Average Medicaid Nursing Facility Care Payments in Mason City, IA: $9.60
Avg. Paid
$9.60
Range
$1.57 – $50.15
Total Claims
9,827
Providers
21
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 Mason City, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rogerio Miranda Ramos
250 S Crescent Dr Ste 10 |
$10.11 | 2,586 | 2,408 |
|
Sara Lynn Wolfe
520 S Pierce Ave Ste 150 |
$6.27 | 1,459 | 751 |
|
William B Paltzer
1000 4Th St Sw |
$9.41 | 1,130 | 1,046 |
|
Melinda Ann Struthoff
320 N Eisenhower Ave |
$7.81 | 1,119 | 1,068 |
|
Jodi Dale Stille
1037 19Th St Sw |
$8.58 | 1,029 | 510 |
|
Mark E Lassise
250 S Crescent Dr Ste 10 |
$10.83 | 928 | 908 |
|
Janice A Kirsch
1631 4Th St Sw |
$15.15 | 534 | 315 |
|
Katelyn Barton Froehner
250 S Crescent Dr |
$12.35 | 405 | 361 |
|
Suraj George Pazhoor
1000 4Th St Sw |
$15.69 | 171 | 101 |
|
Michael David Gerber
404 N Federal Ave |
$12.09 | 116 | 108 |
|
Jerrold L White
1010 4Th St Sw Ste 340 |
$9.96 | 77 | 76 |
|
Kari L Swisher
250 S Crescent Dr |
$2.21 | 65 | 50 |
|
Andrea Anderson
250 S Crescent Dr |
$7.48 | 64 | 60 |
|
Prairie Ridge Integrated Behavioral Healthcare
320 N Eisenhower Ave |
$10.32 | 25 | 21 |
|
Christopher Michael Morse
1010 4Th St Sw Ste 340 |
$16.45 | 25 | 24 |
|
June B Vogelman
910 N Eisenhower Ave |
$19.20 | 21 | 12 |
|
Luan M Bargman
1010 4Th St Sw |
$3.25 | 17 | 17 |
|
Edward S Henrich
250 S Crescent Dr |
$3.93 | 16 | 13 |
|
Travis Johnson
1010 4Th St Sw |
$1.57 | 15 | 12 |
|
Matthew Robert Hardee
1010 4Th St Sw Ste 305 |
$50.15 | 13 | 13 |
|
Mason City Clinic Pc
250 S Crescent Dr |
$27.57 | 12 | 12 |
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 Mason City, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Mason City, IA is $9.60 per claim, based on 9,827 claims from 21 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 Mason City, IA?
There are 21 Medicaid providers offering Nursing Facility Care related services in Mason City, IA according to public payment data.
What is the price range for Nursing Facility Care in Mason City, IA?
Medicaid reimbursement for Nursing Facility Care in Mason City, IA ranges from $1.57 to $50.15 per claim, with an average of $9.60. 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 Mason City, IA
Office Visit
Avg $32.52
251,985 claims
Psychiatric Evaluation
Avg $72.80
173,529 claims
Blood Work & Lab Tests
Avg $2.12
101,878 claims
Dental Cleaning & Exam
Avg $23.62
93,067 claims
Emergency Room Visit
Avg $114.20
89,920 claims
Chiropractic Care
Avg $22.65
61,891 claims
X-Ray
Avg $14.28
44,313 claims
Vaccines & Immunizations
Avg $18.52
41,423 claims