Average Medicaid Nursing Facility Care Payments in Hilo, HI: $17.14
Avg. Paid
$17.14
Range
$1.98 – $24.73
Total Claims
12,377
Providers
6
Typical Payment Range
Typical Medicaid Nursing Facility Care payments fall between $5.92 and $20.86 per claim (median: $11.60). The top 10% of payments exceed $35.86.
Based on per-provider averages across all Medicaid claims in this category.
Skilled nursing facility services for patients who need 24-hour nursing care and rehabilitation services.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Nursing Facility Care in Hilo, HI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Royal Gary Johnson
944 W Kawailani St |
$16.66 | 5,679 | 4,390 |
|
Chrissy Allyn Capati
1333 Waianuenue Ave |
$18.74 | 3,614 | 1,810 |
|
Stefan Carl Harmeling
69 Lanihuli St |
$15.86 | 1,494 | 780 |
|
Frank Dolim Lemes
1178 Kinoole St |
$17.58 | 1,411 | 686 |
|
Rand D Mundo
1028 Kinoole St Ste 104 |
$1.98 | 134 | 130 |
|
James Garard Finney
1190 Waianuenue Ave |
$24.73 | 45 | 35 |
What to Expect: Nursing Facility Care
Skilled nursing facilities provide 24-hour care including nursing, physical therapy, occupational therapy, and speech therapy. Rooms may be shared or private. Residents receive meals, medications, and assistance with daily activities. Medicaid covers nursing facility care for those who meet medical and financial eligibility criteria. A care plan is developed for each resident.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99309 | Nursing facility subseq mod-hi | $17.88 | 43,693,341 | 34,328 |
| 99308 | Nursing facility subseq mod | $12.62 | 42,495,079 | 33,407 |
| 99307 | Nursing facility subsequent low | $8.86 | 6,770,015 | 11,425 |
| 99310 | Nursing facility subseq high | $31.06 | 4,780,807 | 10,125 |
| 99306 | Nursing facility initial high | $40.91 | 1,364,289 | 6,538 |
| 99305 | Nursing facility initial mod | $25.42 | 1,050,487 | 5,595 |
| 99304 | Nursing facility initial compl | $28.74 | 440,459 | 2,566 |
| 99318 | Nursing facility annual assess | $43.42 | 99,072 | 1,360 |
| 99316 | Nursing facility discharge >30 | $36.42 | 66,463 | 505 |
| 99315 | Nursing facility discharge 30m | $32.35 | 39,754 | 273 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Nursing Facility Care cost in Hilo, HI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Hilo, HI is $17.14 per claim, based on 12,377 claims from 6 providers. Typical payments fall between $5.92 and $20.86. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Nursing Facility Care in Hilo, HI?
There are 6 Medicaid providers offering Nursing Facility Care related services in Hilo, HI according to public payment data.
What is the price range for Nursing Facility Care in Hilo, HI?
Medicaid reimbursement for Nursing Facility Care in Hilo, HI ranges from $1.98 to $24.73 per claim, with an average of $17.14. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Nursing Facility Care in Other Cities
Chicago, IL
Avg $21.36
1,738,984 claims · 558 providers
Bronx, NY
Avg $12.93
1,370,824 claims · 374 providers
Las Vegas, NV
Avg $32.97
1,247,209 claims · 318 providers
Brooklyn, NY
Avg $13.63
1,130,919 claims · 415 providers
Phoenix, AZ
Avg $42.43
1,002,914 claims · 272 providers
Tampa, FL
Avg $5.95
973,086 claims · 275 providers
Jacksonville, FL
Avg $6.44
918,615 claims · 266 providers
Indianapolis, IN
Avg $12.89
832,589 claims · 253 providers
Other Procedures in Hilo, HI
Office Visit
Avg $62.82
362,488 claims
Personal Care Services
Avg $145.89
162,430 claims
Blood Work & Lab Tests
Avg $7.88
158,231 claims
Psychiatric Evaluation
Avg $84.68
156,351 claims
Emergency Room Visit
Avg $270.52
136,740 claims
Eye Exam
Avg $28.92
121,937 claims
X-Ray
Avg $11.23
100,997 claims
Dental Cleaning & Exam
Avg $44.66
69,313 claims