North Carolina Medicaid hospice rates
North Carolina Medicaid pays $186.00 for hospice routine home care (daily), effective October 1, 2026. Below: 4 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)
- $186.00
- Rank among states
- —
- Registered nurse median wage
- $40.56BLS May 2025
- North Carolina minimum wage
- $7.25
North Carolina hospice rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open North Carolina's official fee schedule.
| Service | Provider level | Code | NC rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Hospice routine home care (daily) | All levels | 0651 | $186.00 | — | — | — | $188.34/day | $178.98 | $317.60 | 10 |
| Hospice continuous home care (hourly) | All levels | 0652 | $66.94 | hour | — | 4 of 7 | $66.94/hour | $62.08 | $88.66 | 7 |
| Hospice inpatient respite (daily) | All levels | 0655 | $542.16 | day | — | 5 of 11 | $541.26/day | $492.74 | $605.91 | 11 |
| Hospice general inpatient care (daily) | All levels | 0656 | $1,159.02 | day | — | 5 of 11 | $1,156.96/day | $1,048.85 | $1,299.97 | 11 |
| Hospice end-of-life visit add-on (per hour) | Registered nurse | 0235 | $66.93 | 15 min increments | — | — | $69.79/hr | $66.84 | $291.56 | 6 |
| Hospice room and board in a nursing home | All levels | Not published | $182.83 | $95.00 | $305.10 | 4 | ||||
Hospice routine home care (daily): where North Carolina 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 | New Jersey | $219.21 | day | — | 2025-10-01 |
| 3 | Massachusetts | $212.89 | day | — | 2025-10-01 |
| 4 | Wisconsin | $192.39 | day | — | 2025-10-01 |
| 5 | Arizona | $190.02 | day | — | 2026-10-01 |
| 6 | Georgia | $186.66 | day | — | 2025-10-01 |
| 7 | Florida | $182.79 | day | — | 2026-10-01 |
| 8 | Texas | $182.18 | day | — | 2025-10-01 |
| 9 | Michigan | $180.60 | day | — | 2025-10-01 |
| 10 | Missouri | $178.98 | day | — | 2025-10-01 |
What it costs to deliver in North Carolina
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | NC median | US median | vs US |
|---|---|---|---|
| Registered nurse | $40.56 | $46.90 | -13.5% |
| Home health / personal care aide | $15.02 | $17.21 | -12.7% |
| Healthcare social worker | $30.42 | $32.63 | -6.8% |
| Chaplain | $28.65 | $29.24 | -2.0% |
Recent North Carolina hospice rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| Hospice*+: new rates effective 2026-10-01 (posting 2026-10-01) | effective | +4.1% | 2026-10-01 |
| Hospice*+: new rates effective 2025-10-01 (posting 2025-10-01) | effective | +3.4% | 2025-10-01 |
| Hospice*+: new rates effective 2025-10-01 (posting 2026-10-01) | effective | +3.5% | 2025-10-01 |
| Hospice*+: new rates effective 2024-10-01 (posting 2024-10-01) | effective | +3.4% | 2024-10-01 |
| Hospice*+: new rates effective 2023-10-01 (posting 2023-10-03) | effective | +2.4% | 2023-10-01 |
| SPECIAL BULLETIN COVID-19 #267: Temporary COVID-19 Rate Increases Ending June 30, 2023 | effective | — | — |
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 North Carolina'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.