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Home Care Rates by State: Private Pay and Medicaid
Non-medical home care cost a median $35 an hour in 2025. What drives state differences, what Medicaid pays for personal care in four states, and how to price your agency.
Home care rates in Maryland: private pay and Medicaid
Last verified October 17, 2026 · All Maryland resources
Non-medical in-home care in Maryland cost a median of $35 an hour in 2025, according to the CareScout Cost of Care Survey, against $35 nationally.
What do families pay for home care in Maryland?
| Measure | Maryland | United States |
|---|---|---|
| Median hourly cost, non-medical in-home care | $35 | $35 |
| Caregiver wage, mean hourly (BLS) | $18.99 | — |
CareScout's 2025 survey reports homemaker and home health aide services together as non-medical in-home care. In Maryland the median price is 1.8 times the average caregiver wage.
What does Maryland Medicaid pay for personal care?
Community First Choice Personal Assistance Services, $6.3962 per 15-minute unit (hourly average $25.58), standard rate as of 2025-07-01 per the Maryland HCBS Comparative Rate Analysis (2026-06-11). Same rate set effective 2024-07-01 by transmittal PT 03-25. W5519 is a Maryland-specific code. Open the official rate source . Managed care plans may pay different rates.
What do caregivers earn in Maryland?
Home health and personal care aides in Maryland earned a median of $18.29 an hour in May 2025, according to the Bureau of Labor Statistics. The lowest-paid tenth earned under $15.16 and the highest-paid tenth over $22.54. See pay in Maryland's largest metro areas.
What is the minimum wage for caregivers in Maryland?
Maryland's minimum wage is $15.00 an hour.
Overtime rules are on the Maryland overtime and minimum wage page.
How much should a home care agency charge per hour in Maryland?
Enough to cover fully loaded caregiver labor, overhead and a margin. Starting from the Maryland median aide wage of $18.29, with a 20% payroll burden, 5% paid time off and training, 5% unbilled travel, 5% overtime, 25% overhead and a 10% margin, the calculator below gives about $38.46 an hour. Change any number to match your agency.
How does the calculator work?
Labor cost per billed hour is the pay rate, plus half the overtime share for time-and-a-half, plus payroll burden, divided by the share of paid hours you can bill. The bill rate is labor divided by one minus overhead and margin when overhead is a share of revenue, or labor plus overhead divided by one minus margin when it is dollars per hour. The bill rate to test starts at the Maryland median price, so you can see the margin a typical rate leaves.
If you budget overhead as an annual figure, the bill rate calculator spreads it over your billable hours instead. Both are estimates for planning, not pricing or wage-and-hour advice.
Sources
More for Maryland
Home care rates by state: other states
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