Average Medicaid Nursing Facility Care Payments in Lancaster, PA: $15.16
Avg. Paid
$15.16
Range
$0.53 – $54.12
Total Claims
16,510
Providers
22
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 Lancaster, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Paula Mckain-Toomey
1950 Marietta Ave |
$6.11 | 12 | 12 |
|
Carly Albright Keller
2112 Harrisburg Pike |
$47.85 | 12 | 12 |
|
Christine Mariano
170 N Pointe Blvd |
$4.37 | 16 | 15 |
|
Vinesh J Dedhia
555 N Duke St |
$10.57 | 16 | 12 |
|
Robert Howse
2110 Harrisburg Pike Ste 300 |
$13.18 | 21 | 16 |
|
Leah Corder
170 N Pointe Blvd |
$7.70 | 25 | 17 |
|
Beverly Gabriel
2112 Harrisburg Pike Ste 312 |
$17.56 | 139 | 96 |
|
Margaret Thomas
555 N Duke St |
$54.12 | 146 | 125 |
|
Megan Waltman
2112 Harrisburg Pike |
$3.28 | 155 | 126 |
|
David E Toomey
1950 Marietta Ave |
$12.10 | 182 | 165 |
|
Jane Miller
2110 Harrisburg Pike |
$6.22 | 253 | 230 |
|
Rudolph F Rigano
230 Harrisburg Ave |
$4.79 | 268 | 250 |
|
Titus Leitoro
315 W James St Ste 103 |
$15.09 | 374 | 176 |
|
Amy C Hancock
555 N Duke St |
$16.12 | 385 | 354 |
|
Owen D. Fox
2145 Noll Dr |
$12.87 | 468 | 402 |
|
Anthony Mark Hackett
170 N Pointe Blvd |
$0.53 | 499 | 374 |
|
Lisa A Knisley
1160 Manheim Pike Ste 103 |
$2.20 | 511 | 376 |
|
Joshua Robert Stoppard
2112 Harrisburg Pike Ste 312 |
$15.81 | 792 | 757 |
|
Neelofer Sohail
2110 Harrisburg Pike |
$32.18 | 964 | 882 |
|
Mark Frederick Cohen
1950 Marietta Ave |
$19.46 | 2,195 | 1,227 |
|
Jennifer Lynn Zimmerman
100 Abbeyville Rd |
$4.53 | 2,906 | 1,538 |
|
Christopher Michael Porter
1950 Marietta Ave |
$18.53 | 6,171 | 3,446 |
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 Lancaster, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Lancaster, PA is $15.16 per claim, based on 16,510 claims from 22 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 Lancaster, PA?
There are 22 Medicaid providers offering Nursing Facility Care related services in Lancaster, PA according to public payment data.
What is the price range for Nursing Facility Care in Lancaster, PA?
Medicaid reimbursement for Nursing Facility Care in Lancaster, PA ranges from $0.53 to $54.12 per claim, with an average of $15.16. 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 Lancaster, PA
Office Visit
Avg $39.75
607,480 claims
Dental Cleaning & Exam
Avg $31.67
164,673 claims
Emergency Room Visit
Avg $85.60
150,561 claims
Case Management Services
Avg $65.68
149,372 claims
EKG / ECG (Electrocardiogram)
Avg $7.00
141,532 claims
Physical Therapy
Avg $55.22
134,531 claims
Speech Therapy
Avg $30.39
125,554 claims
Blood Work & Lab Tests
Avg $7.12
116,126 claims