to deliver in Iowa
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | IA median | US median | vs US |
|---|---|---|---|
| Registered nurse | $37.80 | $46.90 | -19.4% |
| Home health / personal care aide | $17.34 | $17.21 | +0.8% |
| Healthcare social worker | $30.31 | $32.63 | -7.1% |
| Chaplain | $29.15 | $29.24 | -0.3% |
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 Iowa'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.