Average Medicaid Nursing Facility Care Payments
Typical Medicaid Nursing Facility Care reimbursement across 7,188 cities
Avg. Medicaid Paid
$16.08
Price Range
$0.00 – $380.00
Total Claims
97.6M
Cities
7188
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.
About This Procedure
Skilled nursing facility services for patients who need 24-hour nursing care and rehabilitation services.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| Kenilworth, NJ | $13.37 | $13.37 – $13.37 | 12 | 1 |
| Great Bend, KS | $9.03 | $9.03 – $9.03 | 12 | 1 |
| Fayette, MO | $34.50 | $34.50 – $34.50 | 12 | 1 |
| Lewisburg, PA | $10.01 | $10.01 – $10.01 | 12 | 1 |
| Jefferson Valley, NY | $0.67 | $0.67 – $0.67 | 12 | 1 |
| Sierra Madre, CA | $0.00 | $0.00 – $0.00 | 12 | 1 |
| Patten, ME | $43.59 | $43.59 – $43.59 | 12 | 1 |
| Loyalton, CA | $13.75 | $13.75 – $13.75 | 12 | 1 |
| Rock Rapids, IA | $0.00 | $0.00 – $0.00 | 12 | 1 |
| Marriottsville, MD | $0.00 | $0.00 – $0.00 | 12 | 1 |
| Smithland, KY | $40.88 | $40.88 – $40.88 | 12 | 1 |
| Sturbridge, MA | $9.96 | $9.96 – $9.96 | 12 | 1 |
| Hampton, IA | $0.00 | $0.00 – $0.00 | 12 | 1 |
| Closter, NJ | $3.41 | $3.41 – $3.41 | 12 | 1 |
| Sun Prairie, WI | $0.00 | $0.00 – $0.00 | 12 | 1 |
| Hinesville, GA | $98.71 | $98.71 – $98.71 | 12 | 1 |
| Miles City, MT | $0.00 | $0.00 – $0.00 | 12 | 1 |
| Del Norte, CO | $32.21 | $32.21 – $32.21 | 12 | 1 |
| New Paltz, NY | $4.27 | $4.27 – $4.27 | 12 | 1 |
| Oakmont, PA | $37.17 | $37.17 – $37.17 | 12 | 1 |
| Watertown, MN | $48.71 | $48.71 – $48.71 | 12 | 1 |
| Deer River, MN | $49.81 | $49.81 – $49.81 | 12 | 1 |
| Garrison, ND | $31.76 | $31.76 – $31.76 | 12 | 1 |
| Tioga, ND | $172.46 | $172.46 – $172.46 | 12 | 1 |
| Stockton, IL | $1.95 | $1.95 – $1.95 | 12 | 1 |
| Murfreesboro, AR | $22.80 | $22.80 – $22.80 | 12 | 1 |
| Forest City, IA | $14.85 | $14.85 – $14.85 | 12 | 1 |
| Kadoka, SD | $61.20 | $61.20 – $61.20 | 12 | 1 |
| Mt Pleasant Mills, PA | $47.00 | $47.00 – $47.00 | 12 | 1 |
| Bridgeport, NE | $24.45 | $24.45 – $24.45 | 12 | 1 |
| Glenrock, WY | $10.08 | $10.08 – $10.08 | 12 | 1 |
| Cranberry, PA | $4.84 | $4.84 – $4.84 | 12 | 1 |
| Byram, MS | $0.00 | $0.00 – $0.00 | 12 | 1 |
| Olney, TX | $0.00 | $0.00 – $0.00 | 12 | 1 |
| Tannersville, PA | $0.00 | $0.00 – $0.00 | 12 | 1 |
| White River, SD | $0.00 | $0.00 – $0.00 | 12 | 1 |
| San Juan Capistraco, CA | $0.00 | $0.00 – $0.00 | 12 | 1 |
| Texline, TX | $16.47 | $16.47 – $16.47 | 12 | 1 |
| Lake Balboa, CA | $26.40 | $26.40 – $26.40 | 12 | 1 |
| Edgemere, MD | $88.41 | $88.41 – $88.41 | 12 | 1 |
| Totowa, NJ | $2.81 | $2.81 – $2.81 | 13 | 1 |
| Colchester, VT | $7.45 | $7.45 – $7.45 | 13 | 1 |
| Belleair Beach, FL | $21.54 | $21.54 – $21.54 | 13 | 1 |
| Holmen, WI | $6.45 | $6.45 – $6.45 | 13 | 1 |
| Enola, PA | $3.38 | $3.38 – $3.38 | 13 | 1 |
| Sanger, CA | $10.58 | $10.58 – $10.58 | 13 | 1 |
| Alliance, NE | $37.69 | $37.69 – $37.69 | 13 | 1 |
| Seaside, OR | $4.49 | $4.49 – $4.49 | 13 | 1 |
| Grundy Center, IA | $0.00 | $0.00 – $0.00 | 13 | 1 |
| Armour, SD | $32.44 | $32.44 – $32.44 | 13 | 1 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| 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 averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.