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Based on public Medicaid payment data.

Average Medicaid Nursing Facility Care Payments in Lexington, SC: $22.47

Avg. Paid

$22.47

Range

$8.91 – $75.95

Total Claims

20,558

Providers

16

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 Lexington, SC

Provider Avg. Paid Claims Patients
Binyue Chang

200 Wellmore Dr

 $31.06 6,132 5,653
Elizabeth A. Kadar

815 Old Cherokee Rd

 $17.62 5,470 2,875
Matthew W. Cusano

Po Box 487

 $23.31 2,205 1,022
Stuart L. Cooper

103 Thompson St Ste 200

 $19.85 1,210 1,154
Julie Ann Clarke

Po Box 2169

 $8.91 1,051 513
Christopher M Wicker

103 Thompson St Ste 200

 $19.63 742 661
Gilbert L Rogers

103 Thompson St Ste 200

 $21.55 693 666
Linda M Mestler

811 W Main St

 $17.83 655 328
Richard P Murray

103 Thompson St Ste 200

 $18.34 618 581
Kirk R Steptoe

103 Thompson St Ste 200

 $21.48 602 545
Brooke Patterson

815 Old Cherokee Rd

 $10.49 520 462
William H Crigler

4711 Sunset Blvd

 $12.92 306 153
Keith Alexander Guest

Po Box 487

 $75.95 141 60
Margaret F Patterson

815 Highway 378

 $17.19 125 54
Anoma S Gamage

811 W Main St

 $33.73 72 70
David T Miller

Po Box 487

 $13.77 16 13

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 Lexington, SC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Lexington, SC is $22.47 per claim, based on 20,558 claims from 16 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 Lexington, SC?

There are 16 Medicaid providers offering Nursing Facility Care related services in Lexington, SC according to public payment data.

What is the price range for Nursing Facility Care in Lexington, SC?

Medicaid reimbursement for Nursing Facility Care in Lexington, SC ranges from $8.91 to $75.95 per claim, with an average of $22.47. 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 Lexington, SC

Office Visit

Avg $71.88

565,550 claims

Home Health Visit

Avg $71.51

466,969 claims

Personal Care Services

Avg $27.09

224,532 claims

Vaccines & Immunizations

Avg $18.26

216,231 claims

Speech Therapy

Avg $58.70

213,419 claims

Dental Cleaning & Exam

Avg $33.23

202,701 claims

Psychiatric Evaluation

Avg $139.71

186,171 claims

Ambulance Transport

Avg $48.43

167,981 claims