There are multiple ways that home care companies pay. You could be paid per visit. The average in Metro Detroit right now is $50 per routine visit, $85 for opening visit, plus mileage. The visit would include all your documentation and travel time. Meetings and inservices are paid extra. Some companies pay per hour. Or you could get paid a salary and you would get paid the same amount no matter how many patients you see. But they will have a quota for you to fulfill. The average for salary is about $60,000. Which is the best? The forums have discussed this constantly and I think it really comes out about the same. If you are new to home care you won't have much to negotiate with at this point. The best you can do is compare benefits, your service area, training, and the amount of weekends and on call you have to do.