Based on public Medicaid payment data.

Average Medicaid Nursing Facility Care Payments in Pittsburgh, PA: $17.82

Avg. Paid

$17.82

Range

$0.00 – $59.77

Total Claims

186,338

Providers

141

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 Pittsburgh, PA

Provider	Avg. Paid	Claims	Patients
Dinesha T Weerasinghe 200 Quinn Dr Ste 160	$59.77	12	12
John Francis Hornyak 8134 Peebles Road	$4.34	12	12
Christopher Glenn Koman 8135 Perry Hwy	$42.30	13	12
Robert E. Mcmichael 733 Washington Rd	$15.20	14	14
Gail Turner 4727 Friendship Ave Ste 200	$11.10	14	14
Adam Sohnen 532 S Aiken Ave	$9.60	14	12
Joshua Paul Dalessio 9100 Babcock Blvd	$52.81	16	13
Jennifer R Amour 429 4Th Ave Fl 7	$8.96	17	13
Nagib Manov 100 Delafield Rd	$11.90	21	12
Karen Sue Burgoon 9104 Babcock Blvd	$6.49	21	14
Peyton Elise Coleman 107 Gamma Dr	$16.23	22	14
Gretchen L Bettua 960 Penn Ave	$0.00	24	15
Alexandra Renee Leeper 107 Gamma Dr Ste 210	$7.42	26	15
Robert Mushinsky 1307 Federal St Ste B100	$43.33	26	16
Rica Howarth 320 E North Ave	$2.22	36	36
Haomiao Yu 601 Monroe Ave	$40.41	38	28
Brittany N Rambo 320 E North Ave	$18.96	40	29
Kimberly Alonso 3347 Brownsville Rd # 2	$4.98	40	27
Lori Marie Michalski 200 Lothrop St	$5.18	46	27
Robert H. Potter 5700 Corporate Dr	$25.24	46	37
Cheryl Forbes Lindsey 320 E North Ave	$10.53	48	42
Eric Albert Freiwald 4232 Brownsville Rd	$25.30	50	49
Elizabeth Piocquidio 300 Halket St	$18.58	50	49
Kayla Marie Houghton 550 S Negley Ave	$40.76	54	28
Abdul Q Khan 200 Penn Ave	$7.74	54	39
Behnam Lee Hatam 4727 Friendship Ave Ste 200	$53.28	55	42
Kathleen C Donley 1848 Greentree Rd	$8.53	70	54
Lisa Sanko 5200 Centre Ave Ste 405	$10.91	75	67
Eric Scott Griffin 1140 Perry Hwy	$52.05	76	38
Rudolph Antoncic 1318 5Th Ave	$9.74	84	74
Daveda June Graham 429 4Th Ave Fl 7	$8.85	84	60
Lawrence R Crist 320 E North Ave Ste 6200	$16.27	98	51
Valerie Ann Harper 3600 Forbes Ave Bldg Suite304	$24.50	100	52
Kersten M Rovee 5115 Centre Ave	$11.67	103	74
Megan Lee Boyle 810 Clairton Blvd Ste 500600	$16.66	111	108
Rebecca Lynn D'Eramo 107 Gamma Dr	$9.47	115	41
Alexandria Palm 330 S 9Th St	$29.23	137	103
Isaac Levari 1713 Ardmore Blvd	$10.20	138	97
Howard Pittle 5247 Brownsville Rd	$20.59	139	112
Karen G Bucher 5700 Corporate Dr Ste 700	$25.14	148	103
Jessica Flaherty 4100 Allequippa St	$9.59	155	78
Rosemary Szparagowski 3600 Forbes Ave	$36.53	157	136
Robert N Moses 8074 Mcintyre Square Dr.	$25.83	160	153
Emily Rose O'Connor 1020 Center Ave	$19.19	162	54
Sarah B Shinn 651 Holiday Dr	$15.10	171	127
Osama Alhajjar 320 E North Ave	$8.81	176	128
Kayla Marie Harper 4401 Penn Ave	$1.65	178	43
Sheri Lynn Gongaware-Fitzpatrick 200 Cedar Ridge Dr	$5.44	179	108
Carly Russo 107 Gamma Dr Ste 210	$18.39	188	64
Jonathan Daly 320 E North Ave	$21.87	196	195

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 Pittsburgh, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Pittsburgh, PA is $17.82 per claim, based on 186,338 claims from 141 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 Pittsburgh, PA?

There are 141 Medicaid providers offering Nursing Facility Care related services in Pittsburgh, PA according to public payment data.

What is the price range for Nursing Facility Care in Pittsburgh, PA?

Medicaid reimbursement for Nursing Facility Care in Pittsburgh, PA ranges from $0.00 to $59.77 per claim, with an average of $17.82. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Nursing Facility Care Payments in Pittsburgh, PA: $17.82

Providers Offering Nursing Facility Care in Pittsburgh, PA

What to Expect: Nursing Facility Care

Cost Components

Frequently Asked Questions

Nursing Facility Care in Other Cities

Chicago, IL

Bronx, NY

Las Vegas, NV

Brooklyn, NY

Phoenix, AZ

Tampa, FL

Jacksonville, FL

Indianapolis, IN

Other Procedures in Pittsburgh, PA

Blood Work & Lab Tests

Office Visit

Emergency Room Visit

Urinalysis & Urine Tests

X-Ray

Culture & Microbiology Tests

Physical Therapy

EKG / ECG (Electrocardiogram)