Average Medicaid Nursing Facility Care Payments in Urbana, IL: $12.18
Avg. Paid
$12.18
Range
$0.32 – $22.70
Total Claims
10,476
Providers
12
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 Urbana, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Suma P Peter
1818 E Windsor Rd |
$10.48 | 31 | 31 |
|
Nakib Ahmed Mansuri
611 W Park St |
$11.76 | 68 | 68 |
|
Raquel Tahud Igana
611 W Park St |
$8.08 | 87 | 83 |
|
Christian E Wagner
1818 E Windsor Rd |
$8.96 | 90 | 87 |
|
Amy K O'Dell
1818 E Windsor Rd |
$22.70 | 153 | 131 |
|
Angelia C Stewart
611 W. Park St |
$2.25 | 253 | 238 |
|
Duat Bui
611 W Park St |
$0.32 | 268 | 155 |
|
Lori Moton
1109 S Lincoln Ave |
$12.19 | 527 | 367 |
|
Jaime Mitchell
509 W University Ave |
$11.11 | 623 | 402 |
|
Mary Louis Manavalan
611 W Park St |
$12.87 | 1,901 | 1,039 |
|
Jenna Hoffman
1818 E Windsor Rd |
$18.89 | 3,033 | 1,566 |
|
Robert W. Dodson
611 W. Park Street |
$7.47 | 3,442 | 1,972 |
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 Urbana, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Nursing Facility Care in Urbana, IL is $12.18 per claim, based on 10,476 claims from 12 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 Urbana, IL?
There are 12 Medicaid providers offering Nursing Facility Care related services in Urbana, IL according to public payment data.
What is the price range for Nursing Facility Care in Urbana, IL?
Medicaid reimbursement for Nursing Facility Care in Urbana, IL ranges from $0.32 to $22.70 per claim, with an average of $12.18. 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 Urbana, IL
Office Visit
Avg $57.42
262,519 claims
Emergency Room Visit
Avg $68.84
222,538 claims
X-Ray
Avg $7.12
138,498 claims
Ultrasound
Avg $38.68
91,009 claims
EKG / ECG (Electrocardiogram)
Avg $8.60
86,180 claims
CT Scan (Computed Tomography)
Avg $53.35
61,441 claims
Physical Therapy
Avg $81.45
57,358 claims
Blood Work & Lab Tests
Avg $6.31
55,566 claims